Inspection on 04/05/05 for Vale Lodge Residential Home

This inspection was carried out on 4th May 2005.

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 Lodge Residential Home 22/05/06

Vale Lodge Residential Home 23/11/05

Vale Lodge Residential Home 06/12/04

Vale Lodge Residential Home 27/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Vale Lodge 38/40 Sutherland Road Mutley Plymouth PL4 6BN Lead Inspector Sheila Giblin Announced 4 May 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 Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Vale Lodge Residential Home Address 38/40 Sutherland Road, Mutley, Plymouth, Devon, PL4 6BN 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) 01752 220456 01752 220456 Miss Sheree Anne Haswell and Mr Martin Frederick Atwill Miss Sheree Anne Haswell Care Home 19 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (19) of places Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2004 Brief Description of the Service: Vale Lodge is located within walking distance of the Mutley Plain shopping centre in Plymouth. The facilities of the home are spread over two floors with one large lounge and dining room on the ground floor. The home has 17 single rooms, 11 of which have en suite facilities and 1 en suite double room. The home is registered to provide care and accommodation for older people, four of whom may have dementia in old age ie over 65yrs. The home is not registered to provide nursing care. In addition to the designated categories the service describes its aim as the provision of low to medium dependency care for the elderly. A stair lift enables access to the upper floor. The home has an enclosed walled garden at the rear. The home is a no-smoking environment but a sheltered seating area has been provided outside for smokers. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 10 hours. The owners of the home were both present during the inspection. A pre-inspection questionnaire provided current information about the staffing and residents living in the home. The inspector toured the building, looked at a sample of care plans and assessments, staff records, the medication system and daily records. Five residents’ comment cards and three relatives comment cards had been returned to the Commission prior to the inspection. All the residents were introduced to the inspector and ten residents offered comments and views of Vale Lodge and the care services they receive. One visiting relative spoke to the inspector. What the service does well: What has improved since the last inspection? New carpets have been laid in bedroom 6, on the first floor landings and in the hall. Water temperature regulation valves have been fitted in bathrooms and at wash hand basins. Laundry walls and the floor have been improved to prevent cross infection. Rooms 11 and 6 have been redecorated; bedroom doors have been fitted with hold open devices. Most of the policies and procedures have been reviewed and updated. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 6 What they could do better: 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 Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 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 Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 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) 1, 2, 3, 4, 5, 6 The owners and staff welcome prospective residents into the home and give them all the information they need to enable them to make a positive choice about whether or not they want to live there. EVIDENCE: The Statement of purpose and Service User Guide was available for a prospective resident who visited the home during the inspection for a pre admission interview and assessment. The person and relatives were shown around the home and introduced to staff and residents. Some recently admitted residents said that they had visited the home before they moved in. Letters are now being sent to residents or their relatives confirming the home can meet their needs or otherwise following the preadmission assessment. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 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, 9, 11 Residents can be confident that their care needs will be well met. EVIDENCE: The medication system was seen in detail and found to be generally satisfactory. The senior care assistant responsible for managing the residents’ medication was knowledgeable and able to explain the process and procedures involved. The home is about to change the contracted dispensing pharmacy due to some problems experienced in the delivery and supply of a satisfactory service. There were no controlled drugs in use at the time of the inspection. The box used for the storage of controlled drugs in the past does not meet the current standard. A controlled drugs register had not been used previously but will be supplied by the new dispensing pharmacist. The current system of recording was slightly amended to show the balance of medication in stock. Frail and ill residents can be cared for in the home until they die with the guidance and assistance of the community nursing services and the GP. However, it may be necessary in some cases, for a resident whose health has deteriorated, to be moved to a nursing home or to hospital if their care needs cannot be met by the staff in the home. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 10 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) 14 Residents can be confident that the managers and staff at Vale Lodge will promote an interesting lifestyle for them that encourages decision-making and self-fulfilment. EVIDENCE: Residents said they felt in control of their lives and were able to voice their opinions on the daily routines in the home. They said they were asked what outings and social activities they wanted and could opt out or in of whatever was going on. Small informal meetings were held to discuss the social calendar but not minuted. Residents were observed in the lounges and outside in the garden during the inspection. There was a spontaneous sing-a- long when a resident played the piano and the residents joined in. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 11 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) 17 Residents are assisted to participate in the civic processes if they wish to. EVIDENCE: Postal votes had been arranged for the residents in the general election. None of those residents spoken with during the inspection had wanted to vote in person at the polling station. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24, 25, 26, Since the last inspection the safety in this environment has improved with the replacement of some carpets and the installation of water temperature regulation valves. EVIDENCE: Vale Lodge provides a clean, warm comfortable attractive home. The sitting and dining rooms were well furnished and spacious. Almost all the residents sit in the lounge for periods during the day. Bedrooms were spotlessly clean and smelled fresh. Residents are able to bring in their own furniture if they wish and evidence of this was seen in the attractive spacious bedrooms twelve of which had en suite toilets. A stair lift enables easy access to the upper floor. Radiators haven’t been covered yet but fifteen were due to be done in the near future. Bedroom doors do not have locks and there was no lockable space in the rooms to keep personal and valuable possessions. En suite toilet doors were not lockable. There is no sluicing facility for soiled laundry or for sterilising commode pans. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 13 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) 28, 29, Residents can be confident that the staff group will have a good understanding of their care needs. EVIDENCE: Residents described how well they are looked after. They said the staff are kind and helpful. One resident said she needed some help first thing in the morning and later to go to bed and staff were on hand to attend to her. She said she didn’t have to wait to ask for assistance. A sample of staff records were viewed and the homes’ recruitment procedure was satisfactory with references and checks being taken up for new staff prior to them starting work. CRBs are sought but often take two months or more for the disclosure to be returned. Staff do not work unsupervised while waiting for the Criminal Records Bureau check. Staff have undertaken training courses to learn about the care of older people with dementia, first aid, fire safety and food hygiene. Over half the care staff hold the NVQ level 2 training certificate. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 14 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) 31, 32, 33, 37, 38 Residents at Vale Lodge benefit by having a stable management team who have a good understanding of what the home needs to do to improve. EVIDENCE: Ms Haswell the Registered Manager, has worked at Vale Lodge since 1986. She has undertaken the NVQ level 4 in management and holds NVQs 2 and 3 in Care. She has now enrolled at a local college to complete the Registered Manager’s Award in Care. Mr Atwill, the Registered Provider manages the home with Ms Haswell. They both work in the home on a daily basis and oversee all the running of the home. They gather feedback from the residents via questionnaires to check whether they are happy with the care services being provided. The results of this survey are to be presented in the near future. A formal staff supervision system has not yet been implemented although staff are supervised on a daily basis by the managers in the day to day running of the home. The atmosphere in the home encourages a positive and proactive approach to care for older persons by providing a lively interesting programme of activities Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 15 and encouraging residents to go out on the trips. Residents spoke of both Ms Haswell and Mr Atwill affectionately and described them as being approachable, caring and helpful. Some Health and Safety issues are still to be addressed and the inspector was informed that there are plans in hand to deal with these. The portable electrical appliances have yet to be tested and Mr Atwill will be doing the tests when he has bought the appropriate piece of equipment. Radiators and hot surfaces are to be covered in the near future. Fire safety systems have been tested regularly in line with the fire authority’s guidelines. Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 16 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x 2 2 2 STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 x 2 3 2 x x 1 3 2 Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 17 yes 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 3 Regulation 14(1)(d) Requirement The registered person must confirm in writing that the home is able to meet the assessed care needs of prospective residents. This requirement has now been met as of 20th June 2005 An approved cupboard for the safe and secure storage of controlled drugs must be installed. A controlled drugs register must be obtained. Appropriate door locks must be installed and lockable storage space must be provided in each residents room. This requirement is outstanding from the previous inspection and the timescale extended. All radiators and pipework assessed as a potential risk must be guarded or have guaranteed low temperature surfaces. This requirement is outstanding from the previous inspection and the timescale extended. A sluicing/sterilising facility must be installed for soiled linen and for sterilising/soaking commode pans. The registered manager must enrol on the NVQ Level 4 Course Timescale for action 1st July 2005 2. 9 13 1st August 2005 3. 24 16, 23 1st July 2005 4. 25 23 1st September 2005 5. 26 13,16,23 1st September 2005 30th June 2005 Page 18 6. 31 9 Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 7. 33 24 8. 36 18 9. 38 13,23 in Care by June 2005 in order to complete it by 2007. This requirement has been met as of 20th June 2005. The quality assurance system must be extended to include health and social care professionals to establish their level of satisfaction with the care services being provided in the home. The results of all the surveys undertaken must be published and available to prospective service users A formal recorded staff supervision system must be set up whereby staff receive supervision at least six times a year Portable electrical appliances must be tested as appropriate and according to the level of risk as required by the Electricity at Work Regulations 1989 and recommended by the Health and safety Executive 1st October 2005 1st August 2005 1st August 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Vale Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Lodge D52-DO4 S3499 Vale Lodge V215990 040505 Stage 4.doc Version 1.30 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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