Inspection on 14/03/07 for Valley View

This inspection was carried out on 14th March 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 19/01/06

Valley View 21/07/05

Valley View 25/01/05

Valley View 14/09/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Valley View 298 Fort Austin Avenue Crownhill Plymouth Devon PL6 7JP Lead Inspector Kim Fowler Key Unannounced Inspection 09:30 14th March 2007 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 DS0000003551.V310335.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 DS0000003551.V310335.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Valley View Address 298 Fort Austin Avenue Crownhill Plymouth Devon PL6 7JP 01752 705109 01752 705109 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) Mr John Alan Ward Mrs Jill Anne Stevens Mrs Debra Janice Sole Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 60yrs One named person out of category (MD E) Date of last inspection 19th January 2006 Brief Description of the Service: Valley View is a care home providing personal care and accommodation for seventeen older people over the age of 60. Mr Ward and Mrs Stevens privately own it. This home is situated in the residential area of Crownhill, close to shops, pubs, and other amenities. The home is a bungalow and was opened in 1998. All the homes bedrooms are single and six of them have en suite toilets. There are separate lounge and dining rooms. The home has an attractive rear garden, with raised flowerbeds, and parking facilities at the front of the house. All areas are accessible to the service users. There is a call bell system throughout the home. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day. The registered manager Debra Sole was available throughout the inspection. The inspector made a tour of the building and spoke to all the residents, ten visitors and a District Nurse visiting at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection, resident comment cards had been sent to the care home to allow residents to comment upon their experiences. Four cards were returned and no issues of concern were raised. Five staff comment cards were also received as well as one GP, one Health and Social care professional and five relative feedback cards. Any comments are in the relevant section of the report. What the service does well: What has improved since the last inspection? What they could do better: No requirements are recommendations were made in this report. Please contact the provider for advice of actions taken in response to this Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 6 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 DS0000003551.V310335.R01.S.doc Version 5.2 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 DS0000003551.V310335.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2/3/5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that a full assessment will be completed before admission to ensure the home can meet their individual needs. EVIDENCE: Service user files that were examined provided evidence that each service user had received a contract with either the home or the paying authority. Further examination of files found that each of the service users files contained a completed pre admission questionnaire. These files also contained preadmission assessments and the manager confirmed that she visits the service user to complete these. Also each service user is invited to the home for several visits before moving in. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 9 All the service users were spoken with during the visit to the home. Several service users who have recently been admitted to the home informed the inspector that they had received information about the home and had assisted in the completion of an assessment to inform staff of their needs. One relative also stated that they had received information about the home and had been invited for a visited before their relative had moved in. One service user wrote on her comment card under the, did you receive enough information about this home before you moved in so you could decide if it was right for you said, “visited and spent ½ day”. These documents are important for prospective service users to assure them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. Valley View does not offer Intermediate Care. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 10 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): 7/8/9/10/11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff and manager provide good personal and health care support to the service users in the home. Ensuring the promotion of privacy and dignity at all times. EVIDENCE: Of the six service users files examined all had individual care plans in place and each contained information on care needs and how the home would meet these needs. Evidence was recorded that care plans are updated regularly. These care plans give detailed instructions to all staff to ensure intimate personal care is being provided in a manner that meets with that service users approval. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 11 The residents assessment and daily care plans are easily accessible for staff on duty as are risk assessments. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. All service users have access to all health care services and this information was recorded on designated District Nurse files held in individual bedrooms. Information was recorded on service users files that there was input from other professionals including GP’s, chiropodist and consultants based at the local hospital. The service users spoken with confirmed that their health care needs were met. The service users stated that they had a General Practitioner and dentist of their choice who would visit the home if requested. Some said that they attend surgery appointments and also confirmed that a chiropodist and optician visit the home. One visiting District Nurse stated that she was not aware of any service users with bedsores and that the home provides excellent care and has an excellent reputation for caring for service users who are terminally ill. The District Nurse stated that she has staff support when attending to service users and the home will call for advice when needed. The District Nurse said, “I wish more homes were like this”. The Commission received one Health and Social Care Professional and one GP feedback cards. On one feedback card was the comment, “This is one of the best homes I visit”. One service user wrote on their comment card under the, do you receive the medical support you need ticked yes always and went onto say, “Always visited by own GP. Sometimes will visit the surgery if fit and well”. The home uses the nomad system for medication and the pharmacist visits every 6 months and the last assessment carried out by the pharmacist was available as evidence. Two staff members were on updated medication training on the day of the inspection. One staff member was spoken to on her return from this training and it was evident from this discussion that the staff member was aware of the policy and procedure for handling, administrating and recording medication. The manager is a trained nurse. Medication is not kept in stock, and the homes drug cupboard is suitable for the needs of the home. The District Nurse is currently assisting with a terminally ill service user and is visiting several times a day to administer injections. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 12 All the service users living at the home were spoken with. All service users who were able to confirmed that the staff treat them with respect and protect their privacy and dignity at all times. During the inspection staff were seen knocking on service users doors. Staff also ensure service users receive treatment from the District Nurse in private. The inspector spoke to family members of one service user. The family said that the home, the staff and in particular the manager have been very supportive. The family and the manager confirmed that the home is being well supportive by the District Nurse team and McMillan nurses. The family went onto say, “ Even though mum is dying the staff still care for her very well and even do a manicure and the night staff are excellent like a daughter to mum.” Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users at Valley View can be confident that the home offers good wholesome meals. The home welcomes and encourages families and friends to visit. EVIDENCE: The home organises activities within the home. Staff are responsible for organising such activities as bingo, however, outside activities are brought into the home and on the day of the inspection 2 students were visiting and carrying out an origami session. Service users enjoyed this session. The service users were spoken with after the session and said that these students have visited for several weeks and they had enjoyed the sessions. The service users also confirmed that other activities take place with the staff. They also said that at Christmas carol singers came to the home. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 14 The service users comments cards quoted under the, are there activities arranged by the home one said, “Always” and listed sing-a-long, keep-fit and dominoes. Another wrote, “And we really enjoy ourselves”. One member of staff informed the inspector that they try to arrange different activities each day and in the summer go out more. In the service users meeting minutes there was information about the staff and service users discussing trips out and deciding what activities to arrange in the home. During the inspection there were 8 family or friends visiting the home. All visitors stated that they can call at any reasonable time and are encouraged to. Two of the service users had gone out with family members during the inspection. Some service users continue to manage their own finances themselves whilst others allow there family do this for them. One service user confirmed that their son manages their money and another service user said that their family had power of attorney. All bedrooms contained personal possessions. One new service user said that the home encouraged them to bring in items from home. During discussion with the service users about food they said it was “very good”, “the cook is wonderful and the food she serves is great”, “a good choice”, “I can choose the food I want to eat”. All service users who were able to made positive comments about the food provided and recorded in service users meeting minutes was information about the staff and service users discussion the menus. One service users comment card wrote under the, do you like the meals at the home said, “Good food served” and another wrote, “And if you don’t like anything on the menu they will do there best to please”. The menus were sent with the pre-inspection questionnaire. And the cook was spoken with during the inspection about the menus and food on offer. It was evident from the food served at lunchtime, during the inspection, that the food was home cooked using fresh products. The meal was well presented and freshly prepared. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 15 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): 16/18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home. EVIDENCE: The homes complaints procedure was displayed for all to access. The visiting family members interviewed during the inspection all stated that they were aware of the complaints procedure and would approach the manager if they had any concerns. All felt that any complaints would be acted upon. All the service users were spoken with and many were aware of the homes complaints procedure and many stated that they had never had any need to use it. All service users questionnaires ticked, Always, when asked if they knew how to make a complaint. Two service users questionnaires made comment about this and quoted, “There is no need to complain” and another said, “Very rarely need to complain”. The home complaints folder was seen and this contained everyday complaints and the actions and outcomes were also recorded. All service users spoken with felt that any complaints made would be dealt with. No adult protection issues have been raised by the home. All staff members on duty were interviewed during this inspection. The discussion with these staff Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 16 members confirmed that they all completed the Adult Protection training and this included the cook and the cleaner. It was clear from the information given to the inspector from the staff they had a clear knowledge and understanding of the Adult Protection process. Discussion with the staff confirmed that they were aware of the procedure in dealing with any issues and that the home had an alerters guide available. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 17 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): 19/26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Valley View continues to maintain a clean and suitable environment for it’s stated purpose and the service users can be assured that they will live in an attractive and comfortable home that is regularly maintained. EVIDENCE: The home is safe and well maintained and suitable for its stated purpose. It is a very comfortable, warm and light home. Several service users confirmed this was usual. The gardens are well maintained and a gardener was working outside during the inspection. The home employs a maintenance person to carry out everyday repairs and general upkeep of the home. The office area was at the side of the lounge room therefore the Registered Manager and staff are not able to have private meetings or telephone calls. In Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 18 order to do this they had to find a quiet area, such as the front hallway or the garden, or they use a service user’s bedroom with permission. The laundry facilities are sited separately and a sluice is available. The home was very clean, hygienic and free from offensive odours and the laundry facilities were suitable for its stated purpose also the washing machine has a sluice facility. The process for the removal of clinical waste was discussed and was satisfactory dealt with. Several of the staff confirmed they had completed an infection control course and that the home provided disposable aprons and gloves for their protection. Comments received on the service users comment cards were, “Cleaned daily” and “exceptionally spotless”. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 19 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): 27/28/29/30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. EVIDENCE: The homes rotas as well as the staff confirmed that there is sufficient staff employed to care for the service users in the home. This included extra staff presently assisting due to one service user who is terminally ill and requiring extra staff input at times. The manager stated that the owners agree to extra staff when needed. The service users comment cards asked, are the staff available when you need them. Four ticked always and one ticked usually. Service users interviewed said that they are assisted promptly indicating that there is sufficient care staff on duty each day to meet the service users needs. The home employs a cleaner and a cook and both of these staff have completed an NVQ in care and assist with care work when needed. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 20 The manager confirmed that she is near having 100 staff trained to NVQ level 2 or above and will achieve this later this year. The manager stated that the homeowners make sufficient money available for staff training. Those staff files examined contained the required pre-employment checks, including Criminal Record Bureau Disclosures, ensuring as far as possible unsuitable staff are not employed. One fairly new staff member stated that their recruitment and selection process was fair and they had completed a CRB check and shadowed other staff members during her induction. The home uses the Skills for Care Induction package for all new staff and a completed Induction record was available on a new staff members file. The staff-training files provided further evidence that regular training was carried out. All staff interview confirmed that they receive regular and updated training. This included First Aid, Manual Handling and Food Hygiene. Information sent to the Commission was that external training providers are used for specialist training such as Fire Safety training. All staff have recently completed a 12-week Dementia training course and two staff had completed medication training on the day of the inspection. The visitors spoken with during the inspection spoke very highly of all the staff and comments received included, “Debbie and the staff are lovely people” another said, “it is a family atmosphere and some staff are like a daughter to mum”. The service users interviewed said about the staff, “Excellent”, “staff very caring” and another said, “ The staff are wonderful and nothing is to much trouble and they are always there for me”. One service user comment card wrote, “The staff are there with kindness and affection”. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is competent has the respect of the staff team and is highly thought of by the service users and the owners. EVIDENCE: The manager was available throughout the inspection process. The manager confirmed she has an excellent relationship with the registered owner and lines of communication are good with them being available when needed. The manager is a qualified nurse and has the Registered Managers award and continues with her own professional development and has recently completed the dementia training course. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 22 Individual service users files held completed quality assurance forms and the date confirmed that these were completed last October. One service user spoken with remembers being asked to complete a form based on quality issues. All comments that were recorded were positive. The service users meeting minutes held information that quality assurance issues are discussed including the results from the survey completed. One family member visiting informed the inspector that they had completed a quality assurance form. Staff supervision records showed that this is carried out regularly and on a one to one bases and the manager confirmed that they hold regular staff meetings. All staff interviewed confirmed that they receive regular supervision, which includes discussion on courses available. Sampling of records indicated equipment is serviced regularly and maintained in good order. Health and Safety is a priority in the home and the records that were examined showed fire safety training and fire protection is in place and up to date. The accident records were accurate and files examined showed that information is recorded onto accident forms and also written into service users daily records with appropriate action taken when needed. One staff comment card wrote, “The home is run really well”. Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 23 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Valley View DS0000003551.V310335.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 DS0000003551.V310335.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 DS0000003551.V310335.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!