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Inspection on 15/11/05 for Rapkyns Care Centre

Also see our care home review for Rapkyns Care Centre for more information

This inspection was carried out on 15th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

There are many activities on offer at Rapkins Care Centre for the people who live there, including swimming, discos, art and craft, music, and sensory rooms for residents to relax in. There was evidence of much artwork throughout the home, and some residents were enjoying a music session of singing, and playing of musical instruments. The Inspector saw that the residents also attend a variety of activities outside the home, and several residents were out at Day Centres or college etc. on the day of inspection. The Inspector saw the results of a questionnaire that had recently been circulated to residents and their representatives. The vast majority of the comments made from both residents and relatives were very favourable, with such comments, as "we are all like a big happy family "and" we are given very good quality of care". Several people commented on the wide variety of activities and outings available. The Inspector was told of a "Halloween" disco that was held earlier in the month, and of a production of "Grease" by the residents, that is to be held later in December. There is also a pantomime booked for residents to go and see, and an entertainer was coming that evening to the home. Many people from outside the centre, colleagues from college, friends from the Day Centres, as well as family are invited to the many events held at the home. There was a really relaxed atmosphere at the home, with staff members interacting well with the residents. Finally the home does not use agency workers, ensuring that the residents always know their carers.

What has improved since the last inspection?

The Manager informed the Inspector that a new digital camera, as well as a DVD camera has been purchased for the home since the previous inspection. A new pond area is being created in the grounds of the home, and a member of staff is working with Brinsbury Agricultural College to introduce polly-tunnels for residents to grow vegetables etc. in. A new carpentry workshop has recently opened at the home and the Inspector was told of plans for residents to get involved in craftwork as well as making props for the shows that the residents put on.

What the care home could do better:

Although Rapkins Care Centre has records in place of all the training that the staff members have undertaken, it was not easily evident who had received what training. The Manager informed the Inspector that that she is to review the format of how the staff training records is maintained.

