CARE HOMES FOR OLDER PEOPLE
Valley View Hatchett Hall Moorend Road Pellon Halifax West Yorkshire HX2 0RX Lead Inspector
Cheryl Stovin Unannounced Inspection 1st November 2005 12:30 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 View DS0000001001.V275186.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. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Valley View Address Hatchett Hall Moorend Road Pellon Halifax West Yorkshire HX2 0RX 01422 353314 01422 329726 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) Mrs Beverley Ellen Kneafsey Mrs Beverley Ellen Kneafsey Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: Valley View is a privately owned care home registered to provide accommodation and care for up to 18 older people. The establishment is situated in the Pellon district of Halifax with easy access by public transport to the town centre. The property is well maintained throughout and furnished and fitted to a good standard. Safe and accessible garden areas are available for the service users to enjoy in the warm weather, with panoramic views across the valley from the rear of the property. The establishment provides accommodation in 14 single and 2 shared bedrooms, all of which are redecorated and fitted with new floor covering as they become vacant. The majority of the single bedrooms are under 10 sq. metres and one of the shared rooms is under 16 sq. metres, they are, however, comfortably furnished and fitted to a good standard. The establishment places a high priority on staff training and professional development and rewards and values the staff team, which is clearly reflected in the standard of care and attention afforded to the service users. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on 15th November 2005, during which service users and several members of staff were consulted as to their views on the standard of services and facilities provided within the establishment. The residents spoken to all expressed great satisfaction with the facilities and care they receive at Valley View. What the service does well: What has improved since the last inspection? What they could do better:
The management team uses various mechanisms, e.g. staff supervision, individual care reviews and quality assurance systems, to review the services that are provided to ensure that the standard of services are of a consistently high quality. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 6 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 View DS0000001001.V275186.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 Valley View DS0000001001.V275186.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): 2,3,6 Service users needs are fully assessed prior to moving into the establishment. EVIDENCE: The admission procedure into the establishment is detailed and thorough, and service users are provided with written information stating the terms and conditions of residence. Intermediate care is not provided within the home. Valley View DS0000001001.V275186.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): 7,8,9,10 Service users needs are thoroughly assessed and the home has a good approach to promoting the service users health care. EVIDENCE: The assessment process forms the basis for a detailed and holistic care plan to be formulated. The plan of care is reviewed on a monthly basis with a formal review being held six monthly. The service users are fully involved, wherever possible, in the devising and reviewing of their plan of care. Attention to detail in the care plans was noted. A weekly report is completed in respect of each service user giving a synopsis of how they have spent their week, detailing any health issues, activities undertaken, and who has visited for example. Service users’ physical and psychological health care needs are assessed and are recorded in their plan of care, which is reviewed regularly. Service users are encouraged to maintain their own GP where this is appropriate, if not they register with a choice of local medical practices. Optical and chiropody services are accessed as required. The establishment uses a cassette system supplied via a local pharmacy for the administration of medication. The medication is securely and appropriately stored with all staff being responsible for administrating medication receiving appropriate training. Medication Administration Records were accurately completed and stocks held reconciled
Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 10 with records kept. No service user, at the present time, is responsible for handling their own medication. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 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): None of these standards were assessed on this occasion. EVIDENCE: Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 12 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): 16,18 The home has robust systems to ensure that service users are safeguarded from abuse and that complaints will be dealt with promptly. EVIDENCE: The establishment holds a clear complaints procedure which is displayed in the entrance hall of the home. All staff have received training in adult protection awareness and procedures. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 13 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): 19,20,23,24,25,26 Service users live in a safe, well maintained and hygienic environment. EVIDENCE: The establishment is well maintained both internally and externally, with a routine programme of maintenance and refurbishment in place to ensure that the standards are maintained. Since the last inspection two bedrooms have been redecorated. Well maintained grounds are easily accessible with garden furniture provided. The establishment is situated in a residential area and is on a bus route enabling easy access to the town centre of Halifax. To the rear of the property there are panoramic views across the surrounding hillsides. The establishment provides accommodation in 14 single and 2 shared bedrooms, with comfortable communal areas. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 14 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): 27,28,30 The home is staffed by a well training and highly motivated workforce. EVIDENCE: The establishment is staffed by a well trained and highly motivated workforce. The establishment places a high priority on staff training and personal development and 85 of the care staff hold their NVQ II award. The establishment has been awarded the ‘Investors in People Award’. The commitment to staff training and development is clearly reflected in the high standard of care and attention afforded to the service users. It is the policy of the establishment to operate a robust recruitment procedure. The staff rota indicated that 4/5 care staff, plus the managers are on duty during the busy periods of the day, with additional ancillary staff employed. The staff appeared to work together as a team, and staff morale appeared to be high. The staff team feel that they are valued by the manager and proprietor and appreciate the financial incentives which reward good attendance. In addition to the bonus for good attendance, all staff receive a birthday present and a Christmas or Eid bonus of £10 for each year of service, as a result of this the rates of staff turnover are low. Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 15 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): 31,32,38 The home is well managed by a competent and effective management team. EVIDENCE: The Registered Manager of the establishment Ms Julie Beverley and the Registered Provider Ms Beverley Kneafsey work together as a team to manage the establishment. Together they demonstrate a strong sense of leadership and are committed to ensuring an open and positive atmosphere is prevalent within the home. They both hold their NVQ IV Registered Managers Award and have both graduated from Leeds Metropolitan University with a degree in ‘Personal skills in health and social care’. Health and safety policies and procedures are in place to protect the welfare of the service users and staff. Valley View DS0000001001.V275186.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 3 x x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x x x x 3 Valley View DS0000001001.V275186.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 Valley View DS0000001001.V275186.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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