Inspection on 05/10/05 for Ventana

This inspection was carried out on 5th October 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ventana 30/09/08

Ventana 10/09/07

Ventana 13/09/06

Ventana 03/05/05

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 Unannounced Inspection 5th October 2005 09:30 Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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 Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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 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) Ventana Homes Ltd Mr Paul Anthony Greenwood Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To be staffed according to Residential Forum Calculation for care hours. All staff to be awake when on duty. Date of last inspection 3rd May 2005 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 with 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 centre. The building is a large detached family house converted for use as a care home. There is a small 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, 3WCs 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 DS0000061762.V256824.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and took place over approximately 6 hours. It was the second inspection of the home this year carried out as part of the planned inspection programme for care homes undertaken by CSCI. Not all the standards were assessed on this occasion, especially the core standards that had been assessed as being met at the previous inspection. It is recommended that this report be read in conjunction with the inspection report of the 3rd May 2005 for a more comprehensive picture of the service. The registered manager was available throughout most of the inspection to assist the inspector. There was also the opportunity to talk to three members of care staff and four service users. Further observations were made throughout the day of service users who had limited verbal communication. All of the home’s communal areas were viewed and a sample of 2 service users bedrooms. Various policies and procedures, records and documentation were seen included recruitment policies, adult protection policies, medication records, staff records and rotas, quality monitoring and development plans and service users contracts. What the service does well: The home benefits from an experienced and well-qualified manager. Staff are well supported and are encouraged to put forward ideas and suggestions. This enabling style of management means staff are enthusiastic and motivated, feeling they can make a real contribution to service development. Staff are offered a range of training courses and said their experience of induction in the home was excellent. They were not rushed and only took on more responsibilities when they felt competent to do so. There is a high level of interaction between staff and service users in the home. Service users benefit from staff who know their care needs well and it is clear good relationships have been formed. Feedback from service users was positive and they said they enjoyed many aspects of living the home including their rooms, the food, the staff and the activities provided. The home is decorated and furnished to a high standard offering service users a comfortable and homely environment. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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 DS0000061762.V256824.R01.S.doc Version 5.0 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 Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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): 5. The home has produced a contract in a more accessible format to help residents have a better understanding of the agreement they make with the home. EVIDENCE: The inspector was shown a copy of the contract that has now been put into a more accessible format. This is an example of good practice and clearly sets out the terms and conditions of occupancy and the service and facilities provided using simple text and pictures to enhance service users ability to relate to the document. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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 and 9. The home has made progress on implementing recommendations made at the previous inspection particularly in evidencing service users involvement in their care plans and recording service users expenditure. The home still needs to clarify some aspects of service users care particularly with regard to their ability to manage medication, finances and keys. EVIDENCE: One resident’s care plan was viewed as part of the inspection to evidence the home had acted on recommendations made at the previous inspection. This included evidence of service users now signing their care plans to demonstrate their participation in this process. Service users spoken with at the inspection also had an awareness of their individual plans and felt they were supported by staff to work towards their goals. The manager had also implemented the recommendation to record service users contribution to their fees in their personal records as well as the home’s own log to ensure monies could be clearly tracked. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 10 No progress had been made on a further recommendation to clarify strategies of how service users care was to be managed in particular their abilities to manage medication and manage their finances. The home also need to risk assess service users abilities to use key and record when a service users is unable to use keys to their bedrooms. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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 the following standard(s): 17. The home provides a balanced and varied selection of food that meets service users tastes and choices. EVIDENCE: A sample of menus was viewed as part of the inspection. These were found to be varied and nutritious. The manager said residents were involved in the planning of the menu and picture formats were used to assist service users in making choices. Residents spoken with told the inspector that they liked the food and there were “plenty of fresh fruit and vegetables” available. They said the staff mainly cooked although they were encouraged to help with preparations and make drinks and snacks when appropriate. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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): 20. The home has clear systems in place for the administration of medication ensuring that service users health is promoted. EVIDENCE: The home has a written policy and procedure for the administration of medication. Medicines are kept securely in a locked cupboard. A monitored dosage system is used and records were checked and found to be accurate and up-to-date. Each service users health needs are identified in their individual care plans and a record of any medication is listed. Service users have copies of the personal health records (yellow books) that also list their up-to-date needs and a record of any appointments with healthcare professionals. Staff confirmed they received training in the administration of medication and are only given the responsibility after completing an assessment of competence, which is signed off by the manager. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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): 23. The home has satisfactory arrangements in place to ensure that staff are aware of adult protection issues providing a safe environment to protect service users from abuse. EVIDENCE: The home has policies and procedures in place for protecting vulnerable adults including Protection and Prevention of Abuse, Bullying, Aggression to Staff and Whistleblowing. Staff are made aware of the policies as part of their induction and are required to sign to indicate that the have read and understood them. Staff spoken with were clearly aware of the procedures and demonstrated a good knowledge of how they would be put into practice. Staff have received some training on physical intervention and one of the proprietors has trained as a tutor in control and restraint techniques. It was suggested that it would be good practice to consider accessing training courses for the protection of vulnerable adults for staff. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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): 30. The premises were seen to be clean and hygienic and staff were aware of safe working practices to prevent the spread of infection. EVIDENCE: As part of the inspection all communal areas of the home were viewed and a sample of 2 service users bedrooms. The home was seen to be clean and hygienic. The home has a policy on the control of infection and staff confirmed they were aware of safe working practices. The laundry room is currently sited behind the office; however, a new conservatory is being built which will include a new separate laundry room. The office will then be extended into the existing room. The home has written confirmation that services and facilities comply with the Water Supply (Water Fittings) Regulations 1999. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 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): 32, 34 and 35. The home has an enthusiastic and motivated staff team who work positively with service users to improve the quality of their lives. The recruitment procedure is thorough and enables service users to contribute to the selection process. Staff feel supported by effective training ensuring they feel competent to carry out their work. EVIDENCE: As part of the inspection the policy for Recruitment of staff was seen as well as staff grievances and disciplinary procedures. A sample of 3 staff records was viewed and the staff training file with certificates of qualifications obtained. In addition the inspector spoke with 3 members of care staff and was shown the staffing rotas. The staff had a range of skills and experience and all staff spoken with had previous experience of working in social care. The rotas showed that at least 3 staff were working throughout the day with one waking staff at night. The staff skill mix was such that there was always an experienced member of staff on duty on each shift. Observation on the day showed a high level of interaction between staff and service users and it was clear positive relationships had been formed. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 16 The home’s recruitment procedures were robust and records showed that appropriate references and CRB checks were in place. All staff received terms and conditions and were appointed subject to a probationary period. One member of staff had been recently appointed and told the inspector she had time to visit and meet the service users as part of the interview process. A service user also told the inspector she had been part of the interview panel for selecting new staff. Staff told the inspector they had good access to training at the home and had completed various courses. Certificates were viewed confirming staff had completed courses in first aid, manual handling, food hygiene, fire training and makaton. An in-house induction programme was also produced covering general topics e.g. aims of the home, fire precautions, health and safety and care of the residents. A member of staff told the inspector that the induction programme was very good and staff were given excellent support without feeling rushed or being asked to complete tasks until they felt competent to do so. The manager said he had based the internal induction on the Learning Disability Award framework. It was also recommended that he look into courses that follow the LDAF to provide underpinning knowledge for progress towards achieving NVQs. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 17 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, 41 and 42. The home benefits from an experienced and well-qualified manager whose style of management encourages both service users and staff to contribute towards service development. Systems are in place to monitor the quality of care provided in the home, which are based on feedback from service users. There is still an outstanding requirement for the responsible individual to undertake monthly monitoring visits. The requirement regarding health and safety in the home was dealt with promptly showing the home’s commitment to the welfare of the residents. EVIDENCE: The registered manager is well qualified and experience. There was evidence from discussion that he keeps up-to-date with current legislation and good practice issues. Staff felt the management style was enabling allowing them to contribute ideas towards the development of the service. They also felt well supported both by formal supervision and an open door policy enabling informal consultation. Service users benefited from a good relationship with the manager and observation showed he was accessible and approachable. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 18 The registered manager has produced an annual quality monitoring audit and development plan which is designed to measure how well the service is meeting identified needs focussing on user centred practice. A service development plan has been drawn and areas identified included environmental goals e.g. new carpets, conservatory and new sofas; staff training e.g. person centred planning and makaton; and service user related goals. A service user survey had been carried out in February 2005 and the results were available for inspection. A discussion took place about involving other stakeholders e.g. family, social workers etc. and the manager said he was thinking about producing a newsletter that could give people the opportunity to feedback to the home. There is still an outstanding requirement for the responsible individual to carry out regular monthly monitoring visits as per Regulation 26. The requirement made at the last inspection to ensure fire doors are repaired so they are closing properly has now been done so this standard is now met. Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 19 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 X X X 4 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ventana Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X 1 3 X DS0000061762.V256824.R01.S.doc Version 5.0 Page 20 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA41 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 this visit to the Commission. This is repeated from the previous inspection and the original timescale of 1/06/05 been extended. Timescale for action 01/01/06 Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 21 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 YA9 Good Practice Recommendations It is recommended that the home’s risk management strategies be expanded to cover topics such as management of finances and medication and the use of keys to clarify service users abilities in these areas. It is recommended that staff attend training regarding the protection of vulnerable adults. It is recommended that the manager investigates the possibility of using Learning Disability Award framework accredited training to provide the underpinning knowledge for progress towards achieving NVQs. 2 3 YA23 YA35 Ventana DS0000061762.V256824.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole 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. 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