Care Home: Valley View

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What the care home does well Anyone considering moving into Valley View can go and have a look round to see if they think the home is suitable for them. They have plenty of information for people to take away with them about the service and facilities on offer. When someone decides that they would like to move in, senior staff from the home will assess them to make sure that their needs can be met. From looking at the records and talking to people there is evidence to show that people`s health and personal care needs are being met. People are very happy with the service provided. Everyone looks well cared for and all the people who live in the home spoke well of staff and said that they were all very kind and caring. There are plenty of group and individual activities on offer to keep people stimulated, they can choose whether they want to participate or not. People can follow their own routines and relatives and friends are welcome to visit at any time. People living at the home said that the food was always good, with plenty of variety on the menu. Everyone is made aware of the complaints procedure and can be confident that any concerns they have will be taken seriously. The home had to close early in 2009 after a vehicle ran into part of the building; following this incident the whole house was totally refurbished. All of the accommodation is decorated and furnished to a high standard. The staff team are friendly, they make visitors feel very welcome. Recruitment procedures are thorough, new staff are fully checked to make sure they are suitable. All staff have good training opportunities which they use to keep their care practice up to date. The home is run in the best interests of the people living there. People are being consulted about the way the home is managed and their views are taken into account. These are some of the comments made by people living at the home and some comments people made in their quality assurance surveys: "The girls are marvellous, you only have to ask and they`ll do anything for you". "The rooms are lovely, nicely decorated and very comfortable". "The rooms and beds are immaculate". "The care exceeds my expectations". "My first impression was one of warmth and care". "All staff are friendly, helpful and approachable". "I feel honoured to have secured a place for my relative". "All the staff are a credit to the home". What has improved since the last inspection? The house has been totally refurbished. Everywhere has been decorated. There are new carpets, bedding, furniture, curtains, new bathrooms and shower room, the kitchen has been refitted, outside canopies have been fitted to protect against the sun and the lounge and dining room have been redesigned to provide more space. The list of improvements to the home is vast. What the care home could do better: The manager and staff are continually talking to people living in the home and reviewing their practice to make sure that people are getting exactly what they want from living at Valley View. We have made no requirements following our visit. Key inspection report Care homes for older people Name: Address: Valley View Hatchett Hall Moorend Road Pellon Halifax West Yorkshire HX2 0RX     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Lynda Jones     Date: 2 3 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Valley View Hatchett Hall Moorend Road Pellon Halifax West Yorkshire HX2 0RX 01422353314 01422329726 mikekneafsey@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Beverley Ellen Kneafsey care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Valley View is a privately owned care home registered to provide accommodation and care for up to 18 older people. The house is situated in the Pellon district of Halifax and can be easily reached by public transport from the town centre. There is a slope down to the house then level access to the front entrance. Outside, there are accessible garden areas for people to enjoy in the warm weather, with panoramic views across the valley from the rear of the property. The property is well maintained throughout and furnished and fitted to a good standard. There are 14 single and 2 shared bedrooms. 0 8 0 5 2 0 0 9 0 Over 65 18 Care Homes for Older People Page 4 of 26 Brief description of the care home Magazines, newspapers, activities, tissues and some toiletries are provided. There is an extra charge for hairdressing, chiropody and dry cleaning. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The weekly charges at the home from 5 April 2010 are between £366.54 and £429.29 per week. This charge includes hairdressing, chiropody and newspapers. This inspection was carried out to assess the quality of care provided to people living at the home. The manager completed an annual quality assurance assessment (AQAA), which provided us with information about the service. We have used some of that information in this report. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted approximately 4 hours. During the visit we spoke to people living in the home, members of staff on duty and the manager and owner of the home. We also observed staff delivering care, looked at various records and looked around the home. Care Homes for Older People Page 6 of 26 We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Older People Page 7 of 26 What the care home does well: Anyone considering moving into Valley View can go and have a look round to see if they think the home is suitable for them. They have plenty of information for people to take away with them about the service and facilities on offer. When someone decides that they would like to move in, senior staff from the home will assess them to make sure that their needs can be met. From looking at the records and talking to people there is evidence to show that peoples health and personal care needs are being met. People are very happy with the service provided. Everyone looks well cared for and all the people who live in the home spoke well of staff and said that they were all very kind and caring. There are plenty of group and individual activities on offer to keep people stimulated, they can choose whether they want to participate or not. People can follow their own routines and relatives and friends are welcome to visit at any