Inspection on 03/05/05 for Ventana

This inspection was carried out on 3rd May 2005.

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

Ventana 30/09/08

Ventana 10/09/07

Ventana 13/09/06

Ventana 05/10/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ventana 33 Florence Road Boscombe Bournemouth Dorset BH5 1HJ Lead Inspector Stephanie Omosevwerha Announced 3 May 2005 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 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 Stationary 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. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ventana Address 33 Florence Road Boscombe Bournemouth Dorset BH5 1HJ 01202 390209 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ventana Homes Ltd Mr Paul Anthony Greenwood CRH (PC) - Care home only 8 Category(ies) of LD - Learning disability (8) registration, with number of places Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. To be staffed according to Residential Forum Calculation for care hours. 2. All staff to be awake when on duty. Date of last inspection 25th May 2004 Brief Description of the Service: Ventana is a home for up to 8 younger (18-65 years) adults of both sexes, with learning disabilities and who may also have a physical disability. The home is situated in a residential area within 5 minutes easy level walk of the shopping centre at Boscombe, which has good public transport links to other places including Bournemouth and Christchurch town centres. The building is a large detached family house converted for use as a care home. There is a small front garden that includes limited parking space and a large enclosed rear garden. The building is accessible for service users using a wheelchair and has a wheelchair ramp from the main entrance into the communal hall. Accommodation for service users is provided on the ground and first floors and all service users have single rooms with ensuite facilities. The communal space comprises of a large lounge/diner, a kitchen/diner, a quiet space on the landing upstairs, 3 WCs and a bathroom. All ground floor facilities are accessible to those using a wheelchair and the ground floor bedrooms have aids and adaptations suitable for service users with physical disabilities. The first floor rooms are only accessible to those who are ambulant, however grab rails are provided up the stairs. The home is well maintained and decorated and furnished to a high standard. The home is staffed 24 hours a day and provides a range of day time activities both on the premises e.g. art/crafts, small animal care, gardening and in the community e.g. swimming, visiting local shops/cafes/pubs. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an announced inspection of the home and took place over 6 ½ hours. It was carried out as part of the planned inspection programme for care homes undertaken by CSCI. This was the first inspection of the home since the home had been re-registered, as the registered provider had become a limited company. A tour of the premises took place and records/documentation were inspected. A sample of service users’ care records was case tracked and discussion took place with 5 residents both in a group setting and on an individual basis. The manager was available throughout the day to assist with the inspection and there was also the opportunity to talk to a member of staff. A group of service users were accompanied on their afternoon activity, which was a trip to the local shopping centre and pub. Prior to the inspection, a pre-inspection questionnaire and comment cards had been received from 3 service users, 4 relatives, 1 G.P., and 1 Health care professional and these have been used to inform the outcomes of this inspection. What the service does well: The home benefits from an experienced manager who is a Registered Nurse Learning Disabilities (LD). His expertise and knowledge of service users with learning disabilities ensures the home is able to meet a wide range of service users needs including those with complex physical and mental health needs. There was evidence that good multi disciplinary working was taking place on a regular basis. Care plans clearly set out service users support needs and their likes and dislikes were taken into account. Service users rights and choices were promoted and there were several examples, during the inspection, of service users choosing what activities to take part in, how to spend their money, when to take a shower and whether to spend time in the privacy of their rooms or in the communal areas of the home. Observation throughout the day evidenced good relationships had been built up with the staff and service users spoken with said they felt able to approach staff and express their views. The home is decorated and furnished to a high standard offering service users a comfortable and homely environment. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 6 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. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 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 standard(s) 2 and 3. Before entering the home, prospective service users have a comprehensive assessment which they have the opportunity to participate in to ensure their needs and aspirations will be met. EVIDENCE: Since the last inspection, 2 new residents have been admitted to the home. There was evidence on service users files that admission had been via a care management assessment and liaison had taken place with other professionals as appropriate e.g. healthcare professionals. The home had also carried out a comprehensive assessment of each service users strengths and needs to ensure that they could meet their care needs. Discussion with service users during the inspection, confirmed they were given opportunities to discuss their aspirations and goals with their keyworkers and work towards these. Discussion with staff also indicated they had been given training to work with the residents living in the home such as manual handling to ensure they could work with service users with physical disabilities and Makaton to ensure they could communicate with service users using signs. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 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 standard(s) 6,7 and 9. Individual needs and goals are clearly identified in personal plans and regularly reviewed with the service users to ensure changing needs are reflected. Service users are encouraged to make decisions about their lives in the context of a risk management framework to enable them to be as independent as possible. This framework would benefit from being expanded to include clarification regarding the management of tasks such as finances and medication. EVIDENCE: A sample of 3 service users’ files was case tracked as part of the inspection. All residents’ had comprehensive care plans detailing their strengths/needs, likes/dislikes and their goals. Service users confirmed they were consulted about their goals, although getting service users to sign their care plans where appropriate could further evidence this. Care plans were reviewed on a regular basis and the dates of each review recorded. This showed this was happening at least every six months. Observation throughout the inspection showed that service users were given choices in their daily lives, e.g. one service user had chosen not to join the Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 10 swimming activity in the morning but had watched at the pool side instead, resident’s were encouraged to choose and order their own drinks in the pub activity in the afternoon, one resident chose to have a shower and change clothes before going out to the pub. Details of advocacy groups were available in the home and one resident attended a local service user group and two other residents had advocates. All residents now have their own bank accounts and a sample of records was checked as part of the inspection. These could be clearly tracked, although it was recommended that service users contribution to fees be logged in their personal records as well as the homes own log. The home has a risk assessment file in which all individual assessments are included on a variety of topics including choking, burning on radiators, accessing the community, drowning in the bath. These were managed effectively with appropriate action being identified to minimise the risk. The home would benefit from expanding these strategies to clarify areas of management such as medication, finances and use of keys. There was evidence on service users’ files of liaison with professionals to inform risk management strategies including joint risk assessments from healthcare and social services professionals. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 11, 12, 13, 14, 15 and 16. Service users were offered opportunities for personal development. All service users were engaged in a programme of activities that included accessing the local community on a regular basis, although a couple of service users felt the activities provided could be improved. The home is sensitive to and supportive of service users personal relationships and family/friends are welcomed into the home. Service users’ rights are respected and independence, choice and freedom of movement are promoted in the home. EVIDENCE: Opportunities for personal development were noted on service users plans. Examples included independent living skills such as making drinks or snacks, communication skills such as communication by behaviours or signing and social/personal relationships. Each service user had a weekly plan and a range of activities were offered; one service user attended a day centre, one service user attended college and the rest had an in-house programme including activities such as swimming, shopping, arts and crafts and animal welfare. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 12 There were opportunities to access the local community and service users told the inspector they visited the local shops, cafes, pubs, beaches and leisure centres. A group of service users had been swimming on the morning of the inspection. The inspector also accompanied a group of service users during the inspection on a walk to Boscombe where they visited a local shop and pub. Service users confirmed they had time to pursue personal hobbies such as watching TV, listening to music, sports and games, although 2 service users responded on their survey forms that the home did not always provide enough suitable activities. There was evidence of good liaison with relatives and all family details were recorded on service users files including contact details and birthdays. Service users could make regular visits to their families and one relative commented, “staff at Ventana are consistently welcoming and considerate when I arrive and leave the home which makes a real difference to me.” The manager told the inspector that a social event had been held in the home last autumn and all family and friends had been invited which had been very successful. Service users rights were recognised and their responsibilities were identified on their care plans e.g. “X wants to be more independent with cleaning their room.” Some service users had keys to their rooms; however, it was recommended that it be recorded in their files when it had been assessed that they were unable to use a key and therefore, what arrangements were in place to safeguard service users’ property/privacy. Observation throughout the inspection showed that staff interacted fully with service users who were treated with respect. Service users had unrestricted access to all communal areas of the home and could choose to spend time in the privacy of their rooms. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18 and 19. The home offers a good standard of personal support with individual preferences taken into account. Service users healthcare needs are provided for including those with more complex physical and mental health needs with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Service users’ personal care needs were clearly recorded on their care plans e.g. “X needs support with a wash and a shave” and “Y needs support with personal hygiene tasks”. Service users likes and dislikes were recorded and service users confirmed times for getting up/going to bed, baths and meals were flexible. The home operates a system of designated keyworkers to provide consistency and continuity of support to service users. Staff spoken with during the inspection demonstrated a good understanding of the personal and healthcare needs of service users living in the home. Service users’ healthcare needs are clearly identified in their care plans. There is a comprehensive assessment of their physical and mental health needs and all current medication details are listed. A record is kept of all G.P., Dentist and Optician appointments. There was further evidence of liaison with healthcare Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 14 professionals including psychiatrists, psychologists, physiotherapists, occupational therapists and speech and language therapists. The registered manager is a Registered Nurse LD and demonstrates a high degree of awareness of meeting the needs of service users including those with complex physical and mental health needs and this is reflected in the practices within the home. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 15 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 standard(s) 22. The home had a clear complaints procedure and service users affirmed that they felt confident about expressing their views in the home. EVIDENCE: A complaints procedure was observed as part of the inspection. This was in an accessible format and a copy is available on the office door where all service users can view it. Information about advocacy services is also available in the home and service users are enabled to access this service to help them express their views. There are currently 2 service users who have an advocate. Service users informed the inspector that they were aware of how to complain and felt confident about approaching members of staff. A record book is kept of all complaints which was checked and there had been no complaints since the previous inspection. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 16 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 standard(s) 24, 25, 26, 27 and 28. Ventana is decorated and furnished to a high standard providing a comfortable and homely environment. All service users have single rooms with ensuite facilities that suit their needs and have been personalised to the occupant’s taste. The home offers a good complement of communal space that is freely accessed by all service users. EVIDENCE: A tour of the premises showed that they were well maintained and in good repair. Records relating to fire, environmental health, and health and safety regulations were up-to-date. There were several improvements since the previous inspection including new double glazed front doors, new suites, television and video, and a new quiet space had been created on the upstairs landing. The home was attractively decorated and furnishings were comfortable and homely. All service users have single bedrooms with ensuite facilities. A sample of 4 bedrooms was seen as part of the inspection. These were clearly individual Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 17 and reflected the occupants’ tastes. They were observed to be comfortably furnished with plenty of space for residents’ personal possessions. Every bedroom has a toilet and sink to give the service users personal privacy. In addition 3 bedrooms have bathing/showering facilities. There are a further 2 bathrooms and 3 other separate toilets. At the last inspection, it had been noted that the upstairs bathroom had damp patches on the walls; a vent has now been fitted to the window to prevent this. The communal space consists of a large lounge, kitchen diner and a large garden. Observation throughout the inspection showed that residents had unrestricted access to all communal areas of the home. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31. Staff are clear about their roles and responsibilities and demonstrated a good understanding of the service users individual and collective needs. EVIDENCE: Staff spoken with during the inspection had a good understanding of their roles and of the homes aims and values. They said they enjoyed working in the home and observation throughout the day showed excellent relationships had been developed between staff and service users. Service users knew who their keyworker were and could identify them by name. They told the inspector they were able to discuss their needs regularly in keyworker sessions. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41, 42 and 43. Service users’ rights and best interests are safeguarded by well-maintained record keeping policies and procedures with the exception of visits by the responsible individual. Reports from other agencies, regular servicing and maintenance of equipment and working practices in the home ensure that the health, safety and welfare of service users are promoted in the home. A fault was identified with the fire doors that needed to be repaired and action was taken immediately to rectify and repair this. Service users benefit from competent management, which ensures the service is effective and accountable. EVIDENCE: Most of the records seen at the inspection were up-to-date and accurate; however, the responsible individual was not carrying out regular monthly monitoring visits as required by Regulation 26. Reports from the Dorset Fire and Rescue Service and the Environmental Health Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 20 Department confirm the home meets their requirements. Records showed that services and equipment was being inspected at the required intervals. Records of fire drills and safety checks were up-to-date although a problem had been noted with the fire doors not closing. This was discussed with the Manager who ordered the new parts required on the day of the inspection. The Manager is aware of the relevant legislation regarding health and safety and policies and procedures reflected this. There was a “Health and Safety Assessment Policy” and risk assessments had been undertaken e.g. fire risk assessment and radiator risk assessment. There was no evidence to suggest the home wasn’t financially viable. On the day of the inspection the home was fully occupied and sufficient staff were on duty, improvements had been made to the living environment that was well maintained and decorated to a high standard. A valid certificate of insurance was seen that provided appropriate cover for business interruption costs. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 4 3 3 x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ventana Score 3 4 x x Standard No 37 38 39 40 41 42 43 Score x x x x 2 1 3 D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 22 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. 1. Standard 41 Regulation 26 Requirement The responsible person is required to carry out monthly visits to the home as specified in Regulation 26 of The Care Homes Regulations 2001 and must provide a copy of the report of this visit to the Commission. The registered provider must ensure that fire doors are repaired so that they are closing properly. Timescale for action 30 June 2005 2. 42 23 31 July 2005 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 5 Good Practice Recommendations It is recommended that consideration be given into putting contracts into a more accessible format for service user to enhance their use as a meaningful document. This recommendation was made at the previous inspection but was not assessed on this occasion. It is recommended that service users sign their care plans where appropriate to evidence their participation in the process. It is recommended that service users contributions to their D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 23 2. 3. Ventana 6 7 4. 9 fees be recorded in their individual financial logs as well as the homes log to facilitate the auditing of service users monies. It is recommended that the homes risk management strategies are expanded to cover topics such as management of finances and medication, and use of keys to clarify service users abilities in these areas. Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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 Ventana D55 S61762 Ventana V225008 030505 Stage 4.doc Version 1.30 Page 25 - 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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