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Inspection on 09/11/07 for Valley View Residential Nursing Home

Also see our care home review for Valley View Residential Nursing Home for more information

This inspection was carried out on 9th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 offers residents a comfortable and safe environment in which to live. The staff group are very supportive and on the day of the inspection were seen to be friendly, efficient and very competent. Residents spoke highly of the care offered and all spoken with confirmed staff were always very kind. One lady said `I feel very spoilt here as they all look after me so well` another commented ` the staff are so thoughtful and kind, I like living here`. Positive comments were also made regarding the quality and choice of the food. The home is purpose built and has been well maintained. The recent addition of a new fire alarm system has improved safety for residents and staff. The bedrooms are spacious and have en suite facilities. The bathrooms are also spacious and are fitted with hydro baths. The home has one shower room. One resident stated she liked having her own toilet and also commented on how much she liked using the hydro bath.Staff training is given a high priority and National Vocational Qualification levels are high. Both care and domestic and kitchen staff are encouraged to achieve their awards. The levels of organised activities remains excellent and residents benefit from the use of a minibus once a month for local outings. A dedicated activities organiser ensures a consistent approach to activities and residents are involved in choosing any new past times. One resident commented that she really enjoyed the weekly tea tasting morning, where they sampled different types of teas. Pamper sessions are provided for both men and women. This area of care exceeds the minimum standards.

What has improved since the last inspection?

A new fire system has been installed to ensure the highest levels of safety for the residents and staff. One new hoist has been purchased, making a total of six in the home. This along with improved training has helped improve moving and handling of residents. Two bedrooms have been decorated in the last three months, the service and kitchen area on the lower floor have also been decorated. It is planned to paint the corridors in the very near future. An extra nurse has been employed on a permanent basis, making a total of six nurses in all. The home used its capitol grant from the local government to purchase four hospital beds and one more specialist chair for the benefit of the residents. Staffing levels and retention continue to improve.

What the care home could do better:

The home may wish to consider expanding the scope of its quality assurance programme to include all stakeholders for the home. Although they currently meet this standard, should they wish to excel, this may be the way forward.

