Inspection on 25/04/07 for Villeneuve House

This inspection was carried out on 25th April 2007.

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

Villeneuve House 03/03/06

Villeneuve House 08/09/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Villeneuve House Wonston Road Southminster Essex CM0 7FE Lead Inspector Neal Wolton-Harragan Key Unannounced Inspection 25th April 2007 10.00 Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 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 Villeneuve House DS0000064894.V330537.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 Adults 18-65. 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. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Villeneuve House Address Wonston Road Southminster Essex CM0 7FE 01621 772610 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) villeneuvehouse@zerothreecarehomes.co.uk Zero Three Care Homes LLP Mrs Joanne Bungay Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of learning disability (not to exceed 5 persons) 3rd March 2006 Date of last inspection Brief Description of the Service: Villeneuve House is a family sized house providing accommodation and care for up to 5 people with a learning disability. Each person living at the home has their own bedroom with wash hand basin and shares bathroom and WC facilities. The premises include shared lounge and conservatory (which also acts as the dining room) large rear garden and office. The house is located in a small town within easy access of local shopping, leisure and NHS facilities. People living at the home can access facilities in nearby towns through use of the homes vehicle or public transport. Fees charged by the service range from £1699 to £2100 per week. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows a key inspection of Villeneuve House that culminated in an unannounced visit to the service on April 25th 2007. The judgements made within this report are based upon evidence found on the day of the inspection along with information submitted by the service and feedback from service users, staff and other parties since the previous inspection. Mrs Joanne Bungay, the registered manager of Villeneuve House, was available throughout the inspection visit and took an active role in the inspection process. During this inspection 32 of the 43 applicable standards were looked at; all of these were met, six of which were exceeded. During the visit to Villeneuve House, people living at the home and staff were spoken with. All were positive about the home and the people living there appeared at ease and were happy to talk to the Inspector. Interactions between staff and the people living at Villeneuve House observed during this inspection were positive. The visit to Villeneuve House included an environmental tour of the home, discussions with people living at the home, staff and the home manager, as well as the opportunity to look at records of how people living at Villeneuve House were supported and how the staff were recruited and trained. What the service does well: What has improved since the last inspection? All areas of Villeneuve House have been decorated since the last inspection. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users can expect to have the information they require to make an informed choice about where they live and their needs assessed. Prospective service users could expect to be able to visit and ‘test drive’ the home prior to deciding to move in permanently. Each service user could expect to have an individual contract or statement of terms and conditions with the home. EVIDENCE: The statement of purpose is clear and comprehensive and each person had received a personalised service users guide upon moving into Villeneuve House. The examination of residents’ records showed that people were offered the opportunity to visit the home prior to moving in and were able to test the service before committing to entering permanently. Discussions with people living at the home confirmed this. Records for three people living at Villeneuve House were examined and showed that their needs and aspirations had been fully assessed by either the Registered Manager or the Responsible Individual before being offered a place at the home. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 9 These were comprehensive assessments and incorporated information and views from a range of sources including discussions with the individual and their families. Records also showed that each person living at the home had an individually costed contract with the home that was revised annually. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can expect their changing needs and personal goals to be reflected in their individual plan and can expect to be consulted on decisions about their lives. Service users can expect to be supported to take risks as part of an independent lifestyle. EVIDENCE: The records sampled during the inspection showed that individual needs were assessed and were reflected within individual service user plans. These plans were subject to regular monitoring and review and changes in needs were identified and acted upon. The examination of records and discussions with those living at the home gave evidence that individuals were central to the decision-making processes within Villeneuve House as well as playing a primary role within the care review system in place. Individual records sampled showed that comprehensive risk assessments had been conducted and that risks were managed and reviewed appropriately. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 11 There were records of regular meetings for those living at the home and that people living at Villeneuve House contributed to the decision making process for all areas of their lives. One person living at Villeneuve House stated that ‘service user meetings are very useful for us to discuss what we want to do, not what the staff want to do; like holidays and trips out.’ Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can expect to have opportunities for personal development and to take part in age, peer and culturally appropriate activities. Service users can expect to be encouraged to be active members of the local community engage in appropriate leisure activities and be supported to have appropriate opportunities to develop and maintain personal and family relationships. Service users’ can expect to have their rights respected and responsibilities recognised in their daily lives. Service users can expect to be offered a healthy diet and enjoyed their meals and mealtimes. EVIDENCE: Discussions with staff, the manager and those living at the home, along with the sampling of records, showed that there was an emphasis placed on people having fulfilling lifestyles. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 13 Each person had regular planned activities that ranged from college courses and work placements as well as organised activities within the home. The people living at Villeneuve House chose how to spend their leisure time both within and outside the home; going to football matches, the cinema, local pubs along with spending time in their rooms watching television or listening to music. There was good use of the facilities in the local community and the wider area, with a visit to a supermarket in South Woodham Ferrers on the day of the site visit. People living at Villeneuve House said that they also often went to Maldon, Chelmsford, Southend and Colchester. The sampling of records and discussions with people living at the home confirmed that there were appropriate opportunities to develop and maintain personal and family relationships. There was evidence of regular contact with family members for all those living at Villeneuve House and family members were encouraged to play active roles in the lives of those at the home. Records and discussions with people at the home showed that a healthy balanced diet was offered. People took responsibility for their own breakfasts and lunches with the evening meal being prepared collectively. The people living at Villeneuve House and the staff would discuss amongst themselves what they would have for dinner and one person would assist staff to prepare the meal. On the day of the site visit, a barbecue tea was chosen so one of the people living at the home went to the local shop with a member of staff to buy the items needed. Observations of interactions between the staff and those living at Villeneuve House, as well as the sampling of individual records, showed that rights were respected and responsibilities recognised. The relationships between staff and those living at the home appeared to be built on trust and mutual respect. