Inspection on 24/02/06 for RAFA Respite Home

This inspection was carried out on 24th February 2006.

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.

Other inspections for this house

RAFA Respite Home 16/10/08

RAFA Respite Home 10/10/06

RAFA Respite Home 16/11/05

RAFA Respite Home 22/02/05

RAFA Respite Home 09/09/04

RAFA Respite Home 29/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE RAFA Respite Home Rothbury House West End Rothbury Morpeth Northumberland NE65 7TU Lead Inspector Elaine Charlton Unannounced Inspection 24th February 2006 10:45 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.V276152.R01.S.doc Version 5.1 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.V276152.R01.S.doc Version 5.1 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.V276152.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Residents may also have a physical disability (PD) Residents may also suffer from dementia (DE (E)) Residents may also be under the age of 65 Date of last inspection 16th November 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 it’s services. It was converted from a hotel to create a home that is registered to provide care for 8 older people, of whom some may have physical disabilities; couples are able to share facilities within double rooms. All bedrooms are en-suite, with a range of communal lounges, dining room, bar and other 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 it’s 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.V276152.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection by Elaine Charlton took place on the 24 February 2006 at 10:45 and lasted until 14:40. The focus of the inspection was requirements made at the announced inspection on the 16 November 2005, and key standards that must be inspected at least once a year. Records looked at included 3 staff files, training records, policies/procedures/records relating to health and safety issues, staff meeting records, complaints and compliments logs, and the new proposed care plan format. The administration secretary, Janice Henderson, was present throughout the inspection. The majority of guests had gone out for the day to RAF Boulmer. Of the 7 who remained at Rothbury House the Inspector was able to speak to four, all of whom were extremely complimentary about staff and the environment, as well as four members of staff. This was a positive inspection in which staff played an active part, being pleasant, helpful, interested and co-operative at all times. What the service does well: What has improved since the last inspection? The care plan process continues to improve which will promote the health, safety and welfare of guests. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 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. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 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.V276152.R01.S.doc Version 5.1 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 of these standards were inspected on this occasion. EVIDENCE: RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 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 and 8. Individual plans of care continue to be updated to promote the health, safety and welfare of guests. Guests are confident that their health care needs can be met. EVIDENCE: Two members of staff have received guidance and support in the format to be used and preparation of care plans. They are to produce a “mock guest file” for review by CSCI prior to replacing their existing system with the new records. Guests are asked to provide Rothbury House with a summary of their health care needs prior to arrival, and emergency care is provided through the local health centre and district nurse service. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 11 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): 16 and 18. Policies and procedures actively promote the recording and investigation of complaints and guests are can be confident that they will be taken seriously and acted upon. Policies, procedures and the level of staff training promote the protection of guests from harm. EVIDENCE: The compliment/comment/complaints form clearly sets out the process, expected response times and what will happen if someone is unhappy with the outcome of any investigation. Feedback forms are provided for all guests giving them an opportunity to comment on the quality of care and facilities at Rothbury House. Feedback questionnaires already returned for 2005/06 numbers in excess of 200. Again the majority of comments were very good. There was also evidence of issues/suggestions that had been raised by guests being dealt with in a positive way. The Inspector was also able to see 11 letters and a large number of cards of compliment that guests had sent all of which were positive and complimentary about both the quality of care and the environment. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 12 The home had received no formal complaints. Staff have received training in the Protection of Vulnerable Adults, are familiar with the guidance and supporting policies and procedures are in place. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 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): 28, 29 and 30. Recruitment and selection policies and procedures are consistently followed promoting the safety and welfare of guests. The level of training staff receive ensures that they are competent and protects the health, safety and welfare of guests. EVIDENCE: Three staff files were seen by the Inspector. All were up to date and provided evidence that recruitment and selection procedures had been followed. Application forms for employment were fully completed, references and CRB checks had been sought and carried out, and each record contained evidence of the person’s identity. Staff are issued with a contract and this includes full details of their terms and conditions of employment. Evidence of training confirmed that these members of staff were trained appropriately for the post they held, and that training had been regularly updated. Refresher training in Health and Safety (including risk assessment, accidents, control of substances hazardous to health – COSHH), Fire Safety, First Aid and Load Management had all been delivered as recently as January 2006. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 15 Fire Warden and Infection Control training had already been identified as a requirement for 2006/07. Staff meetings are held every two months and minutes showed that staff are confident in bringing issues to the attention of both management and colleagues. Two members of staff had been unable to attend the last meeting held in January but had submitted written notes of issues they wished to be considered. Each member of staff receives a copy of the RAFA handbook and has access to a comprehensive range of policies and procedures to support them in their work. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 16 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): 35 and 38. Policies, procedures and levels of staff training support the security, health, safety and welfare of guests. EVIDENCE: Policies and procedures are in place to protect the finances and valuables of guests. These include the non-acceptance of gifts by staff and access to facilities in which guests’ valuables may be safely kept. Guests are only offered practical assistance with their financial affairs in exceptional circumstances. Maintenance records and service contracts were examined. All were up to date and services had been appropriately carried out. Where any remedial action RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 17 had been required records were available to show that this had been carried out to the satisfaction of the appropriate professional. The Fire Officer had carried out a visit in March 2005, and no recommendations were made. No accidents had been recorded since the last inspection. Staff training in areas of health and safety, fire safety and first aid was found to be up to date. An examination of the kitchen and food storage areas was undertaken. The kitchen was found to be extremely clean, stock levels in storage areas was appropriate for the number of guests, was well organised and appropriately dated. RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 18 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 RAFA Respite Home DS0000033419.V276152.R01.S.doc Version 5.1 Page 19 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 OP7 Regulation 15 Requirement Service user plans must continue to be updated. Previous timescales of 1 April 2005, and 1 February 2006, partially met. The programme of staff supervision must meet the required minimum level. Previous timescales of 1 April 2005, and 1 February 2006, partially met. Timescale for action 24/05/06 2 OP36 18(2) 24/05/06 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.V276152.R01.S.doc Version 5.1 Page 20 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.V276152.R01.S.doc Version 5.1 Page 21 - 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. 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