Inspection on 27/11/06 for Village Nursing Home

This inspection was carried out on 27th November 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

Village Nursing Home 12/11/08

Village Nursing Home 14/11/07

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 Stephen Ellis Unannounced Inspection 27th November 2006 1:45 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 DS0000067846.V307467.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. DS0000067846.V307467.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 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 Limited 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 DS0000067846.V307467.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 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 £364.50 and £576 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. DS0000067846.V307467.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. It included a tour of the building, examination of a number of records and discussions with 6 residents, and 5 staff. Comments were also received from 8 relatives/visitors to the home via questionnaires and 8 service users via questionnaires. The overall quality rating for this care home is: ‘good’. This judgment has been made from evidence gathered both during and before the visit to this service. What the service does well: Residents said they were satisfied with the care and facilities provided. Typical comments included “I am satisfied with the looking after I get and the nurses and carers are very good…I am happy and get well looked after” They liked their rooms and the various activities supplied, including occasional outings, chair exercises, quizzes, recall and reminiscence, dominoes, jigsaws, bingo and visiting entertainment. Positive comments were received from relatives and visitors to the home: “We are happy with the care mother has. If we were not we would certainly do something about it…In the short time my mother has been in the home the care and support she has received has been very good. The staff are very welcoming, very supportive and easy to approach”. Most residents said they enjoyed the meals and felt their preferences were well catered for. Residents get on well with the staff and would not hesitate to discuss any concerns or complaints with staff or management. They described a cheerful, happy environment. The home has 3 lounges and 2 dining rooms, which allow residents to meet in groups of various sizes for a number of social and recreational activities. The home is generally well maintained and there is a redecoration and refurbishment programme in operation. Staffing levels and staff training are very good. Over 90 of care staff have National Vocational Qualifications (NVQ) in care at level 2 or 3. There is a friendly, welcoming atmosphere. Service users may come and go as they please, subject to risk assessment. There is an enclosed courtyard/garden with good access for people to enjoy. Management are keen to receive comments from service users and others about the quality of service provided by the home. DS0000067846.V307467.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000067846.V307467.R01.S.doc Version 5.2 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 DS0000067846.V307467.R01.S.doc Version 5.2 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): 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: Comments received from residents and relatives confirmed that full assessments of needs were carried out prior to admission to the home. They said there was enough information from which to make a choice about being admitted. A service user’s guide and statement of terms and conditions of residence are supplied routinely. These are helpful documents and the content is generally good, but some further detail is required. For example, in the home’s terms and conditions of residence/contract, the information about fees needs to be elaborated further, explaining that fees are payable in arrears rather than in advance and giving details about notice to quit and conditions under which fees may be refunded, or amended, in line with regulations. The DS0000067846.V307467.R01.S.doc Version 5.2 Page 9 home’s ‘statement of purpose’ and ‘service user’s guide’ also need to be updated to reflect the current situation in terms of the new, registered provider. Care plans revealed comprehensive, detailed assessments of need being carried out both prior to admission and afterwards, as confirmed by members of staff and management. These assessments showed that the home only admitted people whose assessed needs it could meet. DS0000067846.V307467.R01.S.doc Version 5.2 Page 10 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, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: Residents said that they believed their health and social care needs were well known by staff and were being fully met. They said that the home’s nursing staff or community nurse or doctor would see them whenever required. Their personal and social care needs were known, understood and respected by the staff team. They said that they felt they were treated with respect and sensitivity. As one resident said: “I am satisfied with the looking after I get and the nurses and carers are very good” Another said “I am happy and get well looked after”. A typical comment from a relative was “In the short time my mother has been in the home the care and support she has received has been very good. The staff are very welcoming, very supportive and easy to approach”. Another relative commented “We are happy with the care mother has. If we were not we would certainly do something about it”. DS0000067846.V307467.R01.S.doc Version 5.2 Page 11 Care plans were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review, in keeping with National Minimum Standards. Staff training in Care (for example, National Vocational Qualifications (NVQ) at level 2 and above) has included the important issues of privacy and dignity and a high percentage of care staff (over 90 ) have completed NVQ in care. There are good arrangements for the safe administration of medicines. All staff members responsible for medicines have completed Safe Handling of Medicines training. There is good support from a local Pharmacist who supplies most of the medication in monitored dosage blister packs. There are good storage systems and staff thoroughly check all medication when it is received into the home. The home requires medication to be administered only from the container(s) into which the pharmacist dispensed it originally. