Care Home: Vine House Residential Home

What the care home does well Vine House provides comfortable and homely accommodation to older people from the Accrington and Oswaldtwistle area of Lancashire. Residents privacy and dignity is respected and they are given the support they need to make decisions about their own lives. Residents could move freely around the home and daily routines met their needs and preferences. All residents seen at the home were comfortable, clean and well nourished. It is commendable that 100% of the staff team are trained in Safeguarding. What the care home could do better: New residents to the home must receive a full needs assessment before they move in so that the resident and the staff know that the residents needs can be met. Written care plans must include information taken from the initial needs assessment and contain the full details of how the residents needs are going to be met so that staff know what to do to meet these needs. Care plans must include written risk assessments for the risks that have been identified. This will minimise or prevent the risk of harm to residents and care staff. Care staff must be clear about their roles and responsibilities so that they know how to respond and who to report to in all situations.The registered provider and manager must make sure there reliable systems and safe working practices in place to support the manager in running the service effectively. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Vine House Residential Home 375 Union Road Oswaldtwistle Accrington Lancashire BB5 3NS two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Christine Mulcahy Date: 1 0 1 2 2 0 0 8 Information about the care home Name of care home: Address: Vine House Residential Home 375 Union Road Oswaldtwistle Accrington Lancashire BB5 3NS 01254391820 01254385064 www.vinehouse.uk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Hazel Braid,Mr Brian Harry Braid care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: 0 The service shall employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection as manager of Vine House only. Date of last inspection Brief description of the care home Vine House Rest Home is registered with the Commission for Social Care Inspection to provide personal care and accommodation to 14 older people. The home is located on the main road of Oswaldtwistle and is within easy access of public transport services, shops and local amenities. Accommodation is provided on two levels and access to the first floor is via a stair lift. There is one double and twelve single bedrooms and there are sufficient toilet washing and bathing facilities provided to meet the needs of the people who use the service. There is a small private car park and garden area at the Care Homes for Older People Page 2 of 12 Brief description of the care home front of the building. All meals are prepared on the premises. New residents receive a copy of the homes Statement of Purpose and service user guide. Fees range from £322 to £362 per week and residents are charged separately for hairdressing, newspapers and personal toiletries. Care Homes for Older People Page 3 of 12 What we found: We carried out a short inspection at Vine House Residential Home on 10th December 2008. This was to check if the good care practices, management systems an processes were still in use following our last main inspection on 15th May 2007. The registered manager said that at Vine House new residents always receive a comprehensive needs assessment before moving into the home. The inspector examined the care plan of the last person admitted to the home and found that a needs assessment had not been done properly and was lacking in detail. Information in the care plan was not up to date and the life profile of the resident had been summed up in nine lines. Further information was unclear, not person centred, lacked detail and did not describe how the care should be delivered or what the the desired outcomes were. A handling assessment form had no date or residents name on it but contained information about a residents weight, the rest of the form was incomplete. The care plan seen had not been reviewed since the resident first moved into the home almost a year ago, and did not show any changes in the residents care or condition. A daily living needs assessment that had been half done and wasnt dated noted that the resident needed help stepping into the bath. This information was not included on the risk assessment which was also part of the care plan. The part completed risk assessment didnt address the real risks to the staff and residents. This means that residents and care staff were not protected by the homes care practices and procedures. Another care plan, written by the manager, was examined and showed it had been recently reviewed, was more detailed in content and this was up to date. The manager said that she was in the process of updating and reviewing all care plans at the home. Examination of the homes medicines administration records (MAR) sheets showed that some had not been signed by care staff to confirm medication had been administered. Gaps on the MAR sheets did not show if the medication had been refused, destroyed or completed and it could not be shown if some residents had been given their medication. This means that residents were not protected by the homes medication policy and procedure and might be at risk of harm due to mis management. The registered manager has arranged for all care staff to undertake further training in this area within the next 6 months. The homes complaints and protection procedures are clear and uncomplicated. Two residents when asked said they knew how to complain and who to talk to if they were unhappy about any aspect of life at the home. Examination of the complaints record book showed no complaints recorded or made about the service to CSCI since the last main visit to the home. A tour of the home showed the environment meets the lifestyle and needs of the people who use the service. Most areas of the home were clean and homely, but the Care Homes for Older People Page 4 of 12 carpet of an unoccupied bedroom needed urgent deep cleaning or complete replacement