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to receive personal support in the way they prefer and require to ensure their physical and emotional health needs are met. Service users can expect to be protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Records sampled showed that people living at Villeneuve House contributed to the development of their own individual plans and were supported in ways they chose. Individual records showed that physical and emotional needs were met and services of healthcare professionals brought in where needed. The home had direct access to a clinical psychologist who visited fortnightly. One person living at the home took responsibility for their own medications. The risks associated with this had been appropriately assessed and was part of a plan to enable the person to live a more independent lifestyle. Medications for this person were given to him on a weekly basis and he signed his own medication administration record as he took the tablets. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 15 The home manager regularly audited the medications and records for this person to ensure the continued safety of the plan. The home took responsibility for the storage, administration and control of medications for the other people living at Villeneuve House and these were appropriately stored and recorded. Only staff that had completed appropriate training were permitted to administer medications. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect that the arrangements in place would help to protect service users from abuse, neglect and self-harm. Service users can expect their views to be listened to and acted upon. EVIDENCE: The home had a robust complaints procedure and this was also presented in a manner that was easy for service users to understand. The adult protection policies and procedures were adequate to protect those living at Villeneuve House from abuse and, where people presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Discussions with people living at Villeneuve House indicated that they felt their views were sought and that these were acted upon. As detailed earlier in this report, there were records of house meetings and evidence of requests being responded to. People living at Villeneuve House were also supported to access advocacy services. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users can expect to live in a homely, comfortable and safe environment that is clean and hygienic. EVIDENCE: An environmental tour of Villeneuve House gave evidence that people lived in a homely, comfortable and safe environment and that individual bedrooms suited needs and lifestyles and promoted independence. Bathrooms were of a good standard, offering a variety of choices for bathing and showers. There were sufficient shared spaces throughout the home, and within its grounds, to complement and supplement private rooms. People spoken with on the day of the inspector’s visit expressed a high level of satisfaction with their individual and communal spaces and bedrooms were individualised. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 18 People living at the home took active roles in household chores and all areas were clean and hygienic. All areas of the home had been decorated since the last inspection. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported by competent and qualified staff that work as an effective team. Service users can expect their needs to be met by appropriately trained staff. Service users can be assured that they will be protected by the home’s recruitment policy and practice. EVIDENCE: Examination of staff records, as well as discussions with the registered manager and staff, gave evidence that care staff had a good understanding of their roles and responsibilities and that staff were largely qualified and competent. Staff spoken with on the day of inspection stated that training was regularly made available and the home manager fully supported staff in meeting their training needs. Staff had been registered with an NVQ scheme that was due to commence shortly after this visit. All staff apart from one recently appointed carer had completed LDAF induction and foundation training as well as mandatory training such as fire awareness and food hygiene. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 20 Staff worked effectively as a team to meet the group and individual needs of those living at Villeneuve House. Staff were highly motivated and reported “good support from management”. Staff were employed in high numbers to ensure those living at the home have access to activities and opportunities for meaningful lifestyles. The examination of staff records showed a robust recruitment process that ensured those living at the home were afforded adequate protection. All necessary checks were undertaken prior to staff being appointed and appropriate records maintained. Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users can expect to benefit from a well run home and confident their views are underpinned by self-monitoring, review and development at the home. Service users can expect to benefit from the ethos, leadership and management of the home and that their rights and best interests will be safeguarded by the home’s record keeping policies and procedures. Service users can be assured that their health, safety and welfare will be fully promoted and protected. EVIDENCE: Staff and people living at the home, who were spoken with on the day of the inspector’s visit, were positive about the management style adopted at Villeneuve House and staff felt able to raise concerns with, or make requests Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 22 to, the registered manager. The management ethos at Villeneuve House was open and inclusive and records examined showed evidence of regular staff meetings being held. The registered manager, Mrs Joanne Bungay was on duty on the day of the inspector’s visit and showed a good understanding of management issues. Mrs Bungay is currently undertaking the NVQ level 4 Registered Managers Award. Records examined showed that risk assessments for activities undertaken by staff and service users had been completed. Records showed the health, safety and welfare of service users, staff and visitors was promoted and protected. Record keeping at the home was of a high standard. Villeneuve House DS0000064894.V330537.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 Adults 18-65 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 3 2 4 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 X Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 24 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. 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 Villeneuve House DS0000064894.V330537.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Villeneuve House DS0000064894.V330537.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. 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!