Inspection on 06/11/07 for Rockingham House

This is the latest available inspection report for this service, carried out on 6th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rockingham House 15/02/06

Rockingham House 14/06/05

Rockingham House 07/12/04

Rockingham House 16/06/04

Rockingham House 09/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rockingham House 22 The Mount Malton North Yorkshire YO17 7ND Lead Inspector Pauline O`Rourke Key Unannounced Inspection 09:30 6th November 2007 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 Rockingham House DS0000007670.V349922.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. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rockingham House Address 22 The Mount Malton North Yorkshire YO17 7ND 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) 01653 697872 01653 699612 rdales5655@aol.com Mr Richard Charles Dales Mrs Eileen Amy Gill Mrs Susan Jane Bingham Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7th November 2006. Brief Description of the Service: Rockingham house is registered to provide personal care for up to twenty-six older people. The home also offers short-term care, including day care. Rockingham House does not provide nursing or specialist care and consequently any nursing needs will be the responsibility of the local health care services. The property is Victorian, set in large grounds in a quiet residential area of Malton. It is conveniently located for all main community facilities including the public transport network. It is built on four floors with the ground to second floor being serviced by a passenger lift. The lower ground floor is accessed internally via stairs or a stair lift or externally through the garden area. The home has been sympathetically converted into a care home from a private house and an extension has been added. The gardens are landscaped, with a pond and seating for service users and their guests. There is parking space for several vehicles. Prospective and current service users are provided with information about the services offered in the form of a service user guide and the latest Commission for Social Care Inspection report is available in the home with individual copies provided when requested. On the 6th November 2007 the fees ranged from £317 to £390 per week. Additional charges are made for hairdressing, chiropody, personal toiletries and newspapers. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment Comment cards returned from people who use the service at Rockingham House, health and social care professionals and relatives. A visit to the home by one inspector that lasted five hours. During the visit to the home, seven people who live at Rockingham House, three relatives, four staff and one visiting professional were spoken with. Care records relating to three people, three staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Rockingham House for people who use this service. The manager was available to assist throughout the visit and was available for feedback at the close. What the service does well: People who want to live at Rockingham House are given information to help them make up their mind prior to moving in. They are also assessed by the Registered Manager to ensure the staff can provide the help and support they require. Everyone has a care plan and this is reviewed every month. People at the home get on well with staff and someone said ‘the staff are nice’ another said ‘the staff are very friendly and nice’. The staff work closely with the local GP’s and district nurses to ensure people get the health care they require. Staff are thoroughly vetted to ensure they are suitable to be working with vulnerable people. They receive training and support to make sure they have the skills needed to do the job. The manager is supportive and approachable. A visiting relative said ‘staff are friendly and always treat the person I visit with respect’ another relative said ‘they maintain and promote dignity through sensitivity and a sense of humour’ The home is nicely decorated and has the benefit of an enclosed well landscaped garden. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, standard 6 does not apply. 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 this service. People who want to live at Rockingham House have a full assessment of the support they require to ensure the staff can provide the help they require. EVIDENCE: Three of the four people’s files seen contained a pre-admission assessment, the fourth was an emergency admission and the assessment was carried out within the first forty-eight hours of their stay. The initial assessment provides the staff with a basic care plan, this plan is developed as staff get to know people and much more detail is then added. Staff said that the initial care plans provided them with enough information to ensure people received the help they need. The manager confirmed that people are only admitted to the home when she is confident that the staff have the skills, abilities and qualifications to meet their needs. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 9 Anyone who contacts the home with a view to moving in is provided with an information pack that contains a Statement of Purpose and Service User Guide along with the range of fees payable. Where possible people are encouraged to visit the home prior to their admission. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 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 this service. People’s healthcare needs are met safely in a way that promotes their dignity and respect EVIDENCE: People’s care plans were detailed and provided a picture of the support required by the individual and some family history. All of this information helps staff with their interactions with people. The manager reviews the care plans regularly and changes are implemented where necessary. People who use the service retain their own GP where possible or register with the local surgery. Evidence in the files showed that people received medical attention and health care services as necessary. Feedback from a GP said ‘takes care to ensure appropriate intervention by nursing and/or medical staff as required’ a visiting professional said ‘the staff are very helpful and follow our advice, they also ask our advice appropriately’ Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 11 Medication is administered through a monitored dosage system and staff were seen dealing with it properly. Medication records were accurate and up to date. Medicines were stored appropriately. There were no people dealing with their own medication at the time of this inspection. During the inspection staff were seen treating people in a friendly and respectful manner. They were seen to knock before entering bedrooms and called people by their preferred name. A visiting relative said ‘staff are friendly and always treat the person I visit with respect’ another relative said ‘they maintain and promote dignity through sensitivity and a sense of humour’ People spoken with said ‘the staff are nice’ another said ‘the staff are very friendly and nice’ Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 12 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, and 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 this service. People are encouraged to make decisions about their daily life and staff provide appropriate support and encouragement for them to remain independent EVIDENCE: People in the home are able to follow their own routine and this was evident throughout the visit. Activities are provided in the home and these include; trips once a month, motivational work, singers, clothes parties, dominoes, quizzes and sing-a-long, beauty therapies and staff when possible take time to sit and chat. One person said ‘I can’t take part in activities but enjoy the singers and quizzes’. This person has removed themselves from practical activities because they are loosing their sight and no longer get the enjoyment they used to from these activities. There is a visitor’s policy in place, and they are welcomed anytime. Visitors spoken with said that they are always welcomed by staff and usually offered refreshments when they visit. