Inspection on 04/07/05 for The Old Vicarage (Allithwaite)

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Old Vicarage (Allithwaite) 29/08/07

The Old Vicarage (Allithwaite) 04/07/06

The Old Vicarage (Allithwaite) 09/01/06

The Old Vicarage (Allithwaite) 05/01/05

The Old Vicarage (Allithwaite) 11/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Allithwaite Grange Over Sands Cumbria LA11 7QN Lead Inspector Margaret Drury Unannounced 04 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Allithwaite Grange Over Sands Cumbria LA11 7QN 015395 33703 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Barbara Siddiqi Care Home 19 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 19 older people (OP) of whom 9 may have dementia (DE(E)). Date of last inspection 05 January 2005 Brief Description of the Service: The Old Vicarage Vicarage is owned by Mrs Barbara Siddiqi who is also the registered manager. Mr Kamal Siddiqi acts as the business manager. The home is situated in the quiet village of Allithwite, which is within two miles of Grange over Sands. There is a bus route near by and the nearest shop is half a mile away. The Old Vicarage is registered to care for up to nineteen older people, nine of whom may have varying forms of dementia. The building is an older prperty that has been adapted for its present use as a care home. There are thirteen single rooms and three doubles, although all the rooms are currently used for single occupation. Accomodation is provided over two floors with the upper being served by a passenger lift. The toilets and bathrooms are equipped to assist people with a disability. There is a lounge, dining room and conservatory providing communal space for the residents. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one day. During the visit, time was spent talking with the proprietor, business manager, deputy manager and care staff on duty. Records to do with the dayto-day running of the home and the care of residents were examined and time was spent with some of the residents individually and in a group. During the inspection, some parts of the home were looked at. What the service does well: What has improved since the last inspection? What they could do better: The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 6 The deputy manager, who was present during the inspection, has delegated responsibilities for much of the running of the home and would benefit from at least a day and a half where her hours are supernumerary. This would be of benefit to the residents and ensure the staff received more help and support to meet the assessed needs. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 & 5 The home’s information pack provides prospective residents and their families with details of the services the home offer so that an informed decision can be made about admission to the home. Residents benefit from an admission procedure that ensures all the assessed needs can be met and all interested parties are invited to visit the home prior to admission. EVIDENCE: The owner has made slight alterations to the Statement of Purpose and residents’ charter in order to ensure all the information is up to date. A copy of the information pack is made available to any one who makes an enquiry about admission to the home. There is a clear admission procedure, which includes a full assessment of needs, to ensure these can be met. Details of the assessment are held on the care plan. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 , 9 & 10 The home has a clear and consistent care planning system, which ensures residents health, and social care needs are met in a way that promotes their privacy and dignity. The medication at the home is well managed promoting good health. EVIDENCE: The care plans are excellent and contain information about residents assessed needs, including moving and handling. They are regularly reviewed and updated with the involvement of the resident. There is also a six-monthly review with the key worker, resident and a family member. The plans provide the care staff with the information they need to meet resident’s needs. Records are kept about GP appointments and when district nurses visit, and people said that an appointment was made as soon as they asked to see the doctor or nurse. The arrangements for storing and administering medication in the home are safe and well organised, and residents received their medication as prescribed. All controlled drugs are recorded with the records signed by two members of staff. The care staff speak to residents in a courteous and polite The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 10 way, knock before entering bedrooms, and close bedroom doors when assisting people with personal care tasks. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 5 Social activities provide residents with a range of choices and opportunities to stimulate them. Dietary needs of residents are catered for with a balanced and varied selection of food available and offer a choice at each meal EVIDENCE: There are activities available for the residents with details of the daily/ weekly programme on display in the hall. All residents are given the opportunity to join in if they wish. There are some highly dependent residents and they are encouraged to take part in activities that will stimulate them. The home organises outing during the summer months. There is a six-weekly menu with a choice at each mealtime providing residents with a variety of food. The menu is displayed so that people can see what is available. Special diets are catered for, and information is recorded about residents’ dietary needs and preferences. Meals can be taken in the dining room or in the person’s own room. Those residents who wish are able to attend Church on a Sunday and monthly Communion is provided for those wanting to partake. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff understand adult protection issues, which protected residents from abuse. EVIDENCE: Residents are given information about how to complain when moving into the home, and said that if they raised any issue it would be dealt with promptly. Information about making a complaint is displayed in the entrance area of the home. The deputy manager and staff on duty during the inspection showed an awareness of adult protection issues and this subject is covered during NVQ training with external abuse and neglect training completed in March of this year. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 22, 23 &26 Residents benefit from a warm, comfortable and safe environment with rooms that are suitable to meet their needs. EVIDENCE: The maintenance and upkeep of the home is in the hands of the business manager who uses external contractors for any work required. There is a large garden for residents to enjoy and ample communal space for activities or just chatting with friends. There is specialist equipment to assist any resident with disability. The bedrooms are, on the whole, well decorated and provide the residents with personal space if they want to spend time by themselves. Domestic arrangements in the home ensure it is clean, pleasant and hygienic. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 Residents benefit from trained and experienced staff. All are appointed following a thorough recruitment procedure. This ensures maximum protection for people. EVIDENCE: There is a full complement of staff, some of whom are trained to NVQ levels two and three. There were two members of care staff on duty on the day of the inspection, plus the cook, domestic and the business manager. These staff were able to attend to peoples needs, keep the home clean and provide meals and snacks during the day. The home has a full recruitment and selection process and no new staff are appointed until the Criminal Records Bureau check has been completed. These measures contribute to the protection of the residents. There is a full training programme available. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 36 & 38 There is clear leadership, guidance and direction to staff to ensure residents receive consistent, high quality care. Good financial procedures and professional accountants safeguard residents. Staff benefit from regular management supervision and appraisal. Health and safety policies provide a safe environment for staff and residents EVIDENCE: There is a warm and relaxed atmosphere in the home providing the residents with a safe and friendly environment. The deputy manager works hard with the staff to promote good care practices and ensures the home is run in the best interests of the residents. She has recently completed the NVQ level four, the NVQ assessor’s award and the registered manager’s qualification. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 16 Staff are supervised regularly and annual audits of the building and health and safety policies ensure that the residents and staff live and work in a safe environment. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 3 x 3 x 3 The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 27 Good Practice Recommendations it is recommended that the deputy manager be given at last a day and a half per week for administrative duties. The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Vicarage F58 F10 s22646 old vicarage allithwaite v233064 040705 ui stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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