time. People living at the home said that the food was always good, with plenty of variety on the menu. Everyone is made aware of the complaints procedure and can be confident that any concerns they have will be taken seriously. The home had to close early in 2009 after a vehicle ran into part of the building; following this incident the whole house was totally refurbished. All of the accommodation is decorated and furnished to a high standard. The staff team are friendly, they make visitors feel very welcome. Recruitment procedures are thorough, new staff are fully checked to make sure they are suitable. All staff have good training opportunities which they use to keep their care practice up to date. The home is run in the best interests of the people living there. People are being consulted about the way the home is managed and their views are taken into account. These are some of the comments made by people living at the home and some comments people made in their quality assurance surveys: The girls are marvellous, you only have to ask and theyll do anything for you. The rooms are lovely, nicely decorated and very comfortable. The rooms and beds are immaculate. The care exceeds my expectations. My first impression was one of warmth and care. All staff are friendly, helpful and approachable. Care Homes for Older People Page 8 of 26 I feel honoured to have secured a place for my relative. All the staff are a credit to the home. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can visit the home to see for themselves if they think it is suitable. No one moves into the home unless staff are sure they can meet their needs. Evidence: There is a service user guide available that gives people written information about the home and the service it provides. The manager or the homeowner will go and assess anyone thinking of moving into the home. There is an assessment document that they complete, which means that peoples needs are identified and that staff are sure they can meet those needs before people move in. We looked at the records and found all of the assessment information we would expect, together with a care plan for each person. In the AQAA they told us We always ensure that a full comprehensive assessment for all service users is carried out prior to being admitted into the home. We also where possible carry out our own assessment and also complete an assessment after 24 Care Homes for Older People Page 11 of 26 Evidence: hours of being in the home. We make sure we have a full plan of care in place and completed on admission to ensure staff are able to meet the needs of the service user. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are being met. Evidence: We looked at two care plans because we wanted to see what individual needs had been identified and what action staff have to take to meet these needs. We found the care plans detailed and easy to follow. All of the necessary risk assessments had been completed and staff are recording what they have done to reduce or eliminate risks. The care plans are reveiwed on a regular basis and and relatives are invited to reviews. The records show that people are genuinely involved in all aspects of their care; they are asked if the care and support they receive suits them and asked if it could be improved in any way. The records show that peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved whenever Care Homes for Older People Page 13 of 26 Evidence: necessary. Details of any visits by health care professionals are clearly documented in the care plan, together with the advice that has been given. When we talked to people they told us we are all well looked after here and the staff are all very caring, you only have to ask and theyll do anything for you People told us they get all the medical support they need. Everyone was very smartly dressed, they told us the hairdresser had visited and most people had had their hair set. The AQAA told us We ensure that all health and personal care needs are met by working closely together as a team. We ensure we report anything that causes a concern so that the relevant outside professionals can be obtained to continue with the level of care. We carry out risk assessments, history of falls, refer to falls prevention team, update fully on a monthly basis the care plan as well as the mini care plan version, promote independence where possible, look after oral hygiene. We carry out risk assessments, history of falls, refer to falls prevention team, update fully on a monthly basis the care plan as well as the mini care plan version, promote independence where possible, look after oral hygiene - we now have dentist, contact tissue viability where needed and are aware of what equipment is needed. We work closely with the memory nurse,CPN and Mental health team. The medication system is well managed, people are recieving their medication at the prescribed times. The records are well maintained and evidence shows that they are signed when medication is given out. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are activities on offer that are keeping people stimulated and active. Meals at the home are good and mealtimes are social occasions. Evidence: There is a friendly atmosphere at Valley View, everyone recieves a warm welcome when they call. One person said visitors can call anytime, there is nothing hidden here another person told us this is a relaxed, happy home . People confirmed that they are encouraged to follow thier own preferred routine, they get up and go to bed when they want to. Individual preferences are recorded in the care plans and staff are aware of this information. There is plenty of reading material about the house. Newspapers and magazines are included in the fees and there are lots of books, CDs and DVDs for people to make use of. During our visit people were playing dominoes with staff, several people were sitiing chatting together and visitors called throughout the day. In the afternoon an entertainer was booked and everyone took part in a sing-a-long session which they clearly enjoyed. Care Homes for Older People Page 15 of 26 Evidence: From talking to staff it was apparent that they know people very well, they know about individual likes and dislikes, they know about peoples interests and hobbies and they know about thier past lives. They use this information to