Inspection on 27/11/06 for Vale Court Care Home

This inspection was carried out on 27th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Vale Court Care Home 04/06/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Vale Court Care Home 9b Chester Road Whitby Ellesmere Port Wirral CH65 9BD Lead Inspector Wendy Smith Unannounced Inspection 27th November 2006 9:30 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 Vale Court Care Home DS0000068319.V316848.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. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vale Court Care Home Address 9b Chester Road Whitby Ellesmere Port Wirral CH65 9BD 0151 3564827 0151 3564280 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) Four Seasons (No 3) Limited Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56), Physical disability (18) of places Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 56 service users to include:* * * Up to 56 service users in the category of OP (Old age, not falling within any other category) Up to 10 service users in the category of PD (Physical disability) aged 18 years and above, for rehabilitation care Up to 8 service users under 65 years of age in the category PD (physical disability) 18th October 2006 (Medicines inspection) Date of last inspection Brief Description of the Service: Vale Court is a modern purpose-built two-storey nursing home situated in the Whitby area of Ellesmere Port and close to the town centre. It is set in its own grounds behind local shops. There is easy access to local amenities and the home is convenient for public transport. The home provides care for older people and younger adults with a physical disability. The home’s weekly fee is from £307 to £593. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 27th November 2006 and lasted seven hours. The visit was carried out by three inspectors, one of whom was a specialist inspector to look at medication. An expert by experience was also present. The Commission for Social Care Inspection are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘expert by experience’ used in this report describes a person who has been appointed by Help the Aged, under the direction of the Commission for Social Care Inspection, to take part in the inspection of services for older people. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires were made available for residents and their families to find out their views. Other information received since the last key inspection was reviewed. During the visit, various records and the premises were looked at. Most of the residents and a number of relatives were spoken with and they gave their views about the home. What the service does well: What has improved since the last inspection? Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 6 The care plans for residents living on the first floor had improved to show more clearly that the needs of residents were assessed and the care being provided is reviewed regularly. A new head cook has been appointed. Complaints are addressed using the company’s complaints procedure. The home was cleaner than it had been on previous visits. Recruitment records showed that new staff are not employed until the required safety checks have been carried out. Regular training sessions have been held to ensure that all staff receive training in the most important areas that relate to the health and safety of residents. Quality assurance systems are being implemented to measure satisfaction with the service provided and identify areas where improvement is needed. The manager in charge of the home at the time of the visit has considerable experience and displayed a professional style of leadership. What they could do better: Pre-admission assessment forms should be completed in full for new residents so that staff have as much information as possible about the individual and their needs. To comply with regulation 5 of the Care Homes Regulations, the service user guide should contain information about staff working in the home and about how to contact the Commission for Social Care Inspection. The recording of wound care needs to be improved to provide a more detailed and accurate record which will show whether the treatment being given is effective. The pharmacist found that the health and safety of residents may be put at risk from poor management of residents’ medicines. The detailed social assessment form should be completed so that staff have greater awareness of the residents as individuals with a life history and with their own interests and preferences. Staffing needs to be reviewed to ensure that there are always sufficient staff to meet the residents’ needs and that staff numbers are appropriate to the dependency of the residents. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 7 Training must continue until all staff are up to date in mandatory subjects relating to the health and safety of residents. Care staff should be encouraged and enabled to achieve a national vocational qualification in care. Fit shelving in the sluice so that equipment does not have to be on the floor. Provide office space on both floors of the home so that staff can meet in private with relatives, residents and professional visitors and can speak on the phone in a way that protects the confidentiality of residents. 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. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 8 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 Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3, and 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Written information is provided for service users but does not contain all of the required details. Four Seasons provides a written contract of terms and conditions but most residents were not able to confirm whether they had received this. Pre-admission assessments had been carried out but the documents were not fully completed. The provision of intermediate care at this home is ending in December 2006. EVIDENCE: On 27th November 2006 there were 23 residents on the first floor and another person had been admitted to hospital. There were 15 residents on the ground floor and four other people who were having a short stay at the home. The home will not be providing intermediate care after 22nd December 2006 when the current contract ends. