Inspection on 15/02/06 for Rockingham House

This inspection was carried out on 15th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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

Rockingham House 07/11/06

Rockingham House 14/06/05

Rockingham House 07/12/04

Rockingham House 16/06/04

Rockingham House 09/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rockingham House 22 The Mount Malton North Yorkshire YO17 7 ND Lead Inspector Mrs Rosalind Sanderson Unannounced Inspection 15 February 2006 10:30am 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 Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 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. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rockingham House Address 22 The Mount Malton North Yorkshire YO17 7 ND 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) 01653 697872 01653 699612 Mr Richard Charles Dales Mrs Eileen Amy Gill Mrs Susan Jane Bingham Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: Rockingham house is registered to provide personal care for up to twenty six older people. The home also offers short-term care, including day care. Rockingham House does not provide nursing or specialist care and consequently any nursing needs will be the responsibility of the local health care services. The property is Victorian, set in large grounds in a quiet residential area of Malton. It is conveniently located for all main community facilities including the public transport network. It is built on four floors with the ground to second floor being serviced by a passenger lift. The lower ground floor is accessed internally via stairs or a stair lift or externally through the garden area. The home has been sympathetically converted into a care home from a private house and an extention has been added. The gardens are landscaped, with a pond and seating for service users and their guests. There is parking space for several vehicles. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of six hours including preparation time. The registered manager was available throughout and service users were observed in their daily routines. Staff members were spoken with and also observed during their work routines. The registered manager was available for the feedback session. What the service does well: What has improved since the last inspection? There were no requirements or recommendations made at the last inspection. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 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. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 7 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 Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 8 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): 3,6 is not applicable Service users can be assured that their needs will be met. EVIDENCE: The care records of service users were examined and the records showed that comprehensive information is obtained about the background, physical, health and social care needs of service users prior to their admission. Where a local authority care manager had arranged care, the care plan supplied by them was present on file. Using this information a full care plan is developed with each service user including information for staff on the help required in response to individual need. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 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): 7,8,10 Service users healthcare needs are met but at times they would benefit from earlier intervention from professionals. EVIDENCE: The care records examined showed examples of the ongoing monitoring of a resident’s health problems and communication between care staff and the resident’s doctor and specialist healthcare personnel. Records noted when service users had seen their doctor or a community nurse had attended them. Each plan of care is based on the initial assessment and clearly addresses how needs will be met in a holistic way. However there had been a recent incident in the home when the district nurse had not been called out at the earliest opportunity and a service user had required admission to hospital for treatment because of this. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 10 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 Service users lead fulfilling lives and have their dietary needs met. EVIDENCE: Residents said that they enjoyed their meals. One said “food is very good indeed”. The menu was looked at and showed a balanced plan to ensure that residents received good nutrition and the cook demonstrated her awareness of the dietary needs of individual service users. A choice of hot meals is available three times per day with “standing” alternatives should residents prefer something different. The home’s dining room is pleasantly decorated and furnished and was a congenial setting in which to eat meals. All activities provided at the home are recorded and which service users took part. Recent activities included music afternoons, a Christmas party and dominoes. Those service users spoken with expressed satisfaction with the activities provided and they were looking forward to the flower arranging demonstration the following week. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 11 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): 18 Service users are not fully protected. EVIDENCE: The adult protection policy is clear and links to the Local authority policy for the protection of vulnerable adults. Staff have received training and are able to explain what action they would take in the event of witnessing an abusive situation or a disclosure being made. Recruitment practices have the potential to place service users at risk. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 12 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): Not assessed at this inspection EVIDENCE: Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 13 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): 28,29,30 Service users are not protected by the homes recruitment procedures. EVIDENCE: The registered manager at inspection supplied staff rotas. These were analysed and showed that the staffing levels exceeded the standard and that staff are deployed in sufficient numbers to ensure that service users’ needs are met at times of the day when they are most required. Domestic and kitchen staff are employed and were seen to contribute to the care and wellbeing of service users. Two waking night care staff are on duty with a manager on call in case of emergency. Of the nineteen care staff, two have an NVQ qualification in care. This means that 10.5 of care staff are qualified to at least NVQ Level 2. Staff records showed that staff had undertaken mandatory training in health and safety topics. The training undertaken was recorded on individual staff files and the registered manager said she was aware of the staff training needs of individual staff. Recruitment records showed that not all the necessary checks are carried out on staff prior to them being deployed and staff were in post without these checks being in place. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 14 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): 35,38 Service users can be assured their financial interests are safeguarded. EVIDENCE: The manager confirmed that neither she nor the staff handle any monies for the service users and that any money spent on their behalf is added to the monthly accounts. Service users that wish to handle their own affairs are provided with secure lockable facilities in their rooms. All records kept in the home are current and up to date. The manager had not sent in regulation 37 notifications for a recent event. This was discussed and agreed that these would be supplied in the future. Staff were observed handling service users in a way that could cause harm to the service user or staff member. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 15 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 1 X X X X X X X X STAFFING Standard No Score 27 X 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 1 Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 16 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. 1 Standard OP8 Regulation 12(1) 13(1(b)) Requirement Timescale for action 03/03/06 2 OP18OP29 13(6) 19(1), When service users require specialist input for their healthcare needs, referrals must be made at the earliest opportunity. 15/02/06 The registered manager must ensure that before staff are deployed at the home they must have in place: • A fully completed application form • Two satisfactory references that have been checked for authenticity and validity. • A satisfactory CRB check relating to the applicant and for this employment. • If a P.O.V.A. 1st check has been obtained prior to receipt of the CRB arrangements must be in place for the staff member to work under supervision The registered manager must make ensure that the staff member who does not have a completed application form and two written references and the staff member without a CRB DS0000007670.V283319.R01.S.doc 3 OP18OP29 13(6) 19(1) 15/02/06 Rockingham House Version 5.1 Page 17 4 OP38 13(5,6) 5. OP38 37(1) check work under supervision until these are obtained. The registered manager must ensure that staff move and handle service users in a safe way The registered manager must make notification to the commission as stated under regulation 37 in relation to service users suffering from pressure sores at grade 2 or above. 15/02/06 02/03/06 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 Refer to Standard OP28 Good Practice Recommendations The manager must continue to encourage staff to work towards a qualification at NVQ level 2 or above in care. Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Rockingham House DS0000007670.V283319.R01.S.doc Version 5.1 Page 19 - 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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