Care Home: Venetia Residential Care Home

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What the care home does well The home provides consistently good outcomes for people. The statement of purpose clearly sets out the philosophy and objectives of the home. The home provides a statement of purpose that is specific to the individual service, and the residents who live there. Admissions to the home are made on the basis of a detailed assessment. This ensures the best outcomes for people who live at the home. The care plans provided detailed information on how individual needs would be met. The service involves individuals in the planning of their care that affects their lifestyle and quality of life. Risk assessments were found to cover all areas that affected people`s daily life. A comprehensive risk assessment that is reviewed regularly is in place to ensure the safety and independence of people. People spoken to gave examples of activities. One person said, "I like going to the park and enjoy the day centre." People who live at the home are involved in meaningful daytime activities of their own choice, according to their individual interests and capabilities. The menu is prepared at a weekly meeting of people living at home. A variety of meals are provided that reflect the individual preferences of people who live at the home. Comment cards from people were positive about the care provided by the home. Personal support is responsive to the varied individual needs and preferences of people who live at the home Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. People`s health needs are addressed to ensure their well being. The medication policy contained all the required information. Staff that are properly trained to ensure the safety of people when administering medication. The annual quality assurance assessment confirms that, " the complaints policy is clearly written." The home has an open culture that allows residents to express the views and concerns in a safe and understanding environment. The home provides a physical environment that is appropriate to the specific needs of people who live there. The rota showed that a consistent staffing level was maintained. The service has plentiful staff available at all times to support the needs, activities and aspirations of people living at the home. The registered manager has the required qualification and experience, and is competent to run the home to ensure the best outcomes for people. A system is in place to monitor the quality of the service provided by the home. Action to improve the service had been agreed with people who live at the home. The registered manager ensures that the safety risks to people living at the home and staff are identified. People living at the home are aware of safety arrangements and have confidence in the safe working practices of staff. What has improved since the last inspection? There were three areas for improvement identified at the last key inspection these have now been addressed. Training records showed that since the last inspection all staff had received training in adult protection. People living in the home feel safe and well supported by an organisation that has their protection and safety as a priority. In one of the bathrooms a new floor covering had been fitted. The carpets in the hallways, on the stairs and landing in Venetia Road had been shampooed. The carpets were clean. The home provides a physical environment that is appropriate to the specific needs of people who live there. What the care home could do better: Four areas for improvement have been identified at this inspection. While the care plans of three people case tracked were detailed they had not been reviewed regularly. Care plan reviews must take place regularly to make sure that people are supported in ways that maintain their well being. Records showed that a number of staff had not renewed their first aid qualification. Also records showed that training had not been provided on mental health issues for over a year. Training on first aid and mental health issues needs to be put in place so that people are safe and supported. A member of staff did not have a POVA first or CRB check. Robust recruitment procedures must be followed at all times to ensure the safety and well being people living at the home. CARE HOME ADULTS 18-65 Venetia Residential Care Home 18 Venetia Road & 32 Lothair Road London N4 1EJ Lead Inspector Tony Brennan Key Unannounced Inspection 9th January 2008 11:00 Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 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 Venetia Residential Care Home DS0000059011.V338647.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 Adults 18-65. 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. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Venetia Residential Care Home Address 18 Venetia Road & 32 Lothair Road London N4 1EJ 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) 020 8292 1602 F/P 020 8292 1602 Venetia Residential Care Home Miss Pandelitsa Piera Constantinou Care Home 11 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4) Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Mr Andrew Pieri and Mr Peter Papalazarou are the joint proprietors of The Venetia Residential Care Home, which is based in 18 Venetia and 32 Lothair Road North. The home is registered as one unit providing care and board for younger adults with mental disorder up to the age of 65. This is a ten bedded unit located in North London off Green Lanes and near to Finsbury Park, with easy access to public transport and local shops. The Venetia is a family business and several of the staff team are related to the proprietor who is also a care assistant in the team. The registered manager is the daughter of one of the registered providers. The home comprises two semi-detached properties joined together by a purpose built communal smoking room and a staff office area. Each home has five bedrooms and there is one sleeping-in room for staff. The statement of purposes states that the main aim of the home is to provide an environment for the residents where they can feel safe, secure and confident, thus able to develop their talents, abilities and skills. Placements at the home costs between £319.09 and £516.00 for each person per week. Service users are expected to pay separately for some items such as cigarettes and magazines, chiropody, holidays and clothing. Following Inspecting for Better Lives the provider must make information available about the service, including inspection reports, to service users and other stakeholders. Venetia Residential Care Home DS0000059011.V338647.