Inspection on 30/06/05 for Villa Adastra

This inspection was carried out on 30th June 2005.

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

The inspector 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 16/11/05

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 David Bannier Unannounced 30 June 2005, 10:15 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Villa Adastra Address 79 Keymer Road, Hassocks, West Sussex, BN6 8QH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01273 842184 01273 841420 Salvation Army Major David Cyril Chadwick Care Home (CRH) 40 Category(ies) of Old age, not falling within any other category registration, with number (OP), (40) of places Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 December 2004 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 H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10.15am. It took place over seven hours. The inspector spoke separately to two residents and to a group of eight residents. The inspector also spoke to three staff who were on duty. 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? Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 6 Major Chadwick and his staff have worked very hard at maintaining and improving care plans to ensure staff knows what they must do to provide for residents’ care needs. 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. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 Before moving into the home, people are assessed, by a trained member of staff to make sure Country Lodge is able to provide the care they need. Villa Adastra does not provide intermediate care. EVIDENCE: Records seen showed that the manager had assessed the needs of each resident user before they arrived at Villa Adastra. Where possible the resident had signed the assessment record to confirm they had been asked about their requirements. The inspector spoke to the staff on duty. They were able to demonstrate they understood what the residents needed to have done for them and what they should do to ensure each resident is well cared for. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 10 Where possible residents are involved with the drawing up of their care plans. Otherwise their family or close friends have become involved in this process. From the comments made by residents it would appear that the staff members respect the privacy and dignity of the people living at Villa Adastra. The inspector saw that, when helping residents, staff is mindful of being respectful. EVIDENCE: The inspector read a selection of care plans. Care plans were informative and included appropriate information for staff to follow. Care plans are reviewed on a monthly basis. The care worker who has been allocated to the resident, known as the key worker, is responsible for discussing the care being provided to ensure their requirements have been met. This discussion is recorded, including any changes required to the care plan, and placed in the resident’s file. However, there have been occasions when the care plan has not been amended following the monthly review. It has been suggested that staff are provided with training in order to clarify the purpose of the review and the necessity to ensure the care plan is amended as required. The manager should also ensure there is a system for monitoring Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 10 records to ensure this does take place and that care plans are kept up to date. This will ensure that the care provided does meet residents’ current needs. Records seen also demonstrated that care plans are also reviewed on a quarterly and an annual basis. Residents told the inspector that staff and very kind and helpful. They are also respectful to residents and ensure personal care is provided in a way which protects the dignity and privacy of residents. From observation of care practices on the day of the inspection the inspector concluded that this is so. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents at Villa Adastra are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate. Residents are encouraged to maintain contact with all their old friends and family wherever possible. The food is of a good standard, and offers a choice of menu. People are able to eat together or in their own room should they prefer. EVIDENCE: At the time of the inspection a session where eight residents were working on a crossword puzzle was taking place in a lounge. The session was led by a member of staff; residents showed obvious enjoyment whilst participating. Afterwards residents described other activities in which they participate. These included reminiscence, entertainments and quizzes. Residents are also able to attend a day centre, which is attached to the care home. Residents told the inspector that the day centre provides for further activities and interests including art and crafts. Residents meetings take place regularly, which is led by a member of staff. The meetings provide a forum where residents can make decisions about the day to day running of the care home. Minutes of meetings were looked at, which showed that residents discuss a variety of subjects. The manager is Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 12 made aware of these and where appropriate, action will be taken to put into practice any suggestions or comments. Residents told the inspector that they are able have visitors at any reasonable time. The inspector met the visitors of a resident who had recently moved in. They also said that they were able to choose whether to take part in the activities and events that have been organised. The main meal of the day is prepared and cooked from a central kitchen. The meal is put into hot trolleys, which are taken to the dining room in each unit. Care staff then serves the meal from the trolley to the residents. Residents told the inspector that there is a choice of menu each day. There is always something else if someone does not like what is on the menu. The teatime menu is also a hot meal such as bubble and squeak or sausages. The breakfast meal is prepared and served from small kitchens, which are part of the dining area in each unit. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 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 standard(s) 16 A written complaint procedure has been made available for all residents to use. Complaints, which have been received, have been taken seriously and appropriation action has been taken to resolve the concerns raised. EVIDENCE: Records of complaints were seen, which showed that complaints received have been investigated and, where necessary appropriate action has been taken to put right anything which residents, or their relatives have been unhappy about. A written complaint procedure was on display outside the main office in an appropriate format. It clearly explains who should be spoken to and the timescales by which the provider expects to resolve any concerns raised. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 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 standard(s) 19 and 26 On the day of the inspection Villa Adastra was clean, appropriately furnished, decorated in a homely manner and well maintained. This made it very pleasant for residents who live in the home. The location of the home is suitable for the residents who live there. The care home was clean, pleasant and hygienic. EVIDENCE: During the course of the inspection three bedrooms and the lounges and dining rooms in two units were visited. The environment was attractively presented and was homely, safe and comfortable for people who live there. Many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Residents have been able to Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 15 use these items to make their own rooms comfortable and to reflect their own personality. Residents said that they were very pleased with the accommodation that was provided. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Villa Adastra is adequately staffed with employees who are skilled and experienced in caring for older people. The care home operates a thorough and robust recruitment procedure that ensures the safety and wellbeing of residents. EVIDENCE: Rotas were seen which showed that levels of care staff on duty, including senior staff and managers, were sufficient to ensure residents are well cared for. The catering and domestic staff is provided by an agency, which has been contracted to provide hotel services to the care home. The manager does not keep rotas of such staff; they were therefore not seen. The inspector examined records of care staff who have been appointed since the last inspection. The manager said that is the policy of the registered provider to undertake appropriate criminal records checks on all new staff when they are appointed. The inspector spoke to several staff who was on duty. The staff clearly understood the needs of the residents who were being accommodated and they how they were expected to meet them. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 17 Records seen showed that each member of staff had been provided with appropriate training, including induction training. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 The way in which residents’ records have been kept have not ensured the residents’ rights and best interests have been safeguarded. EVIDENCE: Residents’ care records are kept in one of several offices around the care home. They are mostly kept in a small office located on the unit where the resident lives. Some records are also kept in a central office where senior staff are located. From observation it was noted that none of the offices are locked when they are unattended. This means that anyone, including visitors and other residents has access to records that include information of a very personal nature. The manager was advised that he should make sure that only those staff who needs to have access and the individual resident themselves are able to see this information. Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x 2 x Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 20 No 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 37 Regulation 17(1)(b) Requirement The registered person shall ensure that the record referred to in sub paragraph (a), that is records maintained in respect of each service user specified in Schedule 3, is kept securely in the care home. Timescale for action 1st August 2005 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 Good Practice Recommendations Villa Adastra H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 H60-H11 S35172 Villa Adastra V224669 300605 Stage 4.doc Version 1.30 Page 22 - 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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