Inspection on 31/08/06 for The Patricia Venton House

This inspection was carried out on 31st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Patricia Venton House 16/07/07

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 Unannounced Inspection 31st August 2006 10:00 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.V303144.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.V303144.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 willandpatventon@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.V303144.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)) 13th October 2005 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 garden house where residents may smoke. The fees for a single room are £343/week and £445 for a premier (double sized) room. There are additional charges for: trips, hairdressing, chiropody, milk, newspapers, toiletries and personal items, and bingo. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included two “site visits” on 31/8/06 (10.30am to 4pm) and on 1/9/06 (9.30am to 4pm). During these visits the Inspector toured the building, spent time talking with the manager, with staff and with service users. Records were looked at, these included those in relation to individual service users, staffing, medication and training. The Inspector also ate lunch with Service Users. As part of this inspection ten Service User surveys were distributed, and eight were returned. Ten Staff surveys were handed out, five were returned. Feedback was sought from six health care providers, though only one responded. A pre-Inspection questionnaire completed by the Manager also provided information about the service. What the service does well: What has improved since the last inspection? Staff recruitment procedures have improved since the last inspection. Good staff recruitment procedures help ensure that that Service Users are protected from abuse. The Manager said that having gone through a period of staffing difficulties for some months, these were finally being resolved with the appointment of two deputy managers, who were to start work in the next few weeks. This would ensure that some of the outstanding issues at Patricia Venton House were tackled. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 6 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 Patricia Venton House DS0000003555.V303144.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.V303144.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 The Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users needs are known to care staff prior to a move to Patricia Venton House. However a full record of these needs is not kept, and this could lead to needs being missed. EVIDENCE: Two people have recently moved to Patricia Venton House. The Manager, Jackie Carr explained that she visited the individuals prior to a move, and had found out about their needs. There was a written assessment, but the information was very limited and insufficient. A thorough written assessment, is important as it is the basis for planning how care needs will be met when the person moves to the home. It also provides a basis for comparison if needs change over time. The Inspector spoke with one Service User about whether she had had the opportunity to visit the home before a move. She confirmed that whilst a relative had selected the home she had had the opportunity to visit prior to a The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 9 decision being made to move. The Registered Manager also confirmed that Service Users could initially stay at Patricia Venton House on a trial basis, so that they could be sure that it was the right place to move to. The Manager was able to provide the Inspector with a copy of a letter that gets sent to prospective Service Users when have decided on their move, to confirm that Patricia Venton House is able to meet their needs. Intermediate care is not provided at Patricia Venton House. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service User needs are met, though the lack of written plans and risk assessments means that there may be a lack of thoroughness and consistency. Service Users are treated with respect and their rights to privacy is upheld. EVIDENCE: Three Service User Plans were looked at during this inspection. These documents detail how each person’s needs, including health care needs, will be met by care staff. The documents should explain in detail the actions staff are to take. Two of the three Service User Plans had very basic information, and they lacked sufficient detail to guide staff. For example one Service User Plan stated that in relation to dressing an individual “needs assistance”. A Service User Plan should describe the help needed; this should be agreed with the Service User. A comprehensive and detailed Service User Plan should ensure that an individual needs, wants and personal preferences are known to staff, and that they are consistently met in a way that the individual prefers. One person, who had moved the previous day, had no Service User Plan. There The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 11 must be plans for all Service Users; these are important when an individual first moves, as staff will not know that person. It is recognised that these Plans may change in the first month or two of a stay. Discussions with staff indicated that they did read Service User Plans and that they also had a good awareness of what each person’s needs were. All of the five staff survey forms returned confirmed that staff are never asked to care for anyone outside their area of expertise. There were some risk assessments, however these were not comprehensive. For one