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 10 A new resident was admitted during the visit. Prior to admission she had been visited by senior staff from the home in order to assess her needs and ensure that they can be met at Vale Court. The pre-admission assessment document had not been fully completed and it was not clear whether she had any pressure sores as the assessment indicated only that skin integrity was poor. There was a service user guide brochure in her bedroom and this was looked at. It did not provide any details of the staffing of the home and did not give contact details for the Commission for Social Care Inspection. Records were looked at for a resident on ground floor, who had been admitted in October 2006, and the pre-admission assessment had not been completed in full. A resident on the first floor was shouting out and her care plan showed that she has challenging behaviour. The resident has lived at the home for several months and it appeared that she should have been admitted to a more appropriate home to ensure that her needs could be met. This resident has now been reassessed by mental health professionals and her family are looking for a more specialist placement. This was all detailed in her care plan which had been reviewed well each month. One service user spoken with had been admitted to Vale Court for rehabilitation following a fall and treatment in hospital. She said that she was very pleased with the care she was receiving and was gradually regaining her independence with support from the staff. Four Seasons has a contract of terms and conditions for residents. One resident who completed a questionnaire confirmed that she had a contract. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 11 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 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The standard of care plans has generally improved and residents were receiving a good service from healthcare professionals. Residents praised the care and attention they receive from staff. Residents may be at risk from a poor standard of medicines management. EVIDENCE: Information provided by the acting manager prior to the inspection indicated that seven residents were cared for in bed and three had pressure sores. The care of these residents was looked at by the inspectors. Residents who were at high risk of developing pressure sores had pressure relieving mattresses on their beds. Where bedrails were used they were fully protected by padded bumpers. Residents cared for in bed were repositioned regularly. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 12 Two relatives said that their mother had been cared for in bed for three years and had never developed a sore. They considered that ‘the care is great’ but were concerned that mother’s food was not always properly liquidised and she may be at risk of choking. The care plans looked at on the first floor were completed to a good standard and showed the care that residents were receiving. One resident was losing weight and the care plan showed that this was being closely monitored. She had been referred to a dietician and a speech and language therapist. She had also been seen by GP, dentist and tissue viability nurse. Care plans looked at on the ground floor were not completed as accurately as on the first floor and the recording of wound care was not good. One resident has leg ulcers. Photographs had been taken but there was no name or date on the pictures. Another resident has pressure sores that are of long standing on four areas of his body. Photographs had been taken but didn’t have the name of the resident and only one had a date. Evaluations of the wound in his care plan were ‘dressings renewed continue to improve’, ‘wound looks better’. Evaluations need to be more specific than this so that progress can be measured and the nurses know whether the treatment prescribed is working. Nothing had been written about wound care in the care plan between 2nd October 2006 and 2nd November 2006 and the full wound assessment chart had not been filled in since 23rd September 2006. For the last month the home has had an acting manager. He has audited half of the care plans and said that he is not satisfied with the standard. A new format is being introduced and a target of six weeks has been set for full implementation. Care plan training was provided for all the home’s nurses the week before this visit. A key worker system has been put in place and residents have had letters to inform them about this. All of the residents spoken with made very positive comments about the staff but most considered that the staff are ‘rushed off their feet’. Sometimes this resulted in them having to wait a long time for assistance to go to the toilet. Observation during the visit was that staff had a respectful and pleasant attitude to residents. A pharmacist’s inspection was carried out as part of the key inspection because there have been a number of previous pharmacist’s inspections during which there were concerns regarding the health and safety of residents. The residents were possibly at risk because of poor medication handling. Two serious medication errors had been reported since the last key inspection. Medication records together with the medication held in the home was looked at for six residents. The six residents were selected at random. For all six residents serious concerns regarding the administration and recording of medication were found. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 13 The home failed to make sure, for each administration of medication was fully and medication administration records (MAR) administration of medicines was not clearly or of the six residents, that the accurately recorded within the for each resident and nonfully explained within the MAR. The home failed to make sure that all medication was administered as prescribed to the all of the six residents whose medication was looked at during the inspection. The home failed to make sure, for three of the six residents, that accurate records were made of all medicines received into the home and that the medication received was cross referenced with other information held by the home to make sure the residents were given medication safely. It is of serious concern that the health and safety of residents’ continue to be potentially put at risk by nurses failing to make arrangements for the safe administration, handling and recording of medication. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to exercise choices in daily living and social activities are provided in the home. Most residents considered that their food was satisfactory but could be better. EVIDENCE: Social activities are provided four afternoons a week and an activities notice board provides details of the programme for each month. The activities organiser keeps a record of what has taken place. The expert by experience considered that the activities co-ordinator ‘was a very cheerful lady and had many leisure opportunities and activities in place for the residents’. The care plan documents include a detailed social assessment but in several cases this had not been completed. More effort needs to be made to ensure that the social assessments are completed to give staff a more holisitic picture of each resident. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 15 All residents spoken with expressed their satisfaction with daily living arrangements and had a choice of when to get up and go to bed. The night staff assist a small number of people who wish to get up early in the morning. Residents can choose to use the lounges or stay in their room. One resident spoken with had a lot of books in her room, she said that she uses the mobile library and orders books by post. A carer had put up a bird box outside her window and she said that ‘staff spoil me’. The expert by experience spoke with residents and visitors who were sitting in the lounges. He found that they all spoke well of the home and the staff. There was however one complaint from both residents and staff. The waiting time residents were experiencing to use the toilet on the top floor was much too long. He observed that the staff were hard working, with many of the residents requiring lifting equipment to transport them from their rooms to the living rooms. There were differing opinions among residents about the food provided. Residents are able to have a cooked breakfast and a number of people clearly enjoyed this. All agreed that there is plenty to eat but some residents thought that the quality is not always good. The home has been without a head cook for about six months and the staff have done their best to keep the service going. The home has just recruited a very well qualified person as head cook. The manager intends to move the main meal back to the early evening as it currently follows too close after the cooked breakfast. The expert by experience had lunch with five residents on the second floor in the small dining room. The menu offered a choice of two meals but some of the residents were unable to have their choice of meal. When asked, the cook on duty said that this was because the head cook was new and there had been an ordering fault. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 16 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 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users and their relatives can now be more confident that their complaints will be addressed and that they are protected from abuse. EVIDENCE: The home keeps a record of complaints received and action taken. Information provided by the manager was that nine complaints had been received at the home in the last 12 months. The complaints file was poorly organised and had records going back a long way. There was no summary sheet and information was not easy to access. Four Seasons has a company complaints form and the current manager is aware of how complaints should be recorded on this form and how they should be investigated and dealt with. There was evidence that he had followed this procedure in dealing with a recent complaint. The complaints procedure that is displayed in the entrance area of the home, and given to residents and their relatives in the service user guide, does not have on it the address or phone number of the Commission for Social Care Inspection. People wishing to contact the Commission for Social Care Inspection may not wish to ask at the home for this information and it should be provided for them without asking. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 17 Four Seasons has policies and procedures for the protection of vulnerable adults and a staff training package is available. The training is being provided for all staff and this is ongoing until all staff have completed it. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 18 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable, safe, clean and well maintained environment. EVIDENCE: The home was purpose built and is light and spacious. All residents have a single bedroom of adequate size and with en-suite facilities. There is a satisfactory number of lounges, dining rooms and bathrooms. Before the visit, comments had been made by residents and visiting professionals that the home smelled of urine. During the visit there was a slight odour in some areas but all parts of the home looked very clean. The carpets and chairs in the lounges looked much cleaner than they had done on previous visits. The ground floor dining room was cleaner than it had been at the last visit and the kitchen has been painted. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 19 In the ground floor sluice there was a lot of equipment, for example toilet seat raisers, piled up on the floor. This could be improved by fitting more shelving. There is no nurses’ office on either floor of the building and comments have been made by social workers and relatives that this makes it difficult to have private conversations and to discuss personal details about residents both in person and on the telephone. It would also be beneficial to have an office for staff handovers and for the nurses writing care plans. The home has a new maintenance person. A member of the domestic staff said that there are usually two cleaners on duty each day, one on each floor, but at the weekend only one so this may mean that the home is not as clean and fresh at the weekends. Two staff are employed to work in the laundry. On three days each week they work together and on the other days they work on their own. The staff member considered that they needed some back up to cover for holidays, sickness and days off as they were sometimes very short-handed. The expert by experience observed that the home was very clean with the cleaners using carpet washers with a deodorant fragrance. He found that the cleaning staff were very cheerful and efficient. He pointed out that they should try to use the power points in the rooms where possible, to prevent residents falling when using the corridors from the trailing flex wire. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 20 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels were just adequate to meet the needs of residents. Good recruitment procedures were followed to ensure that residents are protected. A programme of staff training is ongoing. EVIDENCE: Since the last inspection, the Commission for Social Care Inspection has received three complaints about shortage of staff at Vale Court. On the morning of 27th November 2006 there were two registered nurses and four carers on duty on the first floor. On the ground floor was one nurse and two carers. The first floor was very busy, with a considerable number of residents needing a high level of care. Several residents required the use of a hoist with two staff to help them out of bed. Call bells were ringing throughout the morning and staff were rushed but trying their best to meet all residents’ needs. It was evident that a minimum of six staff are required to ensure that the residents currently accommodated on the first floor can receive the care they require and the number on duty should not go below this unless there is a significant change to the dependency needs of residents. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 21 The ground floor was quieter, with fewer residents, however three staff were barely enough to meet the needs of 19 people. Staffing needs to be reviewed to ensure that there are always sufficient staff to meet the residents’ needs and that staff numbers are appropriate to the dependency of the residents. Recruitment records were looked at for four new staff who were the administrator, maintenance person, chef and a carer. Although the records were not filed in a very orderly way they did contain all of the information required before new staff are employed including Criminal Records Bureau disclosures and two references for each person. Three staff have a national vocational qualification level 2 in care and two have level 3. In addition to this five care staff have an equivalent qualification and two are working towards NVQ level 2. Two carers spoken with during the visit had completed all mandatory training and were familiar with procedures for the protection of vulnerable adults. The notice board showed staff training between 24th October 2006 and 21 November 2006 covering all mandatory subjects. Training records provided evidence that training had taken place in September, October and November 2006 but on the training matrix there were still some staff who had not completed all of the mandatory training. Vale Court Care Home DS0000068319.V316848.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 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management cover is being provided by an experienced manager from within Four Seasons and there was evidence that management issues identified over recent months were starting to be addressed. EVIDENCE: The home has had several changes of manager in the last two years and at the time of this visit management cover was being provided by a very experienced manager who is registered with the Commission for Social Care Inspection as manager of another home owned by the same company. His professional manner appeared to be providing much needed leadership in the home. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 23 An action plan was written by the manager and the area manager on 2nd November 2006 to address issues of concern identified by the local Primary Care Trust and the local authority. There was a suspension of placements at the home for a two week period while the action plan was prepared. There will be a further meeting at the beginning of December to review progress. A full staff meeting was held to reassure staff. Four Seasons has various tools for monitoring the quality of the service. A weekly ‘resident at risk’ and accident report is sent to head office. Visits required by regulation 26 of the Care Homes Regulations are carried out monthly by the area manager. Unfortunately little progress had been made in addressing issues raised by the pharmacist. During November 2006, Four Seasons are carrying out a satisfaction survey of residents and relatives. This is being done from the head office not the home, but the results will be shared with the home manager. A new quality assurance tool, ‘Team Audit’, is to be introduced in the near future and is a very large document that covers all activities of home. The home’s administrator looks after personal spending money for some service users. Personal money is paid into a bank account and a small float is kept securely in a safe. A record is maintained for each resident and this showed that most have only a small amount to cover expenditure such as hairdressing and chiropody. Information provided prior to the inspection gave dates when all equipment had been checked. Planned maintenance contracts for plant and equipment are set up centrally by Four Seasons. The home’s maintenance person carries out planned daily, weekly and monthly checks. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 24 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 2 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X 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 X 3 Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 25 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 OP1 Regulation 5 Timescale for action The service user guide must 31/01/07 contain information about staff working in the home and about how to contact the Commission for Social Care Inspection. The administration of medication 12/12/06 must be fully and accurately recorded within the medication administration records for the individual service user and any non-administration must be clearly and fully explained. An accurate record must be 12/12/06 made of all medicines received into the home and cross referenced for accuracy. All medication must administered as prescribed. be 12/12/06 12/12/06 Requirement 2 OP9 13(2) 3 OP9 13(2) 4 5 OP9 OP27 13(2) 18(1)(a) Ensure that staff are provided in sufficient numbers to meet the needs of residents. Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 26 6 OP30 18 Staff training must continue until 28/02/07 all staff are up to date in mandatory subjects relating to the health and safety of residents. 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 OP3 Good Practice Recommendations Pre-admission assessment forms should be completed in full for new residents. The recording of wound care needs to be improved to provide a more detailed and accurate record which will show whether the treatment being given is effective. The detailed social assessment form should be completed so that staff have greater awareness of the residents as individuals with a life history and with their own interests and preferences. Care staff should be encouraged and enabled to achieve a national vocational qualification in care. Fit shelving in the sluice so that equipment does not have to be on the floor. Provide office space on both floors of the home so that staff can meet in private with relatives, residents and professional visitors and can speak on the phone in a way that protects the confidentiality of residents. OP8 3 OP12 4 5 6 OP28 OP19 OP19 Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Vale Court Care Home DS0000068319.V316848.R01.S.doc Version 5.2 Page 28 - 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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