Inspection on 31/08/06 for Venetia House

This inspection was carried out on 31st August 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

Venetia House 13/10/09

Venetia House 09/01/08

Venetia House 24/01/06

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 31 August 2006 09:55 Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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.V309584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 24th January 2006 Brief Description of the Service: This is a well established home for people with either learning disabilities and/or 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 two double and eight 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. Residents 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 residents can sit. Current fee levels at the home range from £926.20 to £1234.32 per month. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday starting at 09:55 and lasting 5 hours and 45 minutes. The inspection focussed on how the needs of two people who live at the home are met and their impressions of living there. As part of this process discussion was held with both of them, the manager and two staff members and records relating to their care were looked at. The inspector also looked at other documentation including medication, fire and staff records and spoke to four other people about what it was like to live at the home. Finally the inspector looked at all areas of the home, including the garden and residents’ bedrooms. What the service does well: What has improved since the last inspection? All the home’s windows have been replaced and are now double-glazed. The people that live at the home said this had made it much quieter inside. One double-room has been split to make two single rooms; both these rooms have enough space and natural light. A new cooker has been fitted in the kitchen and several rooms have been redecorated. Staff have had some training about medication and more has been arranged. All staff have had a criminal records bureau check and their names have been checked to make sure they don’t appear on the vulnerable adults register. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 6 The fire risk assessment has been updated to include a plan of the home, which has the fire exits and alarms marked. 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.V309584.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4 Quality in this outcome area is good. Residents’ needs and aspirations are competently assessed and excellent arrangements are in place to allow new residents to test drive the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new resident’s assessment was examined. This gave a good outline of their needs and outlined which agency was responsible for various aspects of their care and the frequency with which future reviews would be held. Excellent arrangements had been made to enable this resident to ‘test drive’ the home. A series of day and overnight stays had enabled the resident to make an informed decision. Although initially unsure about the move, they are now very positive describing the home as “brilliant” and said that staff had been “very patient” in giving them time to get to know the home first. Information about appropriate advocacy services (such as ‘Fairdeal’ and ‘Lamp’) is outlined within the service users’ guide, which is given to residents before they move in. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good. Residents are involved in day to day decisions, are supported to take reasonable risks and care plans accurately reflect their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents’ care files were examined in detail and discussion was held with them and the manager about their needs; this confirmed the accuracy of the written information. Care plans are signed by the resident and show evidence of regular review. They contain risk assessments appropriate to the individual and their lifestyle, as well as agreements between the home and the resident about restrictions on certain types of behaviour (for example smoking). These have been drawn up with the involvement of a local independent advocacy service. The majority of residents receive support in managing their finances and detailed, accurate records are kept of all transactions. Minutes of residents’ meetings show that potential holiday destinations and changes to the home’s menu were recently discussed. Most residents play some part in the day-today running of the home such as setting tables, assisting with laundry or washing up. Most spoke positively about this with one saying, “I like helping around the house.” Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. Residents have opportunities to engage in vocational, leisure and community activities, are given good support in maintaining links with family and friends and enjoy good, nutritious food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents engage in a variety of daytime activities including paid and voluntary work, attending specialist day centres and college courses. The home is well placed for accessing local amenities and many residents use local buses to access those further a-field. All residents are given the opportunity to go on holiday with staff support although some choose not to do this. Several residents had visited the Isle of Wight in April and eight are going on a group holiday to Skegness in September. Many residents spoke positively about a local social club that they visit weekly although some said that they prefer to relax in the evening and watch “their soaps”. Residents are well supported in maintaining links with their families and friends with staff assisting them with telephone calls and letters or in making journeys Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 11 to their relatives if appropriate. Several residents have families that visit on a regular basis and the home also arranges social events which relatives and friends attend. Residents can choose to have keys to their own bedrooms and the front door if they wish. They are able to make telephone calls in private and open their own mail, requesting staff support if necessary. All residents are very positive about the food, “The food is the best I’ve ever had.” “The food is just marvellous – I feel well on it!” Residents were particularly enthusiastic about the packed lunches, commenting on the variety, “It’s not just sandwiches”. One resident with diabetes said that staff supported them in maintaining their diet and making sure that they had the right things. Menu records showed a good balance of food, with two choices offered for each main meal and the use of fresh ingredients; fresh fruit is always available. Some staff have gained certificates in nutrition in care settings. