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Inspection on 28/04/05 for The Patricia Venton House

Also see our care home review for The Patricia Venton House for more information

This inspection was carried out on 28th April 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff team at Patricia Venton House provide a sound caring service to some quite frail and disabled older people while at the same time encouraging and promoting independence and decision making about their lifestyle and daily living arrangements. Residents` personal accommodation is spacious and has been arranged to provide facilities for preparing light meals and snacks. Fridges and a communal freezer have also been provided for the safe storage of food which residents` have bought themselves. Residents receive twenty pounds refund off their fees if they choose to provide their own breakfast and tea meals.

What has improved since the last inspection?

Recruitment processes are now being followed in that two references and a CRB check have been taken up for new employees as confirmed by the Deputy Director (Care). Residents` bank details have been made secure by the organisations` finance department.

CARE HOMES FOR OLDER PEOPLE The Patricia Venton House Astor Drive Mount Gould Plymouth PL4 9ED Lead Inspector Sheila Giblin Unannounced 28/04/05 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 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 D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Patricia Venton House Address Astor Drive, Mount Gould, Plymouth, Devon, PL4 9ED Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 253980 Plymouth Age Concern Mrs Patricia Stanton 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 D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Age 60yrs Date of last inspection 22nd February 2005 Brief Description of the Service: Patricia Venton House is situated in a quiet cul-de-sac in the Mount Gould area of Plymouth. It is a part of a purpose built property, The William and Patricia Venton Centre, which was established in 1992 to provide a resource offering residential care and day care for older people. The Home is owned by Plymouth Age Concern and is registered to provide accommodation and personal care, for a maximum of 24 persons over the age of 60 for reasons of old age, dementia or a physical disability. The residential accommodation occupies the two upper floors of the four-floor building. There are 24 single rooms all of which provide self contained accommodation with en suite facilities: 6 of the rooms provide more spacious accommodation that would be suitable for those who wish to share a room. There is a lounge room on each floor and a large dining area situated on the floor below. The large dining room 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. Residents are enabled to access any health or social care services they require. Those who wish to, can make use of the Day Centre. The Home arranges regualr day trips and outings when a driver is available, in addition to various social activities. The garden is attractive, spacious and accessible to the Residents. The Home has a nosmoking policy, however, Residents have the use of a garden house in which to smoke should they wish. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours commencing at 4pm. Eight residents seen in their rooms talked to the inspector at length, one personal visitor and four other visitors in the home for a bowls evening were also seen. Care plans in residents’ rooms were read and a tour of the building was undertaken. All staff on duty were seen and two contributed to the inspection process. The deputy director (care) and the deputy manager were available to discuss the requirement and recommendations from the previous report. What the service does well: What has improved since the last inspection? Recruitment processes are now being followed in that two references and a CRB check have been taken up for new employees as confirmed by the Deputy Director (Care). Residents’ bank details have been made secure by the organisations’ finance department. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 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 standard(s) 1, 3, 6 The home provides information and an opportunity to visit for prospective residents to decide if the home will meet their needs. EVIDENCE: All those residents who spoke to the inspector said they had chosen the home because of its reputation and on the recommendation of friends and relatives who were familiar with the services provided by Plymouth Age Concern. In the absence of the registered manager neither the acting manager nor the deputy director (care) were able to say whether there was a system in place that confirmed in writing that the home was able to meet the care needs of prospective residents following a needs assessment without searching on the computer. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 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 standard(s) 7, 8,10 Residents are well cared for in an atmosphere that encourages choices and decision-making. EVIDENCE: All the residents who expressed an opinion said that they were treated with the utmost respect, that their privacy and dignity were observed and that their wishes and preferences were always taken into account when staff were caring for them. Staff were observed with residents in the dining room and later playing bowls demonstrating their professional caring skills and social interactions. Care plans in residents’ bedrooms showed health and care needs and risk assessments. Residents and/or their relatives had signed their care plans and had agreed the entries. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 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 standard(s) 12,13,14, Residents are enabled to make choices about the lifestyle within and outside the home but more activities and outings could be provided. EVIDENCE: All the residents were very satisfied with the domestic arrangements and the daily routines in the home. But a number expressed their observations about the decline in the social activities of late. The acting manager had drawn up a new list of activities and outings for the forthcoming months on the day of the inspection which some residents hadn’t seen. The monthly director’s meeting for residents was due to take place the day following the inspection. Residents said they would be asking about the activities programme and the hope of more outings in the summer months. Friends and visitors were seen in the dining hall on their weekly bowls night when the residents play against the visitors. Residents of all abilities were helped to play the game in a lively friendly atmosphere. Refreshments were served at half time and staff, visitors and residents were observed enjoying a pleasant social occasion. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 11 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 standard(s) 16 Residents are encouraged to comment about the services provided and know how and to whom they can complain if they wish. EVIDENCE: Residents spoke with confidence about making a complaint or raising any issues if they were dissatisfied in any way. However, no one had had a need to make a formal complaint because they said any worries or problems were sorted out immediately either by the care staff or the manager. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 19, 20, 21, 23, 24, 25, 26 The home provides an attractive environment that is clean, spacious, warm and comfortable. EVIDENCE: The living accommodation is situated on the top two floors of the Centre with many rooms have far reaching views of the River Plym and surrounding countryside. A full passenger lift and two staircases provide access to all floors. The rooms are arranged around a rectangular viewing gallery which looks down onto the large central dining hall which is open at lunchtimes for non residents. There are lounges, a staff room and offices on both floors. The home is a nonsmoking environment but an outdoors smoking cabin has been provided for residents and visitors. The en suite bedrooms are spacious and well maintained. Most residents had brought items of furniture in with them and all the rooms seen showed a variety of personal effects. The quality of the attractive bed linen and soft The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 13 furnishings provided by the organisation was noted and added to the warmth and comfort of the resident’s rooms. The lighting in the dining hall was seen to flicker on and off during the bowls match. Staff said this had been reported and was awaiting attention. The lighting on the landings was quite dim. It was difficult for staff to read medication charts and labelling when administering night time medication. Throughout the home, cleanliness and hygiene were of a very high standard. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, The staff team are well qualified and experienced to meet the care needs of the residents. EVIDENCE: There were four care staff on duty for the evening who knew all about the care needs of the residents. Staff have completed NVQ 2 and 3 courses and have worked in the home for many years. The residents said staff were very kind and caring. During the evening staff and residents were observed together displaying warm friendly and professional relationships. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35 Despite the absence of the registered manager the home continues to operate smoothly. EVIDENCE: The atmosphere in the home was very positive. The director and senior staff hold monthly meetings to give the residents an opportunity to voice their opinions. Such a meeting was set for the day following the inspection. Residents generally manage their own financial affairs. An anomaly had been found during the last inspection that might have compromised the security of a resident’s bank account. This situation has now been dealt with satisfactorily. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 x COMPLAINTS AND PROTECTION 3 3 4 4 4 4 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 x x 3 x x x The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 17 no Are there any outstanding requirements from the last inspection? 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 25 Regulation 23(2)(p) Requirement Lighting in the dining hall must be checked and the flickering lights remedied. The quality and brightness of the lighting on the landings must be improved and upgraded. Timescale for action 1st July 2005 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. Refer to Standard 12 Good Practice Recommendations Residents should be asked what activities they would like to introduce and to have reinstated. Outings in the organisations buses should be increased where possible to enable wheelchair users to go out more often if they wish. The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 18 Commission for Social Care Inspection Unit 1D Linhay Business Park Ashburton, Devon TQ13 7UP 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. Extracts may not be used or reproduced without the express permission of CSCI The Patricia Venton House D52-D07 S3555 The Venton Centre V212316 290405 Stage 4.doc Version 1.20 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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