Inspection on 21/02/06 for Venmore Community Care Centre

This inspection was carried out on 21st February 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 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

Venmore Community Care Centre 03/02/09

Venmore Community Care Centre 28/02/07

Venmore Community Care Centre 02/12/05

Venmore Community Care Centre 21/03/05

Venmore Community Care Centre 11/08/04

Venmore Community Care Centre 15/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Venmore Community Care Centre Hartnup Street Anfield Liverpool L5 1UW Lead Inspector Natalie Charnley Unannounced Inspection 21st February 2006 08:30 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 Venmore Community Care Centre DS0000035855.V285030.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. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Venmore Community Care Centre Address Hartnup Street Anfield Liverpool L5 1UW 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) Liverpool City Council Mrs Anne-Marie Little Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of 25 adults may be accommodated in the category OP. To allow one named male service user under the age of 65 years to live at Venmore Care Home. 2nd December 2005 Date of last inspection Brief Description of the Service: Venmore House care home is located in the Anfield area of Liverpool and is close to local shops and transport links. The home is a purpose built building split onto three floors and incorporates a large day centre, which residents can access. The home is registered to provide personal care to up to 25 residents. The three floors operate independently and have a separate kitchen, dining room, laundry and lounge on each floor. Smoking facilities are available on the top floor. 15 bedrooms are en suite. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 08:30 and left at 13.00 .The inspector spoke with 5 staff, the deputy manager, and 3 residents. No visitors were available at the time of the inspection. The inspector completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas that needed covering were done so. Feedback was given to the deputy manager during and at the end of the inspection. All outstanding requirements and recommendations from the last inspection have been met. What the service does well: What has improved since the last inspection? The home has no staff vacancies and are moving forward with plans to create a specialist stroke care centre. All corridors have been re painted and a new hoist and shower chairs have been purchased to assist residents. The home had an unannounced inspection from the local pharmacy on 3rd February 2006. No areas of concern were noted in the report seen. Staff have identified a personal need to undertake medication training and new policies are being developed at present regarding medication administration. Venmore Community Care Centre DS0000035855.V285030.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. Venmore Community Care Centre DS0000035855.V285030.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 Venmore Community Care Centre DS0000035855.V285030.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 the above standards were assessed in full during this inspection EVIDENCE: Venmore Community Care Centre DS0000035855.V285030.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 Care planning at the home is based on the individual and details how care is to be given, however the home must demonstrate that they are involving residents in this process. EVIDENCE: Three care plans were looked at during the visit. Plans were clear and comprehensive, however there was no evidence to show that residents had been involved in planning their own care. Residents spoken to were not aware of what their care plan was. Plans are reviewed by staff on a monthly basis and changed if needed. Care plans did not contain details to show that the home had completed a nutritional assessment. A tool for doing this has since been given to the manager and will show if a resident needs support in this area from staff or other health professionals. Risk assessments are in place for manual handling and the general mobility of the residents. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 10 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): 15 Dietary needs of residents are well catered for with a balanced selection of food that meets the tastes of residents. EVIDENCE: The home has a menu that rotates every four weeks. The deputy manager and explained how the chef tries new ideas out for residents and then asks for their opinions before putting it permanently on the menu. Cook explained that residents have varied tastes and caters for both modern and traditional tastes. Minutes of the residents meetings that are held on a regular basis showed that food is a popular topic. Suggestions such as “ bubble and squeak”, “more pasta” and “cheese on toast” were recorded and had put onto the menu for residents to try. Residents had also asked for juice to be available in the lounges which was seen on a tour of the home. Residents had been given a ‘chippy tea’ during the previous week, which they “really enjoyed” and confirmed that they had “a lot of fresh foods”. The home has one afro-Caribbean resident, however he has no specific dietary needs. The kitchen staff have access to a ‘multicultural’ cook book and discussed how they have close contact with another home who offer advise on cultural issues when needed. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 11 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): None of the above standards were assessed in full during this inspection. EVIDENCE: Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 12 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 The layout, facilities and location of the home are suitable for the residents who live there, however some areas of cleanliness need addressing to ensure the building is a pleasant place for residents to live. EVIDENCE: A tour of the home was carried out. The main laundry area was found to be in need of cleaning behind the washing machines and the middle floor corridor had a malodorous smell. The deputy manager explained that the home are currently looking into providing a resident, who is experiencing continence problems, with more appropriate bedroom flooring, which is the cause for the smell in the corridor. This will be followed up during the next inspection. All other areas of the home were found to be clean and tidy. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 13 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): 28 Staff at the home are highly trained and supported by the management team to continually develop their skills. This ensures they provide a high standard of care for residents. EVIDENCE: The home employs a total of 21 care staff. 20 members of staff hold an NVQ (National Vocational Qualification) specifically in ‘care’. 7 staff have advanced qualifications (level 3) within this area. The home has exceeded the required 50 of qualified staff needed at a care home, which they should be commended for. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 14 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): 35 Financial records at the home safeguard residents and allow them to use money independently EVIDENCE: Money is held securely in the home for 17 residents. Residents then ask staff for money when they need it. Records at the home were accurate and clear and receipts were available for anything bought on behalf of a resident. Staff assist residents where possible to manage small amounts of money themselves, however some families prefer to hold control of areas of finances. This is clearly recorded by the home. Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 15 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 2 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Venmore Community Care Centre DS0000035855.V285030.R01.S.doc Version 5.1 Page 16 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. 1 Standard OP7 Regulation 15(1) Requirement The registered person must ensure residents are involved in the development of their individual ‘care plans’ The registered person must ensure the laundry is kept clean and that the odour to the middle floor corridor is addressed Timescale for action 01/04/06 2 OP19 23(2)(d) 01/04/06 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. Refer to Standard OP31 Good Practice Recommendations The inspector strongly recommends that the registered manager be given some supernumerary hours. 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