CARE HOMES FOR OLDER PEOPLE
The Old Vicarage Residential Home Silver Street Whitwick Coalville Leicestershire LE67 5EW Lead Inspector
Chris Wroe Unannounced Inspection 25th October 2005 10:20 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 DS0000059863.V260290.R01.S.doc Version 5.0 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 DS0000059863.V260290.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service The Old Vicarage Residential Home Address Silver Street Whitwick Coalville Leicestershire LE67 5EW 01530 831802 01530 831802 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) The Old Vicarage Residential Home Ltd Mrs Renu Sood Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 12th May 2005 Brief Description of the Service: The Old Vicarage residential home is a gothic grade II listed building, providing care for up to 19 people. It is registered to provide care for people who need care due to old age. The home is situated in quiet and secluded large gardens and is in the heart of the village of Whitwick in Leicestershire. All rooms are single, the majority with en-suite facilities. Bedrooms are situated on the ground and first floor. There are two lounges a dining room and a kitchen. There is also a large central garden for residents to use. The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on a weekday, 25th October 2005, starting at 10.20am and lasting for two and a half hours. Twelve residents were spoken with during the inspection, all of whom gave very positive views about the home. Comments made include: ‘Top hole!’ ‘I like everything about [the home].’ ‘You can’t fault the staff’. ‘The food is lovely’. In addition, three comments cards had been filled in by residents, and seven by relatives/friends of residents. All gave positive responses to the questions. One relative commented: ‘Staff are all wonderful and good and always have time to listen’. The main method of inspection used was ‘case tracking’, which involved selecting three service users and tracking the care they receive through checking records, talking with the service users, looking round the home and observing care practices. At the last inspection, almost all of the key standards were checked. At this inspection, the inspector checked the remaining key standards, to make sure good care was continuing, and followed up requirements and recommendations made at the last inspection. What the service does well:
The information given below is based only on the aspects checked at this inspection: Care records and daily records give good information about how any issues of concern, which have been noted by staff, are followed up. There is good information in the home for residents and visitors about what they can expect from staff. The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 6 Good attention is paid to residents’ social needs as well as health and personal care needs. Residents are supported and encouraged to get involved in activities of their choice. Arrangements for assisting residents to manage their finances, and safeguarding any monies kept on residents’ behalf, are good. What has improved since the last inspection? What they could do better:
There was nothing noted in the standards checked during this inspection that needed to be improved. Please contact the provider for advice of actions taken in response to this
The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 7 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 DS0000059863.V260290.R01.S.doc Version 5.0 Page 8 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 DS0000059863.V260290.R01.S.doc Version 5.0 Page 9 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): All key standards under this section were checked at the last inspection. EVIDENCE: The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 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 Residents’ health, social and personal care needs are met. EVIDENCE: Care plans have been improved, giving information about the changing needs of residents. Daily records show that issues, which have been noted in the care plans are followed up by staff. Some care plans include a personal history of residents, which gives a fuller picture of the individual and of what has been important to them in their lives. Accident records show a reduction in recorded falls, and that the home carries out a risk assessment after an incident occurs, to try and prevent any future accidents. Information is available in the home to residents and visitors about accidents and how staff should try to prevent falls, so residents are able to know what they can expect. Attention is paid to social needs as well as health needs. Residents are able to move around freely in the home, and some residents enjoy their own daily routine outside the home. A number of residents have, after encouragement and support from the staff, taken up (again) knitting, which they enjoy. Some
The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 11 residents have even attended staff training courses and been given the opportunity to find out what they can expect staff to know. Residents said that they felt well cared for in the home. The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 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): All key standards under this section were checked at the last inspection. EVIDENCE: The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 13 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): All key standards under this section were checked at the last inspection. EVIDENCE: The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 14 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): All key standards under this section were checked at the last inspection. EVIDENCE: Repairs, which were required after the last inspection, have been carried out. There is now a new carpet in one corridor outside the kitchen area. All areas seen during this inspection were clean and free from offensive odours. The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 15 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): All key standards under this section were checked at the last inspection. EVIDENCE: The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 16 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): 35 The management of finances safeguards residents’ interests. EVIDENCE: Residents are able to have varied arrangements for the management of finances. In some instances families help residents with all expenditure, in others money is passed to the manager to safeguard and spend on what the resident wishes. Age Concern is also involved to provide independent support. Receipts and accounts are kept of all monies spent on behalf of residents. Relevant policies are in place in the home, to make sure residents are protected – for example that staff must not accept gifts from residents. The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X The Old Vicarage Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 18 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 Residential Home DS0000059863.V260290.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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