Care Home: St Vincents

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What the care home does well The home consistently provides a high level of care to the residents and this is due to the home being very well managed with a good staff team who are committed to continual improvement in the best interests of the residents. The building is very well maintained, spacious, comfortable and well-furnished and set in grounds that are accessible and attractive. Comments received indicate that the home is very good at promoting resident well-being and respecting individuality and choice. "The carers are aware of residents` individual needs and preferences" "Highly individual care, very clean house, very involved staff on all levels of care" "The clients are treated with respect, as individuals, and their needs met" "They have the clients best interests at heart and are prepared to adapt to peoples` individual wishes and habits" "They are always helpful, the food is excellent, the home is always clean" "They make individuals happy to live there" "We have always found the staff to be organised, efficient and friendly" "I recommend this home to anybody as it is top class" "The staff are beautiful, kind and caring" What has improved since the last inspection? The registered manager has a good system of quality assurance in place and is continually reviewing and improving the service in response to feedback from residents and others who visit the home. There is a current building programme that will provide additional bedrooms and upgrade the existing kitchen and dining room, and also provide additional communal space. There are also plans to landscape another part of the garden. What the care home could do better: There were no requirements or recommendations identified during the inspection visit. CARE HOMES FOR OLDER PEOPLE St Vincents Binstead Road Ryde Isle Of Wight PO33 3NB Lead Inspector Annie Kentfield Unannounced Inspection 20th June 2007 11:00 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 St Vincents DS0000012538.V338736.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. St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Vincents Address Binstead Road Ryde Isle Of Wight PO33 3NB 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) 01983 563248 01983 567714 stvincents@ssafa.org.uk SSAFA Mrs Sharon June Atter Care Home 18 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (4) St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: St Vincents is a registered care home for 18 older residents who are ex-service men and women. The registered provider is SSAFA Forces Help. St Vincents is a fine period building set in its own grounds on the main Binstead to Ryde road. It is close to all amenities. The home is spacious, well maintained and has attractive gardens and a roof terrace. All 18 rooms are en-suite and decorated to a high standard. There is a large passenger lift providing access to all floors. The home has a mini-bus and a car; these are used to take residents out for activities and appointments. The home is fully accessible. The current scale of charges is from £483 to £574 per week with additional and varying charges for hairdressing and chiropody. The service has an amenity fund that subsidises activities and entertainment costs and transport to hospital and other appointments is provided free of charge. St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report presents a summary of information about St Vincents since the last inspection of 15 February 2006. Information was received in advance of an inspection visit in the form of comment cards from 5 residents and 8 health and social care professionals who visit the home. This report also uses information supplied by the registered manager in the Annual Quality Assurance Assessment. An inspection visit took place on 20 June 2007 between 11am and 6 pm and the inspector spoke to some of the residents, two visitors, the manager and some of the staff. The inspection visit also included a tour of the building and inspection of some of the home’s records. All of the comments received from residents, visitors and health and social care professionals were very positive about all aspects of the care provided by the home and some of the comments are included in ‘What the service does well’. What the service does well: What has improved since the last inspection? St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 6 The registered manager has a good system of quality assurance in place and is continually reviewing and improving the service in response to feedback from residents and others who visit the home. There is a current building programme that will provide additional bedrooms and upgrade the existing kitchen and dining room, and also provide additional communal space. There are also plans to landscape another part of the garden. 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. St Vincents DS0000012538.V338736.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 St Vincents DS0000012538.V338736.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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are given the opportunity to spend time in the home and are given sufficient information about the home. Residents only move into the home if the manager is confident that the home can meet the assessed needs of the prospective resident. Standard 6 is not applicable, as the home does not provide intermediate care. EVIDENCE: All new residents receive a full comprehensive needs assessment carried out by the manager or senior staff with sensitivity and respect for the important decisions prospective residents need to make when moving into a care home. Residents are encouraged to visit as many times as they would like and to stay for a trial period, visit for meals, and to meet the other residents. St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 9 The information about the home is regularly updated and includes photographs in an information pack along with other relevant information such as the services provided, the staffing arrangements, and the complaints procedure. St Vincents DS0000012538.V338736.