Inspection on 21/07/05 for Valley View

This inspection was carried out on 21st July 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Valley View 14/03/07

Valley View 19/01/06

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 PL6 7JP Lead Inspector Kim Fowler Announced 21st July 2005 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 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 D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Valley View Address 298 Fort Austin Avenue, Crownhill, Plymouth, Devon, PL6 7JP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 705109 01752 705109 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 D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age 60yrs 2. One named person out of category (MD E) Date of last inspection 25/01/05 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 home’s 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 flower-beds, 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 D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 1/4 hours and was a planned Announced inspection. A full tour of the premises took place and staff and care records were inspected. The 2 Registered Providers, Register Manager, District Nurse and 13 of the service users and 2 relative were spoken with during this inspection. The CSCI received 5 Relatives/Visitors comment cards and 1 Service users comment card. 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 D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 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 standard(s) 1/2/3/4/5 Information provided in the homes Statement of Purpose and Service Users Guide assist service users and relatives to make an informed choice of a care home. EVIDENCE: The homes Statement of Purpose and Service Users Guide were both seen and the manager confirmed these documents are regularly reviewed and updated. Case tracking of service user file confirmed that each service user had either a contract with the local authority or a private contract with the home. Either the service user or their representatives had signed these contracts. The files seen also contained pre-admission assessments and the manager confirmed that she visits the service user to complete these and each service user is invited to the home for several visits before moving in and if possible for two ½ days. Discussion with the service users, relatives, District Nurse and the Registered Manager and information seen in service users files indicated that assessed needs were being met. The District Nurse confirmed that the home will ask for advice and the manager stated that other specialist had been contacted. One of the senior care staff has also been promoted to Training Co-ordinator to Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 8 assist the staff with their training and a discussion with the senior staff provided evidence that she is actively seeking additional training for the home. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 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 standard(s) 7/8/9/10/11 The home continues to provide excellent personal support for service users in the home. EVIDENCE: Service user care plans were seen in place and were comprehensive in detail. Evidence was seen of these care plan being regularly reviewed and service users preferred choice of name was also recorded. Evidence was seen that these plans also contained photo’s, risk assessments in both manual handling and water low. Discussions with the service users confirmed that there were consulted and involved in the assessment and care planning process. Service users confirmed that health care needs were met and the home has pressure relieving mattresses. The service users stated that they had a General Practitioner and dentist of their choice who visited the home if requested and some said that they could attend surgery appointments. A chiropodist and optician visit the home. Exercise classes were offered and individual service users were encouraged to walk whenever possible. During the inspection a phlebotomist was visiting several service users. The manager informed the inspector that an eye specialist visits the home and all visits are recorded in both the individual cardex and the diary and individual care plans. The homes accident book was seen and the home is recommended to obtain a new book covering the data protection act. The home uses the nomad system for Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 10 medication and the pharmacist visits every 6 months and the last assessment carried out by the pharmacist was seen as evidence. The staff had finished training on a 12 week medication training course via the local college. The controlled drug were seen and checked and a medication procedure is in place. The manager is a trained nurse and is aware not to stock medication and always has two staff to hear any medication changes. The homes drug cupboard is suitable for its needs but it is recommended that the home has a metal cupboard in place to store controlled drugs. A discussion with the service users, relatives and the Registered Providers/Manager and observed during the inspection confirmed that the privacy, dignity and confidentiality of service users were respected at all times. All rooms are single and 6 have en-suite facilities. Evidence was seen that some service users had their own telephones in their rooms and the home has a portable telephone that could be used for other service users. Health professionals visited service users in their private accommodation. Evidence was given by the owners, District Nurse and the Manager that the service users are able to remain at the home for as long as possible. It was evident from the discussion with the owners and District Nurse that the manager and her staff provided a excellent palliative care service to service users at the home. The home has in place policies and procedures confirming that palliative care, dying, death and bereavement of service users was managed sensitively. The relatives or friend are encouraged to remain with service users. Service user’s wishes on death were recorded. The Manager confirmed that additional staff would be on duty if a service user required extra care and the home would call upon Maria Curie or Macmillan nurse when needed. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 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 standard(s) 12/13/14/15 Service users can be confident that the home will enable service users to make decisions about their own lives. EVIDENCE: The staff rota had been changed to allow more activities in the afternoon. The activities included pub visits, gardening centre lunches and some singers visiting the home recently and service users confirmed that at other time activities are arranged including a visit by a goat. The home is now preparing for the VJ celebrations and had written to the local commando group for support. The home is well supported by service users relatives and during the inspection one service user was out on a lunch trip and one service user was having her nails and hair done. No finances are held by the home for any service user. The home encourages the families or the service user if possible to take this role. Each room has a lockable storage space and only the service user and the registered manager holds a key. The home employs 2 cooks and there is always one on each day. The environmental health visitor called recently and this report was seen and only contained a few minor recommendations and these had already been carried out. The inspector spoke to one of the cooks who showed that she takes the food temperature daily and this was recorded. The homes menus were seen and discussed with many of the service user in the home and all agreed that the food was of high quality and they had excellent choices. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 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 standard(s) 16/17/18 Service users can be confident that their complaints or concerns will be listened to and acted upon. EVIDENCE: The homes complaints procedure was seen during this inspection and the home has a designated complaints book. A complaint received since the last inspection had been recorded including the actions and outcome of the complaint. The manager stated that the home received postal votes and all service users are on the electoral role. Service users who chose to vote did so by post and the home would have taken people to the polling station if requested. The home has an adult protection alerter guide in place. Case tracking provided evidence that one service user has a management of aggression procedure in place for all staff. The home does not manage service users money. None of the staff have yet completed the Adult Protection course with the Devon Adult Protection co-ordinator and a recommendation is that all staff attend this course. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 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 standard(s) 19/20/21/22/23/24/25/26 The home continues to maintain a suitable environment for its stated purpose. EVIDENCE: The home has a planned programme of maintenance and decoration and was well maintained. The home employs a handyman who was at the home during the inspection carrying out repairs. The service users could choose what furnishings they would like in their rooms and it was evidence from visiting the service users rooms that many had brought in much of their own furniture. The home employed a gardener and one service user informed the inspector that she also does some gardening and has her own patch. The garden was well maintained and very attractive. The home has a lounge and dining rooms and the home has a no smoking policy for communal areas. Furnishings and lighting were of good quality and appropriate to the needs of the service users. The grounds were accessible and seating was provided in the garden. The office area was at the side of the lounge room therefore the Registered Manager and staff was not able to have private meetings or telephone calls. In order to do this they had to find a quiet area, such as the front hallway or the garden, or they used a service user’s bedroom with permission. Six of the Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 14 bedrooms had en suite toilets, one bathroom had a mobile hoist, another a fixed bath chair and one had a level access shower facility. As the home is a bungalow it has level access throughout. Aids and adaptations, such as hand/grab rails, raised toilet seats/frames, assisted baths, bath boards, a level access shower and a mobile hoist met the needs of the present service users. An Occupational Therapist has carried out an assessment of premises. The home had a call bell system in place. All bedrooms seen during this inspection were well furnished. All bedroom doors had appropriate locks fitted and a risk assessment recommended in the last inspection has been put in place. Most rooms now have lockable storage space and service users could have lockable containers if requested. All bedrooms have natural light from windows and all rooms all had central heating radiators that could be controlled individually and were guarded. The Registered Manager confirmed that all outlets were regulated. Emergency lighting was provided throughout the home. The home was very clean, hygienic and free from offensive odours and the laundry facilities were suitable for its stated purpose and the washing machine has a sluice facility. The process for the removal of clinical waste was discussed and was satisfactory dealt with. The home provided disposable aprons, gloves and continence sheets and the home has an infection control policy and procedure in place. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27/28/29/30 Staff training is supported and promoted enabling service users to receive the best possible service. EVIDENCE: 8/9 of the staff in the home have an NVQ at level 2 or more in care, this includes the cook who at times will assist service users. The staff numbers are under contact review and has had a recent increase to meet the needs of one service user who has required 1 to 1 care at times. The home also has 2 cooks a domestic and a handyman. A discussion with the new training co-ordinator provided evidence that she is committed with the manager to promoting staff training and development. She is responsible for arranging training course suitable for the home. 2 staff files were seen during this inspection and provided evidence that each has 2 references, POVA first checks, CRB’s and a contract with the terms and conditions clearly stated. The pre-inspection questionnaire indicated that all staff had a completed CRB and one staff is waiting for CRB clearance and the manager has a risk assessment in place. The staffs training records was seen and included certificates for completed courses. The induction for the home was via an employment advisor and was comprehensive in detail. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31/32/33/34/35/36/37/38 The Registered Manager of this home is very good and ensures that records are effectively maintained. The staff team are well trained and above all service users are happy and their needs are met. EVIDENCE: The Registered Manager has many years experience and was a registered RGN. She has also gained an NVQ 4 in Management is a qualified D32/33 NVQ Assessor and has now completed her Registered Manager award and it was evident from discussion that the manager continues her own personal development. Lines of accountability within the home were clear. All the service users spoken with and the relative and District Nurse all agreed that the manager was approachable open and positive. The monthly reports sent to the Commission from the Registered Providers confirm that they continually monitor the home. The Quality Assurance system was in place that included feedback from service users and relatives in the form of questionnaires, the Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 17 outcome was monitored and action taken. And all questionnaires had been audited and published. Service users confirmed that they had been notified of forthcoming inspection. The insurance certificate was in place and the manager has control over the budget. Discussions were held with the owners on a regular bases to discuss the budget. Either the service users families or the service users manage their finance affairs. The home holds no cash for the service users and one relative informed the inspector that they have Power of Attorney over the relative’s affairs. Evidence was seen of staff training ongoing and the home has a designated training co-ordinator and the staff supervision records were seen recorded. The Care plans are kept in the open office in the lounge and under regulation 17 it states that all records should be kept securely in the care home. The home has a cardex system for each service user and everyday information is recorded. All records seen during this inspection were updated and all service users are able to access their files The home has had policies and procedures relating to all health and safety issues in place and all staff attended health and safety courses. Staff had completed a moving and handling course and the home links with the National Osteoporosis Society to monitor fall and these are linked to risk assessments. The home has an updated fire logbook and all staff received fire safety training. The fire alarm system is regularly serviced and the fire brigade has recently carried out a recent inspection. All staff was trained in emergency first aid and the manager is a qualified first aider. All staff attended basic food hygiene courses and food was stored correctly. The temperatures of refrigerators, freezers and cooked meat were checked and recorded daily. The Environmental Regulation Service had carried out an inspection and the report was seen during this inspection. The homes infection control policy and practices were linked to PCT and protective equipment was provided. Substances hazardous to health were stored safely and data sheets were available. The gas system had been serviced as had the portable electrical appliances. Hot water was regulated in bathrooms and wash hand basins. All radiators are now guarded. The environment was maintained safely, the premises were secure and the home had a missing persons procedure. Risk assessments had been carried out for safe working practice topics and these were documented. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 4 3 3 3 3 2 3 Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 19 Yes 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. 1. Standard 37 Regulation 17 Requirement All records should be securely locked away. Timescale for action 31/12/05 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. 2. 3. 4. Refer to Standard 8 9 18 20 Good Practice Recommendations The home should obtain a new accident book covering the data protection act. The home should have a metal cuboard to store contolled drugs. All staff should complete the Adult Protection course. The manager and staff would benefit from a seperate office area. Valley View D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 D52-D04 S3551 Valley View V224227 210705 Stage 4.doc Version 1.40 Page 21 - 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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