CARE HOME ADULTS 18-65
Robben Cottage 9 Greenfield Terrace Portreath Redruth Cornwall TR16 4LY Lead Inspector
Paul Freeman Unannounced Inspection 14th March 2006 02:00 Robben Cottage DS0000009023.V265683.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 Robben Cottage DS0000009023.V265683.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. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Robben Cottage Address 9 Greenfield Terrace Portreath Redruth Cornwall TR16 4LY 01209 843901 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) Mrs Lynn Whiting Mrs Lynn Whiting Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 26th April 2005 Brief Description of the Service: Robben Cottage is a care home providing accommodation and personal care for up to 2 younger adults with a learning disability, both male and female. The registered provider lives on site with her family and provides all the necessary care and support to residents living in the home. She has a small team of back up carers who are well known to the residents and can assist in emergencies. The home is located in the village of Portreath, near to the town of Redruth. It is close to village shops, public transport and a beach. Redruth is also easily accessible by public transport.The home is a two storey, terraced domestic dwelling, situated in a quiet road, slightly off the main road. The home is spacious and residents have their own bedrooms. residents have access to the families communal facilities. They also have the sole use of their own sitting room with TV, games consul and music centre and downstairs bathroom. The home has a small front garden and large rear garden with a garage which functions as an activity room and a newly erected chalet. The home has several pets, including two dogs. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A planned unannounced inspection took place on 14 March 2006. The inspection took place over one afternoon. The opportunity was taken to partially tour the premises, speak with the residents and registered provider and look at records and documents about the care home. This is a well-run care home that has excellent standards of care and residents are fully consulted about all aspects of service provision. The provider has a good record of compliance with the National Minimum Standards and Care Homes Regulations 2001 and no requirements or recommendations were set. What the service does well:
The home is well organised and managed and residents fully participate in the day-to-day running of the home. Positive arrangements to consult with residents about the quality of the services and facilities and future plans are in place. This means that residents’ needs are well met and they are provided with stimulating and varied life styles. The residents also have regular opportunities to express their views and influence how the care home is run. The home have put in place excellent care planning arrangements to make sure that residents needs are fully met and they not placed in any situations of unreasonable risk. The arrangements are also regularly reviewed with the residents. Residents are supported to participate in a wide range of activities in the home and local community. The activities reflect their interests and ambitions and help provide a varied and stimulating experience. There are no barriers to residents maintaining relationships at the home or in the local community. Residents said that the provider always positively welcomes visitors. A varied and nutritional diet is offered that reflects the residents’ preferences and needs. Residents are able to choose what they eat at each mealtime. The residents said the food was “good” and they are clearly very satisfied with the arrangements in place. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 6 Residents are encouraged to make decisions and to help organise each day according to their commitments and choices. This helps residents to have control of their lives and improve decision-making and problem solving skills. Health needs are positively dealt with and services are accessed promptly when required. The residents are offered a clean, comfortable and homely environment that is maintained to a high standard. There are no barriers to residents accessing any of the communal areas on the ground floor and in addition the residents have their own dedicated sitting room. Suitable bathing and toilet facilities are provided and the residents have their own bedrooms, which they have personalised. The residents said they were very satisfied with the facilities provided. Positive staffing arrangements are provided at the care home and residents find the staff to be helpful and provide assistance in a manner that does not compromise their individuality or independence. The provider regularly reviews with the residents the way in which the home is run. This makes sure that residents are confidant their views and opinions guide and direct how the service is organised and the care and support they receive. It is also clear the provider has established positive arrangements so that residents’ health and safety are not potentially compromised. What has improved since the last inspection? What they could do better: Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 7 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. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 8 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 Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 9 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): 2 and 5. Positive arrangements are also in place to assess prospective residents to make sure all of their needs and aspirations are taken account of and the home is able to provide the care and support required. Each resident is provided with a written up to date contract and terms and conditions of residency. The documents tell residents of their rights and responsibilities. EVIDENCE: No new residents have moved to the home during the last year but positive arrangements are in place to assess any potential residents in the future to make sure the home are able to meet the individuals needs. Up to date contracts are issued to the residents and written information is also provided about the terms and conditions of residency. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 10 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. Residents are well looked after in terms of their health, personal, and social needs. Residents are fully involved in the care and support provided and regularly review their needs with the provider. This makes sure they are satisfied and that all their needs are met. Reliable arrangements are in place to make sure resident do not experience any unreasonable risks that could cause them harm. EVIDENCE: Comprehensive care plans have been established with residents that detail the care and support required. The Plans are regularly reviewed with residents and adjusted according to the resident’s needs and choice. Clear records are maintained and this reflects the high standard of care provided to the residents. Residents are encouraged and supported to make their own decisions about their lives and assistance and information are provided when this is required. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 11 The registered provides makes sure that any unreasonable risks are taken account of and appropriate support is provided to make sure the residents health and welfare are not compromised. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 and 16. Residents experience a range of activities in the home and local community that provide stimulation and reflect interests and ambitions. Positive and flexible arrangements are in place for residents to maintain relationships with family and friends at the home and in the local community. A varied and nutritional diet is offered that reflects residents’ choice and promotes good health. EVIDENCE: Residents have varied activities within the care home and local community. The activities are chosen by the individual concerned and include education, hobbies and interests and shopping trips. Residents said the registered person is flexible in their approach to accommodate their choices. There are no barriers to the residents having contact with relatives or friends and this regularly occurs at the home and in the local community. The residents are also able to form emotional relationships and the provider offers guidance and support where required. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 13 A varied a nutritional diet is offered that reflects the residents’ preferences and choices. No set menu is established and the residents choose the meals they have each day. This reflects the family style care that is provided. The residents side they were very satisfied with the “good” food provided. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 14 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 and 19. Heath care needs are well met and closely monitored. This makes sure that residents receive health services efficiently when required and promotes their quality of life. The support provide by the registered person is of a high quality and helps to maximise independence and minimise potential risks. Residents are fully consulted about the way support is provided and this means the resident has control over events. EVIDENCE: The registered person is very skilful in the support they provided to residents. It is evident that every effort is made to accommodate social and emotional needs in a manner that is acceptable to the resident concerned. Health needs are monitored each day and appropriate health services are arranged efficiently when required. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The standards were met at the last inspection. The provider has established positive arrangements to deal with any complaints and to protect residents from abuse. No complaints or concerns have been raised following the last inspection Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Residents are provided with a comfortable and clean environment that is furnished and maintained to a good standard. EVIDENCE: This is the principal home of the providers and is maintained and decorated to a good standard. The facilities are homely and comfortable and residents have their own dedicated bedrooms, which they have personalised. The kitchen and family lounge are located on the ground floor and there are no barriers to residents accessing the facilities if they wish. In addition the residents have their own dedicated sitting room. Suitable bathroom and toilet facilities are also provided that is within a reasonable distance of residents’ bedrooms and the communal areas. The home is also clean and hygienic and is evidently maintained to a good standard. Residents said they were very satisfied with the facilities provided.
Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 17 Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33. Positive staffing arrangements are provided at the care home and residents find the staff to be helpful and provide assistance in a manner that does not compromise their individuality or independence. EVIDENCE: The registered person is the principal provider of care. Three carers have been appointed to assist in care provision on an emergency basis. The individuals are well known to the residents and have regular contact with the home. The staff concerned are suitably trained and experienced in social care. Residents said they are very pleased and confidant about the support they receive. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42. A range of opportunities is in place for residents to comment and influence the care and support provided. Residents are therefore confidant their views are central to the way the home is run. Appropriated safe working practices are in place to make sure residents are not placed at risk. EVIDENCE: It is clear that the views are residents are central to the way in which the care home is run. There are reliable daily consultations that occur to make sure the care and support provided meets with the residents’ needs and preferences. In addition the provider regularly holds residents meetings where a range of issues are considered that relate to the way the home is run. The provider has also established an annual review of the services and facilities that was last completed in March 2006. In completing the review the provider Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 20 consulted with the residents, their relatives and professionals in contact with the home. The review evidenced a high level of satisfaction with the facilities and the care and support provided. Positive safe working practices are in place and the policies and procedure have recently been reviewed and developed. Equipment and services to the home are also regularly monitored and maintained. Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 X X X X 3 X X 3 X Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 22 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 Robben Cottage DS0000009023.V265683.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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