Inspection on 29/07/05 for Rapkyns Care Centre

This inspection was carried out on 29th 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 Care Centre 19/06/07

Rapkyns Care Centre 15/11/05

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Sutton Lodge Nursing Home

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Rapkyns Care Centre 48 Guildford Road Broadbridge Heath West Sussex RH12 3PG Lead Inspector Jennifer Wright Announced 29 July 2005, 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rapkyns Care Centre Address 48 Guildford Road, Broadbridge Heath, 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) Dr Shafik Hussein Sachedina Ms Pauline MsCann Care Home (CRH) 20 Category(ies) of Learning disability (LD), (20), registration, with number Physical disability (PD), (20) of places Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Learning Disabilities (LD) 20 of whom some may havePhysical Disabilities 2 A maximum of 20 service users may be accommodated between 18-65 years of age. Date of last inspection NA 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 separeated 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 H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be unannounced, will be undertaken later in the year. During this inspection the Inspector toured the entire building, including the bathrooms, utility areas, dining and sitting areas, the day centre and the resident’s bedrooms. All were found to be satisfactory. The inspector met many residents, but due to their mental frailty, many were not able to tell the Inspector what it was like living at Rapkins Care Centre, however the residents were seen to be comfortable, and well cared for and appeared extremely happy. Visitors spoken to on the day of inspection told the Inspector that they were very pleased with the care at Rapkins Care Centre, and spoke well of the Manager and the staff members. In addition to the Manager, six staff members were also spoken to on the day of inspection, some very briefly, about how they find working at Rapkins Care Centre. All the staff members spoken to told the Inspector that they enjoyed their work, and felt supported by the Manager and Sussex Health Care. The Inspector examined records about care being provided to residents; as well as discussing any accidents or concerns or complaints, to make sure that the residents at Rapkins Care Centre were being taken care of. All records examined were found to be in order and up to date. The Care Plans were extremely well written and contained all the information needed to look after the residents. Staff training was ongoing and it was noted that some staff members had completed their National Vocational Qualification (NVQ) or were about to commence training. The training records of all staff were well documented and up to date. Staff members are supervised, and detailed notes of the sessions are maintained The building is purpose built for category odd residents and was seen to be clean and welcoming. All Health and Safety issues were up to date, and no recommendations or requirements were made at this inspection. Prior to the inspection, residents, their relatives and visitors to the home, were offered the opportunity to complete a short questionnaire where they could make their views on Rapkins Care Centre known to the Commission for Social Care Inspection. Two people responded, both stating that they were satisfied with the care provided by the home. As this was the first inspection of the home, Rapkins Care Centre was audited against all forty-three of the National Minimum Standards for Younger Adults. All the elements in each of the standards assessed were met. Seven were exceeded. The Inspector would like to thank everyone who co-operated with her on the day of this inspection. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 6 What the service does well: 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 Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 7 contacting your local CSCI office. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 9 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 standard(s) 1, 2, 3, 4, 5 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 comprehensive Statement of Purpose and Service Users Guide and a Contract when they enter Rapkins Care Centre. Most of the residents have family, or a solicitor, who are able to act on their behalf. A member of staff assesses all residents before they join the home. The records of these assessments were seen by the Inspector, and found to be very detailed. The Manager informed the Inspector that it is important that all residents fit in with others living in the home. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Wherever possible residents take part in the running of the home, and are able to make their own decisions, supported by staff members. Examples of this include activities, food, holidays and outings. Residents are encouraged to maintain independence whenever possible, and are fully involved in all aspects of their care planning. Resident’s needs are carefully monitored, and care plans are regularly reviewed by the staff at Rapkins Care Centre. EVIDENCE: Care plans were seen to be comprehensive, and to reflect the needs of residents. They were very detailed and well presented, and contained a complete record of the individual, including assessments from other agencies. All personal information with regard to residents was seen to be securely stored. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 11, 12, 13, 14, 15, 16, 17 The residents seen appeared extremely happy with their lifestyle at Rapkins Care Centre. The Manager informed the Inspector that all residents are encouraged to keep in contact with their family and friends, to have control over their daily tasks, and to participate in the day-to-day decisions of the home, wherever possible. The activities that residents participate in are determined by their individual needs and care plans. Meals are well planned and provide a variety of choice. Fresh home cooked food is provided. EVIDENCE: Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 12 The Manager informed the Inspector that residents have opportunities to meet people and join in activities outside of the home, and that risk assessments are undertaken to ensure the well being of the resident. Residents are encouraged to take part in outside activities and some residents go to college, pubs, clubs, church, the library and outings. The Manager informed the Inspector that staff members accompany residents, to offer support, whenever it is required. A resident spoken to on the day of inspection praised the food at Rapkins Care Centre and gave it “ten out of ten” for taste. The inspector examined a range of records and discussed resident’s lifestyles with the Manager. All were seen to be satisfactory. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18, 19, 20, 21 The resident’s health, personal and social care needs are well met through good staff training. All procedures for medication involve a thorough assessment of the resident. All staff members administering medication have been appropriately trained. EVIDENCE: Medication is stored safely and records were well kept with regard to the administering and disposing of all medication. All staff members administering medication are qualified nurses. Rapkins Care Centre has not had to deal with a death as yet, however, there are policies and procedures in place should such a thing occur. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22, 23 The Manager informed the Inspector that all staff, residents and their families are aware of the complaint’s procedure, and know how to complain. Staff members are aware of the Adult Protection Procedures and of the policies and procedures with regard to Whistle Blowing. EVIDENCE: A resident told the Inspector that they knew who they would talk to if they were unhappy with anything, and that they would be listened to. The Manager confirmed that staff members have access to a Whistle Blowing Policy and to the guidelines on how to refer any abuse, or suspicions of abuse. The staff members, who the Inspector spoke with on the day of inspection, were clearly aware of the need to support residents at all times from all forms of abuse, and of what action they would take if they felt it to be necessary. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24, 25, 26, 27, 28, 29, 30 On the day of inspection Rapkins Care Centre appeared clean and well maintained, and the location of the home is suitable for the residents who live there. The building is currently made up of two units of ten bedrooms, with each unit having its own sitting and dining areas. The two units, which are refered to as bungalows, are separeated 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. In addition, 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. The home is surrounded by a path, for residents to use, which is accessed from various parts of the home. The Manager informed the Inspector that the garden is used in a variety of ways, including a BBQ, two “conservation” ponds, and an area where residents grow flowers and vegetables The entire home is wheelchair accessible EVIDENCE: During the course of the inspection the entire home was visited to ensure that the environment was safe and comfortable for people who live there. The home was purpose built recently, to a very high standard for the residents who Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 16 live there. All the bedrooms are en-suite, and clearly reflected the resident’s personality and interests. It was noted that the resident had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Residents told the Inspector that they were very pleased with their room. Rapkins Care Centre was seen to be clean and tidy and in excellent repair throughout. Records were available to show that the home is maintained to a satisfactory standard. There were pictures painted by residents, plus numerous photographs of events throughout the home, plus fruit and fresh flowers. Visitors confirmed to the Inspector on the day of inspection that they could not fault the environment of the home. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 There appeared to be sufficient staff members employed to ensure that residents receive the support that they need. The home has a sound recruitment policy, where all required checks are made. Sussex Health Care appears very committed to training, and there was evidence that all staff members receive the appropriate support and supervision. It was seen that policies and procedures are in place to ensure that residents living A requirement is made in this report Rapkins Care Centre are protected. EVIDENCE: Staff members spoken to on the day of inspection were able to give a clear picture of the needs and preferences of the residents who live at Rapkins Care Centre. They said they felt supported by the Manager, and staff members spoken to, said that they “liked the standard of care at Sussex Health Care” and that “the training is always being updated.” On the day of inspection there were sufficient staff members on duty. Staffing records were examined and it was seen that all necessary procedures had been followed, with regard to recruitment of staff, including ensuring that all staff members have received Criminal Records Bureau enhanced checks, so that they are safe to work with Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 18 vulnerable people. Records seen were kept in locked cabinets, and showed that all staff members had received the appropriate training, and that supervision was being carried, out and notes kept. Everybody who the Inspector talked with on the day of inspection, staff members, residents and visitors, spoke very highly of Rapkins Care Centre. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42, 43 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. In-house training, plus external courses and good policies and procedures 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. In addition the Inspector was told of regular Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 20 resident’s meetings, with a record made of things discussed. Rapkins Care Centre appears to be run in the best interest of the residents, and staff members told the Inspector that they enjoyed working at Rapkins Care Centre, and that they felt well supported by the Manager and Sussex Health Care. One staff member told the Inspector “the Manager is ‘seasoned’, and knows what goes on in her home”, and all staff members spoken to, agreed that the home was a really good place to work in. Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 21 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 4 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 4 4 4 4 3 Standard No 11 12 13 14 15 16 17 3 3 3 4 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rapkyns Care Centre Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 22 NA 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 Good Practice Recommendations Rapkyns Care Centre H60-H11 S61920 Rapkins Care Centre V230718 290705 Stage 4.doc Version 1.30 Page 23 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. 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