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Care Home: The Vale Care Centre

  • Castle Lane Bolsover Chesterfield Derbyshire S44 6PS
  • Tel: 01246824252
  • Fax: 01246241020

The Vale provides accommodation, personal and nursing care for up to 40 older persons, either male or female, although also has agreement to accommodate three people who are physically disabled included within the total of 40. The home is purpose built over two floors and is located within the community of Bolsover, approximately 12 miles to the north east of Chesterfield town centre and within a short distance of junction 29 of the Ml motorway. There is a choice of lounge and dining space on each floor and all bedrooms are single occupancy, some having en suite facilities. There are a range of aids and equipment and also environmental adaptations to assist those with disabilities, including level access, suitable bathing and toilet facilities, a shaft lift, emergency call system, handrails and grab rails and moving and handling equipment /hoists. Kitchen and laundry facilities are centralised. There is level access to an outside garden to the rear of the home, which provides seating and is well maintained having a green house, lawn and patio areas and planting. People who live at the home is provided with twenty-four hour care and support from a team of nursing, care and hotel services staff, led by a registered manager. An activities co-ordinator is also employed.The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 5People who wish to, can access the most recently published inspection report, which is openly displayed in the main reception area, along with other key information about the home. The range of fees per week as at June2008 is as follows: £420.00 - £480.00 per week for those receiving residential care and, £620.00 - £682.00 per week for those who are receiving nursing care. The actual fee charged is determined in accordance with individual`s assessed needs and whether or not nursing care is provided. There are additional charges for hairdressing, private chiropody, transport and personal toiletries.

  • Latitude: 53.228000640869
    Longitude: -1.2970000505447
  • Manager: Mrs Janice Greaves
  • Price p/w: £420
  • UK
  • Total Capacity: 40
  • Type: Care home with nursing
  • Provider: Southern Cross Care Homes Limited
  • Ownership: Private
  • Care Home ID: 16620
Residents Needs:
Old age, not falling within any other category, Physical disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for The Vale Care Centre.

CARE HOMES FOR OLDER PEOPLE The Vale Care Centre Castle Lane Bolsover Chesterfield Derbyshire S44 6PS Lead Inspector Rob Cooper Unannounced Inspection 12th June 2008 09:30 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 The Vale Care Centre DS0000002096.V366698.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. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Vale Care Centre Address Castle Lane Bolsover Chesterfield Derbyshire S44 6PS 01246 824252 01246 241020 valethe@schealthcare.co.uk 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) Southern Cross Care Homes Limited Joanne Tomlinson Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (10) of places The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following categories of service only: Care Home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old age, not falling within any other category - Code OP Physical Disabilities - Code PD Any person admitted with a physical disability must be given a room on the ground floor. The maximum number of service users who can be accommodated is: 40 20th June 2007 2. 3. Date of last inspection Brief Description of the Service: The Vale provides accommodation, personal and nursing care for up to 40 older persons, either male or female, although also has agreement to accommodate three people who are physically disabled included within the total of 40. The home is purpose built over two floors and is located within the community of Bolsover, approximately 12 miles to the north east of Chesterfield town centre and within a short distance of junction 29 of the Ml motorway. There is a choice of lounge and dining space on each floor and all bedrooms are single occupancy, some having en suite facilities. There are a range of aids and equipment and also environmental adaptations to assist those with disabilities, including level access, suitable bathing and toilet facilities, a shaft lift, emergency call system, handrails and grab rails and moving and handling equipment /hoists. Kitchen and laundry facilities are centralised. There is level access to an outside garden to the rear of the home, which provides seating and is well maintained having a green house, lawn and patio areas and planting. People who live at the home is provided with twenty-four hour care and support from a team of nursing, care and hotel services staff, led by a registered manager. An activities co-ordinator is also employed. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 5 People who wish to, can access the most recently published inspection report, which is openly displayed in the main reception area, along with other key information about the home. The range of fees per week as at June2008 is as follows: £420.00 - £480.00 per week for those receiving residential care and, £620.00 - £682.00 per week for those who are receiving nursing care. The actual fee charged is determined in accordance with individual’s assessed needs and whether or not nursing care is provided. There are additional charges for hairdressing, private chiropody, transport and personal toiletries. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was an unannounced visit as part of the key inspection process – so that no one at The Vale knew that the inspection visit was going to take place. The visit took approximately six hours through the middle of the day, with one inspector present. In preparing for this inspection, the information that the Commission holds about this care home was reviewed, this included looking at the last inspection report, the inspection record, considering any complaints or concerns that have been made about the service, and reviewing any notifications made relating to incidents that affect the well being of people living at the Vale. The methods used during this key inspection and visit were to visit The Vale, where a method called case tracking was used; this involved identifying four people who live at the care home and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was followed by a partial tour of The Vale, looking at the activities on offer, and talking to three residents, two relatives and three