Inspection on 26/01/06 for The Old Vicarage (Staverton)

This inspection was carried out on 26th 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 (Staverton) 12/08/08

The Old Vicarage (Staverton) 15/08/06

The Old Vicarage (Staverton) 09/09/05

The Old Vicarage (Staverton) 10/02/05

The Old Vicarage (Staverton) 27/10/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Old Vicarage (The) The Old Vicarage Staverton Trowbridge Wiltshire BA14 6NX Lead Inspector Thomas Webber Unannounced Inspection 26th January 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 Old Vicarage (The) DS0000057134.V275583.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. Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Old Vicarage (The) Address The Old Vicarage Staverton Trowbridge Wiltshire BA14 6NX 01225 782019 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) Equality Care Ltd Lucy Catherine Elizabeth Wilcox Care Home 21 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (5), Old age, of places not falling within any other category (21) Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users who may be accommodated in the home at any one time is 21 No more than 5 service users aged 65 years and over with a mental disorder may be accommodated at any one time 9th September 2005 Date of last inspection Brief Description of the Service: The Old Vicarage is a privately owned residential care home offering accommodation and personal care to a total of 21 residents over the age of 65 who require care primarily through old age, although the home is also registered to accommodate 5 residents with a mental disorder that excludes learning disability or dementia. The home is situated in the village of Staverton which provides limited amenities. However, its location is only approximately two miles from the County town of Trowbridge. The home has a number of car parking spaces available to the front of the property. The home is registered to Equality Care Ltd and the registered manager is Mrs Wilcox. The home provides all single accommodation for residents use and all but three of the bedrooms are provided with en-suite facilities. Residents bedrooms are located on the ground and first floor levels with residents having free access to all the communal areas and to their bedrooms. Three chair lifts have been installed to enable residents to access the first floor of the building. Old Vicarage (The) DS0000057134.V275583.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, undertaken during the course of one day from 09:00 to 13:45. The main purpose of this inspection was to obtain the views of the residents regarding the care and services provided by the home and to assess the core standards not checked at the last inspection. Standards assessed included food menus, staffing levels, staff training, residents’ finances and health and safety. A tour of the premises was undertaken and the views of seven residents and the four family members of a resident were sought on an individual and group basis. One anonymous complaint was received which alleged three areas of concern: (i) that a member of staff worked too many hours, (ii) the unacceptable attitude/conduct of one member of staff and (iii) residents’ complaints were not acted upon. The complaints were referred to and investigated under the Vulnerable Adults procedures. The investigation found that the complaints were not upheld. Further investigation could not be undertaken to clarify some of the concerns due to the inability to seek additional clarification from the complainant. On 2nd December 2005, as part of the investigation, interviews were held with 15 of the 19 residents in situ in the privacy of their own bedrooms. They expressed no concerns and were very complimentary about the care provided by the staff. What the service does well: The home is run and managed by a person who is qualified and has sufficient managerial experience within the care setting. The home continues to provide sufficient numbers of staff on duty at all times to meet the needs of the residents and is working towards achieving a trained workforce. Staff were observed undertaking their duties in a warm, caring and attentive manner. Residents spoken to commented very positively about the care provided by the staff and these were supported by the comments made by the relatives of a resident met during the course of the inspection. The home is accessible, safe and suitably maintained to meet the individual and collective needs of the residents. Residents are provided with individual bedrooms which they have personalised to their individual wishes. Residents have access to safe, comfortable and suitably furnished and decorated communal facilities together with sufficient toilet, shower and bathroom facilities. The home is maintained to a good standard being clean, tidy and comfortable and provides suitable laundry facilities. Residents spoke positively Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 6 about the standard and cleanliness of their accommodation and the laundry arrangements in place. Residents are supported to maintain contact with their families and friends. Residents receive a varied, appealing and balanced diet and the vast majority of them commented favourably about the quality and quantity of food provided stating that they receive plenty. However, a couple did comment that the quality of meals could vary at times. 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. Old Vicarage (The) DS0000057134.V275583.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 Old Vicarage (The) DS0000057134.V275583.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): EVIDENCE: These Standards were not assessed during this inspection, as the core Standards had been satisfactorily assessed at the last inspection. Old Vicarage (The) DS0000057134.V275583.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): EVIDENCE: These Standards were not assessed during this inspection, as the core Standards had been satisfactorily assessed at the last inspection. Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 10 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): 13 and 15 Residents maintain contact with their families, friends and relatives in accordance with their preferences. Residents receive a varied, appealing and balanced diet. EVIDENCE: The home supports and encourages residents to maintain contact with their families, friends and representatives and has an open policy with regard to visiting times. Residents can choose whom and where to see any visitors, either in the privacy and comfort of their own bedrooms or in the communal rooms available. These arrangements are referred to in the home’s service users’ guide. The family of one resident were spoken to during the course of the inspection and they commented very positively about the care and services provided by the home. They also stated that their mother views the home as ‘her home’. A varied and satisfactory four weekly menu is in operation, which provides a choice at all mealtimes, including a vegetarian option. Mealtimes are flexible and breakfast can be taken up to 11:00 and special arrangements can also be made for residents to have either early or late meals at lunch and suppertime. Residents’ dislikes are sought and recorded on admission, although these are to be extended to include residents’ preferences of vegetables. Drinks and snacks are also available at other set times of the day. Residents can choose Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 11 where to eat their meals although they are encouraged to use the dining room for their main meal as part of socialisation. The vast majority of residents spoken to commented favourably about the quality and quantity of food provided stating that they receive plenty. However, a couple did comment that the quality of meals could vary at times. Old Vicarage (The) DS0000057134.V275583.