Inspection on 15/06/05 for Venville House

This inspection was carried out on 15th June 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 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

Venville House 09/02/09

Venville House 05/02/07

Venville House 10/01/06

Venville House 25/01/05

Venville House 20/07/04

Venville House 26/01/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Venville House Tavistock Road Princetown Yelverton PL20 6QE Lead Inspector Helen Tworkowski Announced 15th June 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 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. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Venville House Address Tavistock Road, Princetown, Yelverton, Devon, PL20 6QE 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) 01822 890557 NONE Mrs Lindsey Huntley Mrs Anne Hilary Ranger Care Home 7 Category(ies) of Dementia - over 65 years of age (7), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (7), Old age, not falling within any other category (7), Physical disability over 65 years of age (7) Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 05 Brief Description of the Service: Venville House is a care home for seven older people, in Princetown near Yelverton. The Home provides care for older people who may have dementia or physical disabilities. This is a small care home, which serves the local community of Princetown and is close to the local amenities. All service users have single rooms. The accommodation is on two floors, with a stair lift to access the first floor. Outside there is a rear patio garden area. Many of the rooms have views of the surrounding village and Dartmoor. Mrs Huntley, registered provider, and her mother Mrs Ranger, the registered manager, provide a family orientated service where there is attention to individual needs and choices. Service users are encouraged to maintain their independence and continue their links with the community wherever possible. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 8 hours on the 15th June 05. Time was spent talking with the management team, looking at records and touring the building. The Inspector ate lunch with Service Users and spent time talking to three Service Users about their views of the home. What the service does well: 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. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Service Users are can be confident that the staff at Venville House will know about their needs before a stay. EVIDENCE: Service Users admitted to the home had either been assessed by Social Services or by staff from Venville House, before they stay at the home. The majority of people who move to Venville House are from Princetown and maybe familiar with the home or with other Service Users. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Service Users are provided with the support and care they need, and in a manner that respects and upholds their dignity. EVIDENCE: Each Service User has a plan of care that contains information about how their needs will be met. These are reviewed each month, to take account of changing needs. Where individuals have particular health needs, such as in relation to diabetes, there is information about how these needs will be met. There are risk assessments, these help staff to balance and mitigate risks to Service Users. It is recommended that this system is reviewed, so that specific risks and how they are managed are identified. Service Users spoken with during this inspection said that they felt well cared for and that they were treated with respect by staff. The local district nursing service confirmed that staff both asked for and followed advice. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Service Users have the opportunity and are able to maintain contacts with family, friends and the local community, and to continue to pursue interests and hobbies. The food provided in the home is of a very high standard and enjoyed by Service Users. EVIDENCE: Service Users at Venville all come from the Princetown area and therefore are more likely to maintain contacts with friends and families in this community. Information is collected before individuals move to the home to find out what about particular hobbies or interests. Service Users are encouraged to take a active part in the community, and going out to the hairdresser, dentist, and chiropodist whenever possible rather than having these services visit the home. There are regular trips out to activities such as music and movement. Service Users confirmed that the food in the home is very good. All the meals are cooked using fresh ingredients and the house smells of home cooking. Where service users needs extra time or support to eat this is provided in a sensitive and caring manner. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There is a thorough complaints system in which Service Users feel confident. The home has good systems to ensure that Service Users are protected from abuse. EVIDENCE: The home has a complaints system that is readily accessible to Service Users. When complaints have been received there are records of the concerns being appropriately investigated and dealt with. Staff have been trained in relation to awareness of abuse and further training is planned. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22 and 26 Venville House provides a comfortable and domestic environment where Service Users feel at home. EVIDENCE: Venville House accommodates seven people and so is particularly suited to those with dementia who might find somewhere larger or more institutional harder to cope with. The Registered Provider’s children visit and spend time in the home, and there are toys and photos around the home to reflect this. The house is homely, clean and comfortable and Service Users said they were happy living at the home. Some areas of the home are in need of repair, and Mrs Huntley confirmed that there were plans to resolve these issues. The Registered Provider has had the home assessed by an Occupational Therapist, and it is recommended that a plan of action is drawn up in relation to this report, noting if appropriate when no action will be taken and the reasons why. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 13 A bedroom door lock has been provided for one person, and there are plans to fit further locks, so that Service Users can choose to lock their bedrooms. Radiator covers have been fitted to the most of the radiators, though there is one radiator that remains uncovered. Radiator covers are required so that Service Users are protected from serious injury if they should fall against them. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 A small team of competent and experienced staff support Service Users. EVIDENCE: The home has a low turnover of staff and no new staff have been recruited for over 14 months. However there was evidence that there were good recruitment systems in place to ensure that only the competent and fit staff are recruited. There was evidence that staff have received regular training and that new staff receive induction and foundation training. This ensures that staff know what is expected of them in their work. There are two staff on duty at all times in the home, with one person “sleeping in” at night in the home, and the other being awake. This level of staffing is appropriate to the needs of the service users. Mrs Huntley confirmed that where additional staffing is needed that there is sufficient flexibility in the staff team to provide this cover. Service Users spoken with during the inspection spoke very highly of the kindness and consideration of staff and the support offered. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38 Service Users safety and well-being is safeguarded at Venville House. EVIDENCE: The Registered Provider and the staff in the home have developed a quality assurance system, and actively seek feedback from Service Users, their relatives and the visiting professionals. The home is very much focused on the needs and wants of the Service Users. There are risk assessments in relation to the environment in the home, and the fire log indicated that regular checks are made. Staff at Venville house manage no money on behalf of Service Users, relatives are encouraged to maintain their involvement. Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A 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 4 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 17 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. 2. Standard OP24 Regulation Requirement Service Users rooms must be fitted with appropriate locks. Timescale for action 1/6/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP1 Good Practice Recommendations The Registered Provider should amend its statement of purpose and service user guide so that it contains all the elements specified in the regulations and standards. (This recommendation was carried forward from the last inspection). The Registered Provider should draw up a plan indicating any actions to be taken in relation to the assessment of the premises and facilities made by an Occupational Therapist. The Regsitered Provider should review the system for risk assessing risks indivdual Service Users are exposed to. The Registered Provider should complete the fitting of covers to all radiators in the home. 2. OP22 3. 4. 0P7 OP25 Venville House D54-D07 Venville House S3850 V221614 150605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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