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication, but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and/or sent for waste disposal using a licensed agency. The home is careful not to stockpile large quantities. Senior staff confirmed that medicine audits are carried out routinely and that the local pharmacist provides consultation and advice, plus annual reviews of medicines. DS0000067846.V307467.R01.S.doc Version 5.2 Page 12 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. 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 included: “I am satisfied with the looking after I get and the nurses and carers are very good…I am happy and get well looked after”. 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. 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. It included coffee mornings, birthday parties, quizzes, visiting entertainers (such as singers or comedians), raffles, bingo, clothes parties, occasional outings (such as for a Christmas meal and entertainment planned for mid-December) DS0000067846.V307467.R01.S.doc Version 5.2 Page 13 recall and reminiscence, dominoes, armchair exercises, and karaoke. Some residents preferred to spend their time reading. Others liked 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 and staff confirmed that relatives and friends may visit at any reasonable time and are always made welcome. Most residents said they liked the meals at the home, either always or usually. There was a good choice of menu and residents’ preferences were catered for wherever possible. DS0000067846.V307467.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents and relatives said that they were confident about approaching staff and management about any concerns or complaints they might have. They confirmed that they were aware of the complaints procedure, but had not had to make a complaint so far. 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 and a copy is on the notice board in the main corridor near the entrance. Staff and management are aware of the need to safeguard adults from abuse or neglect and most have undergone training in these issues. Further training is planned. They are aware of the home’s ‘whistle blowing’ policy, which encourages staff to speak out about any suspected abuse. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by 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. DS0000067846.V307467.R01.S.doc Version 5.2 Page 15 DS0000067846.V307467.R01.S.doc Version 5.2 Page 16 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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. All nursing and care staff members have completed training in health and safety, fire safety, food hygiene and infection control. Residents said that 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 promptly and according to schedule. A major redecoration and refurbishment programme is underway and is expected to be completed by the Spring of 2007. DS0000067846.V307467.R01.S.doc Version 5.2 Page 17 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): 27 - 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: On the day of inspection, there were 32 residents being accommodated, including 16 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 good. During the day (8am to 8 pm) there are 2 nurses on duty, plus 6 carers between 8 am and 2 pm, and 5 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. A part time maintenance man is 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. Over 90 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. DS0000067846.V307467.R01.S.doc Version 5.2 Page 18 Other training provided recently includes Palliative care and Assessor training, plus National Vocational Qualifications for domestic staff and the activities coordinator. Positive Dementia training is due to commence in the near future. DS0000067846.V307467.R01.S.doc Version 5.2 Page 19 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, 33, 35, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. 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. 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 DS0000067846.V307467.R01.S.doc Version 5.2 Page 20 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. This 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 and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They said they believed the home was safe and run in the best interests of residents. For example, there is a biannual survey of residents’ satisfaction carried out and the findings are reported within the home. The registered provider or his representative visits the home frequently to check on the welfare of residents and the progress of the home. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home. DS0000067846.V307467.R01.S.doc Version 5.2 Page 21 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 2 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 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 3 x 3 x 3 3 x 3 DS0000067846.V307467.R01.S.doc Version 5.2 Page 22 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 OP1 Regulation 4, 5, 6 Requirement The home’s ‘statement of purpose’ and ‘service user’s guide’ need to be updated, to reflect the current situation in terms of the new registered provider. In the home’s statement of its terms and conditions of residence/contract, the information about fees needs to be elaborated further, explaining that fees are payable in arrears rather than in advance and giving details about notice to quit and conditions under which fees may be refunded, or amended, in line with regulations. Timescale for action 01/02/07 2 OP2 5, as amended by The Care Standards Act 2000 Regulation s 2006. 01/02/07 DS0000067846.V307467.R01.S.doc Version 5.2 Page 23 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 DS0000067846.V307467.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 DS0000067846.V307467.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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