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Care Home: Tracey Vale Residential Home

  • Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA
  • Tel: 01626833066
  • Fax: 01626833567

Tracey Vale Residential Home is owned and managed by Devon County Council and is registered to accommodate people who fall into the registration categories of Old Age, Dementia (over 65 years of age), Mental Disorder, excluding learning disability (over 65 years of age) and Physical Disability (over 55 years of age). The home provides long-term, short term and respite and has a re-enabling unit that provides intermediate care for a maximum of six people. The home is situated in a quiet residential area in Brimley, which is on the outskirts of Bovey Tracey. Some local facilities, including a shop, are within a short walking distance and town centre is approximately half a mile away. Information about the service is available in a Statement of Purpose and a Service Users Guide.

  • Latitude: 50.584999084473
    Longitude: -3.6819999217987
  • Manager: Mr Brian Burley
  • Price p/w: -
  • UK
  • Total Capacity: 35
  • Type: Care home only
  • Provider: Devon County Council
  • Ownership: Local Authority
  • Care Home ID: 16925
Residents Needs:
Old age, not falling within any other category, mental health, excluding learning disability or dementia, Dementia, 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 Tracey Vale Residential Home.

CARE HOMES FOR OLDER PEOPLE Tracey Vale Residential Home Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA Lead Inspector Susan Samways Key Unannounced Inspection 13:00 17 & 18 September 2008 th 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 Tracey Vale Residential Home DS0000032549.V365380.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. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tracey Vale Residential Home Address Brimley Vale Bovey Tracey Newton Abbot Devon TQ13 9DA 01626 833066 01626 833567 tony.rooks@devon.gov.uk http/www.devon.gov.uk Devon County Council 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) Manager post vacant Care Home 35 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (35), Physical disability (6), Physical disability over 65 years of age (6) Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users who require adaptations or equipment such as hoists or wheelchairs, or who require care from more than one care assistant, shall be accommodated in rooms 7, 10, 18, 21 & 22 only. Service Users in the PD category must be over 55 years of age. Date of last inspection 19th September 2007 Brief Description of the Service: Tracey Vale Residential Home is owned and managed by Devon County Council and is registered to accommodate people who fall into the registration categories of Old Age, Dementia (over 65 years of age), Mental Disorder, excluding learning disability (over 65 years of age) and Physical Disability (over 55 years of age). The home provides long-term, short term and respite and has a re-enabling unit that provides intermediate care for a maximum of six people. The home is situated in a quiet residential area in Brimley, which is on the outskirts of Bovey Tracey. Some local facilities, including a shop, are within a short walking distance and town centre is approximately half a mile away. Information about the service is available in a Statement of Purpose and a Service Users Guide. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 5 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 inspection which took place over two consecutive days and lasted for a total of 11 hours. Since the last inspection there has been a change of manager but the current manager has been seconded to another post. The acting manager, who had only been in post for three weeks, was present for most of the inspection. Three of the four assistant managers were also involved in the inspection. Time was spent in discussion with the acting manager and the assistant managers and several of the people living in the home were spoken to as were some of the staff. Care plans, staff records and other documentation were examined. Surveys completed by people living in the home, relatives and staff had been received prior to the inspection as had the Annual Quality Assurance Assessment completed by the manager. This provided information about how the national minimum standards had been met, what had improved since the last inspection and future plans for Tracey Vale. What the service does well: People living in the home who had completed surveys or who were spoken to during the inspection spoke highly of the staff. They said that they were caring, respected their privacy and dignity and listened to what they said and acted upon it. They said that there were activities that they could participate in if they chose and said that they particularly enjoyed the trips out. They also praised the standard of the meals. The home has good relationships with visiting health professionals. Positive work is done to enable short-term residents to regain independence and return home. The home has a variety of communal space. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 6 Proper recruitment checks are carried out to make sure staff are safe to work with vulnerable people. What has improved since the last inspection? What they could do better: Care plans and assessments need to be consistently signed and dated by the person concerned or their representative and by the member of staff completing them. The range of activities needs to be further developed with records kept of the content of the activity, those who have taken part and the outcome. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 7 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. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 8 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 Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 9 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): 1,3,4,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Anyone considering moving into Tracey Vale can be confident that the home has ensured they can meet their needs. EVIDENCE: The service users’ guide states that the first four to six weeks following a permanent admission will be on a trial basis so this gives both the person concerned and the home the opportunity to ensure that the service is suitable before making a long-term commitment. In addition to offering long-term care Tracey Vale offers short-term and respite care and has a self-contained unit which provides intermediate care for up to Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 10 six people. An inspection of the assessment and care plan for one of the people using the intermediate care service provided evidence of input from an Occupational Therapist and a Physiotherapist. The files for six people living in the home were examined. All had an assessment of need on which the care plan was based but not all of them had been signed by the person concerned or their representative which would demonstrate their involvement in the process. The acting manager stated that as much information as possible is gathered about anyone referred to Tracey Vale for permanent accommodation in order to ascertain whether their needs can be met by the home. Evidence of this was seen in each of the files examined. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are detailed and regularly reviewed and medication procedures safeguard those living in the home. Staff treat those living in the home with respect and are caring and supportive. EVIDENCE: The assistant managers spoken to during the inspection stated that they had done a lot of work to improve the care plans. This was evident from the six care plans examined. These were detailed and included separate night care plans but they need to be signed and dated by the person concerned or their representative and the member of staff who has compiled it. This will show Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 12 that they are up to date and have involved the subject of the care plan. Some personal preferences were found in the care plans including religious requirements and, in one case, their wishes regarding funeral arrangements. Care plan reviews had also been carried out regularly but changes in care required must be reflected in both the reviews and the care plans. Risk assessments were found in all the files examined including risk assessments for people taking responsibility for their own medication. A separate record is kept for visits by health professionals and these are also recorded in the daily records. A visiting health professional spoken to during the inspection said that the staff could always be relied on to carry out their instructions and follow their treatment plan. The medication system and records were examined with a senior carer. Medication was found to be stored securely and appropriately and the records had been completed correctly. Some people living in the home retain responsibility for their medication. Risk assessments had been completed for this for each individual concerned. Staff were observed to treat people with respect. Those living in the home who completed surveys said that the staff listen to them and act on what they say. They said that they are happy with the care they receive and one person said that nothing is too much trouble. These comments were confirmed by those talked to during the inspection who spoke highly of the staff. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 13 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. The range of activities is improving. Meals provided are nutritious and well presented. EVIDENCE: One of the assistant managers has taken responsibility for activities within the home and as a result the range and frequency has improved. This improvement was reflected in the surveys completed by people living in the home and by those spoken to during the inspection. Most said that there were usually activities that they could participate in. Those spoken to said that they understood that people’s choice of activity varies and that not everyone could be accommodated all the time. Several people commented that they enjoyed the trips out that were arranged for them. A record of each activity session is Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 14 being kept and an entry made in the daily records for each participant. An album of photographs of special events is being compiled. During the inspection flowers had been purchased ready for the regular flower arranging sessions which provide table decorations for each dining room. Those spoken to said that the daily routines are flexible and accommodate wherever possible their preferences as to when they get up and go to bed, how they spend their time and where they have their meals. Most relatives contacted were happy with the way that the home maintains contact with them. They said that they are kept informed of any changes in the condition of their relative and that questions are readily answered. One person expressed some concerns about communication and this was addressed directly with the manager. Those living in the home praised the standard of the meals. They said that they are given a choice and enjoy what they are given. The meal provided at lunchtime was seen to be nutritious and well presented. The kitchen was visited and the cooks spoken to. They are currently agency staff but are hoping to become permanent. They said that although the kitchen is not the best shape and design it was workable. The food stores were well stocked with fresh, frozen and dry goods. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 15 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. The rights of those living in the home are protected by the home’s complaints procedure and they are safeguarded from abuse by staff being made aware of adult protection procedures. EVIDENCE: All those living in the home who completed surveys said that they knew how to make a complaint should the need arise. All but one of the relatives who completed a survey said the same. Some said that they had had to raise issues with the home but that these had been dealt with promptly and satisfactorily. The complaints procedure is included in the service user’s guide. Procedures are in place concerning safeguarding vulnerable people from abuse. All staff have had training regarding this but some are in need of refresher sessions. One was due to be held the day following the inspection for six staff. Tracey Vale Residential Home DS0000032549.V365380.