Inspection on 20/12/05 for Villosa I

This inspection was carried out on 20th December 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Villosa I 03/08/07

Villosa I 26/10/06

Villosa I 13/10/05

Villosa I 23/03/05

Villosa I 08/10/04

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 Villosa I 390 Hatfield Road St Albans Hertfordshire AL4 0DU Lead Inspector Robert Kittle Unannounced Inspection 20th December 2005 3:00 Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 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 Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 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. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Villosa I Address 390 Hatfield Road St Albans Hertfordshire AL4 0DU 01442 858504 01442 861152 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) Psycare Hostels Limited William John Fitzpatrick Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13 October 2005 Brief Description of the Service: Villosa I is a detached family house, extensively developed and converted for use as a residential care home for nine adults with a learning disability. The premises consist of nine single bedrooms (two of which are on the ground floor). The home has a reception area leading to the main lounge, a separate dining room and a conservatory. The home also benefits from an additional sunroom that has been built at the side of the house. The kitchen and bathroom are situated on the ground floor. The laundry facility is ins a separate prefabricated building at the rear of the home and this facility is also used for storage. There is an office at the side of the house on the ground floor. There are good links to the city centre via local public transport. St Albans also has two railway stations, one main line service to Kings Cross and the other a local service to Watford. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two Regulation managers undertook this routine unannounced inspection during the course of one afternoon. Seven service users and two staff members assisted with the inspection process. This was the second statutory inspection of the home and on this occasion, the standards not previously assessed formed the basis for this report. Reference should be made to the report dated 13 October 2005 for the standards not assessed on this occasion. This was a very positive inspection and the staff and service users are thanked for their co-operation and assistance. What the service does well: 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. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 6 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 Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 7 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): These standards were not assessed on this occasion. EVIDENCE: This group of standards were fully covered at the last inspection. Please see report dated 13 October 2005 for detailed findings. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 8 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): These standard were not assessed on this occasion. EVIDENCE: Conversations with service users during this inspection confirmed that they are consulted with and their views and suggestions were acted upon where needed. These standards were fully covered at the last inspection. Please see report dated 13 October 2005 for previous findings. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 9 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): 12 and 15 Service users have a range of planned activities that they enjoy and look forward to. They are also encouraged to maintain appropriate relationships. EVIDENCE: Staff and service users were able to reel off a regular programme of activities that they enjoy. In addition, there are spontaneous activities as well as the more mundane food shopping trips. This inspection was scheduled to take place the previous day, but all the service users were out when the inspector called. Service users appear to make good use of the facilities in the community and meals out appear to be a frequent pleasure. Service users maintain family links where possible and several will be returning to their family homes over the Christmas period for stays of varying duration. Staff understand and support other relationships that develop and offer guidance as appropriate. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 10 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): 20 At present, staff administer medication in the home and ensure that families are able to safely undertake the task when service users stay away from the home. EVIDENCE: The two staff members on duty were well versed in the different medication administration arrangements for each service user when they stay away from the home. Although none of the service users administer their own medication at present, suitable arrangements would be put in place if the circumstances were to change. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 11 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): These standards were not assessed on this occasion. EVIDENCE: It is understood that no complaints have been received since the last inspection took place, although service users were clear about how to make a complaint. The most recently appointed staff member was able to confirm the robustness of the recruitment procedure she had been subjected to. These standards were fully covered at the last inspection. Please see report dated 13 October 2005 for detailed findings. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 12 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): These standards were not assessed on this occasion. EVIDENCE: At the time that this inspection took place, the home was pleasantly decorated for Christmas and appeared to be clean and well maintained. However, these standards were fully covered at the last inspection. Please see report dated 13 October 2005 for detailed findings. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 13 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 and 34 Evidence available in the home showed that staff are well trained and competent. The service providers has a wide range of policies and procedures that are available to the staff for reference purposes and guidance. EVIDENCE: Staff confirmed that their employers, Psycare Hostels, were good providers of training and the records presented during this inspection indicated that staff were keen to take full advantage of all training opportunities. January would appear to be potentially a very busy time for staff as a wide range of training has been promised. One member of staff on duty had joined the organisation relatively recently and she was able to confirm the effectiveness of the staff induction process and the value of the training opportunities. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 14 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, 39 and 42 Environmentally, Villosa I is a safe, well-maintained and homely building. Service users appeared to be well informed and comfortable in their surroundings. EVIDENCE: Service users were confident that staff listened to their views and acted upon them. They were well informed about aspects of their home and arrangements that affected them and said that they had regular meetings with the staff. (A copy of the minutes of the most recent resident’s meeting was seen). The premises were well maintained and clean. No hazards were noted. Staff appeared to be confident and competent and service users were at their ease with the staff. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 15 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 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Villosa I Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000055525.V273973.R01.S.doc Version 5.0 Page 16 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 YA24 Regulation 23 (4) Requirement The manager must undertake a fire risk assessment-the manager Timescale for action 14/10/05 was not on duty and it was not possible to check if this had been completed. 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 YA34 Good Practice Recommendations The manager should maintain a current job description for each member of staff on their personal files-staff on duty believed that this recommendation had been met, but the manager was not on duty and it was not possible to check staff files. Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Villosa I DS0000055525.V273973.R01.S.doc Version 5.0 Page 18 - 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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