individual it was noted on their file that she was at risk of falls however there was no risk assessment that looked at how such a risk could be reduced. A “monitored dose” system is used to manage medication at Patricia Venton House. A pharmacist prepares this system, and senior care staff administer the drugs. The medication was generally well managed, and drugs were administered as prescribed. Where Service Users could be administered one or two tablets, there was no record of the number of tablets administered. Some Service Users at Patricia Venton House have chosen to administer their own medication, and care staff at the home hold some stock medication on their behalf. This is one way that Service Users can maintain their independence. Where Service Users were self administering medication they had been asked to sign an agreement saying that this had been agreed. However no risk assessment had been made. Such an assessment is important not only to ensure that Service users are safe, but to ensure that they get the support at the right time and in the right way to maintain both their safety and well being. All of the bedrooms at the Patricia Venton House have door locks, and Service Users have their own keys. In addition each door has its own doorbell and letterbox. The Manager Jackie Carr explained that Service Users have their post and papers delivered to their door, and that if they wished they could also have milk delivered. Staff were observed throughout this inspection knocking on doors or ringing door bells. Service Users spoken with confirmed that they were treated with respect. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, and 15 Quality in this outcome area is generally good. However in relation specifically to activities the outcome is adequate. This judgement has been made using available evidence including a visit to this service. Service Users are provided with well cooked meals that they usually enjoy. Service User can feel assured that they can maintain contact with their family and friends. EVIDENCE: Patricia Venton House has been designed so that each person has a large bed sitting room, where there they are able to make drinks or simple snacks. Service Users may choose to have their meals entirely provide by staff at Patricia Venton House or may prepare their own breakfast and tea. Support is provided to help individual with this. This means that Service Users are able to maintain an important aspect of their independence whilst in a Care Home setting. One relative said that her mother was not able to prepare her own food, but they still really valued having access to this kitchen area, so she could make tea during a visit. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 13 The main meal of the day is prepared in the main kitchen of the Patricia Venton House and was until recently eaten, with visitors to the Venton Centre, in the main dining room. However, this room is not in use as repairs are required to the glass roof. The two lounges at Patricia Venton House are therefore being used as dining rooms. The Manager said that whilst this had been disruptive it had meant that Service Users had spent more time together and had got to know each other better. The Inspector ate one meal with Service Users during the Inspection. Service Users are given a choice of meal- the menu is traditional and including roast dinners twice a week. Service users spoken with during the meal said that the food was generally very good. Staff commented that improvements had been made for food for people with diabetes, particularly the puddings. It was noted that one person was a vegetarian. On the day of the inspection they had been given the roast dinner, minus the lamb, with a fried egg. If vegetarians are to be accommodated then a proper vegetarian menu should be offered. Of the eight Service Users who returned surveys six people always or usually enjoyed the food. The Inspector spoke with the staff about the times Service Users got up and went to bed, they were clear that there were no rules. Service users views were respected but staff were also aware of the need to encourage individuals to maintain a healthy life style taking into account medical conditions. The inspector spoke with one relative who explained that her mother was treated with respect and that she was able to make choices in her daily life. Seven of the eight Service Users returning survey forms said that could always make decisions about what they could do each day. One area of concern raised consistently by staff and service users was a lack of drivers wanting to work overtime, which meant that there was no transport to take Service Users to the local supermarket. Grocery items were ordered “on line” and delivered. Service Users spoken with said that they missed this trip out. The lack of drivers also meant that trips out were now restricted to every second month. The problems with the roof of the Venton Centre also meant that other activities such as bowls had been curtailed. Service User had raised concerns about the lack of activities and opportunities to go on trips with the Manager and with the Director of Plymouth Age Concern, however they felt that nothing had been achieved by this discussion. Some of the surveys from both staff and service users raised concerns regarding the activities; four of the eight Service User surveys returned forms thought that activities were sometimes provided. Comments included: “I would like more trips out and more entertainment in house- such as music evenings, concerts, and educational talks”. No money is held at Patricia Venton House on behalf of Service Users, the Manager explained that there was a system for this, should it be necessary, The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 14 but Service Users are encouraged to manage their own finances as long as possible. