Inspection on 01/11/05 for The Old Vicarage [Stockland]

This inspection was carried out on 1st November 2005.

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 [Stockland] 21/06/07

The Old Vicarage [Stockland] 08/02/06

The Old Vicarage [Stockland] 30/03/05

The Old Vicarage [Stockland] 06/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

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 The Old Vicarage Stockland Bridgwater Somerset TA5 2PZ Lead Inspector Sue Dewis Unannounced Inspection 01 November 2005 10:40 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 DS0000015986.V249455.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 DS0000015986.V249455.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Vicarage Address Stockland Bridgwater Somerset TA5 2PZ 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) 01278 652352 01278 652185 enquiries@restcare.co.uk MR SEAN JAMES O`BRIEN MRS SAMANTHA JANE O`BRIEN MRS SUSAN MARY THOMAS Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30 March 2005 Brief Description of the Service: The Old Vicarage is a large three-storey property set in extensive grounds in the village of Stockland Bristol. The Registered Providers are Mr and Mrs O’Brien, and the Manager is Mrs Susan Thomas. The home is registered with the Commission for Social Care Inspection to provide accommodation and personal care to up to twenty-six people over the age of 65 years. The home provides accommodation to up to twenty people within the main building, and a further six service users can be accommodated in the bungalows within the grounds. The home works closely with local health services. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over approximately 5 hours. The manager and assistant manager were on a training course and so a senior carer was available throughout the inspection. Four residents and four staff were spoken with in private and several other residents in a group setting. The visiting District Nurse was also spoken with. The inspector was made very welcome and would like to thank staff and residents for their assistance throughout the visit. What the service does well: What has improved since the last inspection? What they could do better: Residents’ finances would be further safeguarded by obtaining two signatures for all transactions, and the environment could be improved with some The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 6 upgrading and redecoration. A further assisted bathroom would improve facilities for residents. 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 DS0000015986.V249455.R01.S.doc Version 5.0 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 DS0000015986.V249455.R01.S.doc Version 5.0 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): 2 and 5 Prospective residents are assured that their care needs can be met. EVIDENCE: Three residents files were inspected, including that of the most recently admitted resident. All files contained evidence of a detailed pre-admission assessment. One resident confirmed that they had visited the home for a short break prior to their long-term admission to the home. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 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): 7 and 8 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet the needs of the residents. The health care needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: Three resident’s files were inspected, which included their care plan. All three files contained comprehensive information and included all the required information. There were detailed health and personal care assessments, and clear instructions for staff to follow, on how the identified needs should be met. A record is maintained of visits by the chiropodist, GP and of the resident’s weight. Risk assessments for nutrition, pressure areas and moving and handling were seen. Care plans had been regularly reviewed and there was some evidence of involvement of residents and their families. There were detailed health care needs assessments, where necessary, which had been completed by the district nurses. The inspector spoke to a district The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 10 nurse who was visiting during the inspection. She said that they usually visited twice a week to deal with pressure areas or leg ulcers. She commented that they staff were very good, and there were ‘no problems’. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 11 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 and 15 Social activities provide stimulation and interest for residents. Meals are nutritious and offer a healthy and varied diet for residents. Residents’ views are sought and they feel that they can affect the way the home is run. EVIDENCE: The inspector spoke with four residents in private, one of which was at the home for a short break only. They were all very happy with the standard of care provided by the home and there were comments made like, ‘I’m very lucky to be here’, ‘would recommend this place to anyone’, ‘like home from home’ and ‘its what residential care should be like’. Residents and staff told the inspector that regular meetings were held, when residents can discuss matters within the home. One of the care staff at the home is also responsible for organising activities. The inspector was told of various activities and outings that had been arranged. Residents told the inspector how much they enjoyed being able to The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 12 take part in the activities or not as they choose. One resident said we ‘don’t sit there staring at the TV all day’. During the afternoon the home had a visit from an animal rescue centre, who brought a variety of animals to the home for residents to see and touch. It was evident that the residents very much enjoyed this, as the lounge was full with much chatter and laughter. The inspector spoke with the cook, who has worked at the home for sixteen years. The cook explained that there is a six week menu that offers a choice of two meals at lunchtime, that residents choose the day before, and three choices at tea. The cook prepares the menu based on the likes and dislikes of the residents and ‘the sort of things they would choose to eat in their homes’. The inspector saw records of the kitchen cleaning rota and fridge/freezer/meat temperatures. Residents were very complimentary about the food saying it was ‘excellent’, ‘just like what you would have at home’ and ‘a good variety’. The Old Vicarage DS0000015986.V249455.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): None of these standards were inspected on this occasion. EVIDENCE: The Old Vicarage DS0000015986.V249455.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): 19, 21, 23, 24 and 26 Though some aspects could be improved, the standard of the environment within the home is generally good, providing residents with a clean, safe, comfortable and homely place to live. EVIDENCE: The inspector was told that there are plans to extend and refurbish the home, including the provision of a second assisted bathroom, though these plans have been put on hold. The environment is generally well maintained and comfortable, with a comfortable and homely atmosphere. However, corridors in some areas in the main house could be improved with re-decoration. The assisted bathroom had not had a lamp shade refitted following the change of a bulb. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 15 Residents are able to bring as many personal items into the home as can be fitted into their rooms. Residents were very keen to show the inspector their rooms and were very proud of them. The home was clean and hygienic and there were no unpleasant odours. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 16 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 deployment and numbers of staff available throughout the day are sufficient to meet the needs of the residents. Residents benefit from having their needs met by trained and competent staff. EVIDENCE: Many staff at the home have worked there for many years and have received a variety of different areas of training and some specific to the needs of the residents. These have included NVQ, Basic Food Hygiene, First Aid, Dementia Awareness and Safe Handling of Medication. On the day of inspection there were four carers and one senior carer on duty. There was also a cook, kitchen assistant and a maintenance man on duty. Staff and residents felt that there were enough staff on duty to meet the needs of the residents in an unhurried manner and that staff had time to sit and chat to residents. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 17 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): 32 and 35 The home appears well managed and this generally results in practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: Residents and staff all said that they felt able to talk to the manager about anything that they might be unhappy about, and that it would be dealt with. The inspector saw records of residents’ finances, and only one signature is obtained for all transactions. The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 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 3 X X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X 3 X 3 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 X X 3 X 3 X X X The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 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. 1 2 3 4 Refer to Standard OP19 OP21 OP21 OP35 Good Practice Recommendations You are recommended to redecorate and refurbish corridors where necessary You are recommended to consider providing a further assisted bathroom (carried over from last inspection) You are recommended to provide a lampshade in the assisted bathroom You are recommended to obtain two signatures for residents’ financial transactions The Old Vicarage DS0000015986.V249455.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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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