This inspection was carried out on 22nd December 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: The Old Vicarage Residential Home Silver Street Whitwick Coalville Leicestershire LE67 5EW The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Allison-White Date: 2 2 1 2 2 0 0 8 Information about the care home
Name of care home: Address: The Old Vicarage Residential Home Silver Street Whitwick Coalville Leicestershire LE67 5EW 01530831802 F/P01530831802 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Old Vicarage Residential Home Ltd care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability 19 0 19 Over 65 0 19 0 Conditions of registration: To specify the minimum age: No person under 18 years of age who falls within the categories OP, PD or DE may be admitted to the Old Vicarage Residential Home. Date of last inspection Brief description of the care home The Old Vicarage is a residential home for older people situated in the heart of the village of Whitwick. The home is a Grade II listed building of historic interest. It has 19 single bedrooms, most of which have en-suite facilities, two lounges, a small reading room, and a dining room. To the rear of the home is a large secluded garden. There is a car park. Fees range from £334.00 to £396.00 per week. An old copy of the Care Homes for Older People Page 2 of 9 Statement of Purpose and Service Users Guide is available at the entrance to the home (these provide information on how the home is organised and what services they provide). A current Employers Liability certificate of insurance is displayed in the hallway and a copy of the inspection report should also be available on request. Care Homes for Older People Page 3 of 9 What we found:
This is an overview of what the inspector found The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We came to this quality rating at the last key inspection. The focus on inspections undertaken by the Commission for Social Care Inspection is on outcomes for individuals and their views of the service provided. The inspection took place on a Monday. It took eight hours to complete. At the time of inspection there were eighteen people living at the care home with one person in hospital. This random was alerted by a number of concerns raised from a health care professional. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 1 4 (1) (c) The Statement of Purpose 31/10/2008 and Service User Guide must be reviewed to contain the information that an individual coming into the home should have. 2 26 13 (4) (a) (c) Facilities for the washing and 31/10/2008 drying of hands should be provided. Bins that can avoid being opened by hand should be considered to avoid the risk of cross infection from disease and contamination. 19 A review of all staff records 31/10/2008 must be done to ensure that they comply with the Care Standards Act 2000. Good recruitment practices must be followed at all times as this could potentially put the people living at the home at risk from people who do not meet the Criminal Records Bureau (CRB) checks. 3 29 Care Homes for Older People Page 5 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 29 19 The registered person shall 23/12/2008 not employ a person to work at the care home unless a) the person is fit to work at the care home; (b) subject to paragraph (6), he has obtained in respect of that person the informtion and documents specified in (i) paragraphs 1 to 7 of Schedule 2 (c) he is satisfied on reasonable grounds as to the authenticity of the references referred to in paragraph 5 of schedule 2 in respect of that person. A staff member was found not to have clearance from the home office to work at the care home. This could put individuals lives at risk. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 8 13 The registered person shall ensure that (4)(c) unnecessary risk to the health and safety of service users are identified and so far as possible eliminated. Improvements in the area of training for staff for bedridden individuals must 08/02/2009 Care Homes for Older People Page 6 of 9 also be made to ensure the continued provision of care along with the early detection and treatment of skin problems developing. 2 10 13 (7) The registered person 08/02/2009 shall ensure that no service user is subject to physical restraint unless of the kind employed is the only practicable means of securing the welfare of that or any other service user and there are exceptional circumstances. Care practices have identified that staff need further training in the area of safeguarding vulnerable adults. They need to understand how abuse can take place intentionally and un-intentionally. In this way all individuals will be protected from abuse. 3 27 18 The registered person shall, 08/02/2009 having regard to the size of the care home, the statement of purpose and the number and needs of service users (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. This is to ensure that there are sufficient staff on duty at all times. The rota must be made clearer for anyone to understand it. The registered person shall 08/02/2009 give notice to the Commission without delay of the occurence of death,
Page 7 of 9 4 37 37 Care Homes for Older People illness and other events. Any event that adversley affects the well being of any individual living or cared for by the home must be reported to the Commission. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!