to keep the home free from offensive odours. The registered manager has advised the Commission that the carpet and floorboards have been replaced following this visit. The staff team have been recruited following the required pre employment checks. Out of 11 care workers 80 are trained up to NVQ level 2 or 3 in Care and 100 of the care staff team are now fully trained in safeguarding and should know how to respond if they suspect abuse. This means that residents and staff should be better protected because of the increased staff knowledge in this area. The manager is trained to NVQ Level 4 in care management and has developed a staff training plan that shows what training has been done and what training is required. She said that the service has more training planned in the New Year so that all staff can be trained in the required areas. The registered manager has the required qualifications and experience, to meet the homes aims and objectives. There are clearly written records of all safety checks and accidents and good evidence of the homes compliance with statutory requirements and legislation. The manager is looking at new and better ways to ensure that staff follow the homes policies and procedures and receive the required training to meet the residents needs while employing safe working practices at all times. What the care home does well: What they could do better: New residents to the home must receive a full needs assessment before they move in so that the resident and the staff know that the residents needs can be met. Written care plans must include information taken from the initial needs assessment and contain the full details of how the residents needs are going to be met so that staff know what to do to meet these needs. Care plans must include written risk assessments for the risks that have been identified. This will minimise or prevent the risk of harm to residents and care staff. Care staff must be clear about their roles and responsibilities so that they know how to respond and who to report to in all situations. Care Homes for Older People Page 5 of 12 The registered provider and manager must make sure there reliable systems and safe working practices in place to support the manager in running the service effectively. 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 set out on page 2. Care Homes for Older People Page 6 of 12 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 12 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 1 3 14 The registered person shall 30/03/2009 not provide care and accommodation to a person at the care home unless the needs of the person have been assessed or the registered person has obtained a copy of the assessment, and has confirmed in writing to the person that the care home can meet the persons health and welfare needs. A full needs assessment must be carried out so that the care home know that they can fully meet the persons needs. 2 7 15 The registered person must 30/03/2009 after consultation with the resident or representative prepare a written plan as to how the residents health and welfare needs should be met. The residents plan of care should be generated from a comprehensive needs assessment and provide the basis for the care to be delivered. Care Homes for Older People Page 8 of 12 3 7 14 The registered person must keep the residents care plan under review The residents care plan is reviewed by care staff in the home at least once a month updated to reflect changing needs and current objectives for health and personal care are actioned. 30/03/2009 4 7 4 The registered person must 30/03/2009 ensure that any activities in which the resident participates are free from avaidable risks and these risks are identified and where possible eliminated. The residents care plan must include a risk assessment with particular attention to prevention of falls and where risk is greater to other residents and care staff. 5 8 13 The registered person must make proper provision for the healty and welfare of residents and where appropriate treatment, and supervision of residents. The registered manager must do a thorough needs assessment on the resident whose care plan was examined and ensure that the resident is seen by medical professionals to ensure that their mental health and general care needs are being fully met 30/03/2009 6 9 17 The registered manager 30/03/2009 must keep a record of all medicines kept in the care home for the residents and the date on which they were administered to the resident. Care Homes for Older People Page 9 of 12 To prevent the risk of mis administration to residents at the home MAR sheets must be completed fully and indicate why medicines have not been administered. 7 26 16 The registered person must keep the care home free from offensive odours. The manager must make sure that the carpet of one of the unoccupied bedrooms is either deep cleaned or replaced with a new carpet toensure the home is free from offensive odours. 8 29 1 Care Standards Act Section 2: Staff are employed in accordance with the code of conduct and practice expected of social care workers. The manager must ensure that the care staff are familiar with their roles and responsibilities so they are able to meet the residents needs following the homes safe working practices policies and procedures. 9 38 12 The registsred manager must 30/03/2009 ensure that the care home is conducted to make proper provision for the health and welfare of the residents The registered manager should introduce reliable and effective systems to ensure the smooth running of the service at all times Recommendations 30/03/2009 30/03/2009 Care Homes for Older People Page 10 of 12 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 1 10 Removal of reminder notices around the home about arrangements for residents health and personal care will ensure that residents privacy and dignity is respected at all times. Care Homes for Older People Page 11 of 12 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: 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 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) Commission for Social Care Inspection (CSCI). 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