Inspection on 16/07/07 for The Patricia Venton House

This inspection was carried out on 16th July 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Patricia Venton House 31/08/06

The Patricia Venton House 13/10/05

The Patricia Venton House 28/04/05

The Patricia Venton House 22/02/05

The Patricia Venton House 03/06/04

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 The Patricia Venton House Astor Drive Mount Gould Plymouth Devon PL4 9ED Lead Inspector Helen Tworkowski Key Unannounced Inspection 16th July 2007 8:00 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 Patricia Venton House DS0000003555.V340720.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 Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Patricia Venton House Address Astor Drive Mount Gould Plymouth Devon PL4 9ED 01752 221806 01752 318074 willandpatventonpl4@btopenworld.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) Plymouth Age Concern Ms Jacqueline Mary Carr Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24), of places Physical disability over 65 years of age (24) The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 60yrs The home may accommodate 24 service users in the categories of Older People (OP), Dementia (DE(E)) and Physical Disability (PD(E)) 31st August 2006 Date of last inspection Brief Description of the Service: Patricia Venton House is a care home providing accommodation and personal care for 24 people aged over 60, who may also have dementia or a physical disability. The home is owned by Plymouth Age Concern, which is a voluntary organisation, and is situated in a cul-de-sac in the residential area of Mount Gould in Plymouth. It was opened in 1992 and is part of a larger resource offering residential and day care for older people. The home is a four storey, purpose built, detached property and the residential accommodation occupies the two upper floors. There are twenty-four self-contained rooms with en suite facilities, six of the rooms are more spacious and would be suitable for those who may wish to share. There is a lounge room on each floor and a large dining area situated on the floor below, which is shared with the service users of the adjacent day centre, with separate sittings for residents and day guests. There is a call alarm system throughout the home. A passenger lift is available to all floors. The garden is attractive, spacious and accessible to the residents. The home has a no-smoking policy but there is a designated area where residents may smoke. The fees for a single room are £362 per week and £469 for a premier (double sized) room. There are additional charges for: trips, hairdressing, chiropody, milk, newspapers, toiletries, personal items, and bingo. A copy of the Statement of Purpose and Service Users Guide, documents that provide information about the home, are available in the office. The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included site visits that took place on 16th July 07 (8.00am – 12.45pm) and 17th July 07 (8.00am – 6.00pm). The Inspection included a tour of some areas of the building, communal areas and some bedrooms. We looked at records relating to four individuals and spoke with these people about the care they received. We looked at other records, including those relating to medication, recruitment and training, and health and safety. In addition we attended a Service User meeting, had lunch with a group of Service Users, and joined an art group. We also spoke with a visiting Social Worker, and a District Nurse who regularly visits the home. We spoke with four care staff who were on duty, watched medication being administered and met with the Manager of the home and Senior Managers from Plymouth Age Concern. Following the site visits we spoke with a Care Manager, who is responsible for reviewing social services funded people, and with a relative of a Service User. An “Annual Quality Assurance Assessment” (AQAA) was also completed by the registered manager and this provided additional information that has been used in this report. What the service does well: We asked a relative of one of the people who lived at Patricia Venton House how his relative was treated: “like a queen”. Service Users feel that staff are kind and visitors report that people are treated with respect. Staff knock on doors, or ring the bell and people’s privacy is respected. Patricia Venton House provides a good standard of level access accommodation where Service Users are able to maintain their independence. Each person has a small kitchen area, where light meals may be prepared. However where an individual does not wish to do this then meals are provided by the home. The accommodation is spacious, comfortable and well maintained. There are sufficient staff, and there are good systems for recruiting staff and ensuring that the right people work at the home and that Service User are protected from abuse. Staff feel well supported and that they have sufficient training to do their work. The home is well managed and visitors commented on this. Service Users feel confident to raise concerns or issues, and where there have been complaints these have been promptly dealt with. The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Patricia Venton House DS0000003555.V340720.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 Patricia Venton House DS0000003555.V340720.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 was not inspected as the home does not provide Intermediate Care) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective Service Users can be assured that their needs will be known to staff before they move to the home. EVIDENCE: The files of two people who had recently moved to Patricia Venton house were looked at. There was information that had been collected as part of an assessment. This information was from the individual and their family as well as Social Services, where they had been involved. The information was clear and informative, and had been used to plan how care needs would be met. There were also letters on file showing that the home had confirmed in writing that they would be able to meet care needs. Staff spoken with during this inspection said that before someone moved to the home the manager discussed with them the individual’s needs and how they were to be met. The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 9 The Patricia Venton House DS0000003555.V340720.