Inspection on 26/09/06 for The Old Vicarage Residential Home

This inspection was carried out on 26th 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 06/01/09

The Old Vicarage Residential Home 22/12/08

The Old Vicarage Residential Home 31/07/08

The Old Vicarage Residential Home 25/10/05

The Old Vicarage Residential Home 12/05/05

The Old Vicarage Residential Home 26/11/04

The Old Vicarage Residential Home 13/05/04

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 Silver Street Whitwick Coalville Leicestershire LE67 5EW Lead Inspector Kim Cowley Unannounced Inspection 26th September 2006 11:00 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 DS0000059863.V311774.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 Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 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.V311774.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 25.10.05 Brief Description of the Service: 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. Fees range from £335 to £375 per week. The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. Four further residents, the Registered Manager, the Deputy Manager, and two members of the care staff team, were also interviewed. The activities programme, complaints procedure, safeguarding adults initiatives, and staff team were commended. What the service does well: The Old Vicarage is a well run home, which offers a good standard of accommodation to residents. On the day of inspection the home had a lively atmosphere. Ten residents were taking part in an art and craft session run by two members of the care staff team. Residents were keen to show the inspector examples of the work they had completed including cards, knitting, and art work. The Manager said ‘Since we started the programme of activities there has been a change in the residents. When I arrive in the mornings they come up and say, “What are we doing today?”. I’m 100 for activities and so are the residents.’ Activity sessions are run every weekday and include arts and crafts, board games, skittles, hair and beauty, and quizzes. There is also a daily exercise class. One resident said a social worker came to see her in the middle of a quiz and she had to ask him to come back later, as she was enjoying the quiz so much so didn’t want to miss any of it. The premises are of historical interest. Parts of the building are over 500 years old and the son of the poet William Wordsworth used to be a vicar there. Although the building is old it is well maintained by the Owners. All areas inspected were homely and well decorated. The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 6 All residents interviewed said they were pleased with the look of the home and liked their bedrooms. One resident said, ‘It was hard to come here at first, but I brought my own furniture and now I feel at home.’ The home is well staffed by friendly, well-trained, and experienced carers. The Manager said, ‘I have a good team and I’m proud of them. They are mature and sensible and I trust them completely with the residents.’ All residents interviewed praised the staff team. Comments included, ‘There’s always someone to help you when you’re in difficulties’, ‘The staff are very, very good’, and ‘Nothing’s too much trouble for the staff.’ One staff member said, ‘I love it here because it’s a cosy, friendly place. All my colleagues are fantastic – they are inspirational – and I’m delighted about the training I’m getting.’ All residents interviewed said they were happy living at the Old Vicarage and the following comments were made: ‘This is a nice place, with good food, lots to do, and a lovely Manager.’ 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 Residential Home DS0000059863.V311774.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 Residential Home DS0000059863.V311774.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): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: Prospective residents and other interested parties are sent a brochure on request. This provides basic information about the home and includes the Terms and Conditions. Residents who are considering coming to the Old Vicarage are invited to visit prior to making a decision. One resident said, ‘I made my mind up to come here after my doctor recommended it.’ Another commented, ‘My daughter chose this home and I’m glad she did because it’s just right for me.’ The Manager assesses all prospective residents in their own homes, in hospital, or during a visit to the Old Vicarage. Information is sought from health and social care professionals where appropriate. Records sampled as part of ‘case tracking’ showed written pre-admission assessments in place. A The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 9 ‘Cultural Needs’ assessment is also carried out. This covers areas such as religious preferences, likes and dislikes, personal hygiene requirements, and preferred routines. It helps to ensure that residents’ individual and specific needs are met. Standard 6: This home does not provide intermediate care. The Old Vicarage Residential Home DS0000059863.V311774.