Inspection on 07/11/05 for Valley Park Nursing Home

This inspection was carried out on 7th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Valley Park Nursing Home 31/07/09

Valley Park Nursing Home 11/07/07

Valley Park Nursing Home 19/07/06

Valley Park Nursing Home 06/03/06

Valley Park Nursing Home 07/03/05

Valley Park Nursing Home 05/10/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Valley Park Nursing Home Park Street Wombwell Barnsley South Yorkshire S73 1QZ Lead Inspector Rob Curr Unannounced Inspection 7th November 2005 08:30 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 Valley Park Nursing Home DS0000006493.V254323.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. Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Valley Park Nursing Home Address Park Street Wombwell Barnsley South Yorkshire S73 1QZ 01226 751 745 01226 341 024 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) Mimosa Healthcare (No4) Limited Mrs Pat Laverie Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons accommodated shall be aged 60 years and above, however, 3 people may be aged 55 years and above. Of the 57 beds, 22 are nursing care (N), 25 are personal care (PC) and 10 can be used as nursing or personal care 7th March 2005 Date of last inspection Brief Description of the Service: Valley Park is situated in Wombwell, and is 6 miles from Barnsley. The home is on a bus route and within walking distance of local shops selling provisions, a chemist, hairdresser, post office, and newsagents. Valley Park is two-storey home, opened in 1989 and owned by Mimosa Healthcare, which has 51 single rooms, 26 of which are ensuite and three double rooms one of which is ensuite. An accessible patio area with furniture is available for service users. Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between the hours of 8.30 am and 12.30 pm. Pat Laverie was present during the inspection process and has been managing the service for a number of years. The inspector was escorted on a partial tour of the home. A variety of policies, procedures, and records were checked. The residents were very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. In all – 6 residents, 3 staff members, 2 visiting relatives and the District Nurse were spoken to. What the service does well: What has improved since the last inspection? Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 6 A sluicing disinfector has been installed where nursing care is provided in the home. More than 50 of the care staff are qualified at NVQ level 2 and 3. The manager has achieved the Registered Managers Award. 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. Valley Park Nursing Home DS0000006493.V254323.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 Valley Park Nursing Home DS0000006493.V254323.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): 3, 4 and 5 - Standard 6 is not applicable at this home. Residents needs were assessed prior to admission. Residents and their relatives were fully involved in the assessment process, so this ensured that the home was able to meet their needs. The manager did not offer places to any individual whose needs they could not meet. The staff training plan was on target. EVIDENCE: Copies of full needs assessments were in the residents files. All the relevant information from the assessments had been built into the care plan. Two relatives said that they had been invited to view the home and attend a variety of meetings prior to their relative moving into the home. Staff training records indicated that they had undertaken relevant training required to assist them in caring for the people that reside at Valley Park. Valley Park Nursing Home DS0000006493.V254323.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): 7,8,9,10 and 11. The information within the care plans was clear. Health care was monitored and care plans were reviewed. This ensured the well-being of the residents. A range of health care professionals visited the home to assist in meeting the needs of the residents. Residents could choose their GP and could see them in private so that their privacy and dignity was respected. Not all medication administered was signed for. This could present a risk to the residents’ health and welfare. Residents wishes regarding dying and death were recorded. EVIDENCE: The care plans were checked. They were comprehensive and contained detail of the action required by staff to meet the residents needs. The plans contained records of health assessments such as moving and handling. Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 10 All the residents said that their health needs were met. Two residents said that they were ‘very happy’ with the care they received and that they had a named ‘key-worker’. The relatives said they were fully involved with the care planning and that they could approach members of staff for information and support at any time. Medication Administration Records (MAR) were checked. The following issues were noted. • • • Staff had not signed to indicate that a drug had been administered. The PRN (when necessary) medication was not being signed for consistently when people had not received the medication. Hand written changes had been made to the MAR sheet without signatures. Staff were observed respecting residents privacy by knocking on bedroom doors before entering and closing bathroom and toilet doors when in use. The staff respect the residents’ dignity during meal times by sitting with anyone that needed assistance with eating and drinking. During the lunchtime meal staff were seen and heard treating residents kindly and respectfully Valley Park Nursing Home DS0000006493.V254323.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 and 15. The home creates a varied programme of social and recreational activities. The routines at the home were flexible. The home had an open visiting policy in order to develop and maintain good relationships with resident’s friends and relatives. Residents were enabled to make choices. Some residents use the postal voting system during local and national elections, enabling them to exercise their civil rights. All the residents were happy with their personal bedroom. The residents had a clear choice of menus. EVIDENCE: Residents were seen to walk freely around the home. One visiting relative said that she was ‘always made to feel welcome’ and that she ‘had no concerns’ about the care of her mother. There was a programme of activities on display, which had been developed with the residents. This programme also included trips out. The residents said that they had recently enjoyed a bonfire night party. Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 12 During the lunchtime meal, staff were heard encouraging residents to make choices. One resident is encouraged to make his own bread. All service users spoken to stated that the ‘food is good’ and ‘there is plenty of it’, ‘the cook will do me anything’. Valley Park Nursing Home DS0000006493.V254323.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): 16 and 18. Residents were aware of how to make a complaint and were confident that they would be listened to. An adult protection procedure was in place to ensure service users safety was promoted. EVIDENCE: The complaints procedure was on display in the foyer, which contained relevant information and provided the reader with details of who to contact outside the home, to ensure complaints were taken seriously. The home kept a record of complaints. Staff training in adult abuse had been identified within the training plan and a number of staff had already undertaking this training. The residents, relatives and staff all stated that they had confidence in the homes manager. They said that she would listen and respond to any concerns they raised. One resident said that he was positively encouraged to speak out at residents meetings. All the residents spoken to said they felt safe at the home. Valley Park Nursing Home DS0000006493.V254323.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, 20, 21, 22, 23, 24, 25 and 26. The home was clean and generally well maintained. Communal areas were homely, and were well decorated. Sufficient bathing facilities were provided. The bedrooms seen were personalised by residents and their relatives. Bedrooms were en-suite. The home was free of any offensive odours. Systems for the control of infection were in place. A call system was available in all rooms used by the residents so that they could summon assistance at all times. EVIDENCE: The inspector carried out at tour of the home. All of the residents spoken with were happy with their bedrooms and the furniture provided. The home was adequately decorated and well maintained, to provide a comfortable environment for the residents. It was evident from care plans that a number of people needed support with continence difficulties. The laundry system was in fully working order. A sluicing disinfector has been installed where nursing care is provided in the home. Valley Park Nursing Home DS0000006493.V254323.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): 27, 28, 29 and 30 Sufficient staff were provided to meet the needs of the residents. The recruitment procedures operated in line with equal opportunities. The recommendation that 50 of the care staff team are qualified to National Vocational Qualifications (NVQ) level 2 in care had been exceeded. The manager could identify the training needs of the staff group. EVIDENCE: There were enough staff on duty during the day and night to care for their needs. One resident and a relative said that the staff were ‘very good’ and ‘nothing was too much trouble’. All staff files checked had an appropriate Criminal Records Bureau (CRB) disclosure. The majority of care staff had completed the National Vocation Qualification (NVQ level 2 & 3) in direct care. A further group of staff are currently on the course and some have registered to commence the training. The manager stated that an up to date training plan was to be produced which could identify individual training needs. Staff confirmed that they received more than 3 days paid training each year. Valley Park Nursing Home DS0000006493.V254323.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): 31, 32, 33, 35, 36, 37 and 38 There was a very positive style of management in the home and staff moral was good. This clearly benefits the residents and their relatives and representatives. There was a quality assurance system in place, which gave residents and visitors to express their views and suggest ways in which the service may be improved. Residents monies that had been deposited at the home were accurate. Staff supervision systems were in place to ensure best practice was maintained. All records were securely stored. Health and safety checks were in place to ensure residents were safe although one water outlet was delivering hot water in excess of 43ºC. One care practice observed did not promote residents safety. Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 17 EVIDENCE: Staff said that the manager was approachable, supportive and was a ‘good listener’. The manager had an annual plan that identified and prioritised areas for improvement, to enhance the service provided. One relative said that there were questionnaires that she could complete to express her level of satisfaction of the care her mother received. Fire records were maintained of fire alarm tests. The fire drill records indicated that all staff had undertaken a fire drill practice within the last year. One member of staff was seen to mobilise a resident in a wheelchair without footplates in place. There was a water outlet in one bathroom that was delivering water in excess of 43ºC (47ºC). This was actioned immediately. These issues could compromise the safety of the residents. Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 19 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 3 5 6 Standard OP9 OP9 OP9 OP19OP38 OP22OP38 Regulation 13 13 13 13 13 Requirement Records of medication administered must be clear and accurate. Staff must follow guidelines for the use of PRN medication. Hand written changes to MAR sheets must be kept to a minimum. Hot water must be delivered close to 43ºC. Residents must not be transported in wheelchairs without footplates. A risk assessment must be produced for any resident not requiring footplates on their wheelchairs. Timescale for action 07/11/05 07/11/05 07/11/05 07/11/05 07/11/05 7 OP22OP38 13 01/01/06 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 Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 20 Valley Park Nursing Home DS0000006493.V254323.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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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