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): 19,20,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Many parts of the home have been refurbished and the standard of cleanliness has improved. EVIDENCE: Tracey Vale was purpose built in the 1960s. People admitted for intermediate care have accommodation separate from that of the permanent residents. At the last inspection the home was criticised for its poor standard of décor, the fact that those living in the home could not control the temperature in their rooms and for the unacceptable standard of cleanliness. One of the assistant managers has taken responsibility for addressing these issues. All the Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 17 radiators now have thermostatic controls. Most rooms in the home have been redecorated and refurbished with the involvement of those living there in choosing colours and patterns. The standard of cleanliness has improved as was seen during the inspection and was commented on positively by the people living in the home and by relatives. The manager stated that some safety improvements were due to be made. These include key pads to the medication rooms and to cupboards storing chemicals and cleaning materials and the installation of hand rails at the front entrance. Tracey Vale Residential Home DS0000032549.V365380.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff recruitment procedures and staff training safeguard those living in the home. EVIDENCE: Staff rotas seen showed that there were sufficient staff on duty during the day and at night but a couple of staff commented that if there were more staff they would be able to spend more time with the people living in the home. A handyman, four domestic staff and two cooks are also employed. The files for three staff, all of whom had started within the last twelve months, were examined. All had the required documentation including application form, two references and police checks. They also had records of induction and other training and supervision. Staff contacted were positive about the training they receive. One of the assistant managers has recently been given responsibility for monitoring staff Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 19 training. She has ensured that the training records are up to date and has identified any gaps in training and refresher sessions required. She has booked staff on several courses and was in the process, with the manager, of arranging cover for those attending. The occupational therapist and physiotherapist, who work with those receiving intermediate or respite care and plan to return home, provide staff with training in medical conditions communication and record keeping. The majority of the staff have NVQ level 2 in care and three care staff and three of the assistant managers also have level 3. Three of the assistant managers are NVQ assessors. Tracey Vale Residential Home DS0000032549.V365380.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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style is open and receptive to the views of those living in the home and others involved with the home. EVIDENCE: The manager in post at the time of the last inspection has since retired. The manager appointed to replace her has not yet registered with the Commission for Social Care Inspection and has now been seconded to another role within Devon County Council. An acting manager has been appointed but she had Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 21 only been in post three weeks at the time of this inspection. However, the management structure includes four assistant managers and time was spent with three of them during the inspection. The assistant managers each have areas of responsibility such as recruitment and staff rotas, activities, staff training and infection control. Those spoken to were enthusiastic about their jobs and their specific responsibilities and the progress they had made to address the shortfalls identified at the last inspection. The acting manager said how helpful and supportive the assistant managers had been in helping her to settle into her new role. The management of the home was seen to be very open with those living in the home, the staff and visitors all approaching the manager and assistant managers with confidence and being well received. The corporate quality monitoring system has been implemented in the home. This includes questionnaires for people using each area of the service. There are also regular residents’ meetings which are recorded. For most people living at Tracey Vale, families or legal representatives provide assistance in managing their financial affairs. The home does hold small amounts of personal spending money for residents. Detailed records were available of the amounts held. The assistant managers ensure that safe working practices are employed and that the staff receive adequate training. Record keeping has improved since the last inspection. The acting manager stated that the requirement made at the last inspection to inform the Commission for Social care Inspection of any event adversely affecting the welfare of those living in the home was included in the interview for her post. Tracey Vale Residential Home DS0000032549.V365380.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 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP12 Good Practice Recommendations Care plans should be signed by the person concerned or their representative to ensure their involvement in the care planning process. The range of activities should continue to be developed to ensure that everyone living in the home has an opportunity to participate in something they enjoy should they wish to do so. Tracey Vale Residential Home DS0000032549.V365380.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Tracey Vale Residential Home DS0000032549.V365380.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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