CARE HOME ADULTS 18-65 Rapkyns Care Centre 48 Guildford Road Broadbridge Heath West Sussex RH12 3PG Lead Inspector Mrs J Wright Unannounced Inspection 15th November 2005 09:45 Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 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 Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rapkyns Care Centre Address 48 Guildford Road Broadbridge Heath West Sussex RH12 3PG TBC TBC 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 Ms Pauline McCann Care Home 20 Category(ies) of Learning disability (20), Physical disability (20) registration, with number of places Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning Disabilities (LD) 20 of whom some may have Physical disabilities A maximum of 20 service users may be accommodated between 18-65 years of age. 29th July 2005 Date of last inspection Brief Description of the Service: Rapkins Care Centre is a spacious purpose built residential care home, located in two separate bungalows, catering for twenty adults with physical and learning difficulties. The home provides nursing care for younger adults aged 18 to 65 years. All the bedrooms are single occupancy, each with en-suite facilities, and each bungalow has its own sitting and dining room. The two bungalows are separated by an activity centre, which includes an I.T. room, a swimming pool, a craft area and a video/cinema room. There is a central water feature, with sensory gardens to the back of the activity centre. Rapkins Care Centre is equipped with all the latest technological aids, including an audio loop system, track hoisting, a hydrotherapy pool and two sensory rooms. Telephone points and internet access is available for residents who wish to have a computer in their room, and environmental controls are available for residents wishing to access them. The entire home is wheelchair accessible. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was announced, was the first ever inspection of Rapkins Care Centre, and all the standards on that occasion were assessed. At this inspection the Inspector looked at any issues from the last report or concerns raised about the home since the last inspection. The reader is advised to look at the reports of both inspections for a fuller picture of the home. The Manager was present throughout the inspection. During this inspection the Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Rapkins Care Centre were being taken care of. The inspector observed staff members interacting with the residents, and spoke with staff members about how they found working at Rapkins Care Centre. At this inspection Rapkins Care Centre was audited against the National Minimum Standards for Younger Adults. All the standards assessed were met. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: There are many activities on offer at Rapkins Care Centre for the people who live there, including swimming, discos, art and craft, music, and sensory rooms for residents to relax in. There was evidence of much artwork throughout the home, and some residents were enjoying a music session of singing, and playing of musical instruments. The Inspector saw that the residents also attend a variety of activities outside the home, and several residents were out at Day Centres or college etc. on the day of inspection. The Inspector saw the results of a questionnaire that had recently been circulated to residents and their representatives. The vast majority of the comments made from both residents and relatives were very favourable, with such comments, as “we are all like a big happy family “and” we are given very good quality of care”. Several people commented on the wide variety of activities and outings available. The Inspector was told of a “Halloween“ disco that was held earlier in the month, and of a production of “Grease” by the residents, that is to be held later in December. There is also a pantomime booked for residents to go and see, and an entertainer was coming that evening to the home. Many Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 6 people from outside the centre, colleagues from college, friends from the Day Centres, as well as family are invited to the many events held at the home. There was a really relaxed atmosphere at the home, with staff members interacting well with the residents. Finally the home does not use agency workers, ensuring that the residents always know their carers. 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. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 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 Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Residents and their families have the information they need to make an informed choice about Rapkins Care Centre, and are suitably assessed before placement. EVIDENCE: Each resident is given a Statement of Purpose and Service Users Guide and a Contract when they enter the home. Most of the residents have family, or a solicitor, who act on their behalf. All residents are assessed by a senior member of staff, prior to their being accepted by Rapkins Care Centre. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 Residents take part in the running of the home, whenever possible and are able to make their own decisions with regard to outings etc, supported by staff members. Residents are encouraged to maintain independence whenever possible, and are fully involved in their care planning. Care plans are reviewed regularly. EVIDENCE: Care plans were seen to be regularly reviewed, and to reflect the needs of residents. Residents are encouraged to join in a variety of activities, such as horse riding etc. The Manager assured the Inspector that risk assessments are undertaken on all residents, prior to any activity. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion, however these standards were met at the last inspection. EVIDENCE: Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21 The ageing, illness and death of a resident are handled with respect, and as the individual would wish. EVIDENCE: The Manager informed the Inspector that she is about to start an Open University Course on Death and Dying. Family or friends are offered a spare bedroom, if available, or a comfortable chair in the residents room, at the end of their life. From talking with the Manager, it would appear that Rapkins Care Centre treat residents who are dying, and their family and friends with respect, care and sensitivity. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents feel their views are listened to and acted upon. All complaints are recorded. EVIDENCE: There were no complaints recorded at the time of the inspection. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 27 Residents live in a homely, comfortable and safe environment, resident’s bedrooms promote their independence, and resident’s toilets and bathrooms provide sufficient privacy, and meet their individual needs. EVIDENCE: Records of maintenance work carried out at Rapkins Care Centre showed the premises to be safe for the people who live there. All the communal areas are brightly decorated, with evidence of resident’s artwork, plus numerous photographs of past events etc. that makes Rapkins Care Centre a really homely place. Every bedroom in the home has a huge en-suite bathroom with sufficient room to enable staff members to see to the residents in a safe and totally private environment. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 Residents are protected by an effective staff team. EVIDENCE: The Inspector spoke with staff members on the day of inspection and watched them with the residents. Residents clearly got on with the members of staff, and were seen to be interacting really well with each other. One member of staff told the Inspector that they were very happy working at Rapkins Care Centre, and felt supported by the Manager and Sussex Health Care. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 40 and 41 It is apparent that the needs of the residents are uppermost at Rapkins Care Centre, and staff members ensure that resident’s rights and best interests are safeguarded at all times. Reviews are held at regular intervals and the Inspector noted that these were recorded appropriately. All records and policies and procedures are well maintained, and showed that all Fire and Environmental Health requirements had been met, and that all equipment is serviced regularly, thus ensuring that Rapkins Care Centre is a safe environment for the people who live and work there. Training, plus external courses and appropriate policies and procedures, tailored to suit the home, ensure that the health, safety and welfare of residents are promoted. EVIDENCE: The Manager informed the Inspector that there are regular staff meetings where minutes are taken. Rapkins Care Centre appears to be run in the best interest of the residents, and staff is well supported by the qualified and experienced Manager. The Inspector was informed that all policies and Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 16 procedures are reviewed regularly, and the Inspector saw that a questionnaire is produced by Sussex Health Care that regularly seeks feedback from residents and their relatives, about the service provided. Records, which included care plans and medical and training records were seen to be up to date, and securely kept. The Inspector was told that the method of recording staff training is to be reviewed by the Manager. Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rapkyns Care Centre Score X X X 3 Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 X X DS0000061920.V262422.R01.S.doc Version 5.0 Page 18 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 Rapkyns Care Centre DS0000061920.V262422.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 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. 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