Inspection on 06/03/07 for The Vintry Residential Care Home

This inspection was carried out on 6th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 01/12/05

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 Robert Pettiford Key Unannounced Inspection 6th March 2007 09:00 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.V332039.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 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.V332039.R01.S.doc Version 5.2 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 729714 thevintryeastbourne@wanadoo.co.uk 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.V332039.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st December 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 en-suite 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 range of fee’s charged for services provided range from £328 to £390 per person. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on the 6th March 2007. The Inspector agreed and explained the inspection process with the registered manager and staff present during the inspection. Documentation and records were read. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. The focus of the inspection was to assess The Vintry Residential Care Home in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Older Persons. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. Time was also spent by the inspector observing and talking to service users and staff discussing the standard of care within the home. The inspector joined the service user’s for lunch which gave him a further opportunity to discuss the quality of care within the home and activities they enjoyed. What the service does well: What has improved since the last inspection? What they could do better: Several areas have been identified during the inspection as needing to be addressed. Some of the areas included medication, Proactive healthcare planning, care planning, staffing and quality assurance. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 6 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 Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service user’s can feel on the whole confident that their needs will be assessed and that they will be offered a trial period before moving in. EVIDENCE: The service consults the assessment information to see if they can meet the prospective residents needs before they make the decision to accept the application for admission and offer a placement. Evidence showed that prospective service users have a needs assessment carried out before they are admitted to the home. The manager was requested to review the assessment process as some minor amendments were seen to be needed. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 9 The manager confirmed that all service users were offered a trial period of four weeks to ensure they are happy to remain and that the home can meet their needs. The home does not offer intermediate care. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service user’s can not feel always confident that their health and care needs will be fully met and well documented. Service user’s wellbeing is at risk due to the home’s policy and procedures with regard to the handling and administration of medication. Service users can be confident that they will be treated with respect and dignity and their rights to make decisions about their lives is respected and they have the opportunity to be consulted on, participate in, all aspects of life within the home as they wish or their capacity allows. EVIDENCE: The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 11 The inspector viewed and discussed with the manager the care records relating to several service user’s at the home. In the care plans viewed there was insufficient detail and guidelines in respect of the support needed to fully meet service users needs. The care plans were not regularly updated and did not evidence fully the support needed and the desired outcome. They were found to be incomplete and of variable quality. Whilst it was accepted through discussions with service user’s they were happy with the standards of care received documentation suggested otherwise due to lack of information and detail. No evidence was available that service user’s were involved in drawing up personal care plans in the documentation and that they are consulted in reviewing and amending such care plans. The care planning system needs to be reviewed and introduce a centred planning approach to the care plans which will have a holistic model as its base. This care planning approach needs move away from a healthcare task orientated base to one with includes social and personal goals including hopes and aspirations. The care plan should further evidence that equality and diversity issues have been considered with evidence that any needs are being supported. The inspector viewed a sample of care records and specific health care records relating to several service user’s. Records viewed did not confirm that service user’s had access to a range of health care inputs as and when required but not as part of regular health checks. Whilst it was accepted that many of the relatives of service user’s ensure that they have access to Dentists and Opticians etc it was not fully evidenced in the care plans. The home needs to ensure that service user’s have access to their chosen Doctor for medication reviews and health check up’s (if possible), Dentist, Optician in addition to identified specialist health care input. The documentation seen confirmed that all Service users have a Doctor and visits from other health professionals are arranged and enabled. The health care issues of the residents were seen recorded in the daily record. It was recommended that visits to health professionals is documented separately on its own page to enable the home to more easily document the outcomes for each visit. This was recommended to enable the records to be more easily understood and dispense with the need to read through all the daily notes to extract specific information re a visit to a certain health professionals. Risk assessments seen were not detailed with regard to identifying the risk and the control measures needed to minimise risks. No evidence was seen that they had been regularly reviewed and up dated. The manager recognises this and is committed to ensure that all service users have comprehensive risk assessments to minimise risk. Management of risk needs to take into account the age, specialist needs of people who use the service, balanced with their aspirations for independence and choice. Where limitations are in place, the The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 12 decisions have been made following consultation with the service user, relative where appropriate and social services care management. The inspector visited the home at 9:15AM. During the inspection the inspector noted that service user’s were seen making choices about their lives and were seen to be part of the decision process. A relaxed atmosphere was noted with the service user’s interacting with staff. The inspector viewed the storage arrangements and some records including Medication Administration Record (MAR) sheets, and the protocols for the administration of “PRN/As Required” Medication. MAR sheets were seen to be completed correctly and medication was stored appropriately. The manager confirmed that all staff that dispense medication have received appropriate training. Several areas of concern were seen and brought to the managers attention. Namely:Medication /supplies were stored inappropriately on the floor. Prn or as required medication protocols were not available (to staff who are designated to administer medication). In that they were not written up. Dose’s of medication were missed. The MAR sheets evidenced that medication had not been signed for as given, omitted or refused as