Inspection on 23/10/05 for Valleyfield

This inspection was carried out on 23rd October 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 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 14/02/07

Valleyfield 25/02/06

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 Pat Kearney Announced Inspection 23rd October 2005 10:30 Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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.V262059.R01.S.doc Version 5.0 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.V262059.R01.S.doc Version 5.0 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) Community Integrated Care Limited Annette Lea Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th October 2004 Brief Description of the Service: Valleyfield is a single storey three bedroomed detached property with a small garden to the front of the property 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 a short distance from other places of local interest. The property is owned by Maritime Housing Association each of the service users have a tenancy agreement. All threeservice users have been tenants since the home opened in 1990. Valleyfield is a home for three female service users with learning disabilities. The home is part of the Community Integrated Care Group. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory announced inspection took place on 23rd October 2005 and lasted approximately four hours. A full tour of the premises took place. A range of records such as care plans, Essential Lifestyle Plans, staff personnel files, policies & procedures and medication charts were examined. The Registered Manager was on duty. Staff on duty and the three service users was spoken to during the course of this inspection. Service users relatives were contacted by telephone on the day of the inspection to seek their views about the service. What the service does well: What has improved since the last inspection? The Registered Manager has completed her N.V.Q Level 4 Registered Managers Award. Advice has been sort from a number of healthcare professionals and equipment has been obtained to meet the individual assessed needs of the service users. This additional equipment has improved the quality of life for service users. The care home has had a number of improvements to the environment at the home which has included a new gas central heating system has been installed. The exterior of the house has been re painted, a new shed has been purchased and gardens are now maintained on a regular basis. A new cooker and three piece suite has been purchased, also a number of specific aids and adaptations have been acquired for individual service users. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 6 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. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The homes Statement of Purpose and Service Users Guide are well written and comprehensive providing service users and/or their representatives and any potential service users with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The homes Statement of Purpose and Service User Guide have been reviewed and updated in July 2005. A copy of the Service Users Guide is kept in each of the service users bedrooms. All three-service users currently living at the home has been resident there for a number of years. Each service user has an Essential Lifestyle Plan (E. L. P) which is reviewed and updated annually. This document is intended to cover every aspect of a service users life and includes their preferences, choices, hobbies and interests and provides a detailed insight into the person being cared and the lifestyle they wish to have This plan is especially useful as the services users have severe communication difficulties. The Registered Manager said that all three service users had visited the home several times prior to being admitted. The Manager confirmed that any future service users would be able to visit prior to admission and their family and friends would be included in the process. Copies of costed contracts are kept on service users files. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The individualised care plans for each service user clearly evidence how the service users needs and goals are met on a daily basis. EVIDENCE: All service users in the home have a comprehensive and detailed individual care plan, which is formulated on admission to the home. The Registered Manager and key-workers regularly review these documents. Daily health records are documented on each shift for each service users, and this includes any critical incidences plus any visits from GPs, specialists, etc. Care plans are comprehensive and contain very detailed information regarding the individual needs of the service users. Each service user has an Essential Lifestyle Plan ( E.L.P) which records service users individual choices and preferences interests and hobbies, social history, daily routines and documents what is important to the individual service user. Personal and environmental risk assessments are completed for each service user Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 10 Care plans show that service users and /or their relatives are involved in the care planning and review process. Full involvement of NHS and other healthcare professional agencies was clearly evident on all service user care plans examined. There have been a number of new aids and adaptations obtained at the home all assessed by healthcare professionals to improve the quality of life of the service users. Equipment obtained includes profiling bed, new individually fitted body moulds for wheelchair use and a new showering aid. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users are actively encouraged and supported by the staff team to participate as much as possible in age appropriate activities , which enhances their quality of life. EVIDENCE: All three-service users at Valleyfield have an Essential Lifestyle Plan, which details their individual interests hobbies and aspirations. The information in the E.L.P. and care plan forms the basis of the activities service users participate in. All three service users require the support of staff to participate in any social or leisure activities. Family members spoken to said that “Staff work hard to ensure that the service users are provided with all sorts of leisure opportunities - which they enjoy” Relatives confirmed that they are invited to attend any of the functions held at the home and are kept updated and are included in reviews of care. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 12 One service user celebrated a milestone birthday this year. The staff team organised a birthday party at the home with all members of the service users family travelling from home and abroad to mark the occasion and join in the celebrations. Relatives spoken to said the staff group “work tirelessly to ensure my sister enjoys a full and varied life” The family also expressed how confident the family were that their sister was receiving “the best possible care” The support staff who act as keyworkers write to relatives who are unable to visit the home on a regular basis for a variety of reasons keeping them up to date with events in the service users lives. This benefits the families and expressions of thanks for the effort made to keep in touch have been received. All three service users have enjoyed a holiday in Portugal this year supported by staff. A new van has been purchased this year and is used for service users outings which include visits to the cinema, local swimming baths meals in pubs and visits to the light room. One service user has been involved in an arts based social inclusion project which they thoroughly enjoyed. Relatives told the inspector that the “project made such a difference she was very happy during the project. –and she gained much enjoyment from being involved Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Medications are managed safely in accordance with the National Minimum Standards and safeguard the service users from risk of harm. The staff team has an excellent understanding of the service users’ support needs. This is evident from the positive relationships, which have been formed between the staff and service users. EVIDENCE: No current service user in the home self medicates, medications for service users are administered by the key-workers in the home. The protocols for the receipt, storage, disposal, and documentation of medications in the home are in accordance with the National Minimum Standards (NMS). All three service users at the care home require the intervention of staff for all their personal support and health care needs. Staff spoken to during the inspection were fully aware of the personal support needs of the service users and how important it was that those needs should be met in a way that is sensitive to the service users preferences respecting their dignity at all times. There was evidence in the care plans that a number of health and social care professionals had recently been involved in reviewing the service users needs. Service users have a 6 monthly medication review by the G.P. this had taken place the week prior to this inspection. Regular visits to the dentist, optician Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 14 and other healthcare professionals. Details of all planned visits are recorded. Information and advice given by healthcare professionals is also recorded. The Manager informed the inspector that relationship between the service users G.P. surgery and district nurses is very good. There is currently a physiotherapist visiting the home to work with a service user to maximise and maintain their limb movements. Since the last inspection the home has commenced seeking the views of service users and/or their families to establish the preferred funeral arrangements of the service users. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Valleyfield has a comprehensive complaints system. The home’s commitment to ongoing training and development helps protect the service users from neglect and risk of harm. Appropriate checks are completed on all staff to ensure the protection of service users. EVIDENCE: A clear complaints policy and procedure is available for both service users and their representatives. Included in this are contact details of the local CSCI. Office. All three service users are unable to communicate verbally but staff said that they were able to use non verbal communication if they were unhappy. Relatives spoken to said they were confident that any concerns they had would be listened to and acted upon. Relatives are sent questionnaire annually to assess their satisfaction with the service provided. Staff training files evidenced that protection of vulnerable adults training is commenced on induction and is annually updated. The member of staff spoken to confirmed that training on abuse and adult protection issues had been given and was updated regularly updated. All staff at the home have had appropriate checks made on them to ensure that the service users are protected. No complaints have been received either by the Commission or Valleyfield since the previous inspection. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standard of the environment within Valley field is good, providing service users with an attractive and homely place to live. EVIDENCE: The home is situated in the Gateacre area of Liverpool and is close to shops, pubs and other amenities. The home is a three bedroom bungalow leased from Maritime Housing Association. The home is warm, comfortable and homely and on the day of the inspection odour free. Each service users bedroom is individualised to reflect their personal taste and preferences, the home is due for its 3 yearly redecoration programme in 2006. Since the last inspection there has been several improvements to the environment this has included external painting, regular garden maintenance, new shed, new shower trolley three piece suite and gas cooker. Earlier in the month prior to this inspection a new gas central heating system had been installed at the home, as a result of this a number of repairs were needed to ensure that the home meets the requirements of the Care Standards Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 17 Act 2000. The Registered Manager and Regional manager confirmed that the repairs were due to be completed in the need future. These repairs include repair of decoration in hall, service users bedrooms, kitchen. The bathroom requires upgrading following the installation of a new shower aid a number of tiles are cracked and broken and need replacing the skirting board, architraving and walls needs repair. Attention to these repairs will ensure that Valleyfield returns to its usual high standard of decoration and repair. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Staff morale is high resulting in an enthusiastic staff group that works positively with service users to improve their whole quality of life. EVIDENCE: The personnel files reviewed showed that a rigorous recruitment and selection process is in place an Enhanced Criminal Records Bureau (CRB) Vulnerable Adults (POVA) checks, plus reference checks are completed prior to any staff being employed. Agency staff are never used at the home. A random selection of staff personnel files were examined all seen evidenced ongoing mandatory and specialist training. A detailed induction is given to all staff along with regular supervisions and annual appraisal. Relatives spoken to as part of the inspection commented that” the staff group work hard to ensure that the service users receive the best possible care and are aware of the individual needs and preferences of the service users”. A member of staff had left the home since the last inspection the staff group have covered the additional hours to maintain continuity of care for the service users. A new member of staff is due to join the staff group the person is currently working for the organisation in another establishment so will transfer across. The new member of staff has visited the home and been introduced to the service users and staff. The Registered Manager confirmed that the new Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 19 member of staff will receive an induction into Valleyfield which they will conduct. A copy of the induction to Valleyfield should be kept on the personnel file. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This is a well run home with good leadership, quality assurance processes are in place to ensure the service user’s best interests are safeguarded and protected. EVIDENCE: The Registered Manager has many years experience working with the service user group and has recently completed the N.V.Q. Level 4 Registered Managers award Relatives commented that her commitment and enthusiasm ensures that the service users are able to enjoy a very full and varied life. Relatives said that “she pays regular attention to the service users individual changing needs, making sure that any intervention to maximise and maintain their individual health and welfare is sought from healthcare professional” All necessary certificates such as gas, electricity and risk assessments were up to date. Service user specific risk assessments are also in place, with updates and reviews involving the service user and or their relatives being completed. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 21 Fire alarm testing and fire drills are completed and were up to date. The fire officer last visited in April 2004 which records a satisfactory visit. The inspector spoke to the staff on duty, staff informed the inspector that they enjoyed their work and felt supported. Staff are supervised regularly and an annual appraisal is completed records are kept on the personnel files. Quality assurance is undertaken in-house and via the company’s own audit process. The Operations Manager visits the home monthly and completes the Regulation 26 audit. Copies of the regulation 26 visits are forwarded to the C.S.CI. Service user’s views and involvement is sought as far as possible, and the results of audits are made available to interested parties, including the CSCI. A copy of the service users financial accounts are kept on the care plan with all expenditure recorded. The account is in the service users name and interest is paid three monthly in arrears. Policies and procedures are continuously reviewed and updated by C.I.C. All records are kept in accordance with the Data Protection Act 1998, in a safe, limited access facility. Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Valleyfield Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 3 3 3 DS0000025144.V262059.R01.S.doc Version 5.0 Page 23 no 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 24 Regulation Requirements 23 The registered person shall ensure that the premises to be used as a care home are of sound construction and kept in a good state of repair externally and internally so that the home is safe and well maintained meets service users individual and collective needs in a comfortable and homely way;therefore the following repairs, and redecoration work needs to be addressed;- Bathroom broken or damaged tiles need replacing, skirting board and architrave needs repair or replacing. Repair to decoration in the hall, service users bedrooms and kitchenfollowing the installation of the new gas central heating system. Timescale for Action 01/01/06 Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Valleyfield DS0000025144.V262059.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!