Inspection on 12/12/05 for Rockleaze

This inspection was carried out on 12th December 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rockleaze 21/04/09

Rockleaze 06/05/08

Rockleaze 03/07/07

Rockleaze 01/08/06

Rockleaze 27/06/05

Rockleaze 07/01/05

Rockleaze 13/07/04

Rockleaze 09/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Rockleaze 56 Lower Hanham Road Kingswood South Glos BS15 8QP Lead Inspector Glenda Simons Unannounced Inspection 12th December 2005 09:30 Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 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 Rockleaze DS0000003352.V261803.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 Adults 18-65. 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. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rockleaze Address 56 Lower Hanham Road Kingswood South Glos BS15 8QP 0117 9673395 NONE 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) Mr Jonathan Short Mr Jonathan Short Care Home 13 Category(ies) of Learning disability (13), Mental disorder, registration, with number excluding learning disability or dementia (13), of places Old age, not falling within any other category (13) Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 13 persons aged 25 years and over who may have learning disability and/or mental disorder 27th June 2005 Date of last inspection Brief Description of the Service: Rockleaze is a large extended double fronted Victorian property, which is positioned in an elevated corner of the Lower Hanham Road. A homely atmosphere creates a very pleasant and comfortable home for residents. Rooms are furnished to a good standard and the home is very clean. Hanham offers good shopping and amenities within walking distance of the home. The Kingswood Shopping area is a short drive away, and the home is on a bus route accessing Bristol centre. Rockleaze has its own minibus enabling residents to enjoy trips away. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced and carried out over one day to examine standards of care provided, and monitor the progress in relation to Requirements and Recommendations from the last inspection. During the inspection, residents were informally asked about their home life, staff support, food and activities. Three Care Staff were also interviewed and discussion focussed on training, supervision and policies within the home. 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. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not looked at during this inspection, however, they will become the focus of the next inspection EVIDENCE: Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 8 and 9 Residents living at the home enjoy a good level of activity and entertainment, and are able to exercise personal choice in this area. EVIDENCE: Residents participated in making Christmas decorations for their home, and one resident interviewed said ‘ I enjoyed making the decorations’. Several residents attend Church on a Sunday, and the day before the inspection a group of residents went to St. Marks in Hanham to a carol service, and one resident was proud to inform the inspector that he stood up on his own and sang a carol. A staff member interviewed said that one of the residents likes to prepare his food in the kitchen once a week, and staff supervise and enable this to happen, but most of the residents are happy to have the food cooked for them. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 13,14,and 17 Residents participate in activities within the community and also enjoy appropriate leisure facilities. Residents enjoy a well balanced diet and enjoy their meals. EVIDENCE: Several residents attended a Luncheon invitation locally, on the day of the inspection. One resident was eating his lunch in the dining room, it looked hot, healthy and nicely presented, and he commented that the food was ‘good’. During the week, some residents have a cooked meal at the Day Centre, which they attend. The menu book was viewed, showing a four-week rotation of meals. It showed residents were offered a choice of food, and there was a variety of different meal plans. One resident interviewed said, he ‘liked the food’, and it was ‘good’. One resident spoke of his holiday to Burnham on Sea, which the home organised, and he said ‘ he really enjoyed it there’. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 19 and 20 Resident’s physical and emotional health needs are addressed and personal support is given as required. Medication is administered by Care Staff, however it is recommended that a form of medication training be commenced. EVIDENCE: Medication procedures, records and medication were examined within the home. Medication was locked in a large cabinet, and keys held by the Manager. The record of medication that has been returned was up-to-date and showed two signatures. Two residents medication were examined and records matched. The record book of Paracetamol issued to residents, when required, was examined, and a balance of 48 tablets was confirmed ensuring that there is no mishandling and recording is accurate. Two residents’ care files were examined to look at physical and emotional personal care needs. Both files showed evidence of professional appointments, which contained good notes. At the time of inspection the Optician was visiting, and several residents were having their eyes tested and trying on different glasses. Reports were examined and showed detailed report writing on a daily basis. Care Staff were seen writing in the daily report book as part of their duties, which helps demonstrate residents’ wellbeing is being monitored by staff and that this book is used and acts as a communication tool. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 22 and 23 Complaints procedures are in place and followed, but needs updating and regular reviewing. The risk of residents suffering from any form of abuse or neglect is appropriately minimised, however staff training with South Gloucestershire Council on Protection of Vulnerable Adults needs to be addressed. EVIDENCE: Complaints procedures were discussed with three residents, who said if they had a problem or complaint they ‘would see the registered Manager’ and ‘he sorts it out’, another resident said he would ‘talk to staff’. The complaints logbook for the home was viewed; it was found that the Manager had dealt with incidents effectively. Most of the complaints were in connection with one resident, who has since been moved to more suitable accommodation. The home’s complaints procedure was displayed in the main hallway and should be made more user-friendly for people with reading difficulties to enable them to understand more easily. Three members of staff were interviewed and asked if they knew about the term ‘whistle blowing’, all three staff were aware of the term, and mentioned that they would inform the registered manager straight away, if they had any concerns about staff members attitude and/or approach towards residents. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 12 One care assistant had undertaken protection of vulnerable adults training two years ago, however, all three care assistants said that this training was being up-dated in the New Year. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 24,25, 27 and 30 The home provides a clean, warm and comfortable environment, and this helps to meet the accommodation needs and lifestyle of its residents. EVIDENCE: Furniture, fittings and décor of the rooms were of a very good standard, which were clean, comfortable and created a homely environment. One resident showed the inspector his own bedroom, and he talked about how he was involved in the choice of his décor. His room was furnished with the many woodwork projects that the resident had made himself, also many personal family photographs were displayed, and other personal items that reflected his interests and lifestyles. Privacy is promoted through lockable bedroom doors. Three bedrooms were viewed with individual residents and each bedroom was homely and very clean. The toilets and bathrooms were all furnished to a high standard of finish, with very clean baths, shower areas, toilets, modern tiling and functional flooring. All bathroom and toilet doors had locks and offered privacy to residents. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 14 The communal rooms and kitchen were all very clean at the time of inspection. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 36 Residents are supported well by an effective well-trained staff team, who receive regular supervision from their Manager. EVIDENCE: Three Care staff were interviewed at the inspection, two of the staff have nearly completed their national vocational qualification level 2 in care, and one had completed their qualification. All three staff have attended and completed a wide variety of training related to care. When speaking to care staff, they all spoke about the support given by the registered manager, and said that they have a supervision meeting every two months. Care staff worked well together as a team and communicated with each other in a professional way. Staff spoke to residents in a quiet respectful manner. Staff said they enjoyed working at Rockleaze, and everyone gets on really well with each other. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 16 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 38. The Manager operates with good overall management skills, which directly benefits residents. EVIDENCE: One member of staff interviewed commented that the home was well run by the Manager, ‘as he was always available to help’ and ‘was very approachable if they needed advice or support’. Another member of staff said, ‘that they could always talk to the Manager, and that he would listen, and take account of their views’. The registered manager demonstrated and was observed to be a ‘hands on’ Manager and works as part of the team. As discussed with the manager several management policies and procedures need to be addressed, such as information contained in the homes statement of purpose, written terms and conditions of residency between home and residents, and ensure that risk assessments are undertaken in respect of the home and fire. Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 17 Three Residents interviewed, all commented on how well run the home is and that they ‘liked it here’. They also said that the manager was approachable, and felt they could talk to him anytime and he would ‘get things sorted’. Rockleaze DS0000003352.V261803.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 2 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rockleaze Score X 2 2 X Standard No 37 38 39 40 41 42 43 Score 2 2 X X X X X DS0000003352.V261803.R01.S.doc Version 5.0 Page 19 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 1 Regulation 4(1)(c) Requirement Ensure that information contained in the home’s statement of purpose is up to date and corresponds with the details listed in Regulation 4 (1) (c) Schedule 1.(Previous timescale of 30.10.05 not met) The service must ensure that staff receive updated training to ensure they are able to carry out their adult protection responsibilities. (Previous timescale of 30.11.05 not met) Ensure that a risk assessment of the premises is undertaken. (Previous timescale of 30.11.05 not met) Ensure that the fire risk assessment is updated (Previous timescale of 30.11.05 not met) Written terms and conditions of residency between the home and residents must be updated to correspond with specifications required in National Minimum Standard 5 (Previous timescale of 30.11.05 not met) Timescale for action 31/03/06 2. 23 13(6) 31/03/06 3. 42 13(4)(a) 31/03/06 4. 5. 42 5 23(4)(a) 5(b) 31/03/06 31/03/06 Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 20 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 1 Good Practice Recommendations The Resident’s Guide to the home should be made more user friendly for people with reading difficulties by including pictures/photographs of the home and the facilities and services provided Resident’s care plans should demonstrate in more detail how all aspects of resident’s assessed and changing needs are being met. Records held on resident’s health service needs and check ups should refer to outcomes of professional appointments to demonstrate how resident’s health needs are being addressed. 2. 3. 6 19 Rockleaze DS0000003352.V261803.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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. 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