Inspection on 01/07/05 for Rapkyns

This inspection was carried out on 1st July 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 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

Rapkyns 07/09/06

Rapkyns 05/12/05

Rapkyns 22/11/04

Rapkyns 21/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Rapkyns 48 Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PG Lead Inspector Sheila Gawley Announced Friday 1 July 2005, 9:30am st 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. H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rapkyns Address 48 Gulidford Road, Broadbridge Heath, Horsham, West Sussex, RH12 3PG 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) 01403 265096 Dr Shafik Hussien Sachedina Mr Michael Wooldridge Care Home 50 Category(ies) of Care Home with Nursing 50 registration, with number of places H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: A maximum of 50 service users may be accomodasted of whom a maximun in the categorg physical disability (PD) age 45 years and ove rmay be acconodated. Only rooms identified in the letter of agreement signed by the registered provider Dr. Sachedina may be used by service users with a physical disability. One named service user in the category (PD) under the age of 45 may be accomodated. Date of last inspection 22/11/04 Brief Description of the Service: Rapkyns is a care home providing nursing, registered to accommodate up to fifty service users in the category OP (persons over 65 years), twenty of whom can be in the category PD (physical disabilities). Rapkyns Nursing Home is a large detached property, surrounded by beautiful countryside, in the village of Broadbridge Heath, near Horsham.The accommodation is arranged over two floors, which are served by two passenger lifts. All of the residents are accommoded in single rooms. There are well maintained accessable grounds H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At this announced inspection by the Commission for Social Care Inspection under the Care Standards Act 2000, Rapkyns Nursing Home was audited against the National Minimum Standards for Older Persons. The majority of elements in each of the standards assessed were met. During this inspection, the home was toured the premises, the majority of service users were spoken to as were several visitors, staff members as well as management. Comments made were very positive. Records, policies and procedures were also inspected and discussed. The manager had made available to the Commission a pre inspection questionnaire, the contents of which are also reflected in this What the service does well: What has improved since the last inspection? What they could do better: Whilst most specialist equipment is in place a portable hoist is out of use for the second week therefore access to all parts of the communal space is not available to all residents. H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 6 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. H60-H11 S24199 Rapkyns V227277 010705 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 H60-H11 S24199 Rapkyns V227277 010705 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) 1-5 Prospective residents have the information they need to make an informed choice about where to live and each resident has a written contract/ statement of terms and conditions with the home. Residents moving into the home have full needs assessment. Residents and their representatives know that the home they enter will meet their needs. Prospective residents and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: The home has an up to date Statement of Purpose and Service User Guide. Residents and relatives spoken to stated that they were happy with the information supplied to them on admission to the home. Pre assessment documents were available for inspection and were comprehensive. The manager stated that all residents are admitted on a months trial. H60-H11 S24199 Rapkyns V227277 010705 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) 7,8,10,11 The resident’s health, personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives with assistance as needed. Residents feel they are treated with respect and their right to privacy is upheld. Residents are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: Residents spoken to stated that they are treated with respect and that privacy is also respected: they also have freedom in their routines and movements. Care plans were inspected and were comprehensive and up to date ensuring that the resident’s needs are met. The deputy manager made available care plans to be introduced in palliative care and also a new assessment tool for wound healing showing innovative nursing practice. This is to be rectified. There was a minor shortfall in recording oral care and Medicine stores were inspected and were appropriate. Medicines were not inspected on this occasion as the pharmacy inspector inspected them fully last November. Her requirement that fridge temperatures be correctly monitored was seem to be H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 10 met. The homes practices on the changing needs and approaching death were discussed with the manager who stated that as far as possible, where residents needs can be met they can remain in the home at the end of their lives. H60-H11 S24199 Rapkyns V227277 010705 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) 12-15 Residents find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Resident maintain contact with family/ friends/ representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Rapkyns Nursing Home provides a wide variety of activities for service users, including formal outings and in house entertainment. On the day of the inspection residents involved in craftwork and were being read to. Plant containers that residents had recently made, decorated, and planted were seem and the manager stated that they had they stated that they can maintain contact with friends and relatives, several visitors spoken to confirmed this . The in house activities were displayed in a notice board in the hallway. The kitchen was not inspected today. Residents spoken to during the lunchtime meal stated that they are usually very pleased with the diet offered. A sample of menus supplied with the pre inspection questionnaire demonstrates a nutritious choice of meals is provided for the benefit of the residents. H60-H11 S24199 Rapkyns V227277 010705 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) 16,18 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse EVIDENCE: There is a complaints procedure in place and a record is made of all complaints and the outcomes. This was available for inspection. Residents and relatives spoken to stated that nay comments they make are listened to but that they have not have the need to complain about anything serious Abuse procedures are in place and were available for the inspection. Training records were also seen which is evidence that the home seeks to safeguard residents from abuse. H60-H11 S24199 Rapkyns V227277 010705 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) 19,20,22,,26 Residents live in a safe, well-maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. Residents mostly have the specialist equipment they require to maximise their independence and their rooms suit their needs. The home is clean, pleasant and hygienic EVIDENCE: The maintenance man was spoken to who was completing the installation of automatic door closures for the prevention of spreading fire. He stated that there is a rolling programme of maintenance. Two rooms were somewhat shabby and this was discussed with the manager who will ensure these are decorated. Residents bedrooms inspected were neat clean and had residents own belongings where possible. Specialist equipment was in place as required, however one resident was unable to come downstairs as the hoist she needs is broken, She stated that she missed the activities as this was now the second H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 14 week without the hoist. This was discussed with the manager who stated that he wished to buy a new hoist and that it should be in the home by next week. The laundry was seen and has the required machinery and a plan is in place to renew this. The home was clean and free from any offensive odours. The home is aiming to meet the health and safety of residents. H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 15 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) 27,30 The numbers and skill mix of staff meets residents needs. Staff are trained and competent to do their jobs. EVIDENCE: Staff rota were available for inspection and were also provided with the pre inspection questionnaire. They show sufficient staff on duty to meet residents needs. The home has not had any agency staff for the past two months. The deputy manager made available training records and discussed the homes approach to training. Staff spoken to stated that they receive sufficient training to equip them to meet residents needs. H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 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 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) 33,37,38 Residents benefit from the ethos, leadership and management approach of the home. Resident’s 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. EVIDENCE: From discussion with the manager, staff, residents and relatives there is evidence that the home is run in the best interests of the residents. Records, policies and procedures are in place to safeguard their health and safety and welfare as is staff training. The manager and deputy manager are open to discussion and are keen to implement practices the will enhance the experience of residents in the home. H60-H11 S24199 Rapkyns V227277 010705 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x 2 3 x x 3 STAFFING Standard No Score 27 3 28 x 29 x 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 x x 3 3 H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 18 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 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. 1. Refer to Standard 22 Good Practice Recommendations Service users to have the specialist equipment they require to maximise their independence H60-H11 S24199 Rapkyns V227277 010705 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex, BN11 1RY 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 H60-H11 S24199 Rapkyns V227277 010705 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. 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!