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. This judgement has been made using available evidence including a visit to the service. Residents’ health and social care needs are met. EVIDENCE: Records showed that detailed care plans, based on residents’ assessments, are written by the Manager and referred to on a daily basis by care staff. These are updated as necessary and at least once a month at staff meetings. Risk assessments are carried out using the home’s risk assessment forms. The Manager said staff always sit and talk to residents about their care plans before they are implemented. Once they give their agreement they have the opportunity to sign the plans if they are able to. Care plans included personal histories of residents. This gives staff a fuller picture of the resident and what is important to them in their lives. Residents are encouraged to determine their own routines. One resident said, ‘I have three showers a week – and I’ve only got to ask if I want more.’ The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 11 If residents are unable to keep their former GPs on admittance to the home, they are registered with one of five local surgeries. District Nurse, chiropodists, opticians and dentists visit the home when necessary, or residents can visit them in the wider community. One resident said, ‘My doctor’s just round the corner which is convenient.’ One resident self-medicates supported by staff. All staff who administer medication have done a ‘Safe Handling of Medication’ course. The Manager said she checks medication records daily to ensure they have been filled in correctly. Staff receive training during their induction on maintaining residents’ privacy and dignity. This is first done through discussions with the Manager or another senior member of staff, and then by giving staff the opportunity to shadow experienced members of staff on duty. Policies are in place to help staff promote residents’ choice, independence, dignity and respect. The Old Vicarage Residential Home DS0000059863.V311774.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 outcome for this area is excellent. This judgement has been made using the available evidence including a visit to the service. Daily life and social activities enable residents to lead full lives. EVIDENCE: Activities are popular at the Old Vicarage and the majority of residents take part in a full and varied programme. During the inspection ten residents were taking part in an art and craft session run by two members of the care staff team. Residents were keen to show the inspector examples of the work they had completed including cards, knitting, and art work. The Manager said ‘Since we started the programme of activities there has been a change in the residents. When I arrive in the mornings they come up and say, “What are we doing today?”. I’m 100 for activities and so are the residents.’ Activity sessions are run every weekday and include arts and crafts, board games, skittles, hair and beauty, and quizzes. There is also a daily exercise class. One resident said a social worker came to see her in the middle of a quiz The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 13 and she had to ask him to come back later, as she was enjoying the quiz so much so didn’t want to miss any of it. There are regular residents’ and relatives’ meeting held at the home, for those who wish to attend, where information about events and activities is shared. There is also a notice board where the programme of activities for each week is displayed. A few residents do not take part in organised activities but prefer to spend time in their rooms following their own interests, or taking part in activities in the local village. Occasional trips out are organised to local churches, garden centres, picnic areas, and pub lunches. Relatives are invited to attend if they wish. Church services are held in the home every month with different faiths represented. The kitchen has recently been extensively re-furbished. One of the Owners does all the cooking. Menus are decided at residents’ meetings. Diabetics are catered for. All residents interviewed praised the food and one resident commented, ‘There’s two choices at every meal. I asked for fish with parsley sauce today but I could have had toad in the hole.’ The Old Vicarage Residential Home DS0000059863.V311774.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, 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: All residents interviewed said they would have no hesitation in telling the Manager or a member of staff if there was something they were not happy about. The home has a formal complaints procedure, which is displayed in the home, and residents and visitors can use this if they want. Informal complaints are recorded along with action taken. Records showed that residents’ complaints, however minor, are taken seriously and addressed. The home has a clear adult protection procedure. Staff on duty were questioned about this and were knowledgeable about their responsibilities in this area. An ‘Awareness of Elder Abuse’ course was held in the home and staff and two residents took part in this. (The residents in question have displayed their course certificates on the wall in the lounge.) As both staff and some residents are aware of the issues surrounding elder abuse, residents at the Old Vicarage are further safeguarded. There have been no formal complaints since the last inspection. The Old Vicarage Residential Home DS0000059863.V311774.