Inspection on 09/02/06 for Valewood House

This inspection was carried out on 9th February 2006.

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

Valewood House 07/11/06

Valewood House 24/08/05

Valewood House 06/01/05

Valewood House 19/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE Valewood House Bell Vale Lane Haslemere Surrey GU27 3DJ Lead Inspector Mrs G Davis Unannounced Inspection 9th February 2006 17:00 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 Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Valewood House Address Bell Vale Lane Haslemere Surrey GU27 3DJ 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) 01428 644670 valewood@btconnect.com Valewood House Nursing Home Limited Mrs Shirley Ann Houghton Care Home 40 Category(ies) of Dementia (40), Dementia - over 65 years of age registration, with number (40), Mental disorder, excluding learning of places disability or dementia (40), Mental Disorder, excluding learning disability or dementia - over 65 years of age (40) Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only service users over 40 years of age in the DE and MD category may be admitted. 13th December 2005 Date of last inspection Brief Description of the Service: Valewood is a care home with nursing was registered in July2002 and provides personal care and accommodation for up to 40 service users in the categories of DE and MD. It is privately owned by Valewood House Nursing Home Limited (Org). The registered manager is Mrs S. Houghton Located on the outskirts of Haslemere, Valewood House is a large country house that has been extended to provide additional accommodation. The home is a large detached property, set some distance from the road. Inside there are comfortable sitting and dining areas, domestic in character and a passenger lift provides access to the first floor. It has 32 single bedrooms, and 4 shared bedrooms and adequate toilet and bathing facilities. There is generous parking space to the front of the property and extensive well-established grounds with a large lake, which have been landscaped to provide safe seating and walkways by the lake. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was unannounced and took place during the course of one evening in February 2006. The aim of this inspection was to observe the evening routines and to inspect those standards not inspected on the previous inspection. Where standards have not changed from the previous inspection this report records that the findings were the same. This report should be read in conjunction with the previous report to gain a complete picture of the standard of service that Valewood House provides. There were no visitors at the time of inspection. A number of residents were spoken to regarding their opinions of the care and support they received. One person said, “on the whole people have been welcoming and kind – John, Shirley and Richard in particular – all the staff are nice”. Another “ yes, I’m happy –very good food”. Observation of the body language of those residents who were unable to give the inspector verbal opinions confirmed that they were content and comfortable with their surroundings. On occasions the inspector witnessed sensitive and discreet interaction of staff members with several individuals who were agitated, helping them to regain confidence and calm. A tour of some parts of the home took place. Care and Medication records were inspected. Managerial and care/nursing staff members were spoken to. The home was appropriately staffed and rotas indicated that sufficient staff numbers provided a safe environment and opportunities for the residents to enjoy the facilities offered by the beautiful and extensive grounds and the town of Haslemere nearby. The décor and fabric of the home was attractive and well maintained and the building offered a variety of areas for residents to sit and relax in. There have been no complaints made to the Commission for Social Care Inspection regarding the home. There were no requirements arising from this inspection. What the service does well: Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 6 There is no real change from the previous inspection and the comments on that report still apply. The residents who were able to communicate verbally said that the staff were kind and that they liked being there, mostly the residents were unable to hold a conversation with the inspector. Observed interaction between the care staff and those who were unable to converse with the inspector confirmed that the care staff treated the residents with respect and dignity in a discreet and unobtrusive manner. The care plans identified the preferences of the residents and it was seen that they were given choice in all that they did and that there were no petty rules to observe, for example they could go to bed and get up at whatever time they wished and staff would be careful to observe their privacy at all times. They contained excellent risk assessments and guidance to staff members on how to respond to and manage specific behaviours. What has improved since the last inspection? 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. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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): Not assessed on this occasion the outcomes of the previous inspection stand EVIDENCE: Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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): 9 There are appropriate policies and procedures in place regarding the administration of medication. EVIDENCE: Due to the nature of the residents assessed needs no one is currently able to self medicate. There are appropriate arrangements in place for the safe storage, administration and disposal of medication. It is stored in a locked trolley/cupboards within the clinical room and dispensed by trained nursing staff members only. The medication records were examined and found to be up to date and well maintained. The storage cupboards were well ordered, not over stocked and the contents were in date. The inspector suggested that a photo of each person on their record of medication might further enhance the safety of the residents. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 the following standard(s): 14 The residents are provided with the opportunity to follow their chosen lifestyle at all times. Where the resident is unable to make those choices and decisions for themselves, family or representatives are consulted to make sure that the person has as much control over their lives as possible. EVIDENCE: All preferences and interests were recorded on the care plans and risk assessments had been written to protect and assure safety without being oppressive. Flexible routines to suit the individual are provided with one to one consultation regarding any special activity. The inspector witnessed staff members helping the residents to make choices that were within their capacities The inspector was able to observe members of staff interacting with the residents and witnessed some sensitive management of potentially difficult behaviour. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 the following standard(s): 17 Residents’ legal rights are protected. EVIDENCE: There is a proactive approach to advocacy and relatives and friends are encouraged to keep contact and act on the behalf of the resident. Where this is not possible the Court of Protection and other Trustees are used. All residents are entered onto the electoral roll and assisted to take part in the electoral process if they wish. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 the following standard(s): 22.25. Residents are provided with all the specialist equipment required to maximise their independence. Regular maintenance makes sure that the environment is safe and comfortable EVIDENCE: Residents assessed needs are met in all ways including the provision of any specialist equipment they might need to live as normal a life as possible. Risk assessments regarding the safety of the building were in place. Policies and procedures were available for staff about the control of infection, and the safe disposal of clinical waste. Regular refurbishment of the fabric and furniture in the home ensures the comfort of the residents. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 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): 27. Valewood House has an adequate number of staff members with appropriate training and skills to provide competent care to the residents at all times. This standard was found to be unchanged. EVIDENCE: The home employs a high number of trained staff and continues to encourage further in-house training in service related topics by the remaining staff members. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 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): 34. 38. The home is run in a manner that offers protection to all aspects of the residents’ interests. EVIDENCE: The registered manager has achieved the Registered Manager’s award and is a Registered Mental Nurse. She has all the skills and competence to discharge her responsibilities fully. Other senior managers in the home support her. The registered provider completes a Regulation 26 report monthly and a copy is provided to the Commission for Social Care Inspection. Residents are consulted on a one to one basis and their suggestions are acted upon e.g. at the request of the residents’ a monthly ‘take away’ is purchased. There are good management systems with comprehensive policies and procedures in place to provide protection to the residents and guidance to staff members on how to carry out their duties; records were found to be accurate and up to date. In particular the individual care plans contained vital Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 15 information regarding the residents’ health and welfare needs and promote a uniform approach to the care and protection of the residents. Formal supervision is carried out with the staff group every 12-14wks and the outcomes recorded. Risk assessments are undertaken and the health, safety and welfare of the residents is promoted and protected by the practice of the home. The registered provider continues to invest in the maintenance and fabric of the building and staff group. The accounts were not available at the time of inspection. The registered provider administers all financial records. There were no concerns regarding finance arising from the inspection. Excellent policies and procedures are in place for the guidance of staff members. All falls and accidents are monitored closely and acted upon. All apparatus and equipment is maintained and replaced on a regular basis. Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 X X 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X X 3 X Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Valewood House DS0000024233.V281783.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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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