Inspection on 08/02/06 for Rawleigh House

This inspection was carried out on 8th February 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

Rawleigh House 29/04/08

Rawleigh House 21/09/06

Rawleigh House 19/09/05

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 8th February 2006 10:00 Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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.V279232.R01.S.doc Version 5.1 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.V279232.R01.S.doc Version 5.1 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.V279232.R01.S.doc Version 5.1 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. 19th September 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.V279232.R01.S.doc Version 5.1 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 seven hours, three of which were spent at the home with residents and staff. During the inspection records related to the specific standards assessed were checked. The inspection process was assisted by the openness of the staff and the inspector was grateful for their time and commitment to the inspection. Requirements identified in previous inspections have been met. What the service does well: What has improved since the last inspection? Since the last inspection one new member of staff has been successfully recruited and the home has no staff vacancies. New bedding and curtains have been purchased and a new bed and shower cubicle in the sleep in room for staff. New furniture has been bought for the quiet sitting room though work on this has yet to be finished. This room was previously used as a bedroom and the washbasin is due to be removed very shortly. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 6 Since the last inspection residents’ photographs have been added to their records and their individual involvement is more clearly recorded. The files and daily notes are all kept securely. 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.V279232.R01.S.doc Version 5.1 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.V279232.R01.S.doc Version 5.1 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): At this stage none of the above standards are applicable. This current group of residents have lived together for over four years and some many more than that. There is no anticipated change to this existing group of residents. EVIDENCE: Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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): The key standards were assessed at the last inspection and the work being undertaken at that time to meet the previous requirement has now been fully completed. All residents have Life Support Plans which identify the services and facilities provided to meet their on going and changing needs. Photographs have been included with the records. EVIDENCE: Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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): 13, 15 & 17 • Residents live ordinary lives in the community seeing family and friends as they wish. • Residents are encouraged to eat a healthy diet. EVIDENCE: The Registered Manager advised that relatives are encouraged to visit whenever they can and if this is not possible then staff will assist with transport to ensure family members and friends keep in touch with their relatives/service users. Several of the residents have lived in and around the town of Sherborne for many years and when in town are often stopped for a chat by good acquaintances who have known them over the years. Most of the residents’ social contacts are through the network of other services either statutory or voluntary i.e. Day Services, Gateway Club. Residents when asked also describe the staff as their friends. Residents are supported and encouraged to access all local facilities and amenities. One resident said “I like a pint “ and staff confirmed two of the residents often walk to the local pub and have a drink. Another resident described their trip last Saturday to Clarks Shopping Centre where they had Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 11 particularly enjoyed chocolate muffins. Staff explained that everyone had chosen to go on the trip but once at the centre the group split into small groups of two or three people mingling around with other shoppers. Residents are supported to help in the dining room and generally around the home. Menus are developed with the help of residents and all individual likes and dislikes are accommodated. The main meal is cooked at mid-day and residents come home from the local day service to enjoy their meal altogether. Staff take it in turns to cook the meal. There was an excellent supply of fresh fruit and vegetables and it was good to see residents could help themselves to the fruit. The inspector observed the mid day meal which looked appetising and was well presented. There was much banter throughout the mealtime between staff and residents and clearly meal times are a pleasant occasion, which are enjoyed and not rushed. The temperatures of all the appliances and record of food temperatures were accurately recorded and up to date. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 12 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): 18 & 20 • The personal and health needs of residents are met. Records provided written evidence of regular reviews and multi-disciplinary working. • The systems for ensuring the safe handling and administration of the residents’ medication are thorough. EVIDENCE: Discussion with staff and verification from a care plan indicated residents’ preferences in regard to personal care are carefully managed. The key worker system ensures consistency and continuity of care for each resident. Details of the residents’ likes and dislikes are well understood and staff were able to clearly describe individual preferences and also explain how the residents’ wishes are fulfilled in the daily routines. For example one resident only likes their bath in the evening so staff always ensure this preference is met even after a day out. Another resident “hates showers”. Medication administration sheets (MAR sheets) were examined and found to be in order. DRH has comprehensive policies and procedures for the management of residents’ medication and it was clear from checking the records and storage that the procedures were being carefully followed and implemented at the home. Each resident has a medication profile and these were very well written providing details of how and why the resident requires their prescribed medication. It is recommended these profiles are reviewed with the six Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 13 monthly medication reviews. GP’s have been asked to counter signed forms indicating where in their opinion residents would be at risk if they chose to self –medication. A record of seizures are kept for those residents with epilepsy, with details of their individual treatment plans. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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): 22 & 23 • The home/DRH has procedures to deal with complaints or concerns. • Staff are aware of the action to take should a complaint or allegation of abuse be made. EVIDENCE: Dorset Residential Homes has comprehensive policies and procedures for dealing with complaints and any allegations of abuse. No complaints have been received since the last inspection. Staff completing LDAF and or NVQ training undertake specific study units on the Protection of Adults. The Registered Manager and staff demonstrated their knowledge and responsibilities to protect residents and understood the procedures to follow in such an event. Many of the staff have worked with this group of residents for several years and are confident even if the resident could not verbally express their concern staff are sensitive and have sufficient experience to understand the resident’s individual behaviour and gestures which would ensure staff were alerted to any issues the residents might have. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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): 24 • Rawleigh House offers a high standard of accommodation tailored to meet the needs of the current group of residents living there. EVIDENCE: Residents live in a comfortable home. The furnishings and decoration are well maintained and the generous communal areas are homely and have a positive “lived in” feel. All rooms are single occupancy and are located over two floors. Residents have been shown how to access the home using the key pad. However, no one has shown any interest in doing this independently. Keys are available for bedroom door locks and one person uses their, whilst the others have chosen not to lock their rooms. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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): 33, 34 & 35 • Residents are supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. • Recruitment policies and procedures are comprehensive and implemented ensuring the safety of the residents. • The Registered Manager ensures there are enough staff on duty in order to meet the needs of the residents. EVIDENCE: Staffing numbers are well maintained with staff preferring to work long days i.e. 07:00-21:00 during this period there will be one qualified or shift leader leading the staff team and two support workers. From 21:45 – 07:15 there is one waking and one sleep in staff on duty. Rotas are worked out a month in advance. All staff receive induction training and then progress to LDAF and NVQ training courses. Mandatory training records were complete and included health & safety, food hygiene and fire safety. Specialist training linked to the needs of the residents is organised through DRH and nursing staff are encouraged to maintain their registration and participate in any professional training available. Each member of staff has a Training Log, which clearly records training completed throughout the year. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 17 A staff personnel file was inspected and included the required information for effective recruitment of staff. Supervision sessions by agreement with DRH are not recorded unless specifically requested by either person. A record of topics discussed is noted and the date of the supervision recorded. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 18 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 & 39 • The home is well managed and this influences the quality of the care provided to the residents. • The interest and welfare of the residents is considered to be the foundation of the home and both staff and the manger endeavour to maintain the residents well being and safety at all times. EVIDENCE: The Registered Manager is a qualified nurse with the necessary skills and experience to successfully manage the home on a day-to-day basis. Staff were observed to have a good relationship with the manager, with lively discussions held between them. Quality assurance and monitoring systems are ongoing. Regular staff meetings and supervision help monitor the quality of care provided and ensure staff maintain their competencies. The “responsible individual”/ representative for Dorset Residential Homes completes the monthly monitoring visits. Regulation 26 reports are comprehensive and extremely useful and provide a good picture of life in the home. Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 19 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x 3 x 3 x x x x Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO 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 Rawleigh House DS0000059390.V279232.R01.S.doc Version 5.1 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. 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