Inspection on 26/03/07 for The Vine House

This inspection was carried out on 26th March 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Vine House 09/02/09

The Vine House 21/02/06

The Vine House 01/09/05

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 Beds LU1 5JF Lead Inspector Katrina Derbyshire Unannounced Inspection 26 & 29th March 2007 11:00 th The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 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 Vine House DS0000045601.V331048.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 Adults 18-65. 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 Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Vine House Address 9 Northdrift Way Farley Hill Luton Beds LU1 5JF 01582 485744 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) P & P Community Services Ltd Mulenga Mumba Care Home 2 Category(ies) of Learning disability (2), Sensory impairment (2) registration, with number of places The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That the home be registered to provide residential care for 2 adults who have learning difficulties and who may also have sensory impairment. The condition that all persons who are admitted to the home must have learning disabilities as their primary assessed need. 21st February 2006 Date of last inspection 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 on the outer region of Luton and is within walking distance of shops, parks, pubs and places of worship. The ground floor has a sitting room and a kitchen combined with dining area. The upstairs floor has a bathroom and toilet, two bedrooms and a small office. The front of the house has a drive way with parking for up to two cars. The garden is located at the rear of the home and has both a lawn and patio area. The fees for this home vary from £650.00 to £750.00 per week. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this visit was to undertake a key inspection. This unannounced visit took place on 26th and 29th March 2007. The Deputy Manager was present on the second day of the inspection. During the inspection communal areas and private rooms in the home were visited and the inspector spent time with the people that live at the home in the sitting area. The care of both people was examined by looking at their records and interviewing them and two staff who look after them. Information from the home has been used through a pre inspection questionnaire to assess the outcomes within each standard. Evidence used and judgements made within the main body of the report include information from this visit alongside the views of the people living at the home. Observations of care practice and communication between the people living at the home and staff was also made at the inspection. The focus of this inspection was to look at the key standards and to follow up on previous requirements. What the service does well: People living at this home feel that they have many opportunities to use the social and entertainment facilities in Luton. They feel staff support them to lead a life where they can attend each week a local gym, the pictures and shopping in town for example. People living at the home hold memberships to certain facilities and staff support them in making sure they benefit from visiting frequently so they get value for their money. This means people living at this home feel that their social needs are met through use of local leisure facilities, providing them with a varied social life. One resident said, “yes l really do enjoy going to the gym, I’m going later”. The way that the staff at the home support people living at the home to access healthcare is good. Each person has a health action plan, this is where a full assessment of their health care needs has been done and Doctors and Nurses have been involved. Where a need has been identified the staff have supported the people to then have those needs met. One example is for glasses. This means that people benefit from the specialist support available to improve their level of health. Staff at the home also look after the medication that people need in a safe way. Any medication kept at the home is locked away safely and the records kept are very clear of when a person has received their medication. All staff The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 6 have been trained in how they should administer medication. So people living at this home benefit from receiving their medication that they need, at the right time. 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 Vine House DS0000045601.V331048.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre admission assessment systems are sufficient to ensure staff know if they have the skills and experience to meet the needs of a prospective person who may wish to move into the home. EVIDENCE: A copy of the homes statement of purpose was examined. Information within the document included the qualifications of the manager, peoples rights including the provision of a lockable facility in the home, how to make a complaint and the services that the home would provide. This document was seen to be available in the home with access for the people living there and staff. Care records were also examined and noted to contain copies of pre admission assessment documents. Documents in place had been undertaken by both the staff at the home and supplemented by further information from the funding authority. Information seen included the past medical history of the person, their personal likes and dislikes, alongside identification of the people that were important in their lives and how they should be supported in maintaining contact and continuing these relationships. Information was clear and comprehensive and had been written within set sections, for example, social The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 9 and physical needs. These documents also contained evidence to show that the person had been involved in the decision as to whether to move into the home, and their opinion and views had been recorded. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are sufficient to provide staff with the guidance they need to follow so people living at the home have their individual needs met. EVIDENCE: The care plans seen within the records of the people living at the home were typed. The documents contained approximately one paragraph of information for each need; the needs that had been identified within the assessment were noted to have a plan in place. They had been written in a way that made clear the support that needed to be given to the person by the staff for example ‘ l like to go out in the evenings and need you to come with me’. Staff through discussion demonstrated a good understanding of the information contained within the plans. Observation between the two visits to the home showed care and support being provided as detailed within the care plans. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 11 People living at the home spoke of the choices that they made in their lives, examples that they gave were choosing their evening meal to what their own rooms contained. Support plans contained information that provided guidance that reflected this information and gave specific guidance to staff on why they should support people in a certain way. Any restriction in place for example type of diet was in response to an assessment and risk assessment that gave clear guidance in the reasons and consultation that had taken place. Risk assessments were also noted to be kept within the care records of people living at the home. Documents identified if a risk had been assessed as high, medium or low risk. Any limitations in place were only in response to an identified high risk, for example going in to town for one person unaccompanied. The assessment showed that the person would need the support of staff to catch the bus. On the first day of this inspection both people at the home and staff confirmed that everyday there was an opportunity to go out. At the end of the inspection everyone was then going into town to a local gym. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have a good level of access to local facilities so benefit from being part of the community and having their social needs met. EVIDENCE: Staff through discussion spoke of the activities available to the people living at the home, they stated that most activities took place outside of the home and stated that this was because the people living there preferred this. Assessment documents supported this statement as they showed that the people living at the home expressed a desire to ‘go out a lot’. People living at the home also through discussion stated that they enjoyed going out, one person said, “ l go out everyday l like to go out”. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 13 Local services were seen to be utilised in full by the staff at the home, people on a weekly basis went shopping, to the cinema, had takeaways, membership with a gym and attended college. Records also contained entries to show that staff supported the people at the home to maintain relationships that were important to them. During the first day of he inspection one person wished to speak to one of their parents and was seen to telephone and let them know that an inspector had come to visit. Documents contained guidance to staff on how they should provide support and their responsibilities in keeping close family and friends involved in the care, this included birthday dates, telephone numbers and information about visits. It was seen that toiletries were kept looked in the office. Records for one person containing assessment and risk assessment showed that this was a joint agreement in response to an identified need. However another person did not need for this to happen and an alternative arrangement is needed so that they do not need to ask staff when they want to use their own toiletries. Feedback from the people in the home indicated that they were happy with the food at the home. Stocks of food were noted to be sufficient for approximately 7 days worth and staff confirmed that a weekly shop took place. One of the people living at the home showed what they were having for their tea and showed that they could make themselves a snack when they wanted to. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The support available to people in gaining access to healthcare is good with people living at the home benefiting from specialist medical advice and attention. EVIDENCE: Health action plans were noted to be in place within the care records examined. These plans had been carried out in accordance with local policy in response to the Valuing people white paper 2001. Records from the local PCT were also in place to demonstrate that people had attended medical appointments, for example an eye test. Staff confirmed that they would support people at the home to access any medical treatment that they needed and would escort them if needed. Medication was noted to be locked in a safe storage facility. Records of medication ordered, received and administered were clear and gave sufficient information to carry out an audit. Training records and staff confirmed that they had received training in the safe administration of medication. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 15 People living at the home said that staff helped them if they needed it. Care documents gave clear guidance in how staff should provide the individual personal care support, and it described that they must uphold the privacy and dignity of the people at the home. Permission to enter a room was seen to be sought on the first day of this inspection by staff, only when permission was granted did they enter the personal space of the people at the home. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints policy is clear so people at the home know how to make a complaint and that they will be responded to. EVIDENCE: The complaints procedure gave simple guidance in how people could raise a concern. Feedback from people living at the home indicated that they would feel confident in raising a concern or complaint and to whom they could complain to. Clear timescales had been included so complainants would know when the manager of the home would respond to them. No complaints had been received since the services last inspection. A copy of the local guidance in the Protection of vulnerable adults was noted to be in place alongside a procedure on abuse. This described the types of abuse and what staff must do if they suspect any abuse of someone living at the home. Training records and staff through discussion confirmed that they had received training in this area. One staff member when interviewed was able to respond satisfactorily on how alleged abuse should be reported and knew that Social Services had the coordinating role in this area. No referrals had been made relating to this service since the previous inspection, therefore this element of the standard could not be assessed. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The domestic style furnishings and fittings in this home help to create a homely environment for the people living in the home. EVIDENCE: Accommodation is provided across two floors with access via stairs. The home is situated just minutes walk from shops, pubs and a park. There is outdoor space available and includes a patio and grassed area and was seen to be well kept. Two people share a lounge and kitchen/diner alongside one bathroom. People living at the home showed the inspector their individual room. They contained numerous items that helped in creating a homely and personal space for the person. Each person indicated that they were happy with their room, which contained photographs, pictures, television, music equipment and ornaments. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 18 All the areas seen at this visit were noted to be clean and tidy. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment systems are robust and protect the people living at the home. EVIDENCE: Staff files examined on this visit contained the information listed in schedule 2 and 4. The home had obtained in all circumstances all matters in relation to this standard. Criminal Record Bureau checks had been received prior to the employment of an employee. Staff confirmed that they had been issued copies of the codes of conduct and practices set by the General Social Care Council. All further recruitment checks had also been undertaken. Induction checklists on the staff files seen on this inspection showed that the required areas of the staff’s roles and responsibilities had been covered and met all the Sector Skills Council specifications for induction or foundation training. The use of the Learning Disability Award Framework-accredited training needs was being accessed to provide underpinning knowledge for new care staff. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 20 Training records and staff confirmed that alongside statutory training staff had undertaken further training in relation to their roles. The home had been active in commencing staff on a National Vocational Qualification programme and all staff had development and appraisal plans in place. Certificates of attendance were maintained for all courses undertaken. Observation undertaken on the first day of the inspection showed staff to support people in a supportive manner. Staff gave a full explanation to any action that they were taking and engaged in conversation with the people at the home throughout the visit. On interviewing one staff member they demonstrated a good understanding of the needs of the people at the home relating to their cultural, physical, social and emotional needs. People at the home several times said that they liked the staff and described them as “nice”. The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and safety systems are sufficient to provide an environment for people at the home, that reduce the risks associated with this area. EVIDENCE: The owner of the home is also the manager and was on a period of leave at the time of these visits. The deputy manager was at the home on the second day of the inspection. The manager opened the home in 2003. She has experience of working in care homes for people who have mental health needs, learning disabilities and challenging needs. She holds a Diploma in Health and Social Welfare, BA Care management and Masters MA in Health and Social Care. People at the home through discussion were complimentary about her The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 22 and described her alongside the staff as “nice”. Staff when interviewed stated that they found her to have a good level of knowledge and felt that they could raise any issues that they had with her and that she would always respond to them. The system for gaining the views of the people living at the home, based on the fact that only two people lived there were to gain their opinion on a monthly basis, through their review. The records examined in the care records supported this policy, and showed that the manager had acted upon any feedback that had been given, and changes then implemented. Health and safety records examined showed that checks were undertaken in this area, including fire safety, water temperatures and risk assessments. Training records showed that staff had undertaken training in food hygiene and fire safety for example. Hazards had been identified through the completion of risk assessments and measures put in place to reduce the risk. The Vine House DS0000045601.V331048.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 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 24 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 YA16 Regulation 12(3) Requirement People must have free access to their personal toiletries to ensure they are not restricted in their daily lives. Timescale for action 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Vine House DS0000045601.V331048.R01.S.doc Version 5.2 Page 26 - 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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