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is safe and well maintained. EVIDENCE: The premises are of historical interest. Parts of the building are over 500 years old and the son of the poet William Wordsworth used to be a vicar there. Although the building is old it is well maintained by the Owners. All areas inspected were homely and well decorated. All residents interviewed said they were pleased with the look of the home and liked their bedrooms. One resident said, ‘It was hard to come here at first, but I brought my own furniture and now I feel at home.’ Another commented, ‘I’ve got my own room with my own toilet and I’m very happy.’ The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 16 Since the last inspection the kitchen has been completely re-furbished and a small reading room has been created with a supply on books and magazines. One resident said, ‘I’m a keen reader so I like to go in the reading room and see what there is.’ There are also new carpets in one of the lounges, the dining room, and in some residents’ bedrooms. A part-time cleaner works at the home four mornings a week, and care staff do the rest of the cleaning. All areas inspected were clean and fresh. The Old Vicarage Residential Home DS0000059863.V311774.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 excellent. This judgement has been made using available evidence including a visit to the service. Well-trained and professional staff meets residents’ needs. EVIDENCE: The home is well staffed by friendly, well-trained, and experienced carers. The Manager said, ‘I have a good team and I’m proud of them. They are mature and sensible and I trust them completely with the residents.’ All residents interviewed praised the staff team. Comments included, ‘There’s always someone to help you when you’re in difficulties’, ‘The staff are very, very good’, and ‘Nothing’s too much trouble for the staff.’ One staff member said, ‘I love it here because it’s a cosy, friendly place. All my colleagues are fantastic – they are inspirational – and I’m delighted about the training I’m getting.’ There are three staff (a senior carer, a carer, and the Manager/one of the Owners) on duty during the day and evening, and a waking member of staff on duty at night with the Owners on call. Extra staff are provided when necessary, for example if a resident is ill and needs extra care. All staff have a three-day induction when they shadow experienced colleagues. The majority of staff have, or are studying for, NVQ qualifications (Levels 2 or The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 18 3). One resident has also completed her NVQ Level 2 (studying along with the staff). Records showed that all staff have undergone the relevant statutory training. The Manager does not carry out formal (ie recorded) staff supervision, as she does not think that would be appropriate in a small home like the Old Vicarage. However she said she supervises staff informally when she works alongside them, to ensure they are working effectively. Staff turnover is low. The Manager said she does not use agency or bank staff, as the residents don’t like ‘strangers’ in their home. When recruiting she makes it clear that she only employs those with a vocation for caring. She said, ‘You can’t do this sort of work solely for the money or as a secondary job. You have to be committed to the residents. I tell interviewees that so they are clear from the start how important our residents are.’ All staff have CRB/POVA checks and written references before they start work. The Old Vicarage Residential Home DS0000059863.V311774.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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: The Manager has NVQ Level 3 and is currently studying for her Registered Manager’s Award. She has a hands-on approach to her job and works alongside the staff team carrying out care tasks and helping with residents’ activities. She said, ‘My management approach is that it’s the residents’ home and they come first. But I also support my staff – I’ve been a carer myself and I know what a difficult job the staff do - so I encourage them to train and to increase their skills so they get the most out of their work.’ The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 20 Residents have direct input into the running of the home via regular meetings. At these residents are encouraged to choose activities and menus, offer suggestions, and speak out if there’s anything they’re not happy about. Residents who would rather give their views privately can see the Manager on a one-to-one basis. Residents either look after their money themselves or have their families look after it for them. Receipts and accounts are kept of all monies spent on behalf of residents. The home’s fire risk assessment was updated in April 2006 and seen and approved by the Fire Department on 22 May 2006. Monthly fire drills take place and residents are involved in these. The home’s Environmental Health Officer inspected the kitchen on 23 September 2006. One recommendation was made (for a daily report on food hygiene to be completed). This has been complied with. The Old Vicarage Residential Home DS0000059863.V311774.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Old Vicarage Residential Home DS0000059863.V311774.R01.S.doc Version 5.2 Page 22 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.V311774.R01.S.doc Version 5.2 Page 23 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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