Inspection on 01/06/05 for The Vintry Residential Care Home

This inspection was carried out on 1st June 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 Vintry Residential Care Home 06/03/07

The Vintry Residential Care Home 01/12/05

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 Unannounced 1 June 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Vintry Residential Care Home Address Farlaine Road Eastbourne East Sussex BN21 1XH 01323 721340 01323 721340 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) Wine and Spirit Trades Benevolent Society Ms Pauline Mary Edwards Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (OP) 17 of places The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is seventeen (17). 2. Service users must be sixty five (65) years of age or older on admission. Date of last inspection 25 January 2005 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 H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours in June 2005. It found that all of the twenty National Minimum Standards that were assessed had been met and the overall quality of care provided was good. Service users and relatives spoken to during the inspection expressed satisfaction with the home, the staff and the service provided. A tour of the premises took place and documentation, including service user and staff files was inspected. Three of the service users’ relatives, three of the staff on duty and five of the fifteen residents were spoken to. What the service does well: 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. A thorough staff recruitment procedure ensures the protection of service users. Staff receive effective induction and foundation training, regular supervision and are valued and supported by the management team. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 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 standard(s) 3, 5 & 6 The admission procedure is comprehensive and thorough, ensuring that service users are admitted only on the basis of a full needs assessment undertaken by people competent to do so. EVIDENCE: Following a referral to the home, the manager and deputy manager will visit the prospective service user and carry out a pre-admission needs assessment, including any personal care needs, mobility issues, social and cultural needs and family involvement. The manager confirmed that in addition to establishing whether the individual’s needs could be met within the home, it is important to ensure, as far as possible, compatibility with existing service users. For individuals referred through Care Management arrangements, the manager insists on a completed Social Care Assessment being provided. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 9 Relevant documentation, including a full needs assessment, relating to the most recent admission to the home was inspected and found to be comprehensive, up to date and well maintained. Prospective service users are invited to visit the home, to look around and meet with staff and existing residents. They also have the opportunity to stay overnight, prior to admission. The manager confirmed that people move into the Vintry on a four-week trial period, during which time, assessment and monitoring of the individual’s care and support needs helps to establish whether or not their needs can be met. Unplanned admissions are avoided and intermediate care is not provided at the Vintry. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 Service users’ care plans are developed from a comprehensive assessment of an individual’s needs and enable staff to meet such needs in a structured and consistent manner. Policies and procedures for the control and administration of medication are effective with clear and comprehensive systems being in place to ensure service users’ medication needs are met. EVIDENCE: High quality care plans have been developed for each service user and are clearly and directly linked to the individual’s assessed needs. Service users’ individual plans that were inspected were found to be accurate, generally well maintained, and up to date. Plans that were inspected set out in detail any actions to be taken by staff, ensuring consistency of approach. Staff spoken to were not only aware of the content of the care plans but were directly involved in reviewing and updating them. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 11 It was evident that service users and occasionally their relatives are very much part of the assessment process and are directly involved in the development and reviewing of individual care plans. It was noted that they also sign the plan to this effect. All service users are registered with a local GP of their choice and have access, via the surgeries, to a range of local community health services, including district nurses, physiotherapists and occupational therapists. Nutritional screening is undertaken as part of the initial assessment procedure. Satisfactory records relating to the receipt, administration, dispensing and storage of service users’ medication are in place and were found to be up to date and well maintained. Following personal risk assessments, there are currently two service users who take responsibility for the control and administering of their own medication and have signed to this effect. These arrangements are closely monitored, reviewed monthly and recorded in the individual’s care plan. There are currently no controlled drugs held in the home. Service users’ personal care needs are variable. Any such care, including medical treatment or examination is carried out in the service users’ own room. All service users’ rooms have full en-suite facilities and are fitted with either a bath or walk in shower. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14 & 15 Social activities and meals are both well managed, creative and provide daily variety and interest for people living in the home. Links with the community are good and support and enrich service users’ social opportunities. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 13 EVIDENCE: Independence is promoted within the home and, apart from mealtimes, routines are both flexible and varied. Service users are encouraged and supported in making choices affecting their day-to-day life. A programme of structured activities is in place and reflects individual choice and interests. Visiting at the Vintry is unrestricted and service users’ friends and relatives are made welcome at any reasonable time during the day. Comments received from service users’ visitors, during the inspection, were very positive: ‘The care here is second to none’. ‘It’s a unique atmosphere here. The staff are so friendly and so professional’. As part of a more independent sheltered housing complex, the home remains very much part of the local community and many service users maintain regular contact with friends who are tenants in the ‘cottages’. The standard of catering at the Vintry remains high. Service users are provided with a varied, wholesome and nutritious diet. At lunchtime a choice of meals is available and special diets are catered for. A weekly menu is displayed in the main dining room, reflecting service users’ preferences and including seasonal variations. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The open and inclusive atmosphere within the home enables service users, staff and visitors to feel able to express any concerns, confident that they will be listened to. Service users are safeguarded from abuse through robust policies, procedures and relevant staff training. EVIDENCE: Service users, visitors and members of staff spoken to during the inspection confirmed that they would have no hesitation speaking to the manager or deputy manager or making a complaint if necessary and each person was confident that they would be listened to. The home has a policy and procedure for the protection of vulnerable adults, including a whistle blowing policy. However, it was noted that in line with many of the home’s policies, these were last reviewed on 13 March 2003. Following discussion with the manager, these policies and procedures are to be reviewed and updated. It is also recommended, to ensure awareness amongst the staff, that updated key policies, including abuse, are discussed at future team meetings. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 23 & 26 The Vintry is purpose built as a care home for older people. It is clearly fit for purpose and meets the individual and collective needs of service users. The home is clean and well maintained and provides a safe, comfortable and very pleasant environment for residents and their visitors. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 16 EVIDENCE: The Vintry has been purpose built to a high specification and clearly meets service users’ individual and collective needs in a safe, comfortable and well maintained environment. 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 seating and a water feature. All communal areas are decorated and furnished to a high standard. Furniture and lighting throughout is domestic in character. As previously documented, independence and individuality is promoted within the home and this is evident from the personalising of service users’ private rooms, which clearly reflects individual tastes and interests. Two housekeepers are employed in the home and levels of cleanliness and hygiene remain high throughout. Infection control procedures are in place and closely adhered to. A programme of routine maintenance, renewal and redecoration is in place. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 There are sufficient staff on duty at all times to meet the assessed, low dependency needs of the service users. Thorough recruitment procedures help to ensure the safety and protection of service users. EVIDENCE: The stable and dedicated staff team is clearly able to meet the assessed, individual and collective needs of service users within the home. Appropriate staffing levels are in place, with a minimum of two care staff being on duty at all times during the day and at least one member of the management team. The manager or the deputy manager is on call at all times outside normal office hours. This includes during the night, when there is one waking night staff on duty. Ancillary staff employed in the home include the catering manager, a chef, two housekeepers, a maintenance man and a gardener. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 18 The manger confirmed that there have been no new staff appointed since the previous inspection. Staff files that were examined were found to be well maintained, containing all necessary information, including two written references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. All new staff are provided with and sign a written contract, including a statement of terms and conditions. Staff training within the home is generally provided by external trainers and includes first aid, control and handling of medication, moving and handling, infection control procedures, fire safety and food hygiene. All training is recorded. Staff spoken to during the inspection were clearly happy in their work: ‘It’s a lovely place to work. Everyone is very helpful and the manger and deputy are both very approachable and supportive’. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36, 37 & 38 Staff are aware of and adhere to policies and procedures relating to health and safety, ensuring the health, safety and welfare of service users and staff. The home regularly reviews aspects of its performance, through an effective programme of self-monitoring and consultation, which includes seeking the views of service users. EVIDENCE: The home’s quality monitoring systems include satisfaction questionnaires for service users. These are currently being reviewed. However, it was noted that feedback is not currently being sought from service uses’ relatives. This was discussed with the manager who confirmed that an appropriate questionnaire is being developed and will be introduced in the near future. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 20 All care staff now receive formal supervision, as required. Since the previous inspection the recording format has been reviewed and amended, to include action points and issues carried forward from the previous supervision session. The benefits of these structured sessions are acknowledged by all concerned: ‘It’s good to have the opportunity to sit down with the manager and discuss things – in confidence’. The health, safety and welfare of service users and staff is of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 21 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A 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 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 2 x x 3 2 3 The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 22 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. 2. Standard 37 33 Regulation 17 (3) (a) 24 (1) Requirement It is required that the homes records, including policies and procedures, be kept up to date. It is required that an effective system be developed, for reviewing and improving the quality of care provided. Timescale for action 31.07.2005 31.07.2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 37 Good Practice Recommendations It is recommended that staff be kept awarre and informed of updated key polices and procedures through regular discussion, as part of the agenda for team meetings. The Vintry Residential Care Home H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 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 H59 H10 S21267 The Vintry V218046 010605 Stage 4.doc Version 1.20 Page 24 - 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. 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