Inspection on 05/09/05 for Victoria Court

This inspection was carried out on 5th September 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

Victoria Court 10/12/07

Victoria Court 08/03/06

Victoria Court 31/01/05

Victoria Court 23/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Victoria Court 127 York Road Southend on Sea Essex SS1 2DX Lead Inspector Ron Reeves Unannounced Monday 5 September 2005 th 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. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Victoria Court Address 127 York Road Southend on Sea Essex SS1 2DX 01702 465574 01702 464041 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) Mr Keith Powell Mrs Jennifer Jane Varrier CRH Care Home 28 Category(ies) of DE(E) Dementia - over 65 (28) registration, with number OP Old Age (28) of places Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate up to twenty eight older people who may or may not have dementia. Date of last inspection 31st January 2005 Brief Description of the Service: Victoria Court is a private care home located in a residential area of Southend on Sea with easy access to shops, seafront and public transport. The home is detached with limited parking to the front of the building. It has an attractive courtyard garden. The registered providers, Mr and Mrs K. Powell have made many improvements to the building. There are twenty six single rooms and one double room. Twenty four rooms have en suite facilities. The bedrooms and office are located on two floors of the building, and two lifts enable access to each floor. The ground floor provides two lounges (one is for smokers), a dining room, an easy chair area and two conservatories. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which last six and a half hours. During the inspection there was a tour of the premises and records and documents were looked at. Time was taken to speak to six residents, four members of staff, four visiting relatives, proprietor, manager and deputy manager. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 6 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 Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 7 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) 1-5 The admission process is well managed and prospective residents and their families are given clear verbal and written information to make an informed choice. EVIDENCE: The manager is currently revising the home’s Statement of Purpose and Service Users Guide and will forward copies to the Commission on completion. Each resident is issued with a comprehensive Contract detailing the terms and conditions of residence. The manager and deputy always visit prospective residents to ensure the home can meet their needs. Prospective residents and their families are invited to visit the home as many times as they wish before making a decision. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 8 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) 7-11 Residents are well looked after in respect of the health and personal care needs. Care plans would benefit from further development to ensure greater clarity. EVIDENCE: Care plans were generated from assessments carried out by the manager and deputy manager. These were seen to cover all assessed needs but, would benefit from greater clarity in the identification of the care needs and how they are to be managed by the staff. Records evidence that residents’ health care needs are being met with good supported access to all community health services. Medication administration procedures were found to be well managed. Emphasis is placed on respecting residents’ privacy and dignity. Staff were seen to knock on bedrooms doors and always approached residents in a sensitive and caring way. The manager and deputy manager have undertaken bereavement training together with the vast majority of staff. Residents’ wishes regarding their death are recorded in the care plans. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 9 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&15 Daily routines were flexible and social activities well managed. Visiting arrangements were open and relaxed. The home provided a good quality and variety of food, which was well appreciated by the residents. EVIDENCE: A wide range of activities are available for the residents. Individual activity profiles are being developed. From discussions with residents and staff, routines in the home were flexible and individual resident’s wishes and choice were accommodated. The home operates an open visiting policy, but requests relatives to telephone first if they intend to visit later in the evening. Visiting relatives said that they were always made welcome whenever they visited. Menus are generally arranged every two weeks and are based on residents’ likes and dislikes. The meal of the day was seen to be well presented and in good quantity. Alternatives were available on request. Residents and their families spoken with were unanimous in their praise for the variety and quality of the food provided. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 10 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) 16-18 Arrangements for protecting residents and responding to their concerns were satisfactory. EVIDENCE: Residents and visiting relatives’ comments indicated that they felt comfortable discussing any concerns with the manager and her staff. Two complaints had been received by the home regarding the laundry service, which have been addressed by the home. All service users are on the local voters register and those wishing to vote are escorted by the staff. Appropriate policies and procedures were in place for the protection of vulnerable adults from abuse and a copy of the local authority’s procedures was available. All staff have received training in the protection of vulnerable adults from abuse. The manager said the training was informative and reinforced the home’s own training. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 11 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) 19-21 & 23-26 A well furnished, decorated and safe environment is provided for the residents. EVIDENCE: In general the home is well maintained and suited to the resident’s needs. It is well decorated and furnished to a high standard that creates a comfortable and homely environment. Bedrooms were seen to be well furnished and evidenced items brought into the home by the residents. All residents spoken with expressed satisfaction with their bedroom accommodation. There are adequate communal adapted bathroom, showers and toilets. Twenty one of the twenty seven bedrooms have ensuite facilities. Residents have a choice of two lounges and two conservatories. One lounge is specifically allocated for smokers. There is a well equipped courtyard garden provided for residents’ use. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 12 The home has adequate laundry facilities and was found to be clean, tidy and odour free throughout. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 13 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) 27-30 The home benefits from an enthusiastic, well trained staff group who work positively with the residents. Staff are employed in sufficient numbers to meet residents’ needs. EVIDENCE: Staff rotas evidenced five staff on the morning shift, four in the afternoon and three at nights. In addition, the home employs sufficient cooking and cleaning staff. Staff sickness and holidays are usually covered by the permanent staff, but if this is not possible, agency staff are used who are familiar with the home. Staff spoken with felt they had a good staff team who communicate and support each other well. They felt that staffing numbers were sufficient to meet residents’ needs. Residents felt that the staff were really caring and kind. Staff training is one of the strengths of the home with a wide range of training including NVQ training available to staff, including specialist training in ailments that effect older people, including dementia, parkinson, strokes, continence, management of aggression, infection control HIV and Aids and bereavement counselling. The home has employed a registered nurse, who is an approved NVQ Assessor, to supervise all in-house training. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 14 Of the two staff files examined, one had one reference no pictorial evidence and no evidence of a CRB check. The second file had only one reference and no CRB check. The manager explained it is becoming increasingly difficult to obtain references from other homes in the area and highlighted that one provider with many homes in the area will not provide references. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 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) 31-33. 36-38 The home is well managed by an experienced manager who provides stable leadership and guidance to staff to ensure a consistent quality of care. EVIDENCE: The manager has over sixteen years experience in the care of older people and has managed the home for nine years. She holds the City and Guilds Advanced Management in Care and a NEBS Management award. The manager operates an open door policy within the home and both residents and staff spoke of her openness, approachability and kindness. Service user quality questionnaires are issued on an annual basis and policies and procedures are reviewed on a regular basis. Regular staff supervision is maintained through staff meetings, daily handovers and the manager’s open door policy. However, individual formal staff supervision is yet to be finalised. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 16 A sample of records maintained by the home were found to be well managed and securely stored. The manager is aware of her duties for health and safety and is well supported by the proprietor. Safety certificates were in place for all services and equipment. Regular checks are maintained for all of the fire fighting systems and equipment. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 17 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 2 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x 3 3 3 Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 18 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 5 71(2) Regulation OP1 OP29 Requirement The home must complete the development of its Statement of Purpose and Service Users Guide All information and documents required to ensure robust recruitment procedures are in place Timescale for action 18/10/05 18/10/05 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. 2. 3. 4. Refer to Standard OP7 OP28 OP31 OP36 Good Practice Recommendations The home should continue to develop its care planning process to ensure greater clarity. That 50 of care staff achieve NVQ level 2 or equivalent by the end of 2005. That the manager has achieved NVQ lever 4 in management and care or equivalent by the end of 2005. That care staff receive formal supervision at least 6 times a year. Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Victoria Court I56 S15479 Victoria Court V236331 050905 Stage 4.doc Version 1.40 Page 20 - 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. 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