appropriate. Eye ointments currently in use that were date sensitive had been used but not marked with a date of opening so that they could be disposed of when out of date. Large quantities of split tablets found in one medication bottle which were disintegrating into powder (therefore not providing the correct dosage). Medication that had been prescribed was being given in an altered dose for one service user. At the time of inspection the manager was unable to provide a copy of the Doctors authorisation even though authorisation had been obtained. There was no Soap near sink to enable staff to wash their hands prior to dispensing medication. The home was requested to confirm in writing that medication is administered stored and disposed of as required by the above regulation and that safe procedures are in place to protect service users from a risk of harm. The home needs to ensure that the recording and administration of medication follows The Royal Pharmaceutical Society guidelines (amended June 2003). The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service user’s’ social and recreational interest and needs are well provided for with a wide range of activities organised and are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. The dietary needs of service user’s are well catered for and their views and opinions are sought regarding the choice of meals served. Service user’s feel confident that they are enabled to exercise choice and control over their lives. EVIDENCE: The home offers a full programme of activities. This included Musical movement, church services, quizzes, word games, board games, reminiscence and many other activities. Various other social events are arranged with families being invited. Discussion with the manager and staff confirmed that the level of activities were of a good quality overall for the more able independent service users and The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 14 that they enjoyed a good level of stimulation through leisure and recreational activities both inside and outside the home. This however this was not the experience of all of the service users. The inspector commented that the outcomes for all service users should be the same regardless of ability. The Inspector requested that the home detail within the home’s action plan how it will be evidenced that all service users have the same opportunities Service user’s are encouraged to exercise choice and control over their lives where possible, staff were willing to assist if necessary. Service user’s confirmed they could bring personal items on admission. Family and friends are made to feel welcome within the home are very much seen as priority in maintaining emotional health. The majority of the residents said the food was excellent and that they had a choice. The cook confirmed that where possible fresh produce were always used. Three full meals plus supper and snacks were available every day with drinks readily available. Evidence was seen that the residents were offered a choice at every meal. Specialist diets could be provided when advised by health care professionals or service user’s. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a effective complaints system in place and service user’s and families are aware of its contents. Service user’s are protected by robust adult protection policies and procedures EVIDENCE: The home had a written complaints procedure, which was seen in the foyer. Service user’s spoken with were aware of the contents and felt free to voice their concerns. The home has received no formal complaints since the last inspection. The home had also received compliments from families regarding the level of care offered. The complaints procedure however was in need of updating to include the new address of the Commission local office and that of the local social services department. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 16 The inspector viewed and discussed copies of the Home’s Policy for the Protection of Service user’s and staff “Whistle blowing” procedure. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training is provided in abuse. More courses are planned to ensure all staff receive the training required to protect service user’s from abuse. Criminal Record Bureau Checks (CRB) have been obtained for all staff. The Registered Manager is aware of her obligations with regard to ensuring the safety of Service user’s and protecting them from abuse. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,26, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service user’s benefit from living in an excellent well maintained environment which provides a homely warm atmosphere with safe access to comfortable indoor and outdoor communal areas EVIDENCE: The inspector observed that the home is set in well-maintained gardens. The manager stated that the home meets with the requirements of both Fire and Environmental Health Departments. It was apparent that the individual and collective needs are being met in a comfortable environment. The standard of internal decoration and fixtures and fittings are well maintained and of a very high quality. The home benefits from a wide selection of communal area’s thus affording service user’s space should they so wish desire. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 18 The premises are kept clean, hygienic throughout and systems are in place to control the spread of infection, in accordance with relevant legislation, published professional guidance and the purpose of the home. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service user’s can not always feel confident that their care, social and emotional needs are fully promoted by the employment of care staff in sufficient numbers to meet their needs at all times and trained to the required standards. Service users are fully protected by the recruitment procedures within the home. EVIDENCE: The ratios of care staff to service user’s should be determined according to the assessed needs of residents. It was noted during the inspection process and following discussions with the manager and staff that dependency levels have increased since the last inspection and the service users are less able to support themselves and require more assistance and support with their personal care needs. The home has a mix of management personnel, care staff, chef, maintenance specialist, and housekeeping staff. A copy of the staffing roster seen indicates that rotas have been prepared for the following month. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 20 The currently home provides three AM carers and two PM carers. The home has one carer working at night. Following discussions with a number of staff and manager, a review of the rota and observations made during the inspection. The inspector is of the opinion that insufficient care staff are on duty to support service users to participate in activities, meet their personal needs and take all reasonable steps to ensure their health and safety at all times. Evidence at time of the inspection however confirmed that their immediate needs were being meet and that the service users spoken with were happy and content. As previously highlighted evidence showed that the dependency of the service users was becoming more acute and that staffing levels had not been regularly reviewed to take this into account. Additionally the manager and staff further provide support to residents living in the adjoining supported living accommodation which is also managed by the same provider including care staff making beds within the family visitor accommodation. Personal care support is not provided. Such support even if only occasional or in emergencies further reduces the effectiveness of the staff to provide adequate support to service users within the registered home. The staff training records indicated undertaken training for some of the staff. A number of staff had