Inspection on 09/02/06 for Vaughan Lee House

This inspection was carried out on 9th February 2006.

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

Vaughan Lee House 23/07/08

Vaughan Lee House 16/01/08

Vaughan Lee House 04/12/06

Vaughan Lee House 08/08/05

Vaughan Lee House 04/02/05

Vaughan Lee House 16/09/04

Vaughan Lee House 25/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Vaughan Lee House Orchard Vale Ilminster Somerset TA19 0EX Lead Inspector Mandy Sharp Unannounced Inspection 9th February 2006 10:10 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 Vaughan Lee House DS0000016070.V273948.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 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. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Vaughan Lee House Address Orchard Vale Ilminster Somerset TA19 0EX 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) 01460 52077 vaughanleehouse@tiscali.co.uk ILMINSTER AND DISTRICT (O P W ) HOUSING SOCIETY Limited Mrs Rosalind Anne Woolmington Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Vaughan Lee House is a care home providing care and support for up to 26 older people. The home is located in a residential area of Ilminster. Local services including shops, pubs and public transport are nearby. The home is owned and managed by a local charitable organisation. The home was purpose built in 1970 with the specific aim of providing support for local people. Consequently the majority of resident service users are from Ilminster and the surrounding villages. Locally based staff are also attracted to working in the home. Consequently the home has strong links with the local community, including volunteers, which benefits the residents. All accommodation is on the ground floor and bedrooms are for single occupancy. The home offers a limited amount of day care for non-residents each week. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection that took place from 10.10 am until 13.15 hours. The inspector spoke to 12 residents, 5 staff members and 3 relatives. The inspector case tracked 3 residents – this means that she met with them, looked at their care records, looked at their rooms and discussed some aspects of care with a member of staff. At the last inspection in August 2005, all the standards that care homes have to meet were looked at by the inspector. All the standards were met. So, on this inspection the inspector only looked at a few standards. This report should be read in conjunction with the report from August as this gives a fuller picture of the home. The inspector also met with the manager responsible for the general administration of the home. The Commission are in the process of registering a manager who will be the registered manager responsible for the care. What the service does well: What has improved since the last inspection? Some bedrooms have been decorated and new furniture bought. An additional clause has been added to the complaints procedure to make sure that residents are aware of the local advocacy services. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 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. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 7 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 Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this visit. EVIDENCE: Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 There is a good care planning system in place meaning that staff are aware of the residents individuals needs. Personal and heath care needs are met in a thoughtful and respectful way by the staff. On the whole staff ensure that residents’ right to privacy is maintained but could be further improved. EVIDENCE: Three care plans and records were looked at. Care plans are kept in the office and also in the residents’ rooms. They generally held up to date relevant information and overall care is reviewed each month, rather than each element of the care plan. The assistant manager had a very good understanding of the residents’ individual needs. The community nursing services are responsible for any dressings that needed doing and keep separate records at the home. Residents said that the doctor would visit whenever they were unwell. Relatives confirmed that they were informed if their relative was unwell. There were good care notes that had been made recently when a resident had a urinary tract infection and quick Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 10 action was taken to make sure the resident was prescribed antibiotics and that appropriate care was given, such as encouraging fluids. When asked about the staff, residents said ‘ Staff are very kind and nice ’, ‘ I can’t put my finger on anything I ‘d change, I think the staff do try and keep everyone satisfied’ and ‘ The staff are obliging, you only have to ask’. Some residents said that occasionally when staff knock on their bedroom door, they open it before the resident has a chance to say it was alright for them to enter, although staff did always knock on the door. During the inspection staff were seen to treat residents in a respectful and kind way. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Residents benefit from a wide range of activities in and out of the home. There are good contacts between relatives and the home, meaning that the residents are able to maintain their relationships and friendships. Spiritual and religious needs are well met by the home. Residents are generally able to make everyday choices at the home, enabling them to have control over their lives. There is a very good standard of meals provided at the home meaning that residents are offered a varied and nutritious diet. Specialist diets are particularly well catered for, meaning that individual needs are met. EVIDENCE: During the inspection the inspector sat with 5 residents and a care assistant who were taking part in a colouring and word search exercise. They confirmed that every morning there is an hour’s activity, such as quizzes, exercises, table skittles, beetle drives, bingo and memory games. A notice was pinned up on the notice board saying what activities were on offer that week. The care assistant is responsible for running these sessions during the week and also Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 12 said that she made sure that all residents who choose to stay in their bedrooms had a one to one session at least once a fortnight. There are also monthly entertainment sessions at the home such as an organist and a sing a long, the donkey sanctuary visiting, a volunteer from an animal rescue centre and a fashion show. Also there are monthly trips out to a wide variety of places such as Seaton, Lyme Regis, garden centres, trips through the local villages and Beer. All of these events are advertised in the main entrance area to the home. Residents confirmed that they went on these trips and enjoyed them. Staff act as keyworker for residents, which means that they have a special responsibility for a certain number of residents and make sure that they have everything they need. If they have time they try and spend some one to one time with that resident. Papers are delivered daily to those who want one, and one resident said that she happily spent the day reading through all of the paper and doing the crossword. Three hairdressers visit on a regular basis and on the day of the inspection a number of residents were going to have their hair done. There is a regular communion and the Methodist minister also visits regularly, again this was advertised on the notice board meaning that spiritual and religious needs are met. The three relatives said that they are made to feel very welcome in the home and that they were very happy with the care provided, in fact they all said that they had ‘booked a bed for the future!’ They said that staff kept them informed of any changes they needed to know about. Residents felt that they had choice and control in their lives, saying that they could go to bed whenever they liked, they could have a long soak in the bath uninterrupted, and they could choose how they spend their day. They accepted that there needed to be some sort of routine in a care home, and the only point they raised was that they were woken up at 7am with a cup of tea, and generally got up between 8am and 9am. They could choose to have breakfast in their bedroom or the dining room. They said that they could stay in bed if they were unwell, but did seem unsure if they could ask to stay in bed for a lie in. The cook explained that there is a 12-week rotating menu, and that there is a summer and a winter menu. There isn’t a planned choice at lunchtime although residents are able to have an alternative if they don’t like the main course. She had tried to introduce two choices before but this had not been successful. The cook said she meets with all new residents to find out their likes and dislikes and there was a notice in the kitchen so that all staff were aware. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 13 The cook showed a good level of expertise and sensitivity when talking to a resident about their special diet. There is regular contact between the cook and the hospital dietician. This was seen as very good practice - she was working out the best way with the resident how the home could manage his diet. The resident confirmed that he was very happy with the care being provided and that the cook did very well in adjusting his diet as needed. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 A minor adjustment to the complaints procedure will mean that all relatives and residents know who they can contact when they have a complaint. Residents and relatives are confident that their complaints would be listened to and dealt with. EVIDENCE: There is a complaints notice in the hallway on the notice board. It now also has a contact name for advocacy services as recommended at the last visit. It does have the contact details for the Commission for Social Care Inspection, but that the Commission can be contacted if the complaint has not been resolved. Residents need to be aware that that they can contact the Commission at any stage. Residents and relatives were clear that they would contact the manager if they had a complaint and were sure it would be resolved. The Commission has not received any complaints since the last inspection. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24 and 26 The home provides a good standard of living accommodation, meaning that residents benefit from living in a safe, clean and comfortable home EVIDENCE: The home is well maintained throughout and there is a programme of redecorating and refurnishing any bedroom once it is empty. The assistant manager said that residents are involved in choosing colours etc when the home is redecorated. There is a maintenance man who works for several hours each week and he keeps on top of work that needs doing. The assistant manager explained that there were plans to build some ensuite rooms and eventually make some of the existing bedrooms larger. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 16 There are a few communal areas, including 2 dining room areas. There is a hairdressing room, which means that residents are able to ‘ have a visit to the hairdresser’. There is a patio area outside the home, which the assistant manager said was well used by the residents and a resident confirmed that she enjoyed the warmer months when she would be able to spend more time outside again. Several bedrooms were looked during the inspection and met the needs of individual residents. They were homely and comfortable with lots of evidence of personal possessions. All bedrooms have a sink and there are two ensuite bedrooms. Residents are able to have a key to their rooms and some residents choose to have a key, this is recorded in their records. The home was very clean, fresh and tidy throughout. There are 4 domestic staff on duty each morning and consequently a high standard of cleanliness is maintained. Relatives and residents said that the home was always clean. There is also a laundress on each morning and one resident said that there is a ‘very speedy laundry service’ and that ‘ he sends his laundry at 9am and it is back all done by 12pm’. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Residents benefit from having their care needs met by suitable numbers of a stable staff group. EVIDENCE: On duty there was the assistant manager, 2 care assistants, 1 care assistant who came in to help with the breakfasts and carry out the morning activity, 4 domestic staff, 1 laundress, on cook, one kitchen assistant and the manager in charge of the administration. These numbers of staff mean that all aspects of care can be delivered in a timely way. The duty rota corresponded with the actual numbers of staff on duty meaning that it was an accurate record. Residents said that the staff had worked at the home for a long time and so they got to know everyone. One resident said that ‘ because he was local he knew all the girls’ and this seemed an important factor for many of the residents. The training records were not looked at but one care assistant said that she had an NVQ level 2 (a care qualification) and had recent training, including fire training and also on what to do if she suspected residents were at risk from harm. Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were looked at this inspection EVIDENCE: Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 19 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 20 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. 2. Refer to Standard OP10 OP14 Good Practice Recommendations Remind staff to wait for residents to give permission to enter rooms after knocking doors. Ensure that residents know that they are able to have a lie in if they choose to, or if they wish to be woken up with a cup of tea at a certain time Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Vaughan Lee House DS0000016070.V273948.R01.S.doc Version 5.1 Page 22 - 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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