Inspection on 09/01/06 for The Old Vicarage (Allithwaite)

This inspection was carried out on 9th January 2006.

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) 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 9th January 2006 10:50 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.V271306.R01.S.doc Version 5.1 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.V271306.R01.S.doc Version 5.1 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.V271306.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 19 older people (OP) of whom 9 may have dementia (DE(E)). 4th July 2005 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 manager. The home is situated in the quiet village of Allithwite, which is within two miles from 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.V271306.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and the second one this year, with the visit taking place over late morning and early afternoon. During the inspection, time was spent talking with the deputy manager, business manager, care staff on duty and the cook. The inspector looked at the care plans and other documentation and records to do with the day-to-day running of the home and the care of residents. Time was spent talking with some of the residents in the lounge and dining room. The standards not assessed during this inspection were inspected and met during the previous visit that took place in July 2005. What the service does well: What has improved since the last inspection? Two new service contracts have been started, one for the gas appliances and one for the hot and cold water tanks and points. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 Page 6 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.V271306.R01.S.doc Version 5.1 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.V271306.R01.S.doc Version 5.1 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&4 Residents and their families benefit from the opportunity of visiting the home prior to admission. Residents are safeguarded by the signing of a formal contract/terms and conditions. EVIDENCE: All residents have a contract and terms and conditions, which is issued when they are admitted to the home. Prospective residents and/or their families are encouraged to visit the home and meet the staff and other residents before deciding whether or not to move in. This gives the opportunity to discuss whether or not the assessed needs of the prospective resident can be met. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 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 the following standard(s): 7, 8 & 11 The healthcare needs of the residents are met, with evidence of a good working relationship between the home and the healthcare professionals. Residents benefit from a staff team that treats them with respect at all times. EVIDENCE: The home has an excellent care planning system in place and this standard was assessed and met during the previous inspection. However, the inspector was shown a number of care plans that have been fully operational for the last 12 months. These gave an in-depth picture of the residents’ health and social care needs over during the year and how those needs have been met. Discussions with the deputy manager and care staff confirmed that the home has a good working relationship with the visiting healthcare professionals. The district nursing service is currently visiting the home on a daily basis and the local general practitioners visit whenever a request is made. All details of healthcare visits and appointments are documented in the residents’ files. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 Page 10 The policy for handling the death of a resident is clear, with residents’ wishes recorded on the care plans. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 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 the following standard(s): 14 The staff have a good understanding of the residents’ support needs. This was evident by the interaction between them and the residents. Residents benefit from being given freedom of choice about how they spend their days. EVIDENCE: It was evident during the inspection that all the staff interacted well with the residents and were seen to ask them where they wished to sit and what they wanted to do. The inspector observed the caring way in which residents were spoken to and the manner in which the staff approached them. Residents’ meetings do not take place often but those residents who spoke with the inspector said, “We can do what we like. We can come into the lounge or stay in our room, if we wish.” The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 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 the following standard(s): 17 Service users benefit from the availability of an advocacy service should this ever be required. EVIDENCE: Currently all the residents have either their families or solicitors to assist them to manage their affairs. The deputy manager was, however, aware of the advocacy service and the residents are given advice how to access this should it be necessary. Residents had taken part in past elections through the postal voting system, and had been helped with this by staff when necessary. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 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 the following standard(s): 19, 21, 24, 25 There has been no change in the décor or furnishings in the last 12 months and although this does not pose a risk to the residents, the environment could be enhanced by some internal decoration. EVIDENCE: Discussions with business manager evidenced his awareness that the internal decoration of the home now needs some attention, particularly in the communal areas. He was able to produce a copy of the business plan for the next financial year that showed proposed renovations and improvements to the interior of the home. Six of the bedrooms have en-suite toilet facilities and there are sufficient communal bathing and toilet facilities to meet the residents’ needs. A sample of the bedrooms was inspected and they were found to be safe and made personal to the residents with ornaments, pictures and photographs. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 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 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): 28 & 30 Residents benefit from a staffing policy that ensures there are sufficient numbers of staff are available with the necessary skills to meet the assessed needs. EVIDENCE: The inspector was able to speak with the care staff that were on duty at the time of the inspection. They were appreciative of the support they received from the deputy manager and the training that is organised by the registered provider. Over 70 of the care staff have completed the NVQ level 2 or 3 and all mandatory training is up to date. This includes, first aid, manual handling and food hygiene. Staff are also trained in medication, infection control, fire awareness, dementia care and protection of vulnerable adults. the business manager provided the inspector with a schedule of training he hopes to organise for this year. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 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 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 & 37 Residents benefit from a deputy manager who gives guidance and direction to staff to ensure residents receive consistent, high quality care. EVIDENCE: Currently the deputy manager is responsible for the running of the home and ensures that the residents benefit from her relaxed style of management. She works closely with the registered provider and business manager to make certain all the assessed needs are met. She has completed her NVQ level 4 in management and the Registered Manager Award and is also an assessor for the NVQ qualification. Added to this she has considerable experience in the care of older people. The home has a full set of policies and procedures that are available for the staff to access when they wish. The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 Page 16 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 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x 3 X 3 X X 3 3 X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X 3 x The Old Vicarage (Allithwaite) DS0000022646.V271306.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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.V271306.R01.S.doc Version 5.1 Page 18 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. 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