Inspection on 19/09/05 for Rawleigh House

This inspection was carried out on 19th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rawleigh House 29/04/08

Rawleigh House 21/09/06

Rawleigh House 08/02/06

Rawleigh House 05/01/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Rawleigh House The Avenue Sherborne Dorset DT9 3AJ Lead Inspector Marion Hurley Unannounced Inspection 19th September 2005 10:00 Rawleigh House DS0000059390.V249606.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 Rawleigh House DS0000059390.V249606.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. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rawleigh House Address The Avenue Sherborne Dorset DT9 3AJ 01935 816630 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) Dorset Residential Homes Mrs Caroline Ann Bowen Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ensuites will be installed in each bedroom as the opportunity arises and the registered number will decrease from 7 to 6. 5th January 2005 Date of last inspection Brief Description of the Service: Rawleigh House is located in Sherborne, in a popular residential street close to the town centre. The home is registered to provide accommodation and personal care to a maximum of seven adults who have a learning disability. The home is operated by Dorset Residential Homes, a registered charitable trust that operates a number of care homes in Dorset. Service users living at Rawleigh House have access to a wide range of social and leisure opportunities and facilities, and support is provided by staff as needed, according to the individual needs of service users. Most service users use local authority day services during the week, where they have the opportunity to access further education and life-skills. Rawleigh House is laid out over 3 floors and provides a comfortable and attractive home for service users, who all have their own private bedroom and share communal living rooms; 5 of the bedrooms have en-suite facilities. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Rawleigh House was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of six hours, three of which were spent at the Home. Neither the Registered Manager nor Deputy were on duty however three care assistants were available throughout the inspection. Two residents were at home and the other four returned for their lunch having spent the morning at the local Day service. On this occasion and due to time restraints none of the residents were fully involved in the inspection process however the next inspection will involve any/all resident(s) who would like to add their views on the inspection process and subsequent standards. The premises and garden are suitable to meet the needs of the residents. The inspection process was assisted by the openness of the staff and the inspector was grateful for their time and commitment to the inspection. Two requirements are carried forward from the previous inspection and one good practice recommendation. These standards were not assessed at this inspection and will be addressed at the next inspection. (NMS 1,6 & 39) What the service does well: Rawleigh House provides a friendly and informal setting for residents of varying abilities and needs. The staff provide a flexible needs led service and encourage residents to fully participate in the day-to-day running of the home. There was evidence of good multi-disciplinary work on a regular basis and staff said there was good team work between colleagues which they felt emulated from Senior Managers having a positive attitude and promoting the services and facilities of Dorset Residential Homes. Observation throughout the inspection evidenced good relationships had built up with the staff and residents and it was clear from the interactions that they were at ease in each other’s company. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 6 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. Rawleigh House DS0000059390.V249606.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 Rawleigh House DS0000059390.V249606.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): None of these standards were assessed. No service users have been admitted to the home since the last inspection. The key standard will be assessed at the next inspection visit. EVIDENCE: Rawleigh House DS0000059390.V249606.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, 7 & 9 • Assessments and Goal Plans are in use for each of the residents, which inform staff how each person wishes to receive personal support. However, these do not demonstrate how the resident’s were involved in deciding their personal goals and aspirations. • Within the residents’ personal abilities, each is supported to take appropriate risks, but these do not fully reflect how the risk assessments promote the resident’s self-determination. EVIDENCE: A sample of three resident’s files were read. Each contained a considerable amount of information but it was unfortunate and gave a rather negative impression that each file opened with a document/letter entitled “Final Discharge Summary March 2004.” followed by a Clinical review June 2004. However once past this the files included a range of specific assessments and profiles i.e. Medical profile, Health & Safety/Well Being, Personal Handling, Living Assessment and Goal Planning. The Personal Profiles described the person’s abilities and their likes and dislikes and some of this information transferred into other assessments including another negative statement “Barriers to preferred Lifestyle”. One of the three Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 10 goal plans had been signed by the resident, dated and reviewed. Where residents are unable to sign their Plans a record of the consultation and process of agreeing the outcomes and plans should be recorded to provide evidence of the resident’s positive involvement. Risk assessments were completed but would benefit from being expanded to include clarification regarding the management of tasks such as finances and medication. Observation throughout the inspection showed that residents were given choices in their daily lives and discussions with staff confirmed that residents are encouraged to be independent. Residents choose their own weekly menu and everyone takes a turn in helping with the daily chores. All the resident’s files are kept secure in a locked room however, in the main lounge there is a file containing everyone’s daily notes, this file and the information in theory is accessible by any person using the lounge. Staff must consider whether this information is confidential and how it should therefore be safeguarded in the interests of each resident. This file also contained the residents’ list of personal possessions. Consideration needs to be given to the most appropriate place to keep this type of information. The three files read on the day of the inspection did not have photographs of the individuals however; these may have been available with other records not checked on the day of this inspection. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 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 the following standard(s): 12 & 16 • All the residents attend Day Services, which provide age appropriate activities with their peers. The other residents are given appropriate opportunities to learn and develop through participating and experiencing a wide range of leisure and daily living activities both at home and in the local vicinity. • Staff treat residents with respect and this forms the foundation of a positive and respectful relationship between staff and residents. Residents are given both privacy and personal space. EVIDENCE: All residents have a programme of activities and each has a checklist to ensure their participation has been recorded. Residents have a variety of opportunities for personal development and these include a range of independent living skills such as making drinks or snacks. Attendance at the local day services is based on the resident’s assessed needs and varies from full time attendance to two days per week. Staff reported a very positive working relationship with staff from the centres which is an overall benefit to the residents and helps towards continuity of care both at Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 12 home and whilst attending Day Services. This summer residents have enjoyed holidays in Minehead and Cornwall and a range of outings which have been both fun and stimulating contributing to the residents presence and understanding of their community. Observation throughout the inspection showed that staff interacted fully with residents who were treated with respect and kindness. Residents have unrestricted access to all communal areas of the home and/or can chose to spend time in the privacy of their rooms. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 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 the following standard(s): 19 • Staff provide flexible support and personal care for each resident ensuring their health and general well-being is carefully monitored and maintained. EVIDENCE: Resident’s healthcare needs are provided for including those with more complex physical needs and there was evidence from both the records and in discussion with staff of good multi-disciplinary work with allied professionals. Resident’s personal care needs are recorded and their preferences are described in the Personal profiles. The home operates a system of designated key worker which helps provide consistency and continuity of support to the residents. Staff spoken with during the course of the inspection demonstrated a good understanding of the personal and healthcare needs of the residents living at Rawleigh House. Resident’s health needs are identified in their assessments/plans and all current medication is listed. A record is kept of all GP, Dentist and Optician appointments. There was further evidence of liaison with healthcare professionals including psychiatrists, and specialist consultants. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were assessed at this inspection and will assessed at the next inspection. EVIDENCE: Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 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 the following standard(s): 30 • On the day of the inspection the premises were clean, creating a safe and comfortable environment for both residents and staff. EVIDENCE: A tour of the premises was completed and the premises were found to be well maintained and in good repair. All communal areas, and bathrooms were viewed and some of the resident’s bedrooms. The home is comfortably furnished and on the day of the inspection new dining room furniture was being delivered. The grounds and external fabric of the building look to be well maintained. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 16 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): None of these standards were assessed at this inspection. The key standards will be assessed at the next inspection. EVIDENCE: Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 17 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): 42 • At the time of this unannounced inspection, safe-working practices appeared to be satisfactory ensuring a safe environment for both residents and staff. EVIDENCE: Records seen on the day of the inspection were up to date and accurate, and reports from other agencies confirmed equipment was regularly serviced and maintained ensuring the health, safety and welfare of all the residents and staff. Records of fridge and freezer temperatures and food temperature were not all complete. Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 18 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 x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rawleigh House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 X DS0000059390.V249606.R01.S.doc Version 5.0 Page 19 YES 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 YA6 Regulation 15(1)(2) Requirement Timescale for action 2 YA39 24 31/12/05 The registered manager must develop and agree with each resident an individual Plan which may include treatment and rehabilitation, describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. Please note some aspects of this standard are met and work is progressing to ensure the standard is fully met. A new timescale has been set. Effective quality assurance and 31/12/05 quality monitoring systems, based on seeking the views of residents, are in place to measure success in achieving the aims, objectives and statement of purpose of the home. This requirement is carried forward from the previous inspection and was not assessed at this inspection. A new timescale has been set. DS0000059390.V249606.R01.S.doc Version 5.0 Page 20 Rawleigh House 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 YA1 Good Practice Recommendations The Statement of Purpose/Service User Guide should be produced in a style format appropriate to the needs of the residents. This good practice recommendation is carried forward from the previous inspection, as this NMS was not assessed at this inspection The Registered Manager and staff need to demonstrate the involvement of all the residents in the development of their individual Lifestyle Plans and Goals 2 YA6 Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Rawleigh House DS0000059390.V249606.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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