Care Home: Vale Lodge Residential Home

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Stallcombe House
• Belma
• Hunters Care Centre

What the care home does well A resident described living at Vale Lodge: "Good crowd of people here, I`d miss them if I moved" A family member told us: "We feel that Vale Lodge is happy/always willing to meet any individual requirements that our relative might need" Most of the surveys described Vale Lodge as: "A friendly home with a good family atmosphere". People living at Vale Lodge are enabled and supported to maintain their independence. Those who are able to go out alone are encouraged to do so. People are able to benefit from the home`s minibus and regular trips and outings are organised by the Registered Providers. The people living at Vale Lodge are consulted and involved in decisions that may affect them and their home. What has improved since the last inspection? What the care home could do better: The ongoing maintenance programme should ensure that any outstanding hot water valves not yet fitted are in place within the agreed timescale of February 2008. In the meantime the Registered Manager should continue to monitor the risks to those people who may use this facilities unsupervised to ensure they are safe. CARE HOMES FOR OLDER PEOPLE Vale Lodge Residential Home 38/40 Sutherland Road Mutley Plymouth Devon PL4 6BN Lead Inspector Megan Walker Unannounced Inspection 10:47 15 November 2007 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 Vale Lodge Residential Home DS0000003499.V350336.R02.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. Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vale Lodge Residential Home Address 38/40 Sutherland Road Mutley Plymouth Devon PL4 6BN 01752 220456 01752 220456 valelodgepl4@btopenworld.com 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) Miss Sheree Anne Haswell Mr Martin Frederick Atwill Miss Sheree Anne Haswell Care Home 19 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (9), Old age, not falling within any other category (19) Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 5 residents in category DE (E) may be accommodated at any one time No more than 9 residents in category MD (E) may be accommodated at any one time. 22nd May 2006 Date of last inspection Brief Description of the Service: Vale Lodge is a care home registered to provide care and accommodation for up to nineteen people who have care needs within the categories of Old Age, not falling within any other category (OP), up to nine people who may additionally have a mental health care need (MD (E)), and up to five older people who require care for reasons of dementia (DE (E)). In addition to the designated categories the service describes its aim as the provision of low to medium dependency care for older people. The home does not provide intermediate care and it is not registered to provide nursing care. Vale Lodge is located in the residential area of Mutley, in Plymouth. The facilities of the home are spread over two floors with one large lounge and a dining room on the ground floor. The home has 17 single rooms, 11 of which have en-suite facilities and 1 en-suite double room. Stair lifts enable access to the upper floor. There is ramped access to the front door and level access at the rear of the home. There is an enclosed walled garden at the rear with garden furniture available for people to use in fine weather. Vale Lodge is close to Mutley Plain and Hyde Park shopping areas. There is easy access to the city centre and other parts of Plymouth by bus and it is within close proximity to the railway station. The current scale of charges ranging from £365.00 to £400.00, according to individual assessment of care needs. Additional charges include hairdressing, chiropody, toiletries, newspapers, magazines, journals etc, all charged at commercial rates. All charges’ information was provided to the CSCI in December 2007. Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a Key Inspection. The fieldwork part of this inspection was unannounced and took place on Thursday 15th November 2007 between 10h45 and 18h45, with an additional short visit on Tuesday 20th November 2007 to collect documentation. The visit included talking to six people who live at the home, two staff, and observation of interactions between staff and people using this service. There was also a tour of the premises, and inspection of care plans, staff files, medication and other records and documentation. The Registered Manager and the Registered provider were present at the time of this visit. They were able to provide relevant information such as the day-today routines as well as the management of the home. This report also includes references to a random inspection of the home on 2nd October 2007. The purpose of that inspection was to access some of the records for the people who live at the home and the staff’s policy and procedure files. In addition other information used to inform this inspection: • The Annual Quality Assurance Assessment (AQAA) completed by the Registered Manager • The previous two inspection reports • All other information relating to Vale Lodge received by the CSCI since the last inspection. • “Have Your Say About Vale Lodge” Care Home Surveys were sent out and the CSCI received feedback and comments from – • 3 People living at Vale Lodge • 1 Relative • 6 Staff • 1 Care Managers • 1 Consultant Psychiatrist • 3 Health/Social Care Professionals in contact with the home One “Good Practice” recommendation was made as a consequence of this inspection. What the service does well: A resident described living at Vale Lodge: “Good crowd of people here, I’d miss them if I moved” A family member told us: “We feel that Vale Lodge is happy/always willing to meet any individual requirements that our relative might need” Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 6 Most of the surveys described Vale Lodge as: “A friendly home with a good family atmosphere”. People living at Vale Lodge are enabled and supported to maintain their independence. Those who are able to go out alone are encouraged to do so. People are able to benefit from the home’s minibus and regular trips and outings are organised by the Registered Providers. The people living at Vale Lodge are consulted and involved in decisions that may affect them and their home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Vale Lodge Residential Home DS0000003499.V350336.R02.