provide activities that people enjoy. In the AQAA , the manager said We try to ensure that service users are kept stimulated with daily activities and give them a choice of what to do. Staff told us they always encourage people to join in and they make sure there is something on offer to suit everyones ability. They said they know the relatives and visitors well and they also join in activities and entertainment when they call. The kitchen has a five star rating from environmental health, which is the highest rating awarded. The dining room is pleasantly decorated and comfortable and mealtimes are very much a social occasion, people sit and chat and take their time to eat. Everyone was very complimentary about the meals provided. We were told the food is wonderful, we dont leave anything because they dont give us what we dont like. They always ask us first and Ive been offered a choice of dinner today, braised steak or steak pie. They asked me what I wanted for breakfast, they always doanother person told us Ive put weight on since Ive been here, I really love the meals. The AQAA told us Theres a whole variety of meals on our daily menus that cater for all the dietary needs of service users. If theres something they dont like, they are offered a choice. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and adult protection issues are being dealt with properly. This means that staff are listening to people and keeping them safe. Evidence: The homes complaints procedure is in the service user guide. People told us that they know who to talk to if they are unhappy or if they want to make a complaint. People we spoke to told us that they would be able to raise any concerns with the manager and were confident that any issues would be sorted out. The home has not received any complaints. The manager told us that all of the staff have completed adult protection training. This means that staff are fully aware of all of the different types of abuse and about the reporting procedures. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, clean, tidy and very well maintained. Evidence: Following the accident early in 2009, the home was closed for a short period when it was completely refurbished. The accommodation has been decorated and furnished to a high standard throughout. Every bedroom is colour coordinated and contains personal belongings such as photos, ornaments, pictures, plants and flowers. Bathrooms and toilets are close to bedrooms for ease of access and each room has an accessible emergency call point so that staff can be contacted easily. The bathroom and shower facilities are all new. Consideration has been given to providing safe, hygienic and relaxing bathing facilities in their design. These are some of the things the manager said in the AQAA We always ensure that the environment is well maintained and meets all safety requirements. The home is accessible on all levels. The home is clean and tidy and we have very high standards of infection control in place. We monitor water temperatures, clinical waste and we have strict hygiene procedures. Care Homes for Older People Page 18 of 26 Evidence: The home was very clean and tidy when we visited and people told us that this is always the case. The laundry is well equipped and peoples clothing is well cared for. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are cared for by properly recruited and well trained staff. Evidence: The manager and deputy manager are always available at the home Monday to Friday. The owner of the home is also available most days, she lives with her family in a house in the grounds and can also be contacted by staff when she is not on duty in the home. There are two additional care staff on duty throughout the day and two staff on duty throughout the night plus one person on call. The manager and the home owner said staffing is flexible if someone is ill and needs extra care, we will always make sure we have an extra member of staff on duty. The care staff team are well supported by catering and domestic staff. People told us the staff were always available when they were needed and they said calls from their rooms were always attended to promptly. Everyone was very complimentary about the staff team and said they were always treated with the utmost care and consideration at all times. During our visit the staff were always present in the areas where people were sitting, and judging from the good humoured banter that took place it was clear that everyone Care Homes for Older People Page 20 of 26 Evidence: gets on well together. Recruitment procedures at the home are good. We looked at two staff files and these confirmed that the necessary checks are being completed to ensure the suitability of new staff. This means that staff are safe to work with older people. Staff told us that they receive training that is relevant to their role this helps them to understand and meet peoples individual needs and keeps them up to date with new ways of working. At least 60 of staff have an NVQ qualification and additional members of the team are enrolled to take part in this training. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and people living there have a say about how the home is run. Evidence: The registered manager and owner of the home are both well qualified and experienced. There are clear lines of accountability and there is a strong management team at the home who all have their own specific areas of responsibility. They are continually looking at ways to improve the service to make sure people receive the very best service they can offer. The home has an effective quality monitoring system in place. People using the service and their relatives are consulted through residents meeting and anonymous quality assurance surveys. Their views are very valuable to the management team, they listen to what people have to say and they make sure that people are getting the service that they want. Care Homes for Older People Page 22 of 26 Evidence: The home has recently achieved its Investors in People Award. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. In the AQAA the manager told us that all the necessary servicing and testing of equipment are up to date. This means that staff are working safely. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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