Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 16/11/05 for RAFA Respite Home

Also see our care home review for RAFA Respite Home for more information

This inspection was carried out on 16th November 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

It was seen and guests commented that staff were kind and considerate when helping them. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of the guests spoken to were more than pleased with the quality and choice available. Guests are well supported by the number of staff available and they also described good relationships with the staff and said they were all polite and helpful. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the guests care needs. The building is furbished, maintained and cleaned to a very high standard. There is an excellent range and choice of social and leisure activities, both individually and as a group and excellent links with the local community.

What has improved since the last inspection?

Individual care plans have continued to improve and it was apparent that staff were more involved in planning and evaluating care. The self assessment admission procedure and records are better detailed and give good information. Staff training and medication issues had been addressed. Staff supervision has now been programmed to start January 2006.

What the care home could do better:

The review of staff supervision procedures should continue to progress and ensure that all staff receives supervision at the recommended timescales.

CARE HOMES FOR OLDER PEOPLE RAFA Respite Home Rothbury House West End Rothbury Morpeth Northumberland NE65 7TU Lead Inspector Mary Blake Announced Inspection 16th 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 RAFA Respite Home DS0000033419.V252952.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. RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service RAFA Respite Home Address Rothbury House West End Rothbury Morpeth Northumberland NE65 7TU 01669 620 235 01669 621600 marilyn.armstrong@rafa.org.uk 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) The Royal Air Forces Association Marilyn Armstrong Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Residents may also have a physical disability (PD) Residents may also be under the age of 65 Residents may also suffer from dementia (DE(E)) Date of last inspection 22nd February 2005 Brief Description of the Service: The Royal Air Forces Association and the Royal Air Force Benevolent Fund operate Rothbury House. The service provides respite breaks for primarily ex air force and forces personnel and their families. Guests come from a national area and have a wide range of needs. Rothbury House is situated in the centre of Rothbury with easy access to the village and its services. Converted from a hotel to create a home that is registered to provide care for 8 older people, of which some may have physical disabilities, with couples sharing facilities within the double rooms. All bedrooms are ensuite, with a range of communal lounges, dining room, bar and communal areas. There is a shaft lift and a range of aids and adaptations to allow guests to move freely around the building. The extensive gardens and grounds are also easily accessible and the home has its own transport. Additional apartments and sheltered accommodation are also available but are not part of the registered service and are not included within the inspection process. There is a car park at the front of the building and disabled access to the front door. The home does not provide nursing care, although, if needed, access and support is available from the local medical practice RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and the first of this inspection year and took place over one full day. A brief tour of the premises was carried out. Guests care records, staff rota, maintenance files plus additional statutory records were examined. The inspector also lunched with guests. Nine previous requirements were inspected; seven were met with two outstanding requirements progressing. The manager, two care staff, the chef and administrator and seven guests were spoken to. Fourteen questionnaires were received from past guests who wrote positively about the service provided “services, staff and accommodation could not be better”, ”superb is the word that springs to mind”, ”everything possible is done for our comfort” What the service does well: It was seen and guests commented that staff were kind and considerate when helping them. Meals are varied, well balanced and nicely presented offering good choice and nutritious food at all meals. All of the guests spoken to were more than pleased with the quality and choice available. Guests are well supported by the number of staff available and they also described good relationships with the staff and said they were all polite and helpful. Staff were friendly and relaxed with the inspector and were keen to discuss their work and the guests care needs. The building is furbished, maintained and cleaned to a very high standard. There is an excellent range and choice of social and leisure activities, both individually and as a group and excellent links with the local community. RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 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. RAFA Respite Home DS0000033419.V252952.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 RAFA Respite Home DS0000033419.V252952.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): 3 Rothbury House does not provide intermediate care Guests using the respite services have had their needs assessed and been assured how these will be met. EVIDENCE: The self assessment admission procedure and records are better detailed and give more information to enable the home to assess if they can meet the needs of the guests. RAFA Respite Home DS0000033419.V252952.