Inspection on 26/04/05 for Robben Cottage

This inspection was carried out on 26th April 2005.

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

Robben Cottage 02/05/07

Robben Cottage 14/03/06

Robben Cottage 07/12/04

Robben Cottage 28/07/04

Robben Cottage 01/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Robben Cottage 9 Greenfield Terrace Portreath Redruth Cornwall TR16 4LY Lead Inspector Paul Freeman Announced 26 April 2005 14.00 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 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 Stationary 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 D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 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 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 NA Care Home 2 Category(ies) of Learning Disability (2) registration, with number of places Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7 December 2004 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 D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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. 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, they are provided with a range of stimulating and varied life styles and have regular opportunities to comment 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 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. 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. Health needs are positively dealt with and services are accessed promptly when required. Positive arrangements are in place to protect residents and respond to any concerns. The registered person is the principal carer and on occasions is assisted by staff that is well know to the residents. The arrangements are positive and meet the needs of the residents. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 and 5 The statement of purpose and service users guides are well written and tell residents and prospective residents about the services and facilities provided. 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 contact and terms and conditions of residency. The documents tell residents of their rights and responsibilities. EVIDENCE: The responsible person with the residents has reviewed the statement of purpose and service users guide in the last year. The two documents detail the facilities and service provided at the home. 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 ale 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 D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9. Residents are well looked after in terms of their health and personal, emotional and social care needs. Residents are fully involved in the care and supports provided and regularly review the arrangements with the registered provider to make sure they are satisfied and that all their needs are met. Reliable arrangements have also been put in place by the registered person 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 provided. 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 D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 10 The registered provides makes sure that any unreasonable risks are taken account of and support provided to make sure the residents health and welfare are not compromised. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and 16 Residents experience a range of activities in the home and local community that provide stimulation and reflect interests and ambitions. Arrangements in the home are flexible residents play a lead role in how each day is organised. This helps residents to feel in control of their lives and allows them to make their own decisions in a setting that is not judgemental. 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. Residents are encouraged to take part in the day to day tasks of the home by mutual consent and said they enjoyed the tasks and the help they provide. The routines are flexible and the arrangements reflect the resident’s choice and commitments. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 12 Regular residents meetings are held and the resident said the found these to be helpful and informative. The meetings talk about the way the home is run and residents are encouraged to provide their views and suggestions. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 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. Positive arrangements are in place for the safe administration of medicines. 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. Administration of medication was examined and considered to be safe. Residents have the opportunity to assist in administering their own medication when this is safe to do so. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Positive arrangements are in place to protect residents and respond to any concerns. EVIDENCE: Residents said they were very comfortable about raising concerns with the registered person and are confident that any issues are dealt with in a positive manner. No complaints have been received by the home or CSCI. The arrangements for protecting adult are suitable and the protection policy reflects the Department of Health Guidance ‘No Secrets’. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 Residents are provided with a comfortable quality environment that is well maintained. The residents have access to their own sitting room and each have an individual bedroom that allows privacy and independence. EVIDENCE: The standards were not assessed on this occasion. Residents stated they were very satisfied with the facilities provided. The furniture, fittings and furnishings are domestic in nature and the setting is maintained to a high standard. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 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. Residents said they are very pleased and confidant about the support they receive. The staff concerned are suitably trained and experienced in social care. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 and 42 The registered provider provides a safe environment but the health and safety policy does not adequately reflect the arrangements. Good standards of recording keeping occur and the home is managed efficiently and in a manner that reflects the legal requirements and residents needs and aspirations. EVIDENCE: The registered person maintains efficient and detailed records about the business and residents. Residents are consulted about their records and there are no barriers to them accessing their records. The home is well managed and organised and the registered person is at the final stage of completing the registered managers award. Positive safe working practices are provided but the procedure continues to be reviewed and developed. Equipment and services to the home are regularly monitored and maintained. Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 Robben Cottage x 3 3 x x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x Version 1.20 Page 19 D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc 16 17 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 2 x Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 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. 1. Standard 42 Regulation 13(4) Timescale for action The policy and procedure for safe 30.9.05 working pratices must be reviwed and developed. Requirement 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 None Good Practice Recommendations Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 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 © 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 Robben Cottage D52-D04 S9023 Robben Cottage V212969 260405 Stage 4.doc Version 1.20 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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