Inspection on 22/09/06 for The Old Vicarage Residential Home

This inspection was carried out on 22nd September 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 Residential Home 27/02/06

The Old Vicarage Residential Home 10/09/05

The Old Vicarage Residential Home 22/11/04

The Old Vicarage Residential Home 15/06/04

The Old Vicarage Residential Home 21/10/03

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Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE The Old Vicarage Residential Home Vicarage Road Tean Stoke On Trent Staffordshire ST10 4LE Lead Inspector Mrs Wendy Grainger Key Unannounced Inspection 22 September 2006 09:00 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 Residential Home DS0000005022.V308365.R02.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 Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Residential Home Address Vicarage Road Tean Stoke On Trent Staffordshire ST10 4LE 01538 723441 F/P 01538 723810 theoldvicarage2002@hotmail.com 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) Mrs Patricia Ann Cope Mr Richard Cope Miss Lisa Marie Shaw Care Home 15 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (15), of places Physical disability over 65 years of age (4) The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: The Old Vicarage is a residential home for older people, which is located in the small village of Upper Tean in Staffordshire. The property was built around 1859 as the local vicarage, and has been updated by the current providers to meet the national minimum standards. The property is two storeys, serviced by a shaft lift, and provides 15 single occupancy rooms, with 12 of these having an en-suite facility. Aids and adaptations are in place throughout the home to assist service users with restricted mobility, and there is an assisted bath on each floor, and ramp access to all external entrances. Bathrooms and toilets are close to bedroom and communal areas. There is a large lounge with small conservatory off, and a pleasant dining room, again leading to a small conservatory. All areas of the home are tastefully decorated and a homely atmosphere exists. Adequate laundry and kitchen facilities are provided. Adequate car parking is available at the front of the property, which is set in private grounds. A registered care manager and teams of care assistants provide care. NHS healthcare facilities and professionals are accessed when required. Local GPs, community nurses and a pharmacist service the home. The community is welcomed into the home, and family and friends can visit at any reasonable time. Transport is arranged for residents when required. From the information provided in the pre inspection questionnaire the current fees for the home were £365. Additional costs would include hairdressing, which varies in cost. Personal toiletries and periodicals. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection of this level three home took place on the 22 September 2006 with the registered care manager, her staff on duty, residents and visitor; the provider came to the home later in the day and assisted in the provision of information for the report. Information provided via questionnaires completed by relatives and residents, records, report and documents were readily available to the inspector. A tour of the home, discussions and comments made by residents will be incorporated into the report; observations of work practices by the staff were part of the inspection and will be included in the report. At the time of this inspection there were thirteen residents at home with two residents in hospital. Contact with the hospital was maintained to check on the condition of the residents. What the service does well: What has improved since the last inspection? The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 6 Following the last inspection in February 2006 there has been on going decoration to areas within the home. The registered care manager has achieved her Registered Managers Award qualification. 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 Residential Home DS0000005022.V308365.R02.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 Residential Home DS0000005022.V308365.R02.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): 1 2,,3,5 Quality in this outcome area was adequate. This judgement was made using available evidence including discussions with the care manager and from documents provided. At this present time not all the relevant information in respect of the registered care manager was available in the Statement of Purpose. No resident was admitted to the home without a full assessment of his or her health and personal needs. EVIDENCE: The Statement of Propose did not include the relevant information of the registered care manager. The care manager has recently achieved her registered managers award qualification; this will now be included in the information. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 9 The inspector was told that the provider was in the process of having a current new brochure printed. The care manger was to check to ensure that each of the residents were provided with the service users guide containing current details. All the residents were issued with a contract of the terms and conditions of the home. The Old Vicarage Residential Home DS0000005022.V308365.R02.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. This judgement has been made using available information including sampling the care plans, observation of the staff on duty and records. Arrangements were in place for the continued health needs of the residents by other professional agencies. The staff demonstrated their commitment to the care of the residents. The system of medication was satisfactory. EVIDENCE: A sample of three care plans were evidenced, details of individuals needs were recorded. Daily reports were detailed and the recommendation from the previous inspection to follow up reports on any intervention/observations had been addressed. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 11 The care plans identified that health and personal needs were being met. There was a need to review the current risk assessments to ensure that the information was relevant and current. Residents were spoken with and confirmed that they were supported by the staff in a manner where their privacy and dignity was respected at all times. Arrangements were in place to promote the health care needs from other professional agencies; this was evidenced from a visit by a general practitioner on the day and from records. The manager had an excellent rapport with the doctor. One resident part self medicates his medication, a lockable facility had been provided. Medication was stored appropriately, dated when opened. It is important that any medication prescribed for individuals was used accordingly this includes Lactolose. Medication records were current, staff had received the appropriate safe handling of medicine training. Staff were observed during the inspection to be committed to the personal care of the residents. They spent time with them and shared the day together. Every effort was made to ensure that the individuals needs were met. Residents told the inspector that they could not live in a better home where they would be cared for as well. The Old Vicarage Residential Home DS0000005022.V308365.R02.