Inspection on 27/06/07 for Roann House

This inspection was carried out on 27th June 2007.

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

Roann House 28/07/08

Roann House 19/02/08

Roann House 30/05/06

Roann House 11/10/05

Roann House 10/05/05

Roann House 15/11/04

Roann House 05/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Roann House 91 Bouverie Road West Folkestone Kent CT20 2PP Lead Inspector Christine Lawrence Key Unannounced Inspection 27 June 2007 11:00 X10015.doc Version 1.40 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 Roann House DS0000057418.V340211.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 Older People. 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. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roann House Address 91 Bouverie Road West Folkestone Kent CT20 2PP 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) 01303 253705 Roann House Ltd Mrs Sursatie Pieries Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30 May 2006 Brief Description of the Service: Roann House is situated in a residential area of Folkestone, close to The Leas promenade. It is approximately 1 mile from the town centre, which has a good range of amenities. There are good public transport links available nearby. The service is owned, managed and run by two experienced Registered Mental Health Nurses. It provides care and support for up to 18 older people. The home does not offer nursing care. A condition of registration allows one specific person who has dementia care needs to have regular respite support. The home is set out over three floors with the majority of the residents’ rooms being on the ground and first floor. There is a good-sized passenger lift and a stair lift to enable access throughout the house. The home benefits from a large open lounge. It has a relatively small dining area and a quiet room with a private telephone. To the rear of the home is a good-sized conservatory. There is an accessible, enclosed courtyard garden at the back of the house. Fees are currently between £312.81 and £375.00 per week. Information about the home will be made available on request and there is also a website. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and started at 11.00 and finished at 16.15. I looked at various records in the home and also used information from previous inspections. Some surveys had been completed some months ago at our request and the information from them is also used for this report. I spoke with many of the residents, both in groups and singly. A tour of the home was made. Observations were made of staff interacting with residents and I spoke to staff on duty as well as the owners of Roann House Limited, Mr and Mrs Pieries. Mr and Mrs Pieries provided the completed Annual Quality Assurance Assessment (AQAA) on the day of the site visit. What the service does well: What has improved since the last inspection? What they could do better: Although there are no formal requirements Mr and Mrs Pieries have agreed to improve their induction by using the Skills for Care common induction standards and also to provide copies of the General Social Care Council’s to staff members. Within the Annual Quality Assurance Assessment (AQAA) completed this month for the commission for social care inspection (CSCI) they have also identified the following things for improvement:- to continue to provide both internal and external training for staff; continue to ask residents about their wishes for activities and entertainments; provide new carpet in the conservatory; encourage more staff to undertake national vocational qualifications and encourage staff to contribute more at staff meetings. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 6 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. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 does not apply to this home) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one will be admitted to the home unless their needs have been assessed and the home is confident that it can meet their needs. EVIDENCE: I looked at four individual records and there were examples of assessments undertaken prior to admission. There were also examples of information from care managers (social services). Mr and Mrs Pieries, both during the inspection site visit and in writing in the AQAA, expressed the commitment to only admit a resident if they were confident that they could meet their needs. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their health care and medication needs will be met and that they will be treated with respect. EVIDENCE: As noted above I examined four care plans for this inspection. Mr Pieries takes responsibility for maintaining the care plans. They contain appropriate and clearly written guidance for staff. There is a dependency profile and weight is monitored monthly. All the care plan sections are monitored/reviewed on a monthly basis. The care plans seen indicated that there are also regular reviews involving representatives from the placing authority. Health care professionals are involved and records are maintained to reflect this, including specialist input such as dealing with epilepsy. There are risk assessments in place. The medication procedures, including storage were satisfactory. Mr and Mrs Pieries are qualified nurses and administer most of the medication. One Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 10 member of staff has received training (Safe and Sure with Medicines) from a qualified pharmacist/trainer. Residents spoken to confirmed that they were treated with respect for their dignity and spoken to politely. One resident said “…they’re lovely girls…” when referring to staff who support her. Another said “…they are all very nice and polite and always try to help you…”. Staff spoken to said that dignity and privacy were very important. Staff were also clear about residents’ preferences for how they wish to be addressed. There is a telephone available for making private calls. