Inspection on 23/06/05 for Kathleen Rutland Home

This inspection was carried out on 23rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Kathleen Rutland Home 09/01/09

Kathleen Rutland Home 31/08/06

Kathleen Rutland Home 29/11/05

Kathleen Rutland Home 31/01/05

Kathleen Rutland Home 15/10/04

Kathleen Rutland Home 03/02/04

Similar services:

Applegarth

Thornham Grove

Hunter`s Lodge

Conifer Lodge

Manor Court

92 Black Prince Avenue

Agnes House

The Manor House

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

CARE HOMES FOR OLDER PEOPLE Kathleen Rutland Home 117 Hinckley Road Leicester Forest East Leicester LE3 3PF Lead Inspector Bhavna Keane-Rao Unannounced 23 June 2005 09:30 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 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. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kathleen Rutland Home Address 117 Hinckley Road Leicester Forest East Leicester LE3 3PF 0116 239 4234 0116 239 4234 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vista Vacant Care Home 47 Category(ies) of DE(E) Dementia - over 65(20) registration, with number SI Sensory Impairment (47) of places SI(E) Sensory Impairment over 65 (47) Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: To be able to admit the person of category SI named in the variation number V11450 Date of last inspection 31/01/05 Brief Description of the Service: Kathleen Rutland Home For the Blind offers care for up to 47 older people who have a visual impairment. The home is set in its own large grounds. As well as this large home there is a smaller residential home on the campus and many bungalows in which people with visual impairment live independently. The home offers accommodation on ground and first floor, which can be accessed via the lift or the stairs. All the bedrooms are single rooms with en-suite facility. There are choices of communal sitting areas for residents use. The home is a smoke free area except for one lounge where residents are able to smoke. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Thursday morning and afternoon. The inspection took six hours. The home is registered to provide care for four seven older people who have a visual impairment and up to twenty people who have visual impairment and dementia. A number of residents, at the home, were spoken with, however detailed discussions were only held with four people. A tour of the premises was undertaken and an opportunity was taken to view residents daily records, menus of meals, fire records, a staff rota and staff records. The primary method for this inspection used was ‘case tracking’ which involved four residents and tracking the care they received through looking at their records, discussion with them, and their relatives, care staff and observation of care practices. The pre inspection questionnaire was also viewed. The registered manager spent time discussing many issues that arise in the running of a residential home, facilitated this inspection. What the service does well: What has improved since the last inspection? There has been number of training courses provided for the staff members since the last inspection. The home has now employed a manager, who the Commission will register once a satisfactory CRB check has been received. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 6 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. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 The admission process is flexible and well managed, which ensures care needs are met at the home. EVIDENCE: There have been a few admissions since the last inspection. A number of residents were spoken with about when they moved to this home. The residents who were able to stated that this had been positive. Procedures are in place to ensure that residents entering the home are given all relevant information to enable them and their relatives to make an informed choice. The newest resident was able to confirm that at the last inspection. The home does not provide intermediate care. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Care plans do not reflect changing needs, which may lead to individual needs not being met. Management of medication is not satisfactory. Residents’ privacy is upheld and they are treated with respect. EVIDENCE: Four residents files were viewed. The initial recording in the residents’ plans of care was detailed setting out clearly preferences and assistance required for residents to continue living as independent as possible, depending on care needs. However there after care plans are reviewed by an entry of date and ‘no change’. Discussion was held with the manager to ensure that care plans are in place and regularly reviewed, at least annually. This is particularly important where care needs of residents change, as is case in with two particular residents. Also risk assessments must be carried out where areas of concerns are identified. This was not the case in two particular files. Residents who were spoken with said they were involved in the provision of care. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 10 Medication is stored in a locked cupboard in the treatment room and administered by staff that are trained. Administration of medication and recording was seen and is considered to be unsafe. On a number of occasions it was noted that on the MAR sheets ‘o’ had been inserted after they had been signed. Discussion was held with the registered manager as this indicates that staff are actually signing records prior to giving out the medication. Another area of concern was that ‘o’ is used as per the key symbols at the bottom of the MAR sheets. However no further explanation is given, against the home’s own administration of medication guidance. The last pharmacist inspection at the home was on 21/06/05; there were no issues of concern raised. All the residents are on electoral register and had received their voting cards for the last elections. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents and staff working together meet the physical, emotional and health care needs of residents. EVIDENCE: Staff undertake activities with residents both individually and in groups. The owner/manager stated that there are activities planned everyday. Residents spoken with said that they did ‘things’ in the daytime and also watched television and listened to the radio. A resident who spoken with in detail stated, when asked about activities at the home, that there are lots of things that she can do if she wanted to. A number of comment cards were received from both the residents and their relatives. All these were positive about the service provided by the home. Menus were viewed and demonstrated that meals provided are nutritionally balanced and appealing. Residents spoken with said the meals were generous and good. Records showed the residents particular preferences and dietary needs. Residents’ religious/spiritual needs are catered for. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents are safe and protected from abuse. EVIDENCE: Residents and Comment Cards showed that people feel very comfortable discussing any concerns with the home’s manager. The complaints procedure is available for residents and visitors. There have not been any complaints received by the home or CSCI since the last inspection. Residents spoken with felt they were safe and protected. The adult protection procedure has been given to all the staff and training has been provided. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21,23 and 26 A comfortable, well-maintained, pleasant, clean and safe standard of accommodation is provided for the residents. EVIDENCE: The home is well maintained and suited to residents needs. There is ample natural light throughout the home. It is decorated and furnished to a high standard that creates a comfortable homely atmosphere. All the corridors in the home are now colour coded so that residents can easily identify which area of the home their bedrooms in. There are a number of lounges and a three dining areas. The main dining area leads into the conservatory and on to the back garden. Entry to the home and to the garden is wheelchair friendly and suitable for people who a visual impairment. The garden area is flat with plants, trees, seating area and a very large lawn. The garden is designed so that residents with a visual impairment can be safe and independent outside if they so wish. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 Training and supervision is in place to ensure staff are able to carry out their work safely and competently. EVIDENCE: On the day of this unannounced inspection, there were six members of care staff on duty to provide care for the residents, this excludes the manager. At present there are thirty-five residents for whom care is provided. Plus one resident who is in the hospital. There are additional staff who work in the kitchen, garden and house keeping. All staff have undertaken all mandatory training. All the care staff have either completed their National Vocational Qualification (NVQ) level 2 in care training, started it or are about to complete. The manager is going to enrol to undertake his NVQ level 4 training in the near future. Residents who were spoken with were positive about the staff employed at the home. The observed interaction between the staff and residents was relaxed and friendly. A number of staff were observed moving the residents using hoist. This they did with sensitivity and respect. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 38 Residents and staff benefit from clear leadership. EVIDENCE: The staff and the residents who were spoken with felt that they could go to the manager or the deputy manager at any time with any concern. Two residents were very happy with the new manager and his style of working. One person said “ he just mucks in and has a laugh with us”. Another resident said that the manager was “a nice lad”. This is positive working practice. Residents Meetings are held regularly, residents can choose whether to attend. Information and events are shared with the residents and the residents have the opportunity to make suggestions, matters of interest or concerns. Records of residents’ valuables and cash are accurately detailed and up to date. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 16 There is a maintenance programme for the home and the equipment. A random sample of records checked was up to date including fire drills. During the tour of the home, fire exits were clearly marked and were not obstructed. Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x 3 x 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 18 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 7,8 Regulation 13 Requirement Timescale for action 05/07/05 2. 3. 9 13 The manager must produce care plans and carry out risk assessments. These must be reviewed and up dated as and when the care needs of residents change. It is required that the Safe 05/07/05 Handling of Medication procedure is followed. 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 Good Practice Recommendations Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX National Enquiry Line: 0845 015 0120 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 Kathleen Rutland Home D C51 C01 S1741 Kathleen Rutland V233804 220605 Stage 4 .doc Version 1.30 Page 20 - 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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