Inspection on 01/11/07 for Robinson House

This inspection was carried out on 1st November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinson House 02/08/06

Robinson House 09/08/05

Robinson House 18/04/05

Robinson House 24/01/05

Robinson House 04/08/04

Robinson House 31/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Robinson House 24c Fordham Road Soham Ely Cambridgeshire CB7 5AQ Lead Inspector Alan Buttery Unannounced Inspection 1st November 2007 10:00 Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Robinson House Address 24c Fordham Road Soham Ely Cambridgeshire CB7 5AQ 01353 624330 01353 723599 robinson.house@craegmoor.co.uk 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) Conquest Care Homes (Soham) Limited To be appointed Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2006 Brief Description of the Service: Robinson House is a purpose built home for 10 adults with learning disabilities, and is in the small Cambridgeshire town of Soham. Within the local community, there are a number of shops, pubs, restaurants and other leisure facilities, and the home makes full use of these as well as the facilities in the nearby larger towns of Newmarket, Ely and Cambridge. The home provides a service for up to ten adults under the age of 65 with a learning disability and associated physical disabilities. Fees currently range between £645.00 and £968.00, and the home has one vacancy. The inspection report is available in the entrance hall of the home. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection, looking at the national minimum standards for younger adults. Shortly before the inspection took place, the registered manager of the home left, and at the time of the visit the home was being managed by the deputy manager, with support from the previous manager, who currently manages another service owned by the provider, and the area manager, and both visited the home whilst the inspection was taking place. An Annual Quality Assurance Assessment (AQAA) was submitted by the manager prior to the inspection, and is reflected within the report. What the service does well: What has improved since the last inspection? What they could do better: No major areas of improvement were identified, although since the visit the fire officer has visited and left some items requiring attention. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 6 The service needs to ensure that the recent departure of the manager does not affect the smooth running of the home, or prejudice the improvements made in the last two years, and the measures in place in the short term will assist them in this. 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. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 4 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The service ensures that any possible new admission is carefully planned, to ensure the needs of the person moving can be met, without any negative affect on others living in the home. EVIDENCE: At the time of our inspection, the home had one vacancy, and the process of filling the vacancy was discussed with the deputy manager. The provider has a detailed procedure in place, and they work closely with the local authorities. There has been interest expressed from the local learning disability team, and directly from the parents of an individual with learning disabilities, and initial assessment information has been gathered. In addition, the parents who are looking at the home have already visited, and are now discussing the funding with the local authority. If it is felt that from this information, that the home would be able to meet the identified needs, further discussions would take place together with arranged visits, ensuring that the person would be suited to the service, and that the other people living in Robinson House were happy. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 9 The documentation relating to the home’s last admission was also looked at, and clearly evidenced that the above process had been followed, in a very person centred way, involving the individual wherever possible. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Detailed plans indicate how people want their needs met, and what is important to them in their day to day lives. EVIDENCE: Detailed care plans are in place, giving staff full information on the needs and wishes of the individuals living in the home, and how their health and social care needs are to be met. The individual plans have been written with the full involvement of the person they relate to, and include detail on the individuals’ wishes and aspirations, social networks, likes and dislikes, and are in a format suited to the individuals. These plans also include detailed risk assessments, ensuring that the individuals can safely carry out everyday tasks and activities, social events etc. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. A variety of activities and events are available to enable the people living in the home to lead a varied and fulfilling lifestyle. EVIDENCE: People living in the home are able to take part in a range of activities, both work and leisure related, and depending on their individual wishes, which are all recorded within the individual plans. On the day of the visit, one person was out shopping, another had been out for lunch, and four of the people living in the home were at structured day services (at two different locations. Most of the homes residents have attended a recent pumpkin fair and fireworks, and will shortly be visiting the Christmas lights locally. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 12 During the evenings and weekends, a variety of games are available, and the people living in the home go to local shops, pubs and restaurants, enjoy family visits, occasional; church services, or other local events. People in the home are supported in choosing what they would like to do, and risk assessments described earlier ensure their safety. A range of holidays are planned each year depending on individual choices. People living in the home are able to help with cooking, and assist with planning menus. A choice of meals is always available, and in a pictorial format to assist the individuals in making their own choice. A record of meals chosen is kept in the kitchen, ensuring that diets are balanced, and not too repetitious, and support is available from the dieticians linked to the local healthcare team. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Personal and healthcare support are given in a way the people in the home prefer, ensuring all identified needs are met, with professional support as needed. EVIDENCE: As detailed earlier, the individual care plans also detail healthcare needs, and the support required, and an extensive team of local health professionals provide support to the home. These include the services of consultants, Occupational therapy, physiotherapy, speech and communication, dieticians and nursing support as well as local GP facilities, and opticians and dentist are also available. The individual records seen record healthcare visits, and other health related appointments and visits. None of the people living in the home are able to manage their own medication, and all staff receive training in the administration of medication. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 14 The medication is kept in a secure cabinet, and records were checked, showing medication was being appropriately managed. The service follows the providers’ medication policy and procedure, and a copy of this is available in the office for all staff. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to ensure any possible allegations of abuse are dealt with appropriately, and comments or concerns listened to and issues resolved. EVIDENCE: The service has a detailed complaints policy and procedure, monitored by their head office, although there have been no significant issues in the last 12 months. A record of concerns is maintained in the home. All staff receive safeguarding adults training, which forms part of the initial induction training as well as annual refresher courses. At the time of the visit, there have been no adult protection issues, but whilst writing the report, we have been notified of an incident, which is currently being investigated. The service have dealt with this incident in line with their own policy, and local authority guidelines. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well maintained, retaining a domestic nature as far as possible. EVIDENCE: During this visit, we looked round the home, and it was pleasing to note that ongoing redecoration has continues. The home was generally clean, and free from any unpleasant odours. People living in the home are able to help choose colour schemes individually for their own rooms, and collectively for communal area, and some nice homely touches were evident, including some birthday cards for someone who had just celebrated their birthday. QA copy of requirements made following a recent fire authority visit has been received by the CSCI since the visit, and these have to be complied with by early next year, and will be considered at the next inspection. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are well trained and experienced in meeting the needs of the people they support. EVIDENCE: A competent staff team is in place, with no current staff vacancies. There are normally 5 members of staff working in the morning, 4 in the afternoon, 1 awake night staff and one sleeping in, although as there are currently only 8 residents living in the home (there is one empty room and one person in hospital) the staffing in the mornings has reduced to 4. Staffing is flexible, enabling people living in the home to take part in a variety of activities as detailed earlier in the report. Evidence was seen on the staff records examined that all the required checks take place, and these records also showed extensive training has taken place over the last year, including all the required mandatory training. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service has been well manager recently, and policies in place to ensure the safety of people living and working in the home EVIDENCE: As detailed in the preceding section, extensive training takes place within the service which includes health and safety training, and allied to the policies and procedures in place, this ensures that people living and working in the home are not placed at risk of accident or injury. The service has been well managed over the last two years, and needs to ensure that a new manager is appointed quickly to maintain the improvements that have been seen in this time. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 19 The individuals living in the home are clearly happy with the support they receive, and although unable to clearly make their views known, are included in everyday decisions that affect them. Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 20 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 4 3 3 4 4 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 21 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 YA37 Regulation 8(1) Requirement A suitable person must be appointed to manage the home, and an application proposing to be registered, as the manager of the home must be submitted to the CSCI. Timescale for action 31/03/08 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 Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Inspection Team Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. Extracts may not be used or reproduced without the express permission of CSCI Robinson House DS0000015104.V354922.R01.S.doc Version 5.2 Page 23 - 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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