Inspection on 21/06/06 for Victoria House Care Home

This inspection was carried out on 21st June 2006.

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 House Care Home 19/12/07

Victoria House Care Home 20/12/05

Victoria House Care Home 19/05/05

Victoria House Care Home 06/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Victoria House Care Home 59 Victoria Street Newark Nottinghamshire NG24 4UG Lead Inspector Lee West Unannounced Inspection 21st June 2006 10:00 Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 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 Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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 Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Victoria House Care Home Address 59 Victoria Street Newark Nottinghamshire NG24 4UG 01636 708007 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Dareen Marjorie Morgan Vera Allen Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2005 Brief Description of the Service: Victoria House is a large detached property close to Newark town centre. The home caters for 3 adults with a learning disability. There is a large garden to the rear and parking to the front of the property. The home is within walking distance of all local amenities. There are 2 bedrooms on the first floor and 1 on the ground floor. There is a shower room and toilet on the ground floor and a bathroom with toilet and a separate toilet on the first floor. The home is newly registered and is furnished and decorated to a high standard. The fees are £450 per week. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours. All the service users and members of staff on duty were spoken with and a tour of the building undertaken. Care plans, policies and procedures and other mandatory documentation were examined and judgements were made using all the information gathered. The members of staff on duty provided invaluable assistance during the inspection, as did the service users themselves. Everyone, owner, manager, staff and service users, it was observed during the inspection, work hard at maintaining high standards of care and support for each other. What the service does well: The service users expressed their satisfaction at the levels of care they receive and are actively involved in their care plans. All showed individual service user needs are identified and met and service users are encouraged to make decisions regarding their lives and the running of the home, as well as having individual independence promoted. Service users are involved with work in the community, as well as around the home. The care plans are reviewed regularly and changes documented. The risk assessments included all areas and use of all equipment and safeguard the service users, without loss of independence. The service users are enabled to take holidays with the support of staff, recently returning from a holiday in Turkey, which all the service users said they enjoyed very much. Planning of the next one, possibly to Paris is already underway. The relationship between the home’s staff and the service users was observed to be of mutual respect and affection, and service users expressed their positive relationship with the owner and manager also. One service user, with particular health care needs, is supported by the staff trained to meet these particular needs, and the whole team are motivated and supportive. All the service users said they have their individual needs met and are supported “100 ” by the staff. “Its just like being at home.” Staff do not wear uniforms, but protective tabards and other protective items when necessary, which adds to the homely atmosphere. It provides a much more domestic feel to the home. Meals are varied, nutritious and appetising. The service users all expressed their satisfaction at the meals and the choices given. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 6 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 Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3, Quality in this outcome area is excellent Sufficient information is provided to inform choice about this home. Aspirations and needs of prospective service users are assessed and met. EVIDENCE: The home’s Statement of Purpose gives comprehensive information about the home. Service users spoken with confirmed that they were given sufficient information to choose. Comprehensive assessments were seen in service user files, which addressed needs and aspirations, which formed the basis of care plans negotiated with input from service users. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent. Changing needs and goals are reflected in individual plans. Service users are encouraged to retain control in their individual lives, including taking risks and know that all information about them is kept confidential. EVIDENCE: The service users all confirmed that they made decisions about all aspects of daily life, with support from the staff. Care plans and risk assessments seen state how service users will be assisted and risks minimised. Reviews and updating of care plans were also seen during the inspection. Service users also said they were aware that information was kept about them and that this was kept “private and locked away”. Records were seen to be securely kept during the inspection. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. Service users have a stimulating and full lifestyle, and are part of the local community. Appropriate relationships are encouraged and rights are respected. Meals are enjoyed at mealtimes chosen by service users and food is wholesome, appetising and served in pleasant surroundings. EVIDENCE: The care plans, service users themselves and staff, all confirm that they have opportunities for personal development, there is one to one support where needed to accomplish this, also work within the community is carried out by a service user. The service users plans identify a diverse selection of interests and the service users said how much they enjoy this freedom of choice and activity. “My days are always full”. Visitors are always made welcome and are encouraged to join in any of the activities, the service users said that this was sometimes what happened. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 11 The favourite activity expressed by all the service users was the lovely holidays they have. Last year Puerto Rico, this year Turkey and next year they said they would love to go to Paris. During the inspection the staff were observed and demonstrated that they work hard to meet the individual and complex needs of the service users, and they were observed treating them with great respect and as individuals. All the service users echoed this, that the staff are always willing to help and encourage whenever its needed. The menus provided evidence of a balanced and varied diet, which addressed the needs of all the service users as well as giving choice. Service users confirmed that there is always plenty of choice and the meal observed during the inspection, which was served where the service users wanted it to be. The dining room is pleasant, light and well furnished, but the service users said they prefer to eat lunch in the living room at the small table set there, so they could watch the lunchtime television. Following lunch the service users were observed again to be carrying out their preferred activities, out and about and within the home. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent. Service users’ physical and emotional needs are met and they receive support in the way they prefer. Service users’ medication is administered by the staff in accordance with policies and procedures. EVIDENCE: The service users’ physical and emotional needs are identified within the care plans and staff are trained to meet these needs. The service users confirmed that the staff do meet their physical and emotional needs. Some of these physical needs are complex and required staff to have training to deal with them. The training records were seen and the staff observed carrying out the care needs appropriately and with dignity and in privacy when necessary. The service users said they feel “everyone helps when needed, but leave me to manage when I can.” Medication is administered by the staff and this was observed during the inspection to be carried out appropriately, in accordance with the policies and Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 13 procedures and all Medicines Administration Records were completed accurately. Service users said they prefer the staff to “give me my tablets”. Medicines were appropriately secured and no evidence of overstocking was seen during the inspection. Staff training in administration of medicines was also evidenced in the staff files and certificates seen during the inspection. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent. Service users are listened to and are protected from abuse by the appropriate policies and procedures being followed. EVIDENCE: Staff spoken with were aware of their role within the safeguarding adults procedures and the policies within the home were noted to be up-to-date. The staff, observed during the inspection as well as evidenced in the records, work in a manner which is protective of all the service users in their care and have received training including dealing with challenging behaviour to reduce the risks of any form of abuse. Service users explained that if they had any complaints they would speak to the proprietor or manager, or any member of staff would help. Records showed complaints procedure in place. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24.25,26,27,28,30 Quality in this outcome area is excellent. The standard of all the areas within this home were excellent. Bedrooms promote independence and there are sufficient toilet and bathroom facilities to meet individual needs. The home is also cleaned to a high standard and is hygienic. EVIDENCE: The house cannot be distinguished from its neighbours and is in no way institutional. There is a good-sized garden to the rear, which is accessible to all service users. The house itself is exceptionally well-furnished and decorated, which reflects the ethos of the proprietor of a homely environment. The service users all expressed their pride in their surroundings, especially their own rooms, as the inspector toured the home. Each service user’s personal room reflects its Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 16 occupant’s personality and is furnished to a high standard. All are spacious and also well decorated and have evidence of individual interests. All toilets and bathing facilities were cleaned to a high standard and lockable for privacy. Facilities are available on both floors, sufficient for all the service users and staff. The high standard of furnishing and décor was observed throughout all the communal areas, as well as the personal rooms. There was room available for private visits from family and friends if needed. The kitchen area, which had been used for preparing the lunch was also clean to a high standard and hygienic. Staff on duty carry out the cleaning and service users assist in keeping their own environment clean and hygienic. Each service user has an allocated laundry day and they said that they found this “very useful”. Care staff perform this task as well as ironing the clothing, also to a high standard to try to ensure all service users’ clothing is clean, wellpresented and service users said that they “always feel smart.” Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is excellent. Service users are supported by an efficient, well supervised staff team. The recruitment policy has improved protection to service users. EVIDENCE: Service users spoken with are clear about the roles of each member of staff and explained this to the inspector, also saying that they liked all the staff. Staff on duty also demonstrated a clear understanding of their roles. The atmosphere within the home appeared to be one of mutual respect and support. This was observed during the four hours the inspection took place and reflected in the comments made by the service users describing the staff team. The staff team are well supported and staff files included evidence of regular supervision sessions, including personal development. Staff spoken with confirmed that they had received training in a number of areas relevant to their roles within the home. Certificates for this training were also seen during the inspection. The home’s recruitment procedures have been improved and the application forms now include requests for previous employment referees, which are then Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 18 followed up. Staff files seen all contained appropriate Criminal Records Bureau checks. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 Quality in this outcome area is excellent. The home is well run to a high standard with service users’ rights and best interests safeguarded by appropriate policies, procedures and record keeping. The health, safety and welfare of service users and staff are promoted with a competent and accountable management in place. EVIDENCE: Although not present during the inspection, the leadership and competence of the proprietor and manager were clearly demonstrated within the efficient and open style of management and working methods carried out in their absence. The staff exhibited a clear knowledge of all aspects of care required within the home to protect and support the service users appropriately. Care plans produced by the management were written in plain English, were easy to understand by staff and service users and clearly demonstrated the actions required to assist the service users. The service users also said that they were happy with the way the proprietor and manager put their interests first and Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 20 “try to make sure we are happy.” These standards of care are monitored monthly with staff meetings, but also with discussions with service users to ensure their care needs continue to be met and what else could be achieved. This is evidenced by the service users positive interactions with the staff seen during the inspection and their confidence to express their views to them. All the mandatory health, safety and welfare records are appropriately recorded and carried out as evidenced in the records, but confirmed by the staff who carry out these checks and also by service users who also confirmed that they are regularly carried out. Each service user has their own personal financial records in place to keep track of the money they receive. Service users said that they do have their own personal bank accounts and account books. Service users said that everyone “is like a big friendly family”, with all the home’s policies, procedures, facilities and management in place to monitor this and provide facilities and care to safeguard their best interests. Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 N/a 5 N/a INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 3 27 3 28 4 29 N/a 30 4 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 N/a 3 4 3 3 3 3 3 Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Victoria House Care Home DS0000060427.V301250.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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