Inspection on 07/09/06 for Rapkyns

This inspection was carried out on 7th September 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 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 05/12/05

Rapkyns 01/07/05

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 Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PQ Lead Inspector Mrs S Gawley Key Unannounced Inspection 7th September 2006 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 Rapkyns DS0000024199.V307955.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 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. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rapkyns Address Guildford Road Broadbridge Heath Horsham West Sussex RH12 3PQ 01403 265096 01403 265096 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) Dr Shafik Hussien Sachedina Mr Michael Wooldridge Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (20), Physical disability of places over 65 years of age (20) Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of fifty (50) service users may be accommodated Of whom a maximum of 20 service users in the category physical disability (PD) age 40 years and over may be accommodated. Only rooms identified in the letter of agreement signed by the Registered Provider, Dr Sachedina dated 1st November 2004 may be used by service users with a physical disability A maximum of 20 service users in the category physical disability elderly PD(E) may be accommodated. 5th December 2005 4. Date of last inspection 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 accommodated in single rooms. There are well maintained accessible grounds Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 07 09 06.The deputy manager facilitated the inspection and the registered manager was also available for discussion. Prior to inspection the head office was visited and policies and procedures were read and discussed with the heads of care. The commission was in receipt of a pre inspection questionnaire. Residents, staff and visitors were spoken to and there were many positive comments on the service. This was a key inspection against the National Minimum Standards and most were met on this occasion. Five residents were case tracked; the building was inspected including the laundry and kitchen and an ongoing programme of maintenance was observed. The fees charged are £650-£2000. What the service does well: What has improved since the last inspection? What they could do better: Two incidents of laundry going missing have been cited. There is a training programme in place and staff confirm that they do attend training but their individual training sheets are not up to date. These issues were discussed with the Registered Manager. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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 Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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): 1. Prospective residents have the information they need to make an informed choice about where to live. 2. Each resident has a written contract/ statement of terms and conditions with the home. 3. No resident moves into the home without having had his/her needs assessed and been assured that these will be met. 4. Residents and their representatives know that the home they enter will meet their needs. 5. Prospective resident service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. 6. This standard does not apply. EVIDENCE: Care plans inspected had pre-assessment. Residents and relatives are given information on all aspects of the home and have terms and conditions. Residents and relatives spoken to stated that they were happy with the admission process. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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, The residents health, personal and social care needs are set out in an individual plan of care. 8, Residents health care needs are fully met. 9, Residents, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. 10, Resident feel they are treated with respect and their right to privacy is upheld. 11. Resident’s are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect EVIDENCE: Five residents were case tracked. Care plans and fluid charts inspected were all up to date. All health and social needs are recorded including funeral wishes Medicines are appropriately stored. There are policies and procedures in place on the receipt, administration and disposal of medicine to ensure the health, safety and wellbeing of residents. These were inspected on a visit to the head office. A protocol for residents with swallowing difficulties was seen today. Drug fridge temperatures are monitored and recorded. Residents spoken to stated that they are treated with respect, Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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 the following standard(s): 12. Resident find the lifestyle experienced in the home matches expectations and preferences, and satisfies their social, cultural, 13, religious and recreational interests and needs. 13. Residents maintain contact with family/ friends/ representatives and the local community as they wish. 14. Residents are helped to exercise choice and control over their lives. 15. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Two activities coordinators are present in the lounge at all times. There are a variety of activities on offer Residents mostly stated that they are happy with the activities on offer and have the choice to join in. Relatives were spoken to who stated that they are always welcome in the home. Two residents stated that they are free to come and go as they please. All stated that the food is good and the chef tries to offer alternatives as requested. The chef was spoken to and all kitchen records are up to date. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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): 16. will 17. 18. Residents and their relatives and friends are confident that their complaints be listened to, taken seriously and acted upon. Resident’s legal rights are protected. 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 inspected on a visit to head office. Residents spoken to mostly stated that comments they make are listened to. There has been a written complaint regarding laundry going missing and another resident today stated that this is still a problem. This was discussed with the manager The deputy manager stated that postal votes are obtained for residents; however, transport can be arranged if a resident wishes to go to the local polling booth. 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. Staff spoken to demonstrated knowledge of abuse procedures. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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. Residents live in a safe, well-maintained environment. 20. Residents have access to safe and comfortable indoor and outdoor communal facilities. 21, Residents have sufficient and suitable lavatories and washing facilities. 22, Residents have the specialist equipment they require to maximise their independence. 23, Service users’ own rooms suit their needs. 24, Residents live in safe, comfortable bedrooms with their own possessions around them. 25, Residents live in safe, comfortable surroundings. 26, The home is clean, pleasant and hygienic Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 14 EVIDENCE: An ongoing programme of maintenance is evident and was confirmed by the maintenance man. Residents bedrooms inspected were neat clean and had residents own belongings where possible. Two new sluices have been fitted and the laundry has been refurbished. Many of the bathrooms still have missing tiles but one downstairs one has been completely refurbished, as has the toilet close to the dining room. Two doors have been enlarged. The progress seen since the last inspection is evidence that the home is working towards improving standards for residents. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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 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 numbers and skill mix of staff meets resident’s needs. 28, Residents are in safe hands at all times. 29. Residents are supported and protected by the home’s recruitment policy and practices. 30. Staff is trained and competent to do their jobs. EVIDENCE: The recruitment practices of the home ensure the safety of the residents. Staff files inspected contained all the documentation required to ensure the suitability of that staff member. There are suitable numbers of staff and skill mix on duty at all times. Staff spoken to stated that they are happy with staff numbers. The recruitment practices of the home ensure the safety of the residents. Staff files inspected contained all the documentation required to ensure the suitability of that staff member. There is training programme in place which was available for inspection The individual sheets that this training is recorded on were not however up to date. This was discussed with the Deputy Manager and the Registered Manager Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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): 31. Residents 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. 32. Residents benefit from the ethos, leadership and management approach of the home. 33. The home is run in the best interests of residents. 34. Residents are safeguarded by the accounting and financial procedures of the home. 35. Residents’ financial interests are safeguarded. 36. Staff are appropriately supervised. 37. Residents’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. 38. The health, safety and welfare of residents and staff are promoted and protected. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home is run in the best interests of the residents. This is evident from discussion with the deputy manager, the registered manager, staff, residents and relatives. Records, policies and procedures are in place to safeguard their health and safety and welfare as is staff training. The residents are protected by the financial procedures of a large organisation. The manager and deputy manager are open to discussion and there is evidence of ongoing improvements to the fabric of the home. Residents spoken to stated that they are generally happy with the management of the home one saying that everything about his admission and experiences since being tremendous with all staff being kind and accommodating Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 Score 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 35 36 37 38 3 3 3 3 3 3 3 3 3 Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 19 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 Rapkyns DS0000024199.V307955.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Southampton HO 4th Floor, Overline House Blechynden Terrace Southampton Hampshire SO15 1GW 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. 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