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 Vale Lodge Residential Home DS0000003499.V350336.R02.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, 2, 3,4,5 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People choosing to use this service and their families can feel confident that their needs will be assessed before moving into the home and that they can have the information they need to make an informed choice about where to live. EVIDENCE: Anyone considering moving in to Vale Lodge is offered an informal tour of the home and an opportunity to talk to people using the service. A copy of the home’s brochure giving an overview of the home’s facilites and what is offeree at the home, and scale of care fees are sent to all prospective residents. The Service User’s Guide (a booklet/brochure explaining the terms and conditions of living in the care home including how to make a complaint), is also given to people so they have information about this service. Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 9 Inspection of four care files found good assessments of care needs completed by the Registered Manager. People we asked if anyone had spoken to them about their care needs before they moved into the care home, said that they had visited for a day or that their relatives had been to visit on their behalf. After the pre-assessment and visit(s) to the home, a letter was sent offering a place at Vale Lodge and confirming the bedroom number, the fee and a moving in date. Everyone living at the home received a contract stating the terms and conditions of residence at the home. This was renewed annually or as necessary if there was a change in the person’s care needs, and included any fee increase. Vale Lodge Residential Home DS0000003499.V350336.R02.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): 7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service can feel confident that a staff team that is respectful and sensitive will ensure that all their health, personal and social care needs are met. EVIDENCE: We chose four people, both men and women, to look at their care files and care generally because they were, for example, people with more complex needs (such as health care needs), and/or people with changing needs. Each care file seen had a full assessment of care needs, and a care plan that was reviewed monthly by the person who’s care this concerned and the Registered Manager. If the person’s health deteriorated so they were limited in their ability to be involved with their care planing, then a family member/representatives or an independent advocate would be invited to become involved (if not already). The care plan continued to focused on the Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 11 person. Daily Records showed that any medical condition was monitored and recorded. There was evidence of recording of vaccinations, blood tests, weight checks, urine tests, and fluids in/out where this was appropriate and necessary. People were able to choose to have dental checks, eye-sight checks, and a chiropody service, within the home. Some people had made their own arrangements. Each care plan included a risk asessment for moving and handling the person, a building risk assessment, and a personal risk assessment. All the information relating to healthcare was recorded on a database on the home’s computer system. Any history of falls was also recorded on this database to monitor anyone living at the home who was at risk of falling. We looked at Incident/Accident records. These were kept securely according to relevant guidelines and also recorded in chronological order in the person’s computer care file. This provided the Registered Manager with an overview to monitor and take preventative action. We received very positive feedback from health and social care professionals who visit the home on a regular basis. They commented that the staff working in the home “always respect clients and treat them as individuals”. Specific instructions were being followed, and we were told by one health care professional - “There is no evidence to support that my client’s needs are not being met by experienced staff”. The AQAA states that “Respect, dignity and privacy are always considered and upheld when dealing with issues of health and personal care.. ..Feed back from staff is essential, invited and expected, both verbally and in daily recording systems. Medication was seen kept in a lockable drugs room to which only named key holders had access. One member of staff was fairly new to the home so they were still learning the medication routine and only did the medication round under close supervision from the Registered Manager. The Controlled Drugs Box was a lockable box and secured to a worktop. On checking the Medication Administration Records (MAR sheets) a pharmacy error was found. This was reported to the