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): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents in the home receive effective personal and healthcare support and staff respect residents individual personal needs and preferences when providing care. The systems for the administration of residents’ medication are well managed and safe. EVIDENCE: Individual care plans are well documented and reviewed in consultation with each resident and their key worker. Evidence that the home is good at meeting health care needs is provided in comments from some of the health and social care professionals who visit the home: “They manage complex medical needs well and are excellent at supporting the clients in managing their own conditions as appropriate” “We enjoy an excellent working relationship with the home” Comments from residents in the comment cards and during the inspection also confirm that they are very satisfied with the way that personal care and support is provided. One resident said that staff are always very quick to St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 11 respond if they need assistance and if the personal alarm bell is activated. Residents’ comments, and observation of practice in the home demonstrate that staff respect privacy and dignity at all times. The storage of medication is well organised and safe and there are systems in place to ensure that all staff follow the home’s policies and procedures for the safe administration of medicines. Residents are supported to manage their own medication where this has been assessed and agreed with individual residents. The home arranges training for staff on health care topics that relate to the health care needs of the residents. St Vincents DS0000012538.V338736.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): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has sought the views of the residents and considered their varied interests when planning and arranging activities both in the home and in the community. Residents are also consulted on menu choices and emphasis is placed on providing choice and quality of meals, served in attractive and homely surroundings. EVIDENCE: Residents meetings are held on a regular basis that gives residents the opportunity to make suggestions and comments about the kind of activities they would like in the home. In addition, the manager and staff have a creative and innovative approach to ensuring that the lifestyle in the home meets residents’ expectations and interests; an example of this is the gallery on the first floor that is dedicated to memorabilia from all of the armed services, particularly relevant as the residents are all ex-service men and women, and the residents have all contributed to the very well presented display. Residents also told the inspector that the home plans to purchase a special back chair and adjustable washbasin suitable for hairdressing – in response to requests from the residents. This facility will be installed in one of the new bathrooms in the extension currently under construction. The home St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 13 has two vehicles for use by residents, and one is wheelchair accessible and there are dedicated drivers who are able to take residents out shopping, on outings or to appointments, with a member of staff if required. There are regular consultations with residents about meals and the manager was in the process of reviewing the menus to include particular requests and choices following a residents’ meeting. Comments and observation confirm that meals are well planned and presented and residents have lots of choice, and the quality of the food is good. There is a bar in the sitting room with a lunchtime ‘Happy Hour’ and residents can also choose to have a drink with their meal. During the inspection visit, discussion with two visitors demonstrated that the home provides a friendly welcome for visitors of residents. The gardens are accessible and there is a well set out and tended memorial garden and also a roof garden terrace on the first floor. There are plans to landscape the rest of the garden when the current building work is completed. St Vincents DS0000012538.V338736.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): 16, 17 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents in the home are able to express their views and have access to a complaints procedure and are protected from abuse and have their rights protected. EVIDENCE: There have been no complaints about the home but there is a written complaints procedure that it available to residents and their visitors and residents who completed comment cards confirmed that they would know what to do in the event of any concerns or complaints. The manager is committed to ensuring that residents’ legal rights are protected and that residents are able to make informed choices wherever possible. The manager would arrange access to advocacy for any resident who did not have the capacity to make informed decisions. The home has a wide range of information and self-help leaflets and has made links with the National Charity ‘Help the Aged’ who provide a comprehensive range of information and advice to older people. It is planned to develop a dedicated ‘Residents Information Area’ when the building renovations are complete. Residents who have a sight impairment are supported by staff to discuss relevant information or have information read to them. In the Annual Quality Assurance Assessment the manager stated, “We take the protection of our service users very seriously and ensure that service users are protected from abuse”. There are procedures in place to respond to any St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 15 suspicion or evidence of abuse or neglect and staff receive training in this topic “so that they have an understanding of this area of their responsibility”. Records show that the home has a thorough and robust staff recruitment procedure that is designed to protect residents. Practice in the home is regularly monitored and staff are well supported and supervised to ensure safe working practice at all times for both residents and staff. St Vincents DS0000012538.V338736.