Inspection on 03/01/07 for Vale Road (1b)

This inspection was carried out on 3rd January 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Vale Road (1b) 19/01/09

Vale Road (1b) 05/01/06

Vale Road (1b) 30/08/05

Vale Road (1b) 20/10/04

Vale Road (1b) 28/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Vale Road (1b) 1b Vale Road Forest Gate London E7 8BJ Lead Inspector Sharon Lewis Unannounced Inspection 3rd January 2007 01:50 Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 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 Road (1b) DS0000022851.V326005.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 Adults 18-65. 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 Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vale Road (1b) Address 1b Vale Road Forest Gate London E7 8BJ 020 8471 3545 020 8471 3545 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) www.heritagecare.co.uk Heritage Care Europa During Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: 1B Vale Road is a registered care home, which provides 24-hour residential care for 6 people with learning disabilities. The registered provider is Heritage Care, and the property is owned by London & Quadrant, who also provide housing services. 1B Vale Road is a ground floor property, which is specially designed to accommodate people with mobility difficulties. Most of the areas within the home are wheelchair accessible. All service users have single bedrooms with washbasin facilities. The home has a communal lounge and a kitchen/dining area. The lounge overlooks the garden. The garden has a patio area, with garden furniture and a lawn area with flowerbeds. 1B Vale Road is situated off Upton Lane, in Forest Gate. Buses 25 and 86 run along the Romford Road to provide links to Stratford and Ilford. The nearest station is Forest Gate, British Rail Station. A small car park is available for visitors. A range of culturally diverse shops, services and amenities are situated on Upton Lane, Romford Road and Woodgrange Road. Currently four females and one male reside at the home. At the time of the Inspection there was one vacancy. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection was undertaken on a Wednesday afternoon and lasted five hours. The overall objective of this Inspection is to ensure service users are receiving the best possible care and their welfare is safeguarded and promoted at the care home. In addition to checking the home’s compliance with the legal requirements made at the last Inspection. The Inspector spoke to all service users currently living at the home. Individual discussions were also held with the two Support Workers on duty and the Registered Manager. Service users daily logs, medication and medication administration records, fire safety records and other relevant documentation were examined. A tour of the premises was also undertaken. The Inspector would like to thank all service users and staff members for their assistance with this Inspection. What the service does well: Service reside in a warm, family atmosphere where their individuality is valued promoted. Choice, independence and dignity are also promoted. All service users were very comfortable in their surroundings. The majority of service users communicate non-verbally, but were able to indicate that they were happy living at the home. Service users benefit from a stable, competent and caring staff team. Service users had built up good relationships with staff. All service users have allocated key workers. These are assigned staff members who co-ordinate a service users care plan and monitors their progress. Staff have a good awareness of each service’s users individual needs, preferences and communication styles. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 6 Service users benefit from the home having their own weekly activity budget. This can be creatively used to ensure each individual is able to take part in age, peer and culturally appropriate activities. The home demonstrated that service users engage positively in their local community and are attending relevant classes and social groups. This included visiting their local pub, café, hairdresser and church. During the Inspection service users were observed enjoying a music therapy session. Each bedroom is individualised with its own colour scheme and washbasin facilities. Service users bedrooms had a range of personalised items that reflected their individuality, hobbies and interests. What has improved since the last inspection? Since the last Inspection new furniture has been purchased which a service user had assisted in choosing. Two new soft black leather sofas for the lounge area and a modern dining table and chairs were purchased for the kitchen. A new washing machine and tumble dryer have also been purchased. Identified maintenance issues have been addressed. The radiator has been repaired and dusted in GM’s room. In addition the light covering in the hallway entrance and the lights in the front bathroom have been replaced. The Registered Manager has achieved their manager registration with the Commission for Social Care Inspection. The Registered Manager also stated they had completed their Registered Managers Award. Service users are better protected by the home’s practices and procedures. A security gate has been fitted. The home has also obtained a copy of Newham’s Adult Protection procedure. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1–3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Vale Road demonstrated the ability to meet service users individual needs and provide suitable information for them. EVIDENCE: The home understands the importance of having sufficient information when choosing a Care Home. It has developed clear information to help them understand what specialist services the home can provide. The Statement of Purpose sets out the objectives and philosophy of the service supported by a Service user Guide. The guide details what the prospective individual can expect and gives a clear account of the specialist services provided. The Statement of Purpose and Service User Guide have been further developed. The Statement of Purpose include the Registered Manager’s qualifications and experience. The Statement of Purpose and the Service User’s Guide also include the Commission for Social Care Inspection details in regards to complaints. Each Service User Guide has been personalised to include photographs of the individual and their room. The home has not admitted any new service users since the last Inspection. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 10 The home was able to evidence that they are able to meet the assessed needs of individuals. All service users were comfortable in their surroundings and indicated that they were happy living at the home, and had no complaints. The home has a warm, family atmosphere and service users interacted amiably like siblings. Prospective service users have the opportunity to visit the home and stay on a trial basis. The home has eligibility criteria and service users are only admitted into the home, if their needs can be met. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 – 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users individual needs and choices are promoted at Vale Road. EVIDENCE: The home has a strong belief that it is essential to involve residents in the planning of care that affects their lifestyle and quality of life. Management and staff understand the importance of residents being supported to take control of their own lives, and to encourage and enable them to exercise their rights and make their own decisions and choices. Service users files are confidentially stored in a locked cabinet in the staff office. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 12 Person centered planning is at the centre of the home’s philosophy. Quality of care is service user led. The home focuses on service users unique histories, individual needs and personal preferences. Personal activity and care plans are then developed which reflects their individuality. Evidence was seen of service users needs being reviewed and placing authority’s confirmation that needs continue to be met at the home. All service users have allocated key workers. These are assigned staff members who co-ordinate a service users care plan and monitors their progress. The care plan is regarded as a working tool and staff evidenced that they are focused on achieving good outcomes for service users. The Registered Manager stated that key workers strongly advocated for their service users needs. Observation, discussion and examination of documentation, evidenced that service users exercised choice in their daily lives. Service users were observed engaging in different activities and choose whether to be alone or socialise with others. The majority of service users communicate non-verbally. The home has therefore devised a creative system to achieve service users consultation through the use of parties. These parties are videoed and action taken to address service comments and interactions. Written evaluations of these parties are now available. Service users are supported to take risks as part of an independent lifestyle. Risk assessments are developed for service users and generally to identify further environmental risk to service users and staff. Further details are recorded under the Conduct and Management section in this report. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11 - 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyle needs are individually promoted at Vale Road. EVIDENCE: Central to the home’s aims and objectives is the promotion of the individual’s right to live an ordinary and meaningful life. Service users benefit from the home having their own weekly activity budget. This can be creatively used to ensure each individual is able to take part in age, peer and culturally appropriate activities. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 14 The home demonstrated that service users attended relevant classes and social groups. This included attendance at the Newham Music Academy, art and individual activity sessions. During the Inspection service users were observed enjoying a music therapy session. Service users were observed playing instruments, singing and rocking to the music. These sessions are usually held on a weekly basis and are undertaken by an external facilitator. Service users engage positively in their local community. This included visiting their local pub, café, hairdresser, church, bingo hall and the park. Service users had opportunities to shop in various shopping areas, such as Stratford, Ilford, East Ham and Dalston Market in Hackney. Service users also enjoyed bus rides out and visits to railway stations. Service users have opportunities for personal development within the home. Spiritual needs were addressed through regular church attendance. Service were noted to have enjoyed a holiday to Centre Parcs in Longleat and a day trip to Epping Forest. The home evidenced that service users had a good Christmas, which included a traditional roast dinner and a glass of Bucks Fizz (sparkling wine & orange juice). Service users have the opportunity to develop and maintain important personal and family relationships. Relatives regularly visited the home. Friendships within the house are encouraged and service users enjoyed going out to lunch and to the pub with each other. Service users were also noted to attend their friend’s birthday parties and funerals. Independent living skills are actively encouraged. Service users are involved in the domestic routines