Inspection on 01/02/07 for The Village Care Home

This inspection was carried out on 1st February 2007.

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 Village Care Home 27/02/09

The Village Care Home 11/12/08

The Village Care Home 29/01/08

The Village Care Home 23/11/05

The Village Care Home 28/07/05

The Village Care Home 24/11/04

The Village Care Home 30/07/04

The Village Care Home 25/02/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Village Care Home Hylton Bank South Hylton Sunderland SR4 0LL Lead Inspector Liz Simpson Key Unannounced Inspection 10:35 1 and 2nd February 2007 st 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 Village Care Home DS0000015760.V329267.R02.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 Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Village Care Home Address Hylton Bank South Hylton Sunderland SR4 0LL 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) 0191 534 2676 0191 534 1427 traceymccully@fs.mail The Village Care Home Limited Miss Tracey McCully Care Home 40 Category(ies) of Dementia (9), Mental disorder, excluding registration, with number learning disability or dementia (9), Old age, not of places falling within any other category (40), Physical disability (1), Physical disability over 65 years of age (6) The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service may from time to time admit persons between the ages of 60 and 65 years of age. Within the DE category of registration, of the 9 places the service is registered for, one of these places refers to current service user only. The one PD place is for a male named service user only. The Commission must be notified is service user if discharged from the Home. 23rd November 2005 Date of last inspection Brief Description of the Service: The Village Care Home provides personal care for 40 older people over the age of 65 years, some of who may have dementia or mental health needs. It does not provide nursing care and any health needs are dealt with by the Community Nursing Services. Registration includes 6 places for people with a physical disability and as such has designated rooms on the ground floor, which offer easy access to the outside grounds. The house is detached Victorian in construction and two storeys high, with bedrooms being on both ground and first floors. Each floor has a variety of lounge and dining areas. In addition to this there is a large conservatory area on the ground floor, which is also a designated smoking area. The upper floor has a sun terrace, which overlooks a patio area. The interior furnishings of the home are in keeping with the period of the house and due to its age many of the rooms are unique in design and layout. The home is sited on the main road into South Hylton Village, which is close to the metro station, enabling easy access to Sunderland city centre as well as Newcastle and Gateshead. There are some small shops in the village, which include a post office, chemist and general dealers, as well as a social club, all of which are in walking distance of the home. A local bus service can be accessed to the city centre and surrounding areas. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit took place over two days and was a scheduled unannounced key inspection. Information about the service was gathered before and during the site visit and included information provided by the manager in a pre-inspection questionnaire. Comment cards were made available to residents and relatives to get their views. eight were received by the Commission for Social Care Inspection (CSCI). Time was spent talking with the Manager, some of the staff, residents and relatives. Case tracking was used to assess the quality of the service received by residents which included looking at a sample of records such as care plans and staff records. A tour of the building took place which included all communal areas and some of the residents’ bedrooms. Residents were joined for lunch and observations were made of the support the staff offered to residents at lunchtime and throughout the day. The manager stated that people who live in the home prefer to be referred to as residents and this will be reflected throughout the report. Fees range from £359 - £399 per week. What the service does well: The manager makes sure that the home is suitable for any resident placed there by carrying out her own assessment of their needs. She also uses information from other people such as social workers and family members to help identify care needs. Relatives commented positively about the care provided by staff at the Village Care Home. Residents are helped to keep contact with their family and friends who are welcome to visit anytime. There is a low turnover of staff. This means that staff have time to get to know the needs of the residents and therefore are able to provide continuity of care. Staff qualifications are good with a range of training available. Residents said: The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 6 “staff are very nice and kind” “no grumbles whatsoever” “very good food” relatives said: “improvement in levels of staff” “well maintained” “staff supportive” “nothing any trouble to staff” staff said: “residents most important priority” “this is their home we are just visitors” “good support from managers” 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 Village Care Home DS0000015760.V329267.R02.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 Village Care Home DS0000015760.V329267.R02.