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): 7,9 & 10 Guests’ health, personal and social care needs are broadly set out within the individual plan of care, which is under review. Guests are protected by the homes policies and procedures for dealing with medicines Guests feel that their privacy was respected and that staff treat them with respect. EVIDENCE: Individual guests plans of care were not examined, but discussed with the manager, these plans are currently under review and it was agreed that the inspector would give additional input. Inspection of the homes medication storage and administration was satisfactory with previous issues being met. Guests spoke of staff giving them privacy but also supporting their independence and that staff were respectful in their dealings with them. This was also observed during the inspection. RAFA Respite Home DS0000033419.V252952.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): 12,13,14 & 15 Social care needs/interests, recreation and stimulation are excellent. Guests are supported to maintain contact with family, friends and the local community of Rothbury and to maintain choice and control over their lives. The menu, food choices and quality of food on offer were excellent and sufficient to meet the needs of guests. The meals offer choice, variety and good nutrition. EVIDENCE: A number of guests were spoken to and everyone commented on the range and choice of individual and group social activities on offer within the home. These are well organised by staff as the home does not have a social activities co-ordinator. Guests spoke of making decisions about visitors, of going into to town and making friends. Guests stated that they are able to choose from the menu with the chef consulting with individuals about any variation or preferences. This was observed at lunchtime when the chefs came into the dining room to discuss the RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 11 food with guests. This demonstrated that choice and support with decisionmaking are provided. Good quality fresh vegetables and food were seen and guests commented that the food being served was always fresh, nutritious and very tasty. The inspector had lunch with the guests who spoke of the Rothbury House sausage, which had been created by the chef and the local butcher. Discussions with the chef indicated that a lot of thought and consideration had been given to make this suitable for the needs of guests. Meals are taken in pleasant, well-lit dining room, with well laid tables, with good staff attendance and supervision. RAFA Respite Home DS0000033419.V252952.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 of these standards were assessed EVIDENCE: RAFA Respite Home DS0000033419.V252952.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): 19 & 26 Guests live in safe and comfortable surroundings, which are well maintained, very clean and pleasant. EVIDENCE: A tour of the building indicated that the home continues to provide an excellent well maintained environment, with quality furnishings and fittings throughout. The standard of cleanliness is excellent. RAFA Respite Home DS0000033419.V252952.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): 27 The number and skill mix of staff at the home meets guests’ needs. EVIDENCE: Discussions with the Manager, staff and examination of the staffing rotas confirmed that the home has remained consistently and well staffed, both during the day and night. The minimum numbers of care staff are 3 mornings 2 afternoons 2 evening and two during the night. Senior and managerial staff are in addition to these numbers. There is also excellent ancillary support. All guests spoken to said that staff were kind and considerate. RAFA Respite Home DS0000033419.V252952.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): 31,32, 33 & 36 An experienced person who has completed the fit person process manages the home. There are effective quality assurance and monitoring systems in place to enable the home to be run in the best interests of the guests. Staff are not appropriately supervised but this is under review. There are sufficient updated records, polices and procedures to safeguard the best interest of guests. RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 16 EVIDENCE: The manager has many years experience in a managerial role and has recently taken up this position. Undertaking the Registered Managers Award she appeared positive towards the needs and rights of guests and keen to maintain standards and implement any change. The guests and staff made positive comment about the Registered Manager and staff team. It was evident from inspection and guests comments that the Registered Manager had sufficiently overviewed the standards within the home and continues to improve the quality of life of guests during their stay. Quality assurance systems are under review and the Proprietor’s monitoring visits (Regulation 26) are in place. Regular guest questionnaires are undertaken to further improve the service, the manager is currently reviewing this documentation. Staff supervisions have not been fully implemented however the new Registered Manager has programmed these supervisions to commence January 2006. Up to date records, policies and procedures are in place and remain under review. RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 X X RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 18 Yes 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 OP7 Regulation 15 Requirement To continue to update the service user plan Outstanding as of 1st April 2005 but progress being made. To continue to progress the formal staff supervisions. These to be undertaken at the given timescales for all staff, including management and ancillary. Outstanding as of 1st April 2005 but progress being made Timescale for action 01/02/06 2 OP36 18(2) 01/02/06 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 OP31 Good Practice Recommendations Registered Manager to complete Registered Managers Award. RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 RAFA Respite Home DS0000033419.V252952.R01.S.doc Version 5.0 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. 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!