Inspection on 27/01/06 for Villa Scalabrini

This inspection was carried out on 27th January 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

Villa Scalabrini 22/04/10

Villa Scalabrini 23/02/10

Villa Scalabrini 20/03/07

Villa Scalabrini 14/06/05

Villa Scalabrini 15/11/04

Villa Scalabrini 08/07/04

Similar services:

Claremont House

Chesham House

Oak Ridge

Argyll House

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

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

CARE HOMES FOR OLDER PEOPLE Villa Scalabrini Green Street Shenley Hertfordshire WD7 9BB Lead Inspector Marian Byrne Unannounced Inspection 27th January 2006 11:00 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 Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 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 Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Villa Scalabrini Address Green Street Shenley Hertfordshire WD7 9BB 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) 0208 207 5713 0208 381 5570 Villa Scalabrini Trustees Ms Angela Onofri Care Home 53 Category(ies) of Dementia - over 65 years of age (53), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (53) Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may admit one named female service user who has a mental health need. This Variation applies to this named service user and would cease to be in force if the named service user permanently leaves the home for any reason. The manager must inform the CSCI when this occurs. 14th June 2005 Date of last inspection Brief Description of the Service: Villa Scalabrini is a large detached building set in substantial grounds, most of which are accessible to residents through attractive walkways, patios and gardens. The home specialises in providing care to Italian speaking elders. The home is divided into units on two floors, each with a bathroom, dining room, lounge and kitchenettes. There is large hall on the ground floor with a chapel, where daily communion takes place. The home has been created to reflect traditional Italian styles, including the furnishings, fittings, decor and floor coverings The home is situated in a rural location in Shenley, approximately one and a half miles from Borehamwood. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector. It was a positive inspection. Service users were well presented and appropriately dressed and were happy to talk to the inspector. The home was clean, fresh and odour free. Discussions were held with the manager Angela Onofri and several senior and care support staff. Service users were welcoming and an invitation was made to join Father Vico at their lunchtime meal. The food was found to be of good quality was tasty and well presented. All requirements left at the last inspection had been met. Details of standards not inspected can be found in the inspection report dated 14th June 2005. What the service does well: 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. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 6 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 Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 7 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 not inspected. EVIDENCE: Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 8 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 & 10. Care plans contain good detail on service users needs. Service users are treated with respect and dignity. EVIDENCE: Care plans were detailed and had been reviewed since the last inspection was carried out. The manager and senior staff members have a system of auditing these care plans on a monthly basis. Manual handling risk assessments were available on file and the manager has worked hard to implement individual risk assessments for service users living within the home. Service users requiring assistance with meals are seated in the smaller lounge/dining area where dignity was promoted and protected. The home also receives a positive and effective service from the local GP’S and health care professionals. Service users are able to maintain their own GP wherever possible. Service users spoken with informed the inspector that they were treated with respect and dignity this was observed in interaction between staff and service users. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 & 15. The home matches lifestyle and cultural expectations. The diet is wholesome and appealing. EVIDENCE: The home has a very welcoming atmosphere and several visitors were seen during the day of the inspection. There are few restrictions on visiting times, which mainly include mealtimes. Evidence was available to indicate that service users are able to bring personal possessions with them, in order to personalise their bedrooms The manager ensures that service users and relatives are aware of their rights to access personal records, in accordance with the Data Protection Act. The current menus provide are both well balanced and an excellent variety of food is offered. The meal provided on this unannounced inspection was of good quality and enjoyed by all service users. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 10 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. The home takes complaints very seriously. EVIDENCE: The home had received one complaint since the last inspection. The home followed its complaints procedure and carried out a full investigation and kept this Commission informed and included at all stages. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 11 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): These standards were not inspected. EVIDENCE: While these standards were not inspected where observed the home was clean fresh, well decorated and odour free. Rooms were decorated to suit the needs of the service users. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 12 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 The home’s recruitment policy must become more robust to ensure full protection of service users. EVIDENCE: While the home makes every effort to ensure that all staff who are recruited are suitable to work with very fail vulnerable service users it must extent its policies to ensure they have a full employment history on all prospective service users. All other security and identity checks are carried out. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 13 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): 31,35 & 38. The home is well managed with the interests of service users being paramount. The health and welfare of service users is protected. Service users monies must be stored individually. The health and safety of service users is protected at all times. EVIDENCE: The manager communicates a clear sense of leadership within the home, and promotes a sense of belong to it’s service users. Pride and dedication is taken in every aspect. Service users commented on how the manager is efficient and effective in addressing issues raised and responds appropriately. Service users appear to be extremely happy with the home and seen to be relaxed in their environment. The relationship between the service users and the staff is well balanced with interactions observed being appropriate and supportive. The ethos and management approach of the home creates an open, positive and inclusive atmosphere, staff and the service user spoken to commented that Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 14 they feel supported and valued and that they feel the home is well managed. Care must be taken to ensure that where the home is responsible for the safeguarding of service users cash that it is stored in a manner that clearly defines each service users cash to enable auditing to take place. The Registered Manager assured the inspector that she would cease this practice immediately. It will be further inspected at the next inspection. Health and safety is protected at all times. The requirements left at the last inspection in relation to health and safety have been met. Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 15 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 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x X X X X X X X x STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X 3 X 3 Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 16 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 OP38 Regulation 23 (4) (a) Requirement The Registered Manager must conduct a fire risk assessment on all aspects of the home. This requirement was met. The Registered Manager must ensure that all door wedges are removed from the building This requirement was met. The Registered Manager must conduct and complete a risk assessment on the doorways/stairwells on the first floor of the home. This requirement was met. The Registered Manager must review the current arrangement of service users facing a blank wall whilst eating their meals in the dining room. This requirement was met. The Registered Manager must ensure that the recruitment procedure ensures that there is a full work history for all prospective staff. Timescale for action 15/06/05 2. OP38 23 (4) (a) 15/06/05 3. OP38 13 (4a) 15/06/05 4. OP20 23 (2f)& (g) 30/06/05 5 OP36 17 27/01/06 Villa Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 17 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 Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Scalabrini DS0000019605.V282075.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!