of the home. Service users assist with gardening, meal preparation, clearing the table, shopping, housework and their laundry. During the Inspection a service user was observed laying the table for dinner and making the drinks. Service users are involved in menu planning and cooking meals, making sure that they are able to enjoy the food they prefer and like. The home promotes a healthy lifestyle and menus were examined and found to be nutritious, balanced and reflecting various cultures. It includes a variety of dishes that encourage individuals to try new and sometimes unfamiliar food. These include traditional British, Italian and African dishes. Examination of the kitchen evidenced the home had an abundant supply of food and fresh fruit was available. Service users additionally eat out on a regular basis. Care staff are sensitive to the needs of those residents who find it difficult to eat. A list of guidelines and recommended foods have been produced. During the Inspection it was also noted that the evening meal was Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 15 presented to meet individual swallowing needs. Some meals were pureed, others were cut into smaller pieces to aid easy digestion. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 - 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users personal and health needs are promoted at Vale Road. EVIDENCE: Staff understand the key principles of giving personal support and are responsive to the varied and individual requirements of the residents. It is recognised that the delivery of personal care is highly individual and must be flexible, consistent and reliable. Attention is given to ensuring privacy and dignity when delivering personal care and staff are sensitive to changing needs of residents. Service users are supported to access NHS healthcare facilities in the locality. Documentation evidenced that generally service users health is monitored and potential complications and problems are identified and dealt with at an early stage, including prompt referral to an appropriate specialist. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 17 Residents have access to health and remedial services, staff make sure that those residents who are fit and well enough are encouraged to be independent, have regular appointments and visit local health care services. The health care needs of residents unable to leave the home are managed by visits from local health care services. During the Inspection the GP (General Practioner) was observed visiting the home. The home evidenced their ability to care for people with continence needs. In house relaxation therapies were also available through foot massages and reflexology. The home has a medication policy which is accessible to staff. Medication is securely stored in a locked cabinet in the staff office. Medication administration records were examined and found to be up to date. Medicines received, administered and disposed of are recorded. First aid box was also examined and seen to be adequately stocked. Staff have access to training in health care matters. The organisation has a policy, which addresses the ageing, illness and death of a service user. The recent management of a service users ill health and subsequent death evidenced these matters are managed in a respectful and sensitive manner. Staff visited this service user daily in hospital. The home organised the funeral that incorporated the service users preferences, individuality and celebration of their life. All service users were supported to attend the funeral. Senior management in recognition of the excellent management of this incident sent a thank you card. The Registered Manager explained that advocates would be obtained for service users without any relatives, to obtain their respective wishes in the event of death. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Vale Road endeavours to safeguard and promote service users and minimise risk from abuse or harm. EVIDENCE: The home has produced a complaints policy and procedure, which is available in accessible formats. These include an easy to read leaflet, tape and Braille. Service users are also advised of their rights in the Service User Charter. The complaints book was examined; there have been no service user complaints since 2001. Concerns were regularly addressed through discussions with service users and relatives. A record of compliments is kept. The home had received two thank you letters from relatives and two from colleagues praising the care practices within the home. Service users reviews with their placing authority further confirmed the home’s ability to effectively meet service users needs. The Registered Manager stated all staff had undertaken Protection of Vulnerable Adults (POVA) training. Adult Protection procedures have been produced. The home had an adult protection flow chart displayed in the main office, which listed steps to take in reporting any incident of adult protection. Discussions with staff evidenced their awareness of the adult protection Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 19 procedure and appropriate training. The home has a copy of the ‘No Secrets’ document issued by the Department Of Health and has obtained a copy of Newham’s Adult Protection procedure. Service users finances were checked and records are appropriately maintained. Service users are encouraged to save and purchase items, which can enhance their quality of life. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Vale Road provides service users with a homely environment. General maintenance however must be further addressed. EVIDENCE: 1B Vale Road is situated on the ground floor and is specially designed to accommodate people with mobility difficulties; with most areas being fully wheelchair accessible. All service users have single bedrooms with washbasin facilities. The home has a communal lounge and kitchen/dining areas. The lounge overlooks the garden that includes a patio area with a barbecue, garden furniture, lawn area with flowerbeds and a sensory garden. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 21 Vale Road is situated off Upton Lane, in Forest Gate. Buses 25 and 86 run along the Romford Road to provide links to Stratford and Ilford. The nearest station is Forest Gate, British Rail Station. A small car park is available for visitors. A range of culturally diverse shops, services and amenities are situated on Upton Lane, Romford Road and Woodgrange Road. Service users benefit from an increased security system. The home has CCTV surveillance for the external areas and a security gate has recently been installed. The management also regularly liaise with the local community Police and relevant council departments. A tour of the premises was undertaken. Christmas decorations contributed to the seasonal atmosphere in the lounge. Great efforts are made to promote a homely environment. Fresh flowers were in the kitchen, a staff member stated these are purchased every week. Pictures and items made by service users in art sessions were on display throughout the home. The entrance area has a sign, which reads “Visitors welcome at all times”. The Registered Manager explained that a refurbishment programme is in progress. Evidence was seen that maintenance issues highlighted at the last Inspection have been addressed. Since the last Inspection new furniture has been purchased which a service user had assisted in choosing. Two new soft black leather sofas for the lounge area and a modern dining table and chairs were purchased for the kitchen. New flooring is scheduled to be fitted in the staff office and three of the bedrooms. All service user bedrooms were inspected. Bedrooms were clean, tidy and had sufficient space for personal items. Service users can bring their own furniture and can decorate and personalise their rooms subject to fire and safety requirements. Each bedroom was individualised with its own colour scheme and washbasin facilities. Service users bedrooms had a range of personalised items, these included televisions, music system, personal artwork, pictures and an exercise bike. All bedrooms reflected each service users individuality, hobbies and interests. Toilets and bathrooms provide sufficient privacy to meet individual needs. A new bathroom with new flooring has been fitted. There is a choice of two bathrooms, both with shower facilities. The home was clean and free from offensive odours. A utility room is available with laundry facilities. Since the last Inspection a new washing machine and tumble dryer have been purchased. General maintenance however must be further addressed. The Registered Manager explained the problems the home had with their landlord London and Quadrant Housing Association, in relation to maintenance of the property. The hall area has been partially repainted which has resulted in two different tones of the same colour being on the walls. The hallway skirting board is also very Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 22 chipped and needs repainting. The hall walls and skirting board area must be repainted to a satisfactory standard. The flooring must be repaired in DP’s room and the flooring must be replaced in the staff office. The splintered bathroom door must be replaced. The bathroom skirting border must also be secured. The toilet flush lever in the rear shower room must also be secured. Service users must reside in a well-maintained, homely environment. The lights on the overhead washbasin in DP’s room and GM’s room must be replaced. Service users must benefit from well-lit facilities. The items stored overhead height in the kitchen, pose a health and safety risk and should be removed. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 23 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 - 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Vale Road has adequate staffing and service users benefit from an effective staff team. EVIDENCE: Service users benefit from a stable, competent and caring staff team. Service users had built up good relationships with staff and recently attended a staff member’s leaving party. Observation, service user and staff discussions evidenced that competent staff supported service users. Staff discussions and observations demonstrated that staff respect service users and have attitudes and characteristics that are important to them. In addition to having the necessary skills and experience. Staff felt they worked well as a team and stated they had regular supervision and team meetings. Examination of the staffing rota and observations evidenced that the home was sufficiently staffed to meet the individual and collective needs of service users. Two staff are on duty during the day. Management hours complement the Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 24 support staff. Staff shortages are covered by the organisation’s bank system. An on-call system is in operation in the event of an emergency. Service users benefit from a relatively stable staff group. Since the last Inspection the Senior Support Worker has left to return to their country of origin. The Registered Manager explained that there are no plans to recruit to this post. A new Support Worker has been recruited since the last Inspection. The Registered Manager related that this staff member had quickly settled into the role and was well liked by service users and staff. Staff competence was additionally evidenced by documentation and feedback from staff. The service ensures that all staff within its organisation receives relevant training that is targeted and focussed on improving service