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 star. This means the people who use this service experience good quality outcomes. This unannounced key inspection was undertaken as part of the annual inspection programme. I sought to confirm that the two areas for improvement identified at the last inspection had been addressed. Prior to the inspection the home had completed its annual quality assurance assessment. The annual quality assurance assessment provided me with information about the home and how it was seeking to provide the best outcomes for people. All the people living at the home and one professional returned comment cards. The inspection took place over one day. I was assisted by Pandelitsa Piera Constantinou, the registered manager, with the inspection. I spoke with the three people who live at Venetia, and two members of staff. I observed care practice and interaction between staff and people living at the home. I toured the buildings and examined a number of records relating to the care, health and safety and management of the home. I would like to thank the staff that assisted me by answering questions about the running of the home. I would also like to thank the three people who live at the home who discussed their views of the service they receive. What the service does well: The home provides consistently good outcomes for people. The statement of purpose clearly sets out the philosophy and objectives of the home. The home provides a statement of purpose that is specific to the individual service, and the residents who live there. Admissions to the home are made on the basis of a detailed assessment. This ensures the best outcomes for people who live at the home. The care plans provided detailed information on how individual needs would be met. The service involves individuals in the planning of their care that affects their lifestyle and quality of life. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 6 Risk assessments were found to cover all areas that affected people’s daily life. A comprehensive risk assessment that is reviewed regularly is in place to ensure the safety and independence of people. People spoken to gave examples of activities. One person said, “I like going to the park and enjoy the day centre.” People who live at the home are involved in meaningful daytime activities of their own choice, according to their individual interests and capabilities. The menu is prepared at a weekly meeting of people living at home. A variety of meals are provided that reflect the individual preferences of people who live at the home. Comment cards from people were positive about the care provided by the home. Personal support is responsive to the varied individual needs and preferences of people who live at the home Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. Peoples health needs are addressed to ensure their well being. The medication policy contained all the required information. Staff that are properly trained to ensure the safety of people when administering medication. The annual quality assurance assessment confirms that, “ the complaints policy is clearly written.” The home has an open culture that allows residents to express the views and concerns in a safe and understanding environment. The home provides a physical environment that is appropriate to the specific needs of people who live there. The rota showed that a consistent staffing level was maintained. The service has plentiful staff available at all times to support the needs, activities and aspirations of people living at the home. The registered manager has the required qualification and experience, and is competent to run the home to ensure the best outcomes for people. A system is in place to monitor the quality of the service provided by the home. Action to improve the service had been agreed with people who live at the home. The registered manager ensures that the safety risks to people living at the home and staff are identified. People living at the home are aware of safety arrangements and have confidence in the safe working practices of staff. What has improved since the last inspection? Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 7 There were three areas for improvement identified at the last key inspection these have now been addressed. Training records showed that since the last inspection all staff had received training in adult protection. People living in the home feel safe and well supported by an organisation that has their protection and safety as a priority. In one of the bathrooms a new floor covering had been fitted. The carpets in the hallways, on the stairs and landing in Venetia Road had been shampooed. The carpets were clean. The home provides a physical environment that is appropriate to the specific needs of people who live there. 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. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The statement of purpose is an accurate description of the service provided. People’s needs are assessed prior to admission to the home to ensure they receive the care and support required. EVIDENCE: The statement of purpose clearly sets out the philosophy and objectives of the home. I found that the needs of the people case tracked were within a range of those specified in the statement of purpose. The statement of purpose also identified the skills and staffing resources that are available to meet the needs of people living at home. I discussed the issue of equalities and diversity with registered manager. She demonstrated that she would respond positively to people’s diversity. As is outlined in the following outcome areas these resources generally meet the needs of people living at the home. The home provides a statement of purpose that is specific to the individual service, and the residents who live there. Comment cards received from people living at the home confirmed that they felt that their needs were understood and met. The assessment for a person Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 10 who had recently been admitted to the home was detailed. For example, due to his mental health needs he required support the developing life and