Inspection on 28/02/07 for Venmore Community Care Centre

This inspection was carried out on 28th February 2007.

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

Venmore Community Care Centre 03/02/09

Venmore Community Care Centre 21/02/06

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 Debbie Corcoran Unannounced Inspection 28th February 2007 10:00 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.V319187.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 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.V319187.R01.S.doc Version 5.2 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) www.liverpool.gov.uk 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.V319187.R01.S.doc Version 5.2 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. 21st February 2006 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.V319187.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was not announced beforehand. Throughout the day the inspector met with a number of residents on an individual basis and spoke with a member of care staff on a one to one basis and with the person in charge. A tour of the premises was carried out and a sample of resident’s rooms were viewed. Records were examined and these included the care plans for three of the residents, medication records, staff files, staff training records and health and safety records. Residents returned questionnaires on the home to the Commission prior to the visit. Some of the information contained in these has been used to inform the findings of the inspection. What the service does well: The findings of this inspection were good. The residents were very positive about all aspects of the home. Resident’s comments included staff are “brilliant” and “they really look after us well”. New residents are only admitted to the home following an assessment of their needs. This is to ensure the home has sufficient information so as to determine if the person’s needs can be appropriately met. Each of the residents has a care plan which gives a good level of information on how to meet the person’s needs. Residents are included in good level of activities within the home and there are occasional trips out organised for small groups of residents. Activities are well advertised and residents are involved in planning the activities. Residents have the opportunity to attend residents meetings and contribute to decision making. Residents are well supported with their health care needs. Residents are supported to see a GP, nurse or other relevant health professionals when appropriate. The catering arrangements are well organised and residents were clearly more than satisfied with the quality of food and meals provided. The cook has Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 6 knowledge of the dietary needs of the residents and of their likes and dislikes of food. The home is very well presented both inside and out and is comfortable, spacious and welcoming. Aids and adaptations are in place to promote the independence of residents and ensure staff carry out safe practices when assisting residents with moving and transferring. Resident’s bedrooms are very nicely presented and furnished with many of their personal belongings. Staff were seen to interact with the service users with courtesy, respect and warmth. Staff responded quickly when calls for assistance were made from the residents. Staff are provided with good training opportunities and all staff are qualified to at least a National Vocational Qualification (N.V.Q) level 2 in care. The home is well run and well organised. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 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.V319187.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are assessed before they move to the home to ensure that their needs can be met at the home. Short term care is well provided and short term residents receive a high quality service. EVIDENCE: The files for 3 of the residents were looked at in order to assess the home’s referral and admissions procedures. An assessment of needs was in place for each of the residents chosen. The assessments had been attained from relevant professionals for example from care managers and or nursing staff. The home does not provide intermediate care. At the time of the visit 16 of the residents were residing at the home on along term basis and 3 residents were staying at the home on an agreed short term basis. The home also offers 2 respite places but these were vacant at the time of the visit. The home is not admitting long term residents at present as consultation as to the future of the home is underway. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each of the residents has care plan which is sufficiently detailed and clearly reflects the residents needs. Residents are well supported to remain healthy and staff refer for medical assistance appropriately. Medication is safely stored and managed. EVIDENCE: Each of the residents has a care plan. The care plans of three of the residents were examined in some detail. Care plans are very easy to read and follow. The care plans provide information on meeting the resident’s needs in areas such as; their personal care, communication, mobility, eating and drinking, spiritual and cultural needs, social needs and sleeping. Care plans also indicated that the residents are encouraged to maintain their independence as much as possible. The care plans examined had been signed by the resident concerned. A member of the staff team reported that they read the residents care plans and are encouraged to contribute to the information in them. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 10 Where a resident is thought to be at risk then a risk assessment is carried out and this forms part of the persons’ care plan. It is recommended that the risk assessment for one of the residents is developed. The details of this were discussed with the person in charge at the time of the visit. All residents were seen to be well presented and their appearance indicated that they are well cared for. One of the residents said “they really look after us” when asked about the care and support provided by staff. Staff are very clear that the ethos of the home is one of ensuring the residents are provided with a homely environment in which they feel respected. Residents records show that they are well supported in remaining healthy. This was confirmed during discussions with residents and in questionnaires returned to the Commission. Residents who may have difficulties with their diet or weight loss are referred for specialist support. Residents are supported to see a GP or nurse when appropriate and feedback from residents was that staff are very good at responding to their health care needs. Medication is appropriately stored, recorded and administered. The majority of medication is provided in blister packs and medication storage was found to be well organised. Medication was examined for two of the residents and was found to be in good order. Medication is administered by senior members of staff who have been provided with training in medication administration. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are well supported to be involved in indoor and outdoor activities. Residents are encouraged to maintain their independence and exercise choice. Residents are provided with a choice of good quality food and the catering arrangements and kitchen are well organised. EVIDENCE: The residents are encouraged and supported to continue with interests and activities which they enjoyed before moving to the home. Residents gave good feedback on the activities at the home and forthcoming activities are well advertised. Discussions with residents and records indicate that the residents are supported to be involved in regular activities such as reminiscence, mini bus trips, games, gentle exercise, video and drinks, sing along, raffles, and there are planned excursions for days out and trips out for example to the theatre. Residents had recently been accompanied to a tea dance and a local entertainer has also visited the home recently. Some of the residents attend the day centre which forms part of the Venmore Community Care Centre. Staffing levels are good and therefore staff can spend some 1 to 1 time with residents for some activities. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 12 Residents are encouraged to make choices about the running of the home and their care. Examples of this can been seen in how residents are consulted at the home. Residents have the opportunity to attend a residents meeting on a regular basis. Many of the residents are well able to express their needs and preferences and contribute to changes at the home. All residents are given their post directly, residents are encouraged to manage their own medication when possible and to manage their own money when possible. The residents gave good feedback on the quality and quantity of meals and food provided. Residents are given a choice of two meals and there are additional options if required. Residents have the choice of a cooked breakfast everyday. Lunch is a light meal and the main meal of the day is the evening meal. The menu looked interesting and varied. The home has a main kitchen on the ground floor and dedicated catering staff prepare all main meals and these are then distributed around the home. Each of the 3 floors of the home has a kitchen and dinning area and residents are encouraged to use these areas to prepare drinks and snacks if they so wish. The kitchen was found to be clean and well organised and the cook was able to describe the special dietary needs of the residents. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and practices are in place for dealing with complaints and for aiming to protect residents from abuse or neglect. EVIDENCE: The home has a complaints policy and procedure which is time scaled appropriately and includes contact details for the Commission. Residents who were asked bout complaints said that they would let staff know if they were not happy about something and that staff would then address their concerns. A record of complaints and compliments is kept. This was looked at and showed that there have been very few complaints made and the home is regularly complimented and thanked for the quality of the service provided. The home has a copy of Liverpool Social Services policy and procedure on adult protection and staff have been provided with adult protection training. One member of staff who was asked about responding to an allegation of abuse was confident in giving a clear and appropriate answer. Accidents and incidents are appropriately recorded and these records identified no areas of concern. The accident record is monitored on a monthly basis. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24, 25, 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home which is well presented, well maintained, safe and comfortable. Bedrooms are nicely decorated and personalised with the resident’s own belongings. The home is clean and hygienic and staff have been provided with training in health and safety. EVIDENCE: The home was purpose built. Accommodation is provided over three floors and each floor has its own kitchen, lounge and bathroom facilities. The home is fully accessible to people who are physically disabled and is fitted with aids and adaptations. A passenger lift provides access to all floors. The home is well maintained and provides a safe and comfortable environment to residents. The decoration and furnishings across the home are of a good standard. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 15 Each of the residents has their own bedroom and some of these provide en suite facilities. There are numerous baths, showers and toilet facilities around the home. Residents bedrooms are decorated and furnished to a good standard and residents are clearly encouraged to bring their own possessions in to the home and personalise their rooms. The home was presented as clean and hygienic throughout. There were numerous domestic staff on duty at the time of the inspection. Policies, procedures and practices for infection control are in place. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are good and service user’s needs were being met effectively and promptly. Residents are supported by staff who are qualified and have good training opportunities. EVIDENCE: During the inspection there were five care staff on duty. In addition to this there were 3 members of domestic staff and kitchen staff. All care staff are reported to have attained at least an National Vocational Qualification (N.V.Q) level 2 in care. Staff training records were checked and these showed that staff have been provided with training in topics such as first aid, food hygiene, protection of vulnerable adults, health and safety, moving and handling and equality and diversity. The residents gave very good feedback about care staff and described staff as “brilliant”, “so helpful” and one resident said “I’d trust them with my life” and “they really look after us well”. Staff were observed to spend time with the residents and to be warm and friendly towards the residents. Staff were observed moving and transferring one of the residents. They showed skill and competence in this. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 17 There have been no new members of staff employed at the home for over 12 months. The home is using agency staff to cover a number of vacant post because the long tem future of the home is under review. Agency staff undergo an induction to the home and the same staff are used so as to ensure consistency for the residents. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of the residents. The home has a system for regularly checking on the quality of the service provided and this includes surveying residents and their relatives. Policies, practices and procedures are in place to safeguard the health, welfare and safety of service users and staff. EVIDENCE: The registered manager ceased working at home approximately 3 months ago. The responsible person must ensure that the Commission is formally notified of this in writing along with the details of the person who is currently managing the home. An acting manager is now managing the home. This person was not Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 19 available at the time of the visit. The responsible person must ensure that an application for registration of a manager is made to the Commission. The deputy manager was in charge of the home and was proficient in responding to all matters and was able to produce all information required during the visit. There are clear lines of accountability across the staff team. Residents manage their own money when appropriate. Where a resident needs support with managing their money then a record of all money they give in and take out is kept and receipts are kept for purchases whenever possible. Staff meet twice per day to handover information and appear to have other good communication systems. Staff are provided with one to one supervision meetings and team meetings take place. The frequency of these needs to be reviewed to ensure that the national minimum standards are met in these areas. Health and safety policies, procedures and practices are in place to safeguard the well being of residents, staff and visitors. Health and safety records were checked. These showed that fire safety checks are in place and fire alarm tests are carried out weekly. Hot water is thermostatically controlled to ensure that it runs close to 43c for bathing purposes. However, when checked the water temperature in one of the communal bathrooms was in excess of this and was too hot. The deputy manager took immediate action and closed the bathroom off. The manager must review how the temperature of the water is checked and the frequency of this and water must be maintained as close as reasonably possible to 43 c. All safety and maintenance certificates which were checked were up to date. A detailed safe working practice risk assessment is in place and this is reviewed on a regular basis. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 20 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 X 4 X 3 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 21 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 OP37 Regulation 9 Requirement Timescale for action 28/04/07 2. OP38 The registered person must ensure that an application for registration of a manager is made to the Commission. 13 (4) ( c) The registered person must review the current arrangements for checking water temperatures to ensure that these are checked regularly and water temperatures must be maintained appropriately. 28/03/07 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 OP7 OP36 Good Practice Recommendations The manager should develop the risk assessment for one of the residents as identified during the visit. The manager should review the frequency of staff supervision and staff team meetings to ensure these are provided at a frequency in line with the national minimum standards. Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Venmore Community Care Centre DS0000035855.V319187.R01.S.doc Version 5.2 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!