Inspection on 24/11/05 for Victoria House

This inspection was carried out on 24th November 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 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 03/03/09

Victoria House 13/12/07

Victoria House 10/08/07

Victoria House 11/10/06

Victoria House 23/06/05

Victoria House 11/11/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE 77 Victoria Road Care Home 77 Victoria Road Rushden Northants NN10 0SA Lead Inspector Mrs Linda Preen Unannounced Inspection 24th November 2005 10:00 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 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 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. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 77 Victoria Road Care Home Address 77 Victoria Road Rushden Northants NN10 0SA 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) 01933 417950 01933 417951 Shaw Healthcare (de Montfort) Ltd Mrs Susan Anne Attley Care Home 45 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (45), of places Physical disability over 65 years of age (6) 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All re-development work detailed in the refurbishment plan submitted to the Commission on 25.04.04 must be completed by March 2009. The home may continue to accommodate 2 named service users who fall within the registration category MD(E) No one falling within the category of DE(E) may be admitted into the home where there are 8 service users who fall within the category of DE(E) already accommodated within the home No one falling within the category of PD(E) may be admitted into the home where there are 6 service users who fall within the category of PD(E) already accommodated within the home A total of 45 in the category of old age, not falling within any other category (OP) A total of 6 in the category of mental illness over 65 years of age MD(E) Maximum number of service users is 45 4. 5. 6. 7. Date of last inspection 23rd June 2005 Brief Description of the Service: 77 Victoria Road is a residential care home currently owned by Shaw Healthcare. The home provides care for up to 45 Service Users over the age of 65 years. Within the homes total of 45 Service User up to 8 older people with dementia and up to 6 people with physical disabilities can be provided with personal care. The Home is situated within walking distance of Rushden town centre, has extensive gardens and all facilities are located on the ground floor. Service Users have easy access to local facilities and amenities. All bedrooms are single occupancy rooms with easily accessible communal areas. The home is made up of several smaller units, each with their own lounge, dining area and kitchenette as well as a central larger lounge and bar area. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations, and reviewing notifications provided by the service. The inspection took place over a period of two and a three quarter hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff rotas and staff records were seen. A limited tour of the environment was undertaken. What the service does well: What has improved since the last inspection? What they could do better: Some work has been done to improve care records since the last inspection, but further work is needed in order for staff to have all the information 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 6 required to meet resident’s needs. This was a requirement at the last inspection and remains outstanding. There is not always a staff member present in the Dementia unit, leaving these vulnerable residents unsupervised. One resident had been assessed as being at risk of eating soap, and although there was no soap in her room, it was freely available in communal bathrooms and other resident rooms in the home. The residents in the dementia unit are not confined to this unit and have free access to other units in the home. An electric kettle was available in the open kitchenette area of this unit, which could also present a risk to the residents. The home was required to address these issues. 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. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 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 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 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 the following standard(s): 1,2, and 3 Residents are assured that their needs may be met in the home, prior to admission. EVIDENCE: Resident’s case tracked had comprehensive pre- admission assessments completed, which demonstrated that the resident and their family had been consulted. There were copies of Terms and Condition of residence on file. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8 Care planning records did not give sufficient guidance to staff on how to meet resident’s needs EVIDENCE: Some work has been done to improve care planning since the last inspection, but care plans are still not in sufficient detail to enable staff to provide care. For example one resident was recorded as having lost 5Kg in weight since September but there was no care plan in place to address this. She had a care plan in place for incontinence but this states “wears pads” without offering any information as to the type of pad or frequency of change. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 Social activities and meals are both well managed and provide daily interest and variation for people living in the home. EVIDENCE: Residents monitored had records of their life history and records of their preferred hobbies and interests as well as records of their participation in social activities. One gentleman spoken to confirmed that he attends a local day centre once a week, which he enjoys. The activities co-ordinator arranges various activities in the home. For example a mini market was in progress at the time of the inspection and a musical entertainer had visited the home on the previous day. A firework party had been arranged to which residents from other homes locally had been invited and a trip to the theatre is planned in January. Visitors are welcome at any time and were welcomed by staff on their arrival. One lady was looking forward to going out with her daughter in the afternoon. Residents stated that the standard of food was good and confirmed that they were offered a choice of menu at main meals. A menu was on display on the dining tables to remind residents of that day’s choices. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26 Residents live in a safe, comfortable environment, which meets both individual and collective needs. EVIDENCE: A limited tour of the environment demonstrated that the home was clean and maintained to satisfactory standards. Light, airy communal rooms are available throughout the home and pleasant gardens are available in good weather. Resident’s rooms showed evidence of personalisation with small items of furniture, pictures and ornaments on display. All areas of the home were warm and comfortable. Areas seen were clean and hygienic. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 Staffing numbers are insufficient to meet the needs of the current resident group. EVIDENCE: Duty rotas demonstrate that there is one team leader plus four carers in the morning, one team leader and two carers on the late shift and one team leader and two carers at night. This does not allow for dedicated staff to be present in the dementia unit, as carers have to assist on more than one unit. This leaves this very vulnerable group unsupervised at times and at risk from harm as they have free access to other areas of the home and to each others rooms. For example one resident identified as at risk of eating soap, had this removed from her own room but had free access to other residents soap and to that in the communal bathrooms and toilets. This resident was also identified as being at risk of falls and had in fact fallen on eight occasions since the beginning of October. Lack of a permanent carer in this area leaves her at risk of further falls when she attempts to walk unaided. The company have a commitment to training and have a training manager employed. A training matrix is available to monitor statutory training and updates. Twelve staff currently hold a National Vocational Qualification in care, with a further three working towards this. This commitment to training ensures that a competent team of staff may meet resident’s needs. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38 The home is not always run in the best interests of the residents. EVIDENCE: As stated above, staffing levels do not allow for the best interests of the residents to be considered, although resident meetings and surveys are conducted to ascertain their views. Records of resident pocket money accounts were seen and systems found to be satisfactory to protect residents from potential abuse. The home is maintained to a good standard and is scheduled for refurbishment in the near future. Cupboards in the kitchenette of the dementia unit are lockable, but consideration should be given to the safety of these residents who have free access to other areas of the home. The kitchenette has an Electric Kettle, which is accessible to residents and could put them at risk of scalding when left unattended. Requirements are made concerning these issues. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 15 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 2 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 2 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 17 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 OP7 Regulation 15 Requirement Timescale for action 01/01/06 2 OP27 18 (1) a The Registered Persons must ensure that sufficient detail is recorded in the care plans that directs and instructs staff in the appropriate care provision required. (Previous timeframe of 30/9/04 and 1/1/05 and 1/9/05 not met) Staffing levels must be sufficient 01/01/06 to ensure that a member of staff is present in the dementia unit at all times in order to maintain the safety of this resident group. 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 OP22 Good Practice Recommendations Consideration should be given to the security of the dementia unit in order to prevent residents being harmed by wandering unattended in the rest of the home. 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 77 Victoria Road Care Home DS0000060005.V264851.R01.S.doc Version 5.0 Page 19 - 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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