Inspection on 05/02/07 for Venville House

This inspection was carried out on 5th 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

Venville House 09/02/09

Venville House 10/01/06

Venville House 15/06/05

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 Devon PL20 6QE Lead Inspector Helen Tworkowski Key Unannounced Inspection 5th February 2007 10:45 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 Venville House DS0000003850.V323713.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. Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Venville House Address Tavistock Road Princetown Yelverton Devon PL20 6QE 01822 890557 NONE 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) Mrs Lindsey Huntley Mrs Lindsey Huntley 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 DS0000003850.V323713.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 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 manager, provides a family orientated service where there is attention to individual needs and choices. Service users are encouraged to maintain their independence and links with the community wherever possible. The fees range from £274 to £363, and service users are expected to pay for the following items: hairdressing, chiropody, continence pads, toiletries, and newspapers. Copies of the Service Users Guide and Statement of Purpose, that provide information about the home, are kept in the dining room. These are available at all times. Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection, and therefore covered most of the National Minimum Standards. As part of this inspection the Registered Manager completed a pre-inspection questionnaire, for the Commission. Surveys were sent to all seven of the Service Users (or their representatives), none were returned. Surveys were sent to eight staff, four were returned. Surveys were also sent to local GPs and two were returned. In addition the Inspector spoke with one relative of a service user by telephone, and with two social services care managers. An unannounced site visit took place on 6th February 07 (10.45am to 4.30pm). As part of this visit the Inspector toured the building, spoke with two service users, two members of staff, and the Manager Lindsey Huntley. Records relating to the care provided, medication, staff recruitment and training, and health and safety were also looked at. The care of there individuals was looked at in detail. What the service does well: What has improved since the last inspection? Locks have been fitted to all bedroom doors, so that Service Users can choose to lock their rooms. Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 6 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. Venville House DS0000003850.V323713.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 Venville House DS0000003850.V323713.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service Users needs are not well recorded, before they move to Venville House. This could lead to an inconsistent service. EVIDENCE: The Inspector looked at the information that was on file for three people who had moved to Venville House since the last inspection. Some people had some very basic information that had been provided by a Social Services Care Manager. Two people had a questionnaire completed about how they saw their needs. These questionnaires are very good and provide useful information from the Service Users point of view, however they may not provide a complete picture of each individuals needs. It is really important that a thorough pre-admission assessment is made. This helps ensure that the individuals needs can be met, from the first day of stay at Venville House. Venville House DS0000003850.V323713.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, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users’ health, personal and social care needs are well met. The home has a good system for the management of medication. EVIDENCE: The Inspector spoke with two Service Users about Venville House, they were satisfied with the service that they received. One person said that the staff were very good, and the other person said that “the girls are very nice with me”. The Inspector also spoke with a Care Manager from Social Services. She commented that she thought that they offered a “wonderful service”, and that when she visited the Service Users were very calm. She commented that when one person needed to go urgently to hospital a member of staff accompanied her, this was something that many homes do not do. She was also very impressed with skills of the staff in dealing with people with dementia- that staff take their time with individuals. Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 10 The Inspector looked at the records of care. Each person must have a Service User Plan, these documents specify what help a person needs and how staff are to provide this help. The information on each person is not very detailed, and does not explain what staff are to do. For example one Service User Plan is for someone who has very low moods, the plan does not explain the things that staff are to look out for, or the actions they are to take to help with these moods. There are reviews of the individual and the care needs, on file, completed by Ms Huntley. There are also risk assessments, which are also reviewed. Risk assessments are important in that they help identify how Service Users may be protected from unnecessary risk. A Service User spoken with confirmed that they were spoken to with respect by the staff, and the Inspector also observed this. Service Users rooms have now been fitted with door locks, so that they may lock them if they choose. Mrs Huntley said that most Service Users did not wish to do this, however the locks had proved useful when individuals went into hospital, when the room could be locked until their return home. As part of this inspection the medication system was looked at. Medication is directly administered from the containers it is dispensed in. There was an up to date record of when medication was administered. The Inspector discussed with Mrs Huntley the home’s philosophy on medication. She explained that they worked with GP’s to avoid medication wherever possible, particularly for sedation. Mrs Huntley said that tried to provide a good healthy diet and avoid the use of laxatives. Both GPs responding to Surveys said that Venville House always met the health care needs of individuals. They also said that they seek advice and act upon it. One GP commented that they make appropriate demands on primary care teams. Venville House DS0000003850.V323713.