Care Home: Vivian House

Similar services:

• Snydale Care Home
• Abbey The
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well What has improved since the last inspection? Since the last inspection the following have been done to improve the service and standards of the building. Hand washing facilities are now provided in communal bathrooms and toilets to help reduce the risk of cross infection at the home. Training on Infection Control has also started. Care plans for people who use the service have been improved. They are now more person centred and have information on people`s likes and dislikes. Risk assessments are carried out for people and the care plans include information on what should be done to manage identified risks. Risk assessments are carried of for all areas of the building, equipments and any potential risks affecting people who use the service and staff. Each of the identified risk had an action plan for staff to follow, so that the risk is managed or minimised. This helps to protect the health and safety of people living in the home. The kitchen has been re-sited to the lower ground floor. The environmental health department have awarded the home a four star rating (the best is 5) for standards of food safety and hygiene. Two new assisted baths have been fitted into bathrooms. This means people can be more independent and it also helps to make it safer for staff helping people with bathing. One bathroom has been totally refurbished to a high standard. This makes it a more pleasant place for people to enjoy a bath. Some of the vanity units that were broken have been repaired. Valves have been fitted to control the hot water temperatures in hand basins; this helps to reduce the risk of people being scaled. The manager has improved the pre-admission assessment procedures. So that staff have as much information about the person to assess whether their needs can be met at the home. Since the last inspection staff have attended a three day course on safe handling of medicine, to help make sure that people`s medicines are managed properly. The home`s complaint procedure has been moved to a prominent place in the home in a print size that makes it more accessible to people who live in the home, visitors and staff. What the care home could do better: The issues relating to the premises, that were brought to the attention of the registered provider must be addressed within the agreed timescales. The statement of purpose must have information how the needs of people with dementia will be met at the home. Staffing levels must be reviewed throughout the twenty four hours, to make sure that there are enough care staff available to people at all times. Additional information about people`s past life should be collected to give staff more information about people. CARE HOMES FOR OLDER PEOPLE Vivian House Brunswick Street Morley Leeds West Yorkshire LS27 9DL Lead Inspector Valerie Francis Key Unannounced Inspection 1st May 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Vivian House Address Brunswick Street Morley Leeds West Yorkshire LS27 9DL 0113 253 0309 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) W & S Red Rose Healthcare Limited Mrs Jennifer L J Mills Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24) of places Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP and Dementia - Code DE(DE) The maximum number of service users who can be accommodated is: 24 3rd May 2007 2. Date of last inspection Brief Description of the Service: Vivian House is a large detached property set in its own grounds. Over a period, the house has had a 2-storey extension added. It is situated on the outskirts of Morley, but within easy reach of all the amenities in the centre of Morley, there is convenient bus service to surrounding areas. The home provides care for 24 older people. The home is also registered to provide care for older people with dementia. Accommodation is provided on 2 floors. The home has a passenger lift and a stair lift. There are 23 single bedrooms and 6 of the single rooms have an en-suite toilet. Bathing and toilet facilities are available on all floors. The ground floor also contains a choice of sitting area and a large dining room. There is a large conservatory, which overlooks the gardens to the front of the building. A new build extension to the back of the existing building for a further 8 bedrooms all with ensuite was being completed. The current charge is £405 to £440 per week. This includes all meals and accommodation. People pay extra for their hairdressing (£6.00 & £23.00) and any personal newspapers or magazines and for personal toiletries. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. The inspection process included looking at the information we have received about the home since the last key inspection. This was an unannounced visit by one inspector who was at the home from 09.30 until 5:45 pm. The purpose of the key inspection is to make sure the home is operating and being managed for the benefit and well being of the people who live there. During the visit we spoke to people living in the home, their relatives, staff and management. We looked at various records relating to people’s care and the running of the home and we looked around the home. Before the visit we asked the home to complete a self-assessment form, this was returned to us in good time. We also sent surveys to people living in the home, their relatives, health care professionals, and staff. We received surveys from four people who use the service, seven relatives and seven staff. None was returned from Health care professionals. Information from the self-assessment form and the surveys is included in this report. What the service does well: People spoke positively about the staff; they said they are treated with respect. Our observations confirmed this. People said: “The staff support us very well”, “I’m happy with all the staff, they’ve made me feel very welcome and at home.” The home has a commitment to staff training and continues to encourage and help staff to achieve National Vocational Qualifications. Over half of the staff are now qualified in this way. This means that staff have the skills and knowledge they need to care for people properly. This was confirmed by some of the comments people made, for example • “Staff do have the right skills, also very caring to the people in Vivian House.” Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 6 • “ Nothing is too much for staff when it comes to the care of people in the home. They are very helpful it is not easy but they do it well.” The provider is committed to providing people with an environment that is comfortable and meets their needs. Other comments made by people included: • • “ The staff are very good at communicating with us about the care of mom.” “The care and attention of this home is excellent and to be recommended and the same for the staff.” What has improved since the last inspection? Since the last inspection the following have been done to improve the service and standards of the building. Hand washing facilities are now provided in communal bathrooms and toilets to help reduce the risk of cross infection at the home. Training on Infection Control has also started. Care plans for people who use the service have been improved. They are now more person centred and have information on people’s likes and dislikes. Risk assessments are carried out for people and the care plans include information on what should be done to manage identified risks. Risk assessments are carried of for all areas of the building, equipments and any potential risks affecting people who use the service and staff. Each of the identified risk had an action plan for staff to follow, so that the risk is managed or minimised. This helps to protect the health and safety of people living in the home. The kitchen has been re-sited to the lower ground floor. The environmental health department have awarded the home a four star rating (the best is 5) for standards of food safety and hygiene. Two new assisted baths have been fitted into bathrooms. This means people can be more independent and it also helps to make it safer for staff helping people with bathing. One bathroom has been totally refurbished to a high standard. This makes it a more pleasant place for people to enjoy a bath. Some of the vanity units that were broken have been repaired. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 7 Valves have been fitted to control the hot water temperatures in hand basins; this helps to reduce the risk of people being scaled. The manager has improved the pre-admission assessment procedures. So that staff have as much information about the person to assess whether their needs can be met at the home. Since the last inspection staff have attended a three day course on safe handling of medicine, to help make sure that people’s medicines are managed properly. The home’s complaint procedure has been moved to a prominent place in the home in a print size that makes it more accessible to people who live in the home, visitors and staff. 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. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are provided with enough information to enable them to make an informed choice about the home. The admission process is good and includes introductory visits. EVIDENCE: The home told us they have updated the Statement of Purpose and Service User guide to reflect the services they provide. We looked at these documents and found that they are up to date and contain good and clear information for people about the services provided. However, additional information is needed to show clearly how the home will care for people with dementia. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 10 The home told us they have purchased a new care plan and pre-assessment recording system. We saw evidence that people’s needs are assessed before admission. People’s relatives told us that they were given information about the services the home provides so that they had enough information before a decision was made about moving in. Staff told us that they get to know about people before they move in so that they have some information about the person and their needs. We saw good pre-admission information for three people; their needs were clearly identified. The home told us that people’s relatives are involved in the assessment process, and relatives we spoke to confirmed this We were told that where people are admitted in emergency situations as much information as possible is gathered before their arrival at the home. It is part of the admission process to encourage people to visit and spend time at the home before they make a decision to move in. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is good at meeting the care needs of people; there is some written evidence of this. Medication practices are safe and healthcare needs are met. EVIDENCE: The manager and the care staff team were knowledgeable about the individual care needs of people living at the home. The case records of three people were looked at in detail. Although the standard of recording information about people in these documents was good, there were some shortfalls. Such as one person’s assessment showed that they had a history of falls but there was no plan of action how this would be minimised and managed. One person had a skin tear but no plan to show how the district nurse was treating this. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 12 The home told us that District Nurses are involved in assessing people’s risk of developing pressure sores and for providing any specialist equipment that is needed. There was evidence that people and or their relatives are involved in their care planning processes. People told us the home gives a good standard of care and they said people are well looked after by the staff. These are some of the things people said about the home: • “The home has helped me to look after my dad.” • “The staff do try to meet Mum’s choices.” • “The staff are positive, with the clients and their relatives, they are good at communicating with clients of varying needs and capabilities.” • “We are very please to have “Mam” here.” • “The staff are very good to my Mum and also to me and I cannot thank them enough.” The manager said she working towards a more person centred care plan to make sure that people get the care and support that is individual to them. All the staff involved in the administration of medication have had training on safe handling of medicines. The local pharmacist also provides good support to the home. One senior member of staff oversees the ordering of drugs and all staff involved in administration share the responsibility of making sure the medication administration record (MAR) sheets are clear and up to date. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Overall, the social, religious, and cultural needs of people living at the home are met. This could be improved by developing a more individualised approach to social care. People are able to maintain contact with family and friends and they are encouraged to be part of the decision making at the home. EVIDENCE: The assessment process did not fully cover people’s social care needs. If staff do not have enough information about people and how they like to spend their time there is the potential for people’s social care needs to be missed. Although there were some information about people past life, additional information is needed, so that staff have good knowledge about the individuals in their care. We saw an event board with a list of activities in the home on different days. And we were told that there are group and one to one activities with people. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 14 During the inspection there was evidence that relatives and other visitors are encouraged to visit and made to feel welcome. Care staff and the people who live at the home share a good rapport and people are treated with respect. The manager and the owner said that they are looking at ways of involving relatives in the home. Relatives and friends are invited to events in the home, and also to discuss any views they may have about the home. The manager said she is aware that more work needs to be done to develop activities for people especially those with dementia so that they do not become bored. There was an overall positive response in the recent survey from relatives with people saying that they felt that they were kept informed and that staff were ‘kind and caring’. The home told us that the new dining room is to be rearranged for a better layout, so the meal times will be made more of a social event.The provider told us that the dining room would be further utilised to have film shows at times in a cinema style atmosphere. Most people sat in the dining room for their meals but also had the opportunity to eat where they wished. The meal seen served at lunchtime on the day inspection was chips, beans scampi or pizza. One person did want what was served and asked for a sandwich. The menus seen showed that fresh vegetables are served with some meals. Teatime meals are a much lighter meal such as soup and sandwiches. People’s like and dislikes are recorded and when possible individual favourite food is served. Nutritional risk assessments had been completed and regular weights checks were carried out for all people whose care plans were seen, to make sure nutritional needs are being met. We were told that people get their specialist diet as set out in their care plans. Cold drinks are available and we saw people being offered hot and cold drinks throughout the day but we did not see anyone being offered snacks between meals. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There is a clear complaints procedure available to people. People who live at the home and their relatives feel confident that they will be listened to and can be assured that action will be taken when necessary. EVIDENCE: There is a clear complaints procedure in place a copy displayed is in the main hallway making it available to people, visitors and staff. Although people were not necessarily aware of the complaints procedure it was clear from discussion with relatives that they felt confident that they could talk to staff about any concerns and they would be taken seriously. We saw good information for an investigation of a complaint. We have not had any complaints about the home since the last key inspection. The manager is proactive in dealing with issues. We were told that the subject of complaints is regularly discussed at staff meetings and with people using the service to make sure they are confident to make a complaint. All new staff have a POVA First (Protection of Vulnerable Adults) and an enhanced CRB (Criminal Records Bureau) check carried out with a satisfactory outcome before they are employed. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 16 We were told that staff have training on the protection of vulnerable adults as part of their induction training. We saw a good safeguarding procedure in place, this includes information on the different types of abuse people may suffer. There is a “whistle blowing” policy so that staff are clear of the procedure when alerting about a situation which may involve another member of staff. Staff told us that people’s safety is important and if an issue of abuse was brought to their attention they knew how to report it regardless of which staff it was. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a safe environment. The home is making improvements to make sure that it continues to provide a safe, pleasant, and suitably equipped place for people to live. Good levels of specialist equipment ensure that people’s independence is maintained. EVIDENCE: When we visited an extension of the building was in progress for an additional 8 bedrooms and a wet room shower. Although some of the issues from the last inspection relating to the premises still had not been resolved we saw evidence that work is in progress to deal with these issues. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 18 We saw a copy of the development plan for the building, which is also a month by month plan of action for the building refurbishments. This includes the requirements from the last inspection, for example the carpet in the ground floor hallway. Since the last inspection the kitchen has been moved to the lower ground floor. This has given additional space for a new dining room and for the refurbishment of the conservatory. The refurbished conservatory will provide a quiet sitting area for people. New dining room furniture and some easy chairs had been purchased, because of an identified risk were told these will be replaced with new ones, to make sure people sitting in these chairs are safe at all time. Extensive work has started in the large garden to the front of the building and we were told that electronic gates are to be fitted to the entrance of the grounds. We were told people will be able to sit out in covered areas and walk around the grounds safely. One bathroom had been refurbished and two new assisted baths fitted. This has improved the standard of the bathing facilities available to people. The home told us all the bedrooms will be refurbished as part of the ongoing improvements to the environment. This will help to make sure that the bedrooms are suitably equipped and furnished to meet people’s needs. People’s relative told us that they are looking forward to the completion of the building work. They said, • “They have made changes for the benefit of people who live in the home”. • “The home is clean and they are no bad smells” Staff do people’s washing unless alternative arrangements have been made by their family. The home told us that they have identified the laundry as an area that needs to be improved to make sure that people’s personal clothing is dealt with properly. All communal bathrooms and toilets now have hand washing and drying facilities for people to use. All staff carry hand cleaning gel as part of infection control in the home. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There is a settled and stable staff team with a mix of skills to meet people’s needs. The manager and provider are committed to staff training; to enable them to meet people’s care needs. EVIDENCE: Recruitment records were looked at for three staff, we saw completed application forms and two written references; gaps in employment history were followed up. Criminal Records Bureau (CRB) checks are completed and there are records of induction training. Staff indicated that they could not work at the home unless they had a CRB and references. There is little staff turnover with the majority of the staff having worked at the home for a number of years. The stable staff team means that there is continuity for people. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 20 During the day 7.30 am to 2 00 pm there are domestic and catering staff in addition to care staff. Duty rotas indicated that there are sufficient staff available during the morning. However, on the evening shift there are not enough staff to give people the help they need, help them with their medicines and attend to catering duties. This means people could be put at risk. The manager said she is making some changes to the hours worked by catering staff and also looking at increasing the staffing levels to make sure there are enough staff during the evening to meet people’s needs. There has been very good progress in staff achievement of National Vocational Qualifications (NVQ) in care at the home. Over 50 of the care staff have achieved NVQ level 2 in care. Senior care staff have achieved NVQ level 3 in care. There is a clear commitment towards training and making sure that all staff are equipped to carry out their roles and to give people the care they need. The manager has looked at the training needs of individuals and the staff team so that staff get specific training such as dementia care and person centred care. Training has been accessed through local colleges and training companies, as part of the training plan on the day of the inspection half of the staff workforce were engaged in a two day training on infection control and moving and handling. Staff told us that: • “My induction training was very through and gave me a lot of knowledge on the home and how to look after the service users.” • “When I started I was given a full introduction to the residents and staff and a tour around the home and what my role was and training.” • “I received thorough induction training prior to me starting my job.” • “Training is always ongoing and is relevant to my job.” Supervision happens on a regular basis from either the manager or the deputy. Staff told us that this happened on a monthly basis, where they were able to discuss any issues and any training needs they may have. Six monthly staff appraisals are also carried out. We were told in staff surveys that: • “I enjoy working at Vivian house and I feel I get the support I need to enable me to do my role to provide the best care for all service users.” • “I meet with the care manager regularly.” Staff spoken to during the day demonstrated a competence in their approach to work. Some staff said that they had progressed further than they had expected and that training has increased their confidence. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and a consistent management approach has given everyone working at the home a clear understanding of the home’s aims and objectives. Good systems are in place to monitor the quality of the service. EVIDENCE: The manager of the home is organised, competent and runs the home to meet the needs of the people who live there. She has achieved management qualifications. There is always a senior carer on duty to take responsibility for the running of the shift and the safety and well being of people. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 22 The staff, people and their relatives appreciate her management style and all said she is approachable and helpful. People know who to go to if there is a problem and are very happy with the way in which the home is run. The home sends quality assurance surveys to people living in the home, their relatives, and professionals to get their views on the service. However, people have not been given any information about the results of the survey. When we visited the atmosphere in the home was warm and friendly. Staff were busy and their relationships with people were good. We were told that relatives or representatives look after people’s finances. Any cash kept for people is kept together, and is used by everybody who has any money kept by the home. Staff are trained to move and handle people safely. Training is provided at the home and updated regularly to take into account current safe working practices. Staff know what to do in the event of a fire and how to protect the people they care for and they confirmed that they have been trained. A selection of safety certificates and maintenance records were looked at which showed checks were being made regularly. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 2 X 2 X X 3 Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 (1) (c) Requirement The statement of purpose must have information to show how the needs of people with dementia will be met at the home. Previous timescale 30/06/07 2. OP27 18 Staffing levels must be reviewed for the evening, to make sure that there is enough care staff available to people at all times. Previous timescale 31/08/07. 3. OP19 23 The remaining issues relating to the premises that were brought to the attention of the registered provider at the last key inspection must be addressed as per the timescale given in the home’s improvement plan. 01/07/08 31/07/08 Timescale for action 01/07/08 Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations People’s social assessment should have a care plan to show how their social needs will be met. Life history should be collected to give staff background information about each person. Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Vivian House DS0000042865.V363627.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!