Inspection on 09/04/05 for Rochell House

This inspection was carried out on 9th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rochell House 04/07/07

Rochell House 26/07/06

Rochell House 28/09/05

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 Unannounced 9th April 2005 10:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Rochell House Address 94 Queen Street Amble Northumberland NE65 0DQ 01665 710234 N/A 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) Mrs Anne OConnell CRH 9 Category(ies) of LD Learning disability (8) registration, with number LD(E) lLearning disability - over 65 (1) of places Rochell House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 17.11.04 Brief Description of the Service: Rochell house provides personal care and accommodation for 9 service users with learning disabilities. The home is in the town centre of Amble, close to the towns main shopping centre and harbour. The home is near good transport links, with good access to local pubs and restaurants and other local amenites. The home is a converted stone detatched house. There are five single and two double bedrooms. Two bedrooms are on the ground floor. The home does not have a lift. Service users are able to use a very attractive rear courtyard / patio area with seating. Rochell House Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual visit, which took place over half a day. Time was spent talking to the manager, eight service users and staff, examining records, policies and procedures. Service users all said they were happy with the care they received. They said staff help them to be independent. What the service does well: What has improved since the last inspection? Most of the staff team have commenced NVQ level 2 training. Adult protection training has been arranged for all staff. Rochell House Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rochell House Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Rochell House Version 1.10 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 standard(s) 1 2 3 4 5 All service users had appropriately detailed pre admission assessments completed and were able to visit the home prior to admission. Each service user has a written contract / statement of terms and conditions. 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 homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Four service users interviewed confirmed they had been given copies of the guide, which were available in a range of formats, for example on audiotape, and large print. The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Four 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. These were carried out by appropriately trained people, for example the referring social worker and for those self-funding by the registered manager. 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. The 3 service user plans checked by the inspector were comprehensive, and listed Rochell House Version 1.10 Page 9 details of service user’s needs and actions taken by the staff to meet these needs. Four residents interviewed said their needs were met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services were provided to service users. Staff interviewed had had a range of relevant training and experience. 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 where possible. Rochell House Version 1.10 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 standard(s) 6 7 8 9 10 The service users health and personal care needs continue to be fully met. The service users dignity and privacy is respected at all times, and selfadvocacy is promoted. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Rochell House Version 1.10 Page 11 Each service user receives support from staff to manage their finances. Service users’ all indicated that they are able to make decisions for themselves. Rochell House Version 1.10 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 standard(s) 11 12 13 14 15 16 17 Service users are supported to use community-based activities, maintain contact with friends and family, help with grocery shopping and help to prepare meals. Healthy eating programmes are well managed. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated every six months, all service users participate in this process, and their relatives are invited to attend. Validated intervention treatment programmes are accessed if a need does arise. I was informed that the service users have access to a range of communitybased services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. The staff team liaise closely with external agencies in order to monitor each service user progress. Rochell House Version 1.10 Page 13 I was informed that all service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. I was informed that service users are involved in housekeeping tasks. I observed that staff only enter service users bedrooms with their permission. I also 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. The service users that I spoke with said that the food was very good. I was informed that the service users are involved with the food shopping. I discussed the use of nutritional assessments with the homes representatives, these will be introduced. A range of special diets can be catered for. Rochell House Version 1.10 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 standard(s) 18 19 20 21 The arrangements to ensure that the health care needs of service users are identified and met are well managed. EVIDENCE: I am aware that no service users currently have any moving and handling needs. I was informed that service users mainly need supervision and minimum help with their personal care tasks, such as bathing and dressing. I was informed that privacy and dignity are respected at all times. No service users currently have or require any technical aids or equipment. The service users all indicated that they felt their privacy is respected. 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. I examined the records and the procedures for the administration of medication; these appeared to be appropriately detailed. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well maintained. I was informed that the dispensing pharmacist offers good support and advice. I was informed that staff has received appropriate training relating to ageing, illness and death. I have advised that service users wishes relating to all Rochell House Version 1.10 Page 15 aspects of this standard are recorded, and where appropriate involve their relatives to aid this very sensitive process. Rochell House Version 1.10 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 standard(s) 22 23 Complaints are handled objectively and the service users are confident that their complaints are taken seriously and acted upon. The home has appropriately detailed complaint procedures. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. Four 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. They spoke of their key workers supporting them and helping them to complain. Two service users spoken to who had made a complaint said these had been dealt with fairly. The home keeps a record of complaints. The home has a Whistle Blowing policy and procedure as well as the Local Authorities Vulnerable Adults procedures. 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 Version 1.10 Page 17 There was evidence of personal spending and receipts are kept. Rochell House Version 1.10 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 standard(s) 24 25 26 27 28 29 30 Good progress has been made to improve the decoration in the home; the home was comfortable warm and safe. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. The home, is in a residential location. Four service users interviewed said it was homely and comfortable. The grounds were 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 actioned. The home has an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. The dining areas are 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. Rochell House Version 1.10 Page 19 Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The home has a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors were labelled and had privacy locks. There were appropriate aids and adaptations for example seat raisers, grip rails, bath hoists. Room sizes meet the minimum required. Room dimensions were such that there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users sharing rooms were interviewed and had made a positive choice to share with each other. When a place becomes vacant in a double room, the remaining occupant has 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. Radiators were low surface temperature and pipes were guarded. Lighting levels were sufficient and there was emergency lighting throughout the home. The manager said water is stored at over 60°C. 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 Version 1.10 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 33 34 35 36 The procedures for the recruitment of staff appear to be robust. There are sufficient care staff employed to meet the needs of the service users. Staff training records were accessible and well managed. EVIDENCE: Staff levels on the day of the inspection met the agreed level. Samples of 4 weeks’ rotas were checked and these showed the required numbers of staff were on duty. Staff spoken to and service users interviewed said that staffing levels were appropriate and that there were additional staff on duty at peak times of the day. All the staff were over 18 years of age and those left in charge were at least 21. The inspector checked staff records and found that 50 of the home’s staff is expected to qualify to NVQ level 2 by December 2005. Four staff files were checked. The home has a thorough recruitment process which includes obtaining two written references, obtaining full employment histories and checking gaps in these, a criminal records check, medical checks, obtaining proof of ID and of any qualifications. Staff confirmed these processes occurred and that they received statements of terms and conditions. All new staff members receive induction within 6 weeks. The manager confirmed the programme meets National Training Organisation requirements. Rochell House Version 1.10 Page 21 She said it covered such things as safe working practices, the organisation and workers role and the needs of the service user group. Training needs of staff are identified through supervision and appraisal sessions. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. Staff interviewed confirmed they receive three days paid training. Rochell House Version 1.10 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 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 38 39 40 41 42 43 The home has good leadership to ensure that the service users receive quality care. There are systems in place to promote and safeguard the health and welfare of the service users. EVIDENCE: The registered manager has many years experience in senior management and is working towards a level 4 National Vocational Qualification in management and care. In the last year all of the staff team have attended several courses to keep themselves up to date. Staff interviewed were clear about the their responsibilities. Staff interviewed spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. Rochell House Version 1.10 Page 23 The home has a quality assurance system, which seeks the views of service users, through meetings and questionnaires. Service user and relative’s meetings also take place regularly. The home needs to produce an annual development plan. Service users’ confirmed they felt involved in the process and that it had improved the quality of care offered. The manager said others are asked for their views of the home for example GP’s, District Nurses, volunteers and advocates are sent questionnaires. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are on display for relatives and others to see The Company has developed a range of new policies and procedures which have to some degree been linked to the National Care Standards. The records that I inspected were found to be appropriately completed, these included the fire log book, accident book, personal allowance records, Health and Safey manual. I was provided with information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks are checked annually. Finance records have previously been forwarded to the CSCI to verify that the home is viable. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Rochell House Score 3 Standard No 22 Version 1.10 Score 3 Page 24 2 3 4 5 3 3 3 3 23 ENVIRONMENT 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 3 3 3 Rochell House Version 1.10 Page 25 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. 2. Standard 32 37 Regulation 18 18 Requirement 50 of the homes care staff must achieve NVQ level 2 The registered manager must complete NVQ level 4 in management and care. Timescale for action 31.12.05 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 39 Good Practice Recommendations Ensure that service users plans of care and risk assessments are agreed and signed by their representatives. As part of the homes quality assurance system, the providers must produce an annual develpoment plan. Rochell House Version 1.10 Page 26 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington Northumberland 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 Version 1.10 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!