Inspection on 07/11/06 for Rockingham House

This inspection was carried out on 7th November 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

Rockingham House 15/02/06

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 7ND Lead Inspector Mrs Rosalind Sanderson Key Unannounced Inspection 7th November 2006 09:15 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.V319267.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V319267.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rockingham House Address 22 The Mount Malton North Yorkshire YO17 7ND 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 rdales5655@aol.com 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.V319267.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 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 extension 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. Prospective and current service users are provided with information about the services offered in the form of a service user guide and the latest Commission for Social Care Inspection report is available in the home with individual copies provided when requested. The registered manager provided the scale of charges in the pre inspection information on 21/8/06. These range from £317 -£390 per week. Additional charges are made for hairdressing, chiropody, personal toiletries and newspapers. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person in the form of a pre inspection questionnaire; Comment cards returned from 9service users, 4 relatives, 2GPs, 1 district nurse, and two care managers. A visit to the home carried out by one inspector. A site visit was carried out and lasted for six and a half hours. Seven service users, two relatives and four staff were spoken with. Records relating to service users, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Rockingham House for the people that live there. The registered manager was available to assist throughout the day and the registered provider was present for part of the feedback session. What the service does well: What has improved since the last inspection? Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 6 Since the last inspection relations with the district nursing team has improved and this has led to earlier referrals for service users that require this. A district nurse said, ‘The home communicates with us much better now and we work in partnership with them.’ Referrals are also made promptly to other healthcare professionals where there is an indication. Staff are recruited safely and all have the necessary checks carried out prior to starting work at the home. 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. The summary of this inspection report can be made available in other formats on request. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 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.V319267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 is not applicable Quality in this outcome area is good. Service users can be assured that their assessed needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users records showed that a full needs assessment is carried out prior to admission, where possible. A service user recently admitted to the home had had information gathered about them prior to admission. This included information from them, their families, their GPs and social service staff. Staff at the home had carried out their own assessment once the service user had been admitted. The manager was clear about what category of service user the home can admit. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Service users healthcare needs are met. This judgement has been made using available evidence including a visit to this service EVIDENCE: Service users all have a written care plan. These care plans are made available for all staff and they confirmed that they have access to them. There was evidence that the care staff review the plans regularly. However the daily records for recording day-to-day events are held for all service users within one file. There was written evidence to show that service users had been referred to other health care professionals when this was indicated. This included referrals to the community psychiatric team, the district nurse, dietician and speech and language therapists. A district nurse that was visiting said, ‘The home communicates with us much better now and we work in partnership with them’ Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 10 Service users were satisfied with the care at the home. One commented, ‘I feel that I always get the help I need’. Another service user said, ‘The staff are wonderful, we are pals.’ Another commented, ‘The staff are really good and treat you with respect. The care is top class’ A visitor said, ‘I am very happy with all the care that…receives, they couldn’t be better looked after’. Medications are administered correctly ensuring that all service users receive prescribed medication safely. Some medication was held for service users that were no longer resident at the home. The registered manager made immediate arrangements for these to be returned to the chemist Bed rails were fitted to some beds. However in one case they were fitted incorrectly and there were no risk assessments in place for their safe use. The incorrect rail had been used for that bed. The manager was given a written notice to make sure that all bed rails in use were fitted correctly before they were next used. She attended to this immediately and arranged to obtain a copy of the document, ‘The safe use of Bedrails’ in order that she and her staff would be better informed as to their use. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. Service users are very happy with their lives at Rockingham house This judgement has been made using available evidence including a visit to this service EVIDENCE: Service users said that they are consulted about what they like to do. They have regular entertainment brought in such as music. Comments received include, ‘I couldn’t be in a better place, I consider myself very lucky to have live here.’ Another commented, ‘You can’t get better than here! I recommend this place to people.’ Relatives comments received include, ‘Nothing is too much trouble for the staff, I am always made to feel very welcome. Another said, ‘It’s very warm and welcoming’ The food provided is well presented and provides a well balanced diet. There is home cooking and baking available at all times. Comments received from service users included, ‘The food is excellent’ and ‘If you don’t like what’s on Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 12 offer there’s always a choice’. Special diets are catered for and the cook was able to show evidence that she had researched and provided high protein diets for one of the service users. The cook identifies and records food safety hazards during the receipt, storage and cooking processes, (HACCP controls). This ensures that food safety is addressed at each stage of the process. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. Service users are listened to and protected This judgement has been made using available evidence including a visit to this service EVIDENCE: The complaints procedure is clear and accessible to service users, visitors and staff. All those spoken with confirmed they would feel happy to bring up any concerns with the manager. One service user said, ‘I would tell Sue (the manager) if I had any problems and I have every confidence that she will sort it out’ Relatives confirmed that they knew about the complaints procedure and those who had brought up concerns were satisfied with how they were handled. The adult protection policy is clear and all staff have received training in this area. There have been no complaints since the last inspection. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is adequate. Service users live in a clean and comfortable environment but some practices within the home may place service users at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is beautifully decorated and maintained well. The gardens are well pleasant and service users said they enjoy using this area, weather permitting. Private accommodation is clean and there are no unpleasant odours. Service users have been able to personalise their rooms with photos and ornaments from home. One said, ‘It isn’t home but it’s the next best thing.’ Laundry facilities are good and service users looked well dressed in nicely laundered clothing. Staff are aware of their responsibilities in controlling infection within the home. Most staff have received training in this area. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 15 The majority of fire doors were held open using door wedges. This practice is unsafe and places staff and service users at risk. The use of equipment in the home needs to be risk assessed and control measures in place to ensure that any equipment, including bed rails, is used safely and with minimal risk to service users. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Service users are cared for by well trained staff that are safe to do so. This judgement has been made using available evidence including a visit to this service EVIDENCE: Evidence of induction training and mandatory training was seen. Staff receive regular, relevant supervision and appraisal. Those spoken with found this to be useful. External training is also arranged where appropriate. This ensures that welltrained, motivated staff that are valued by the organisation always attend service users. Staff rotas showed that sufficient staff are on duty at any time. This was observed to be the case on the day of the inspection. Currently 33 of care staff have achieved a qualification in care at NVQ level 2 or above. Recruitment records (4) showed that all staff have been recruited safely in line with the homes policy and procedure. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. The home is managed well and in the best interests of the service users. To ensure this continues the registered person needs to be more proactive in recognising shortfalls in order that they can be addressed promptly. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is currently awaiting verification of the Registered Managers Award. She has many years experience. She is assisted in her role by a supportive staff team. Service users, staff and relatives spoken with feel the manager has an open, inclusive approach and operates an open door policy. Relatives, staff and service users were observed freely approaching her during the day. The home has a very happy and homely atmosphere. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 18 Staff spoken to confirmed that they feel well supported by the manager to help them achieve good outcomes for service users. They have regular supervision when training needs and progress are discussed. Quality assurance within the service is carried out. The intention is that this is further developed to ensure that the views of all who have an interest in the service can be taken into account when planning. All safety certificates were up to date although some remedial work has been highlighted on the electrical wiring certificate. The home does not handle any personal monies for service users. To ensure the continued safety and good care of service users the issues identified in this report around health and safety and staff recruitment need to be addressed. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 19 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 3 9 3 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 3 17 X 18 3 1 X X 1 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 1 Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 20 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 OP19 OP38 Regulation 23(4(c)) Requirement The use of door wedges to hold open fire doors must stop immediately and only means that have been agreed and authorised by the Fire Safety Department may be used A full assessment of the risk for the use of bedrails must be carried out on the bed rails identified before they are next used in the care of a service user. A system must be put in place to ensure that risk assessments in place for the use of bed rails are reviewed on a regular basis and the bed rails are checked to ensure their continued safety. An action plan including timescales must be forwarded to the Commission for Social Care Inspection to show how the requirements made at the recent Electrical installation inspection will be met. Timescale for action 07/11/06 2. OP22 OP38 13(4(c)) 07/11/06 3. OP22 OP38 13(4(c)) 16/11/06 4. OP38 13(4(c) 04/12/06 Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 21 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 Individual service user records should be held separately in order that their privacy is respected and the requirements of the data protection act are met. Rockingham House DS0000007670.V319267.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V319267.R01.S.doc Version 5.2 Page 23 - 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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