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: We asked a relative of a Service User about the care provided at Patricia Venton House, he said that his relative “was treated like a queen”. The people spoken with, who live at Patricia Venton House, said that they felt that they were treated with respect and dignity. It was noted that whenever staff went into anyone’s room they rang their doorbell. A visiting Social Worker commented that she had noted that staff treated service users with respect and knock on doors. All of the bedrooms at Patricia Venton House have door locks and many Service Users have their own keys, each door has it’s own door bell and letter box. The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 11 Four “Service User Plans” were looked at during this inspection. These documents should provide clear guidance to staff on what help each individual needs. There have been significant improvements in these documents, they now have clear guidance to staff on what help to provide, rather than general statements. This is important so that service users get a consistent service. There have also been significant improvements in the area of risk assessments. These documents detail how unnecessary risk will be avoided. The Manager and District Nurse told us that they were working on implementing more comprehensive information on the needs of people with diabetes, although there is already basic information on file. We looked at the way medication was given in the home by observing a medication round. Service Users were asked if they would like their medication, staff clearly understood that the people at Patricia Venton House have a right to make their own decisions, including those relating to medication. There were good records of medication administered and there was a clear audit trail. There was a good record of controlled drugs in the home. Medication was kept under lock and key, and the person administering it knew the purpose of each sort of medication. There was a risk assessment for each person who self administered medication, however this assessment was neither comprehensive nor detailed. We discussed with the Deputy Manager the importance of having a clear assessment of capacity of each individual to manage their own medication, and that this is linked to staff guidance on administering and supplying to service users their medication. The Patricia Venton House DS0000003555.V340720.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Patricia Venton House are able to make choice about their life style, and are able to follow hobbies and interests. Meals provided by the Patricia Venton Centre are not of a good standard. EVIDENCE: Patricia Venton House has been designed so that each person has a large bed sitting room, where they are able to make drinks or simple snacks, with support from staff if needed. Service Users may choose to have their meals entirely provided by staff or may prepare their own breakfast and tea. The main meal is provided in the main dining room on the ground floor, people using the day centre also use this room for lunch. As part of this inspection we sat in on a meeting between Service Users and the Manager, Jackie Carr. Service Users were clearly not afraid to raise issues that were of concern to them and it was clear that they expected there to be a response. One of the issues that was raised at this meeting was the quality of the food. Service Users thought that the meals were not well cooked, and raised particular concerns that the vegetables were not properly cooked. The The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 13 manager had already arranged for a meeting to take place with herself, the cook and residents to discuss some of these issues. The Inspector also spoke with one of the staff about the food, and she confirmed that the food was not well cooked. She said that Service Users could not eat some of the vegetables, and that she would not eat some of the cake provided at teatime. We ate a lunch with Service Users, and also found that the food was not of a good standard. One issue raised at the last inspection was the lack of activities provided. This had been in part caused by problems using the main dining room whilst the roof was under repair, and also to a lack of drivers for trips out in the bus. Service Users at the meeting felt that there had been some improvements. There were more trips happening, on the previous Saturday there had been a trip to Mount Edgecombe and a trip to the Monkey Sanctuary was planned. The Inspector attended a weekly art group; this group is run by two volunteers and was attended by six service users. Individuals attending clearly enjoyed the group, and found inspiration in learning from fellow artists. Service Users also said that they were now able to do “short mat bowls” once more in the large dining room. No money is held at Patricia Venton House on behalf of Service Users. The Patricia Venton House DS0000003555.V340720.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: The Commission has received no complaints regarding this home. The home has received one complaint that it has dealt with directly. There was evidence on file that this complaint was appropriately responded to. As has already been noted regular meetings are held with Service Users who use the meeting to raise issues. The Manager said that they were now ensuring that when Service Users raised issues they get proper feedback from Senior Manager on actions to be taken. The training records show that staff have received or are about to receive training in relation to the protection of vulnerable adults. We spoke with staff and asked them about ensuring that Service Users were kept safe, they had a good understanding of their responsibilities. The Patricia Venton House DS0000003555.V340720.