Registered Manager. The medication records each had a photograph of the person for whom the medication was intended. There was also a list of names and initials for each of the staff members trained to administer and handle medication. The medication records seen were signed and dated appropriately. Anyone who was a diabetic had this recorded on his or her medication records. Allergies were also recorded. The Registered Manager was advised that if a large amount of medication was stored on a regular basis, the monitoring and recording of the medicines’ fridge temperature should record the maximum and minimum temperatures not just the current temperature. This will demonstrate that medications are being kept safely. (At the time of this visit the fridge was used to store eye drops for one person.) The staff member showing us the medication told us that all the Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 12 staff responsible for medication had attended a medication-training course in October 2006. We also found evidence of attendance on this course on the staff training programme and on individual staff files. It is the home’s policy to keep everyone’s medication stored securely in the medication room and for it to be administered by the staff qualified to do this. People are informed of this when they move into Vale Lodge. Vale Lodge Residential Home DS0000003499.V350336.R02.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 excellent This judgement has been made using available evidence including a visit to this service. People find the lifestyle offered in the home matches their expectations and preferences and satisfies their interests and needs. People are supported to continue to enjoy familiar supportive relationships with family and friends, and within the local community. EVIDENCE: Someone who uses this service and returned a survey to the CSCI wrote: “Entertainment, mini bus trips plus rail trips to Cornwall all excellent. A health care professional who visits the home told us that from their observation people could choose to be in their room or come into the lounge to be with company. “Staff promote social interaction as appropriate to reduce risk of isolation and becoming withdrawn, while respecting right to choice & privacy” Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 14 A member of staff who returned a survey wrote: “There is plenty of stimulation, trips and entertainment. I feel that staff are very involved with service users activities and entertainment.” People using this service said that they could come and go as they wished. Their family and friends could visit any time and they could spend their time together either in the lounge, in the dining room or in the individual’s bedroom. Throughout this visit people were seen around the home in their rooms and using the communal areas. It was evident that they were able to choose where they preferred to be at different times of the day. They talked about entertainment provided for them and told us it was their choice to take part. The Registered Providers have recently been awarded a grant and the people living in the home were consulted about what this should be used for. It was agreed to purchase a new minibus for the home. This was due to arrive within a few weeks of this visit. In the mean time people continued to go out on the ‘old’ minibus for short trips such as out on to Dartmoor and to local garden centres. Some trips were planned and others were spontaneous if people fancy going out for a ride. People’s preferences and interests were seen recorded on their individual care plans and daily records showed what individuals had been doing each day. One person had expressed an interest in taking a computer course and a suitable course was found by the home’s staff for this person to attend. Vale Lodge is not specifically a faith-based care home however it maintains connections with local churches. People who wish to may share in a short service of Holy Communion at the home once a month. The home celebrates the Christian festivals of Christmas and Easter. At the time of this inspection everyone living at Vale Lodge considered themselves as British, Christian, agnostic or a non-believer. All the meals are cooked on the premises. There is an eight-week rota of menus. People are asked for their choice of lunch in the mornings and again what they would like for tea in the afternoon. There is one main course at lunchtime, however there are several alternatives each day. Dietary needs are catered for, as are individual likes and dislikes. The Registered Manager prefers people to eat lunch and tea in the dining room so they have an opportunity to socialise, however people can choose to eat elsewhere. We observed one person eating in the lounge and this was their preference. Anyone who is poorly would be taken their meals in their room. Meal times are: Breakfast 08h00-09h00; lunch noon; tea 16h15; hot drink & biscuits 18h00; sandwiches & hot drinks 20h00. Tea/coffee with biscuits or cake is served at 10H15 and 14H15. Hot and cold drinks are also available all day and night on request. Night staff have access to kitchen to make sandwiches/biscuits if asked for during the night. We talked to the Registered Manager about the meals being close together and early. She said that she felt Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 15 people “have plenty to eat and can eat at other times if they miss meals or don’t feel hungry”. Vale Lodge Residential Home DS0000003499.V350336.R02.