Inspection on 20/03/08 for Rawlyn House

This inspection was carried out on 20th March 2008.

CSCI found this care home to be providing an Good service.

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

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Rawlyn House Rawlyn Road Chelston Torquay Devon TQ2 6PL Lead Inspector James Rose Unannounced Inspection 20th March 2008 09:00 Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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 Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rawlyn House Address Rawlyn Road Chelston Torquay Devon TQ2 6PL 01823 272633 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) creamcare@aol.com Cream II Ltd Care Home 15 Category(ies) of Learning disability (15), Physical disability (8) registration, with number of places Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) - maximum of 15 places Physical disability (Code PD) - maximum of 8 places The maximum number of service users who can be accommodated is 15. New Service 2. Date of last inspection Brief Description of the Service: Rawlyn House is situated in a quiet residential area of Torquay, it is registered to provide 24-hour for up to 15 persons with a learning disability, 8 of whom may have an additional physical disability. There are 15 single bedrooms with on suite facilities; these are on the ground floor and the first floor of the home. Three comfortably furnished lounges are available with television provided. A dedicated dinning room is available which is well furnished and provides tables seating up to four persons. At the front of the home there is a hard standing parking area for several vehicles and the drive up to the front door. Outside there is a large level garden that has a patio area equipped with seating and a play area on the lawn that has adapted swings and a trampoline. The home is well provided for vehicles, as there are three people carers available; one has been fitted with wheelchair facilities. The weekly costs of care at the home are: lowest £1400 and the highest £3000. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced inspection was undertaken over 7.5 hours on 20th March 2008. Samples of the care records were examined and the administration records of the home. Observations were made during the day of how care was delivered and the approach taken with individual residents. Three of the care team were interviewed individually in private and three healthcare professionals were also consulted. One parent of a resident in the home was also interviewed. A complete tour of the home and grounds was undertaken and all rooms were seen. The inspection was undertaken with the full assistance of the proposed registered manager. What the service does well: What has improved since the last inspection? This was the first inspection of this new service. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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 Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. The home ensures that detailed comprehensive assessments are available for each resident in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The sample of assessments examined at this inspection clearly demonstrated that a comprehensive assessment process is in place that is completed over several visits with the prospective resident. Information is also included from family and healthcare professionals. The assessments were discussed in detail with the proposed registered manager and the information contained in the individual residents’ files is going to be collected together in a single assessment document, and an agreed timescale for this to be completed was two months from the date of the inspection. One parent of a resident who was consulted as part of the inspection process was very complimentary about the assessment process and from the observations made during the day of the inspection residents appeared happy and relaxed at the home. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. Detailed care plans are in place in the home for each resident. Residents are able to make day-to-day decisions about their lives with assistance. Comprehensive risk assessments are in place and residents are supported to be as independent as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of the detailed care plans were examined at this inspection, these were constructed from the assessments that had been completed and with further consultation with the individual resident and their families, it was clear that a client centred approach was used. The plans detailed how specialist requirements would be met by the home and the therapeutic programmes used. Some of the records were on single sheets and it has been agreed with the proposed registered manager that all loose-leaf pages should be dated to ensure they can be orientated in time. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 10 Regular reviews are undertaken of the care plans to ensure they reflect the changing needs of the person concerned. Within the confines of the care planning process residents make their own decisions about their lives and assistance is provided as needed. Carers are able to demonstrate how a resident has made individual choices. Residents are support by the care team to take responsible risks after detailed risk assessments have been undertaken to minimize identified risks and hazards. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 15, 16 and 17. Quality in this outcome area is good. Residents are able to take part in appropriate activities and are part of the local community. They engage in relationships and their rights are respected in their daily lives. The home offers a healthy varied diet and residents enjoyed their food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Some residents’ capacity is severely limited but all are able to undertake fulfilling activities in the home. Records are detailed and clearly demonstrate a client centred approach being taken by the care team. Residents are able to access the facilities of the local community with the assistance of the care team. Some of the activities available to residents are: Dog walking, horse riding, swimming, gardening, cooking, local clubs, cinema and varies trips to different venues such as the steam trains, zoo and local parks. The care team ensures that residents are able to get out of the home on a daily basis. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 12 The home is very well equipped to provide appropriate transport. The staff at the home encourage and support residents to maintain links with family and friends. Residents’ rights are respected and the independence of residents is promoted beginning with toileting, dressing and mobility issues. A nutritious, varied and balanced diet is provided for residents that is to their liking. Regular meals are provided and snacks and drinks are available on a 24-hour basis. Meals are usually taken in the dedicated dining room, which is furnished with small tables that seat up to four persons. Mealtimes are relaxed and unrushed. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. Residents are supported in a way they prefer and their physical and emotional needs are met. Residents can self medicate if they have the capacity and the administration procedures in the home of medication ensures residents are safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although some of the residents in the home have poor speech they can communicate clearly if they don’t like something. Care is taken by the care team to ensure that personal support is provided in a way that the resident concerned likes. Detailed assessment is undertaken to ensure that residents’ physical and emotional health needs are met appropriately. To ensure this is achieved the home employs a consultant phyciatrist who visits the home regularly. Three healthcare professionals were asked for their views of the service at the home and if there were any concerns. They all clearly expressed confidence in the service provided. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 14 Residents who wish are able to self medicate subject to a risk assessments approach to ensure they had the capacity and were safe. Currently no resident is able to self medicate. The complete records of the administration of medication were examined as part of the inspection process. Medication was checked and booked in when received and complete issue records were available. Any medication that was unused was appropriately recorded and returned to the pharmacist. An appropriate system was in place for medication subject to the controlled process and all medication was stored under appropriate secure conditions. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. Every effort is made by the care team to listen to the views of residents and act on their wishes. Carers are appropriately trained and residents are protected from all kinds of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care is taken by staff to listen to the residents and details of the way individual residents communicate are included in the care plan. e.g. one resident bites their hand when they don’t like something. The complaints process is provided to all residents and their families. One visitor was consulted on the day of the inspection and advised that if issues were raised with the home they were dealt with speedily. Residents seen on the day of the inspection were relaxed and happy and clearly enjoyed a very friendly relationship with their carers. Residents are protected from all types of abuse. The home has available a comprehensive policy and procedure that complies with the current legislation and carers are trained in this use. At the time of the inspection carers were interviewed individually and advised what action should be taken if an abuse was found and were clear on the home’s policy and procedure. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is excellent. Rawlyn House is homely, comfortable and well furnished and provides a safe environment for the residents. The home was clean throughout with high standards of hygiene evident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the building and grounds was undertaken as part of the inspection process. No outstanding maintenance was apparent and all equipment is regularly serviced. The home is furnished and decorated to a high standard with all necessary equipment provided for the safe handling and entertainment of residents. All bedrooms are spacious and have on suite facilities are provided. Outside the grounds are well tended with a patio area available with seating and some adapted swings and a trampoline provided on the lawn. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 17 The building was kept clean throughout with attention paid to infection control in the laundry system. All toilets and bathrooms were seen with high standards of hygiene apparent. No offensive odours were found in the home. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. The care team at the home is competent and have completed all basic training. The recruitment practices employed in the home are appropriate. There is a training programme for carers that ensures that the individual and joint needs of residents are appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care hours available are sufficient to ensure residents’ needs are appropriately met. When staff are recruited the home follows appropriate procedures that ensures residents are safe. New carers are interviewed and the home undertakes the necessary checks etc. Samples of the personnel care records were examined during the inspection and these demonstrated that all the appropriate documentation was in place that is required by the legislation. The home has an active training programme in place, which helps to ensure that carers are competent and able to fulfil their post appropriately. In addition the management of the home undertakes regular formal supervision. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. Residents’ benefit from a well run home and they were relaxed and happy. The health and safety and welfare of residents is appropriately promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a proposed registered manager in place who is experienced with this client group and competent to fill the post. Currently she has the NVQ 3 and the Registered Managers Award qualifications and is about to enrol to take NVQ 4. The approach taken at the home with the development of the service and the daily routines are that the needs of the residents come first and are always considered. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 20 Health and safety issues and the welfare of the residents is taken very seriously and is actively promoted by the management of the home. The moving and handling of residents is only undertaken after the detailed consultation with the appropriate healthcare professionals. All the equipment in the home is regularly serviced. The recordings of the fire precautions undertaken by the home were examined and were found to be complete and up to date. Appropriate systems are in place to deal with waste and the regulations concerning the use of hazardous chemicals are in place and observed. Appropriate reports are made of incidents in the home in line with the legislation. Rawlyn House is a well-run establishment that provides a comprehensive service to the residents it provides for. Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rawlyn House DS0000070507.V353219.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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