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered activities and support to maintain relationships. They have choices in their daily life and have nutritious and appealing meals. EVIDENCE: Mr and Mrs Pieries said that they try always to talk to residents about any particular activities they might wish to do. There are games available and there are also reminiscence sessions, listening to music, ball exercises (this was going on as I arrived at Roann House), aromatherapy and social occasions which include an entertainer. The home has asked for feedback through surveys and identified that some people would like more bingo sessions and some people wish to watch a film or musical at the weekends. There has also been a request for a trip to a garden centre and a zoo. Mr and Mrs Pieries confirmed that this is being responded to. Residents also pursue their own interests such as reading, listening to the radio and watching television. There are routines in the day but residents spoken to confirmed that there is flexibility and choice. An example was noted of one resident expressing a particular choice of religious observance and this has been arranged. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 12 One resident said her friend is always made welcome when visiting and usually offered a cup of tea. There are no restrictions on visiting times. Rooms seen during this visit contained personal possessions of the residents. The food served during this visit looked and smelt appetizing. Residents said they enjoyed the food and there was always plenty. Most people eat in the dining area but some choose not to and this is responded to. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints would be handled in keeping with the home’s procedures and residents can be confident that any concerns will be listened to, taken seriously and responded to. Residents are protected from abuse. EVIDENCE: All six of the residents who completed surveys said they would know how to make a complaint. There is a notice board in the home which displays cards of ‘thank you’ from relatives. The home has an appropriate complaints procedure which was recently reviewed. In the last 12 months there has been one complaint which was dealt with within the specified 28 days. Mr and Mrs Pieries said that most things are sorted out early so they don’t develop into a complaint. Residents spoken to said that the manager was approachable and “…you can talk to any of the staff if you had a problem...”. Mr Pieries has provided in house sessions for all staff relating to adult protection and there are appropriate policies and procedures in place. Staff spoken to were clear about their responsibilities with regard to whistle blowing. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, hygienic and well-maintained environment. EVIDENCE: The home is satisfactorily maintained and Mr and Mrs Pieries have a rolling programme of decoration and refurbishment. New carpets have been fitted on the stairs and some new flooring has been installed in some rooms. Work is also currently being undertaken to the external fire escape. The conservatory needs new carpet but this has been identified by the owners. There is a garden area which is used by residents. The laundry is satisfactory and there is also a sluice facility. The home was clean and fresh at the time of the visit and of the six residents who completed surveys five said the home was ‘always’ clean and fresh and one person said ‘usually’. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Current residents have sufficient staff to care for them. Residents are protected by the recruitment procedures. Ongoing training should be provided to ensure that all staff are as competent and up to date in their knowledge as possible. EVIDENCE: The rota indicates that there are sufficient staff on duty throughout the day and during the night. Mr and Mrs Pieries work in the home also. There is one cleaner and one cook. The written information supplied by the owners through completion of the AQAA indicates that more than half of the staff have a national vocational qualification level two or above. They plan to offer more staff this opportunity. The recruitment procedures have been improved since the last inspection and Mr and Mrs Pieries use PovaFirst to check on applicants and also carry out a criminal record bureau check. They use a professional support company to ensure that their employment procedures are all up to date and appropriate. Staff are not currently given a copy of the General Social Care Council’s code but Mr and Mrs Pieries agreed to rectify this. Each member of staff has an Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 16 individual folder for their records, including training. Six of these were looked at for this inspection. There is a training programme in place some of which is undertaken by Mr Pieries and some by external providers. In discussion with Mr and Mrs Pieries it was agreed that they would monitor staff performance to ensure that the training provided was satisfactory and relevant. The current induction training does not reflect the Common Induction Standards from Skills for Care and they also agreed to review their current induction and view the Skills for Care guidance on the website. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by owners who are qualified and experienced. Residents’ financial interests are safeguarded and their views are sought. Residents’ health, safety and welfare is mostly promoted and protected. EVIDENCE: Both Mr and Mrs Pieries have achieved the registered manager’s award. They are both qualified nurses (although nursing care is not provided at Roann House) and have been in the residential care business for some years. Staff spoken to said they were “…approachable…” and they would listen to what you said. Residents indicated that they were happy with how the home was run. One said “…they’re very good…” and another said “…they know what’s what…”. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 18 The home uses surveys to seek feedback on what people think about the care they receive. Policies and procedures are updated. The AQAA was completed with consideration for how things could be improved and Mr and Mrs Pieries said they intended to use this to look at their performance and identify areas for improvement on an annual basis. Many of the residents have representatives to help with their finances or they manage their own. Where the home has any involvement there are appropriate records in place. Staff are provided with training, guidance and procedures relating to health and safety issues. The improvement to induction training (see standard 30) would be beneficial to new staff’s understanding of health and safety issues. A spot check on maintenance and service contracts indicated that these were up to date and appropriate. Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 20 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 Roann House DS0000057418.V340211.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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