Inspection on 01/09/05 for The Vine House

This inspection was carried out on 1st 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 Vine House 09/02/09

The Vine House 26/03/07

The Vine House 21/02/06

The Vine House 22/02/05

The Vine House 21/12/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

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

CARE HOME ADULTS 18-65 The Vine House 9 Northdrift Way Farley Hill Luton LU1 5JF Lead Inspector Ansuya Chudasama Announced 01 September 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Vine House Address 9 Northdrift Way Farley Hill Luton Beds LU1 5JF 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) P & P Community Services Ltd Mulenga Mumba care home 2 (2) (2) Category(ies) of SI - Sensory Impairment registration, with number LD - Learning Disability of places The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22.2.05 Brief Description of the Service: The Vine residential home was registered on the 14th October 2003. It is owned by P & P Community Services Ltd. The house is located in the outerskirts of Luton. The home is a detached house. The first floor has a sitting room, a kitchen combined with dining area. The home did not have a laundry room but the washing machine was located in the kitchen. The upstairs floor contained a bathroom and toilet, two bedrooms and a small office. The front of the house had a drive way and a garden was located at the rear of the home. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced inspection took place over 4 hours. The manager Mrs Mulenga Mumba was present at the inspection. The inspection comprised of a tour of the bedrooms, bathing facilities and the communal areas of the home, care tracking in relation to one service user and conversations with the service user, and the manager. There were two service users in the home. One service user was at the day care services. What the service does well: What has improved since the last inspection? All the requirements had been met. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 6 The change made to the furnishings and fittings has improved the appearance of the home and had created a pleasant and pleasing environment to live in. 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 Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5, The homes statement of purpose and service user’ guide provided prospective service users and their families information of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The home had a statement of purpose and a service users’ guide. This contained clear information about the home and the services and support that was offered to service users. The service user spoken to stated that he had received a copy of the service users’ guide. He had also visited the home with another carer from the home he lived in. His parents had also visited the home. The service user stated that he and his family liked the home very much and he had more visits and overnight stays. The manager had also undertaken an assessment of the service users needs in his own environment. This was good. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9,10 There was clear and consistent care planning systems in place to provide the staff with the information they needed to meet the needs of the service users to a high standard. EVIDENCE: The service user stated that he had been involved with his care plan. The plans covered information on personal, social and healthcare needs. The plans were also to be discussed at the first meeting with the family, funding authority and the service user. The home and the service user had signed the care plan. The service user was observed making decisions for himself. He was seen answering the phone in a positive manner when it rang. He was also observed ringing his friends when he decided to call them. He watched TV and played his CD’s when he felt like it. The service user appeared very relaxed and at home. The manager stated that they gave information to the service user and he decided what activity to undertake. He informed the inspector that he was going jogging in the park with the manager. Risk assessments on service users were undertaken and these were good. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. Service users have opportunities for personal development to enrich their social and educational opportunities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The service user spoken to stated that he had just finished school and the manager had taken him to have an assessment at the college to start fulltime in September. The service user stated that he was looking forward to seeing his friends at college. The courses to be undertaken were linked to developing his independent skills. The care plan seen had information on service users likes and dislikes for activities, and food. The service user spoken to stated that he was given choices for meals and he also helped with shopping for food and helped with cooking meals. He was observed making his lunch with support from staff. It was stated that he enjoyed curries and he did have this often. The service user had routines for mornings and evenings. These were flexible and met his needs. The service user opened his own mail and staff The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 11 assisted with reading the information. The service user was observed interacting with staff in a positive manner. He was also observed spending time doing his own things. The service user enjoyed shopping, bowling, swimming, going to the pub, discos and going for a run in the park. The service user visited his family and friends and they also visited him at the home. The community activities were accessed by using taxis. Staff also supported by using their own vehicles. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19.20. The knowledge of staff, safe systems for administering medication and detailed care planning meant that the health needs of service users are met. EVIDENCE: The service user spoken to stated that he chose his own clothes. He also went to bed when he was ready. The staff helped with personal care needs when asked by the service user. The two service users in the home were articulate and were able to say how they wanted to be helped. The service users were registered with the GP. Appointments were recorded in the files when the service user visited health professionals. The service users were also able to inform staff if they were not feeling well or if there were any problems. The manager monitored the health care needs of the service users. The manager stated that the recent service user admitted to the home had not seen any body for two years for his epilepsy. The service user had also not had any fits for a long time. However the manager made an appointment to have this reviewed with the health professionals. The manager had training on administering rectal diazepam, however the staff had not received this training. The manager had asked the community learning disability nurse to provide this training for the staff. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The staff have good knowledge and understanding of adult protection issues, which protect service users from abuse EVIDENCE: The home had a complaints policy. A copy was available in the service user’ guide. The service user spoken to stated that he would speak to the manager, or his family if he was unhappy. The home had a policy on “abuse of a service user by a member of staff” and “what to do if abuse was suspected”. The manager was aware of the multi-agency protocol on protection of vulnerable adults and she and her staff had also attended a course on this. The manager had developed policies and procedures on physical aggression towards staff, physical and verbal aggression towards by a service user and service users finances. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,30. The premises were well maintained so as to allow all those living at the home to enjoy a homely and comfortable environment that was safe, clean, and hygienic. EVIDENCE: The homes premises were suited for its stated purpose. The premises were pleasantly furnished and homely. The service user was observed accessing the communal areas of the home in a safe manner. The service users had single rooms and these were individualised to meet service users needs, and it was stated by the service user spoken to that he liked his room. The two service users were having new furniture in their rooms. The home had a separate lounge, which had been modernised. A kitchen combined with dinning area and a garden at the rear of the house was also available. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. The home provided very good training so that the people living at the home had their needs met by competent and suitable staff. EVIDENCE: Staff files inspected showed that the staff had experience and qualifications to work with the service user group. Some of the training included, health and safety, food hygiene, disability equality, manual handling, fire safety, disability awareness, medication, makaton sign language, sex and sexuality, working with vulnerable adults, understanding positive communication, understanding abuse, and dementia. One member of staff was undertaking the A1 assessor’s award for the Learning Disability Award Framework and had completed the TOPSS induction and foundation training. Two staff in the home had NVQ level 2 and 3. One staff was booked to undertake NVQ level 4. Records also showed that all staff had clearly defined job descriptions. Supervision records were seen and signed by both parties. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,42 The home has an experienced and committed manager who ensures strong leadership, and safe working practices so that service users health, welfare and safety are safeguarded. EVIDENCE: The registered manager has many years experience working in residential care homes with a variety of service user group. She has a Diploma in Health and Social Welfare, a BA in health Care and Care Management and a MA in Health and Social Welfare. She was at present undertaking the A1 assessor’s award to become an assessor for the learning disabilities award framework. The home had a homely atmosphere and the service user was observed accessing all parts of the home independently and asked the manager for advice as and when required. Observation also showed that he appeared very relaxed and happy. The service user spoken to stated that he knew what to do if there was fire in the home. All the staff had received training on fire safety. The home had an accident and incident book but none of the service users had any accidents. The home had a no smoking policy. The home had a smoke alarm The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 17 system fitted, and the manager stated that fire drills were undertaken with the service users. The water in one of the service user’s bedroom sink needed checking, as it was cold. The manager stated that she was going to get this sorted straight away. The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Vine House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 19 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 Regulation Requirement Timescale for action 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 The Vine House I51 s45601 The Vine House v237506 010905 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Clifton House Goldington Road Bedford MK40 3NF 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. 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