This inspection was carried out on 23rd December 2009.
CQC found this care home to be providing an Good service.
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 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Ventress Hall Care Home 22-28 Trinity Road Darlington Durham DL3 7AZ two star good service 06/01/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Susan Lowther Date: 3 0 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Ventress Hall Care Home 22-28 Trinity Road Darlington Durham DL3 7AZ 01325488399 01325480011 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Judith Goode Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 106 Number of places (if applicable): Under 65 Over 65 106 0 old age, not falling within any other category physical disability Conditions of registration: 0 45 The maximum number of service users who can be accommodated is : 106 The registered person may provide thfollowing category of service only :Care home with Nursing, Code N To service users of the following gender : Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category, Code OP maximum number of places : 106 Physical disability- Code PD, maximum number of places 45 Date of last inspection 0 6 0 1 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Ventress Hall is a care home with nursing for up to 106 older people. It was registered by its current owners, Southern Cross OPCO Ltd., in August 2007. Ventress Hall was purpose built in 1989. It is conveniently located, close to Darlington town centre and other amenities. The home is a three-storey building with passenger lifts between floors. There is a central courtyard garden with seating, pleasant floral displays and a water feature. Care Homes for Older People Page 3 of 8 What we found:
This unannounced random inspection was carried out over two days, 23 and 30 December 2009. These visits were made as a result of concerns being raised with the CQC about the way accidents were being managed within the home. We reviewed accident and care records and spoke with some members of staff. We found that in the case of one person that the accident reporting form had not been completed. However there was evidence within the care records that the person had told staff that she had had a fall. This person complained of pain over a period of time and was subsequently found to have a fractured shoulder. Staff told the inspector that they had not completed a form because the fall had not been witnessed. Whilst looking at the care records, we saw that several people had not had their care plans evaluated and updated following a fall or on a monthly basis to make sure that all of their changing needs were being met. One person had not had their plans reviewed since September 2009 and another since October 2009. In addition one person who had been admitted in early November 2009 had no risk assessments or care plans in place. It was therefore impossible to determine whether all of the needs of this person were being met. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 29 19 Evidence must be obtained that individual agency staff employed by the home have had satisfactory recruitment checks. To promote the safety and wellbeing of service users. 20/02/2009 Care Homes for Older People Page 5 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 Ensure that service user plans clearly identify how their needs in respect of health and welfare are to be met. To make sure that people receive the appropriate care to meet all of their needs. 26/02/2010 2 7 15 Ensure that care plans are 26/02/2010 kept under review and where appropriate and, unless it is impracticable after consultation with the service user or a representative of his, revised to reflect the service users changing health and welfare needs. To make sure that people receive the appropriate care to meet all of their needs. 3 37 17 Maintain adequate records of 26/02/2010 any service user accident and a record of falls and treatment provided to service users as detailed in paragraphs (j) and (o) of Schedule 3 of the Care
Page 6 of 8 Care Homes for Older People Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Homes Regulations 2001. To demonstrate that people receive the appropriate care following a fall. 4 38 12 Ensure that all staff adhere to safe and appropriate accident management and emergency first aid procedures. So that people receive the appropriate care following an accident. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 26/02/2010 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
