Inspection on 28/12/05 for Vale House

This inspection was carried out on 28th December 2005.

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

The inspector 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 15/08/05

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 The Botley Alzheimer`s Home West Way, Botley Road Botley Oxford OX2 9UD Lead Inspector Philippa MacMahon Unannounced Inspection 28th December 2005 10:30 am 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 House DS0000027187.V272576.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Vale House Address The Botley Alzheimer`s Home West Way, Botley Road Botley Oxford OX2 9UD 01865 794096 01865 794095 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) The Botley Alzheimers Home Patricia O`Leary Care Home 20 Category(ies) of Dementia (20), Mental disorder, excluding registration, with number learning disability or dementia (20), Old age, of places not falling within any other category (20) Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. On admission persons should be aged 60 years and over. In addition, there are 4 day care places available. Date of last inspection 15th August 2005 Brief Description of the Service: The Botley Alzheimers 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 DS0000027187.V272576.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the second in the inspection annual cycle. The Inspector was made very welcome by the staff and co-operation was given throughout the inspection. The inspection was focused around the residents’ quality of life experienced, and the inspector observed the activities and interactions taking place. Meals and mealtimes were addressed, and a tour of the building took place. Care plans were examined and the medication system. What the service does well: What has improved since the last inspection? What they could do better: To document regular monitoring of blood glucose levels in a specific place so that any changes can be clearly, and readily identified. Please contact the provider for advice of actions taken in response to this Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 None of these outcomes were inspected on this occasion. EVIDENCE: Vale House DS0000027187.V272576.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9. Every resident has a care plan in which their assessed care needs are identified and the action required to meet those needs. These care plans are up to date and very relevant to the individual resident. The medication systems within the home are in good order and supported by the homes policies and procedures. EVIDENCE: A sample of care plans were examined by the inspector and were found to give an accurate description of the residents’, their assessed care needs and how these are met. Risk assessments had been undertaken and reviewed regularly as had the care plans. One of the care plans included a need to record blood glucose levels on a monthly basis. This had been carried out and the results had been recorded in the daily record. It is a good practice recommendation that the results of any regular monitoring should be recorded in a discrete record within the care plans. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 10 The inspector observed within one of the care plans a respite feedback sheet, recorded at the end of the previous respite stay period. Copies are sent to the funding authority. This is very good practice and gives a good summary of the persons needs at that time. The medication system was examined and overall found to be in good order and the records required by regulation were up to date and complete. There is a good working relationship with the supplying Pharmacist, who visits the home on a regular basis. The disposal of unused medication was discussed and the home has a robust system in place supported by an approved contractor. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Every endeavour is taken to ensure that the quality of life experienced in the home is individual and matches the residents’ needs. Family and friends are very much a part of the care provided at the home. Meals and mealtimes are considered by the registered manager to be of great importance, and a high standard is achieved. EVIDENCE: There is a designated activities co-ordinator in post that has developed an extensive programme of activities appropriate to the residents’ individual needs. This has been done in conjunction with the registered manager and other members of staff. The co-ordinator has attended a training course for activities co-ordinators’ and is looking into joining a distance-learning course from an accredited college in the near future. Volunteers who regularly attend the home and know the residents’ very well assist the co-ordinator in her role. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 12 One of the activities arranged is a visit once a week for 12 weeks of a Sensory Bus, provided by a local provider. The bus provides a wonderful calming environment with staff that is skilled in the use of sensory equipment. This has been much appreciated by both the residents’ and particularly the relatives who have been able to accompany the residents’ on these occasions. The local Churches in Botley provide regular services and support in the home. Some of the residents are able to go out to Church and are assisted to do so. The inspector noted that the residents’ religious needs were noted in the care plans. Friends and family are always made very welcome in the home and the registered manager recognises that they require a lot of care and support. To this end a Family support worker has been appointed who is available to relatives prior to their relative being admitted, during their stay, and following their death to offer support and advice. There are local carer support groups in the community that a number of relatives attend. The inspector observed lunch being served and the residents’ being assisted to eat by the staff. The staff was seen to assist the residents’ in a very sensitive, caring manner and taking time to allow them to enjoy their meal. The meal looked appetising and was much enjoyed by all. The menu’s seen showed that a wholesome nourishing and appropriate diet is offered to all the residents’ A group of volunteers work a rota so that two people will attend each day to assist with meal times. This is a very commendable initiative as all of the resident’s require assistance, and this ensures that every resident has the appropriate amount of time to eat his or her meals. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. The home is maintained and cleaned to a high standard. EVIDENCE: The inspector toured the building and found all areas to be well maintained, bright and clean. The Deputy Manager informed the inspector that there is a spills procedure within the home and carpets are cleaned on a daily basis if required. Contractors overnight clean the carpets in the communal area every two months. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0 None of these outcomes were inspected on this occasion having been addressed earlier in the inspection year. EVIDENCE: Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 The home is very well managed and there are clear lines of accountability. EVIDENCE: The registered manager was not available at the time of this inspection and the Deputy Manager was in charge. The inspector noted that there was good evidence of team working and co-operation by all the staff on duty. Discussion with the staff gave the inspector a picture of a team who are all very happy and proud to be working at Vale House. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X X X X Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 18 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. 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 OP7 Good Practice Recommendations It is a good practice recommendation that the results of any regular blood glucose monitoring should be recorded in a discrete record within the care plans. Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way 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. Extracts may not be used or reproduced without the express permission of CSCI Vale House DS0000027187.V272576.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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