users outcomes. The organisation has a staff training programme and a commitment to National Vocational Qualification (NVQ) training. The majority of staff have obtained their NVQ qualification. Refresher training and additional training in topics relevant to the service user group is also available. Statutory training includes fire safety, first aid, manual handling, food handling and infection control. Information concerning the new staff member was examined. The organisation has a corporate recruitment procedure and recruitment is coorrdinated from the Head Office. Criminal Bureau checks are held at the organisations headquarters. A comprehensive induction and probationary assessment system is in place, for new staff members. This document enables new members of staff to evidence their competence in their role, principles of care and health and safety. The document relates to the national Sector Skills Council induction standards. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 & 43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Vale Road is adequately managed however service users welfare, health and safety must be better promoted. EVIDENCE: Since the last Inspection the Manager has achieved their manager registration with the Commission for Social Care Inspection. The Registered Manager also stated they had completed their Registered Managers Award. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 26 The Registered Manager has worked for Heritage Care since 1997 and has managed the home since December 2004. The Registered Manager felt wellsupported by senior management and demonstrated the necessary skills and qualities for the role. There is a strong ethos of being open and transparent in all areas of running of the home. The service is planned to be user focused, and works in partnership with families and professionals. The Registered Manager is person centred in their approach, stated they wished to promote a “family unit”, and had a good rapport with service users and staff. The Registered Manager is currently temporarily assisting in the management of another home within the organisation. This arrangement has been in place since September 2006. The Registered Manager hoped to return full-time to Vale Road by April 2007. There was no evidence to suggest this arrangement effects the quality of care at Vale Road. Service users daily logs were examined. Records were found to be up-to-date and well maintained. Staff have incorporated the recommendation made at the last Inspection and focus on recording meaningful information which details service users outcomes. It is however recommended that staff do not use correction fluid on records. Vale Road has the necessary health and safety certificates in place. The home have produced a comprehensive risk assessment which includes fire and other general risks to staff and service users. Health and safety records were examined. Shortfalls were noted in the fire safety. The fire safety records must be more robust. The home must ensure the name of all service users involved in each drill is recorded. This requirement is repeated from the previous Inspection. Service users must be protected by the home’s fire safety practices. The electrical installation certificate was found to have expired and must be updated. The health and safety of service users must be promoted and protected. The home has access to professional business and financial advice and has all the necessary insurance cover in place to enable it to fulfil any loss or legal liabilities. Budgets were examined and the home was seen to have an adequate budget to promote good outcomes for service users. Monthly monitoring visits are carried out and forms part of the quality assurance system of the home. These reports are routinely sent to the Commission of Social Care Inspection. Service development was discussed. The Registered Manager stated the organisation is currently discussing proposals to market Vale Road as a specialist service for older people with learning disabilities. The age range being for service users over fifty years old. By default Vale Road has already been primarily providing this service. The home has evidenced the ability to meet service users ageing needs. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 3 3 3 X 3 2 3 Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 28 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. 2. Standard YA24 YA24 Regulation 23 (2) (p) 23 (2) (b) Requirement The bulbs in the washbasin overhead lights in DP’s room and GM’s room must be replaced. The splintered bathroom door must be replaced. The bathroom skirting border must also be secured. The hall walls and skirting board area must be painted to a satisfactory standard. The flooring must be repaired in DP’s room. The flooring must be replaced in the staff office. The toilet flush lever in the rear shower room must be secured. The home must record the name of all service users involved in each fire drill. Timescale of 01/02/06 not met. The electrical installation certificate must be updated. Timescale for action 01/02/07 01/05/07 3. 4. YA24 YA24 23 (2) (d) 16 (2) (c) 01/07/07 01/05/07 5. 6. YA27 YA42 23 (2) (b) 23 (2) (c) 23 (4) 01/03/07 01/02/07 7. YA42 13 (4) (a) 01/02/07 Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 29 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 YA24 YA41 Good Practice Recommendations The items stored overhead height in the kitchen, should be removed. Staff should not use correction fluid on records. Vale Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection East London Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Road (1b) DS0000022851.V326005.R01.S.doc Version 5.2 Page 31 - 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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