Inspection on 16/01/06 for Rock Lea

This inspection was carried out on 16th January 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 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

Rock Lea 20/02/08

Rock Lea 22/11/06

Rock Lea 05/07/05

Rock Lea 24/01/05

Rock Lea 26/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rock Lea Abbey Road Barrow in Furness Cumbria LA13 9SJ Lead Inspector Ray Mowat Unannounced Inspection 08:15 16 January 2005 th X10015.doc Version 1.40 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 Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 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 Older People. 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. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rock Lea Address Abbey Road Barrow in Furness Cumbria LA13 9SJ 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) 01229 894546 Cumbria Care Ms Paulina Holland Care Home 26 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (26) of places Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of twenty six older people (OP26) may be accommodated, six of whom may also have dementia (DE(E)6). The staffing levels for the home must meet the Residential forum Care Staffing Formula for Older Adults by 1st April 2004. 5th July 2005 Date of last inspection Brief Description of the Service: Rock Lea is a care home providing personal care and accommodation for 26 older adults, of whom six may have dementia. The registered provider is Cumbria Care, an independent business unit of Cumbria County Council. The Home is located in a residential area on the outskirts of Barrow-in-Furness, close to bus routes into the town. The home was formerly a Victorian residence and has retained many original features. It has been extended and altered to provide accommodation on two floors, accessible by a passenger lift. The home has two good size lounge/dining rooms and a conservatory lounge/diner. The home has an EMI unit for six people with its own lounge/dining area with accessible toilet and bathroom facilities. All the twenty-six rooms are single occupancy, with eight having en-suite facilities. The home has extensive grounds to the front and rear, including well-kept gardens and parking facilities. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the course of the inspection I spent time in each of the units talking to residents, visitors and staff and joining a group of residents for lunch. I also spent time with the manager and supervisors and looked at records relating to the running of the home and the care that people require. 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. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 4, 5. The home provides suitable information for residents and complete a detailed assessment prior to admission this ensures they are able to meet individual needs. EVIDENCE: The manager and supervisors take a lead role in completing a thorough assessment prior to admission to the home. In some cases this is in addition to a social work assessment. From this a care plan is developed, which is monitored through the monthly review and annual care plan meetings. There was evidence of review meetings being held more frequently when issues of concern have arisen or there has been a change in need. Changes in need were recorded and referrals for specialist input and support had been made. This included referrals for psychiatric support and other specialist health services. All residents are issued with a detailed contract of terms and conditions, which is agreed and signed with the resident or their representative upon admission to the home. One resident who I spoke to explained how their family had Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 8 supported them with the admission process and brought them to visit the home prior to moving in. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Health and personal care needs were well documented. Staff respected Resident’s rights and choices. EVIDENCE: On the whole residents personal and healthcare needs were well documented with assessments and personal profiles identifying needs. Not all the care plans however, detailed how these needs would be met. Interests and hobbies is an example of this. Individual’s interests were recorded in an assessment but how the home will support and encourage the residents to pursue their hobbies and interests was not recorded. This is particularly important for people with dementia. A monthly functional assessment is completed to review individual’s needs and record any changes. Residents with a social work assessment also had an annual review of their placement, one of these I looked at recorded the fact the resident was “happy in the home and the family were satisfied that all their needs were being met”. Care plans are agreed and signed by the residents or their representative. Healthcare needs and interventions are recorded and monitored through the daily diary recordings and monthly and annual reviews. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 10 The medical records I examined were up to date and in order. The home had recently received a letter from a relative thanking them for the care and attention their relative had received when they were terminally ill, which I feel sums up the high levels of care and commitment of the staff. They wrote “In the final days of life I was overwhelmed by the love and dedicated attention to my relatives cleanliness and comfort. Their dignity was retained up to their last breath”. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14, 15. With the additional staffing in place the home is able to provide a good range of activities. EVIDENCE: The residents spoke to me about how they had enjoyed the recent Christmas festivities. There had been several visits to the home by both school and church choirs. The home had also organised some bus trips to see the Christmas light displays in the local area. A shopping trip had also taken place, which was appreciated by residents. The home also organised for some local entertainers to provide a concert. The home has appointed a member of staff who takes a lead role in planning and organising activities in the home. Residents are encouraged to maintain friendships and links with friends and their local community. One resident explained how her daughter visits her on a regular basis and “takes her for outings”, which she looks forward to. Other residents talked about relatives visiting them in the home or them going out to visit their relatives. I met with visitors to the home throughout the day who confirmed that “we are always made welcome”, with one relative saying “this place cannot be faulted I come here at all times and it is excellent”. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 12 In the morning the hairdresser was visiting the home, which was a weekly activity and something the residents value. In the afternoon two staff were offering nail care to residents. I joined a group of residents for lunch that was served in the dining area of one of the units. There was a choice of two hot meals or alternatives provided if required. The meal was well presented and freshly prepared. The majority of the residents I spoke to were “very happy” with the meals provided. The home had consulted residents about the food provided and was planning a residents meeting to review the menu and people’s preferences, which is good practice. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17. People’s views are listened to and acted upon and their legal rights are protected. EVIDENCE: There have been no complaints since the last inspection. In addition to maintaining a record of complaints, the home has a file with letters and cards of appreciation. It was evident from reading these there was a high level of satisfaction with the service the home provides with people talking about “dedicated, committed and caring staff”. Within the care plan people’s legal position is recorded and who is responsible for their affairs and their next of kin. Staff liaise with family or legal representatives when required to safeguard resident’s interests. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 25, 26. Rock Lea is well maintained and provides a safe and comfortable home. EVIDENCE: The home is decorated and furnished to a good standard with a suitable programme of maintenance and renewals in place. This ensures the environment and décor remain in good condition. Areas I identified as being in need of attention due to wear and tear had been included in the programme for this financial year, including the redecoration and new carpets for the large lounge and conservatory. Residents have been involved in choosing the colour schemes, which is good practice. The designated smoking room is also to be refurbished including decoration and carpets. There was evidence of people being assessed by other professionals to ensure they had suitable aids and adaptations to promote and maintain their independence. There were no obvious hazards noted during the inspection and all parts of the home were clean and hygienic. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Rock Lea has an experienced and well-trained staff team who provide a consistent and reliable service. EVIDENCE: The home currently has a full compliment of staff and benefits from having a stable and experienced staff team who work well together. I examined staff files including staff that had been employed since the last inspection. Contracts and job descriptions had been issued and all necessary checks completed. The manager was in the process of reviewing the three-week rota, with a view to introducing a two-week rota. She had compiled a draft version and had arranged a meeting to consult with staff prior to implementing it, which is good practice. The manager liaises with the supervisory staff to identify training needs and then provide suitable training for staff. A matrix of training courses undertaken by staff is maintained and provides a quick overview of the training needs and number of days training completed for the year. In addition the home has a continuous professional development file for each member of staff to record all training and personal development information. Specialist training is arranged when needs are identified liaising with other professionals as necessary. Some senior staff have also completed “training the trainer” courses to enable them to provide in-house training, a good example being Dementia Awareness. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38. The manager and supervisors ensure the home is run in the best interests of the residents. They provide clear leadership and support to residents and staff. EVIDENCE: The current acting manager Mrs Phizacalea is in the process of completing the registered manager fit person process with the Commission. She has been in post for 15 months covering a long-term sickness absence. She is currently on a six-month rolling contract. In this time Mrs Phizacalea has ‘got to grips’ with the role and is providing “good leadership and support” to the residents and staff. The staff team spoke of feeling “valued and well supported”. The manager works closely with the supervisory team to ensure the smooth running of the home and provide both formal and informal supervision to the staff team. Some of the supervision records were inconsistent, which the manager was aware of and was in the Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 17 process of introducing a clear monitoring system to flag up when supervision was due. In addition to an annual residents survey the home holds regular residents meetings to enable them to contribute to the running of the home. I spot checked resident’s personal finances and records held by the home. All income and expenditure is recorded and signed for with receipts maintained. The records all balanced and were up to date and accurate. The central finance unit of the organisation issues a monthly budget monitoring report, to assist the manager in monitoring the income and expenditure of the home and maintain its viability. Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 X 3 Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP7 Good Practice Recommendations It is recommended information to guide staff, relating to interest and hobbies and other pertinent issues and the support that people require to pursue them are recorded in the care plan. It is recommended manual handling risk assessments contain all pertinent information relating to people’s mobility. Orientation and other good practice guidelines, particularly for people with dementia and cognitive impairments should be introduced. 2 3 OP9 OP12 Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Rock Lea DS0000036579.V266609.R01.S.doc Version 5.0 Page 21 - 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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