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. The people living at Vale Lodge and their families and friends can feel confident that any issues of concern or complaints raised by them will be dealt with appropriately. EVIDENCE: A random inspection was carried out on the 2nd October 2007 to access some of the records for the people who live at the home and the staff’s policy and procedure files. The records showed that the Registered Manager had involved the Care Management Team and the Risk Assessment form was updated and given to the Care Management Team to sign the agreement stating that preventative measures could be put in place for the safety and protection of an individual “at risk”. We were given a copy of this Risk Assessment. It was also recorded that an alternative had been looked for without success and input was being sort from the Care Management Team to find a suitable alternative to ensure the safety of this person. We saw records showing that the General Practitioner (GP) was involved as part of the overall strategy in ensuring the well-being and safety of this person. The individual care file showed all conversations on the subject of the safety of this person were recorded. Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 17 The Registered Manager is pro-active about contacting the CSCI about any concerns or complaints that she receives and keeping us up to date with what she is doing to address these matters, and the outcomes. Everyone moving into Vale Lodge is given a copy of the Complaints Procedure and a copy is displayed on the notice board in the lounge. Generally people said they “Have never needed it”, however they would speak to the Registered Manager or a member of staff if they had any concerns or were unhappy about something. The staff surveys we received all showed that the staff knew and understood the procedure: “1) Refer them to the management 2) Refer them to the Complaints Procedure 3) Refer them to the Care Manager – Social Services 4) refer them to the CSCI”. Vale Lodge Residential Home DS0000003499.V350336.R02.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): 19,20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people who use this service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Since the last inspection all the requirements relating to the environment have been met or are part of an ongoing maintenance plan so will be completed in the near future. The dining room has been refurbished in consultation with the people living in the home. The furniture was arranged in a style that made it more spacious and less cluttered than previously. A large plasma television screen was fitted to a wall. One person watching it told us that its size made the picture much easier to see. We noticed however that the television was on through the whole day regardless of whether or not it was being watched. The Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 19 Registered Manager has subsequently informed us that because the television is mounted on the wall, some people living in the home would be unaware of it when it is switched off. For those people it attracts their attention and they sit and watch it for a short while. The home is comfortable and homely in style. There is ramped access to the front door from the street and level access at the rear into the garden. Stair lifts provide access to the first floor inside the home. One has been fitted since the last inspection and a Fire Safety Officer was contacted and invited to check it. He advised that the stair lift was included in the fire risk assessment. There were clear signs about returning the seat to its upright position after use to allow easier access for anyone walking up/down the stairs. There are seven ground floor rooms, a downstairs bathroom and toilet that has been upgraded since the last inspection., and a separate toilet. There is a large sitting room looking out onto the back garden. It has ramped access from the dining room to the sitting room. It has large windows, which allows a lot of natural light into the room. A large plasma television screen has also been fitted in this room. People living here told us that this room was used for a variety of activities including parties and entertainments. There is access to the back garden. Both the sitting room and the dining room are thoroughfares to each side of the house. All the bedrooms seen were individual in style and reflected the character of their occupant. Most rooms had personal belongings including items of furniture and pictures that residents had brought with them when they moved into the home. Locks had been fitted to all the bedrooms.. There were also risk assessments on individual residents care files regarding locks. The upstairs and downstairs bathrooms have mechanical hoists over the bath to assist with bathing. Twelve of the eighteen bedrooms have en-suite toilet and wash hand basin facilities, and there are sufficient separate toilets for use by people in rooms without an en-suite and when they are in any of the communal areas. Some hot water valves were outstanding and need to be fitted on en-suite wash hand basins to ensure the safety of anyone using these facilities. Risk assessments were seen on individual care files regarding use of a hot water tap. Through out the home was clean and free from unpleasant odours. Vale Lodge Residential Home DS0000003499.V350336.R02.