Inspection on 28/09/05 for Rochell House

This inspection was carried out on 28th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rochell House 04/07/07

Rochell House 26/07/06

Rochell House 09/04/05

Rochell House 17/11/04

Rochell House 25/05/04

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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 Announced 28th September 2005: 09:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rochell House Address 94 Queen Street Amble Northumberland NE65 0DQ 01665 710234 NA elsie@elpha.totalserve.co.uk Ms Elsie Hazel 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) Ms Anne OConnell CRH 9 Category(ies) of LD Learning Disability - 8 registration, with number LE(E) Learning Disability - over 65 - 1 of places Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9 4 05 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. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual announced inspection visit. Time was spent talking to the manager, service users, staff and examining care records, policies and procedures. The home currently has one vacancy. 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. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 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 standard(s) 2 4 5 All service users are provided with a written contract / statement of terms and conditions. All service users needs are assessed and met. Admissions to the home are rare however; all potential service users are invited to the home to meet other service users and staff prior to admission. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Two service users interviewed confirmed they had a copy of their individual contract. Three service users’ files were checked and on each were a copy of a full needs assessment. They contained a range of appropriate information and service users interviewed confirmed they were involved in drawing up both these initial assessments and the home’s subsequent service user plans. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 8 The 3 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. Without exception the service users said their needs were met and they were happy with the care offered to them. All service users are invited to visit the home prior to admission to meet other service users and staff. Overnight stays can also be arranged. Unplanned admissions are avoided. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 7 9 The service users health and personal health care needs continue to be fully met. The staff on duty were seen to provide personal support in such a way as to promote and protect the service users privacy, dignity and independence. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. The manager agreed to implement social care plans, based on each individual’s social activities, hobbies and interests. Self-advocacy is promoted; service users can access a range of external agencies that promote independence. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 10 Service users’ said and others indicated that they are able to make decisions for themselves; they said they enjoyed living at Rochell House; they all spoke highly of the staff and the care that they receive. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 14 15 17 The service users are supported to maintain links with their family and friends. All are involved in all aspects of community life and leisure activities. The menus provide sufficient choice and variation; the menus are based on the known likes and dislikes of the service users. Hot food temperatures must be monitored and recorded. EVIDENCE: The service users informed the inspector that they have access to a range of community-based services, which promote and provide opportunities to learn and use life skills, including supported work programmes, education and training. The staff team continue to liaise closely with external agencies in order to monitor each service user progress. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 12 The service users confirmed that they are supported to maintain very close links with their families. All are able to choose who they want to see and when. All service users are involved in light housekeeping tasks. The inspector observed staff interacting in a sensitive and respectful manner with service users. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. All care staff has undertaken food hygiene training. The inspector recommends that hot food temperatures be recorded. The service users said that the food was very good. Service users are also involved with the food shopping. A special diet is provided for one service user. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 20 The arrangements to ensure that the health care needs of the service users are identified and met. The medication systems are well managed. EVIDENCE: No service users currently have any moving and handling needs. Service users mainly need supervision and minimum help with their personal care tasks, such as bathing and dressing. The service users confirmed that privacy and dignity are respected at all times. There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The records and the procedures for the administration of medication were checked; these appeared to be appropriately detailed. The medication systems were examined for ordering, receiving and administering and disposal. All were appropriately maintained. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 23 A satisfactory Adult Protection Policy was in place, if implemented in practice, this should ensure that the service users are properly protected. The service users confirmed that they are aware of the homes complaint procedures. EVIDENCE: The home does have a complaints procedure; it contains details of how to contact the CSCI to make a complaint. Five service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their complaints and dealt with them fairly. The service users spoken to said that staff always dealt with their concerns fairly. The home does keep a record of complaints. Since the last inspection visit there have been no complaints received. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 15 The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. One member of staff requires POVA training; all other staff has undertaken this training. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 25 27 28 30 The service users are provided with a well-maintained and safe place to live. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The grounds were tidy, safe, attractive and accessible. There are plans to refurbish the kitchen and re-new the flooring in the dining room, laundry, landing area and three bedrooms. The home does have an appropriate amount of sitting, recreational and dining space. The dining area is large enough to cater for all service users. There is a smoke-free sitting room. Outdoor space and all areas of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design and in good condition. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 17 The home does have a sufficient number of baths, showers and toilets. Doors had privacy locks. Service users sharing rooms were interviewed and all had made a positive choice to share with each other. When a place becomes vacant in a double room, the remaining occupant does have the right to choose not to share. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. There was emergency lighting throughout the home. Valves are in situ at water outlets to ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities appeared to be well organised, COSHH information was displayed. Washing machines have the specified programme to meet disinfection standards. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 33 36 There was sufficient numbers of staff employed, having the skills, knowledge and qualities to deliver good quality care. All staff requires formal supervision at least six times a year, and regular recorded staff meetings are required. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervisions, however the frequency of formal staff supervisions has lapsed. The manager must ensure that all staff receives regular, recorded supervision sessions and arrange staff meetings at least six times a year. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 40 42 The manager provides consistent leadership, guidance and direction to staff to ensure that the service users needs are met. The home maintains appropriate records, policies and procedures that promote the welfare and safety of the service users. EVIDENCE: The registered manager is working towards a level 4 National Vocational Qualification in management and care. Staff interviewed were clear about the their responsibilities Service users are informed when inspections take place and have access to inspection reports. Copies are on display for relatives/others to see. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 20 The following records were found to be appropriately completed, these included the fire log book, accident book, personal allowance records, Health and Safey manual and the homes policies and procedures. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 2 Standard No 31 32 33 34 35 36 Score x 3 2 x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rochell House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x 3 x 3 x B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 22 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. Standard 33 & 36 Regulation 18 Requirement All staff must receive formal recorded supervision sessions, and arrange regular recorded staff meetings The manager must complete the registered managers award / NVQ level 4. Timescale for action 31.10.05 2. 37 18 31.12.05 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 6 17 Good Practice Recommendations Implement social care plans for all service users. Monitor and record hot food temperatures. Rochell House B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 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 B53-B03 S528 Rochell House V238645 280905 Stage 4.doc Version 1.40 Page 24 - 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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