Inspection on 15/08/05 for Vale House

This inspection was carried out on 15th August 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

Vale House 19/01/07

Vale House 28/12/05

Vale House 16/12/04

Vale House 13/08/04

Vale House 18/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Vale House West Way Botley Road Oxford OX2 9UD Lead Inspector Philippa MacMahon Unannounced 15 August 2005 th 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. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Vale House Address West Way Botley Road Oxford OX2 9UD 01865 794 096 01865 794 095 valehouse@botleyah.freeserve.co.uk The Botley Alzheimers Home 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) Patricia OLeary Care Home (CRH) 20 Category(ies) of Care Home with Nursing (N) registration, with number of places Dementia (DE) 20. Mental Disorder, excluding learning disability or dementia (MD) 20. Old age, not falling within any other category (OP) 20. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1: On admission persons should be aged 60 years and over. 2. In addition, there are 4 day care places available. Date of last inspection 16th December 2004 Brief Description of the Service: The Botley Alzheimer’s Home (known as Vale House) is registered to provide care for up to twenty male and female service users, aged 60 years and over, suffering with severe dementia. The home is also registered to provide day care for up to four service users with dementia. Accommodation is provided on the ground and first floors. There are sixteen single bedrooms and two double rooms. Bedrooms do not have en-suite facilities but all rooms have washbasins. There are two bathrooms, one shower room and seven toilets. A communal lounge/dining room is situated on the ground floor. A second sitting room has been opened up to provide access to a comfortable area called the family room. Access to this room was previously from outside. A link corridor has been opened up to allow access from within the home. Leading off this room is a small paved area of garden with borders planted with shrubs and herbaceous plants. This provides a small secure outdoor space for service users. The home is situated on the outskirts of Oxford and is on a regular bus route to and from Oxford. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, and the inspector spent a good deal of her time in speaking to the registered manager, and other staff who were on duty at the time. Care plans were examined and all aspects of the care provision were discussed with the registered manager. The laundry and kitchen dry store were inspected. Policies and procedures, and other records required by regulation were examined. What the service does well: What has improved since the last inspection? What they could do better: The inspector is unable to identify any further improvements to the service on this occasion. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 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. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 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 Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 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 Every resident has an assessment of their care needs prior to admission to the home and the family and friends are given every opportunity to obtain as much information as they can before making any decisions about where there relative may live. EVIDENCE: The inspector examined a sample of care plans and found very comprehensive assessments, from which the care plan’s had been developed. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 9 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) 7,8,10,11. The standard of care planning is excellent, and give a very comprehensive picture of the individual resident. The attention to detail is commendable. The care provided is very individual, detailed and is supported by other health care professionals who visit the home. Given that the majority of residents are unable to converse in a meaningful way the manner in which the staff communicate with the residents and treat them as individual people is commendable. The care of those residents nearing the end of their lives is considered by the registered manager and her staff to be of great importance, and every effort is made to support the family and friends. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 10 EVIDENCE: The inspector examined a number of care plans and found them to clearly reflect the individual residents care needs and how these would be met. A visiting consultant psychiatrist attends the home on a regular basis, and reviews each of the residents care. The inspector noted that all the staff have a real understanding of privacy and dignity issues, in respect of how they approached the residents, and by knocking on doors before entering their private rooms. Information about the residents wishes regarding the time of their death are documented and all contact details are written in the care plans. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The inspector did not make a judgement as none of the outcomes in this section were inspected. EVIDENCE: None of these standards were assessed on this occasion. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,19. Complaints are taken seriously and dealt with appropriately by the registered manager. Every effort is made to protect the very vulnerable group of people who live at Vale House. EVIDENCE: The inspector observed that the complaints procedure is displayed on the notice board in the entrance to the home. The home has recently drawn up a new policy on complaints and the inspector was given a copy to read. The registered manager informed the inspector that all staff are given training with reference to the protection of vulnerable adults, and a copy of the policy is displayed on the notice board in the entrance to the home. This policy is also being re-written at the present time. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The inspector did not make a judgement as none of the outcomes in this section were inspected. EVIDENCE: None of these standards were assessed on this occasion. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 14 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) 27,28,29,30. The home is appropriately staffed to meet the needs of the residents. It is commendable that the home is involving volunteers in supporting the staff at meal times as nearly all the residents require assistance at this time. Robust staff recruitment policies and procedures are in place. The registered manager is committed to the training and development of all staff. EVIDENCE: A copy of the current staff roster was examined and showed that there are sufficient numbers and skill mix of staff on each shift. The registered manager told the inspector that there are no staff vacancies at the present time and that they have a nurse bank who are able to cover any shortfall. A group of volunteers take it in turns to come into the home to assist at meal times each day. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 15 A sample of staff recruitment files were examined and showed that proper recruitment procedures are in place. It is commendable that 80 of the care staff have achieved NVQ 2. All staff receive training in dementia care using the Altzheimer Society course “yesterday, today, tomorrow”. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 36,37,38. The home is very well managed, and there is excellent support from the administrator and the Directors. EVIDENCE: The registered manager informed the inspector that she has commenced staff supervision by holding group sessions, and a record is kept of these sessions. It is hoped to commence 1-1 sessions shortly, and then this will be cascaded down the organisation. The inspector examined records and the policies and procedures that are in place are robust. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 17 There has recently been a major power outage that lasted for 24 hours. The registered manager explained to the inspector what the effects were and how they dealt with them. The staff are to be commended in that all the necessary emergency procedures had been effective and that none of the residents were harmed or distressed in any way. The inspector observed that the kitchen dry store had been re-ordered to provide appropriate storage. The laundry was found to be clean and in good order. The fire log was examined and found to be up to date and complete. Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x x x 3 3 3 Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action 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 Good Practice Recommendations Vale House H57_H08_S27187_Vale House_239241_150805_Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Burgner House 4630 Kingsgate Oxford Business Park (South) Cowley, Oxford, OX4 2SU 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. 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