not received all the required core training according to the evidence seen. Individual and group staff training needs had also not been fully identified. The manager confirmed that she would include within the home’s action plan that all staff have completed both adult protection and basic core training. The manager was requested to carry out a training needs analysis and was recommended to complete a training matrix which would clearly identify levels of training for each member of staff. Dementia training was also identified as a need within the home to enable staff to support service user’s further as their needs change. The home was unable to evidence that all staff receive structured induction training (within six weeks of appointment) and foundation training (within six months of appointment) to Sector Skills Council specification (including training on the principles of care, safe working practices, the organisation and worker role, the experiences and particular needs of the service user group, and the influences and particular requirements of the service setting). The home was requested to review its core and induction training to ensure that it meets with the required standards and with current guidance and requirements and provide an action plan with regard to ensuring that the home provides suitably trained staff as per the requirements of the Care Home Regulations 2001. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 21 The home showed that it undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of identity and copies of qualification certificates, seeks two written references, and confirms work status. The home’s recruitment files were seen on the whole to include all the information as required under schedule 2 of the Care Home Regulations 2001 on information given. The home was requested however to review it’s staff files to ensure compliance. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,37 Quality in this outcome group is Adequate Service users on the whole do benefit from living in a well run and managed home. Service users and or their relatives cannot be fully confident that their views and opinions effect how the home is run and that their best interest are safeguarded by appropriate policies and procedures. EVIDENCE: The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 23 The home benefits from having a registered manager who is sufficiently qualified and experienced to carry out her role. However due to the deputy manager being on long term sick and the lack of evidential support from the registered provider in the form of Reg 26 visits ( Statutory documented visits by the provider to monitor standards within the home). During the inspection process it was evident that she is aware of the homes shortfalls and has expressed a wiliness to work with the Commission to raise standards within the home and meet with the National Minimum Standards. The inspector requested that within the homes action plan the registered provider and the manager address how these concerns will be managed to ensure an improvement in standards. One member of staff assisting with the inspection stated that they were not aware if the home had policies and procedures for all topics set out in Appendix 2 of the National Minimum Standards. The manager stated that all policies would be reviewed to ensure compliance. This was identified as an outstanding requirement from previous inspections. Little progress has been made in this area in the opinion of the inspector on evidence seen. Quality assurance was discussed and the views and opinions of many of the service user’s sought. They confirmed a great deal of satisfaction in living within the home and felt confident that their views and opinions were valued by the staff and management. The home does not operate a keyworker system to identify an individual staff member to directly to work with a service user on a one to one basis. It was recommended that such a system be introduced. The manager confirmed that the home does undertake quality assurance by means of asking service user’s to complete questionnaires however this had not been done consistently and in the view of the inspector the home needs to expand on this to ensure full compliance. The manager was requested to develop a quality monitoring system that also seeks the views of stakeholders in the community such as doctors, care managers and other professionals. This will enable the home to ensure it is meeting the goals they set out in their own Statement of Purpose. The Trustee’s of the charity that is the registered provider of the home do regularly visit the home but do not complete what is known as a Regulation 26 visit as previously mentioned. This requires the owner / provider to assess the quality of care within the home and ensure that it is meeting with the required National Minimum Standards. Such visits need to focus on outcomes for service user’s with regard to quality of care, staffing, adult protection, audits of policies and procedures and that they are followed, staff training, Activities, Health and Safety etc. along with speaking to staff and service user’s. Service user’s families are encouraged to handle the monies of service user’s who are unable to manage them themselves. The home only deals with relatively small amounts of personal monies on behalf of service user’s. The records for these were viewed and found to be in need of improvement with The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 24 regard to providing an auditable clear accounting system. The system in place ensured that residents could be confident that the monies were handled securely but records were deemed to be poor. A statutory requirement has not been made at this time. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 25 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 x x x x x 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x 2 x The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 26 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 OP7 Regulation 15(1) Requirement The home needs to prepare a plan of care that fully identifies the support needs, how to support, regularly reviewed and all risks identified to minimize risk to health and safety. The registered person promotes and maintains service users’ health and ensures access to health care services to meet assessed needs. The registered person ensures that there is a policy and staff adhere to procedures, for the receipt, recording, storage, handling, administration and disposal of medicines. Staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the service users, the size, layout and purpose of the home, at all times. It is required that the content, structure and particularly the DS0000021267.V332039.R01.S.doc Timescale for action 06/06/07 2 OP8 12(1) 06/06/07 3 OP9 13(2) 08/03/07 4 OP27 18(1) 13/03/07 2. OP30 18 (1) (c) 06/06/07 The Vintry Residential Care Home Version 5.2 Page 27 current recording format for staff induction training be reviewed and significantly improved. 8 OP33 33(1) The home ensure that it has a 13/03/07 effective quality assurance and quality monitoring systems, based on seeking the views of service users, are in place to measure success in meeting the aims, objectives and statement of purpose of the home. There is continuous self-monitoring, using an objective, consistently obtained and reviewed and verifiable method (preferably a professionally recognised quality assurance system) It is required that the homes records, including policies and procedures, be kept up to date.(Previous timescales of 31.07.2005, 31.01.06 not met). 06/06/07 1. OP37 17 (3) (a) 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 OP37 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. The Vintry Residential Care Home DS0000021267.V332039.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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