CARE HOMES FOR OLDER PEOPLE Valley View Residential Nursing Home Maidstone Road Rochester Kent ME1 3LT Lead Inspector Sue McGrath Key Unannounced Inspection 9th November 2007 09:30 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 Residential Nursing Home DS0000026211.V348232.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 Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Valley View Residential Nursing Home Address Maidstone Road Rochester Kent ME1 3LT 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) 01634 409797 01634 409699 Dr Prathap Padmanabhan Jana Mrs Jyothi P Jana Mrs Hazel Beattie-Burrows Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (5), Terminally ill (4) of places Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th July 2006 Brief Description of the Service: The home is purpose built. Service user accommodation is located on the ground and the first floor. There are 27 single bedrooms and three double rooms and all have en suite toilet facilities. The communal lounge and dining area is on the ground floor and there is also a pleasant conservatory. On the first floor there is a small lounge and on the lower ground floor there is a visitors room. There is a passenger lift. The home is accessible for wheelchairs and there are aids and adaptations to support those with mobility problems. The accommodation is built in a square around an enclosed courtyard garden. There are further gardens around the property at the front and rear and ample parking space is provided. The home is managed by a registered nurse and employs a further 6 trained nurses. In addition the home employs care, domestic, catering, maintenance staff and an activity organiser. Valley View is privately owned and the registered providers have two other home’s in the area. The home is located in a residential area of Rochester close to local amenities and a bus route. The fees for this home range from £508.75 - £590.00 per week. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 9th November 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. The requirements made at the last inspection had been complied with. Overall this was a very positive inspection with excellent outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and very well cared for. What the service does well: The home offers residents a comfortable and safe environment in which to live. The staff group are very supportive and on the day of the inspection were seen to be friendly, efficient and very competent. Residents spoke highly of the care offered and all spoken with confirmed staff were always very kind. One lady said ‘I feel very spoilt here as they all look after me so well’ another commented ‘ the staff are so thoughtful and kind, I like living here’. Positive comments were also made regarding the quality and choice of the food. The home is purpose built and has been well maintained. The recent addition of a new fire alarm system has improved safety for residents and staff. The bedrooms are spacious and have en suite facilities. The bathrooms are also spacious and are fitted with hydro baths. The home has one shower room. One resident stated she liked having her own toilet and also commented on how much she liked using the hydro bath. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 6 Staff training is given a high priority and National Vocational Qualification levels are high. Both care and domestic and kitchen staff are encouraged to achieve their awards. The levels of organised activities remains excellent and residents benefit from the use of a minibus once a month for local outings. A dedicated activities organiser ensures a consistent approach to activities and residents are involved in choosing any new past times. One resident commented that she really enjoyed the weekly tea tasting morning, where they sampled different types of teas. Pamper sessions are provided for both men and women. This area of care exceeds the minimum standards. 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. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 7 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 Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 8 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 Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 9 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 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with excellent information, which enables them to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The home has recently reviewed both the statement of purpose and the service user guide and these now provide all the necessary information as required by Schedule One of the Care Standards Act 2001. They are presented in a Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 10 professional way and one is provided in every bedroom for each individual resident. The home also has smaller brochures to distribute on initial contact. The owner Mrs Jana confirmed that she meets with each resident and or their families to issue contracts, which are signed by both parties. These detail the terms and conditions of the home. Evidence of completed forms was seen in residents’ files. The admission procedure was discussed with the manager who confirmed that prior to admission she, or another suitably qualified member of staff, visit the potential resident at their home or in hospital. If the potential resident prefers to visit the home this can also be arranged. At this meeting the resident’s needs are discussed and, along with the information from social services, this forms the basis of the home’s care plan. At this stage the manager ensures that as far as possible all relevant information regarding the scope and range of services that the home offers is discussed. The home incorporates equality and diversity into the assessment process to ensure a holistic approach is taken. All residents are offered a trial period before they or their representatives need to make a decision to stay permanently. Approximately six weeks after admission a review takes place for each resident and the care plans will be reviewed to ensure all aspects of care are appropriate. The home then ensures the care plans are reviewed on a monthly basis after this period. Families and residents are always involved, where possible, and are encouraged to continue to be involved for the length of stay. Emergency admissions are avoided where possible, as the home prefers to plan all admissions, however these can be arranged if absolutely necessary. The home endeavours to gather all the relevant information as soon as possible after admission. The home does not offer intermediate care. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 11 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): 8, 9, 10 and 11 outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Health needs are well met and residents have full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. Residents can be confident that end of life care will be well managed by the home. EVIDENCE: Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 12 Each resident has a personal plan of care that sets out the individual needs of the residents. The plans set out the action that needs to be taken by care staff to ensure that all aspects of health and personal needs are met. Evidence was seen that care staff regularly carry out reviews on a monthly basis to reflect any changing needs of the resident. Several of the residents spoken with were aware of their care plans and said they had been discussed with them. Some of the plans were difficult to follow as information that was outdated had been not been transferred to the main client file, and this made them bulky. The resident’s health needs are well met and the home’s ensure all health problems are dealt with efficiently and effectively. Residents were currently having their yearly flu jabs and this was being well managed by the staff. All residents are registered with a local G.P. and have full access to all other professional health care specialists according to need. Tissue viability is given a high priority and one nurse has recently been appointed in the role of lead tissue viability nurse. Evidence was seen during the inspection that the home is using various specialist equipment for the promotion of tissue viability. Staff were also able to demonstrate they had the knowledge and skills to manage this area of care well. Nutritional screening is undertaken on admission and on regular intervals. Resident’s weights are recorded regularly and monitored to ensure they remain in the healthy ranges for their age. Any changes are recorded and staff confirm would be acted on if necessary. Medication administration is only undertaken by the qualified nurses in the home. The system used complies with the guidelines from the Royal Pharmaceutical Society of Great Britain. The home does have some controlled drugs and the administration is again accurate. The home has a suitable system in place for the ordering, storage and return of all medication. Several of the resident spoken with confirmed that staff were respectful, helpful and very kind to them. One resident confirmed that when she needed to see her G.P. or other health care professionals, this was done in private. Residents have access to a telephone for personal use and do receive their own mail unopened where possible and practical. Residents can have a private telephone installed, at their own cost, if they so wish. Staff were seen to address residents in preferred term of address and these were marked clearly on the care plans. Staff are instructed during induction on how to treat residents with respect. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 13 There are some shared rooms available, these have privacy curtains fitted to ensure that privacy is not compromised when personal care is being delivered. The home has worked hard to ensure that resident’s wishes at the time of illness and death are respected and they remain pain free. Terminal care and arrangements after death are discussed and recorded to ensure they can be carried out. Feed back from relatives confirms they felt relieved the home had already gathered this information before the residents became to ill to be involved in the process. The privacy and dignity of any resident who is dying is maintained at all times and families are able to spend as much times as they wish with their loved ones. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ social and recreational interests are very well provided for with a wide range of activities organised for their benefit. Residents benefit from the flexible routines in the home, they are able to exercise choice in relation to routines of daily living. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. EVIDENCE: It was observed throughout the inspection that staff made every effort to encourage residents to make informed choices about their daily living preferences and routines were seen to be as flexible as possible, given the restraints of the community living. Residents spoke with spoke highly of the staff and said they are dedicated and looked after them well. One resident said Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 15 she had only been at the home for a few weeks, but was beginning to feel very settled and was glad she had made the choice to remain. Others said they felt well cared for and that staff respected them as individuals and when receiving personal care it was given in a manner that was comfortable and dignified. The home has recently employed a new activities co-ordinator as the previous one had left and for a short period they were without anyone to organised activities. This appointment has proved very popular with residents and activities are given a high priority in the home. The home takes advantage of using a minibus from Social Services to enable residents to go shopping or out for short trips. This is very much appreciated by those who are able to enjoy outside activities. Other activities include live entertainment, handicrafts and bingo. One resident described how she enjoyed the regular tea tasting mornings, where they could sample different types of tea. Sing-along sessions are also popular. Staff are currently rehearsing for a Christmas pantomime and community contact is encouraged. Pupils from local schools visit to entertain the residents. Christmas and Easter time are celebrated with specific seasonal activities arranged. The Salvation Army is also invited into the home on a regular basis. Every three months reminiscence sessions are arranged with a professional facilitator. The activities co-ordinator was seen to be very enthusiastic and the manager confirmed that residents are asked about what activities they would like and feedback is sought as to whether they were enjoyed after the event. Church services are undertaken on a monthly basis and the manager confirmed they would be able to provide for any denomination. The home has also recently purchased a free view box so that residents can have more choice over television programmes. The activities organiser has also arranged for a monthly newsletter to be prepared which is given to each resident. Residents are encouraged to prepare articles, with the help of staff or families, for the newsletter. Birthdays and special celebrations are also included. Visitors confirm that they can visit whenever they wish and are always made welcomed. There is a room for private visits if required. All of the residents spoken with confirmed the food was very nice and there was always plenty of it. Drinks were freely available. Some residents liked to have a small supper before retiring to bed and this was also freely available. Meals can be taken in private bedrooms if required. During the lunch time staff were seen to excel when feeding residents who needed help. This was done at the residents’ pace and each mouthful was Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 16 described before being given. The atmosphere was relaxed and efficient and where residents were able to maintain independence this was encouraged. The only issue raised by two relatives was that sometimes the meals were cold when delivered to the bedrooms. The home is advised to manage this area more efficiently and may need to invest in a mobile hot trolley. Specialist diets are well managed. The kitchen is clean and tidy, this was confirmed by a recent Environmental Health Officer visit. All of the necessary paperwork and physical checks are undertaken. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system and service users and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The home has a robust complaint procedure in place, which is included in the statement of purpose and displayed in the foyer. Any complaints are dealt with according to the policy and within the written timescales. The home records all complaints and the outcomes. They have received one formal complaint since the last inspection. The manager stated that she always tried to deal with any issues before they escalated into formal complaints. The Commission has not received any formal complaints about the service. The home has adopted the Kent and Medway Adult Abuse policy and is proactive if any issues arise. Two safeguarding adults investigations have been undertaken with the home cooperating fully with the process. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 18 Staff spoken with were fully conversant with the procedure for adult protection and displayed a good understanding of the subject. The manager confirmed that where possible residents are registered for postal voting so they can participate in local and national elections. Valley View Residential Nursing Home DS0000026211.V348232.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, 22, 23 25 and 26 Out come in this area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor and outdoor communal areas. Residents are encouraged to maximise their independence by having access to the range of specialist equipment supplied by the home. EVIDENCE: The home is purpose built and well designed. They have a rolling programme for refurbishment and redecoration. The bedrooms are spacious and comfortable. Many residents said how nice their rooms were and were pleased to be able to bring some personal items with them. All of the rooms seen were well personalised and very clean. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 20 The residents have access to safe internal and external areas and a pleasant conservatory. The main lounge is on the ground floor and is adjoining the main dining room. All furnishings are of a good quality. When a residents move into a room it is normally decorated just before their arrival and where possible they are asked to choose a colour scheme. The bathrooms are spacious and again very clean. Plans are in place to redecorate the corridors this year. A professional person has undertaken a full environmental risk assessment and any recommendations have been completed. The home has a lift between the three floors. The lower floor consists of the kitchen, laundry and visitors room. This room may be used by residents for private functions. The laundry contained professional equipment and was very well organised and clean. Dedicated staff work in the laundry. Good infection control procedures are in place. Each room has a call system installed for residents to use. One resident in particular has difficulty in using the current system so the home has worked closely with the Occupational Therapist to find a suitable system to meet her needs. This is an ongoing process. All radiators are guarded and all sinks and baths have thermostatic mixer valves fitted to prevent scalding and to maintain water at a safe temperature. The home does have some shared rooms but privacy curtains are provided to ensure privacy when personal care is being delivered. All upstairs windows have restrictors fitted. The home and the kitchen have written cleaning schedules in place and the home was clean and fresh on the day of the inspection. The home has sufficient cleaning staff who clearly work hard to maintain a good environment. The home gives infection control a high priority and the manager herself is the lead nurse in this field. Each floor has disinfecting sluices available. A new fire alarms system has recently been installed. A recent capital grant had provided four hospital beds and a specialist chair, the home already has five specialist chairs. Valley View Residential Nursing Home DS0000026211.V348232.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staff that are well trained and competent to do their jobs and who enjoy good morale. Staffing arrangements provide for a suitable mixture of care staff, administrative staff, domestic, catering, and maintenance staff. EVIDENCE: Rotas seen on the day and observation made indicated that residents’ needs are met by sufficient staff with the right skills mix. The home provides seven care staff and two nurses in the mornings and five care staff with one nurse in the afternoons. The home has two waking night carers and one nurse. All Nursing staff are registered with the Nursing and Midwifery Council and PIN numbers are regularly checked. Staff receive sound training in all mandatory fields and other courses are also arranged. Eight care staff have completed either National Vocational Qualification at level two or three, seven are currently undertaking their awards and five places have been booked for other staff to start. When Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 22 completed all staff will have achieved at least level two. Both domestic and kitchen staff undertake NVQ, s in hospitality or cooking. All staff undertake a one day induction course followed by a comprehensive foundation course which meets with the Common Induction Standards Framework. Residents can feel confident they are in safe hands. All staff have criminal record checks (CRB,s) when employed and staff files hold all the necessary checks as required by regulation. The manager stated that she sometimes includes residents in staff interviews when vetting new staff. Valley View Residential Nursing Home DS0000026211.V348232.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, 32, 33, 35, 36 37 and 38 Outcome in this area is good This judgement has been made using available evidence including a visit to this service. The residents benefit from having a manager who is well supported by senior staff in providing clear leadership throughout the home and by staff who demonstrate an awareness of their roles and responsibilities. Residents benefit from staff who are appropriately supervised by senior members of staff. Sound financial procedures protect residents. The health, safety and welfare of residents and staff is promoted and respected. Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered manager has worked at the home for some times and has all the necessary qualifications for the role. She is a qualified nurse and has the necessary management qualifications and is able to discharge her duties fully. There is a solid base of trained nurses who are developing their roles as specialist nurses for the home. Staff confirm the management is open and approachable and they feel involved with the home generally. Staff also confirm staff meetings are held regularly and the moral is good. The home undertakes regular consultations with both families and residents and produces a report to evidence the outcomes are recorded and acted upon. Residents meeting are also undertaken, as are relatives meetings. The home has sound financial procedures on place and only holds small amounts of monies on residents’ behalf. Accounts were audited and found to balance. Staff confirm they receive regular structured supervision and some notes were seen on file. Senior staff have received training in delivering supervision. Nurses receive clinical supervision. Evidence was seen that health and safety is well managed with all the necessary checks being undertaken. Valley View Residential Nursing Home DS0000026211.V348232.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 4 3 3 4 4 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 4 3 3 3 3 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 3 3 X 3 3 3 3 Valley View Residential Nursing Home DS0000026211.V348232.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 Home’s 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. 1 Refer to Standard OP33 Good Practice Recommendations It is recommended that the provider expand the scope of the home’s quality assurance programme to include all stakeholders for the home. These could include G.P’s D.N’s and other health professionals and care managers. It is recommended the home ensure that when meals are delivered to residents’ bedrooms they remain warm. 2. OP15 Valley View Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Residential Nursing Home DS0000026211.V348232.R01.S.doc Version 5.2 Page 28 - 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. 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