Inspection on 13/06/05 for Victoria House

This inspection was carried out on 13th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Victoria House 19/09/06

Victoria House 13/03/06

Victoria House 26/10/04

Victoria House 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Victoria House 2 Victoria Road Poulton le Fylde Lancashire FY6 7JA Lead Inspector Gwen Miller Announced 13 June 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 F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Victoria House Address 2 Victoria Road Poulton le Fylde Lancashire FY6 7JA 01253 892 400 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) Mrs June Wilkinson Mrs Wilma Rogers Care home only 15 Category(ies) of OP Old Age (15) registration, with number of places Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: This home may accommodate 15 older people (OP) Date of last inspection 26th October 2004 Brief Description of the Service: Victoria House provides residential care and is registered to accommodate 15 residents of either sex, aged 65 years and above. Victoria House is run in a homely manner with a friendly, informal atmosphere. The home is situated in a residential area of Poulton-le-Fylde and is close to shops and local amenities. It is also situated on a bus route and is close to the railway station. Residents are encouraged to retain their links in the community and help is given to ensure that relationships, hobbies and interests are pursued. Relatives, friends and visitors are made welcome at any time.Communal accommodation is situated on the ground floor and the bedrooms are situated on the ground and first floors. A chair lift is installed to assist those residents who cannot manage stairs. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over a day and a half. The inspection was carried out with Mrs June Wilkinson, the registered provider and the deputy manager, Mrs Pauline Elliott. The inspector spoke with eight residents, five relatives / carers and staff members on duty. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of two residents, was carried out. Part of the inspection was spent looking at daily notes and information about the home and residents. Time was spent observing the workings of the home and how staff members supported residents. The inspector had lunch with three residents and a tour of the home was part of this inspection. Information about the home, was provided by the proprietor, in the form of a preinspection questionnaire, some of this is included in the following report. 10 comment cards were received from relatives and 10 from residents, some of the comments made, are also included in the following report. An additional visit was made to Victoria House in April 2005, in response to a complaint which is referred to in the main body of this report. What the service does well: What has improved since the last inspection? Improvements have been made to the decoration of the home, this has included communal areas as well as individual bedrooms. New carpets and furniture have improved the interior of the home, new crockery has brightened mealtimes. Residents were pleased with the results. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 6 Since the previous inspection, pipe work and radiators have been guarded so the residents don’t burn themselves if the radiators are very hot. Bedroom and bathroom doors have been fitted with locks to ensure residents privacy (although residents may choose not to use the locks on their bedroom doors). 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 F57 F09 S9714 Victoria House V221793 130605 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 F57 F09 S9714 Victoria House V221793 130605 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 Residents are admitted to the home following assessment of their needs, where a social worker is involved, the social worker’s assessment should also be included to ensure that care needs of residents are met. EVIDENCE: Individual records are kept for each resident, these include assessments of the person’s needs, and this is completed before a resident moves into the home. The proprietor was advised that where residents are funded by the local authority, social services assessment forms SS1B, completed by the social worker, should always be obtained. One resident spoken with was able to provide significant information about his care needs which had been recorded and completed with the help of his family. Staff spoken with, were aware of each resident’s needs and the chef had been informed of special dietary needs. Victoria House F57 F09 S9714 Victoria House V221793 130605 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) 7,10 The care plans at Victoria House set out the individual needs of the resident, they are updated regularly and provide a sound basis for the support and care provided whilst respecting the privacy of the residents. EVIDENCE: Individual records include a plan of care for each resident, this details the action to be taken by care staff in areas of health, personal and social care needs of residents, these must to be signed by the resident or their carer to confirm they were involved and agreed to the care planning. A daily report and programme of personal care is kept for each resident and used to alert staff coming on duty to be aware of any changes in resident’s health or welfare. The care plans for residents showed how their needs had changed and the action taken by the home to resolve any problems. Eight comments cards received from residents confirmed that the home met their needs, case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) found that care provided by the home was in keeping with their needs. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 10 Comments cards also indicated that their privacy is respected. All five relatives spoken with, spoke well of the care given by the home comments included” very pleased with the level of care and understanding – the home treats my Mother with respect” and where able, residents confirmed their satisfaction. The interaction observed between staff and residents was friendly and there were clear bonds between some. The atmosphere in the home was relaxed, staff respected the privacy and dignity of residents when assisting with personal care. Victoria House F57 F09 S9714 Victoria House V221793 130605 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) 13,15 Social contact is encouraged, meals are well managed, providing daily variation and interest for people living in the home. EVIDENCE: A number of relatives were spoken with, many visit on a daily basis and all commented that they were welcomed to visit at any time, this was also confirmed in comment cards received. One relative said “I have been to a lot of these places, this is a very good home, staff are very kind, they took my Father and four others out to lunch last week- he had two glasses of beer”. Residents spoke well of the quality and quantity of the meals provided, lunch was sampled in the company of three residents, choices were acknowledged and help with cutting up meat, or in feeding someone, was provided in a dignified manner. One resident prefers to eat small amount frequently during the day rather than set mealtimes. Another resident said he likes “egg and chips” and often has that in preference to what’s on the menu, he also likes a bacon sandwich before bedtime. The dining room is spacious enough to allow all residents to eat together, or they may eat in their rooms if they so wish. The dining room was pleasantly set out with matching crockery, tablemats, serviettes and fresh flowers on each table. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 12 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 The home has a satisfactory complaints system with some evidence that resident’s feel their views are listened to and acted upon. There has been progress in Vulnerable Adult Protection, to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: Victoria House has a complaints procedure, a copy of this is provided in the Home’s information. All but two comment cards indicated that residents and relatives knew who to complain to if they were unhappy with the care provided. One complaint has been received by the Commission for Social Care Inspection over the past year, this was regarding care practices and environmental issues. The proprietor has addressed all but one issues arising from the complaint. One complaint received during this inspection was regarding the lack of ventilation/ extractor fan in the room where residents are allowed to smoke. The proprietor agreed to remedy this to the satisfaction of relatives and residents. Questionnaires were devised by the home, 90 of relatives/ friends/ health professional, confirmed they were aware of the home’s complaint procedure. All members of staff have been issued with information regarding “Elder Abuse”, two staff have had training in “Protection of Vulnerable Adults”, this will be provided to all staff. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 13 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) 24,25,26 The standard of the environment in this home is generally good providing resident’s with a safe, attractive and homely place to live. EVIDENCE: Since the previous inspection, all radiators are now fitted with covers and bedroom doors have been fitted with appropriate locks as rooms have become vacant. A number of other improvements have been made: A new toilet has been fitted and a downstairs bathroom has been re decorated. Seven bedrooms have been redecorated with four bedrooms having new carpets. New carpets have been fitted downstairs and the front lounge has been re decorated. The home has new dining tables and lounge chairs. New kitchen equipment has been installed. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 14 All rooms were clean, pleasant and warm. Bedrooms were well personalised with resident’s own furniture. All residents spoken with were pleased with their rooms, one resident was especially proud of her room which was full of photographs of her family. Cleaning rotas are well detailed and list all parts of the home to be cleaned each day, this also includes resident’s laundry. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 15 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 The policies and procedures for the recruitment of staff are now robust and provide safeguards for the protection of residents. EVIDENCE: One comment card from a relative, suggested that staff “seemed not to have enough time to attend to some of the personal care residents require”, but all relatives spoken with did not support that statement. Their views were quite supportive. One resident said, “they are all good girls” and “they can’t do enough for you” Residents said they were happy with the care they receive from the home and were well treated by the staff. Residents looked well cared for and appropriately dressed. Staff spoken with said they were clear about their role and work together as a team. The home provided information that 33 of staff have achieved National Vocational Training level 2. Staff files now show that all staff members hold Criminal Records Bureau checks and relevant information. Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 16 The proprietor said the home’s recruitment procedures had been reviewed and any future staff members would not commence employment without necessary recruitment checks, these would include references and Criminal Records Bureau checks. Victoria House F57 F09 S9714 Victoria House V221793 130605 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 There was poor management at the home, additional management support is needed to improve upon the maintenance of records and care planning EVIDENCE: The previous inspection report recommended that the registered manager should be N.V.Q. level 4 qualified by April 2005, the situation is still the same, the registered manager is currently qualified to level 2 N.V.Q. The registered manager is considering her current role in the home. Victoria House F57 F09 S9714 Victoria House V221793 130605 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 3 2 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x x x x x Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 19 yes 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 26 Regulation 16 (2)(k) Requirement The premises must be kept clean, hygenic and free from offensive odour. You must address the issue of smoke in the Lantern room which infiltrates into the diningroom and kitchen Care plans must be agreed and signed by the service user and/or representative Timescale for action 30/06/05 2. 7 15(1) 30/06/05 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. Refer to Standard 31 Good Practice Recommendations The registered manager should be NVQ level 4 qualified by 2005 Victoria House F57 F09 S9714 Victoria House V221793 130605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 F57 F09 S9714 Victoria House V221793 130605 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. 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