Inspection on 05/12/05 for Victoria Oaklands

This inspection was carried out on 5th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Victoria Oaklands 10/03/08

Victoria Oaklands 22/02/07

Victoria Oaklands 05/01/05

Victoria Oaklands 06/08/04

Victoria Oaklands 20/08/02

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Victoria Oaklands 39 Dyke Road Avenue Hove East Sussex BN3 6QA Lead Inspector Linda Khot Unannounced Inspection 5th December 2005 02:00 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 Victoria Oaklands DS0000014072.V254542.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. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Victoria Oaklands Address 39 Dyke Road Avenue Hove East Sussex BN3 6QA 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) 01273-330806 01273-331134 Victoria Nursing Homes Limited Veronica McQuade Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability (22), Terminally ill (22) of places Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That there is adherence to the staffing levels set down Date of last inspection 25th June 2005 Brief Description of the Service: Victoria Oaklands, 39 Dyke Road Avenue is a large detached house in a residential area of Brighton and Hove. It is set back from the road with a sweeping drive that has parking for up to ten cars. The home has a beautiful and secluded garden at the back that is accessible for wheelchair users and provides lovely views for service users who have rooms at the rear of the home. All rooms in the home have a view and are very comfortable and pleasant. There is a passenger lift that serves both floors. The home is registered for 22 service users who fall into the categories of old age, physical disability, and terminal illness.As with the other homes in the Victoria Group, Victoria Oaklands has the Quest for Quality Award. In the garden of the home are the training rooms for staff, and the equipment store. All outbuildings are within keeping with the main building. The Number 27 and 27a buses stop nearby and run between the main shopping area of Brighton, and Brighton mainline station. There is consistency of care throughout all the homes in the Victoria Group with attention paid to staff training and administration. The Registered Providers and their staff are to be congratulated on the efforts made to ensure that service users receive a high quality of care in very pleasant and welcoming surroundings. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was facilitated by Mrs Margaret McConnel who is the Deputy Manager. During the inspection the Inspector was able to tour the premises and speak with care staff, kitchen staff and residents, and look at care plans, recruitment and maintenance records. During the four- hour inspection both the Registered Providers, Director of Nursing Services and in-house Trainer also called in. Staff could be seen playing scrabble with residents or heard chatting to them in their rooms’. The atmosphere was calm and pleasant with visitors coming and going, the hairdresser was also in the home seeing residents who wished to have their hair done. The Inspector gave feedback to Mrs McConnel and left an inspection questionnaire for completion, she would like to thank Mrs McConnel and the staff for their hospitality and helping to make the inspection a pleasant one. What the service does well: Victoria Oakland’s provides a comfortable and homely environment for the residents in a well-maintained house with beautiful gardens. Staff provide a high standard of care and accommodate the individual needs of the residents. All residents spoken with by the Inspector remarked on the kindness of the staff; comments included ‘staff treat us very nicely’, ‘their kindness leaves me speechless’. ‘they are endlessly cheerful’, and ‘I am very well looked after and cared for’. The home also arranges activities for residents and the activities co-ordinator visits on Tuesdays and Thursdays providing either group activities or visiting residents on a one- to -one basis for a chat. The Inspector noted that many visitors came to the home during the inspection, they were all greeted warmly and residents said their guests were always offered refreshment and made welcome. The Deputy Manager and Inspector discussed how the home provides support for recently bereaved relatives; something the home is pro-active in doing. The Registered Providers are keen to support staff and visit the home very regularly, each year at Christmas time a large staff dinner dance is organised in a local hotel for staff in all five Victoria homes as a thank you for the work they do. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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 Oaklands DS0000014072.V254542.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 Victoria Oaklands DS0000014072.V254542.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): These standards were all assessed in June 2005, all met the standard therefore they have not been re-assessed this time. EVIDENCE: The home does have a statement of purpose and service user guide in place and the latest inspection report is available in reception. The Inspector noted that the Commission for Social Care Inspection Registration certificate had not been replaced even though the Inspector at the last inspection had requested one. The Commission, as soon as possible, will rectify this. Victoria Oaklands DS0000014072.V254542.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 9. Each resident has an individual care plan that covers individual care, social and nursing needs. The residents are protected by the methods used for administration and disposal of medicines. EVIDENCE: The Inspector read through care plans and found them to be up-to-date with clear indication of the nursing and general care needs of each resident. Separate records are kept of residents’ birthdays, weight and dependency, and key worker arrangements for easy reference. All care plans are clearly written, signed and dated. The Deputy Manager takes responsibility for ensuring that care plans are well maintained and up to date. Flu vaccines have been arranged for residents who require them and one professional visitor to the home commented ‘I think people are well looked after here’. The Inspector looked at the clinical room used for storage of medication and found it to be clean, tidy and well organised. Equipment is checked regularly, syringe drivers well maintained and fridge temperatures recorded. Medication is stored in a safe manner and those looked at by the Inspector were in-date, this included dressings. There was no evidence of stock-piling. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 10 The Deputy Manager and staff are aware of the new legislation for disposal of medication,medication is disposed of as required, controlled drugs are disposed of in the appropriate solution. The Deputy Manager did raise concerns about the new disposal methods and this was discussed with the Inspector. All recording charts included a photograph of the relevant resident. All were up to date and signed. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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 the following standard(s): 15. All standards were assessed in June 2005 and were fully met. The standard of food is good, quantities served are sufficient and the presentation ensures that those residents with poor appetites are encouraged to eat. EVIDENCE: The Inspector was in the home during lunchtime and was able to see residents eating their lunches and to ask about their views on the food provided for them. Comments were positive e.g. ‘it is always well served and tasty’ and ‘I have a choice and find it very nice’. On a visit to the kitchen the Inspector found it to be very clean and well organised especially as the kitchen staff cook all the meals for each Victoria Home and it was a busy time of day. Victoria Oaklands has the largest kitchen of the Victoria Group meals are cooked there and sent twice daily to the other four homes. Menus are arranged over a six-week period and back menus are kept for eight weeks for reference. Kitchen staff were appropriately dressed and care staff wearing aprons designated for serving food. The Inspector discussed the recording of cooked food temperatures with the Head Cook and it was agreed that a recommendation would be made in this report suggesting this is done to promote good practice. Samples of food are Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 12 kept for one day following meal preparation. The home has a policy statement for kitchen cleanliness and fridge and freezer temperatures are taken daily with records kept. The senior cook has been in post for fifteen years. The maintenance team for the Victoria Group undertake the servicing of the extractor fans. All staff have food hygiene certificates. Since the last inspection a new dishwasher has been installed. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. Residents in the home are protected by the home’s attitude towards complaints and staff have an awareness of protecting staff from potential abuse. EVIDENCE: The home has a complaints policy in place that is part of the information given to residents and relatives on admission to the home. The Inspector and Deputy Matron discussed the recording of complaints and none had been brought to her attention since the last inspection. Residents spoken with by the Inspector all said they had never made a complaint and felt that should a situation arise they would consult their family and the Deputy Manager. The home has a flow chart on view showing the reporting process for the adult protection procedure. Staff are trained in the protection of vulnerable adults and the trainer is aware of the importance that all staff attend the training and subsequent refresher days. Staff records showed that attention is paid to ensuring that staff receive training and are Criminal Records Bureau checked prior to employment. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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 the following standard(s): 21 and 22. All standards in this section were met at the last inspection. The home has sufficient lavatories and washing facilities to meet the needs of the residents and the staff ensure that suitable equipment is in place to enable residents to maximise their independence. EVIDENCE: On a tour of the premises the Inspector saw that rooms have either an ensuite toilet and sink whilst some have a bath and sink. The Deputy Manager told the Inspector that residents are now saying they would prefer their baths to be exchanged for showers as showers are easier to access and use. The home has appropriate equipment to meet the needs of most prospective residents. Victoria Oaklands has an equipment store with a supervisor who distributes equipment to all the homes in the group as the need arises. The Inspector noted that grab rails, sitting and standing hoists, adequate moving and handling equipment and a lift are all in place. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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 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): 29 and 30. All standards were assessed and met at the inspection earlier in the year. The home’s recruitment practice is thorough and protects residents as far as it is able. Staff undertake mandatory training in addition to being offered NVQ training for care staff to ensure they are competent in the work they do and care they offer to residents. On the day of inspection the home appeared to be well staffed. EVIDENCE: The home has a thorough recruitment procedure in place. The Inspector was able to look at staff recruitment and training files and found that each member of staff had been employed with two references and a new Criminal Records Bureau check. Other information showed that staff receive job descriptions, induction training and terms and conditions of employment. All staff have a probationary period to complete before becoming permanent members of staff. The home has an in-house trainer who is pro-active in ensuring that staff do attend training sessions. Records are kept of all staff training undertaken and reminders sent to those who miss mandatory training e.g. fire safety and moving and handling. During discussion the trainer told the Inspector that the home is struggling to get 50 of the care staff trained in NVQ level 2 despite incentives being in place. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 16 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): 31,34,35 and 38. All standards were assessed in June 2005. The Registered Providers ensure that a qualified and responsible member of staff manages the home at all times. The home has systems in place to ensure it runs smoothly and residents are safeguarded by accounting and financial procedures. Residents and staff are protected by the home’s attitude to health and safety however records of maintenance and system checks have, in some cases, been overlooked. EVIDENCE: The home currently has an acting manager since the long-term manager resigned. The Inspector spoke with the Registered Provider and said he should ensure that the Commission for Social Care Inspection is made aware of any management changes and the new manager should apply for registration as soon as her probationary period has ended. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 17 The Deputy Manager and Inspector discussed the financial arrangements for the home relating to new equipment. supplies and extra staff. The Deputy Manager explained that the home has a petty cash allowance for day- to- day purchases that staff may use at any time. The Registered Providers ensure through regular meetings and contact that the home has anything necessary for the well-being and care of the residents. The Deputy Manager reported that new requisitions are supplied when requested. A lockable device is used for small amounts of residents’ money that can be accessed by the person in charge. The Inspector saw evidence of a receipt book having been used to support any transactions. Any more valuable items are kept in a safe in a central office. Training records are kept of all moving and handling, health and safety, food hygiene, first aid and infection control, and fire safety training that care staff undertake. Staff are aware of the need to use protective clothing and were seen on the day of inspection suitably clothed to provide safe care. The home has a new fire alarm system in place that pinpoints rooms rather than zones. This was tested on 4/8/05. Fire safety training took place on 27/6/05. Some records for the testing of fire alarm bells had not been recorded. Looking at records the Inspector found that a number had not been maintained and this was discussed and checked by the Deputy Manager during feedback. PAT (portable appliance testing) was last undertaken on 27/01/05. Water temperatures had not been recorded since 22/9/05, although the Deputy Manager did say these had been undertaken by the maintenance team. From the records seen it appeared that the hoists did not have a service date, the assisted bath was serviced in October 2004, as were the wheelchairs. A requirement will be made in this report that records are maintained of all equipment and service checks. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X 3 3 X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 3 X X 2 Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 19 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 OP38 Regulation Schedule 4 and 17 Requirement The home to ensure that all records of maintenance and servicing are kept up-to-date for easy reference. Timescale for action 20/12/05 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 OP15 Good Practice Recommendations The home to consider temperature probing of cooked food to promote good practice. Victoria Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Oaklands DS0000014072.V254542.R01.S.doc Version 5.0 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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