CARE HOMES FOR OLDER PEOPLE
Kathleen Rutland Home 117 Hinckley Road Leicester Forest East Leicester Leicestershire LE3 3PF Lead Inspector
Mrs Bhavna Keane-Rao Unannounced Inspection 29th November 2005 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 Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Kathleen Rutland Home Address 117 Hinckley Road Leicester Forest East Leicester Leicestershire LE3 3PF 0116 2394234 0116 2394234 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) VISTA Simon John Woodroffe Care Home 47 Category(ies) of Dementia - over 65 years of age (20), Sensory registration, with number impairment (47), Sensory Impairment over 65 of places years of age (47) Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No-one under the age of 55 years who falls within category SI may be admitted to the home. Additional condition That no persons falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated within the home. Any person who falls within category DE(E) may only be accommodated within the home if he/she also falls within the category SI(E). 23/06/05 3. Date of last inspection 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 accougmmodation 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 DS0000001741.V267710.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place during Wednesday morning. It took three and halfhours to complete. This home provides care for up to forty-seven residents with a visual impairment, of whom up to twenty residents may have dementia. Discussions were held with five residents. However other residents were observed in their daily routine. Three resident were spoken with in great detail. The primary method of inspection was speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 23rd June 2005. Therefore only specific standards were inspected this time. All areas of concerns raised at the last inspection have been met. A tour of the premises was undertaken and opportunity was taken to view resident’s daily records, medication sheets, menus of meals and minutes of Staff and Residents Meeting. The senior care staff and the office administrator assisted in this inspection. The manager participated towards the end of the inspection. The manager and his staff spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well:
The registered manager and the staff at the home are very willing to learn and improve the service provided for the residents. One resident stated, “ We are made very comfortable by the staff and the owners”. One resident stated, “I love playing bingo, which we are doing soon.” Number of residents were observed playing bingo by the inspector. One person stated that they “plenty to do, but often the mind is willing but the body is not!”. The activities board lists all the activities that are arranged by the home. Some of these activities are facilitated by staff and some by outside entertainers A resident was observed using the home’s library. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 6 Residents who were spoken with stated that they feel they are consulted about the care that this provided at this home. One particular resident was very interested in the way in which the Commission works and how inspection reports are produced based on outcomes. The interactions observed between staff and residents were very positive. 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. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by health and/or social care professionals, as part of the referral process. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 the following standard(s): 9 The system for administration of medication is safe. EVIDENCE: All the required standards were inspected at the last inspection. Medication is stored in a locked trolley in the treatment room and administered by staff that are trained. Administration of medication and recording was seen and is considered to be safe. There is a system in place where all areas of concerns are highlighted and dealt with promptly. It was noted with concern that on the day of the inspection, medication to be returned was ‘thrown’ into a box, which was over spilling. The care staff dealt this with promptly. Discussion was held with the manager to ensure that systems are in place to ensure that this does not occur again. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 15 Residents’ dietary needs are met. EVIDENCE: Residents spoken with stated that they liked the meals provided. There is always a choice of two meals and an alternative if so requested. There is always a three course menu at main meal times. Recently the times for sittings at meal times have been reviewed and new times have been introduced after consultation with residents. The residents who were spoken with were very happy with the new meal times. It was noted that the vegetarian option at main meal time is not very creative and often jacket potato is offered. Discussion was held with the manager who stated that the chef often provided vegetarian alternatives, which were not always recorded. Residents who were spoken with were satisfied with the food provided. All the residents spoken with stated that they were provided with hot and cold drinks through out the day.
Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 11 The manager is at present reviewing the care plans and menus to ensure that the divers needs of all residents are recorded and met. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. The complaints procedure is available for residents and visitors. Residents spoken with felt they were safe and protected. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 the following standard(s): 24 A comfortable, well-maintained, pleasant, clean and safe standard of accommodation is provided for the residents. EVIDENCE: All the required standards were inspected at the last inspection. The home is well maintained and suited to residents needs. There is ample natural light throughout the home. The home is decorated and furnished to a standard that is acceptable to the residents. There are a number of lounge areas and a dining area leading to the back garden. Entry to the home and to the garden is wheelchair friendly. The residents who were spoken with expressed their satisfaction with the physical state of the home.
Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. On the day of the unannounced inspection there were seven members of staff on duty to provide care for the residents. In addition to this there is the cook, domestic person, housekeeper, administration person, a senior and the manager were on duty. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. 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. Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 16 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 Kathleen Rutland Home DS0000001741.V267710.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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 DS0000001741.V267710.R01.S.doc Version 5.0 Page 19 - 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!