members of staff about the quality of the service, and their experiences of living and working at The Vale. During 2007 the Commission for Social care inspection introduced an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, this allows care homes like The Vale to self assess their service. Information provided by The Vale helped to form the judgements in this report. We also sent out ten surveys asking for views and information to people who live at the home, five to relatives and five to staff. Of these we received two surveys from people living at the home, three surveys from relatives and two from members of staff, which also helped with the judgements that we made. The registered manager Joanne Tomlinson provided much of the information during this key inspection visit. On the day of this inspection there were thirty-seven people living at The Vale. People who might want to live at The Vale can obtain information about the home direct from them, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. In addition information about The Vale and the services it provides can be found at the following web site: www.ashbournesl.co.uk. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: No statutory requirements have been made as a result of this inspection visit. However recommendations have been made that the staffing levels are reviewed following comments from relatives in surveys, this is to make sure that there are sufficient staff on duty to meet the people who live at the Vale’s needs. Formal meetings for the people living at the care home should be The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 8 taking place on a monthly basis, as this will allow those people to express their views, and have a voice in they way that the care home is run. 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. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 9 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 The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 10 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): 12&3 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People, who live at The Vale, and those who would want to, have access to detailed information about the services on offer. People have contracts or a service agreement and they receive a comprehensive assessment of their needs, which allows the people to make an informed decision about whether the home can meet their needs. EVIDENCE: Both the statement of purpose and service user guide for the Vale were seen during the inspection visit. These documents contained a great deal of useful information about the care home, and were available in both a compact disc (CD) and large print format. The information available would allow people living at the care home, and those who might wish to in the future, to make an informed choice about living at the Vale. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 11 Discussions with three people who live at the Vale showed that they had been given copies of the service user guide, and copies were seen in the people’s bedrooms. The foyer of the home also has copies of the last inspection report on display. In addition anyone who is interested can visit Southern Cross’s web site at: www.ashbournesl.co.uk., which also gives details of the services on offer, and has a link to the Vale’s latest inspection report. As part of the case tracking process four people who live at the care home were identified, and their files were seen, each one contained an agreement from Social Services to fund their placement, and a copy of the terms and conditions of residence. The individual had in some cases signed the terms and conditions of residence. Each of the four files that were seen contained a formal assessment of need. The assessments had all been completed in-house, and covered areas such as: the risk of falls, continence, dependency, and nutrition. The evidence showed that the information provided by these assessments had been used to draw up the care plans. In their AQAA the Vale said in relation to what we do well: “Pre-admission assessment which includes other healthcare professionals, family, and service user.” The Vale does not offer intermediate care, and therefore this National Minimum Standard was not assessed. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 12 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 10 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People have their personal care given in a professional and caring manner by the staff, which means that individuals are having their health and personal care needs met. EVIDENCE: Each of the files that were seen contained a plan of care, which identified personal goals and identified people’s needs and how to meet them. Evidence was seen that care plans were being reviewed regularly, and there were daily entries by care staff, to record progress and any issues relating to individual’s care. All of the files that were seen contained health care plans. The plans included information relating to health care professionals such as visits to the doctor, or by the nurse, and any hospital visits. A local optician provides a service to people living at the home, and has done for many years, which means he has a good understanding of the needs of people living in care homes. In addition The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 13 the health centre at Clowne offers an emergency dental service for denture repairs and treatment. Three people were asked about seeing the doctor, and they all said that the staff would get them a doctor if they were unwell, and if they needed one. Boots the chemist provides the Vale with their medication. Medication is provided in blister packs (a monitored dosage system – that gives all of the tablets needed at a certain time, for an individual in a sealed pack. This type of system does help to cut down on errors, and makes monitoring of the system easier.) An inspection of the Vale’s medication systems showed that medication is handled safely. Administration records were seen and found to be complete. No one living at the Vale currently self-medicates. All aspects of the medication procedures that were seen showed a clear audit trail for medication, and indicated that people living at the care home were safe. Discussions with three people who live at the Vale, and observation of the staff working with people generally showed that the staff treated them with respect and dignity. This included observing staff knocking on people’s doors before entering, and speaking in a respectful manner. In their AQAA the Vale said: “Ensuring service users have privacy for any meetings with visitors. Staff induction and training includes upholding privacy and dignity and customer care.” Among the comments received from relatives in the surveys was the following: “The Vale care home has always lived up to our expectations.” Comments received from staff surveys included: “We treat all the service users as individuals.” Each person’s file that was seen had an end of life care plan, covering different aspects of the individual’s wishes at the end of their life. This included information about transfer to hospital, and resuscitation, and while health care professionals may take the decisions away at the time, individual’s choices are recorded. In addition the manager has written to relatives to ask their views, responses are beginning to return, and a several were seen. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 14 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 & 15 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People have a lifestyle that reflects their cultural, social and religious interests, and needs, and there is clear evidence that their social care needs are being met. EVIDENCE: Discussions with three people who live at the home identified that there were plenty of activities arranged, these ranged from activities in the home such as bingo and table topped activities (games and puzzles), outside entertainers, and trips out in the home’s minibus. One person who lives at the home has been attending woodwork classes in Bolsover, and has made a wooden rocking horse and a bookcase, they also ‘potter’ in the greenhouse, and around the garden generally. There is an activity co-ordinator working at the Vale, and discussions with her identified that there was a mixture of group activities and individual one to one sessions. Among the entertainment brought in to the home have been: singers, and musicians, and people living at the home are encouraged to be involved in choosing the entertainment. The minibus has allowed trips out to places such as: local schools for drama presentations, out The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 15 for meals at local pubs and trips to garden centres and shopping centres. In a survey completed by a relative the following comment was made: “All the staff respond well to all aspects of care work. Social activities are well organised and plenty of them.” Two relatives were spoken with during this inspection visit, both were positive in their comments, and said that they were made to feel welcome, and that the staff were friendly and approachable. Both praised the building, and the cleanliness, and said that they were more than happy with the care their relative was receiving. In addition comments received via surveys included: “Staff at the Vale are excellent, cheerful and hard working” “All clients are kept clean and well dressed, the home is well decorated and maintained” and “The staff are pleasant, and always smiling and polite.” People said that their relatives were able to visit when they wished, and that staff always made them welcome. Staff were observed to see how well they interacted with the people who live at the Vale, and whether choices were being offered. This was seen to be a positive situation with choice offered particularly around drinks and activities. Staff demonstrated how choices were offered and recorded at meal times, and the activity co-ordinator talked about how activities were organised, and choice was offered, including taking feedback from people taking part in activities. Discussions with three people indicated that they both thought they had control over a lot of things in their lives. On the day of this inspection visit there was a good choice of meal on offer including a vegetarian option if required. Information related to people’s likes and dislikes was also seen in the kitchen. The food was well presented, and the dining room was attractively laid out for people, including the menu being in a holder on each individual table. Care had been taken over the place settings, with co-ordinated tablecloths and napkins to add to the dining experience. All of the people spoken with said good things about the food with comments such as: “The food is excellent, and there’s always a choice,” and “It’s very good actually, I can’t fault that at all.” The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People are safe, as a result of the policies, procedures and systems that are in place at The Vale, and t people living at the care home and their relatives are confident that their complaints will be taken seriously and dealt with. EVIDENCE: The Vale has received four complaints since the last key inspection in June 2007. A review of the complaints showed that they had been dealt with in line with the home’s complaints procedure, which is on display in the foyer, and also forms part of the service user guide. Discussions with three people who live at the home indicated that they knew who to complain to, and how to complain, although none of them had ever needed to. Discussions with a relative about the complaints procedure identified that they would speak to the manager, and they felt confident that she would deal with the complaint, although so far, this had not been necessary. In their AQAA the Vale said: “We have the complaints procedure available on the relatives notice board and also in the service user guide … we reply to any complaints promptly and resolve within 28 days, and always act on any allegations.” A review of the staff training records in relation to safeguarding adults, and a review of the statistics showed that forty-two out of forty-five care staff had undertaken this training in the last twelve months. The training is aimed at raising staff awareness of abuse, and issues around abuse and through raising The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 17 those issues, offering people greater protection against abusive practice, while also making sure that the staff understand the correct policy and procedure to follow if abusive practice is found. Three members of staff were asked about safeguarding adults training and both said they were aware of the issues, and had undertaken this training. The Vale have not had made any safeguarding adults referrals since the last key inspection. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. People live in a safe, clean, well maintained and comfortable home, with their personal possessions around them, this means that people are living in ‘homely’ surroundings that meet their needs. EVIDENCE: A partial tour of the Vale showed that it was comfortable and well maintained, with good quality fixtures and fittings. Discussions with three people who live at the care home showed that they thought the Vale was comfortable and meets their needs. Several bedrooms were seen, and these were well personalised, and homely, all of the people who were spoken with said they felt they had everything they needed, and that they thought their bedrooms were comfortable and the home was well equipped. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 19 Domestic staff were seen cleaning in different parts of the Vale during this inspection visit, and discussions with staff showed that there were systems in place for cleaning, and that the Vale had a good supply of cleaning materials. The building was found to be clean, and smelt fresh. In relation to cleaning the Vale said in their AQAA: “The home is clean and tidy … there is staff training in health & safety and infection control ... there are regular maintenance checks and any repairs are dealt with promptly.” Every bedroom now has liquid soap and paper towels for the use of the people living there and the staff, and this has had a positive effect on infection control at the Vale. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 20 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 & 30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. Staff at The Vale have been recruited professionally, and are competent and trained to do their jobs, which means that the people who live at the care home are safe, and have staff who are able to meet their needs. EVIDENCE: The staffing rota for the Vale was reviewed and this showed that there was enough staff currently employed to meet people’s needs. Three people living at the care home were asked about staffing levels, and they said that they thought there were enough staff. Comments received in two relatives surveys however suggest that sometimes staffing levels is an issue, and that on occasion there are not enough staff. The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A review of the staff training records showed that currently there are twenty-four care staff at the Vale, of whom there are fifteen staff with NVQ level II, and one with NVQ level III qualifications. In addition there are six qualified nurses working at the care home. The files of four members of staff were seen, to check that they contained all of the information that would show that staff at the Vale had been recruited in The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 21 a safe manner – namely that applicants had filled out an application form, provided two written references and had had a Criminal Records Bureau check. The documentation showed that the Vale’s recruitment policy and procedure had worked to protect the people living there. Discussions with three members of staff about their recruitment showed that they had gone through all of the pre-employment checks, and had not started working until those checks had been completed. Discussions with a gentleman who lives at the home indicated that he had helped in the recruitment of staff in the past, by sitting on the interview panel, and asking candidates questions, before taking part in the decision making process. The staff training records showed that the Vale does have a training plan for its staff. The training records showed that staff were receiving the training to help them to do their jobs. Discussions with three staff members provided evidence of the training courses staff had attended, including training in fire safety, dementia and health & safety etc. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 22 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 36 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service. The Vale is a safe, well-managed care home with good systems for ensuring it’s quality in place, which means that people living at the home have their needs met. EVIDENCE: Joanne Tomlinson is the Registered Manager. She is suitably qualified and experienced being a Registered General Nurse, and also having a Teacher Training Certificate, and she has been judged by the Commission for Social Care Inspection to be a fit person to run a care home. Joanne became the registered manager in February 2008. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 23 The Vale’s quality assurance system relies on questionnaires being filled in by service users, relatives and visitors. Copies of these questionnaires were seen together with evaluation of the results. The Vale do hold meetings for the people who live there, although they are rather infrequent. Regulation 26 visits (these are monthly audits by a representative of the owners’ management team) are taking place, with copies of reports seen; these are part of the home’s quality assurance system. The Vale has a system for people’s small cash needs. This is operated on behalf of some of them by the staff (dependent on individual choice and their ability to manage the money, or relative’s involvement). Four people’s finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of the individual’s financial expenditure to be followed. The Vale has a formal staff supervision system in place, in which staff receive supervision, either with the manager or with one of the other senior members of staff. This is usually in a one to one meeting. Formal supervision offers staff support and guidance in carrying out their work, and is seen as an essential management tool in residential care. Three members of staff were asked about formal supervision, and they all said they felt well supported, and were receiving regular supervision sessions. A range of different health & safety records were seen, including the fire safety records, water temperature checks and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date, which shows that people are living and working in a safe environment. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 24 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 4 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 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 2 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 25 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. 2. Refer to Standard OP27 OP33 Good Practice Recommendations Staffing levels should be formally reviewed to ensure that there are always enough staff on duty to meet the needs of the people living at the Vale. Formal meetings for the people who live at the Vale should be held on a monthly basis, and minutes of the meetings should be kept. The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 The Vale Care Centre DS0000002096.V366698.R01.S.doc Version 5.2 Page 27 - 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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