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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): 18, 19, 20 Quality in this outcome area is good. Residents receive appropriate personal support and their health and medication needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans outline the personal support that residents need and how they like to receive this. They also contain evidence of regular health appointments with doctors, specialist nurses, dentists and opticians. Residents have regular contact with specialist mental health care professionals and medication and care plans are regularly reviewed. Most residents are not currently accessing chiropody services, although one resident with diabetes regularly sees a private chiropodist. It is recommended that the registered manager contact the local primary care trust to enquire about access to chiropody services. Medication records relating to administration, receipt and return are in good order. The medication cabinet is clean and tidy and there are no excessive stores of medication. An update in staff training on medication administration is currently being arranged by the manager, and staff have recently been given training by a community psychiatric nurse about the medication residents take in relation to their mental health. The manager was reminded that should any residents choose to administer their own medication then a risk assessment relating to this should be completed. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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): Quality in this outcome area is good. Residents are listened to and good systems and practice are in place to protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most residents said they would tell the manager or the provider if they weren’t happy with anything although one person said they would tell any of the staff, as “there are no bad ones here.” One resident said if they weren’t happy with the home’s response then they would write to the inspector at the Commission (the address is included in the home’s complaints procedure). A record of all concerns/complaints is kept, together with the response made. This indicated that all residents’ concerns are treated seriously and efforts made to resolve them. Procedures are in place dealing with adult protection, including the most recent version of local adult protection protocols. Staff have undertaking training in adult protection as part of their National Vocation Qualifications. Recruitment procedures are now robust and include obtaining criminal record bureau checks for all staff before they begin employment and ensuring that their names do not appear on the vulnerable adults register. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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): 24,30 Quality in this outcome area is good. Residents live in a clean and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Several changes and improvements have been made to the home’s environment since the previous inspection. All windows have been replaced and are now double-glazed. One resident said “I like the new windows” and another commented on how quiet their room now was. One double room on the first floor has been converted into two single rooms. Planning and fire authorities have approved the work and room sizes conform to national minimum standards. A new range-cooker has been fitted in the kitchen and several areas of the home have been redecorated, including the lounge on the first floor. Décor in all areas is good and furnishings are comfortable. The home is clean, tidy and fresh smelling; one service user described it as “always spotless”. Training records indicate that staff have received training in infection control and good standards of hygiene practice were observed throughout the inspection. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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): 31, 32, 33, 34, 35 Quality in this outcome area is good. Residents are supported and protected by well-trained staff and effective recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are sufficient staff on duty to meet residents’ needs and good arrangements are in place for staff to access additional support if required. Residents spoke very positively about staff members; comments made include, “the staff are ever so accommodating, they sit and talk to me about my worries.” “All the staff are good here.” “They’re damn good staff”. Training records indicate that all staff have completed the ‘Skills for Care’ induction and four staff members currently hold a National Vocational Qualification in Care at level 2, three of which plan to commence level 3 in September 2006. Records show that staff have received other training relevant to their jobs for example dealing with aggressive behaviour, infection control and person centred planning. Improvements have been made to recruitment practices and all staff have now had an enhanced criminal records bureau check and their names have been checked against the vulnerable adults register. Two references are sought for all staff members and evidence of their identity is on file. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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, 42 Quality in this outcome area is good. Practices in the home promote residents’ health and safety and some systems are in place to ensure that standards are monitored and improved. This judgement has been made using available evidence including a visit to this service EVIDENCE: The registered manager has obtained a National Vocational Qualification in care at level 4 together with the Registered Manager’s Award. She also undertakes regular training alongside her staff group to maintain and enhance her skills. Residents’ views are sought both informally and formally at residents’ meetings; at the most recent, views were sought on the food served in the home and on potential holiday destinations. The home has regular contact with a variety of professionals and several residents’ families. It is recommended that the home identify a more formal method of gaining their opinions as to the standards of service in the home and that this is used as part of the quality monitoring process. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 17 Records show that staff have received training in moving and handling, first aid, food hygiene and infection control. Documentary evidence was available to show that the home’s fire alarm system has been serviced, together with fire extinguishers in the last twelve months. Records show that fire alarms are tested regularly and that fire drills are held. The fire risk assessment has been updated to include the location of fire exits and alarm points as required at the previous inspection. Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 18 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 3 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 Page 19 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. 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. Refer to Standard Good Practice Recommendations Venetia House DS0000006380.V309584.R01.S.doc Version 5.2 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. 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