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): 1, 3 and 6 Quality in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Prospective residents are provided with a good range of information about the home and are enabled to visit and meet the Manager prior to admission. This can help them decide if the home is right for them Good arrangements are in place to introduce prospective residents to the home. This ensures their needs can be met and the home is right for them The home does not provide intermediate care. EVIDENCE: The manager confirmed that each resident is given a copy of the Statement of Purpose for the home. The information is in large print and in bold. It includes the service user guide, residency agreement, contract, comments, concerns, complaints and suggestions procedure and fire procedure with reference to how to obtain the last inspection report. The Information is comprehensive and includes a glossary of terms to enable prospective residents and relatives The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 9 to decide if the home is right for them. Since the Commission for Social Care Inspection’s (CSCI) office move in December 2006 the Statement of Purpose needs to be updated with the change of address and contact details. A relative commented that it would also be helpful to have a copy of the last inspection report on the upstairs unit. The home encourages prospective residents and relatives to visit the home at any time and spend time meeting the staff and other residents. Comprehensive assessments are obtained from social services in respect of a prospective resident. In addition to this the home’s staff carry out their own assessment of individual needs. This includes a social assessment in which staff obtain information from residents and their families. The information is collated into a care plan. This ensures that the home can meet their needs. Records indicate that a comprehensive assessment had been completed. The home also has good links with other professionals e.g. local G.P. practices and district nurses. These arrangements ensure that the home can confidently support and care for the person. The home does not provide intermediate care and does not have the facilities to do so. The Village Care Home DS0000015760.V329267.R02.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 and 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Well structured care plans are in place to guide staff effectively to ensure residents’ health and social care needs are met. This ensures that all relevant parties including social workers and health professionals contribute and the care plan reflects any change of need. Robust systems are in place which ensure that medication is administered following recognised good practice. Staff undertake appropriate care practices that help to preserve the residents privacy and dignity EVIDENCE: Four care plans were looked at. They confirmed that an individual plan of care is in place and these have been designed to meet individual assessed needs. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 11 Two of the records did not evidence, in detail, that risk assessments had been completed. The manager later confirmed that these were in the process of being completed together with the Social Assessment information which relatives were helping to complete. The manager also confirmed that since the last inspection work has been ongoing to update all the care plans to ensure that they meet the needs of residents and reflect any changes of need. There are suitable arrangements in place for the storage and administration of medicines in the home. Senior staff are responsible for the administration of medication and they have all completed training in the safe handling on medicines. An audit of four medication records evidenced that procedures had been followed and all medicines showed the correct balance. During the visit the staff were observed to treat residents and relatives with courtesy dignity and respect. One relative commented “I like the staff, get on well with them, always a welcome and a smile”. The Village Care Home DS0000015760.V329267.R02.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 and 15 Quality in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Arrangements to provide activities and stimulation are now of a good standard and cover the diverse needs of the residents living at the Village Care Home . This means that residents are provided with many opportunities to lead fulfilling lifestyles. Residents are able to make contact with their family and friends and contact with the local community is good. This ensures that residents do not become socially isolated Residents are actively encouraged by staff to exercise choice and control over their lives which enables them to remain independent Residents receive a good, varied and well presented choice base menu which meets their diverse likes and tastes. This ensures that the residents general health and well being is promoted. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 13 EVIDENCE: Since the last inspection the home has implemented a monthly activities programme. This provides a variety of activities from board games, bingo to pamper sessions and gentle exercises. Residents are consulted informally and formally at residents’ meetings about the kinds of activities they wish to take part in. Most residents prefer to play bingo whereas some of the male residents choose to play dominoes. One resident attends a weekly stroke club. Two residents visit the local Methodist Church every Sunday and a church meeting on a Monday. Age Concern provide a weekly “sit and be fit” session. Six residents were joined for lunch in one of the three dining rooms downstairs. The room was pleasant and bright. Tables were well presented with table cloths, napkins and condiments so that residents can help themselves. Choices for the day are taken late morning, which is a good idea; especially as the usual practice of taking them the day before can be hard for people with memory problems. A varied menu is available for all meals. Fruit juice and tea are offered with a choice of vegetables. The meal was appetising and well presented. Residents said they enjoyed the meals and the food was of a good standard. Second helpings are available, although residents may need to wait while the trolley is between dining rooms. Due to staff serving three dining rooms from one warming trolley they were not always available to support residents if necessary. Two of the residents had difficulty eating their lunch and had to wait until staff had finished serving the other dining rooms for encouragement and help. The manager said later that generally, one member of staff remains in the dining room to offer support if appropriate. She agreed to look at alternative arrangements to reduce waiting times and ensure staff were available. The Village Care Home DS0000015760.V329267.R02.