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 14 15 Quality in this outcome is good. This judgement has been made using available evidence including speaking with residents and visitors, accessing records of the social life. Residents were very much part of the daily operation of the home, residents were encourage to take the option of any activity. Contact with families was maintained, the home had an open door policy. Residents were provided with a balanced diet, which reflected the cultural area and resident choice. EVIDENCE: Two of the resident informed the inspector what they were having for lunch during discussions. They also said that the food was good and that coffee was served at 10 30. Residents confirmed that they had the option of alternatives to the main menu. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 13 Comments in the surveys provided to the Commission expressed that the staff and providers listened to the views and comments of the residents; this was confirmed on the day of the inspection. The inspector was impressed with the craft work completed by the residents, the door plaques had a personal choice of design and will be attached to the bedroom doors. Residents told the inspector that the home had had a garden party, which they had enjoyed being part of. Entertainment was arranged on a regular basis. The home had menus that reflected the residents choice and cultural area, the required food, fridge and freezer temperatures were current. Discussed with the care manager was the need to include the cleaning of the fridge/freezer seals in the weekly cleaning rota. The Old Vicarage Residential Home DS0000005022.V308365.R02.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including accessing training records and speaking to residents. The complaints process was displayed in the entrance and would provide access to the Commission. Residents safety was promoted by the training provided to the staff. EVIDENCE: The residents, who confirmed that they would inform the manager or provider if they had a concern, knew the complaints process. A record would be maintained if necessary. The Commission or care manager had not received any complaint. Discussed with the manger was the need to add the telephone number of the Commission to the policy displayed in the entrance. Staff confirmed that they were aware and would activate the complaints process, their induction and other pertinent training included the awareness and need to protect residents from abuse. The Old Vicarage Residential Home DS0000005022.V308365.R02.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): 19,20,23,24,25 Quality in this outcome area is excellent. This judgement has been made using available evidence including a tour of the home, speaking to residents. The high standards of the home were obvious throughout and provided a comfortable safe home for the residents. EVIDENCE: A sample tour of the home evidenced that the housekeeper and staff maintained high standards. Residents were provided with a well decorated home, which was an ongoing mission for the providers. Residents had full access to the bathing and toilet facilities; with the exception of two bedrooms en-suite facilities were available. Equipment was provided, suitable to meet residents needs. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 16 The bedrooms sampled evidenced numerous personal possessions, making their room very personal. The residents told the inspector that they liked their home it was “cosy and homely”. Residents live in a safe environment where they were cared for by a committed staff team. The Old Vicarage Residential Home DS0000005022.V308365.R02.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. This judgement was made using available evidence including speaking to the staff. Staff were employed in numbers to meet the needs of the present residents. Training and experience ensured that they were competent to undertake their roles as carers. EVIDENCE: At any one time during a twenty four hour period there would be two staff on duty caring for the residents. Ancillary staff included a housekeeper, and or the providers. The registered care manager worked as part of the team having time off the floor to complete paperwork. There was a need to monitor on the early shift that the staff did not undertake the role of catering and care. Staff training ensured that the staff were competent to do their jobs. This was evidenced from records and from speaking to the staff. The care manager was fully aware of the need to collate and maintain the required records to comply with the National Minimum Standards Schedule 2. The pre inspection questionnaire identified that 75 of the staff had an NVQ in care qualification. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 18 The homes recruitment, induction and training programme were discussed and found to be satisfactory. The care manager had delegated various responsibilities to the staff including the responsibility for fire training, day & night. The Old Vicarage Residential Home DS0000005022.V308365.R02.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 33 36 38 Quality in this outcome area is good. This judgement had been made using available evidence including access to records, speaking to staff and management. The home operates to the best interest of the residents. Health and safety were a priority for all concerned at the Old Vicarage. EVIDENCE: The care manger had recently achieved her Registered Managers Award; she will now go onto complete Level IV NVQ. From the staff records and from discussions with staff there was evidence of the staffs supervision sessions with the manager. The quality assurance system included residents meetings, feedback from relatives and other agencies. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 20 The provider told the inspector that the home was viable and the evidence seen confirmed that the public liability insurance was current. Fire records were maintained it was recommended that the times the drills were executed and completed were recorded. The Old Vicarage Residential Home DS0000005022.V308365.R02.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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 3 3 X 3 4 4 3 4 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 4 4 3 X X 3 3 3 The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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. 1. 2. 3. 4. 5 6 7 Refer to Standard OP1 OP7 OP9 OP15 OP16 OP27 OP38 Good Practice Recommendations To include the recently achieved qualifications of the registered care manager. To review the present risk assessments to ensure they were relevant to individuals needs. To administer Lactolose from individual bottles prescribed to the respective residents. To add to the cleaning schedule as discussed the cleanliness of the fridge & freezer seals. To include the telephone number of the commission to the complaints process displayed in the entrance. To ensure that roles as carers do not overlap with catering To add to the records the times fire drills were executed and times taken to complete the drill. The Old Vicarage Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Residential Home DS0000005022.V308365.R02.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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