Inspection on 30/12/05 for Rawlings House

This inspection was carried out on 30th December 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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rawlings House 25/03/09

Rawlings House 03/08/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Rawlings House 45 Rawlings Cresent Colchester Essex CO4 9FB Lead Inspector Sara Naylor-Wild Unannounced Inspection 30th December 2005 08:30 Rawlings House DS0000062568.V272179.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 Rawlings House DS0000062568.V272179.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. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rawlings House Address 45 Rawlings Cresent Colchester Essex CO4 9FB 01206 842550 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) Rowans Care Limited Mr Edward Don Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability, who may also have a physical disability 2nd September 2005 Date of last inspection Brief Description of the Service: Rawlings is a purpose built two-storey building situated within a residential area to the west of Colchester town centre. The service users accommodation is all set out on the ground floor and is made of 7 single bedrooms, 6 of which have en-suites, a large bathroom with ceiling tracked hoist and wet room shower, kitchen, dining room and lounge. Staff facilities and the laundry are accommodated on the first floor. The building is set in a large enclosed garden with secure gates. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 30th December 2005. This was the second inspection of the service since its registration, although at the time of the first inspection in September 2005, there were not any service users resident at the home. At the time of this visit two service users had been admitted and the home was staffed by one staff member. The registered manager was present for the period of the inspection. The home is owned and operated by Rowans Care Ltd, who has a proven track record of care provision at Rowans Care Home, Tiptree. Rawlings is a new venture for the company, but the operations, staffing and documentation are based on the model in operation at Rowans. 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 contacting your local CSCI office. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 6 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 Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 7 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, 2 and 4. There are service users guides and statement of purpose produced for the home. Each service user was assessed prior to moving into the service. Service users visited the home prior to admission. EVIDENCE: The home submitted copies of the statement of purpose and service users guide as part of the registration process. These were present in the home at the time of inspection. The files of the two service users already resident in the home were examined and contained detailed assessments of need completed by Social Care professionals, as well as additional information gathered by the manager. The details held would be sufficient to provide the basis for a care plan as well as helping the home make decisions regarding the home’s suitability in meeting the service user’s needs. The home encourages prospective service users and their supporters to visit the home prior to making decisions about moving in. This is supported by statements in the statement of purpose, service users guide and admission policy. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 8 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 and 9. The service users’ care plans were not complete, and did not therefore instruct staff in how to meet service users’ assessed needs. The care plans had not defined how service users were to be assisted to make decisions. Risk assessments have not been completed for all aspects of care planning. EVIDENCE: Of the care plans for the two service users living at the home at the time of inspection, one was not fully complete. The manager explained that in part this was due to the recent admission this service user. Although there is some expectation that care plans will be developed over a period of time as the staff gain knowledge about the service user and the best way to deliver care, there should be the beginnings of a plan from the outset. This is based on the knowledge to date and provides the introduction to care provision that staff can add to as their understanding and knowledge is developed. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 9 The lack of detailed care planning means that decisions about how to support service users’ independence and the level of risk involved were not fully explained in the care plans. Rawlings House DS0000062568.V272179.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. EVIDENCE: Rawlings House DS0000062568.V272179.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): 18, 19 and 20. Care plans required development to ensure that they gave sufficient instructions regarding delivery of care. Medication administration is adhered to in the home. EVIDENCE: The care plans did not contain sufficient information to understand how service users preferred their care to be delivered. From discussions with the staff and manager it was apparent that they understood the service users and their individual behaviours and preferences. This required further development. The medication management is appropriate and staff undertaking medication administration has sufficient training. Rawlings House DS0000062568.V272179.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 and 23. The home had not developed systems for gaining service users’ views. The policy in respect of protection from abuse was in place. EVIDENCE: Neither of the two service users had been living at the home for very long at the time of inspection, and both suffered from communication issues. At that time staff had not developed strategies for gaining their views and this is an area that will require development. The home has a policy in relation to the protection of vulnerable adults from abuse, and staff were training in recognising the signs of abuse and the expectations of the company in terms of whistle blowing. Rawlings House DS0000062568.V272179.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 and 30. The accommodation provided by the home is comfortable and domestic in character. The home is clean and hygienic. EVIDENCE: The accommodation was designed for the service user group and provides a warm and family type environment. The home was clean and free from odours at the time of the inspection. Rawlings House DS0000062568.V272179.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): 32, 33, 34 and 35. The staffing requirements are under assessment according to the needs of service users admitted and are subject to change. The organisation operates a robust recruitment process. Staff training has been provided prior to staff commencing work at the home. EVIDENCE: The inspector discussed with the manager the staffing arrangements for the home. At the time of the inspection the home was staffed by one member of care staff and the manager in the waking day and one member of awake staff at night. The documents of one service user identified that they would need one to one care, and the manager was able to explain how this was being negotiated within the contract with the placing authority. However the identified need for 1:1 care was not being met. The manager was reminded that the requirement was not dependent on the availabliity of funding and should be provided according to the assessed need from the outset. The organisation has a thorough and robust process for recruitment that has been tested out at previous inspections of the sister home to Rawlings. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 15 The staff had been recruited and trained at The Rowans, prior to the admission of the service users to Rawlings. The manager is aware of the need to develop a training programme that incorporates issues identified from staff supervision and services users’ needs. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 16 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 & 42. The home is focused on the service users and how best to provide a service to meet their needs. The manager has a proven track record of leadership within the care sector. The documents relating to health and safety were in place. EVIDENCE: Whilst it is early in the life of the service and further developments were required to enhance the quality of provision as the service grows, there is a sense within the team that the focus remains with the service users and their needs. The manager has a long record of care provision in learning disabilities services in a range of settings. As a director of Rowans Care Ltd, he has been involved in the developments of the service and taken a lead role in inspections held in The Rowans and Rawlings. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 17 The documents that evidence that health and safety checks, services and inspections were in place and examined by the inspector. Rawlings House DS0000062568.V272179.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 3 3 X 3 X Standard No 22 23 Score 1 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 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 3 2 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rawlings House Score 2 2 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000062568.V272179.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? N/A 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 YA18YA6 Regulation 16 Requirement The registered person must ensure that how service user’s assessed needs are to be met by care staff is identified in a care plan. The registered person must ensure that service users are supported to make decisions about their life and this is documented in care plans. The registered person must ensure that monitoring records relating to service users’ health needs are maintained in the home, and any outcomes are recorded in care plans. The registered person must ensure that staffing numbers adequately support the assessed needs of service users. Timescale for action 30/04/06 2 YA9YA7 13,15 30/04/06 3 YA19 13, 16 30/04/06 4 YA33 18 30/04/06 Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 20 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 YA22 Good Practice Recommendations The registered person should consider further how service users are supported in accessing the complaints procedures. Rawlings House DS0000062568.V272179.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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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