Inspection on 17/10/05 for Roberta House

This inspection was carried out on 17th October 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

Roberta House 16/04/07

Roberta House 31/05/05

Roberta House 15/02/05

Roberta 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 Roberta House 99-103 Island Road Upstreet Canterbury Kent, CT3 4DE Lead Inspector Wendy Gabriel Unannounced 17/10/05 at 10:30 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 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. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Roberta House Address 99-103 Island Road, Upstreet, Canterbury, Kent, CT3 4DE 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) 01227 860704 Mr Rodney Tarry Registered Care Home 17 Category(ies) of Older People registration, with number of places Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31.05.05 Brief Description of the Service: Roberta House is registered to provide care for up to 17 residents, but the Registered Providers have discontinued the use of two double bedrooms and now only provide one bedroom. The Registered Providers have previously told the inspector that they would not increase their numbers to more than 14 residents. Tfhe home is situated on the outskirts of the rural village of Upstreetand is adjacent to the main road between Canterbury and Ramsgate. Upstreet has shops within walking distance of the home. there is limited parking to the front of the home. The rear garden has had a stepped slope added to enable wheelchair access into the garden and since the previous inspection the outside of the premises has been painted and smartened up considerably with the addition of a wrought iron fence to the patio. There are views across the countryside from the rear of the home. A mini bus is provided for the benefit of residents and weekly trips out are arranged, to include places requested by residents. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were two carers on duty at the time of the inspection and the Deputy Manager visited shortly after the Inspector arrived in the home. The Registered Provider also visited the home to speak to the Inspector. Since the previous inspection, the outside of the home has been redecorated and plans have been made to pave the side driveway area and possibly relocate the front door to the side. The kitchen has been retiled and repainted. New curtains and some new furniture has been purchased for the home. A downstairs bathroom was to have been altered to provide a shower, but after consulting with the residents, this will now instead have a new bath and electric hoist. The two requirements made at the previous inspection have been met. The home was clean and tidy and free from offensive odours at the time of the inspection and was comfortably warm for the time of year. Several residents spoke to the Inspector and one in particular said that the staff always ‘did their best’ for them. A resident who had recently come to live in the home said that she had been welcomed into the home and that her bedroom was comfortable and cosy. Relatives had been allowed to bring in items for the bedroom and it was a bright and cheerful environment with many personal items that reflected the residents taste and lifestyle. What the service does well: What has improved since the last inspection? The medication system has been reviewed and is now on a bubble pack format. A lockable, purpose built facility has also been purchased for this. A Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 6 member of staff was observed taking medication directly to residents when administering. The Registered Provider confirmed that pre-admission assessments were now good for new prospective residents. Assessments from care managers and hospitals if necessary, were more inclusive of information required to make an informed assessment. The Registered Provider has arranged an activities programme throughout the week and has requested that these take place within a limited time to ensure that the very frail residents are not overwhelmed with too much interaction. One to one communication with staff is encouraged. Communication between staff and residents was observed to be friendly and helpful. 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. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3. Prospective residents know that their assessed needs will be met. EVIDENCE: The Registered Provider confirmed that pre-admission assessments have improved from care managers and from hospitals if that is where the resident has come from. This is due to a greater amount of information being given pertaining to the needs of the individual prospective resident. The home has an assessment package that identifies lifestyle and abilities as noted during the first meetings. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 9 Residents know that their individual needs are reflected in their care plan and that they are regularly reviewed. Residents know they are safeguarded by policies and practices for dealing with medication. EVIDENCE: Care plans identify all aspects of residents’ health, personal and social care needs. These are reviewed monthly and altered if changes are observed. Key workers are involved with care planning and a descriptive policy is in place detailing the purpose and status of care plans. The home has reviewed and replaced their medication administration and this is now on a bubble pack system. A lockable and purpose built facility has been purchased for this. A member of staff was observed taking the medication to the residents in its original container for administration. The member of staff confirmed she had undertaken ‘safe handling of medication’ training since starting work in the home. There is written evidence of visits to the home by Health care professionals. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 15 Residents know that their choice of activities and daily lifestyle will be sought. Families are welcomed into the home if the residents agree. A balanced and varied diet is provided. EVIDENCE: The Registered Provider has arranged a weekly activity plan and range from trips out in the mini bus to travelling players visiting the home. Arts and crafts, board games and music are popular also. Families are invited to barbeques’ in the garden and entertainments in-house. An aromatherapist was in the home at the time of the inspection and visits twice a month. Care plans detail social and religious needs and representatives of the church visit weekly. The Registered Provider encourages contact with families and friends. The Inspector has been made aware previously by one resident, that the Registered Providers have been proactive in enabling his family contact as sought and as appropriate. This had brought him great happiness and he was able to clearly communicate his affection for the Registered Providers and for the staff. There is usually a choice of two main meals plus there is frozen food available in the freezer if a resident wishes for something different. Vegetables are cooked in the kitchen but the main part of the meal, i.e. the meat, is cooked in the co-owned home nearby and delivered at lunchtime. This is checked for Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 11 temperature and is transported in suitable containers. The distance is under a minutes drive away. Dinner may be eaten in the dining room or in private bedrooms. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected at this time. EVIDENCE: Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 26 Residents know they may access all communal areas of the home and the rear garden. The home is clean and tidy and hygienic. EVIDENCE: Further sockets to bedrooms are to be one metre from the floor where there is mobility impairment. Opportunities for this should be taken when electrical work is undertaken. There are homely touches in evidence throughout the home and new curtain are being made for the lounge to the rear of the premises. The conservatory is being altered from a little used lounge to an activities room where arts and crafts or games may be left until next required. This will be a benefit to those residents who enjoy undertaking activities, as the room is warm and light. The Registered Provider said she hoped this would encourage more residents to make use of the room and the garden that may be accessed from the conservatory. Day spaces include a dining room next to the kitchen, a separate lounge and the conservatory. A small space in the hallway has an armchair and coffee table as this has proved to be a popular place for one or two residents who enjoy watching and talking to people as they pass by. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 14 A gentle stepped slope has almost been completed in the rear garden and a new wrought iron barrier has been erected to the side of the patio for safety purposes. Following discussion with the residents, a downstairs bathroom is to be renewed with a new bath and an electric hoist rather than the shower that originally had been planned. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Residents know that they will be supported by trained staff. EVIDENCE: A member of staff confirmed that in the year since she commenced working at the home, she had undertaken induction training including watching videos and several mandatory courses. The member of staff said that other courses had been booked and to the best of her knowledge, staff had been identified to attend the training. NVQ is promoted and the carer and the Deputy Manager both confirmed that they were undertaking NVQ two and four respectively. The Deputy Manager said that although the home was fully staffed, the Registered Provider was seeking more staff with qualifications. The rota clearly indicates the hours allocated for care and for cleaning and for administration. The handyman and night staff undertakes cleaning. An informative handover book is used between staff at changes of shift and this indicates a variety of matters for the daily running of the home. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 33 The Registered Provider is suitably qualified and experienced to run and manage the home. Residents know that the Registered Providers and the staff run the home in their best interests. EVIDENCE: The Registered Provider has obtained the NVQ4 and management in care and has been running the home since 1990. Staff commented on the support given to them and the residents by Mr and Mrs Tarry the Registered Providers. Previous comments made to the Inspector by residents about the Registered Providers have been fulsome in their praise. This has been for the general interest they take in the running of the home and for the attention given to residents who have had specific issues to content with. A new resident to the home told the Inspector that she had been welcomed into the home warmly. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 x 15 3 COMPLAINTS AND PROTECTION x 3 x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 3 x x x x x Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 18 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. 1. 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. 1. 2. Refer to Standard 25 26 Good Practice Recommendations further electrical sockets are to be put in bedrooms at one metre from the floor, and may be done when electrical work is to be carried out. dirty laundry is to be covered when transported from source. Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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 Roberta House H56-H05 S23527 Roberta House UN V246543 171005 Stage 4.doc Version 1.40 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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