Inspection on 26/07/06 for Rochell House

This inspection was carried out on 26th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rochell House 04/07/07

Rochell House 28/09/05

Rochell House 09/04/05

Rochell House 17/11/04

Rochell House 25/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Rochell House 94 Queen Street Amble Northumberland NE65 0DQ Lead Inspector Jim Lamb Key Unannounced Inspection 26th July 2006 09:30 Rochell House DS0000000528.V295181.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 Rochell House DS0000000528.V295181.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. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rochell House Address 94 Queen Street Amble Northumberland NE65 0DQ 01665 - 710234 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) elsie@elpha.totalserve.co.uk Ms Elsie Hazel Ms Anne O`Connell Care Home 9 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1) of places Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: Rochell House provides personal care and accommodation for 9 service users with learning disabilities. The home is located in the town centre of Amble, close to main shopping centre and harbour. The home is near good transport links, with good access to restaurants and other local amenities. The home is a converted stone detatched house; there are five single bedrooms and two double rooms. Two of the bedrooms are located on the ground floor; the home does not have a passenger lift. The service users have access to a very attractive rear / patio area with seating. Fees for the home range from £325 to £525. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced key inspection visit. The inspection took place during the morning and early afternoon. Time was spent talking to the manager, seven service users and two care staff. Three service users care records were inspected together with other records relating to the management of the home. Two staff files were also seen. What the service does well: What has improved since the last inspection? The kitchen, utility, and laundry have been refurbished to a very good standard. The lounge has been decorated and new furniture purchased. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 6 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. Rochell House DS0000000528.V295181.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 Rochell House DS0000000528.V295181.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Prospective service users have enough information about the home to help them to make a choice about where to live. EVIDENCE: The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. The manager said that this information would soon be available in clip art. Three service users’ files were checked and each included a full needs assessment. They contained a range of appropriate information. The service users are involved in drawing up both these initial assessments and the home’s subsequent service user plans. The service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The service users said their needs were met and they were happy with the care offered to them. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 9 Three care plans were checked and two staff interviewed, they confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. Rochell House DS0000000528.V295181.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 679 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear care planning system in place to provide staff with the information they need to satisfactorily meet the needs of the service users. These will be enhanced further if the service users social needs are identified. To ensure that service users and their representatives fully understand the risks identified, these should be agreed and signed. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. These must be agreed and signed by service users or their representatives. There are advocacy arrangements, as well as family input, to represent service users. Each service user has an allocated key worker. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 11 Care plans are drawn up with service users. Plans are amended and reviewed on a regular basis. Social care plans for all service users need to be introduced, these should describe in detail each individual’s interests, hobbies, and social needs. There are systems in place that will ensure that the placement and the service users plans are reviewed annually. These involve the care managers and the service users representatives. Service users can use a range of external agencies that promote independence. Any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. The service users’ said that they are able to make decisions for themselves, and that they are happy with all areas of the care that they receive. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to live a normal life in the community. They have regular access to a wide range of community activities. They receive support and encouragement to enable them to be in control of their own lives. The meals in the home are good offering both choice and variety. EVIDENCE: Service users use a range of community-based services, which promotes and provides opportunities to learn and use life skills. Service users are supported to live a normal life in the community. They are supported and encouraged to be in control of their own lives, to enjoy their own interests and to continue their education, or take up paid employment. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 13 The staff team continue to liaise closely with external agencies in order to monitor each service user’s progress. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. The service users said that they had a great holiday this year; all went to a holiday centre in Silloth in Cumbria. Service users are involved in housekeeping tasks and food shopping. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. Service users have access to the kitchen and can prepare snacks for themselves if they wish. All service users said that the meals were very good and that staff new their likes and dislikes. Some of the service users help staff to prepare meals. Two service users require a special diet and these are provided. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to ensure that the health care needs of the service users are fully met. The medication systems for the administration, disposal and ordering are good. EVIDENCE: Service users do not have any moving and handling needs. Service users need minimal help with personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times, the staff addressed service users by their preferred names and there appeared to be a very good rapport between staff and service users. Service users do not need any technical aids or equipment. Service users care records showed that they have access to external health Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 15 care services. G.Ps visit when necessary. Service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The medication systems were examined for ordering, receiving, administering and disposal. All were well managed. All staff that administers medication has had accredited medication training. Controlled drugs are not currently prescribed. Should this change appropriate systems and procedures will be put in place. The dispensing pharmacist offers good support and advice. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 16 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 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to protect service users from abuse or harm. All staff has undertaken Safeguarding Adults training. The home has a clear complaints system, service users feel their views are listened to and acted upon. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the homes investigation and response. The procedure is written in a way that ensures service users fully understand its contents. Service users said that they had been given copies of the procedure and that staff listened to their complaints/concerns and dealt with them fairly. The home keeps a record of complaints. During the last twelve months there have been no complaints received. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 17 The home has a Whistle Blowing policy and the Local Authorities Vulnerable Adults procedures. The home also has a copy of the Department of Health’s document, “NO SECRETS”. The Home keeps detailed financial records on behalf of the service users. Each has an individual bank account. Receipts of personal spending are kept. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 18 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 25 27 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users live in a very homely, comfortable and safe environment. The home is maintained to a high standard. EVIDENCE: The home was clean, well decorated and well maintained. The home is in a residential location. The rear courtyard was tidy, safe, attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 19 There is a smoke-free sitting room. Furnishings and fittings were domestic in design and in very good condition. The lounge has recently been decorated and new furniture purchased. Lighting was bright and domestic in design. Doors have privacy locks. Room sizes do not all meet the minimum required. There is limited space on either side of beds when necessary, to enable access for carers and specialist equipment. Currently no service users require specialist equipment. Service users’ bedrooms have opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. Currently the home has one vacancy, this is a single bedroom, those service users that share a bedroom have been offered this room, and all have declined, as they are happy to continue sharing. The kitchen, utility and laundry areas have recently been refurbished to a very good standard. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised. The washing machine has the specified programme to meet disinfection standards. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 20 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 35 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The staff are competent and skilled and committed to meeting the holistic needs of the service users. In order to safeguard service users the home has robust recruitment procedures in place. EVIDENCE: Staff levels on the day of the inspection met the agreed level. Samples of 4 weeks’ rotas showed the required numbers of staff were on duty: 2 staff between 8am and 9pm with one sleep-in between 9pm and 8am. Staff said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified in supervision and appraisal sessions. The training programme has been reviewed to ensure it meets The National Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 21 Training Organisation requirements for the first six months. 52 of the staff team have completed NVQ level 2/3. Staff receives three days paid training. The home has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 22 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 42 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The system for self-monitoring, review and development needs to be improved and an annual development plan introduced. The home is well maintained and the health and safety of the service users is promoted and safeguarded. EVIDENCE: The manager has several years experience in senior management, she still needs to complete the registered managers award within the next six months. Staff were clear about their responsibilities. The service users spoke positively about the manager and the staff saying, “this is a great place”, “ I like living here”, “the staff are kind”. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 23 Service users are told when inspections take place and they are shown inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives and others to see. The organisation has developed a range of policies and procedures which have been linked to the National Minimum Standards. The records inspected were found to be appropriately completed. These included the accident records, personal allowance records and Health and Safey manual. The manager has agreed to implement a clear system to record staff and service users fire drills; six monthly for day staff and three monthly for staff on the sleep-in rota. There are appropriate maintenance contracts for the home in place. Water storage tanks, gas and electrics are checked annually.. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 X 4 X 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 3 26 X 27 3 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 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 2 X Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 25 Yes 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 YA42 2 YA37 18 Standard Regulation 23 (4) Requirement A system must be introduced to accurately record staff and service users fire drills. The registered manager must complete NVQ level 4 in management and care. Outstanding. Introduce nutritional assessments for service users Timescale for action 01/09/06 01/01/07 3 YA17 16 (i) 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA39 Good Practice Recommendations Ensure that service users plans of care and risk assessments are agreed and signed by service users or their representatives. As part of the homes quality assurance system, the providers must produce an annual development plan. Outstanding since September 2005. Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Rochell House DS0000000528.V295181.R01.S.doc Version 5.2 Page 27 - 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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