Inspection on 24/01/06 for Venetia House

This inspection was carried out on 24th 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Venetia House 13/10/09

Venetia House 09/01/08

Venetia House 31/08/06

Venetia House 08/09/05

Venetia House 25/10/04

Venetia House 16/04/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Venetia House 348 Aylestone Road Leicester Leicestershire LE2 8BL Lead Inspector Ruth Wood Unannounced Inspection 24th January 2006 12:00 Venetia House DS0000006380.V279439.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 Venetia House DS0000006380.V279439.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. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Venetia House Address 348 Aylestone Road Leicester Leicestershire LE2 8BL 0116 2837080 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) Mrs Phyliss Turner Mrs Valerie Moseley Care Home 12 Category(ies) of Learning disability (12), Mental disorder, registration, with number excluding learning disability or dementia (12) of places Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 08 September 2005 Brief Description of the Service: This is a well established home for people with learning disabilities and mental health problems. It is located in the Aylestone area of the City and is on a main bus route. The homes accommodation is over three floors, the first floor being accessible by stair lift. There are three double and six single rooms. One double room is located on the ground floor and there is also a ground floor bathroom. There is a large lounge on the ground floor and a small non-smoking lounge on the first floor. The dining room is located near to the kitchen on the ground floor. Service users are encouraged to use the kitchen to make snacks and drinks with the appropriate support of staff. There is a large, well maintained garden to the rear of the home with three patio areas where service users can sit outside. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place on a weekday afternoon between 2.15pm and 5pm. Planning for the Inspection included a review of the previous Inspection Report and Reports sent by the Provider of her own monitoring visits. Following the last Inspection two additional visits were made to monitor the progress made on Requirements relating to the management of residents’ finances. These were fully met within the given timescales. During the Inspection discussion was held with the Registered Manager and several residents. Residents’ plans and other documents were examined and a tour of the building was made. At the previous Inspection twelve Requirements were made of which four are outstanding. Two new Requirements were made at this Inspection. All six good practice Recommendations made at the previous Inspection have been followed. What the service does well: What has improved since the last inspection? The documentation of care plans has been improved with plans more accurately reflecting care received. Some residents need support in managing their finances and a new system has been implemented which successfully monitors and records this. Improvements have been made in the recording of particular medicines received in to the home and clear protocols are now in place stating under what circumstances a resident should be given ‘as required’ medication. The dining and small living room have been re-decorated and the latter has now been designated a ‘quiet lounge’ at residents’ request. Residents expressed their pleasure with the décor of this area and said how nice it was to spend time in. Venetia House DS0000006380.V279439.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. Venetia House DS0000006380.V279439.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 Venetia House DS0000006380.V279439.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): EVIDENCE: The key standard was assessed at the previous Inspection on 8th September 2005 and no Requirements were made. Venetia House DS0000006380.V279439.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): 6,9 Residents are supported to take reasonable risks to promote their independence; these along with other needs are detailed in residents’ plans. EVIDENCE: Two residents’ care plans were examined. The Registered Manager and key workers have been undertaking a system of improvement and plans more accurately reflect the care given to residents as described and observed. A detailed daily plan of care is being prepared for each resident and the majority of documentation was signed and dated by the resident and a staff member. Care plans contain risk assessments relating to specific aspects of care such as smoking; discussion and documentation showed that these had been negotiated with residents. The balance between independence and risk is well managed. For example during the Inspection one resident went out giving the manager a time when they would return. Should they be late it was agreed they would call the home using their mobile. A policy for dealing with unexpected absences by residents was also clearly displayed. Two additional visits were made following the previous Inspection, to monitor improvements required in the way that residents’ finances were administered. These improvements were instigated within the timescales given and continue to be regularly monitored by the Registered Manager. Venetia House DS0000006380.V279439.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): EVIDENCE: All key standards were fully assessed at the previous inspection (8th September 2005) when no Requirements were made. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 11 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): 18, 20 Medication is well managed in the home but some staff still require training in this area. Residents receive appropriate support with personal care. EVIDENCE: Residents’ personal care support needs are fully detailed in care plans. Staff provide a wide range of support from prompting to actual personal care. Medication practice within the home was fully examined at the previous inspection when three Requirements were made. Full details of medication received directly from hospital (rather than the monitored dosage system) are now entered on the Medication Administration Record (MAR). Protocols are now in placing stating under what circumstances a resident should be given ‘as required’ medication. Copies of these are held on the MAR and on residents’ care plans. Some staff members still require training in administering medication. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 12 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): 22,23 Residents’ views are listened to acted upon and they are protected from abuse, neglect and self-harm. EVIDENCE: A Complaints Procedure is in place, which includes information about local advocacy services, should residents need independent advice or support. The Procedure needs updating to include the contact details of the Commission for Social Care Inspection. Procedures are in place dealing with Adult Protection including the most recent version of local Adult Protection Protocols. The Registered Manager and Provider should make themselves aware of the Department of Health Guidance to residential homes relating to the Protection of Vulnerable Adults. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 13 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): 24,30 Residents live in a clean, comfortable and safe environment. EVIDENCE: Several areas of the home have been re-decorated since the last inspection including the small upstairs lounge. Following feedback from residents this has now been designated a ‘quiet lounge’ (without a television) to use for reading or listening to music. New furniture has been purchased for the main lounge and the dining room has also been redecorated. New blinds have been fitted here and in the kitchen. The Provider’s Reports indicate that fire door closures are now regularly checked. A tour of the building showed all areas to be clean, tidy and well presented with comfortable furnishings. The home was also pleasantly warm, which was appreciated by residents returning from day activities given that the weather outside was very cold. Radiators have either temperature-controlled surfaces or are covered. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 14 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): 32,34 Appropriate levels of staff ensure residents are well supported. EVIDENCE: All key Standards were fully assessed at the previous Inspection. Recruitment practice within the home is generally thorough with two written references being obtained prior to staff working in the home. Two staff members however still do not have a current Criminal Records Bureau check although this has been applied for. There are two members of staff on duty throughout the day and one waking night staff member. Feedback gained through reading the Provider’s Reports and from discussion with the Manager indicated that staffing levels were regularly reviewed on the basis of the current residents’ level of need. Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 15 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): 37,39.42 Residents live in a well run home, their views are listened to and their health and safety is generally well protected, although some improvements are required in this area. EVIDENCE: The Registered Manager, Mrs Val Stone, holds the Registered Manager’s Award and undertakes other training to maintain her skills. Staff practice is regularly supervised and working practices are monitored and reviewed. Residents are routinely asked for their views on the running of the home both informally and in more formal residents’ meetings. Recent feedback of this kind has led to the creation of a ‘quiet lounge’ without television in the home. A new visitors book has been implemented which includes space for visitors’ comments. CSCI Comment Cards are actively distributed and there is documentary evidence that Policies and Procedures are reviewed on an annual basis. Standards of Health and Safety in the home were fully assessed at the previous Inspection when two requirements were made. These are still outstanding. Some staff still require training in food hygiene (although Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 16 standards in this area are good and there are no environmental health concerns or requirements). Although a fire risk assessment is in place this still does not include a plan of the building showing the location of fire exits and equipment. This latter Requirement must be addressed as a matter of urgency. Venetia House DS0000006380.V279439.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 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 3 X X 2 X Venetia House DS0000006380.V279439.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 YA20 Regulation 13 Requirement All staff that administer medication must receive appropriate training. (Previous timescale of 11/11/05 not met) Contact details of the CSCI must be included in the Complaints Procedure. The Registered Provider and Manager must ensure that they are aware of the Department of Health’s Guidance concerning the Protection of Vulnerable Adults and that it is followed. Criminal Records Bureau checks must be obtained for the two identified staff members. (Previous timescale of 31/10/05 not met) All staff involved in the preparation and serving of food must receive training in food hygiene. (Previous timescale of 11/11/05 not met) The fire risk assessment must be updated to include a plan of the location of fire equipment and exits in the building and must be easily accessible (Previous timescales of 25.11.04 & DS0000006380.V279439.R01.S.doc Timescale for action 28/02/06 2 3 YA22 YA23 22 13 03/01/06 17/02/06 4. YA34 19 17/02/06 5. YA42 13 28/02/06 6. YA42 23 03/02/06 Venetia House Version 5.1 Page 19 31/10/05 not met.) 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 Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Venetia House DS0000006380.V279439.R01.S.doc Version 5.1 Page 21 - 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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