Inspection on 27/09/05 for The Victoria Grand

This inspection was carried out on 27th September 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 Victoria Grand 27/03/07

The Victoria Grand 12/01/06

The Victoria Grand 27/09/04

The Victoria Grand 19/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Victoria Grand 22 Mill Road Worthing West Sussex BN11 4LF Lead Inspector Philip Barker Announced Tuesday, 27 September 2005 V243951 th 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. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Victoria Grand Address 22 Mill Road, Worthing, West Sussex, BN11 4LF 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) 01903 248048 Victoria Care Elite Limited Mrs Julie Courtnadge Care Home (CRH) 26 Category(ies) of Old age, not falling within any other category registration, with number (OP) 26 places of places H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2004 Brief Description of the Service: The Victoria Grand is one of a number of homes in the Worthing area owned by Victoria Care Elite Ltd. It is situated on the corner of a road close to shops and other facilities. The home is situated on three floors with a passenger lift serving all but three rooms who have a few stairs down to access. The service is managed by Mrs Julie Courtnadge. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place from 9.15am to 1.15 pm. The Victoria Grand has performed well over the past years and at the last inspection no requirements were made. During the course of this inspection the inspector spoke to residents and staff. The manager was present throughout the inspection. Records and Care Plans were looked at and a tour of the home was conducted. A number of questionnaires had been sent to relatives to ask their views of the care that their loved ones were receiving at Victoria Grand. Unfortunately only five had been returned by the time of the inspection. All the residents that were spoken to were very positive about the care they were getting at the home. One said, “ All the staff seem so helpful and kind”, another said, “I love it here”. Several residents said that, “nothing was ever too much trouble for the staff.” One resident told the inspector, “Wonderful, wonderful people”. All records inspected were found to be in order and up to date. The Care Plans were well written and contained all of the information needed to look after the residents. They were reviewed regularly. The manager is keen to update the care plans and is hoping to rewrite them in a more user-friendly style. However, she did say that the task would not be started before Christmas. There was three care staff on duty with two domestics, a cook and a kitchen domestic. At night there were two staff awake on duty. The rotas showed this to be the case. The inspector noted that the staff rota showed only two carers on duty between 2pm and 8pm. This is not enough staff and an extra person must be employed to cover this shift. A requirement was made at this inspection. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The training records of all staff were well documented and up to date. Staff were being supervised by the manager and detailed notes had been kept of these sessions. The building was warm, clean and welcoming. The inspector was told that the main lounge is about to be totally refurbished with a new air conditioning system being fitted to allow residents to feel more comfortable in the summer months. New furniture is also being purchased. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 6 The manager has informed the residents of the improvement and as there is a second lounge the inconvenience to the residents should be minimal. All rooms were tastefully decorated and furnished and many of the rooms were large and had en-suite facilities. One couple share a large room, otherwise all rooms are singles. A visitor wrote, “ The Victoria Grand is an excellent care home.” What the service does well: What has improved since the last inspection? What they could do better: As mentioned in the summary the inspector was concerned to note that there were only two staff on duty in the 2pm to 8pm session. The inspector has made a requirement for the home to employ another member of staff to ensure that there are always at least three care staff on duty during waking hours. The inspector was aware that the home had previously had three on duty on this shift but when numbers fell they cut down on the staffing. However, numbers are back up to near capacity and this needs to be addressed. The inspector spoke to one of the Proprietors who agreed to do this. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 7 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. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 8 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 H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 9 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, 2, 3, 4, 5, 6 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. The manager assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. The manager told the inspector of the most recent admission where the resident was invited to lunch. The proprietor then visited the lady at home where an assessment was made. The inspector spoke to the resident who had joined the home earlier in the week and she confirmed this to be the case. The home does not take anyone in for intermediate care. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9, 10, 11 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. The manager told the inspector that she was intending to re-write the care plans in the near future so that they would be more user-friendly. District nurses visit the home when requested and records are kept of all such visits. Medication was stored safely and records were well kept in regard to the administering and disposing of them. Staff were well trained by the manager and the local pharmacist. The manager agreed with the inspector that senior staff should consider ‘Care and Control of Medicines’ training at the local college. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 11 The inspector spoke to residents in their rooms and privacy was observed. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: Residents are always keen to go out on the fortnightly minibus trip that usually ends up with a cream tea! Others like the weekly Arts and Crafts session, the quizzes and the board games. The home has lots of parties and recently celebrated the 71st wedding anniversary of two of its residents. Families and friends are always welcome and one visitor wrote, “I am always able to see her when I want and the staff are always polite and courteous”. The home has a lovely garden accessible from the lounge and it was apparent from all the tables and chairs and umbrellas that it was well used in the summer months. The residents were able to eat their meals in the dining room or in their own rooms and on the day of the inspection five residents chose to eat in their own rooms. Residents were offered an alcoholic drink with their lunch and sat down to Roast Chicken and stuffing, chipolata sausages, roast and mashed potatoes, cabbage, leeks and carrots. There was a choice but no-one had asked for it on this occasion. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 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 standard(s) 16, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: Staff have been trained in recognizing signs of abuse and know who to inform if they suspect anything is wrong. Records were seen showing this to be the case. One visitor wrote, “ In the two years that my mother has resided there we have never had any reason to complain”. There have been no formal complaints made to the Commission for Social Care Inspection (CSCI). H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. The inspector observed the cleaners doing their rounds and every room was left clean and tidy. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 28, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. However, the afternoon shift needs a further member of staff. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. Staff numbers have been dealt with in the Summary and “What the home could do better” parts of this report. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 35, 36, 37, 38 31, 32, 33, 34, It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. The home is considered a safe environment. EVIDENCE: The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 3 3 3 3 3 3 H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 18 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. 1. Standard 27 Regulation 18(1) Requirement An extra member of staff must be employed for the 2pm to 8pm shift to ensure that residents safety and that their needs are met. Timescale for action October 10th 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 Good Practice Recommendations H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 H60 H11 S58062 The Victoria Grand V243951 270905 Stage 4.doc Version 1.40 Page 20 - 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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