communication skills. These areas were followed up in both his care plan and risk assessment. He told me, “ I am happy here. They treat me well.” The person also confirmed that they had visited the home on two occasions before deciding to come and live there. I found that this was referred to in the person’s notes. It was also recorded that a copy of the statement of purpose and service user guide had been given to the person and their social worker. The home understands the importance of having sufficient information when choosing a care home. The annual quality assurance assessment stated that detailed pre admission assessments carried out to make sure that peoples needs were met. I case tracked two people who live at the home and found that there were assessments from the home and care management. Initial assessments identified the needs of people living at the home. This included a history of their needs and any resulting behavioural management issues. I spoke to staff that were able to explain how they supported the needs of the people case tracked. People’s needs were identified prior to their admission to the home. Admissions to the home are made on the basis of a detailed assessment. This ensures the best outcomes for people who live at the home. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 679 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Care plans are not reviewed regularly to make sure that there is up to date information on the needs of people living at home. People are supported to make decisions about their lives. Risks to people are assessed to ensure their safety and independence. EVIDENCE: The annual quality assurance assessment stated, “we set up appropriate programs within the home to address peoples skills in independent living.” The care plans of the three people case tracked were personalised. The care plans provided detailed information on how individual needs would be met. Care plans were found to provide detailed information on the support provided to people. A person commented, “the staff encourage and help me to clean my room.” One person case tracked had specific issues regarding the handling Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 12 of the personal clothing. This was recorded in his care plan and staff were given guidance on how to manage this behaviour. Care plans for the people case tracked also identified how they are supported to maintain and develop their independent living skills. All people living in the home had a key worker to make sure that the individual needs are met. I found that care plans had been developed with the involvement of people living at home. A person told me, “staff spend time trying to understand what I want.” I observed that staff took time to understand people and do things in the way they had been asked. I also found that people were able to leave the home to visit the shops when they wished. The home involves individuals in the planning of care that affects their lifestyle and quality of life. While the care plans of three people case tracked were detailed they had not been reviewed regularly. For example, one care plan had been reviewed in July 2007 and another had not been reviewed since May 2006. This was raised with the registered manager who explained that regular reviews took place as part of the care plan approach with social workers. Care plan reviews must take place regularly to make sure that people are supported. Risk assessments were found to cover all areas that affected the people’s daily life. Risk assessments identified the specific risk facing people. These are reflected in care plans. Risk assessments had been reviewed. Changes to the level of risk had been addressed. Staff were able to describe how they prevented risks to make sure that people were safe and were supported to exercise control over how they live. Risks relating to behavioural issues were identified. I observed that staff engaged with people living at home in an appropriate adult way. Comprehensive risk assessments that are reviewed regularly are in place to ensure the safety and independence of people living at the home. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported to engage in a range of activities that meet their needs. People have community contacts and are supported to maintain personal relationships. People are supported to have a nutritious diet that reflects their personal choice. EVIDENCE: The annual quality assurance assessment completed by the home explains that people were encouraged to take part in a range of activities. All people attend a day centre Monday to Friday. People spoken to were looking forward to returning to the day centre after the Christmas break. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 14 People spoken to gave examples of activities. These included going for walks, visiting local places of interest and going to the local café. One person said, “I like going to the park and enjoy the day centre.” People spoken to told me that they had been consulted and could choose from a range of activities. People who live at the home are involved in meaningful daytime activities of their own choice, according to their individual interests and capabilities. Daily notes and care plans confirmed that people were regularly involved in activities both in and outside of the home. This included household tasks such as shopping, washing and general cleaning. One of the people I spoke to told me he had also been cooking meals with the support of staff. I observed people cleaning their bedrooms and emptying the bins. People who use the service are involved in the domestic routines of the home to further develop their daily living skills. The annual quality assurance assessment confirmed, “staff support residents integration into local community life.” On the day of the inspection friends of people living at the home visited and spent time having a cup of tea. People living at home were enabled to develop contacts in the local community. Daily records showed that people were supported to maintain contacts with family and friends. A person spoken to confirmed that he regularly went and visited members of his family. People who use the service have an opportunity to develop and maintain important personal and family relationships. The menu is prepared at a weekly meeting of people living at home. I saw minutes of these meetings that confirmed people’s suggestions for meals were recorded. People spoken to confirmed that they had been involved in preparing the menu. I found that the menu is varied and reflected the cultural and dietary needs of individuals. A person said, “the food is all right and they ask you what you would like to eat.” I observed that people were able to have a hot drink when they wish. A variety of meals are provided that reflect the individual preferences of people who live at the home. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People are supported with their personal care needs to maintain their independence. People are able to access the medical care they need. People are protected by safe procedures for handling medication. EVIDENCE: The annual quality assurance assessment confirmed that the home makes sure appropriate personal and health care support is provided to people. Care plans outlined the support people require to maintain their independence in doing their personal care. I spoke with people who explained that staff provided support and encouragement to maintain their personal hygiene. Comment cards from people were all positive about the care provided by the home. Staff were able to explain the personal support needs of people living at the home. Personal support is responsive to the varied individual needs and preferences of people who live at the home Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 16 Medical needs had been identified as part of the initial assessment and were referred to in care plans and risk assessments. Daily notes recorded that people had access to the opticians, dentists and chiropodists. Records showed that mental health professionals made regularly visits to people. People are supported to access the healthcare they need. Peoples health needs are addressed to ensure their well being. The medication policy contained all the required information. I found that records for the administration of medication were complete. Records of medication received and returned were also complete. All medication was held securely. People’s medication had been reviewed regularly to ensure their continued well being. There is clear guidance on the use of medication as part of managing peoples challenging behaviour. This outlined when it was appropriate to use this medication. It clearly stated the types of behaviour that would indicate when it was appropriate to use medication. Medication is only used to manage peoples behaviour when it is clearly required to meet their needs. Daily notes showed that health professionals had been consulted to ensure that people were receiving the medicines they needed. Training records and discussions with staff confirmed that since the last inspection they had training on the safe administration of medicines. Advice was available for staff on the side effects of medication. Staff that are properly trained to ensure the safety of people living at home administers medication. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. People can be confident that their complaints are listened to and acted upon. Adult protection procedures protect people from abuse. EVIDENCE: The annual quality assurance assessment confirms that, “ the complaints policy is clearly written. Assistance is given to residents when completing the complaints record form. Or to contact their spokesperson or family member to help them to raise a complaint or concern.” Comment cards from people confirmed that they knew who to speak to if they were unhappy about the home. The complaints policy explained how to make a complaint and how it would be dealt with. Copies of the complaints policy were available around the home for people to consult. Staff explained that people are encouraged to discuss their views of the service. A person spoken to said, “ if I had to complain I know they would do something to sort things out.” I found there had been no complaints since the last inspection. The home has an open culture that allows residents to express the views and concerns in a safe and understanding environment. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 18 People who live at the home told me that they could challenge and raise concerns about the way they were treated. I observed how staff approach people. This was done appropriately and sensitively. There were policies on handling abuse and adult protection. Training records showed that since the last inspection all staff had received training in adult protection. I spoke with staff and they demonstrated their understanding of adult protection issues. There have been no adult protection issues since the last key inspection. People living in the home feel safe and well supported by an organisation that has their protection and safety as a priority. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a home that provides a safe and homely environment. The home is clean and hygienic. EVIDENCE: The home is reasonably well suited for its purpose. The home is in an area that affords access to a good range of shops and community facilities. There are two sitting rooms. There are sufficient bathroom and toilet facilities in the home and each person has their own bedroom. I walked around the home and found that the home was clean throughout. Comment cards from people confirmed that it was always kept clean. There were separate dining and sitting rooms. People were able to choose where Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 20 they wished to sit, or to spend time in their bedrooms. All bedrooms have been redecorated. I found that since the last inspection a number of improvements had been made to the homes environment. In one of the bathrooms a new floor covering had been fitted. The carpets in the hallways, on the stairs and landing in Venetia Road had been shampooed and were now clean. The home provides a physical environment that is appropriate to the specific needs of people who live there. The registered manager explained further improvements to the environment were planned. The renewal programme will focus on the fabric and fittings of the home. On going improvements to the environment makes sure that people live in a safe and pleasant home. The laundry equipment is sited in an area that is to the side of Venetia Road and is accessed from outside of the property. The registered manager explained that a new washing machine had been ordered. It will be installed soon. Appropriate measures are in place to prevent cross infection. The home has detailed policies on the prevention of cross infection. Staff spoken to understood how to work to minimise the possibility of cross infection. Staff confirmed that they had access to disposable gloves and aprons. Liquid soap and paper towels were available throughout the home. Effective measures are in place to address any risk of cross infection to people that use the service. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 People who use this service experience adequate outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Sufficient staff are available to meet the needs of people. Staff do not have all the necessary skills to meet the needs of people living at the home. People are not fully protected by the home’s recruitment procedures. EVIDENCE: I found that the rota showed that a consistent staffing level was maintained. Daily notes showed that staff were on duty to provide escorts to appointments. Support with activities when was also available. Staff spoken to told me that they felt sufficient staff were available to support peoples needs. Most staff hold key worker responsibilities. People living at home told me that there is enough staff to provide them with the support and care they need. Sufficient staff are provided at busy times of the day and to meet the changing needs of people. The service has plentiful staff available at all times to support the needs, activities and aspirations of people living at the home. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 22 New staff are given a full induction. Records were available to confirm that staff had been on the necessary induction training. All areas of statutory require training had been provided with the exception of first aid. Records showed that a number of staff had not renewed their first aid qualification. Discussions with staff showed that they needed more detailed knowledge of mental health issues. Records showed that training had not been provided on mental health issues for over a year. These areas were discussed with the registered manager who agreed to ensure the appropriate training was put in place. Training on first aid and mental health issues needs to be put in place to make sure that people are safe and supported effectively. Training records showed that 100 of staff has either level 2 in the National Vocational Qualification in care. The home ensures that all staff receives relevant training that is focused on delivery of improved outcomes for people using the service. I looked at two staff files. One of these contained all the necessary documentation to ensure that the member of staff was safe to work with vulnerable people. The other member of staff did not have a POVA first or CRB check. Robust recruitment procedures must be followed to ensure the safety and well-being people. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including a visit to this service. Effective management systems are in place to make sure that people’s will being and safety is promoted. People’s views of the service are sought and used as the basis for improvement. People who live at home and staff’s health and safety is promoted. EVIDENCE: The registered manager is the daughter of one of the registered persons. She comes across as enthusiastic and committed. She was previously the deputy in the home and has undertaken NVQ training in care at levels 2 and 3 and in Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 24 management at level 4. The registered manager explained that the she has ensured that her continuous professional development is maintained. People who live at the home and staff felt that the registered manager was approachable. They told me that the registered manager understood their needs. The registered manager has the required qualification and experience, to run the home to ensure the best outcomes for people. A system is in place to monitor the quality of the service provided by the home. The registered person explained that she carries out quality monitoring on a regular basis. People are consulted about how the home is run. Minutes were seen of meetings held with people to discuss the quality of the service provided. People said that they are encouraged to discuss their views of the service. Action to improve the service had been agreed with people who live at the home. Theres a strong emphasis on being open and transparent in all areas of the running of the home. The registered manager ensures that the safety risks to people living at the home and staff are identified. Measures are put in place to provide a safe living and working environment. Records showed that fire equipment was tested regularly and maintained. Drills were taking place. The fire risk assessment provides details of potential risks of fire. All health and safety policies were available. Certificates for gas and electrical testing were in date. COSHH guidance is in place and chemicals were stored safely. People living at the home are aware of safety arrangements and have confidence in the safe working practices of staff. Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? 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. 1 Standard YA6 Regulation 15(2)(b) Requirement The registered persons must make sure that all care plans are reviewed regularly. Care plan reviews must take place regularly to make sure that people are supported in ways that maintain their well being. Timescale for action 01/02/08 2 YA32 18(1)(a) The registered persons must 01/04/08 make sure that staff has training in mental health issues. Training on mental health issues needs to be put in place to make sure that people are safe and supported. The registered persons must make sure that staff have training in first aid. Training on first aid needs to be put in place to make sure that people are safe. The registered persons must make sure that new staff has a POVA first and CRB check before commencing work at the home. Robust recruitment procedures must be followed at all times to ensure the safety and well-being people living at the home. DS0000059011.V338647.R01.S.doc 3 YA32 13(4) 01/04/08 4 YA34 19(1)(b) Schedules 2&4 30/01/08 Venetia Residential Care Home Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Venetia Residential Care Home DS0000059011.V338647.R01.S.doc Version 5.2 Page 29 - 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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