Inspection on 02/08/06 for Robinson House

This inspection was carried out on 2nd August 2006.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Robinson House 01/11/07

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 Key Unannounced Inspection 2nd August 2006 10:00 Robinson House DS0000015104.V303119.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.V303119.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.V303119.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 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 Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 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.V303119.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 and during this inspection all of the key standards were assessed. The assistant manager of the home was able to provide the necessary information to enable the inspector to carry out the inspection. During this inspection service users and staff were spoken to, a tour of the home was undertaken and documentation was read. The home supports up to ten adults with complex needs, and although there is currently one vacancy, has `a very settled group of service users living there. What the service does well: 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 6 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.V303119.R01.S.doc Version 5.2 Page 7 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): 1, 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Policies and procedures are in place to ensure service users would be involved in any prospective move, and full assessments undertaken to ensure needs could be met. EVIDENCE: The home provides detailed information to prospective service users and their families, but should ensure that this information is up to date and reflects management changes in both the home and the organisation. The home currently has one vacancy, and the process of a new service user moving into the home was discussed with the deputy manager. The local Learning disability Partnership are working closely with the home to provide support in filling this vacancy, ensuring that anyone moving into the home would fit with the other service users living there and ensuring that the home would be able to meet their needs. All service users living in the home have had detailed assessments carried out by their care manager and with input from the home, and these are kept under review to ensure they remain appropriate, and that needs have not changed. Prior to a new service user moving into the home, policies and procedures are in place to ensure that the service user and their family visit the home before a decision is made to move into the home. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 8 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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Detailed care plans are available to ensure staff aware of how service users should be supported. EVIDENCE: Following the detailed assessment referred to earlier, care plans are prepared, guiding care staff in all aspects of the individuals lives, and showing some history, likes and dislikes and preferences, as well as recording the day to day activities and events. The care plans are kept under review, and evidence of recent reviews was seen on the files examined during the inspection. None of the service users are able to manage their own financial affairs, and the homes records were seen for transactions and balances of three service users, which were all accurate. Wherever possible, service users in the home are supported in making informed choices about their lives, and this is supported by the care plans. The individual service user plans also contain detailed risk assessments, and those seen were satisfactory. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 9 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, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Service users are able to participate in a variety of appropriate activities. EVIDENCE: A variety of daytime activities are made available for the service users living in the home, and these use some specific day services as well as other local resources. Most of the service users attend some sessions at either Larkfield or the Ida Darwin workshops, both operated by the local authority, but three of the service users have activities arranged by the home. The deputy manager said that activities enjoyed by the service users include walks around the local area, bowling in Newmarket, visiting family, cookery lessons, visits to the local Pub, discos, swimming and shopping trips. These activities use local facilities wherever possible, and the relationship with the local community is good, with no issues reported from the homes near neighbours. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 10 The home operates a four week rotating menu, and service users are encouraged to help with planning menus, shopping and preparing food. Alternatives are always available and advice is sought to ensure service users nutritional needs are met, and where special diets are required these are provided. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 11 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, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Health needs are identified and arrangements in place to meet these needs. EVIDENCE: The individual care plans show the likes and preferences of service users and this extends to how they wish health needs to be met. All the service users are registered with local GP practices and receive additional specialist support from community professionals including nurses, physiotherapists, dieticians and speech and language therapists. None of the service users are able to manage their own medication, and rely on care staff to assist them in taking the necessary medication. Records examined were all seen to be satisfactory, and staff all receive training in administering medication. The home has comprehensive policies in the administration, storage and disposal of medication. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 12 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. All complaints are appropriately dealt with and the comments of service users encouraged and listened to. EVIDENCE: The home has a comprehensive complaints policy, and details on how to complain are available within the service user guide and on display in the home. The information includes details of how to contact the local commissioners and the CSCI, although the contact address for the commission is incorrect and must be amended. No complaints have been received since the last inspection, and a weekly return is submitted to the company’s head office. Training records indicated that the majority of staff have had the necessary training in dealing with allegations of abuse, and regular updates are arranged throughout the year. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Improvements have been made to the general decoration of the home, and individual rooms. EVIDENCE: Since last year a programme of redecoration in the home has taken place, improving the facilities and comfort of service users living in the home. The kitchen has been refurbished, and is now more domestic in nature, encouraging more involvement from service users. Further redecoration is planned, and evidence was seen of the involvement of service users in choosing colour schemes. Further work has been done in the garden, and a small sensory area created, and the garden now provides an additional area for service users to relax and spend time in, with new garden furniture also provided. On the day of the inspection, the home was seen to be clean, with no offensive odours. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 14 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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Service users benefit from a well trained and stable staff team who are able to meet their needs. EVIDENCE: The home now has a settled complement of staff, with no current vacancies. They operate with five care staff in the mornings and four in the afternoons, and the deputy manager felt the morale of the staff team is now extremely good, which has had a positive effect on service users in the home. The challenge for the new manager is to maintain this improvement. Copies of the most recent rotas were provided, and these verified the information given. Staff records examined indicated that all the necessary recruitment checks have been undertaken, and evidence was seen on file of regular supervision sessions, together with a matrix of future supervisions, prepared by the new manager. The training offered to staff was of particular note, The plan for the whole year was seen and this showed regular training in all mandatory areas, together with more specialised training in areas such as epilepsy, diabetes, performance management, care planning and inclusive communication. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 15 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): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. The home is managed very effectively, for the benefit of the service users, and detailed health and safety policies ensure the safety of service users and staff. EVIDENCE: A new manager has recently been appointed, as the previous manager has moved to another service. An application for the registration of the new manager must be submitted to the CSCI as soon as possible. The previous management arrangements led to significant improvements in the service, better staff retention and morale, better training opportunities, care plans and general policies and procedures which all contributed to a better standard of care and support to the service users living there. This must be maintained. Several records were examined during the inspection, which were all seen to be in order, including staff rotas, maintenance records, training records and medication records. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 16 Health and safety policies are in place for the protection of service users and staff, and regular checks of equipment are made. The certificate of registration was on display but showed incorrect detail of both the manager and responsible individual. Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 Page 17 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 2 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 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 3 13 3 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.V303119.R01.S.doc Version 5.2 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 YA1 Regulation 4(1)(c) Requirement The homes statement of purpose must show up to date details of the Responsible Individual and Manager. The complaints procedure must have up to date contact information for the CSCI An application by a person proposing to be registered as the manager of the home must be submitted to the CSCI. Timescale for action 31/10/06 2 3 YA22 YA37 22(7)(a) 8(1) 31/10/06 31/12/06 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.V303119.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Robinson House DS0000015104.V303119.R01.S.doc Version 5.2 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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