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): 19, 20, 23, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The building is a fine period detached house and the home has managed to preserve the unique period features but also ensure that the home is fully accessible for the particular lifestyle and needs of the residents. The living environment for the residents is homely, clean, safe and comfortable and well maintained. EVIDENCE: This judgement was confirmed from observation and from comments from residents and visitors. Particular attention is given to ensuring that the home environment is safe, secure and comfortable. The home is very well decorated and furnished and well maintained both internally and externally. There are aids and equipment in place necessary to support any residents who have limited mobility. The home has a very large passenger lift that comfortably accommodates several wheelchairs and gives access to all floors. St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 17 The inspection visit was unannounced and a tour of the building found every area to be clean, tidy and pleasant. Residents and visitors confirmed that the home is “always very clean and tidy”. Residents enjoy a choice of communal space both inside and outside with a large and attractive sitting room, dining room, entrance and hallway, well maintained gardens with seating and a roof terrace garden with seating and sun shades. All bedrooms are single with en-suite facilities and in addition there are two bathrooms and a shower room with assisted facilities. Residents have keys to their bedrooms. The inspector spoke to one resident in their own room and observed that the room had good natural light, was clean and comfortable and well furnished with sufficient space for a table and chair and an armchair as well as bed, bedside table and light, and storage space. The en-suite bathroom was spacious and clean. Decoration, fittings and furnishings were of good quality - matching and colour co-ordinated. The resident had an alarm call with a cord within easy reach of the bed and confirmed that it worked. Residents are encouraged to bring as many of their own possessions as possible when they move into the home. The resident enjoyed sitting in the armchair with a good view of the garden from the large windows. Every toilet, bathroom and en-suite bathroom is fitted with liquid soap and paper towels to promote good hygiene and it was evident that there are policies, procedures and equipment provided for staff to ensure good hygiene and the control of infection. Residents were fully consulted before the current building work began and the manager explained that she has taken all necessary steps to ensure the safety of the residents and staff at all times whilst the work is in progress. The builders have separate access and all areas are clearly marked with signs and hazard warnings both inside and outside. St Vincents DS0000012538.V338736.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): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is consistently enough staff available to meet the needs of the residents in the home. The home puts a high level of importance on training and development for all staff to ensure they are supported through training to meet the needs of the residents. EVIDENCE: The manager ensures that all staff have regular supervision and an individual training programme based on their area of work, this includes care staff, catering staff, cleaning staff, administrative staff, and maintenance staff. The inspector had a group discussion with some of the staff, in the training room. It was evident that the manager and staff recognise the benefits of a skilled and trained workforce and encouragement and resources are available for staff to undertake both ‘in-house’ training and external qualifications such as the National Vocational Qualification (NVQ) in care. When staff have completed a course of training, there is often an ‘award ceremony’ when certificates are received, involving the residents as well who are interested in the training that staff undertake. The manager was clear that all training had to be of a high standard and relevant to the home and the manager for suitability and value initially assesses any training. There are good and thorough and well documented systems for recruiting new staff with a commitment to equal opportunity in practice and the protection of St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 19 the residents. All new staff follow a thorough and comprehensive induction programme whilst shadowing more experienced staff. Staff have clear job descriptions, work contracts and supervision contracts. All of the home’s recruitment, training and supervision records are in good order and securely stored. St Vincents DS0000012538.V338736.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): 31, 33, 35 and 38 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of residents, staff, relatives and other visitors. EVIDENCE: There is strong evidence that the organisation of the home is open and transparent. The views of both the residents and the staff are listened to, and valued. Comments from residents, staff, visitors and health and social care professionals confirm that the home provides a consistently high quality service. There are lots of quality monitoring systems in place to ensure this. St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 21 Record keeping is of a consistently high standard. All working practices in the home are safe and there is good monitoring and spot checks in place to ensure that policies and procedures to promote and protect residents and staff are followed. The home monitors its health and safety performance, consults other experts and specialist agencies about health and safety issues as required. Evidence of this is provided in the five star quality rating from the Environmental Health Food Safety inspection, and an excellent Fire Safety inspection report. There is also evidence of organisational monitoring by the management group of SSAFA. St Vincents DS0000012538.V338736.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 4 4 4 X X 4 X 4 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 St Vincents DS0000012538.V338736.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. Refer to Standard Good Practice Recommendations St Vincents DS0000012538.V338736.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 St Vincents DS0000012538.V338736.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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