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. People’s care needs are met by a staff team that is caring, competent and appropriately trained. EVIDENCE: The people we spoke to about living at Vale Lodge were content and told us that the staff were caring, kind and respectful. Health and social care professionals in regular contact with the home all returned surveys with comments that were all positive and praised the staff for their attitude and friendliness, for example: “Very committed staff” “I have always found the staff to be friendly and the clients appear happy. I usually call, I rarely make an appointment. I feel I get a true picture” The staff told us in their surveys that: • “I am always informed of any changes of the needs of service users. The care plans are updated regularly” Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 21 • • • “Training is provided by the owners & paid for. External agencies come into the home for training. Some training courses are off the premises” “I know if I have any concerns with my work or any problems, I can talk to my manager and they will do their best to support me/resolve my problems.” “Even when a member of staff rings in sick the Registered Manager always makes sure that the individual needs of the residents are met and standards are kept”. The people living at Vale Lodge are protected by robust staff recruitment procedures. Inspection of a random selection of staff files found that they all had evidence of the relevant required checks having been completed. All the staff except one had had the legally required checks including Criminal Record Bureau (C.R.B) checks and “Protection of Vulnerable Adults” (P.O.V.A.) list checks (i.e. police checks). The staff member was relatively new and still awaiting the return of a C.R.B. check. The Registered Manager confirmed that this person works supervised by a senior carer and does not do any personal care. There were job descriptions and a staff handbook for each staff member. There was evidence of accredited induction as well as in-house induction training for each staff member. Also each staff file had evidence of an ongoing training and development programme. Observation of staff working practices during this visit found that they were confident about their jobs and from conversations with staff it was evident that they enjoy working at Vale Lodge. Written feedback from staff was generally positive. There is a low turn over staff which benefits the people living here as they receive a consistent approach to their care. Vale Lodge Residential Home DS0000003499.V350336.R02.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, 32, 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 people living at Vale Lodge can feel confident that their health, safety and welfare is promoted and protected by competent and capable Registered Providers who are keen to achieve positive outcomes for everyone. EVIDENCE: The Registered Providers are actively involved in the day-to-day running of the home and responsibility for staffing and overseeing the provision of care. The management of the home was transparent and honest. The people living at Vale Lodge were involved and consulted on matters about the home such as Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 23 decor, furniture and how to use grant money awarded to the home by the local authority. Observation during this visit we saw that the staff group were comfortable working around and with the Registered Providers, and those asked said that they were approachable and friendly. The last quality assurance survey conducted at Vale Lodge was in December 2006 when residents and/or their representatives, staff, families, district nurses and local doctors were asked their views about the home. This is done annually and the results are published with information about any proposed changes arisng from the surveys. The CSCI has introduced a legal document called an Annual Quality Assurance Assessment (AQAA). This is an annual report sent to the CSCI by all service providers with information about the provision and quality of their service, and how the people using the service are involved in deciding what and how the service is offered and provided. The completed AQAA received by the CSCI was well written, and informative about the service provided at Vale Lodge. The Registered Manager is commended on the thorough and comprehensive completion of this document that she acknowledged would provide an ongoing basis of quality review for the home. People can choose to manage their own finances or their representative on their behalf. The administrator holds small amounts in a safe for personal spending if people wish her to do so. We checked four peoples’ monies. They were all correct with receipts of purchases and two signatures for all the money gong in/out of each account. Records of all transactions were also kept on excel spreadsheets. The administrator confirmed that these could be made available for the person and/or their representative at any time. People also have lockable storage provided for them in their bedrooms. Subsequent to the requirement made at the random inspection all incidents that affect the health, safety and/or well being of people using this service are now reported to the CSCI as required by Regulation 37 of the Care Homes Regulations 2001. Vale Lodge Residential Home DS0000003499.V350336.R02.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 4 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 3 4 4 3 4 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 x 4 3 4 3 Vale Lodge Residential Home DS0000003499.V350336.R02.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 Refer to Standard OP19 Good Practice Recommendations The ongoing maintenance plan to fit hot water valves should continue to meet the agreed timescale of February 2008. Vale Lodge Residential Home DS0000003499.V350336.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Vale Lodge Residential Home DS0000003499.V350336.R02.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!