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, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service Users are given a good level of support to be able to maintain contacts with family and friends. Meals are well cooked and suited to the needs of people at Venville. EVIDENCE: Venville is registered to accommodate seven people. One of the things that relatives and professional visitors valued was the size of the home, and that individuals were treated as such. One Care Manager said that it suited people who were looking for a “home from home”, though they recognised that this might not suit everyone. One GP commented that it had a “family type atmosphere, and is different to other larger institutional type places”. Service Users are offered the opportunity to go out: to visit local cafes, to go for a drive, and to visit the local town. One of the reasons that Service Users have chosen Venville House is that it has allowed them to maintain contact with family and friends who live in the area, who are able to visit on an almost daily basis. Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 12 Service Users spoken with confirmed that they are no rules that they have to comply with, for example getting up and going to bed. The menu at Venville is “traditional”, on the day of the inspection Service Users were enjoying a lamb casserole with fresh vegetables. Service Users are able to eat as a group in the dining room, or to sit at separate table, depending on what best suites their needs. Venville House DS0000003850.V323713.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to ensure that Service Users concerns are taken into account, and that they are protected from abuse. EVIDENCE: The Commission for Social Care Inspection has received no complaints or concerns regarding Venville House. Mrs Huntley confirmed that she had received no complaints. Service Users and relatives spoken with felt that they could raise concerns if they had any. A survey of Service Users views is completed twice a year, and issues that may be of concern were picked up through these surveys, before they became more serious. Mrs Huntley confirmed that the Service Users are given a copy of the complaints procedure when they first move to the home. There is a comments and suggestions box, adjacent to the front door. The four staff who responded to the survey all said they were aware of adult protection procedures. Information about how to deal with issues of concern is kept in the dining room, where it is available to staff at all times. All staff have received training in relation to the abuse and the protection of vulnerable adults. Venville House DS0000003850.V323713.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): 16 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Venville House provides a comfortable and domestic scale environment where Service User can feel at home. EVIDENCE: Venville House accommodates seven people and is domestic in scale, it is particularly suited to the needs of people with dementia, who might find a larger or a more institutional service harder to cope with. This view was confirmed by Care Managers from Social Services. The Registered Manager’s children spend some time at Venville House. Service Users are made aware before they move to Venville House that there will be both children and animals in the house. There are children’s toys, books and children’s photos around the home. It should be noted that whilst this might not suit all people, but it does seem to suit those that live at Venville. Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 15 The house was clean and bedrooms and the lounge area were tidy and in good order. Locks have now been fitted to all bedroom doors, so that service users now have the option of having a door key. Information about Service Users is kept in the office, which is at the end of the house. The Inspector discussed with Mrs Huntley the dilemma that the office was away from the main areas of the house, and so may not be well used by staff. Part of the dining room was previously used as an office, and this was of concern because of confidentiality. Venville House DS0000003850.V323713.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. Venville has a good level of staffing. Staff are well trained. Recruitment procedures lack robustness; this could mean that service users are placed at risk. EVIDENCE: All four of the staff responding to the survey said that they were never asked to care for anyone outside their expertise. One person commented that the “provision of care is excellent, support and understanding from the manager and colleagues is always available”. The Inspector looked at the recruitment records for some of the Care Staff who have recently started work at Venville House. There were completed application forms, and references had been taken, and checks on criminal convictions had been made. However two written references were not always received before an individual started work. Checks on whether the individual had been referred to the Protection of Vulnerable Adults (POVA First) list had not been made prior to starting work. There was a record to show that each person who had started work at the home had undergone an induction, though no completed induction booklet was available to be seen by the inspector. The Pre- Inspection questionnaire shows that in the last year staff have received training in relation to first aid, fire and Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 17 the protection of vulnerable adults. Two staff are in the process of completing their National Vocational Qualification in Care (Level 4), and 75 of the care staff have NVQ2 or above. This is well above the standard set by the Commission of 50 . The Inspector spoke with Care Managers and with relatives as to whether they thought there was sufficient staff, they confirmed whilst Venville is not over staffed, staff have time to spend with service users as individuals. Venville House DS0000003850.V323713.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, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Venville House is well managed and the service is focussed on the needs of the people who live in the home. EVIDENCE: Mrs Huntley is the Registered Manager and has been involved in managing the service for many years. She confirmed to the Inspector that she was in the process of completing her Registered Managers Award. The Inspector was shown copies of recent surveys of service users, which are part of the homes Quality Assurance system. Where issues had been identified these had been dealt with. From discussions with service users and Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 19 professional visitors to Venville House it was very clear that this is a service that is focused on the individuals who live in the house. No money is kept by the home on behalf of Service Users. Fire records were looked at during this inspection; these were up to date. Checks had been made of the fire system, and regular training had been carried out. A fire risk assessment had been completed. There were risk assessment for other aspects of the home- not all of these had been reviewed as frequently as they should have been. Venville House DS0000003850.V323713.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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Venville House DS0000003850.V323713.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Venville House DS0000003850.V323713.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Venville House DS0000003850.V323713.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!