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Inspection on 19/01/06 for Valley View

Also see our care home review for Valley View for more information

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides excellent quality, quantity and choice of food in this home. The standard of cleaning and hygiene in Valley View is excellent.

What has improved since the last inspection?

The home has had some new carpets fitted and painting was in progress during this inspection.

What the care home could do better:

No requirements or recommendations were made following the inspection.

CARE HOMES FOR OLDER PEOPLE Valley View 298 Fort Austin Avenue Crownhill Plymouth Devon PL6 7JP Lead Inspector Kim Fowler Unannounced Inspection 19th January 2006 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 DS0000003551.V262403.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 DS0000003551.V262403.R01.S.doc Version 5.1 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.V262403.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 60yrs One named person out of category (MD E) Date of last inspection 21st July 2005 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. It is privately owned by Mr Ward and Mrs Stevens. 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.V262403.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours and was an Unannounced inspection. A partial tour of the premises took place and 10 service users, 1 GP, 2 staff, 4 visitors and the Manager were spoken with during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 6 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.V262403.R01.S.doc Version 5.1 Page 7 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): 1/5 Information provided to the prospective service user assist them to make an informed choice of a care home. EVIDENCE: One relative and service user informed the inspector that they had completed a assessment of their needs before moving in and this assessment required information on personal care needs and mobility issues as well as other areas of care. Several service users were spoken with during this inspection and confirmed they had visited the home before they moved in. One relative spoken with stated that they had also seen the home several times before they brought their relative into the home to look around. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 8 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): 8/9/10 The staff and manager provide excellent personal and health care support to the service users in the home. EVIDENCE: The local GP was in attendance during this inspection and confirmed that they visit regularly. The GP stated that the home arrange visit when required by contacting the surgery. Several service users confirmed they see the District Nurse to attend to their health care needs and the home arranges extra visits when needed. The home has a designated District Nurse file for each service user who is attended too by the District Nurse. Several service users confirmed that they had been unwell and had their health care needs attended to by the staff in the home, regular visits from the GP and the District Nurse. The service users spoke very highly of the managers and staff input when they unwell and commended the staff on their care skills. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 9 All the service users spoken with stated that they were treated with dignity and respect. And felt their personal and health care needs are fully met. The recommendations in the last inspection for the home to have a new accident book and a metal cupboard for controlled drugs have been carried out. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/15 The service users at Valley View can be confident that the home offers excellent meals and family are welcome at all times. EVIDENCE: Several of the service users confirmed that there were activities arranged in the home but some stated that not all wished to attend. Several family members were visiting during this inspection, some staying for visits and other taking service users out. There was also a family member and staff discussing and arranging another visit soon. Following the last inspection all service users once again commented on the high standard, quality, quantity and excellent choice of food available in this home. The food seen being prepared for the main lunchtime meals looked very appetising, wholesome and well presented. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16/17/18 Valley Views service users can be confident that their complaints or concerns will be listened to and acted upon. EVIDENCE: All the service users, family and friends visiting during this inspecting confirmed that they felt that any concerns or complaints they had would be listened too and acted upon. Many of the service users stated that the manager was very approachable and visited them daily and also checked if they were happy. All service users confirmed that they were aware that the home had a complaints procedure and was available if needed. Some family members confirmed that they deal with their relative’s money and they oversee all financial transaction. This included providing money for everyday items. All records are now held in a filing cabinet as required in the last inspection. The manager informed the inspector that 3 staff had already completed the Adult Protection training as recommended in the last inspection. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23/24/26 Valley View continues to maintain a clean and suitable environment for its stated purpose. EVIDENCE: All the service users spoken with agreed that their rooms were suitable for their needs and held many personal possessions they had brought into the home. Ongoing decorating and maintenance work was being carried out during this inspection. Each room is well presented, clean and fresh. All the service users commented on the high standard of the cleaner in the home and stated that nothing is too much trouble for them and the house is always spotless and this was found to be so on the day of the inspection. Some rooms had been fitted with new carpets since the last inspection. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27/29 Ongoing staff training is encouraged enabling service users to receive the best possible service. EVIDENCE: The service users spoke very highly of all the staff in the home and commented on their excellent care skills. The service users also stated that they felt part of a family and the staff would carry out tasks over and above their remit. Service users felt that the home had sufficient staff on duty and that the cook was excellent. The home has recently taken on a new staff member from abroad and the manager and inspector discussed the recruitment process including CRBs and references. This new staff member was shadowing staff until all checks had been completed and one service user confirmed she had been assisting with permanent staff support. The manager informed the inspector that they had recently signed with Achievement Training on a Development learning Organisation for the southwest. This includes training in areas of networking with other homes. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32/35 A competent manager who has the respect of the staff team and is highly thought of by the service users manages Valley View. EVIDENCE: The service users, staff and visitors spoken with during this inspection agreed that the home Manager was approachable and provide leadership within the home. Service users in particular could not speak highly enough of the Manager and her skills and manner. Several service users confirmed that either they or their family members manage their money for them. One service user stated that they do ask staff for assistance when needed and staff will always purchase items on their behalf if required. Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 15 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 X X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X 3 3 X 4 STAFFING Standard No Score 27 4 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X X 3 X X X Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 16 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 DS0000003551.V262403.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. Extracts may not be used or reproduced without the express permission of CSCI Valley View DS0000003551.V262403.R01.S.doc Version 5.1 Page 18 - 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!