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are robust systems in place to ensure that Service users views can be heard and any complaints dealt with. There are good systems in place to help to ensure that Service User are protected from abuse. EVIDENCE: There is a complaints procedure, a copy of which is in the Service User Guide and is available to Service Users. The Manager had received one complaint since the last inspection and there was a record of this being dealt with appropriately. The system for keeping a record of complaints was muddled; the Manager confirmed that the system was to be reviewed. Regular Meetings are held with the Service Users, these meetings are attended by the Manager or by the Director of Age Concern. The minutes of these meetings indicate that Service User felt that they were able to raise issues of concern. Some of these issues are then discussed at a Senior Management Team, it is recommended that there the record of the outcome of these discussions is available to Service Users, so that they know that they not only have their concerns been heard but that they have been acted upon. Staff receive initial training in relation to Adult Protection as part of their induction to Plymouth Age Concern. The Manager was able to show that staff were then booked on to a more in depth course run by Social Services at the next available opportunity. The manager had leaflets for staff that summarised The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 16 what abuse is and what actions they are to take if they have concerns. The recruitment systems used are robust, and should help to ensure that the service users are kept safe from abuse. Four of the five staff responding to the a survey said that they were aware of the Adult Protection Procedure. All of the eight Service User responded that they knew or usually knew who to speak to if not happy, or if they wished to make a complaint. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 17 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, 24 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Uses benefit from well-maintained, well-decorated, spacious and comfortable accommodation. The home is clean however practices in relation to control of infection are not robust and could lead to an outbreak of an infection. 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. As has already been noted else where in this report all of the bedrooms have a kitchenette that may be used to prepare drinks or light meals. The rooms are large and many service users have been able to bring in items of their own furniture. All of the bedrooms have en-suite bathrooms. The The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 18 manager said that where an individual needs a bath aide, to ensure that they are able to bathe safely, this is provided. There is level access through out Patricia Venton House, there is a lift between floors and to access the Venton Centre. Patricia Venton House is well suited to meeting the 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. The inspector discussed with the Manager that Patricia Venton House would not be a suitable environment for many people with dementia or who had significant or complex care needs. The building is well decorated, well maintained and clean. The Manager said that two domestics are employed to carry out the majority of the cleaning, though care staff are involved with service users in some cleaning- such as dusting bedrooms. There is a laundry on the ground floor that can be accessed by stairs or lift. The laundry is well designed and has four washing machines including machines with sluice facilities. It was noted that there was no soap for staff to wash their hands with, once they had handled soiled linen. This was also the case in the sluice room and cleaning cupboard. Staff must wash their hands after handling soiled items, if the spread of infections is to be avoided. Disposable gloves were available throughout the home, though staff said that they did not use disposable aprons when handling soiled laundry. The Inspector observed and staff confirmed that they did not wear aprons or tabards when serving food, at present. This means that there is a risk of cross infection. It was also noted that the sluice room was being used to store surplus equipment. Mops stored in the cleaning cupboard were being stored in a bucket of dirty water. This again is poor practice. Mops and buckets must be stored dry, with a clear indication of the area they are to be used for – mops for bathrooms and toilets must not be used in kitchens, and so on. These practices are of concern as they could lead to an outbreak of an infection. The policy and practice in relation to control of infection must be reviewed so that Service Users and staff are not placed at any unnecessary risk. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users can be confident that there needs will be met by a good level of staff who are trained and competent to provide support. EVIDENCE: Staff personnel files are kept in the Riverview Centre a short distance from Patricia Venton House. The Manager assured the inspector that these files could be made available at any time, if required. The files of two new staff were looked at, and the file of one person who was due to start in the near future. There was evidence of a robust system of recruitment, there were application forms and evidence that of interviews held to test knowledge and skills. Two references had been taken, and Criminal Records Bureau checks made. Staff are inducted to the organisation at a formal induction day. Staff also go through a process of induction in the home, a copies of Patricia Venton House induction were seen. The Inspector was provided with a list of staff and the training they had received, this included courses such as moving and handling and food hygiene. The Manager said that staff had also been on training in relation to care issues such as continence. The training officer for Plymouth Age Concern said that they were developing a new system so that they had better information as to what courses staff had undertaken. Staff spoken with The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 20 during the inspection said that thought they had sufficient training to do their job. There are four care staff on duty in the morning, plus a manager. From 2pm onwards there are two staff on duty, one a senior staff member. From 4 pm until 10pm there are a minimum of 3 staff, and on weekends and activity evenings there are 4 staff. There are two staff awake throughout the night. Service Users spoken with said that they had sufficient support and care. Staff spoken with had differing opinions as to whether there were sufficient staff. Given that many of the service users are able to manage much of their own personal care, the staffing levels are considered to be satisfactory. However as with any service these need to be kept under review so that the changing needs of service users are managed. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Patricia Venton House is generally well managed, though staffing difficulties have meant that some aspects of the service have not been as rigorously managed, as they should have been. The home is generally safe, thought there are a few gaps in the management of health and safety that could potentially place people at risk. EVIDENCE: The Registered Manager, Jackie Carr, is competent and has many years of experience of managing residential care homes. Jackie Carr confirmed that she was about to start her Registered Managers Award. Jackie Carr explained that over the last year there had been gaps in the management structure- mainly due to health problems. Jackie said that these gaps had meant the energies The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 22 had been focused on ensuring Service Users received a good service, rather than other aspects of the work. There is a Quality Assurance system that is based on the views of the Service Users. The Inspector was shown copies of the questionnaires that Service Users had completed. The Inspector was told that the issues raised by the Service Users were discussed and addressed by Senior Managers in Plymouth Age Concern, however there was no evidence of this available. As has already been noted no money was currently being held on behalf of Service Users at Patricia Venton House, however the Manager confirmed that there was a system in place should it be needed. There are general risk assessments for the Venton Centre, however these do not cover Patricia Venton House. Risk assessment must be completed for the Patricia Venton House to ensure that Service Users have a safe environment. There is a comprehensive fire risk assessment and there was evidence that checks had been made of the system, and that fire training had taken place. There was a Legionella risk assessment, and checks were regularly made in relation to this. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 23 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 2 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 4 X 1 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 2 The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 24 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. 2. Standard OP2 OP7 , OP8 Regulation 14 15 Requirement Service User assessments must comprehensive, detailed and recorded. All Service Users must have a comprehensive Service User Plan, based on their assessment, that includes details of the actions staff are to take to meet needs. The Registered Provider must ensure that Risk Assessments are completed in relation to each Service User to ensure that any risks are avoided or managed. The Registered Provider must ensure that all Service Users who self medicate have being risk assessed and offered appropriate support and facilities. The Registered Provider must review the day activities provided both at Patricia Venton House and in the community, to ensure that Service Users needs are met. Control of Infection policy and procedures must be reviewed to ensure that Service Users are DS0000003555.V303144.R01.S.doc Timescale for action 01/11/06 01/02/07 3. OP7 13 01/11/06 4. OP9 13 01/11/06 5. OP12 16 01/12/06 6. OP26 13,23 01/11/06 The Patricia Venton House Version 5.2 Page 25 7. OP38 13,23 not put at unnecessary risk of infection. Environmental Risk Assessments must be completed for the all aspects of the service at Patricia Venton House. 01/11/06 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. 1 2. Refer to Standard OP15 OP16 OP33 OP27 Good Practice Recommendations Service Users who have particular dietary needs or preferences should be offered an appropriate choice of food. Service Users should be provided with feedback in relation to issues they have raised with the management of the Patricia Venton Centre. A record of this should be kept. Staffing levels should be kept under review. The Patricia Venton House DS0000003555.V303144.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton 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 DS0000003555.V303144.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!