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from clean, well-maintained, well-decorated, spacious and comfortable accommodation. EVIDENCE: Patricia Venton House is on the top two floors of the Venton Centre. Many of the bedrooms have far reaching views over the River Plym and the surrounding countryside. The Centre is built into a hillside and there is level access from the lower floor of Patricia Venton House at the rear of the building on to an enclosed garden. Each bedroom has a kitchenette that may be used to prepare drinks or light meals. The rooms are large and many people have been able to bring in items of their own furniture. All of the bedrooms have en-suite bathrooms. There is level access through out the home; there is a lift between floors and to access the Venton Centre. Patricia Venton House is well suited to meeting The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 16 he needs of people who wish to be able to maintain their independence but who have chosen to move to residential care. The home is registered to admit people with dementia or who may have a physical disability, however the service does not admit anyone with high or complex care needs. The building is well decorated and clean. Service Users spoken with as part of this inspection said that they were satisfied with their rooms. At the last inspection concerns were raised regarding how the service ensured that infections were not spread, and there has been an outbreak of an infectious illness. The Manager said that they had carried out an audit of control of infection procedures, staff have received training and further training is planned. The Manager has also obtained new guidance (“Essential Steps”) on Infection Control and said that they will be implementing this. The Patricia Venton House DS0000003555.V340720.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users can be confident that their needs will be met by a good level of staff who are trained and competent to provide support. EVIDENCE: Service Users spoken with said that they thought that the staff were kind and caring. The visiting District Nurse said that she found that when she asked staff about Service Users staff were aware of what was happening and knew how they were. There are four staff on duty on during the morning and afternoon, there are three staff on during the evening. At night there are two waking night staff. Staff spoken with said that thought that there were sufficient staff. One Service User raised concerns at the Service Users meeting that staff were very busy at night, however the Manager felt that there were sufficient staff on duty, and this was also the view of the Commission. Staff personnel files are kept in the Riverview Centre a short distance for Patricia Venton House. The files of two new staff were looked at during this visit. There was evidence of a robust recruitment system. Two written references had been taken prior to employment. The service makes a check of a list of people not suited to work with vulnerable people (POVA List) and also completes a criminal record check. The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 18 The Manager said that each member of staff receives an initial one-day induction, they also received an organisational induction, and where staff do not hold a recognised qualification they also go through a further induction. The notice board had a number of notices of courses for staff to attend. The manager said that staff also are able to attend workshop on specific illnesses such as heart disease and rheumatoid arthritis. Staff spoken with said that they felt that they had received sufficient training to do their work. They also said that they felt well supported, there were regular staff meetings, supervision and staff worked well as a team. The Patricia Venton House DS0000003555.V340720.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. 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 this service. Service Users benefit from living in a home that is well managed and where there is an effective quality assurance system. EVIDENCE: The Manager, Jackie Carr, is a competent and experienced manager. She is currently completing the “Registered Managers Award”. Since the last inspection a deputy manager has been appointed, and although there is still another vacancy at this level, the home has made progress in meeting requirement made at the last inspection. We were shown surveys that had been sent to different groups of people to get their views on the service, this included service users, relatives, and visiting professionals. The Manager was in the process of collating the results, and it The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 20 was clear that this was more than a paper exercise. A senior Manager in Plymouth Age Concern said that she ate lunch in the dining room with Service Users, so that she was readily available to be approached if there were any issues that people wished to raise. She confirmed that people were happy to raise issues. At present no money is currently held on behalf of Service users at the Patricia Venton Centre. The Manager said that they had they had made improvements in relation to health and safety checks. Monthly checks are now made of each room to assess the risk. Also resident’s mobility needs have been included in the fire and evacuation plan. The Patricia Venton House DS0000003555.V340720.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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 4 X 3 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 3 X 3 X 3 X X 3 The Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? yes 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. 1. Standard OP9 Regulation 13 (2) Requirement All Service Users who self medicate must have being risk assessed to ensure that that are safe to do this and receive the help and support they need. (A similar requirement was made at the last inspection) Meals must be well cooked, nutritious and suited to the taste and needs of Service Users. Timescale for action 01/09/07 2. OP15 16 (2) (i) 01/09/07 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 Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Patricia Venton House DS0000003555.V340720.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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