Inspection on 06/03/06 for Vine House Residential Home

This inspection was carried out on 6th 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

Vine House Residential Home 15/05/07

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 10:00 06 March 2006 th 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.V253446.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 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.V253446.R01.S.doc Version 5.0 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.V253446.R01.S.doc Version 5.0 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 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 service users. There is a small private car park and garden area at the front of the building. All meals are prepared on the premises. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second in the inspection year and took place over one day on Monday 6th March 2006. The service was inspected against the National Minimum Standards for Older People. Case tracking of service users also took place along with the rooms they occupy in the home. Observations were made of the care provided and the service users were invited to have a discussion with the inspector to discuss their experiences of life in the home. The inspection spoke to 6 service users, 2 care staff, 1 cook, 2 students on work placements, 1 relative and the registered manager. Breaches in regulations and standards that pose an immediate risk to service users have been highlighted for urgent action. What the service does well: What has improved since the last inspection? Care plans examined had been reviewed to include risk assessments relating to falls and bed rails. A requirement relating to service user daily records made at the previous inspection was addressed satisfactorily. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 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. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 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.V253446.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was not assessed at this inspection EVIDENCE: Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 7, 8, 9 Service user health care needs were identified and met through care plans. The control of medication was well-managed promoting good health. EVIDENCE: Case tracking of service user who moved into the home in November showed the care plan had been drawn up from the initial service user assessment. The plan addressed areas of care and detailed the care to be given. Choices in dayto-day living, assistance, dietary needs, intellectual cultural needs, interests hobbies, background, life history, and lifestyle choices enabled staff to meet service users needs better. The care plan also contained a service user personal profile and reason for admission to the home that included a medical history, known allergies and last wishes. It also highlighted individual use of specialist equipment to ensure service user safety and comfort in the home and a risk assessment around cigarette smoking was included in the care plan. The care plan examined was recently reviewed and care plan review sheets had been completed and signed by staff. Service user daily reports had been written daily When asked one service user commented positively on the care received and said, “It’s alright here, my bedroom is very nice the staff are lovely, really Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 10 helpful”. Another service user said, “The staff really look after me, it’s very nice here”. During a tour of the building the inspector noted equipment necessary for the promotion of tissue viability and prevention of pressure sores was provided. Case tracking and examination of two service user care plans highlighted this and discussion with one service user confirmed this. There was a medication policy and procedure at the home. Written guidance was available for staff to follow when administering medication. Policies and procedures examined ensured service user safety. All medicines were stored securely ensuring service users were kept safe from harm. Medication Record Sheets were completed accurately. A majority number of care staff had undergone training in the safe handling of medicines and a care staff was observed competently administering medication to service users. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 12, 14 Daily routines were flexible and varied. Service user autonomy and choice was maximised. EVIDENCE: Case tracking and discussions with service users confirmed that routines and daily living were mostly based on service user wishes. This information was highlighted in care plans. Past interests, hobbies, present needs and wishes were also included in care plans. When asked one service user confirmed they had regular contact with their relatives and visiting times were flexible. The inspector observed another service user having her hair washed and styled by her granddaughter who was visiting that afternoon. Relatives were observed visiting service users throughout the afternoon and were made welcome by staff on entering the home. The registered manager confirmed this was a regular occurrence for them. It was apparent that service users who did not receive visitors that day were included in conversations with other visitors and enjoyed the different company. Case tracking confirmed that the home did not handle service user financial affairs and relatives did this. Bedrooms examined were personalised with service users own photographs, furniture and other personal possessions. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This standard was not assessed at this inspection EVIDENCE: Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 19, 22, 26 All areas of the home were safe and well maintained. Specialist equipment, furnishings, toilet and washing facilities met service user needs. EVIDENCE: The location and layout of the home was suitable for it’s stated purpose. It was accessible safe and well maintained meeting service users individual and collective needs. There were ample accessible toilets for service users close to lounge and dining areas. An assisted baths was available in the home. Where rooms weren’t en suite toilets were within close proximity of service users bedrooms. Call systems were provided in all bedrooms. Grab rails were provided in bathrooms, toilets and corridors. Aids, hoists and assisted toilets and baths were installed and capable of meeting the assessed service user needs. The home was clean, pleasant and hygienic. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): OP 29 Service users were not fully protected by the home’s recruitment procedures EVIDENCE: Employee case tracking confirmed that the recruitment process recently used by the home did not ensure the protection of service users. Checks that should have been made prior to appointing a new employee had not been done. An immediate requirement was issued for the registered manager to ensure that all relevant checks relating to the new employee including 2 written references and an up to date CRB and POVA 1st check are carried out. Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was not assessed at this inspection EVIDENCE: Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X 3 X X X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP29 Regulation Sch 2 Reg 7, 9, 19 Requirement The registered manager must ensure that all relevant checks relating to the new employee including 2 written references and an up to date CRB and POVA 1st check are carried out immediately. Please notify the Commission in writing as to the outcome of the pre employment checks by the date shown. Timescale for action 13/03/06 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 Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Vine House Residential Home DS0000064120.V253446.R01.S.doc Version 5.0 Page 19 - 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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