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 area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A clear complaints procedure is available which is accessibe to service users and their relatives. This ensures service users views are listened to and acted upon Robust adult protection and abuse awareness procedures are in place and include staff awareness training. This ensures that If abuse is suspected or witnessed then appropriate action is taken to safeguard service users. EVIDENCE: The home has a complaints procedure which is available to the residents and relatives. A copy is included in the “Service Users’ Guide”. Residents and relatives spoken to said they would have no hesitation in approaching the manager or staff if they had any concerns or complaints. One relative said the staff were compassionate and caring “nothing any trouble to staff”. The home has a set of policies and procedures in place which are based on the local authority guidelines in offering protection to vulnerable adults. The home has demonstrated that these procedures have been robustly followed and appropriate action taken. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 15 Staff are familiar with what constitutes abuse and are also aware of the need to make an alert if there are any concerns about abuse of residents. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 16 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, 26 Quality in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home is clean, warm and well maintained offering residents a homely and safe environment in which to live. Residents’ bedrooms are furnished to a good standard. This contributes to their comfort and well being during their stay at the home and relatives are confident the home provides secure surroundings. EVIDENCE: All communal areas and some residents’ bedrooms were viewed during the inspection. The building throughout was clean well decorated with no unpleasant odours. Service users spoken to said that they liked their rooms, which have been individually decorated to reflect their lifestyles, tastes and interests. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 17 Since the last inspection the home has drawn up a yearly rolling programme for refurbishment. This includes all communal areas, corridors, bathrooms and residents’ rooms. The upstairs lounge and four of the bedrooms have been decorated. New light fittings and emergency lighting have been installed. This helps to ensure that the home is well maintained and clean. One relative commented that the room was clean and if clothes became soiled these were always changed. Her mother always looks clean and well presented. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 18 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 and 30 Quality in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing levels are good which ensures that the residents needs are effectively met. Residents are protected by the homes recruitment procedures, which are implemented to a good standard. This can help to ensure that unsuitable candidates do not gain employment in the home. Staff morale is good resulting in a committed workforce that works positively with residents and relatives to improve their whole quality of life. EVIDENCE: Copies of staffing rotas received prior to the inspection confirmed that staffing levels are sufficient to meet the needs of all residents. Discussion with the manager and examination of staffing files confirmed that staff do not commence work until all of the required checks have taken place. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 19 There is an annual training plan, which confirms what training is to be provided for all staff. The staff have been supported by their manager so that 95 have now attained NVQ awards in care at level 2. They are able to describe the needs of the residents and the home’s training record indicates that they have received training relevant to their job roles and specific needs of residents. One member of staff commented “very good support from the manager”. Regular supervision is provided and good training available”. Comments from relatives about the availability of staff were mixed. Three relatives said they thought there were sufficient staff and four said there were not. One relative commented that “because of the layout of bedrooms and facilities being very well spaced, it would seem understaffed, but all public places are sufficiently staffed, also entrance to the building, a welcoming greeting”. There is a low turnover of staff so they can demonstrate longstanding relationships and are knowledgeable of residents personal histories and needs. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 20 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, 35, 38 Quality in this area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The residents’ health, safety and welfare is promoted by a well managed home and good procedures are in place to safeguard the residents finances. Internal quality assurance systems and quality management of the service have been developed to a good level, which allows for the residents, relatives and others views to be sought and used to improve the service. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 21 EVIDENCE: The manager and the deputy have completed NVQ Level 4 in care. The manager plays an active part in the home and on occasions has worked shifts alongside the staff covering for staff absences. The manager is very committed and has developed a good staff team in all areas and this has resulted in a positive atmosphere in the home. Good arrangements are in place to manage residents’ personal allowances. Records showed that residents’ monies were satisfactorily safeguarded. The manager confirmed that the home carries out a monthly health and safety inspection and records evidenced that health & safety checks were completed and up to date. Good records of accidents are kept which show not only the accident but also the action taken and the outcome. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 22 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 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 X 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 Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 23 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 OP1 Regulation 5 (f) Requirement The manager must ensure that the Service User Guide includes the new address and telephone number for the Commission for Social Care Inspection (CSCI) Timescale for action 01/03/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP15 Good Practice Recommendations The manager should review staff support to residents at mealtimes. The Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Village Care Home DS0000015760.V329267.R02.S.doc Version 5.2 Page 25 - 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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