Inspection on 15/05/07 for Vine House Residential Home

This inspection was carried out on 15th May 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

Vine House Residential Home 06/03/06

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

CARE HOMES FOR OLDER PEOPLE Vine House Residential Home 375 Union Road Oswaldtwistle Accrington Lancashire BB5 3NS Lead Inspector Mrs Christine Mulcahy Unannounced Inspection 15th May 2007 10:00 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 Vine House Residential Home DS0000064120.V332324.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. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vine House Residential Home Address 375 Union Road Oswaldtwistle Accrington Lancashire BB5 3NS 01254 391820 01254 385064 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) Mrs Hazel Braid Mr Brian Harry Braid Mrs Kathleen Ann Day Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service shall employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection as manager of Vine House only. Date of last inspection Brief Description of the Service: Vine House Rest Home is registered with the Commission for Social Care Inspection to provide personal care and accommodation to 14 older people. The home is located on the main road of Oswaldtwistle and is within easy access of public transport services, shops and local amenities. Accommodation is provided on two levels and access to the first floor is via a stair lift. There is one double and twelve single bedrooms and there are sufficient toilet washing and bathing facilities provided to meet the needs of the people who use the service. There is a small private car park and garden area at the front of the building. All meals are prepared on the premises. New residents receive a copy of the homes Statement of Purpose and service user guide. Fees range from £313 to £352.50 per week and residents are charged separately for hairdressing, newspapers and personal toiletries. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, including a visit to the home, was carried out on 15th May 2007. Information was obtained from resident’s care plans, records, management systems, resident’s and relative questionnaires and care observations. The inspector spoke to 5 residents, 3 staff and the person in charge. What the service does well: At Vine House the staff try to provide the people who use the service with a comfortable, homely environment to live in. The atmosphere at the home was welcoming and friendly residents and relatives responded to the Commission for Social Care Inspection survey with the following comments: “Vine House is a popular and well-liked home. It is one of the few that doesn’t smell, the residents are well cared for and get lovely home cooked food that is well presented. There is also a lovely area to sit out in the summer if they so wish”. “Staff are always available when you need them, my mother told the staff she was cold and was moved to a warmer area of the home and covered with a blanket”. “I am very satisfied with the care my father is getting. They look after their clients as much as they can”. Meals are always home made and many residents made positive comments about the food like, “The food is excellent, well served and produced to suit the pallets of the residents and there is a choice everyday”. “Food couldn’t be better, not just plonked in front of the residents, also cleanliness is a priority”. “The food here is very good. Always fresh and looks nice on the plate”. “When the change of ownership occurred at Vine House I wondered whether the standards may have slipped but that has proved not to be the case. I am safe in the knowledge that my mother is well looked after. The manager and the staff team do a first class job”. “The staff are really lovely. I couldn’t pick better if I’d picked them myself”. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 6 “The care staff look after me very well. I never want for anything”. Laundry facilities were maintained to a high standard and one relative said, “When I visit my mother she is always clean and tidy and dressed smartly”. 70 of the staff team are currently trained to NVQ level 2 or equivalent. 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. The summary of this inspection report can be made available in other formats on request. Vine House Residential Home DS0000064120.V332324.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 Vine House Residential Home DS0000064120.V332324.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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 3 & 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are admitted following a full assessment so that care staff know what their needs are. Care plans are based on these assessments to ensure staff can meet these needs. Intermediate care is not provided. EVIDENCE: The manager understands the importance of having sufficient information when choosing a care home. There is clearly written service user guide and statement of purpose to help people understand what services the home can provide. Both documents clearly set out the objectives and philosophy of the service. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 9 The manager said that admission to the home only takes place if they are confident they have the skills, ability and qualifications to meet the prospective residents assessed needs. The care plan of one resident was examined and showed that the registered manager had carried out a needs assessment before admission into the home. The resident had been provided with a contract that is clear and easy to understand so that the resident and their relatives know what service they can expect. The assessment documentation was always available to staff which helped familiarise them with the residents needs. One staff spoken to was aware that the assessment formed the basis of the care plan. A comment on a CSCI relative survey stated, “I was given details of the home when my mother needed urgent respite care. I visited the home prior to my mother’s admission and had all my questions fully answered. I was also shown available rooms”. Vine House Residential Home DS0000064120.V332324.