Inspection on 12/07/05 for Victoria House

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House 10/12/08

Victoria House 16/06/08

Victoria House 21/02/07

Victoria House 22/11/05

Victoria House 03/11/04

Victoria House 14/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Victoria House 22 Nelson Place Ryde Isle of Wight PO33 2ET Lead Inspector Liz Normanton Announced 12 July 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 House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Victoria House Address 22 Nelson Place, Ryde, Isle of Wight, PO33 2ET 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) 01983 614515 01983 613370 Venetian Healthcare Limited Mrs Judith Garvey Care Home 22 Category(ies) of Dementia - Over 65 years of age (1), Old age, registration, with number not falling within any other category (22), of places Physical disability (1), Physical disability over 65 years of age (5). Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3/11/04 Brief Description of the Service: Victoria House is a well appointed care home, which occupies a fine elavated site in Ryde. It boasts sea views from all the rooms at the front of the building. Whislt the home has a number of double rooms they are presently used as singles. The home has a passenger lift that provides access for residents to all levels of the building. The home benefits from an experienced manager and motivated and experienced staff team. The home offers a varied programme of social and recreational activities including music and art activities. The home has its owntransport and outings are arranged to the theatre and other places of interest on the Island. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and the first in the inspection year. All the standards assessed were met and there was no need to make requirements. One recommendation was made. The inspector visited the home on a warm summer day at the beginning of the week and was made to feel welcome. The inspector undertook a full tour of the home and was accompanied throughout by the registered manager who was observed to knock on bedroom and toilet/bathrooms doors. Whilst on the first floor the inspector noted that some sash windows were not fitted with restrictors, this matter was dealt with immediately by the maintenance man. The inspector was introduced to residents and staff during the course of the day and spent time alone with both parties to discuss what life is like at the home. The general response was that residents enjoy living there and described staff as friendly and supportive. Staff described the home as a nice place to work. Four residents were seen to be engaged in the craft session which was going on in the morning, other residents were reading and a number were sleeping in the lounge area. A staff member stated that as the residents have become older, now in their late 80’s and 90s, they have lost interest in activities and are sleeping more. Residents were observed throughout the day exercising their right to make choices and the inspector sat outside with one resident who had chosen to have lunch out in the garden. The inspector noted that the staff supported this decision and the resident’s care needs were being catered for. After lunch a number of residents chose to go out into the garden to enjoy the sunshine. The inspector observed that residents sitting in the large lounge, which has access to the garden, were required to sit up or move out of their seats to enable wheelchair users to gain access to the garden. This issue was discussed with the registered manager and proprietor who were aware of the situation. They have looked at alternative seating arrangements in the room but residents have their favourite places and do not want to move. There was no apparent risk of danger, just general inconvenience. The inspector was not assessing mealtimes on this occasion but could not help but notice that the food was very good and there was a choice available. Two relatives visited the home in the afternoon and one had a lengthy conversation with the inspector and was very happy with the care which was being provided at the home. During the course of the inspection the inspector consulted with the registered manager and viewed staff files and resident files and had access to policies and procedures and records. The home currently has vacancies and the proprietor is planning to extend the home to provide additional space to enable a day care service. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 6 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 House H55_H04_S12550_Victoria_House _V220448_070605 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 Victoria House H55_H04_S12550_Victoria_House _V220448_070605 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) 1,2, 3,4, 5 and 6 Prospective residents and their representatives are provided with written information advising them what the home has to offer which would enable them to make an informed decision about where they choose to live. The home provides residents with a contract of the terms and conditions. Prior to admission prospective residents are assessed to ensure that the home can meet their care needs. The home employs an established experienced staff team who are able to meet the needs of older people. Prospective residents and their representatives are invited to visit the home and meet with residents and staff and have a meal in order for them to access the home’s suitability. The home does not specialise in intermediate care but will occasionally offer respite care. EVIDENCE: The inspector viewed the Statement of purpose, which also incorporated the service user guide. The information provided was written in plain English and the service users’ guide is written in a question and answer format. A copy of the service users’ guide is available in the reception area and residents have copies in their rooms. Each resident receives a copy of the contract between themselves and the proprietor, which has details of the fees. The inspector Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 9 viewed a resident’s contract and found it to have all the necessary information with regard to terms and conditions. The inspector viewed three care plans and found them to contain comprehensive needs assessments for each individual. Residents’ needs are written into individual care plans which are used to inform staff, the care plans were seen to be reviewed monthly. The inspector observed residents being assisted throughout the course of the day. Through discussion with the manager and staff the inspector was satisfied that a great deal of consideration is given to residents. The inspector spoke to a visiting relative who confirmed that the manager had visited them at home and had undertaken an assessment. They had also been invited to visit the home prior to admission. They also confirmed that they had received a statement of purpose/service user guide and that there had been a trail period. At the time of the inspection there was one resident receiving respite. Although the home does not have specialist facilities for intensive rehabilitation the registered manager is confident that the home could provide rehabilitation respite care using aids and equipment already in the home and using local community services. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 10 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) 11, In the event of a resident dying the home endeavours to treat them and their families with the utmost sensitivity and respect. EVIDENCE: Through discussion with the manager the inspector was informed that in the event of a resident becoming unwell and thought to be dying a doctor would be called out to ascertain what would be in the person’s best interest. This would be in discussion with the resident (where able), the home and relatives. If the decision is made that it is in the resident’s best interest to remain at the home they would remain in their room and would be supported by care staff, doctor and district nurse. Relatives could come and go as they please and would be welcome to stay at the home. Following the death of the resident the room is locked to provide privacy. The inspector read the home’s policy and procedure on death and dying and found it to confirm the information received by the manager. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and 14 The home offers residents a range of activities to match their expectations and preferences and satisfies their cultural and religious needs. Residents are able to maintain contact with community, family and friends. The home encourages residents to retain choice and control over their lives. EVIDENCE: The home provides an independent company to provide varied activities throughout the week which includes movement, music, reminiscence, flower arranging and craft. The inspector observed and spoke with four residents who were engaged in the craft session which they were thoroughly enjoying. The home is equipped with board games, cards, television CD player etc. The home has a mini bus and organises days out for those residents that are interested in going out. In discussion with a member of care staff the inspector learned that care staff will escort residents into Ryde and also engage in activities on a one to one basis. The staff had organised a bingo session but this was not popular with the residents and has been stopped. Residents are taken out to the theatre at Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 12 Christmas time. A resident confirmed that a vicar visits the home but that they prefer not to see him. One resident goes out to church weekly. The inspector viewed the visitors book which showed evidence of regular visits from family members, two visitors were seen on the day and residents confirmed that they had visitors and that staff made them welcome. The home’s Statement of Purpose and Service Users’ Guide contain the home’s philosophy of care which promotes autonomy. Residents were observed exercising self-autonomy, one resident chose to eat their lunch out in the garden and was fully supported to do this by staff. A bell was provided for them to ring if they required assistance. After lunch residents were seen to be reading newspapers, sleeping, going out into the garden and receiving visitors. The manager confirmed that residents are responsible for the management of their finances. The inspector viewed residents’ bedrooms and found that they contained items of furniture which residents had brought to the home and also contained personal items. The inspector spoke with several residents who confirmed that are able to make choices within the home. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The above standards were assessed at the previous inspection and were met. EVIDENCE: Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,24 and 25 The home provides residents with a homely, well maintained, clean, comfortable and safe environment. The bedrooms are comfortable and well furbished and residents can have their possessions around them EVIDENCE: The inspector undertook a tour of the home and found all areas to be kept to a high standard of cleanliness. The inspectors observed cleaners busy at work during the inspection and chatted with two cleaners who said they enjoyed working at the home. The hall stairs had recently been redecorated. The communal areas were well furnished and decorated. There were plans to have new carpet laid to the lounge and dining room within a few days of the inspection. The home employs a maintenance man who undertakes routine repairs as requested by the manager. Access to the grounds was from the rear of the home and there was ramped access into the garden which was extensive with nicely kept flower borders and well maintained lawn. There was also an assortment of garden furniture and parasols to protect residents from the sun. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 15 The home complies with the requirements of the local fire service and environmental health. The inspector saw written evidence of a fire service check, which was undertaken in 2000 and an environmental health check in October 2004. Residents’ bedrooms were clean and tidy, some contained residents’ own furniture. All bedrooms met the required minimum standard, each had en-suite facilities. All bedrooms were fitted with locks and residents are provided with keys. The home is centrally heated and radiators were seen to have protective guards to prevent burns. The sinks and baths are fitted with thermostatically controlled taps to prevent scalding. Water temperatures are checked monthly and logged. Private rooms and communal rooms were well lit and ventilated. The home was fitted with emergency lighting. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 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 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) 29 and 30 Residents are well supported and protected by the home’s recruitment policy and procedures. Care staff, are well trained and competent to do their job. EVIDENCE: The home is an equal opportunities employer and this was reflected in the composition of the staff team. The home advertises in the local press and will also consider sending out an application form to people that are recommended by existing staff. All applicants are interviewed and have to provide two references and have criminal record bureau (CRB) and Protection of vulnerable adult (POVA) checks prior to taking up employment. The inspector viewed three staff files and found them to contain all the required paper work. Staff files also contained the job descriptions. The inspector saw evidence that care staff are given induction training when they first take up employment. Mandatory training is compulsory and includes First Aid, Health and Safety, Infection Control, Moving and Handling and Essential Food Hygiene. The home has been awarded an Investors in People Certificate. The inspector interviewed two care staff who confirmed that they had received mandatory training. Both staff had also completed national vocational training NVQ level 2 & 3 respectively. The information provided in the pre inspection questionnaire states that 60 of the care staff are qualified to NVQ level 2. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 17 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 Residents live in a home which is run and managed by a person who is fit to be in charge and is of good character and is able to discharge her responsibilities fully. EVIDENCE: The registered manager has worked at the home for twenty years and is responsible for no other homes. She has completed NVQ level 4 and hopes to have completed the Registered Manager’s award before December 2005. The manager’s job description is currently under review. The manager was aware of the conditions associated with old age and has passed this knowledge to staff through demonstration, team meetings and supervision. Care staff are accountable to the registered manager and senior supervisor. Care staff described the registered manager as supportive and approachable. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 18 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 x COMPLAINTS AND PROTECTION 3 x x x x 3 3 x STAFFING Standard No Score 27 x 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 4 x x x x x x x Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 19 NONE 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 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. 1. Refer to Standard 20 Good Practice Recommendations Further consideration to be given to the layout of the seating arrangements in the large communal lounge which would enable free access through the doors out into the gaden without having to disturb residents who are seated near to the door. Victoria House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight,PO30 2AA 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 House H55_H04_S12550_Victoria_House _V220448_070605 Stage 4.doc Version 1.30 Page 21 - 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. 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