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Inspection on 08/09/05 for Villeneuve House

Also see our care home review for Villeneuve House for more information

This inspection was carried out on 8th September 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service provides a homely environment for the people living at Villeneuve. This extended to the interaction observed between staff and service users. Service users described a consultative approach to the planning of care and other services. One person living at the home said the `liked this place`, and another `[we] can do a lot more things, go out when we like, we`re not dependent upon other people living in the house. Staffing levels were good and the knowledge and understanding demonstrated by staff was good. The home was well managed, staff and people living at the home presented as being comfortable with the manager without blurring the distinctions of roles.

What has improved since the last inspection?

This was the first inspection of this service.

What the care home could do better:

The home had only been opened a few weeks at the time of this inspection, but must ensure that a gas maintenance contract is entered into to ensure the continued safety of services and that a fire drill is held to ensure people living at the home are aware of action to take in the event of a fire.

CARE HOME ADULTS 18-65 Villeneuve House Wonston Road Southminster Essex CM0 7FE Lead Inspector Jenny Elliott Final Unnnounced 8th September 2005 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 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 Stationary 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 I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Villeneuve House Address Wonston Road, Southminster, Essex CM0 7FE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01621 772610 Zero Three Care Homes LLP Mrs Joanne Bungay Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons) Date of last inspection Not applicable 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 facitlities. People living at the home can access facilities in nearby towns through use of the homes vehicle or public transport. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out in line with requirements of the Care Standards Act. The home had been open for less than two months at the time of the inspection. The purpose of the inspection was to ensure that the home was operating in line with the Statement of Purpose submitted with the organisations application to register as a care home. Standards not inspected on this occasion will be assessed at a second inspection that will take place before the end of March 2006. The inspection was carried out between the 8th and 12th September. A visit to the premises was made on the 8th September where time was taken to speak to three service users, a new member of staff and the manager of the home in addition to the inspection of health and safety records held by the home. Questionnaires were also sent to people living at the home, care managers and relatives of people living at the home. Approximately 6 hours was spent on all of these activities. What the service does well: What has improved since the last inspection? This was the first inspection of this service. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 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. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected. EVIDENCE: Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 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 standard(s) 6,7,9 People living at the home were enabled, encouraged and supported to participate in the development of care plans, the running of the home and to make decisions about their lives. EVIDENCE: The atmosphere in the house on arrival and throughout the inspection was very homely. All of the people living at the home seemed comfortable with their environment and staff. On arrival at the home one service user was waiting for the post which he regularly collected and distributed, another person told the inspector that [there was] ‘a menu planning thing, we all sit around the table and discuss what each one is going to cook.’ A service user meeting had also been held since the home was opened. During the inspection, two service users provided information about the provision of care. One person described their key-worker as a ‘nice lady who likes the same music [as me]’. Both service users told the inspector about meetings with staff and with the organisations consultant to develop and review incentive programmes. One person told the inspector their programme was to help develop independence and described how they moved from one Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 10 level to another. They said (about the next level) ‘I don’t know what that will be yet I have to discuss it with [staff]’. This person also told the inspector that he had been ‘asked if there was anything he would like to earn as a reward’ for successfully completing their incentive programme. Discussion with a member of staff demonstrated a good understanding of individual needs. The member of staff described a difficult situation they had dealt with in a manner that demonstrated they had read and understood information contained in the service users care plan and used information intelligently to resolve the situation. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12,13,15,17 People living at the home have access to and participate in a range of activities within and outside the home. The home supports people living there to maintain contact with their families. People living at the home contribute to the production of healthy meals and enjoyable mealtimes. EVIDENCE: When the inspector arrived at the home one service user was out on a walk with a member of staff and another had gone to a local town by bus again with a member of staff. Staffing levels enabled the individual needs and preferences of service users to be accommodated. Service users were variously engaged during the week attending college, shopping, and using leisure facilities. One person told the inspector ‘I have started to go to church on Sundays.’ The same person worked at a local café for a short time each week. The relatives of two service users completed questionnaires about the home. Both respondents said they were satisfied with the overall care provided and were welcomed into the home when they visited. One person suggested that Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 12 the home could send them notes from meetings held to consider the care of their relative when they were unable to attend. Neither respondent had had cause to complain about the service. In addition to the menu planning and food shopping referred to earlier, service users cooked some meals. One service user said ‘at first staff cooked everything’ and described making a number of different meals including spaghetti bolognase and steak and kidney pudding. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 13 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 standard(s) These standards were not inspected. EVIDENCE: Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22,23 Service users felt listened to and included in decisions about their lives. The home protects service users through its operational systems and practices. EVIDENCE: Discussions with service users (referred to elsewhere) indicated that they had input into the daily running of the home and their care plans. Service users presented as having confidence in the managers and staff team, that their views had a real impact on the service and as a consequence were listened to and acted upon. Staff training records were not inspected on this occasion. However the recruitment, induction and supervision processes operated by the home were robust and likely to protect service users. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24,30 The accommodation had a homely in decorative style and ambience. home was clean and hygienic. EVIDENCE: The The communal areas, kitchen and bathroom were seen during the inspection. A shower room was being repaired, all other areas were clean, pleasantly decorated and furnished. Service users were comfortable moving between different parts of the house including the office where appropriate. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 The staff support service users well. EVIDENCE: Comments about staff from service users were positive. The interaction between staff and service users observed and overheard during the inspection was positive and inclusive. Service users presented as being very comfortable in the presence of staff. One member of staff described a supportive staff team and management structure. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health, safety and welfare of service users were promoted by the home. EVIDENCE: Certification in respect of electrical wiring and portable equipment testing was current. The environmental health officer had visited the home on the 8th July 2005, there were no required or recommended actions arising from the visit. A current gas safety certificate was available in respect of the boiler, but no maintenance contract had been put in place. Fire fighting equipment was placed appropriately about the home. A fire drill had not yet been held. No other hazards were identified during the inspection. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Villeneuve House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 19 Not applicable 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. 1. Standard 42 Regulation 23(4) Requirement The registered person must ensure the health and safety of service users is maintained by carrying out fire drills and making arrangements for maintaining services to the home in good repair. Timescale for action 31.10.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 12 Good Practice Recommendations The registered person should consider, when appropriate, how to keep relatives informed about the care needs of service users. Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Fairfax House Causton Road Colchester Essex C01 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. Extracts may not be used or reproduced without the express permission of CSCI Villeneuve House I56-I05 S64894 Villeneuve House UI V244751 160805 Stage 4.doc Version 1.40 Page 21 - 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. 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