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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user health care needs were set out in a plan of care. Service users were protected by the homes medicine policies and procedures. The care practiced observed showed service users privacy and dignity was respected. EVIDENCE: Case tracking of a person who uses the service and discussion with the person in charge confirmed that all resident’s had a plan of care that included sufficient details for staff to meet the identified needs. Care plans seen were comprehensive and included details about the resident profile, communication, mobility and dexterity, personal safety, medical history, medication, mental health, cognition, diet and weight. The plan also detailed other areas such as dental, eye and foot care, the resident’s religion, daily living and social activity. The care plan of one service user was examined and showed that it contained an assessment of the resident’s daily living pattern including written Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 11 information about their personal care and physical wellbeing. The assessment was based on the resident’s ability to care for her self and maintain her independence with staff support for as long as possible. A moving and handling assessment clearly described how the resident should be assisted around the home, the action to be taken and the risk associated with the activity. The plan had been reviewed regularly and changes in the resident’s needs were identified and acted on immediately. Further records examined indicated that appropriate health care appointments were made available to resident’s as required or necessary. The home has an efficient medication policy supported by procedures that staff understand and follow. The manager makes regular checks to ensure compliance with the procedures. Examination of the medication administration records showed they had been fully completed, contained the required entries and were signed by appropriate staff. All areas of medicines handling, recording and storage including controlled drugs, were well managed. Staff responsible for the administration of medication has completed accredited training in this area. In the bedroom that is shared by two resident’s screens are provided to ensure their privacy is not compramised when personal care is being given. Resident’s confirmed that clothing worn that day was their own and clothing seen in wardrobes were named accordingly. Vine House Residential Home DS0000064120.V332324.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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12, 13, 14 & 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Leisure and recreational activities available met the social needs and interests of the people who use the service. Visiting from relatives and friends is flexible. Meals and snacks ensured variety and nutrition. EVIDENCE: The person in charge said that wherever possible people who use the service were able to make choices about aspects of their lives including waking and going to bed times and handling their own finances. Case tracking, examination of records and discussion with some of the resident’s confirmed that this was the case. The religious and cultural needs of the people who use the service had been assessed and identified when they moved into the home as part of the admission process and details were included in the care plan. Activities at the home were planned and varied to suit their preferences and capabilities. Some of the resident’s enjoy watching TV, conversation, Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 13 newspapers, magazines and flower arranging. A relative who used the CSCI survey commented, “I am aware that activities are planned but know that the resident’s don’t want to partake in them! Recently my mother arranged flowers from the garden along with other residents and the manager she told me that she intended to buy silk flowers so that the residents could create arrangements for all the rooms!” The managers and owners were aware of different religions and how to meet the beliefs of residents. A record of resident’s individual activities were kept on the resident’s file and included brief details of the visits from relatives, outings, religious observance, karaoke, hairdresser, art, music, games, foot spa, TV and shopping. When asked residents were more than happy with the activities available to them one resident said, “I like a good book, or the telly. There’s always something to do here if you want”. Another resident said, “You don’t have to do anything if you don’t want to. The staff are so kind”. The lunch for the day was liver and sausage casserole with seasonal vegetables and home made rhubarb pie and ice cream. The meal was well presented and looked wholesome and nutritious. The inspector took a sample of the meal and it was apparent from the resident’s comments that they enjoyed their lunch. By mid afternoon the residents were observed being asked what they wanted for tea and were given choices like jacket potatoes with cheese or prawns or soup and sandwiches. One care staff took her time in describing the meal and the options available to them. Attention was given to how the meal would be presented and considered each resident’s personal taste. Hot and cold drinks were served throughout the day. Menus were changed regularly and service users were reminded of the day’s menu each morning. There is always a choice if people don’t like the main meal and 2 service users when asked confirmed they could have what they like. Vine House Residential Home DS0000064120.V332324.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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints made by service users and relatives were acted on and recorded. The lack of staff training in protection of vulnerable adults may result in abusive practices being unrecognised and therefore unreported EVIDENCE: There is a complaints procedure that specifies how complaints may be made and who will deal with them. There is an assurance that complaints will be responded to within a maximum of 28 days. Although there have been no complaints to the CSCI since the last inspection the person in charge said that complaints made would include details of the investigation and any action taken. When asked, the people who use the service knew who was in charge and who to complain to if they were dissatisfied with their care at the home. There were procedures for staff to follow if they suspected an incident of abuse had taken place. According to information on the pre inspection questionnaire no staff had been given abuse awareness training. This meant that the staff might not be aware of abusive practices and would not know to report them. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 15 When asked, a staff confirmed that she had not received any formal training in this area but said would inform the manager if she suspected abuse and had read the homes policy and procedure about this issue. Vine House Residential Home DS0000064120.V332324.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. JUDGEMENT – we looked at outcomes for the following standard(s): OP19 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of decoration and furnishings in the home ensured the environment was comfortable and homely. The home was clean, pleasant and hygienic. EVIDENCE: A tour of the home showed it was suitable for it’s stated purpose. Shared facilities, communal areas, bedrooms, bathrooms and the kitchen were decorated and furnished to a good standard. The home was light, bright and homely with added accessories like cushions and pictures. The people who use the service were encouraged to personalise their bedrooms with their own furnishings and ornaments. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 17 The home was well lit, clean and tidy and smelled fresh. When asked about the environment the resident’s made positive comments like, “It’s lovely and cosy here, very homely”. A relative who commented on the CSCI survey stated, “I have been amazed that the home is always so clean – no smell ever! The carpets are cleaned regularly and my mother’s room is spotless, so are her clothes and the toilets”. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained, skilled and in sufficient numbers to support the service users and the smooth running of the service. EVIDENCE: The staff rota showed the home was staffed sufficiently. Particular attention was given to busy times of the day and specific needs of the people who use the service like medical appointments, leisure interests and at peak times of activity. The inspector observed staff involved in a number of daily activities with resident’s during the inspection demonstrating there were enough staff available to meet their needs. Staff training is ongoing and future training planned includes safe handling of medicines, safeguarding adults, dementia care and care for the dying. There are 12 care staff and 70 of the care staff team have NVQ level 2 or above. Staff who have completed their NVQ training have done a unit covering equality and Diversity issues. There is a good recruitment procedure that clearly defines the process to be followed and ensures the protection of the people who use the service. A Staff member spoken to confirmed pre employment checks required to ensure the Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 19 protection of the residents were done before she was recruited. All of the people who use the service were white British and the care staff employed was too but this reflected the current service user group. The current staff team were able to meet the health and specific cultural needs of the group. There were no male care staff employed at the home therefore the 2 male residents did not have a choice about whether they wished to have a male carer to assist with their personal care needs. The person in charge recognised there was a lack of male carers and said she would welcome male applicants along with others when a vacancy arose. Staff meetings take place regularly as do supervision sessions and, when asked, staff said they found them helpful. A staff file was examined and relevant records were kept. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): OP 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management systems ensure the home is comfortable with flexible routines ensuring the resident’s interests are safeguarded. There are effective quality assurance systems developed by a qualified competent management team. EVIDENCE: The registered manager has the required qualifications and experience and is competent to run the home. She has a clear understanding of the key principles and focus of the service. She has worked continuously to improve the service and increase service user quality of life. She is person centred in her approach and is aware of current developments planning the service accordingly. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 21 The manager regularly reviews and develops the homes policies and procedures ensuring staff awareness during supervision and practice. Notes of the staff meeting were examined and showed that staff were able to express their views about the service and how to meet the resident’s needs. There is a clear health and safety policy that ensures safe working practices. Records and documents examined showed equipment, appliance safety checks were done regularly. The home has the necessary insurance cover in place to fulfil any loss or legal liabilities. There were details and records kept of resident’s fees charged and paid. A record of resident’s cash held at the home was examined. Resident and staff signatures verified the transaction. A monthly internal audit is carried out to determine relatives and resident’s satisfaction. The outcome is made available to the CSCI as part of the registered providers monthly report. There are sound policies and procedures that the manager and registered provider regularly review and update in line with current practice. The registered managers and the person in charge regularly do random checks to ensure staff are following and working to these systems. Risk assessments are completed and taken into account when planning resident’s care and routines within the home. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 22 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 X X 3 X X 3 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 4 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 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 23 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. 1 Refer to Standard OP30 Good Practice Recommendations To complement the good practice already in place more staff should be trained in safeguarding vulnerable adults so that the safety and wellbeing of the people who use the service is promoted and protected. Vine House Residential Home DS0000064120.V332324.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Vine House Residential Home DS0000064120.V332324.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. Re-publishing this information is in breach of the terms of use of that website. 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