Inspection on 03/03/06 for Villeneuve House

This inspection was carried out on 3rd March 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

Villeneuve House 25/04/07

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 Clare Walker Final Unannounced Inspection 3rd March 2006 10:30 Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 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.V282468.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V282468.R01.S.doc Version 5.1 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) 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.V282468.R01.S.doc Version 5.1 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) 8th September 2005 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. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 3rd of March 2006 and lasted 5 hours. During the inspection a tour of the premises was made. On the day of inspection all 5 service users were met by the inspector, the senior partner of Zero Three Care Homes was present for part of the inspection as was the registered manager of the home, also present in the home were two care staff and the clinical psychologist who visits weekly. Alongside time spent with service users and staff the inspector reviewed policies and procedures and health and safety certificates. 3 care files were care tracked, 2 staff files were reviewed. What the service does well: What has improved since the last inspection? What they could do better: All standards inspected met the criteria. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 6 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. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 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.V282468.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The information provided to individuals is clear and covers all aspects of the care and services offered, allowing an informed choice to be made about moving into the unit. A full assessment of need is made of each individuals needs and how they can be met by the home prior to a placement being made. EVIDENCE: The statement of purpose is clear and comprehensive. Each service user receives a personalised service users guide when they move in to Villenneuve. All service users files demonstrated that a full assessment s made by the senior partner and the company psychologist prior to a place being offered. Service users are fully involved in the placement process and actively involved in stating needs and aspirations. Visits and stays as appropriate are an integral part of the assessment process. Each person has a statement of terms and conditions on their file. All beds are contracted to Essex county council or Essex health services or combination funding Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Individual service users are encouraged and enabled to participate in care planning, day to day decision making and the running of the home. Service users feel confident information is secure and that confidences are kept. EVIDENCE: The care plans are comprehensive working documents that chart all aspects of individual service users lives. People are encouraged to make decisions and this was highlighted in speaking to the people who live n the home. One service user said “we bring things up at service user meetings.” Service users are included in staff recruitment interviews. Risk assessments are carried out with regard to activities and where ever possible risks are explained to individuals and necessary precautions are taken. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,14,16,17 Individuals are encouraged to develop personal skills and leisure activities. Rights and responsibilities are respected. Staff and service users contribute to the production of healthy meals held in a relaxed atmosphere. EVIDENCE: The care plans show and this was discussed with individuals that emphasis is placed by the staff on ensuring that service users have fulfilling activities both in work placements, college and leisure. For example service users spoken with attend college courses and engage with work placements. The service users were also discussing how to spend their summer holidays and activities that different people wanted to do on the evening of the inspection. Service users were clear that they could choice and had the right to self determination with regard to time and the spending of money. Everyone participates in making the evening meals. Every service users is responsible for some cooking as part of a weekly rota. There is choice of food individuals being responsible for their breakfast and lunch. The evening meal is taken together. Two service users spoke of developing their cooking skills through work at a local café for a few hours a week. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Physical emotional and psychological needs are well met. Medication procedures are in place and meet the needs of the service users. EVIDENCE: Care plans outline the level of support that has been agreed with each person. Staff were observed offering support in dialogue with individuals. Emotional, physical and psychological needs are assessed and the files evidence the multidisciplinary resources mobilised to need the assessed needs of individuals. Medication systems are clear and practice observed and discussed followed procedures. All staff dealing with medication are trained to carry out the task. In discussion with the manager it was clear that although being such a new unit the home has not had to deal with issues of illness, ageing and death the practice would be as with all other issues to work in partnership with the service user and their family. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users felt listened to and included in decisions about their lives and future aspirations. EVIDENCE: Service users told the inspector that they were included in decision making both in their individual lives via care planning and reviews and in the running of the home via service user meetings. Individuals felt that their views count and that changes have occurred because of their views. Training records show that induction includes respect of service users views and how to deal with complaints. The complaints procedure is robust. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 This home is homely in the style of fixtures, fittings, furniture and decoration. The home was clean. EVIDENCE: The home provides a comfortable environment, which suits the needs of the service users. The communal areas are clean and well furnished offering a variety of sitting areas. The hub of the unit is the light and airy conservatory dining space. Each person has their own room which s decorated and furnished according to individual taste. There are suitable bathing and toilet facilities. The home was clean and hygienic. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36 Staff support service users well. There is good rapport between staff and service users and between the staff team. The service users benefit from high staffing levels EVIDENCE: Service users were positive about the staff and good rapport, interaction was observed. The staff team appears to work well together and has within it a range of ages, interests, experience and freshness. The homes recruitment procedure is through and all files inspected were in line with the procedure and contained all the relevant references and criminal record checks. There was an easy working atmosphere within the home. There is a short induction package, followed up by an in-depth 2 week induction to the home and the philosophy of the company followed by foundation training for non-qualified staff –Learning disability Awards Framework followed by support to do National Vocational Training awards at the level appropriate to the member of staff. The staffing levels within the unit are high and ensure that staff are available to meet the needs of service users ensuring that participation in activities outside the unit is regularly possible. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,43 This home is well run in the interests of the service users. Health and safety of service users is promoted. EVIDENCE: This home is well run as evidenced by it clear record and accounting systems. The manager and fellow partners in the company give clear vision and guidance to staff. Service users said that they are regularly consulted on the running of the home and that they could raise issues at the service users meeting. The senior partner of the company is regularly on site and was observed to have good rapport with service users and staff. The policies and procedures are comprehensive and show a robust approach to the work with the service users interests as paramount. Service users are aware of the care planning system and are fully engaged in the process. Files are held securely. The management structure within the home is clear and accountability is clear. Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 16 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 3 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 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 X 3 Villeneuve House DS0000064894.V282468.R01.S.doc Version 5.1 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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.V282468.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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