Inspection on 11/04/07 for Valley View

This inspection was carried out on 11th April 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 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

Valley View 08/05/09

Valley View 01/11/05

Valley View 14/06/05

Valley View 20/10/04

Valley View 18/05/04

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 View Hatchett Hall Moorend Road Pellon Halifax West Yorkshire HX2 0RX Lead Inspector Lynda Jones Unannounced Inspection 11th April 2007 10:15 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.V329521.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 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.V329521.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Valley View Address Hatchett Hall Moorend Road Pellon Halifax West Yorkshire HX2 0RX 01422 353314 01422 329726 mikekneafsey@aol.com 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 Miss Julie Beverley Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 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 house is situated in the Pellon district of Halifax and can be easily reached by public transport from the town centre. There is a slope down to the house then level access to the front entrance. Outside, there are accessible garden areas for people to enjoy in the warm weather, with panoramic views across the valley from the rear of the property. The property is well maintained throughout and furnished and fitted to a good standard. There are 14 single and 2 shared bedrooms, 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 fees are £377.50 per week for a single room and £331.00 for a shared room. Magazines, newspapers, activities, tissues and some toiletries are provided. There is an extra charge for hairdressing, chiropody and dry cleaning. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The inspection took place over approximately 4.15 hours. The methods used in this inspection included discussions with residents, discussion with care staff and the manager, observation of care practice, examination of records, and a tour of the home. A pre-inspection questionnaire was sent to the home prior to the visit, the information provided has been used in this report. Surveys were sent to people who use the service and their relatives; these provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way are shared with the owner without revealing the identity of those completing them. Thirteen relatives and thirteen people who use the service wrote to us with their comments. Information from the surveys has also been used in this report. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 6 What the service does well: Valley View is homely, comfortable and everyone who lives and works there is very friendly and welcoming. The home is very well managed and the staff genuinely care about the work they do. The people who live there and their relatives like the fact that the home is small, they say the staff provide an individualised service. People who use the service are very satisfied with the standard of care they receive. Relatives have confidence in the service and they find the owner and manager approachable. They don’t feel they have to complain about anything, they trust the fact that they can openly discuss any concerns and if anything needs to be changed, they are confident that it will be dealt with. The standard of accommodation is very good. The owner and the staff care about the way the home looks, it is clean and decorated and furnished to a good standard. People who live there are happy with their personal accommodation. All of the responses we received in the surveys from people who use the service and their relatives, were very positive. These are some of the comments they made: “As this is a small home I feel they have time to see everyone” “They provide a friendly and caring atmosphere” “A friendly and well run home” “I am very happy here, I would not want to move” “Nice homely atmosphere. Staff are very kind and caring” “I think they do a wonderful job at Valley View, I have no complaints at all” “Owner always available to discuss any queries/worries with” “I would not like my mother to be in any other hands but theirs” “Residents are well dressed, well fed & very well cared for & are happy. The atmosphere in the home is good & one gets peace of mind knowing relatives are settled” Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Although the outcomes for people who use the service are good, there are some areas where practice at the home could be improved. The improvements should not be difficult for the home to achieve because there are no major shortfalls in performance. The information that is given to people who may want to use the service could be improved. At the moment they do not give all of the information that should be in a Service User’s Guide. The required information is available at the home but it is not kept together so that it can be readily handed out. The owner and manager need to make sure that everyone has a copy of their terms and conditions of residence. This is to make sure that people who use the service and their representatives are aware of their rights. Everyone living at the home should have a care plan which clearly shows what their needs are and what action the staff must take to make sure their needs are met. There were no plans for two people who moved into the home recently. The daily records for people who use the service must not be kept in a bound book. This in breach of the Data Protection Act. Care records for each individual must be kept separately so that someone looking at their own records does not see any information relating to other people. The daily records need to be improved, these are source of evidence to show that care is being provided, as detailed in the care plan. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 8 All staff must be fully checked before they start work at the home. This means any gaps in employment history need to be explored, two references taken up and Criminal Records Bureau and Protection of Vulnerable Adults register checks must be carried out. This is to make sure that staff are suitable to work in a care setting and to make sure that people who use the service are protected and safe. 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. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 9 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.V329521.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,5. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are appropriately assessed before they move into the home. Information provided about the service could be improved so that people thinking of moving in can make an informed choice. EVIDENCE: We asked people who live at Valley View if they had been given enough information about the home to help them decide if it was the right place for them to move into. In the surveys, thirteen people told us they had sufficient information but from their responses it is not clear what they were told and how they were given this information. Two people said they moved to the home from hospital, they said their relatives visited the home on their behalf and then told them what it was like. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 11 The manager said people are very welcome to visit the home at any time, this provides an opportunity to view the accommodation and talk to other residents and staff about life at Valley View. One person who had been for a short stay at the home before deciding to take up permanent residence said, “Being able to stay at Valley View for an interim period was a benefit and assisted greatly with making the decision to stay”. There is a brochure, which is available on request from the home. It tells people about the facilities and says that prospective users of the service will be assessed before they move in to make sure that their needs can be met at the home. It also lets people know about the complaints procedure. The brochure does not include all of the information that the home is required to provide by the Care Homes Regulations 2001. These regulations say there must be a written guide called a “Service User’s Guide” which includes specific information, for example, about the terms and conditions of residence, total fee payable and the arrangements for paying the fees. This information is available at the home but it is in various other documents. Records relating to four people who live at the home were looked at. All of these contained assessments that had been carried out before they moved into the home. Three out of four did not contain any information about the terms and conditions of residence, the fourth contained the document but it had not been signed. This information is important because it tells people who use the service about the room they will occupy, what the fee covers and about the rights of resident and the owner if the contract is breached. In this report we ask the owner to provide prospective users of the service with all of the required information about the home, and to make sure that everyone has a contract or statement of the terms and conditions of their residence. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of people who use the service are met. The records need to be improved to show how this care is being delivered. EVIDENCE: People told us the care they received was very good but we didn’t think this was always reflected in the records at the home. In the 13 returned surveys everyone said they received the care and support they needed. One person said “ I always receive everything I ask for and am well cared for” and another said, “I am looked after very well”. One of the relatives commented “ My mother could not have had better care at any other home. They are a dedicated staff team”. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 13 There was agreement amongst relatives that the staff always kept them up to date with important health related issues. They said they were always contacted if there had been an accident or needed to go into hospital. One person said, “if my relative has to go to hospital they always call me and I go with her” When we asked people who live at the home if the staff listened and acted on what they had to say, they said “always”. One person said “they act and help in any way they can”. We were told that the staff were always available when they were needed and everyone who completed the surveys said that in their opinion they received the medical support that they required. Four sets of records were looked at to see if the care and support that people said they were receiving was part their care plan. We also wanted to check whether staff were recording details of the care they were providing on a dayto-day basis. Two people had moved into the home fairly recently but there was nothing written down to say what sort of daily routine these people liked. For example, there was nothing recorded about when they liked to get up or go to bed, when they liked to have a bath and nothing about the sort of food they liked or disliked. Both people appeared to be very settled and they exchanged banter with the staff. From watching them interact with staff, it was clear that the staff knew about their preferred routines but it was not written down in the form of a care plan. If for any reason the staff team were not available and agency staff had to cover a day’s duty at the home, it would be impossible for them to know what to do based on what was recorded. It was of some concern that one person required quite detailed help with personal care. A member of the team had discussed how this should be carried out with a specialist nurse. Details of the required care remained on a piece of notepaper buried within this person’s individual notes. It had not been transferred into plan of care. Although the manager said she was sure the required care was being carried out at the correct intervals, there was no evidence in the daily records to support this. The daily records are kept in a bound book. These records, relate to all of the people who live at the home and as such breach the Data Protection Act. All care records for each individual must be kept separately so that someone looking at their own records does not see any information relating to other people. At the end of the inspection we talked about keeping separate, looseleaf records for each person. This would provide a continuous record of care for each person and make it easier to summarise information when the plans are reviewed. The care plans for the other two people were better but it would still not be easy to provide care with any continuity, based solely on what is recorded. There is a small staff team and they have worked together for some time, they appear to rely on passing information by word of mouth. The outcomes for Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 14 people who use the service are satisfactory but the records lack evidence of the good care and support they receive. A monitored dose system is used for the administration of medication. A new “tamper free” cassette had just been delivered to the home by the pharmacist and was due to start being used later in the week. This means that no additional medication can be added to the cassette once the pharmacist has dispensed it. Any other medication must be administered straight from the container that the pharmacist or dispensing GP has provided. Only senior staff who have had training in medication administration give medicines to the people who live at the home. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to make choices about their lifestyle; they do not have to fit in with daily routines at the home. A choice of stimulating activities are on offer which are organised to meet a range of individual needs. EVIDENCE: Routines are fairly flexible and people who use the service are supported to live the life they choose. They arrange how they want to spend their time to suit themselves. One of the relatives said, “If a resident wants to stay in their own room this is fine or just go to sleep, its no trouble”. Three people chose to spend most of their time in their rooms. One person said the staff call on her regularly to check that she is alright. She said, “ if I want anything I press the call bell and the staff soon arrive”. When the staff call on these individuals they make a note about why they called, any action they needed to take and they note how each person is doing, the notes are kept in their bedrooms. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 16 In the information provided by the home we were told that people who use the service and staff organise quizzes, card games, bingo and domino sessions. During the course of the visit people were reading and watching TV. There is a selection of library books, including large print editions, which are changed regularly. Daily newspapers and magazines are also provided. In the morning a game of dominoes took place and in the afternoon several people took part in a quiz. Everyone was consulted about the options available and the quiz was decided upon after a vote. One person said, “There’s plenty to do, if I wish”. People who use the service are involved in meaningful activities according to their individual interests and abilities. Everyone is consulted about their interests and hobbies and these are considered when activities are planned. One person told staff she would like to keep active by doing some work around the house, she is now assisting with serving tea and biscuits, setting tables ready for meals and she has done some lightweight household chores. She said she is enjoying what she is doing. Regular parties are arranged to celebrate birthdays and festivals throughout the year. Entertainers are also booked to appear at the home periodically throughout the year, there is no extra charge for this. One of the relatives said “all of the residents are kept stimulated, by being encouraged to take part in playing games also entertainers come in on a regular basis” another said “there’s lots of fun and laughter at times” Everyone said the meals at the home are very good. One person said “the meals are home made, it’s just like home cooked restaurant food, 5*” Samples of menus provided before the visit show that a varied, nutritious diet is on offer. The main meal of the day is at lunchtime when there is one dish on the menu. The manager said they had tried offering a choice of meal but it resulted in food being wasted. She said the staff know what people like and dislike and if there was something on the menu that someone didn’t like, they would always be offered an alternative. There is nothing recorded in the care plan about likes and dislikes. When asked about this, a member of staff said, “we just know what people like”. It seems that this information is passed on amongst the staff team by word of mouth; it would be useful to record it. We talked to one person in her bedroom, she said the food was excellent then went on to say she didn’t particularly like meat. She said she ate it “because it was there”. This issue needs to be explored further to see if this individual would like to try some alternative meals. Mealtimes are relaxed, staff are patient and they allow individuals the time they need to finish their meal comfortably. The tables are attractively laid with individual place settings, condiments and napkins. The majority of people eat Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 17 together in the dining room, although people can have their meal wherever they wish. Three individuals regularly have their meals in their rooms. One relative said “if anyone is not feeling well, they can sit with a tray and eat their meals in comfort” Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There is an open culture at the home, residents and relatives are able to express their views and know that their opinions will be respected. EVIDENCE: The complaints procedure is displayed in the entrance hall of the home. Details are also included in the brochure, which is given to all prospective residents. In their surveys, the majority of residents said they knew how to make a complaint. Everyone said they knew who they would speak to if they were not happy. All of the relatives also said they knew how to make a complaint. According to the information provided before the inspection, no complaints have been made over the past twelve months. The following comments were made by relatives “The owner is always available to discuss any queries/worries with”. “I think they do a wonderful job at Valley View, I have no complaints at all” “I have never had any concerns about the care of my mum. The staff are fantastic”. According to the information provided before the visit, staff have received training about the protection of vulnerable adults in the last year. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The standard of accommodation and quality of furniture and fittings is very good. People who use the service live in a clean, safe and well maintained environment. EVIDENCE: There is quite a steep slope down the driveway to the house where there is level access to the house. The surrounding grounds are well kept, there is a lawned garden at the back of the house but people living at the home said they prefer to sit out at the front in the summertime. There are two houses within the grounds, the homeowner Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 20 and her family occupy one, and their relatives who used to own Valley View occupy the other. The home is very well maintained internally and externally. Bedrooms are at ground and first floor level. There is no passenger lift; people with mobility difficulties use a stair lift to gain access to the first floor. I looked round the house with the manager. There are no locks on the bedroom doors, each person is asked if they would like a lock fitted, their response is logged in their personal file. The manager said no one had requested a lock. Accommodation is of a high standard. All of the bedrooms are differently decorated, have different colour schemes and matching accessories. Bed linen and towels are of good quality. Every room has been personalised by the occupant with help from their families and staff. Family photographs are on display in most bedrooms and everyone has lots of ornaments and treasured personal items around them. The brochure mentions that people can bring small items of furniture with them when they move into the home and some people have done that. Everyone said they were very pleased with the accommodation, they said their rooms were very comfortable and warm and they pointed out that they could adjust the heating in their rooms if they wanted to. We found the water temperature at some of the hand basins in the bedrooms and bathrooms quite hot to the touch, and most likely in excess of the recommended 43 degrees centigrade. This could put people at risk of scalding. The manager agreed and contacted the plumber straight away. The problem was resolved during the course of the visit. We also noticed that one of the sliding doors on the ground floor bathroom/toilet was not closing properly which could affect the privacy and dignity of people using the room. This was repaired during the visit. Shared areas are homely, comfortable and attractive and everywhere looks well cared for. There is no annual plan for redecoration as such, bedrooms are always redecorated and have new carpets fitted when they become vacant. The owner takes great pride in the appearance of the home and likes to make sure that high standards are maintained. In recent months the kitchen has been fitted with new stainless steel units and a new gas oven. The dining room, lounges and hallway have been repainted and five bedrooms have been redecorated and new carpets have been fitted. The exterior of the building has also been repainted. In the surveys, everyone said the home is always fresh and clean. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is adequately staffed to meet the needs of people who live there. The staff are skilled and well trained. People who use the service and their relatives are satisfied with the level of care that is provided. EVIDENCE: In the surveys people who use the service said there were always staff around if they needed them. There are four staff on duty in the mornings until 1pm, then three staff are on duty until 9pm. Through the night there are two staff on duty. The owner of the home works there full time, she is also available on call if she is needed during the night. In the surveys people told us the staff listened to what they had to say and acted upon it and everyone shared the view that the staff were always available when they were needed. From observation during the visit, staff are always close at hand. They had time to talk to people and to join in the activities. Call bells are always responded to promptly. One relative said “there are always a good number of staff on duty throughout the day and night”. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 22 There is very little turnover of staff; some members of the team have worked at the home for several years. In the information provided before the inspection, we were told that all staff are checked before they start work at the home, to make sure they are suitable for this type of work. Two staff files, relating to recently recruited staff, were looked at during the visit to confirm that this was taking place. In both cases detailed application forms had been completed and satisfactory references had been obtained. The two staff had started work at the home but there was no evidence that Criminal Records Bureau checks had first been obtained. Most staff who work in services that we regulate and inspect are required by law to get checks from the Criminal Records Bureau.The checks provide important protection for the people who are cared for by the staff who work in these services. In this report we ask the owner and manager to make sure that all checks are completed before any new staff start work in future. The training records are good, they are kept up to date and show that staff receive regular training to make sure that they keep up to date with good practice. More than 75 of staff have completed NVQ level 2 and four staff are working towards level 3. One of the relatives said “training is constantly given to staff to keep them up to date with any new initiatives” Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed. The views of people who use the service and the staff are listened to and respected by the owner and the manager. The safety of residents and staff is protected. EVIDENCE: The owner and the registered manager have the required qualifications and experience to run the home. They both hold their NVQ IV Registered Managers Award and have degrees in ‘Personal skills in health and social care’. Both have worked in a care setting with older people for a number of years. They work to Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 24 improve the service and to make sure that people using the service experience a good quality of life. The views of people who use the service and the staff are valued and listened to. The only money that is held for safekeeping on behalf of people who live at the home is that which is provided by relatives. This is usually to pay for hairdressing, chiropody and any other small purchases. Records are kept of all deposits and expenditure. If anything is bought on behalf of anyone who lives there receipts are always obtained and kept with individual records. The home’s policies and procedures are regularly reviewed and updated to reflect changes in legislation and good working practices. According to the maintenance records, all of the equipment in the home is serviced at the required intervals and health and safety issues are given high priority. Although there are liquid soap dispensers in the bathrooms and toilets, these were empty. Bars of soap were placed on all the washbasins for hand washing purposes. For infection control purposes and to limit the risk of cross contamination we recommend the use of liquid soap. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 25 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 2 2 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X 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 3 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 26 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. 1 OP2 Standard Regulation 5 Requirement Timescale for action 18/05/07 2 OP7 15 3 OP37 17 4 OP29 19 & Schedule 2 People who use the service must be given a statement of the terms and conditions of their residence; this is to make sure they are aware of their rights. There must be a plan of care for 31/05/07 everyone who uses the service. This must show what action the staff must take to make sure that all aspects of health, personal and social care are met. Records relating to people who 18/05/07 use the service must be held separately and not in bound books to make sure that information is kept confidential. All staff must be thoroughly 18/05/07 checked before they start work at the home. This is to make sure they are suitable to work in a care setting and to make sure that people who use the service are safe and protected. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 27 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 OP1 2 OP38 Refer to Standard Good Practice Recommendations People who use the service should be given all the information that needs to go into a service users’ guide. This will help them to make an informed choice about where they want to live. Liquid soap should be made available in bathrooms and toilets to reduce the risk of cross infection. Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Valley View DS0000001001.V329521.R01.S.doc Version 5.2 Page 29 - 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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