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): EVIDENCE: These Standards were not assessed during this inspection, as the core Standards had been satisfactorily assessed at the last inspection. One anonymous complaint was received which alleged three areas of concern: (i) that a member of staff worked too many hours, (ii) the unacceptable attitude/conduct of one member of staff and (iii) residents’ complaints were not acted upon. The complaints were referred to and investigated under the Vulnerable Adults procedures. The investigation found that the complaints were not upheld. Further investigation could not be undertaken to clarify some of the concerns due to the inability to seek additional clarification from the complainant. Old Vicarage (The) DS0000057134.V275583.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, 20 21, 24 and 26 The home is accessible, safe and suitably maintained to meet the individual and collective needs of the residents. Residents are provided with individual bedrooms which they have personalised to their individual wishes. Residents have access to safe, comfortable and suitably furnished and decorated communal facilities together with sufficient toilet, shower and bathroom facilities. The home is maintained to a good standard being clean, tidy and comfortable and provides suitable laundry facilities. EVIDENCE: The home is well maintained throughout and there is an ongoing maintenance programme to enhance the residents’ living environment, which was evident during the inspection. The premises provide sufficient heating, lighting and ventilation and the standard of furnishings, fittings and decoration are suitably maintained. Residents have free access to the communal rooms and to their bedrooms. A call bell system is installed in each room, which can be used by residents to call for staff assistance. Three chair lifts have been installed to enable residents to access the first floor of the building. Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 14 The home provides sufficient communal rooms which are comfortable, suitably furnished and decorated and include a lounge that leads from a conservatory together with a separate, large dining room. The home provides sufficient bathrooms, shower and toilet facilities, which meet the needs of the residents. There are three assisted bathrooms, one wheel in shower room and five separate toilets available, which are suitably located on both the ground and first floor levels. These facilities do not include those toilets located within the bathrooms and the en-suite facilities located within residents’ bedrooms. Residents’ bedrooms vary in size but are suitably furnished and equipped to ensure comfort and privacy. Residents can and have brought items of furniture and personal possessions to make their bedrooms more homely and they have personalised them to their individual wishes. Locks have been fitted to residents’ bedroom doors. Planned admissions would be able to choose the colour of decoration to their bedrooms as well as those residents who have been at the home for a long time, particularly where a bedroom needs redecorating. Residents spoke positively about the standard and cleanliness of their accommodation. The home continues to be maintained to a good standard being clean, tidy and free from offensive odours. The laundry room provides suitable facilities to meet the needs of the home. Residents’ clothing is labelled to ensure that their garments are appropriately returned. Residents spoken to commented favourably about the laundry arrangements in place. Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 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): 27, 28 and 30 The home continues to provide sufficient numbers of staff on duty at all times to meet the needs of the residents and are working towards achieving a trained workforce. EVIDENCE: The deployment of staff continues to provide four members of care staff on duty in the mornings with three on in the afternoons and evenings. There are two members of waking night staff on duty each night with one member of care staff sleeping in. The above staffing levels exclude those hours worked by the manager and the number of ancillary staff employed. Residents spoken to commented very positively about the care provided and staff were observed to undertake their duties in a warm, caring and attentive manner. Since the last inspection, the home has introduced new induction booklets, known as ‘Training Record of Induction and Competence in Care’, which are now being completed by new staff employed. The home continues to support staff in either obtaining or working towards achieving NVQ training at various levels. In addition evidence was available to confirm that staff attend other relevant training such as abuse, care for the dying, mental health/dementia, residents’ sensory needs and various mandatory courses. Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 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): 31, 35 and 38 The home is run and managed by persons who are appropriately qualified and have sufficient experience within the care setting. Residents’ financial interests are being suitably maintained. The health, safety and welfare of the residents and staff are promoted and protected. EVIDENCE: The manager is one of the co-proprietors of the company and has achieved the City and Guilds Advanced Management in Care qualification and NVQ 4. She has considerable management and supervisory experience and is complemented and supported by her deputies who are responsible for monitoring the day to day care of the residents. The home has secure facilities for the storage of service users’ monies. A spot check was carried out in relation to the system and monies held by the manager on behalf of the service users and a couple were found to have too Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 17 much money when compared to their cash sheets. These were re-audited during the course of the inspection and found to be satisfactorily maintained. Safe working practices have been established within the home, which complies with the relevant legislation. Policies and procedures are in place to ensure a safe working environment. The Environmental Health Officer carried out a health and safety inspection on 25th January 2006 and minor recommendations were made. Staff continue to receive ongoing training in relation to health and safety and other mandatory courses. Radiator covers have been fitted to all but one radiator for the protection of the residents and this is due to be installed as a matter of urgency. Examination of the fire log book showed that, in the main, it is being suitably maintained, although the date of when staff receive fire instruction during October to December 2005 was not recorded. However, during the course of the inspection this matter was rectified. Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 18 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 19 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 Old Vicarage (The) DS0000057134.V275583.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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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