Inspection on 01/12/05 for The Vintry Residential Care Home

This inspection was carried out on 1st December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Vintry Residential Care Home 06/03/07

The Vintry Residential Care Home 01/06/05

The Vintry Residential Care Home 25/01/05

The Vintry Residential Care Home 06/07/04

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 Vintry Residential Care Home Farlaine Road Eastbourne East Sussex BN21 1XH Lead Inspector Nigel Thompson Announced Inspection 1st December 2005 09:30 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 Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 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 Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Vintry Residential Care Home Address Farlaine Road Eastbourne East Sussex BN21 1XH 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) 01323 721340 01323 721340 Wine & Spirit Trades` Benevolent Society Pauline Mary Edwards Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of service users to be accommodated is seventeen (17) Service users must be sixty-five (65) years of age or older on admission. 1st June 2005 Date of last inspection Brief Description of the Service: The Vintry is a purpose built care home, registered to accommodate 17 older people. The home is situated on the outskirts of Eastbourne, near the Old Town area and close to local shops and facilities. The home is separate from but forms part of a larger sheltered housing complex provided for ex-employees and people associated with the wine and spirits trade. Many people have moved from the cottages to the residential home, as their needs have changed. Ground floor service user accommodation is provided, in single rooms, which is safe, accessible and well maintained. Rooms have ensuite facilities and are fitted with an emergency call bell system. Communal areas consist of a light and comfortable lounge, a spacious dining room and an atrium. To the rear of main building is a pleasant, well maintained garden. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in December 2005. It found that all of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. On the day of the inspection there were seventeen service users living at the home. The inspection involved a tour of the premises, examination of the home’s records and discussion with the Registered Manager. Two members of staff and five service users were also spoken with. The focus of the inspection was on the quality of life for people who live at the home. In order that a balanced and thorough view of the home is obtained, this report should be read in conjunction with previous inspection reports. What the service does well: The Vintry is an established, well managed and well maintained service that continues to provide high quality care and accommodation for older people. The relaxed, homely and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team and the open and inclusive management style. Effective systems are in place for the admission and ongoing care of service users. Individual care plans developed from comprehensive pre-admission assessments ensure that an individual’s needs are met in a structured and consistent manner. Communication and consultation with service users’ family members is effective and ongoing. Relatives have the opportunity to partake in individual assessment, care planning and reviewing processes. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 6 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 Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 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 Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Documentation, including a comprehensive ‘Statement of Purpose’ and ‘Service Users’ Guide’ ensures that prospective service users and their relatives have sufficient information about the home and the services provided. EVIDENCE: Information is available to prospective and existing service users in various formats. The recently updated Statement of Purpose and the Service User Guide have been produced to a high standard and are both comprehensive and informative. The manager confirmed that the home’s brochure is currently being reprinted with updated information and photographs. Each service user is issued with a formal contract, including a statement of terms and conditions of residency. Contracts that were examined were found to have been signed by both the service user and the manager, on behalf of The Vintry. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 9 Following discussion with the manager, it is recommended that the complaints procedure included in the above documentation be reviewed and amended to include updated contact details for the Commission For Social Care Inspection. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. All key standards were assessed during the previous inspection carried out on 1 June 2005. EVIDENCE: The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 13 Social and recreational activities are not generally well managed and do not provide sufficient variety and interest for people living in the home. EVIDENCE: There is clearly a lack of any structured programme of activities in the home and, since the recent departure of the Deputy Manager, little attention has been paid to service users’ social and recreational interests. This was discussed with the Manager and it is recommended that more imaginative activities be introduced reflecting individual and group interests. The Manager confirmed that visiting at The Vintry is unrestricted and service uses may see friends or relatives in the lounge, the atrium or in the privacy of their own room. Although there is little community participation, the majority of service users maintain regular contact with family and friends, who are made welcome in the home at any time. This was confirmed by a service user’s relative, who was spoken to during the inspection: ‘I come here at all times of the day and I’m always made welcome’. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a satisfactory complaints system and service users and their relatives feel confident that their views and any concerns are listened to and acted upon. EVIDENCE: Service users, relatives and members of staff, spoken with during the inspection, confirmed that they would have no hesitation speaking to the Manager or making a complaint if necessary and each person was confident that they would be listened to. It was noted that, since the previous inspection, there have been three relatively minor complaints received, however it was evident from the documentary records that all had been dealt with and resolved, to the satisfaction of the service user. Although the home has an accessible and satisfactory complaints procedure in place, it is recommended, following discussion with the Manager, that it be reviewed and amended to include full contact details of the Commission. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 & 26 The service is accessible and safe and is clearly suitable for its stated purpose. Service users benefit from pleasant accommodation that is comfortable, clean, well maintained and decorated to a satisfactory standard. EVIDENCE: The physical environment is well maintained and remains largely unchanged since the previous inspection. Levels of cleanliness and hygiene remain high throughout. New carpets have recently been fitted in several service users’ rooms and in corridors throughout the home. To enhance levels of safety, many doors have been fitted with automatic closing mechanisms. Service users’ individual rooms were found to be clean, comfortable and decorated to a high standard. It was evident that many of the rooms have been personalised, with pictures, family photographs and other small items of The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 14 furniture and personal belongings, to reflect individual taste, choice and preference. As with many of the environmental standards, the situation at the Vintry regarding shared space remains largely unchanged. Adequate communal areas are provided to meet the individual and collective needs of the service users. There is a pleasant dining room, a spacious lounge, where regular social activities take place, an entrance foyer and a light, central atrium with additional comfortable seating and a water feature. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 30 There is sufficient trained and competent staff on duty at all times to meet the assessed care and support needs of the service users. However the current staff induction programme is unsatisfactory. EVIDENCE: The stable and dedicated staff team is clearly able to meet the assessed, individual and collective needs of service users within the home. One new member of care staff has been appointed since the last inspection and, as previously documented, the Deputy Manager has left. Although all mandatory training is provided in the home, there were some concerns raised regarding procedures for staff induction. In files that were examined, there was insufficient evidence of what specific training was provided, by whom and on what date. The content, structure and particularly the current recording format are unsatisfactory and are required to be reviewed and significantly improved. All training is currently recorded in individual staff files. Following discussion with the Manager, to make information more easily accessible and to identify training needs, it is recommended that a staff training matrix be developed. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 37 Service users and staff benefit from the Manager’s open and approachable style of leadership and clear and positive sense of direction. The rights and best interests of service users are not always safeguarded by policies and procedures, which are not regularly reviewed and in many cases are not service specific. EVIDENCE: The atmosphere in the home remains relaxed, friendly and welcoming. Staff, spoken to during the inspection felt valued and supported by the Manager and confirmed her open and approachable style of leadership and clear and positive sense of direction. The Registered Manager is clearly confident and competent to run the Home and has been in her current post since November 2003. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 17 She has a qualification at NVQ level 4, in Management and Care. The open, friendly and approachable style of management is evident from direct observation and through discussion with service users and relatives: ‘The Manager is always approachable and very helpful and supportive’. The home operates effective quality monitoring systems, including regular residents’ meetings. Since the previous inspection, as required, satisfaction questionnaires for both service users and relatives have been introduced. Responses from recent surveys, although limited were positive and indicate a high level of satisfaction with the care and services provided: ‘…..very satisfied with the excellent standard of care’. Following discussion with the Manager, it is recommended that the current format of the satisfaction questionnaire be amended to provide opportunity for additional comments to be made. Policies and procedures examined were found to be generic and relate to the wider organisation. There was also evidence that policies are not routinely being reviewed and updated, as required. The Manager continues to collect the pension for one service user in the Home. She confirmed that all remaining service users maintain full control of their own personal finances. Secure facilities are available in individual rooms for the safe storage of service users’ money. Records and receipts of all transactions are maintained and were found to be accurate and up to date. The Manager ensures that all care staff receive formal supervision six times a year and this is appropriately recorded. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 18 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 2 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 3 2 x The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP37 Regulation 17 (3) (a) Requirement It is required that the homes records, including policies and procedures, be kept up to date.(Previous timescale of 31.07.2005 not met). It is required that the content, structure and particularly the current recording format for staff induction training be reviewed and significantly improved. Timescale for action 31/01/06 2 OP30 18 (1) (c) 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP37 OP1 Good Practice Recommendations It is recommended that staff be kept aware and informed of updated key polices and procedures through regular discussion, as part of the agenda for team meetings. It is recommended that the complaints procedure included in documentation, including the Statement of Purpose, be reviewed and amended to include updated contact details for the Commission For Social Care Inspection. It is recommended that more imaginative social and DS0000021267.V250011.R01.S.doc Version 5.0 Page 20 3 OP12 The Vintry Residential Care Home 4 5 OP30 OP37 recreational activities be introduced, reflecting individual and group interests. It is recommended that a staff training matrix be developed. It is recommended that the Registered Manager ensures that all policies held in the home are specific to that service. The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Vintry Residential Care Home DS0000021267.V250011.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!