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 13 The meals are planned monthly with suggestions from people in the home incorporated in the meals. There is a choice at all mealtimes and people said that the food provided was excellent. Feedback from relatives said ‘the food is excellent’. Lunch was seen being served. People ate their meal in an unhurried way and staff were attentive to their needs. Drinks are provided at regular intervals during the day and on an afternoon fresh fruit is provided as well. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 14 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 and 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 this service. People who live at Rockingham House and their representatives are able to express their concerns through the complaints procedure and are protected from abuse, so their rights are protected. EVIDENCE: There is complaints policy in place and people in the home are aware of what to do if they are unhappy with something. There have been no complaints received by the home or the Commission of Social Care Inspection since the last inspection. Feedback received from relatives said ‘If I had any concerns the home has always responded appropriately’ and ‘The manager is always contactable. I know who to contact if there is a problem and when I have raised a concern they always respond appropriately’. Someone who lives at Rockingham House said ‘I would speak to my son if I was not happy. I have very little to complain about’ There is an adult protection policy in place. Staff were aware of their responsibilities if they suspected any form of abuse taking place. People are further protected through the recruitment policy as no one starts their employment until their Criminal Records Bureau disclosure forms are returned. Since the last inspection a concern was raised through the adult protection policy this was investigated and nothing was found. The manager’s practice at Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 15 this time was not in accordance with the policy in place. A discussion with the manager during the inspection showed she was fully aware of her role and responsibilities if any future allegations are made. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 16 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 and 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 this service. People live in a clean well-maintained environment that is accessible and so promotes independence. EVIDENCE: The home is well decorated and situated in its own well-tended grounds. The bedrooms were clean and some had been personalised by the occupant with family photographs and favourite furniture and pictures from their own house. People spoken with said ‘my bedroom is nice and comfortable’ and ‘ I go to my room when I want’ and ‘I like being in my own room it has everything I need’ All areas of the home seen were clean, warm and odour free. The laundry is suitable for the needs of the people who live there. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 17 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, and 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 this service. People are cared for by staff who have been thoroughly checked prior to being employed at the home. EVIDENCE: Staff are employed in sufficient numbers so that the needs of the people living at Rockingham House can be met. There was evidence that staff receive their mandatory training as well as training provided by district nurses concerning the people living in the home. Staff receive regular supervision and appraisal and all said that ‘the manager is approachable and supportive’ The staff files seen contained evidence of the recruitment procedure. They all had an application form, two references, and a Criminal Records Bureau disclosure. Feedback from relatives said ‘The staff have the right skills to do the job’ and ‘the care staff have the skills and experience to do the job’. People spoken with during the inspection said ‘the staff are very nice’ Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 18 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, 34, 35 and 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 this service. People live in a home that is well managed and systems are in place to protect their health and safety EVIDENCE: The Registered Manager is experienced and competent to run the home. People said ‘the manager knows what she is doing’ and staff spoken with said that they could take any issues to her and they had confidence they would be dealt with. The manager works along side the care staff and so becomes aware of any problems or concerns quickly and deals with them appropriately. The manager has not been receiving regular support through the provider monthly visits. Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 19 People spoken with feel the manager has an open, inclusive approach and operates an open door policy. People in the home, relatives and staff were observed freely approaching her during the day. The home has a very happy and homely atmosphere. There is a simple quality assurance system in place that looks at feedback from the people in the home their relatives, other professionals who visit and staff meetings. The home does not handle any monies for people living there. The health and safety records were checked and all were found to be up to date. These included risk assessments for fire, the environment, COSHH and people who live in the home. All accidents and incidents are recorded and when necessary they are reported to the Commission. Whilst the accidents are reviewed on a regular basis it was suggested to the manager that these are incorporate these in to the providers monthly reviews. This might then show any patterns of incidents and allow staff to alter the care plan accordingly Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 20 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 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP38 Regulation 26 Requirement The providers must make monthly visits to the home to satisfy themselves that the home is being run properly. This will ensure that people living at the home will have chance to speak with the providers and give the opportunity for the manager to seek advice, support and assistance with the day to day running of the home. Written reports must be prepared about the providers findings following each visit, and a copy sent to the Commission. Timescale for action 27/12/07 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 Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Rockingham House DS0000007670.V349922.R01.S.doc Version 5.2 Page 23 - 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!