Inspection on 14/11/07 for Village Nursing Home

This inspection was carried out on 14th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Village Nursing Home 12/11/08

Village Nursing Home 27/11/06

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Village Nursing Home Wellfield Road Murton Seaham Co Durham SR7 9HN Lead Inspector Mr Stephen Ellis Unannounced Inspection 09:30 14 November 2007 th 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 Village Nursing Home DS0000067846.V353061.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 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. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Village Nursing Home Address Wellfield Road Murton Seaham Co Durham SR7 9HN 0191 5171020 P/F NO E-MAIL 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) Jigsaw Care Ltd Sharon Simpson Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (14) of places Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th November 2006 Brief Description of the Service: Village Nursing Home provides nursing and residential care services (41 beds) for people in the following categories: Old age, not falling within any other category (41) and Physical disability (14). Jigsaw care Limited is the registered provider of the service. Mr P S Kohli is the responsible individual for the company and Mrs Sharon Simpson is the registered manager responsible for the day-to-day conduct of the home. It is located in a housing estate close to the centre of town and has good links with the local community. It is a single storey building with an enclosed courtyard/garden area, plus car parking space to the side. There are 37 single bedrooms, including a small proportion with en suite facilities, plus 2 double bedrooms. These are all fairly spacious rooms. The fees vary between £347 and £597 per week. The fee covers all accommodation, meals and personal care (plus nursing care for those residents in receipt of continuous nursing care at the home). Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Up to 3 day-care places are available each day for non-residents. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced fieldwork visit to Village Care Home took place over 4.5 hours as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the records that the home is required to keep, and discussions with service users, staff and visitors to the home. Comments were received during the visit and from surveys that we carried out before the visit. In total, there were comments received from 9 service users, 10 relatives, 12 staff, the registered manager, the responsible individual for Jigsaw Ltd, plus one visiting social-care professional. The overall quality rating for this service following the fieldwork visit is judged to be ‘excellent’. What the service does well: The service achieves good or excellent outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, health and personal care, daily life and social activities, staffing, plus management and administration are all rated as being excellent. The service provides very good quality holistic care for all of its service users. The environment is homely and friendly and staff members are highly trained and motivated. Typical comments received from service users, relatives and visitors to Village Care Home included: “I received enough information about this home before I moved in…everything was clear and straightforward, and the staff were very helpful. I always receive the care and support I need…there is good care…the personal care (washing, laundry etc.), and the medical attention are done well…The staff gives my mam care with dignity and respect. The home is the nearest to her ‘real’ home that my mam could hope for, she has some of her own personal possessions around her, which helps and she lives in a safe environment. There’s always someone available – at the press of a button and her carers are more like friends…I am very satisfied with the service here, there is an excellent rapport and there is a very homely and welcoming atmosphere…I got a pleasant surprise when I came in – no smell and very nice…it’s a happy home and I choose how I spend my time…there’s plenty of activities to do, like going out for a meal or a show at Peterlee in the minibus, or staff will take me out into the courtyard…the food’s alright here – you can have a full cooked breakfast if you like and there’s plenty to eat and a good choice, including at suppertime…the meals are good and the laundry is good…the staff here are so lovely and welcoming, I always feel better Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 6 after we have had a bit talk…everything you want them to do is no problem…From the moment my daughter and I went to the home with the view to my mam’s care we were treated with warmth and respect by all the staff we met. I cannot speak more highly of the ones I meet and I visit most days of the week…The staff and manager are very approachable and friendly – they are all like that…I can talk to them about anything that’s troubling me and they listen and try to help…Everything’s lovely and clean; my room is always being done out…it’s not posh but it is comfortable and homely…All staff from nurses to carers and all other staff are pleasant and helpful…the staff are excellent. I always find them very helpful, pleasant and caring. My mother is always clean and well fed. I have no complaints…Standards here are really, really good; everyone cares about everybody; there is a strong sense of community and helping each other…Sharon leads a very caring staff. She is very approachable and always has time to listen – I cannot speak more highly of her, she’s excellent in her job…the manager is always on hand to support whatever problems may be…the care home is doing a very good job at present...there is an excellent rapport; I am very satisfied with this home; it is one of the best.” What has improved since the last inspection? What they could do better: This service is planning to review its documentation for staff training and the recording of changes that have been implemented following feedback from residents and relatives. It also aims to improve the general ambience of the home (e.g. through its redecorating programme). There are no requirements or recommendations following this inspection. The service has many strengths and it is aware of the areas that would benefit from further development or improvement. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 8 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 Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. People who use the service experience good quality outcomes in this area. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. Intermediate care is not provided. Intermediate care is not provided. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments received from residents, relatives and staff, plus visiting social care professional, confirmed that full assessments of needs were carried out prior to admission to the home. Prospective residents are always invited to visit the home, wherever practicable, prior to being admitted. Service user plans of care revealed comprehensive, detailed assessments of need being carried out by a registered nurse prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose assessed needs it could meet. Residents and relatives said there was enough information from which to make a choice about being admitted. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 10 Typical comments included: “I received enough information about this home before I moved in…everything was clear and straightforward, and the staff were very helpful.” Comprehensive service user guides and clear statements of terms and conditions of residence are supplied routinely. The home’s reception area is next to the manager’s office, as you walk in, and a variety of useful information is displayed, including a welcome notice, complaints procedure, fees notice and method of payment, plus visiting information. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience excellent quality outcomes in this area. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents and relatives, plus one visiting social care professional, said that they believed the health and social care needs of service users were well known by staff and were being fully met. Health care screening and holistic assessments are being carried out, with input from a variety of health and social care professionals including in-house nursing staff, local doctors, community nurses, social workers and physiotherapists. Residents said that either the home’s nurse or the community nurse or doctor would see them whenever required and they were very satisfied with the quality of service they received. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents, relatives and visiting social care professional said that they felt service users were treated with respect and sensitivity. Typical comments included: Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 12 “I always receive the care and support I need…there is good care…the personal care (washing, laundry etc.), and the medical attention are done well…The staff gives my mam care with dignity and respect. The home is the nearest to her ‘real’ home that my mam could hope for, she has some of her own personal possessions around her, which helps and she lives in a safe environment. There’s always someone available – at the press of a button and her carers are more like friends…I am very satisfied with the service here, there is an excellent rapport and there is a very homely and welcoming atmosphere.” Service user plans of care and risk assessments were impressive, being detailed and comprehensive about residents’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving residents, relatives and social workers. For example, care plans are evaluated at least once a month and each resident has a review after the first 6 weeks and then every 6 months (if nursing care) or annually (if residential care) to which the resident and relatives are invited by the home to attend. Adult Social Services normally attend such reviews, involving the resident, relatives and staff from the home. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, has included the important issues of privacy and dignity and all permanent care staff members (100 ) have achieved NVQ in social care and health, which is commendable. There are good arrangements for the safe administration of medicines. All nursing staff members are responsible for the administration of medicine and have completed accredited training. Many care staff members have completed safe handling of medicines training. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems and nursing staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are either collected by a licensed waste disposal agency or returned promptly to the Pharmacist, depending upon legal requirements, and the home is careful not to stockpile large quantities. Nursing staff members carry out medicine audits routinely. It is commendable that a photograph of the service user is kept in an album next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification (photographs of service users are also present in their case files). Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience excellent quality outcomes in this area. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents said they enjoyed living at the home and got on well with the staff. All described the staff as being kind and helpful. Typical comments received from residents and relatives included: “I got a pleasant surprise when I came in – no smell and very nice…it’s a happy home and I choose how I spend my time…there’s plenty of activities to do, like going out for a meal or a show at Peterlee in the minibus, or staff will take me out into the courtyard…the food’s alright here – you can have a full cooked breakfast if you like and there’s plenty to eat and a good choice, including at suppertime…the meals are good and the laundry is good…the staff here are so lovely and welcoming, I always feel better after we have had a bit talk…everything you want them to do is no problem…From the moment my daughter and I went to the home with the view to my mam’s care we were treated with warmth and respect Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 14 by all the staff we met. I cannot speak more highly of the ones I meet and I visit most days of the week.” They confirmed that they could choose how they spent their time in the home and were free not to join in activities and social events if they did not wish to. Residents’ bedrooms were personalised and supplied with personal items such as ornaments, books, pictures and furniture. Some residents were able to go out unassisted and some went out with support, with relatives, friends or staff. A part-time activities organizer, who works at the home 4 days per week, coordinates the varied programme of social and recreational activities. She has achieved National Vocational Qualification (NVQ) level 2 in supporting care practices. She compiles an individual care plan when a service user is admitted and it is evaluated monthly. The programme includes coffee mornings, birthday parties, quizzes, visiting entertainers (such as singers or comedians), raffles, bingo, clothes parties, occasional outings, recall and reminiscence, dominoes, armchair exercises, and karaoke. Some residents prefer to spend their time reading. Others like to watch television some of the time (all had a television in their bedrooms). The home tries to ensure that residents who cannot participate in group-activities receive some good quality, one-to-one time with staff, such as the activities organizer or care staff. Residents, relatives and staff confirmed that relatives and friends may visit at any reasonable time and are always made welcome. All residents who commented said they liked the meals at the home. They can dine with others in one of the two dining rooms or eat in their own room if they prefer. A homely ambience has been created in dining areas and adapted cutlery and other dining aids are supplied where needed. Staff members assist residents with their meals as required in a supportive manner. There was a good choice of menu (menus are periodically reviewed in the light of comments received from service users) and residents’ preferences were catered for wherever possible. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. Residents have access to a robust, effective complaints procedure and are protected from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents and relatives who commented said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide, plus a copy is on the notice board in Reception. Typical comments included: “The staff and manager are very approachable and friendly – they are all like that…I can talk to them about anything that’s troubling me and they listen and try to help.” Staff and management are aware of the need to safeguard adults from abuse or neglect and many have undergone training in these issues. Safeguarding policies and procedures are regularly discussed with staff (e.g. in annual staff appraisals). Further staff training strategies in this important area are being developed. Staff confirmed they are aware of the home’s ‘whistle blowing’ policy and confident to speak out about any suspected abuse or neglect. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 16 law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. New improved cleaning schedules have been implemented, for cleaning of bedrooms and communal areas. Maintenance routines have been improved and a second maintenance person has been employed to assist with the home’s maintenance and decorating programme. New carpets and lighting have been fitted to the entrance and new corridor lighting has been installed throughout. Also, two new sluices have been installed within the last 12 months. Corridors are being systematically redecorated and the home intends to replace more carpets, television and stereo equipment, plus redecorate more communal areas and bedrooms over the next 12 months. Typical comments received from residents and relatives included: Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 18 “Everything’s lovely and clean; my room is always being done out…it’s not posh but it is comfortable and homely.” Staff members have completed training in health and safety (e.g. all staff hold an occupational health and safety certificate), fire safety, food hygiene and infection control. Bathrooms and toilets were supplied with liquid soap and paper towels in wall mounted containers, to help prevent cross infection. All residents have their own personal towels and flannels, which they keep in their rooms. Residents said they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. The home is well maintained, with repairs and servicing being carried out according to schedule and generally in a timely manner. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience excellent quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: On the day of inspection, there were 40 residents being accommodated, including 18 in receipt of continuous nursing care. Residents and relatives said that they got on well with staff and felt that there were sufficient numbers of staff to meet their needs. This view was reflected in staff comments. Staff morale was reported to be very good. Typical comments received from residents and relatives included: “All staff from nurses to carers and all other staff are pleasant and helpful…the staff are excellent. I always find them very helpful, pleasant and caring. My mother is always clean and well fed. I have no complaints.” During the day (8am to 8 pm) there are 2 nurses on duty between 8 am and 4pm, and one nurse between 4 pm and 8 pm, plus 6 carers between 8 am and 2 pm, and 6 to 7 carers between 2 pm and 8 pm. In addition, there is a dedicated activities organizer who works 4 days per week for either 4 or 3 hours per day. The registered manager is also a registered nurse and is full time, Monday to Friday. Her hours are not included in the total number of nursing hours provided (she is supernumerary). Two part time maintenance Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 20 men are available and there are dedicated catering and domestic staff deployed in sufficient numbers for the needs of the home. At night, there is one registered nurse and 3 carers on duty. An impressive staff training and development programme is in operation. Staff confirmed that they had undergone induction and foundation training. 100 of care staff had completed National Vocational Qualifications (NVQ) in care at level 2 or 3, which is commendable. Staff also confirmed that they participate in regular supervision sessions, as recorded in individual staff files. Other training provided recently includes Palliative care (2 nurses have completed courses) and Assessor training (3 nurses have completed A1 Assessors Award), plus National Vocational Qualifications for domestic staff (80 of ancillary staff members have NVQ level 2 in relation to their work) and the activities coordinator (NVQ level 2 in supporting care practices). 15 members of staff have completed dementia awareness training at level 2, and 7 members of staff have completed a safe handling of medicines course, within the past 12 months. All staff members hold an occupational health and safety certificate. The training and development plan is revised every 6 months and the training needs of staff are identified individually via the home’s supervision and appraisal process. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. People who use the service experience excellent quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The registered manager is experienced and competent in her role. Residents and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. She has completed the Registered Manager’s Award at NVQ level 4. Typical comments received from residents, relatives, visiting social care professional and staff at the home included: “Standards here are really, really good; everyone cares about everybody; there is a strong sense of community and helping each other…Sharon leads a very caring staff. She is very approachable and always has time to listen – I cannot speak more highly of her, she’s Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 22 excellent in her job…the manager is always on hand to support whatever problems may be…the care home is doing a very good job at present...there is an excellent rapport; I am very satisfied with this home; it is one of the best.” Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of many residents. In those situations where the home helps look after residents’ monies, such as personal allowances, clear individual records are maintained. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. All staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. It is commendable that all members of staff hold an occupational health certificate. Staff training helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at regular staff meetings and in staff supervision sessions. Residents, relatives and staff expressed satisfaction with the way the home was run and the many examples of good practice. They said they believed the home was safe and run in the best interests of residents. For example, there is a survey of residents’ satisfaction carried out twice each year and the findings are available within the home. It would be desirable for these results to be published within the home and management are thinking about producing a newsletter to enable this to happen. The Company is also considering employing an administrator to assist the manager and this would be desirable. The registered provider or his representative visits the home frequently (usually weekly) to check on the welfare of residents and the progress of the home and makes a report. The manager and registered provider are looking at ways in which the format of this report could be further developed. Also, the manager routinely invites comments and suggestions for improvements from both residents and visitors to the home. Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 23 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 4 X 3 Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 24 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 Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Village Nursing Home DS0000067846.V353061.R01.S.doc Version 5.2 Page 26 - 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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