Inspection on 31/08/07 for Raglan House

This inspection was carried out on 31st August 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

Raglan House 13/06/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Raglan House 3 Carlton Road South Weymouth Dorset DT4 7PL Lead Inspector Marion Hurley Key Unannounced Inspection 31st August 2007 10:00 Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 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 Raglan House DS0000065962.V346565.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 Adults 18-65. 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. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Raglan House Address 3 Carlton Road South Weymouth Dorset DT4 7PL 01305 784192 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) Mrs Caroline Elizabeth Kelly Mr Patrick James Matthews Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. As at present, one named person (as known to CSCI) to be accommodated in the category of mental disorder. Four named people (as known to CSCI) to be accommodated in the category of LD(E) and three people in the category of LD (18-65). 13th June 2006 Date of last inspection Brief Description of the Service: Raglan House is a registered care home accommodating seven adults who have a learning disability within the category of Young Adult (18-65). Four of the residents now fall in the Older Peoples category being over the age of 65 years. The service aims to promote normal living, autonomy and choice for all the residents in accordance with their individual assessed needs, abilities and preferences. On the ground floor there is a lounge, kitchen and dining room, two bedrooms, a toilet, utility area and short walk way/porch through to a separate activity room. On the first floor there are four bedrooms, a bathroom and separate toilet. On the top floor there is a staff room, separate staff sleeping in room, bathroom, and the laundry. The property is situated on a corner plot having garden on three sides. Level access is available from the front of the house and via steps from the rear of the building. At this stage none of the residents living at Raglan House require the use of any aids or adaptations but as four people are already in the Older People category consideration will need to be given as to how adaptations and/or aids could be safely installed in this older style property to ensure residents can continue to access the home. Raglan House is within easy access of local amenities that include shops, a leisure centre, a park and the main sea front. There are both local and out of town bus and train services to Dorchester and Wareham, Poole and Yeovil. Visitors are always welcome and copies of previous inspection reports available. Raglan House has off street parking for two vehicles. Current fees are £440:00 per week. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the care home taking place over a five hour period. The inspector spoke with residents, the registered provider/manager, looked around the home and examined some records. An Annual Quality Assurance Assessment asking for information about the home was sent to the registered provider before this visit and information from this was included as part of the inspection process. Views of the residents who were available on the day of the inspection visit have been included as part of the process and comments from Social and Health Care professionals linked with Raglan House were very favourable. People living at Raglan House are quite independent and are supported to live as ordinary life as possible. The people, who are able to communicate the help they require from care workers set the tone of the home. People living at Raglan House consider it a home for life and do not anticipate moving elsewhere. The inspector would like to take this opportunity to thank everyone for his or her hospitality and assistance during the inspection visit. What the service does well: The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent registered provider. Staff in the home are trained, skilled and there are enough of them to support the people who live at Raglan House. The physical design and layout of the home enable people to live in a safe, well-maintained and comfortable environment, which encourages independence. People who live at Raglan House are able to express their concerns, and have access to a robust, effective complaints procedure and are protected from abuse, and have their rights protected. The health and personal care that people receive is based on their individual needs. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 6 People who live at Raglan House are able to make choices about their lifestyle, and supported to develop their life skills. People are supported to access a range of educational, cultural and recreational activities. Individuals are involved in decisions about their lives, and play and active role in planning the care and support they receive. People who live at Raglan House are given information about the home and services available to them. 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. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents had been provided with information to help them make a decision about the home and they had been involved in decisions about moving into Raglan House. Residents had been assessed, in order to ensure that the home could meet their needs appropriately. EVIDENCE: The registered provider explained that if a new person were to move to Raglan House, then they and the staff would ensure that an assessment is carried out before offering a place. The registered provider stated they would encourage the prospective resident to visit the home and meet the other residents, this might include joining in an outing, sharing a mealtime or even an overnight stay if they wished Case files examined contained admission agreements; assessments of individual resident’s needs and support plans and other relevant information. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 9 The file of the most recently admitted residents (December 2006) indicated that staff had completed the individual assessment before they had moved in, in order to ensure that the home was able to meet their needs satisfactorily. The records also showed that when people have previously moved in to the home the assessment process continues after admissions. The registered manager is currently producing a new style service user guide, which will combine words, symbols and photographs and will be an easy read document, which will be more understandable for residents and or their representatives. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The registered provider explained that the main principle behind the work they and the staff do is based on enabling people to take control of their own lives. Residents spoken to said that they make their own decisions about the care and support they need. One resident explained staff write up their person centred plan based on the information s/he gives about what they like and dislike. The records show that the manager and staff have consulted individual residents about their needs; about the things they like and dislike doing and how any risks to them can be reduced. The manager said that if a resident is Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 11 to take part in new activity, they and or staff talk to them about any hazards or dangers involved in that activity and the staff help them to avoid the hazards and dangers. The registered manager reviews all the care plans monthly and each plan is fully revised and rewritten every six months. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are able to make choices about their lifestyle, and supported to develop their life skills. Residents access arrange of social, cultural and recreational activities. EVIDENCE: The manager explained that the home / service has a strong commitment to enabling people who live at Raglan House to develop their skills, including social, emotional, communication and independent living skills. The records show that individuals are supported to identify their goals and work to achieve them. Residents are supported to maintain contact with their family and friends and some residents use local public transport to visit their relatives, whilst others Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 13 are visited by their family. One person has relatives living overseas and is helped to correspond and make overseas phone calls. Discussion with the manager showed that individual rights and choices are promoted, and the records confirmed people are supported to make informed choices about things such as lifestyle choices, relationships, activities and holidays. All the people living at Raglan House have individual bank accounts with a cash card. Each person can access cash with appropriate support using his or her own cash card and personal identification number. Records illustrated that all transactions are recorded and receipts kept. All the residents discuss and agree a four-week menu, which offers ample choice. Records of the meals consumed were all recorded and residents described the staff as “ good cooks”. There was a cleaning rota, temperatures were monitored and recorded and the registered provider has all relevant documentation and guidelines issued by the Food Standards Agency, including “Safer Food, Better Business”. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. EVIDENCE: The records show that the manager and staff ensure that people receive effective and individualised personal and healthcare support using a person centred approach. The statement of purpose sets out the competencies and specialisms the home offers and delivers this effectively through a skilled trained and knowledgeable staff group that work in a person centred way. The manager explained that care plans are developed and written with the involvement of the person (where appropriate). The records show that care plans are individualised, person centred, and provide clear guidance on how the care is to be delivered. All residents have a personal health record, which is completed by professionals who have an input Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 15 into the health care needs of the individual. The records demonstrated that people have routine check ups which include visits to the audiology departments, chiropody and dentists. Occupational and physiotherapists are involved with individual residents when required. The registered manager stated that the home has a very good working relationship with members of the Community Learning Disability Team. Observations of the day showed that the care is person led. Staff were seen to respect residents preferences. The rota shows that the staff group is balanced to reflect the diverse needs of the people living in the home. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Raglan House are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: The registered provider described how the home has made the complaints procedure into a video, which is easily understood by all the residents at Raglan House. It highlights the importance of complaining or making suggestions for improvement that benefit the people living in the home. Following discussions with people living at Raglan House it was clear that people understand how to make complaints. There have been no complaints The records show that quality monitoring systems are in place to inform future practice and the staffs’ personal development. The records how that regular training and supervision takes place to make sure staff are fully aware of the policies and procedures provided in relation to protecting and safeguarding the right of people living in the home. Observations made on the day indicated that the views and experiences of people living at the home are valued. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a safe, well maintained and comfortable environment, which encourages independence. EVIDENCE: The registered provider has ensured that the physical environment of the home provides for the individual requirements of the people who live there. Discussions with the people living at the home showed that they are happy with “their home” and that the living environment is appropriate for their particular lifestyle and needs. Discussions with the people indicated that they are encouraged to see the home as their own. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 18 The home is well maintained, attractive and has good access to community facilities and services. The home was clean and tidy on the day of the inspection visit with all the communal areas attractively decorated and furnished. The home employs someone to do a thorough clean once a week with care staff undertaking the daily routine cleaning and household duties. In addition a general “handy man” is employed on a part time basis to ensure all minor repairs and maintenance are kept up to date. Since the last inspection the computer has been moved to the quiet room on the top floor, which also doubles as office space. The room, which accommodates the washing machine and drier, is used solely for the purpose of laundry and has washable walls and floors. The art and craft room has been redecorated and the steps from the house to the rear garden have been completed with a strong grab rail fitted on each side. This work has been approved under Building Regulations. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and there are enough of them to support the people who live at Raglan House. EVIDENCE: The records show that the home has a well developed recruitment procedure that has the needs of people who use the service at its core. The manager explained that the recruitment of good quality carers is seen as integral to the delivery of a good service, and continued to say that the recruitment of the right person for the job is always seen as more important than the filling of a vacancy. The rotas show that the service has enough staff available at all times to support the needs, activities and wishes of the people living at Raglan House in an individualised and person centred way. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 20 The records show that the home is proactive rather than reactive in its staffing, recruitment and training, with planning for the needs of the residents taking place on a day-to-day basis. The result of this is a diverse staff team that has a balance of all the skills, knowledge and experience to meet the needs of people who live at the home. There is evidence that they demonstrate a thorough understanding of the particular needs of the people who live at raglan House and can deliver effective person centred care. Each member of the staff team has his or her own training file, which is updated in supervision sessions. Two newly recruited staff have successfully completed the LDAF – learning disability framework assessment, another ember of the staff has completed NVQ 3 – national vocational qualifications and another has just commenced studying for this qualification. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified competent registered provider. EVIDENCE: The registered provider has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives Discussions with the registered provider indicate that they have a sound knowledge of both strategic and financial planning and review. The records show that spot checks and quality monitoring systems are in place which Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 22 provide them with evidence that systems are working and that the health and safety of people are promoted. The registered provider undertakes monthly audits checking standards in the home against the National Minimum Standards. Records relating to the servicing and testing of all appliances e.g fire equipment, PAT testing, gas appliances, legionnaires testing were current. The Environmental Health Office awarded the home a Silver award in July 2007, for hygiene and safety relating to food standards, and general kitchen and catering equipment. Discussions with people living at Raglan House indicated that that the home is open and transparent. The views of both residents and staff are listened to and valued. The registered manager continues to keep themselves up to date with changes in legislation and has recently completed training on the new Mental Capacity Act. Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 24 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. 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 Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Raglan House DS0000065962.V346565.R01.S.doc Version 5.2 Page 26 - 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!