Inspection on 16/11/05 for Villa Adastra

This inspection was carried out on 16th November 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

Villa Adastra 13/11/06

Villa Adastra 30/06/05

Villa Adastra 14/12/04

Villa Adastra 10/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Villa Adastra 79 Keymer Road Hassocks West Sussex BN6 8QH Lead Inspector Mr D Bannier Unannounced Inspection 16th November 2005 10:30 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 Villa Adastra DS0000035172.V260663.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. Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Villa Adastra Address 79 Keymer Road Hassocks West Sussex BN6 8QH 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 842184 01273 841420 The Salavation Army Territorial Headqauarters Major David Cyril Chadwick Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th June 2005 Brief Description of the Service: Villa Adastra is care home registered to provide personal care and accommodation for up to forty older people. The accommodation is provided in single bedrooms each offering ensuite facilties. The accommodition is divided into five separate units each containing eight bedrooms, a lounge and dining room, which are located on three floors. A vertical passenger lift provides access to all floors. The property is situated in well maintained grounds which are accessible to residents. The property is located in Hassocks, close to shops and other local amenities. The Registered Provider is The Salvation Army. Captain Jane Cowell has been identified as the Responsible Individual, who acts on behalf of the Registered Provider. The Registered Manager is Major David Chadwick who is responsible for the day to day running of the care home. Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10.30am. It took place over six hours. The inspector spoke separately to three residents. The inspector also spoke to three staff that was on duty. The inspector also attended a meeting where staff hand over information from one shift to another. A member of staff showed the inspector around the care home. Some records were also examined. What the service does well: What has improved since the last inspection? What they could do better: Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 6 Improvements need to be made to the practice of administering medication, especially to residents when they are in their own bedrooms. This will ensure residents are given the right medication. 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. Villa Adastra DS0000035172.V260663.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 Villa Adastra DS0000035172.V260663.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): No standards in this section were assessed on this occasion. Key standards were assessed as fully met at the last inspection. Villa Adastra does not provide intermediate care. EVIDENCE: Villa Adastra DS0000035172.V260663.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): 8 and 9 Residents receive visits from health care professionals when required to ensure their health care needs are fully met. Residents are able to be responsible for their own medication where appropriate. Some work is needed to ensure the practices of administering medication are safe. EVIDENCE: The inspector looked at a selection of residents’ care records. They included information with regard to visits made by district nurses and GP’s to individual residents in order to provide treatment. The inspector also attended a meeting where staff finishing the morning shift hand over information to staff starting the afternoon/evening shift. Information discussed included visits made by health care professionals. Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 10 Residents spoken to told the inspector that they are registered with a local GP. They also informed the inspector that they felt their health care needs have been well met. The inspector spoke to a senior member of staff about the administration of medicines at Villa Adastra. On receipt medicines are recorded and distributed to each unit in secure medicine trolleys. Medicines are usually administered at mealtimes. The senior member of staff administers the medication to residents directly from marked containers stored in the trolley. However, when the resident is in their bedroom, it is the current practice for their medication to be taken to them in a plastic pot. This means there is a risk of the resident being given the wrong medication, as there is no means of checking the directions before the resident is given the medication. The manager is advised to review procedures and practices to ensure the medicines are administered to residents from containers marked with the name of the medication, the time it is due to be taken, the dosage and the name of the resident for whom the medicine has been prescribed. One resident is able to administer his or her own medication fully. They are able to visit their GP’s surgery to collect their own prescriptions and also to take it to the chemist. The member of staff informed the inspector that the resident has a lockable drawer in their room in which to store the medication safely. Two residents administer their medication on a partial basis. Each resident is given a supply of medicine for a week at a time. In order to facilitate this the senior member of staff transfers medication from containers marked by the dispensing chemist into a wallet, which contains a cassette for each day of the week. As mentioned above, this practice also means that medication is being administered from containers that may not be appropriately marked. In order to reduce the risk of errors occurring, it is recommended that the manager contact the chemist to see if a more appropriate system can be arranged to enable each of these residents to continue to administer their own medication. Villa Adastra DS0000035172.V260663.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): No standards in this section were assessed on this occasion. Key standards were assessed as fully met at the last inspection. EVIDENCE: Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 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 the following standard(s): 18 The registered manager has taken appropriate steps to ensure residents are protected from abuse. EVIDENCE: The inspector looked at the records of three members of staff who have been appointed since the last inspection. Records seen showed that appropriate criminal record checks have been obtained for each person before they start work in the care home. This means that vulnerable residents are protected from possible abuse. Training records showed that all staff has received training in recognising and reporting abuse. The manager was also able to demonstrate that, where necessary, staff will be receiving training in the near future to update skills and understanding. The inspector spoke to several staff at the end of the hand over meeting, Responses to questions put to them indicated that staff spoken to understood how to recognise abuse and knew how to report instances of abuse. Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 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 the following standard(s): No standards in this section were assessed on this occasion. Key standards were assessed as fully met at the last inspection. EVIDENCE: Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 14 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): No standards in this section were assessed on this occasion. Key standards were assessed as fully met at the last inspection. EVIDENCE: Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 15 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 registered provider has taken appropriate steps to ensure the care home is being run in the best interests of the residents. Appropriate steps have been taken to ensure residents’ financial interests have been safeguarded. The health, safety and welfare of residents and staff have been promoted and protected. Other key standards were assessed as fully met during the last inspection. EVIDENCE: Records seen showed that the registered provider has made arrangements for the care home to be visited on a monthly basis by appropriate staff within the organisation. Records also demonstrated that visits include discussions with residents to seek their views about the way the care home is being run. Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 16 One record of such visits, dated 13th October, indicated that the registered provider has recently undertaken an annual review of the care home, in accordance with internal practices. The manager is advised to ensure that, once it is available, a copy of the subsequent report should be sent to the Commission. Residents spoken to told the inspector that they are comfortable and are well cared for. Records seen indicated that financial transactions undertaken with and on behalf of residents ensure their interests have been safe guarded. Where necessary, receipts have been kept of such transactions. The inspector was able to observe one transaction carried out by the registered manager with a resident. Residents spoken to told the inspector that they were confident that the manager and his staff do act in their best interests. Records seen indicated that staff have received training in health and safety issues, including moving and handing, dealing with cleaning fluids which may be corrosive, food hygiene. Records seen showed that training in health and safety had taken place in 1996. It is recommended that the manager arranges further training to update knowledge and skills in these areas. Staff spoken to was able to demonstrate their awareness of health and safety issues. The inspector looked at some communal areas and visited one unit. Accommodation seen was well maintained and decorated in a homely fashion. Residents spoken to said they were satisfied with the accommodation and that they felt safe and well cared for. Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 17 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13(2) Timescale for action The registered person shall make 19/12/05 arrangements for the safe administration of medicines received into the care home. Requirement 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 Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Villa Adastra DS0000035172.V260663.R01.S.doc Version 5.0 Page 20 - 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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