Inspection on 04/07/06 for The Old Vicarage (Allithwaite)

This inspection was carried out on 4th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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) 09/01/06

The Old Vicarage (Allithwaite) 04/07/05

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) Allithwaite Grange-over-Sands Cumbria LA11 7QN Lead Inspector Mrs Margaret Drury Unannounced Inspection 4th July 2006 09:40 X10015.doc Version 1.40 Page 1 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 The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 2 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 (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage (Allithwaite) Address Allithwaite Grange-over-Sands Cumbria LA11 7QN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 015395 33703 Mrs Barbara Siddiqi Care Home 19 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (19) of places The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 19 older people (OP) of whom 9 may have dementia (DE(E)). 9th January 2006 Date of last inspection Brief Description of the Service: The Old Vicarage is owned by Mrs Barbara Siddiqi who is also the registered manager. Mr Kamal Siddiqi acts as the business/general 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 provide accommodation for up to nineteen older people, nine of whom may have varying forms of dementia. The building is an older property 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. Accommodation 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 (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit, which forms part of the key inspection, took place on one day in July. During the inspection, time was spent talking with the general manager, the deputy manager, senior care staff, and care staff on duty. The inspector was also able to speak with residents, many of whom were sitting in the garden. The inspector also spent time looking at records to do with the day-to-day running of the home and the care of residents. The report may refer to “case tracking”, a process by which the inspector is able to focus on a small number of residents and includes a review of their care documentation. It should be noted that this process is not detrimental to the other residents living in the home Time was spent with some of the residents individually and in groups, and most parts of the home were looked at. The fees in this service range from £390.00 - £440.00 per week as at April 2006. There is a charge for hairdressing, aromatherapy, newspapers, chiropody and personal toiletries. What the service does well: All prospective residents have a full assessment before moving into the home to ensure all individual needs can be met. A complete care planning system is in place with most of the residents involved in the process. All care plans are signed by the resident or a family member. The details on the care plans ensure the carers are given all the information they need to deliver a high level of care and meet the assessed needs. All healthcare needs are met and there is an up to date record of professional healthcare visits and appointments documented in the care plan file. Arrangements are made for residents to have access to chiropody, optical services and dental treatment. There is a programme of organised activities for residents to join in if they wish, and Holy Communion is offered to those who want to partake. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 6 Catering staff make every effort to ensure that a nutritious and varied menu is provided with a choice provided at all meals. What has improved since the last inspection? What they could do better: 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 (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 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 the following standard(s): 2, 3, 4 & 5 Quality in this area is good. Admissions to the home only take place if the manager is confident staff have the skills, ability and qualifications to meet the assessed needs. The assessment process is good and ensures the needs of the residents can be met. Each resident is provided with a contract and terms and conditions that sets out in detail the facilities the home provides. Prospective residents are given the opportunity to spend tine at the home prior to admission. This judgement was made using available evidence including a visit to the service. EVIDENCE: All prospective residents are fully assessed prior to admission to ensure the home is able to meet the assessed needs. Information obtained from this assessment is then used as a basis for the plan of care. All residents have a contract and also a copy of the terms and conditions of residency. Copies of these documents are held on each file. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 9 All those wishing to move in are invited and encouraged to visit the home to meet the staff and other residents and to enjoy a meal and/or refreshments. This also gives opportunity to view the accommodation provided. The needs of those people already living in the home are taken into account when assessing prospective residents. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. Residents health, personal and social cares needs are addressed in the care plans and care needs are met effectively. The home works to an efficient medication policy supported by procedures and practice guidance. Residents are treated with dignity and respect at all times. This judgement was made using available evidence including a visit to the service. EVIDENCE: The deputy manager has responsibility for the care planning system, which is comprehensive and extremely effective. Each resident has a care plan that is used as a working tool and is understood by all staff. It is written in clear language with resident involvement wherever possible. Each care plan includes a comprehensive risk assessment. Management of risk takes into account the needs of residents and demonstrates a balanced view in The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 11 maintaining safety while also offering choice. The rights of others living in the home are also considered when drawing up an assessment of risk. The care plans are updated each month and are completely reviewed with the resident every six months. All professional healthcare visits are recorded in detail and the deputy manager and senior carer confirmed that they have a very good working relationship with the doctors and district nurses who visit the home. The medication is received in a monitored dosage system and all the care staff responsible for giving out the medication have completed training in “safe handling of medication”. Records were checked and found to be in order. The deputy manager and senior carers have recently completed a level 2 course in safe Handling of Medication. As a result, the deputy manager has put a more efficient audit trail as a further safeguard for residents. Residents who spoke with the inspector said that the staff always treated them with respect and kindness and that any personal care required is given in the privacy of their own rooms. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 14 & 15 The quality in this outcome area is good. The routines of the home are planned around the residents’ needs and wishes and are flexible enough to meet the changing needs of the individual. Family and friends feel welcome and know they can visit the home at anytime. Maintaining independence and enabling the residents to make their own decisions about how they wish to live is a key objective for the home. An experienced cook is responsible for providing quality, nutritional meals that meet the cultural and dietary needs of the residents. This judgement was made using available evidence including a visit to the service. EVIDENCE: Discussions with the residents evidenced that they all have control over their lives. They can rise when they want to and retire when they wish. Some of the residents were in their rooms during the inspection, whilst others were enjoying conversations in the lounges. Those who spoke with the inspector said, “we can do what we like “ and “ the staff let us please ourselves”. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 13 There is a programme of activities based on what the residents like to do and some of the residents were in the garden enjoying handicrafts on the day of the visit. Other residents were sitting in the shade enjoying the sunshine. Plans were being made for a strawberry tea arranged for the week following the inspection. A volunteer brings a “pets as therapy” dog to visit the residents. Contact with friends and family is encouraged and visitors are always made welcome, although no one was visiting on the day of the visit. The inspector was in the home over the lunch period and discussions with the residents evidenced that all were happy with the choice of food. Special diets are catered for. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 16, 17 & 18 Quality in this outcome area is good. The home has a complaints procedure in place that is clearly written and easy to understand. Training in the area of protection has been completed and staff are aware of the procedure to follow. Residents are made aware of their rights and their ability to access places of worship and community facilities of their choice. This judgement was made using available evidence including a visit to the service. EVIDENCE: The home has a complaints procedure that forms part of the information pack given to all prospective residents and/or their families. There is a complaints register in place but there have been no complaints to record. Currently all the residents have family members or solicitors to help with their affairs but the home has previously used the advocacy service provided by Age Concern South Lakeland. All service users who wished to vote were provided with postal votes. The care staff have completed adult protection training and this subject is also covered in the staff induction programme and NVQ training. The staff who spoke to the inspector showed a good knowledge of abuse issues and the process to follow should this ever be required. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 19, 20, 22, 23, 24, 25 & 26 Quality in this outcome area is good. The home offers very comfortable, homely accommodation and all areas are quite well maintained. This contributes to a good quality of life for the residents. The home provides aids and equipment to meet the care needs of the residents. The residents’ rooms are suitable to meet the assessed needs. This judgement was made using available evidence including a visit to the service. EVIDENCE: The home provides comfortable surrounding with reasonably good quality furniture and fittings. Since the last inspection two of the residents’ rooms have been re-decorated and two vanity units have been replaced. Arrangements are being made for a further 4 to be replaced in the near future. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 16 There is sufficient communal space with the lounge/dining room and a separate lounge. There is also a conservatory that opens out onto the garden. There are well kept gardens with garden furniture for the residents to enjoy during the warm weather All the bedrooms are for single occupancy, with 6 having en-suite facilities. Two have recently been re-decorated. The general manager is aware that some other bedrooms need to be redecorated and plans are in hand for a further 4 to be completed. Plans are also in hand for the ground floor to be refurbished to include new carpets. The home has specialist equipment for those residents requiring it. This includes, handrails on corridors, assisted bathing, raised toilet seats and hoists. All of these facilities ensure the residents live in safe, comfortable and suitable surroundings. Domestic arrangements in the home ensure that it is kept clean and the risk of cross infection is kept to a minimum by the staff adopting good practices. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. Staffing arrangements are good, ensuring the needs of the residents are met. Staff are well trained (having completed the required training) and provide a skilled and experienced workforce. This judgement was made using the available evidence including a visit to the service. EVIDENCE: The home currently has 1 full time staff vacancy but generally has a very low staff turnover. There are general assistants employed in addition to care staff and this arrangement has been of benefit to the residents and staff. It has meant that the care staff have more time to deliver the care to the residents. The staff team is both experienced and qualified with many having already completed NVQ levels 2 and 3 and others working towards the awards. The deputy manager has completed the Registered Manager’s Award and is also an NVQ assessor. The inspector was able to observe the staff and found their attitude to be caring, supportive and enabling. This attitude ensures that the residents can maintain as much independence for as long as possible. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 18 Staff training is on going with courses completed in medication (level 2), basic food hygiene and moving and handling. Training in first aid is due to be completed later in the year as is further training in adult protection. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 Quality in this outcome area is good. The deputy manager has the required experience and qualifications and is competent to run the home and is highly regarded by the staff and residents. The home has comprehensive policies and procedures that are reviewed on a regular basis. Sound health and safety procedures ensure the residents’ safety. This judgement was made using the available evidence including a visit to the site. EVIDENCE: The deputy manager, who holds the registered manager’s award and has considerable experience in the care of older people, is currently responsible for running the home. She is resident focused and works hard to ensure the home provides a high standard of care. During the visit she demonstrated an awareness of the residents’ needs and the importance of meeting those needs. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 20 Discussions with the residents and staff evidenced they valued her help and support. The home does not hold any personal monies on behalf of the residents and any personal expenditure is paid by the home and recovered via monthly accounts. The general risk assessments are completed by the general manager and are reviewed annually and there is also a fire risk assessment in place. The gas safety check was up to date and all the equipment is serviced regularly under annual contracts. The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 3 3 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 22 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. 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. Refer to Standard Good Practice Recommendations The Old Vicarage (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 23 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 (Allithwaite) DS0000022646.V295563.R01.S.doc Version 5.2 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!