Inspection on 09/01/06 for Valona

This inspection was carried out on 9th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Valona 24/08/07

Valona 30/06/06

Valona 16/02/05

Valona 10/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Valona Valona Cockles Rise Crediton Devon EX17 3JB Lead Inspector Susan Lyons Unannounced Inspection 9th January 2006 12:00 Valona DS0000048550.V276752.R01.S.doc Version 5.1 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 Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Valona Address Valona Cockles Rise Crediton Devon EX17 3JB 01363 776331 01363 776998 patrickvln2@aol.com 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) The Regard Partnership Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Valona is a small two-storey house in a residential area of Crediton. It has nothing to distinguish it as a residential home and is close to the amenities of the centre of the town. It currently provides care and accommodation for four adults with a learning disability. The home is run by The Regard Partnership Limited who have many homes in various parts of the country. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived, unannounced at the home at 12 noon. The staff were preparing to go away on holiday with residents later that day. The inspector was able to meet all the residents but due to lack of communication skills was unable to gain information from them. The inspector spent time in the lounge looking at what was going on in the home and looked at some records. What the service does well: What has improved since the last inspection? What they could do better: The home needs to record residents weight on a regular basis so that a referral can be made to the dietician. The confusion around the use of the communication board needs to be clarified and residents should be wearing clothes that fit them. Care plans need additional information as to how residents are to be supported and a choice of activities offered on a regular basis to all residents. The bolt Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 6 needs to be removed from one bedroom door and staff need to continue with completing their NVQ training. All staff who give medication to residents need to receive training. The Quality Assurance survey and results need to be completed. 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. Valona DS0000048550.V276752.R01.S.doc Version 5.1 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 Valona DS0000048550.V276752.R01.S.doc Version 5.1 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): 3 Lack of continuity and understanding from staff means that residents needs are not fully met. EVIDENCE: One resident has a communication board a member of staff said that it has been completed that morning but it was noted that there was a mixture of symbols in use. The inspector was told that the home is in the process of changing the symbols and the resident does make changes to the board themselves. There doesn’t appear to be a clear understanding from all staff about how the board works. It was noted that the trousers one resident was wearing were too large and the resident had to keep pulling them up. Despite staff being aware of this no action was taken to rectify the situation. Valona DS0000048550.V276752.R01.S.doc Version 5.1 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): 6&7 There is no clear or consistent care planning in place to adequately provide staff with the information they need to meet residents’ needs. Residents’ choice is recognised and acted upon. EVIDENCE: The care plans were seen for all of the three residents. They still all require further detail to ensure that continuity of care is provided. In one care plan it states that a resident ‘often needs help with eating and drinking’ but there is no detail of how this is to be achieved. In some cases the behaviour management plans mention strategies of how to reduce behaviour but there is no detail of these strategies. It is difficult for residents to make choices but whilst the inspector was at the home it was noted that a member of staff held up in front of a resident tea and coffee to find out which they would prefer to drink. The member of staff also described how they are able to ensure that residents make as much choice as possible about the clothes they wish to wear on a daily basis. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 10 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): 14 & 16 Residents lack stimulation and variety in the leisure activities offered to them. A restriction to one bedroom has the potential to place a resident at risk. EVIDENCE: Previous inspections have highlighted concerns about lack of stimulating activities for residents. Following this inspection these concerns remain. One behavioural plan completed by an external professional says to encourage on a 1:1 basis activities/games at least twice a day. Daily recording does not indicate that this has been happening. Staff said that they are doing more activities with residents within the house but there is little evidence of this within the daily recording. One resident still has in the care plan a weekly schedule dated 24th May 2004 which bears little resemblance to what actually happens. Although residents do go out for drives there seems little planned purpose in many of these trips. When the inspector arrived at the home preparations were being made for all the residents to go on holiday later that day. A recommendation has been made on the last two visits to the home that a bolt be removed from the outside of one residents door this remains outstanding. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 11 Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 12 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): 19 Lack of monitoring within the home means that some medical needs are not met. EVIDENCE: It was noted on the inspection on July 12th that in one care plan it said that a resident needed to loose weight but there were no details of the weight being monitored. A recommendation was made that weight was monitored and a referral made to a dietician. At the additional visit made on 28th September the same recommendation was made. At this inspection it was noted that weights had been only recorded on 11th November 2005, 18th November 2005 and 25th November 2005. The Manager said that the GP has said that a referral can be made to the dietician when there is a record of weights. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 13 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): These core standards were assessed on 12th July 2005. EVIDENCE: Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 14 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): These core standards were assessed on 12th July 2005. EVIDENCE: Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 15 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): 32 & 35 Residents will benefit from staff obtaining a recognised qualification but may be at risk from the lack of some specific training. EVIDENCE: Currently sufficient staff have completed NVQ level 2 or 3 or have nearly finished to ensure that although 50 of the staff are not trained as yet but the manager feel that they should be by the end of March or April Staff said that they felt there training needs were met and that the Organisation would accommodate specific needs which they may identify. One of the members of staff on duty at the time of the inspection has not had any medication training although she does administer medication within the home. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 16 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): 37 & 39. Residents will benefit from a formally recognised manager but lack of systems to establish and review quality at the home may mean that residents do not receive a valued service. EVIDENCE: The manager of the home has submitted an application to be registered and this is currently being processed. One of the staff who spoke to the inspector felt that the manager was approachable and supportive. A recommendation has been made on previous inspections that the quality assurance process is completed. This remains outstanding. Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 17 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 X 2 X 3 1 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 2 15 X 16 2 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 X X 3 X 2 X X X X Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA3 Regulation 12 (1) (a) Requirement You are required to ensure that the welfare of service users is met in relation to their communication needs by all staff. (Timescale of 14/8/05 & 28/10/05 not met.) You are required to ensure that all staff who administer medication have received training. Timescale for action 09/02/06 2 YA35 18 (1) (a) 09/03/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Valona Refer to Standard YA3 YA14 YA16 Good Practice Recommendations It is recommended that action is taken to ensure that residents clothes fit them. It is recommended that a variety of leisure activities are offered to service users. It is recommended that the bolt is removed from the DS0000048550.V276752.R01.S.doc Version 5.1 Page 19 service users door 4 YA19 It is recommended that the service user identified at the inspection is referred to a dietician and that a record of weight is maintained. It is recommended that staff complete NVQ training It is recommended that the quality assurance process is completed. 5 6. YA32 YA39 Valona DS0000048550.V276752.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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. 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