Inspection on 14/02/07 for Valleyfield

This inspection was carried out on 14th February 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

Valleyfield 25/02/06

Valleyfield 23/10/05

Valleyfield 20/10/04

Valleyfield 06/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Valleyfield 69 Grange Lane Gateacre Liverpool Merseyside L25 4SA Lead Inspector Les Hill Key Unannounced Inspection 14th February 2007 09:30 Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 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 Valleyfield DS0000025144.V320593.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 Adults 18-65. 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. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Valleyfield Address 69 Grange Lane Gateacre Liverpool Merseyside L25 4SA 0151 428 6388 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) www.c-i-c.co.uk. Community Integrated Care Annette Lea Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th February 2006 Brief Description of the Service: Valleyfield is a single storey three bed roomed detached property with a small garden to the front and a larger accessible enclosed garden to the rear. The property is situated in the Gateacre area of Liverpool and is close to shops, pubs, post office and other places of local interest. Maritime Housing Association owns the property and each of the service users has a tenancy agreement. Community Integrated Care provides care and support. Valleyfield accommodates three female residents with learning disabilities. All three have been tenants since the home opened in 1990. Fees are arranged through contracts between the placing authority and the care provider. Individual residents are advised of the financial contribution they will be expected to make. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Valleyfields was undertaken on Wednesday 14th February 2007 over a period of two hours. It involved the examination of some records, meeting with two staff and the three residents and a tour of the building. The inspection was undertaken as part of the Commission’s responsibility to visit and report on all registered care homes. What the service does well: What has improved since the last inspection? What they could do better: No requirements have been made as a result of this visit. Only one recommendation has been made to support more detailed reviews of care plans. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Documentation and procedures are in place to ensure any prospective residents would have the information they need to make an informed choice about the home. EVIDENCE: The homes statement of purpose and service user guide were examined during previous inspection visits and found to contain all of the matters identified in Schedule 1 of the National Minimum Standards, Care Homes for Younger Adults. There was also evidence that the documents were regularly reviewed. A copy of the service user guide is kept in each resident’s bedroom. Each resident has an assessment of need that has been prepared by staff who know them. The documents identify the resident’s physical, mental and emotional needs as well as their likes, dislikes and interests. Community Integrated Care (CIC) have procedures in place that identify appropriate ways of introducing new residents to the home but these have not been required as all three residents have lived in Valleyfields for some time. Each of the resident’s files contains a copy of the contract/ terms and conditions of residence (About My Agreement) between them, CIC and the placing local authority. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The assessed and changing needs of residents are recorded in plans of care that guide staff to provide appropriate levels of support. EVIDENCE: Comprehensive care plans have been drawn up from the assessments of individual residents. The plans detail the identified need and how staff should respond. There was also evidence to show that reviews are undertaken but the detail refers mainly to a review of activities and should be developed to ensure they also contain information about the progress of the care plans. Essential Lifestyle Plans are also in place. These contain a social history of each resident and their choices and preferences that have been recognised, and have developed over time. The document identifies the preferred daily routines for each resident and the ways in which staff should respond to particular behaviours. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 10 Assessments are also in place to identify areas where residents could be at risk and strategies written up to guide staff in minimising those risks. Staff have worked with the residents for some time but there was still evidence during the visit of them discussing with residents their wishes and preferences for staying in their own room or joining in a more communal activity. There was also evidence in individual day-to-day reports of residents assisting staff with household tasks including the preparation of some meals. Polices and procedures support the need for staff to maintain the confidentiality of information kept in the home. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported to engage in appropriate in-house and community activities that respect them as individuals and reflect their interests. Staff encourage the continued involvement of family and friends. EVIDENCE: Essential Lifestyle Plans form the basis of activity for individuals and the group of residents in the home. Individual records identify what activity each resident has engaged in during the day. These ranged from watching TV or videos to Swimming, days out, shopping, bowling, trips to the cinema personal “pampering” and relaxation. The home has the use of a mini-bus but individual residents also have a bus pass that they can use on public transport. Residents in the home need the support of staff at all times and there was evidence that staff work hard to ensure they enjoy a quality of life through ordinary experiences and maintain a visibility within the community. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 12 Resident’s families are encouraged to visit and to spend time in the home. They are invited to any functions that are being held and are kept informed of any matters that affect the ongoing health and welfare of the resident. CSCI inspectors have approached the families of residents during previous visits to Valleyfields and have been impressed with the positive comments and the support for staff, that has been presented. Some resident’s files contain written evidence of regular contact with relatives. Individual records are kept to identify what residents have eaten at mealtimes. Overall the records identify that a balanced and nutritious diet is being offered. It is important to keep clear individual records to: 1. 2. 3. Confirm that a balanced diet is being provided; Inform staff what foods have been provided to individuals during the week; and to Have detailed information about what an individual resident has eaten so that in the event of illness, food links or potential allergies can be more easily identified. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents receive the care and support they require to meet their physical, emotional and health needs. EVIDENCE: All three residents require the support of staff for all their personal support and health care needs. Staff working in the home at the time of this visit, were clearly aware of the needs of each of the residents and the importance of maintaining routines. They were observed to knock on each bedroom door before entering and to speak with residents about what they were intending to do. Preserving the dignity of residents was evidenced through the closing of doors and the discrete ways in which personal care was being carried out. Each of the residents has a Health Care Plan and files contain information about visits to (and by) the GP, to the optician and to the dentist. The home has recently changed the resident’s GP, as they were not completely happy with the support they were receiving. Separate records are also maintained (where appropriate) on seizures, weight and bowel evacuation. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 14 None of the residents would be able to manage the administration of their own medicines. Protocols for the receipt, storage, disposal and recording of medicines were tested and found to conform to good standards of practice. The home receives good support for the dispensing pharmacist and many of the medicines are supplied in liquid form for the benefit of the individual resident. Tablets are provided in weekly, “blister” packs. The preferred funeral arrangements for one resident have been agreed with her family and are kept on file. Staff are waiting for appropriate opportunities to make similar records for all of the residents in the home. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Policies and procedures, supported by staff training ensure that residents are supported safely. EVIDENCE: Clear complaints policies and procedures are in place and are available to residents and their relatives. All of the current residents would have some difficulty in verbalising a formal complaint but staff recognise when a resident is unhappy about something and seek to resolve the matter through past experience. Previous CSCI contact has indicated that relatives would be confident in raising any concerns and would trust staff to respond appropriately. No formal complaints have been made directly to CSCI or to the home since the CSCI inspection in February 2006. Staff confirmed that they had been provided with training in the Protection of Vulnerable Adults (POVA) and that this is updated regularly. No adult protection referrals have been made in respect of any resident in Valleyfields. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a homely environment that is maintained to a good standard. EVIDENCE: Valleyfields is a three-bedroom bungalow located in the Gateacre area of Liverpool. It is owned by Maritime Housing and tenanted by the three residents. Community Integrated Care (CIC) provides care and support. The bungalow is domestic in size and there are no outward indications that it is a registered care home. Internal decoration and furnishings create a comfortable, warm and homely feel. On the day of this visit there were no offensive odours. Each of the residents has a single bedroom that is well proportioned and is furnished and decorated to their individual preference. Special beds are provided where appropriate but all other furniture is domestic in style. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 17 The bathroom area is fully tiled and fitted with a WC, wash hand-basin and walk-in shower. Special assisted bathing facilities are provided to meet the individual needs of residents. The homes lounge area is light and provides a comfortable living space. A separate dining room is available. The homes kitchen is well laid out and though dated, is currently adequate for purpose. A large area of damp on the dining room wall has been reported to the housing association and the reasons for it are currently being investigated. Care staff are also responsible for laundry and keeping the home clean. On the day of this inspection the home was clean and appeared to be well kept. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported by a staff team that is selected through safe employment processes, trained in the skills required and supported through regular meetings with managers. EVIDENCE: The manager of the home was not present during the visit and therefore there was no access to confidential staff files. However, staff files had been accessed on previous CSCI inspections and found to be in good order. As no new staff had been appointed to work in the home since the last inspection it is accepted that the judgement made at that time will stand. Staff on duty at the time of this visit confirmed that they received induction training and that essential skills training is regularly updated. They also said that CIC will support staff in accessing other training that is relevant to the work they undertake. Of the six support workers employed at Valleyfields, three have an award at NVQ level 2 or above. Staff confirmed that they receive one-to-one supervision from the registered manager on a regular basis. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 19 The home does not use agency staff. At the time of this inspection existing workers were covering the hours of a colleague who was absent through sickness. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents benefit from the leadership and support provided by staff in the home and from the record keeping, polices and procedures that guide the work in Valleyfields. EVIDENCE: The registered manager is experienced in the care and support of adults with a learning disability and has completed the NVQ level 4 Registered Managers Award. Staff know what is expected of them and got on with their work during the course of this visit. They indicated that the manager was efficient and had effective procedures in place to ensure the smooth running of the home. Care files and other documents are kept in an orderly fashion and are easily accessible. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 21 Quality assurance systems are also in place. The home’s manager is expected to complete regular audits and the area manager visits at least monthly to complete Regulation 26 reports. The views of residents and their families are sought both formally and informally. Policies and procedures to guide the care and support are in place and are reviewed by CIC on a regular basis. All records are maintained safely and access is only given to authorised personnel. Detailed records are maintained of the money held on behalf of individual residents. CIC have a savings account system that credits interest on the investment of residents to their individual accounts. Records are maintained of the daily temperature of fridges and freezers and the fire alarm system is tested weekly. The manager completes an annual hazard risk assessment, and the current document was prepared in September 2006. Copies of gas and electric wiring safety certificates were seen and up to date. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 4 3 3 3 3 3 Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 23 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. 1 Refer to Standard YA6 Good Practice Recommendations The registered manager should ensure that monthly reviews make reference to the progress of the care plan as well as activities undertaken. Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Valleyfield DS0000025144.V320593.R01.S.doc Version 5.2 Page 25 - 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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