Inspection on 21/09/05 for Vivian House

This inspection was carried out on 21st September 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 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

Vivian House 03/05/07

Vivian House 04/10/06

Vivian House 21/04/05

Vivian House 21/09/04

Vivian House 14/04/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Vivian House Brunswick Street Morley Leeds LS27 9DL Lead Inspector Graham Drye Announced 21 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 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. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Vivian House Address Brunswick Street Morley Leeds LS27 9DL 0113 253 0309 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) W & S Red Rose Healthcare Ltd Miss Jennifer Hills Care Home 21 Category(ies) of Old age (21) Dementia (1) Dementia -over registration, with number 65(3) of places Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 21st April 2005 Brief Description of the Service: Vivian House is a large detached property set in its own grounds. Over a period, the house has had a 2-storey extension added. It is situated on the outskirts of Morley, but within easy reach of all the amenities in the centre of Morley, there is convenient bus service to surrounding areas. The home provides care for 21 elderly service users who require residential care by virtue of old age. Accommodation is provided on 2 floors, which are serviced by a lift, there is also a stair lift available in the older part of the building. There are 19 single bedrooms and 1 shared bedroom. Bathing and toilet facilities are available on all floors, and 4 of the single bedrooms have an en-suite toilet. The ground floor also contains a choice of sitting area and a large dining room, which overlooks gardens to the front of the building. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 21st April 2005. There have been no further inspections until this announced inspection. The people who live in the home prefer the term service user, and this is the term that will be used throughout this report. The purpose of this inspection was to monitor the home’s progress since the last inspection and to assess whether the care given to service users meets minimum standards. During the inspection records were examined, some areas of the home were seen, such as bedrooms, lounges and bathrooms; care staff were observed carrying out their work, and discussions, both on an individual and joint basis, were held with two members of staff, the manager, one visitor, district nursing staff, and five of the service users. Survey cards were left at the home for residents their relatives and visiting professionals. The proprietor is currently developing the home to provide an additional 3 bedrooms. What the service does well: The home provides a good standard of care to residents in a comfortable and well-maintained environment. Service users said that they were happy with the care provided, that the food was good and the home was always clean and tidy. They said that the staff were kind and caring, polite and respectful and that call bells were answered promptly. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 6 A good level of staff training is offered including both NVQ (National Vocational Qualification) and additional training. The staff felt they received adequate training to enable them to meet the needs of all the current service users. Staff recruitment is thorough and protects service users. The complaints procedure is available to all and any complaints are investigated and resolved. A number of survey cards have been returned at the time of writing this report, which indicated that residents and their relatives were satisfied with the service being provided. 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. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 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 standard(s) 1,3,4. Service users are provided with information to enable them to make an informed choice about the home. The assessment process makes sure that their needs will be met. EVIDENCE: A detailed statement of purpose and service user guide are available, the proprietor has recently increased to six the number of beds specifically for Dementia care this change has been included in the statement of purpose. All service users are admitted following an assessment. A very good range of information regarding the service user’s needs are obtained prior to admission. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 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 standard(s) 7,8, 9,10. The health and personal care needs of service users are well documented. EVIDENCE: The records for three service users were assessed at this visit. These included two service users who have lived at the home some time and one service user receiving respite care. All the records for the service users were detailed and include, personal details, a life history, health care assessments, risk assessments and a care plan. However, the staff are not fully recording against individual service users identified care needs consequently there are significant gaps in the individual service user’s records. It is not possible from the records to identify the delivery of care. The senior staff should ensure that the systems for the recording of care are used and followed by the staff team. A recommendation was made that training for staff on the delivery of specific areas of personal care should be clearly recorded and evaluated by appropriately qualified professionals. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 10 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 standard(s) 12,13,14,and 15. Service users are enabled and encouraged to participate in and continue with their chosen social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. All meals have a choice and are enjoyed by service users. EVIDENCE: Service users said that they chose how to spend their days, what time to get up and go to bed, whether or not to stay in their own rooms or spend time in the communal lounges and where they preferred to eat their meals. An activities organiser plans sessions on four weekday afternoons. Service users said that they enjoyed these. The activity organiser keeps a record of whatever activities have taken place and who participated. A wide variety of videos, DVD’s, books and board games were available. A visitor said that they were able to visit at any time; that the staff made them feel welcome and offered them drinks and meals. Service users are able to go out with their visitors if they wish to. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 11 Lunch was served to service users in the dining room, one of the lounges or their own room. The seating in the dining room has been rearranged to provide a more informal setting. The food was attractively served and looked appetising. Service users said that they enjoyed their meals, they were offered alternatives and that the food was lovely. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 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 standard(s) 16,18 Residents are protected and feel safe living in the home. EVIDENCE: Abuse awareness training has been provided to care workers. The manager said that this had been given during induction and foundation training and that this subject was being revisited as part of NVQ (National Vocational Qualification). She said that she would have no hesitation in reporting any suspected or actual abuse to the local authority. Copies of the local authority adult protection procedures are kept in the home. Residents said that they felt safe. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 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 standard(s) 19 21 22 23 Service users are living in a safe and well-maintained home, which is suitable for their needs. The home is clean and tidy. EVIDENCE: Full building inspection was undertaken. All areas seen were maintained to a good standard. There were no smells present. The proprietor has recently purchased 2 new mobile hoists including a specialist mobile hoist to enable staff to move and handle service users safely. This will ensure that the staff do not become involved in physically moving service users. The proprietor is undertaking some building work in order to provide an additional 3 bedrooms. The service users stated that they enjoyed observing the work and the activity involved in the development but this did not adversely affect their life. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 14 Service users said that the home is always clean and tidy. A variety of personalisation was seen in individual service users bedrooms. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29and 30. The home has adequate numbers of staff on duty. Robust recruitment procedures are followed to protect residents. Staff receive appropriate training in order to meet the needs of residents. EVIDENCE: The staffing for the home is adequate for the current service user group. However, with the recent increase in the registered number for service users with Dementia, the manager and proprietor will review these levels as they admit service users under this category. The records of two members of staff were checked. All the information required was available. This included two written references and a CRB (Criminal Records Bureau) check. The recruitment process includes a standard interview to ensure fairness and equal opportunities. Training plans are in place, which include induction and foundation training and NVQ (National Vocational Qualification) and mandatory training. Additional training has taken place on moving and handling, it is planned for more training for staff on dementia and dealing with challenging behaviours. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33. Residents live in a home that is managed efficiently and they are consulted regularly about their views and opinions. EVIDENCE: The manager has got appropriate qualifications and experience. A service user said that they thought the home was calm, relaxed and well organised. Staff said that both the manager and proprietor are very supportive and available for advice at any time. They said that this was the case for both staff and service users. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 17 The general records, policies and procedures for the home are very well organised and are kept up to date. Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 N/A 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x 3 3 3 x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x x x Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 19 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 7 Regulation 17(1)(a) schedule 3 (3)(m) Requirement The registered person must maintain a record of the following matters in respect of each of the service users details of any plan relating to the service users in respect of medication, nursing, specialist health care or nutrition. Timescale for action 1.11.05 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 Good Practice Recommendations Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.doc Version 1.40 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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 Vivian House 20050921 Vivian House Stage 4 S42865 V193758 J52.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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