Inspection on 06/05/08 for Rockleaze

This inspection was carried out on 6th May 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rockleaze 21/04/09

Rockleaze 03/07/07

Rockleaze 01/08/06

Rockleaze 12/12/05

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 Paula Cordell Key Unannounced Inspection 6th May 2008 09:30 Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 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.V360142.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 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.V360142.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rockleaze Address 56 Lower Hanham Road Kingswood South Glos BS15 8QP 0117 9673395 0117 9619515 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 10 Category(ies) of Learning disability (10) registration, with number of places Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 10. 3rd July 2007 Date of last inspection Brief Description of the Service: Rockleaze is registered with the Commission for Social Care to support 10 people with a learning disability. Mr Jonathon Short privately owns the home and is the registered manager. Rockleaze is a large double fronted Victorian property, which has been significantly extended. It is in an elevated corner position on the Lower Hanham Road and provides excellent views over Bristol from first floor rooms. The buildings and gardens are well kept and the front garden provides seating for the individuals living in the home. Considerable work has been undertaken internally over the last two years. The rooms are furnished to a high standard and the home is pleasant and comfortable. Local shopping and other amenities in Hanham are within walking distance and the Kingswood shopping area is a short drive away and enjoyed by people who use the service. The home is on a bus route accessing both places and the centre of Bristol. The home also has its own transport with an easy access vehicle, enabling either small or larger groups to go on trips from the home. The home is staffed 24 hours a day with the provider/manager living at the premises. The service aims to provide a comfortable place to live and for the individuals to have opportunities to lead the life they chose as independently as possible. The fees at the time of publishing this report were from £427 to £527 per week. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was an unannounced visit as part of a key inspection process. The purpose of the visit was to review the requirements and the recommendations from the visit in July 2007 and to monitor the quality of the service provided to the people living at Rockleaze. As part of the government agenda this was a thematic inspection where all services inspected over a two-week period are scrutinised for their processes that are in place to ensure that individuals are protected from abuse. This information is then used nationally to determine how services are protecting vulnerable people who use services. There have been no visits since the visit in July 2007. Shortly after the visit in July 2007 the home submitted an application to vary the certificate of registration with a reduction of numbers from 13 to 10. This was agreed and a new certificate is in place. The Commission for Social Care Inspection has not received any complaints relating to Rockleaze. The inspection methods used include record checks, case tracking, observations and discussions with the manager, the staff on duty and people who use the service. The home has been sending information in respect of regulation 37 notices of events affecting the well being of the people who use the service. These were used as a focus for the site visit. Along with completed surveys from people who use the service (7), staff (4), visiting professionals (1) and relatives (7). The provider was due to send the Annual Quality Assurance Assessment to the Commission for Social Services, which provides an overview of information about how the service is meeting the National Minimum Standards. Including identifying how the service has improved with a plan for future development. The visit was conducted over a period of six hours and ended with structured feedback. What the service does well: Rockleaze provides a homely environment for the individuals living there. Many of the individuals have lived there for a number of years. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 6 Individuals are supported to lead individual lifestyles based on choice and are enabled to access the local community. Individuals are supported to maintain contact with friends and relatives. Feedback from individuals was positive about all aspects of their home including the management support. There is a strong commitment towards ensuring that competent and trained staff support individuals. Individuals can be confident that the staff are knowledgeable about their care needs. A good rolling programme of training is in place for staff with good support mechanisms. 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. The summary of this inspection report can be made available in other formats on request. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals have information to enable them to make a decision on whether to move to Rockleaze. Individuals can be confident that the home will meet their assessed care needs. Good systems are in place to ensure that individuals are appropriately placed. EVIDENCE: There is a statement of purpose and a service user guide in place. This met with the Care Homes Regulations and the National Minimum Standards. All completed surveys from people who use the service and relatives, confirmed that they had information about the home and that they had been involved in the decision process. The home has had an established group of people living in the home, however two people have moved to the home in the last two years. Some of the individuals have lived in the home for twenty years. Information relating to the assessment of new people moving to the home was looked at during the last visit and it was evident that a comprehensive assessment process had been undertaken. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 9 Copies of the placing authorities assessment and care plan had been obtained prior to agreeing to offer a placement at the home. From reading care records, other professionals had been involved in the process of admission including where relevant families. From the completed surveys from people who use the service it was evident that individuals had been encouraged to visit the home to ensure that it was appropriate and to ensure that they were compatible with the existing group. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals can be confident that their care needs are being met and fully involved in making decisions. EVIDENCE: Three care plans were looked at as a means of determining the processes the home goes through to support the individuals living at the Rockleaze. Care plans detailed the support needs of the individuals focusing on life skills and personal care. It was evident that these had been devised based on the assessment and care plan drawn up by the placing social worker and the home’s assessment processes. The home is continually developing the care planning processes and it is evident that the manager and the staff are committed to providing a person centred package of care to the people living at Rockleaze. The manager stated that he is part of a person centred planning group where he meets with the local placing authority and other providers. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 11 It was evident that the manager was developing the service provided at Rockleaze based on current good practice guidelines in relation to care planning processes. The care staff on a six monthly basis and an annual basis were reviewing care plans with the individual, their relatives and where relevant the professionals involved in the planning of the care. This met with the National Minimum Standards and the Care Homes Regulations. Annual reviews were being conducted with the placing authority. In addition key workers (a named member of staff allocated to individuals) were meeting at least monthly with individuals to discuss what they wanted to do during the forth-coming month and concerns that they may have. This had recently been introduced. This is good practice and evidenced that the individuals were central to the planning of the care. Individuals confirmed that they had a key worker and that they had been fully consulted on the role of the member of staff and whom they had been allocated. Staff stated that this has recently been reviewed and reintroduced due to the staff changes within the home. It was evident that the key worker system allows staff to work on a one to one basis and that they contribute to the care plan for the individual. Individuals were evidently happy living in the home and with the support from staff and the manager. This was evidenced via discussions with the individuals and completed surveys. Individuals confirmed that they had a plan of care that they could access on request. Risk assessments were in place. It was noted at the last visit that these were similar in content for three individuals whose care path was tracked. It was evident that these had been updated and amended to reflect the skills and the abilities of the individuals. The home has demonstrated compliance to a requirement from the visit in July 2007. Care records included a record of the preferred communication style of the individual. This included photographs, plain English and symbols. Staff and the individuals living in the home said that since the last visit there is more involvement in the preparing of food. Some of the individuals are supported to make hot drinks and snacks. Individuals confirmed that they were consulted on day-to-day issues including decoration, activities, holidays and how to spend their time. House meetings are organised every two to three months. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are encouraged to lead active lifestyles based on their preferences and choices. Individuals are supported to maintain contact with friends and family. Individuals have a varied and healthy diet. EVIDENCE: Individuals expressed high satisfaction levels in what they did both in the home and the community, both in person and via the comment cards sent to individuals prior to this visit. Comments included “I can do what I want” and a number detailed their particular interests including shopping, going for walks and visiting friends. From care plans and discussions with staff and people living in Rockleaze it was evident that individuals made choices on how to spend their time and with whom. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 13 In addition there was a commitment for individuals to be as independent as their abilities would allow. Some of the individuals look after their own finances, whilst others may be encouraged to go out independently or make snacks and drinks for themselves. Staff stated that all individuals are supported to go out with their key worker on a one to one basis at least once a month as well as for group activities. The staff have access to a mini bus to enable individuals living in the home to make full use of the community. Presently the manager is the only driver, but this is being extended to another member of staff. Some individuals have structured day care, which is tailored to suit the individual, and included day centres, college courses and activities organised by day care staff (external to the home). Some of the individuals have retired and stated that they were enjoying a more relaxed pace of life. From the conversations it was evident that where individuals had expressed an interest for going out, this was supported. Staff stated that activities are organised in the home including arts and crafts, games evenings and fortnightly entertainers who visit the home. People who use the service stated that they looked forward and enjoyed the musicians that visit the home. Individuals are supported to attend church if they wish. Staff stated that two of the individuals regularly attend church whilst others prefer to watch Songs of Praise on the television. It was evident that the individual’s cultural needs would be met. From talking with staff it was evident that they were aware of the diverse needs in the home and that each person was an individual with different interests and needs. Individuals are supported to have an annual holiday with the home and day trips to places of interest. It was evident that the staff strived to give individuals normal life experiences and their disability did not deter and hinder opportunities being given. Care records included information about contacts with friends and relatives Individuals described how they were supported to see family and had access to a telephone to enable them to maintain contact. One person stated that they go to see a friend on a weekly basis or the friend comes to visit them. The home provides the transport to enable the person to continue with this. Another person is supported to maintain contact with the place they previously lived, as this was important to them. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 14 Eight completed relative questionnaires confirmed that they were made welcome in the home and that they could see their relative in private and were kept informed of important matters. Comments included “excellent one to one care”, “X is looked after very well”, “staff are very kind and caring”, “facilities are very good”, “very happy with the home”, “and X is encouraged and supported to be active. Individuals have a varied and nutritious diet. From discussions it was evident that people living in the home enjoyed the food offered. Staff stated that individuals are consulted regularly on what they would like to eat. A member of staff stated that the menu planning is being reviewed including the recording to better evidence what was eaten in relation to vegetables. Presently this is recorded as “veg”. Both staff and the people living in the home said that there were always at least two or three choices of vegetables. Staff said that the manager was proactive in listening and taking on the views of both the people living in the home and the staff team. Individuals stated that they could help themselves to drinks and snacks and there were fruit bowls strategically put in the dining rooms. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual’s personal and health care needs were being met. Individuals are protected by the home’s medication systems. EVIDENCE: Care plans clearly documented the personal and health care needs of the people living in Rockleaze. Care documentation included how the person wanted to be supported with their personal care. In addition the home maintains a clear record of when and who had supported the individual. Systems for monitoring an individual’s wellbeing were in place and concerns about health were quickly addressed. Individuals had access to other health professionals including a GP, opticians, chiropody and a dentist. Staff have attended training in first aid and manual handling Staff were knowledgeable about the health and personal care needs of individuals. Two staff were planning to attend a course on supporting individuals with dementia later in the year. Some staff had completed a basic course on “supporting individuals with a learning disability” as part of the home’s induction. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 16 Staff assisted people in a good humoured and courteous manner, and the individuals had evidently built good relationships with staff. Staff on duty communicated among each other and worked well as a team. Daily activities were planned at a meeting in the morning. From conversations with staff, individuals and through observations it was evident that the individuals were treated with respect. Comments received through the returned surveys indicated that everyone felt that the staff listened to them and treated them well. The home has robust procedures and practices on the administration of medication, including medication training with the local pharmacist. All staff had recently completed the training. Less apparent was a formal record of an annual competence check by the manager in relation to medication administration. The manager said that he regularly observes the medication practices of staff but this is informally with no record maintained. This remains an outstanding recommendation. Care records included a pro-forma of how the person would like to be supported in the event of their death. Only one out of the three people’s care plans looked at on this occasion had been completed. The manager stated that this would be addressed with individuals. This will be followed up at the next visit to the home as some of the individuals are getting older. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individuals can be confident that their views are listened to and acted upon. Concerns are taken seriously ensuring positive outcomes for people living in Rockleaze. Individuals can be assured that they are protected from abuse. The home has not had to implement safeguarding procedures however there was a lack of clarity on the role of Social Services in the reporting of all allegations of abuse. EVIDENCE: The home has a complaints procedure, which details how the home will support the individuals to raise concerns about the services they are receiving. All completed surveys from people living in the home said that they both knew how to complain and had confidence that either the staff would address this or Mr Short the manager. The home’s record of complaints was viewed. There has been one complaint in the last twelve months. This related to a service external to the home, it was clear that the individual had been supported to raise a concern and that there was a clear outcome for the individual. From the records it was evident that all complaints are taken seriously and acted upon appropriately. Eight returned comment cards from people who use the service said that the staff always treated them well and listened to what they were saying. This was further confirmed during the visit with five people living in the home. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 18 Three people said they felt safe when asked. The manager and the staff had a good awareness of what constitutes “good” care and the rights of people with a learning disability”. Four staff were spoken with during this visit in relation to what constitutes abuse and the Whistle Blowing Policy. It was evident that they would all report concerns to the manager, all were aware of the Whistle Blowing Policy and what constitutes abuse and that the home has a procedure to follow in the event of allegation of abuse. However, they were not certain about the role of Social Services as the organisation to report all allegations of abuse. The manager stated that the home has not had to implement the home’s policy, and was unaware that they must report to Social Services, although this was very clear in the home’s policy. In addition the home has a copy of the local Council’s Safeguarding Adult’s Procedure. All of the staff have attended training with the local Council on Protection and Safeguarding Adults Procedure within the last twelve months. The manager cannot recall when he completed this training. This is vital as it is the manager who completes the induction with new staff and it is vital that he is clear on the procedure to follow and regular updates his knowledge. At the last visit it was noted that there was no record of what the manager had for safekeeping, for example chequebooks or birth certificates etc. The home has demonstrated compliance. There were records of individual financial transactions and receipts. People living in the home had a financial care plan, which detailed how the individual liked their money and when. All the individuals had some degree of responsibility for their finances and their own bank account. This is good practice. Whilst all the individuals signed for their weekly allowance they often did not sign for other expenditure like clothes or meals out. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are provided with a comfortable, clean and homely environment that is meeting their needs. EVIDENCE: Rockleaze is a large extended double fronted Victorian property, which is positioned in an elevated corner of the Lower Hanham Road. The home is in keeping with the local area. Furniture, fittings and décor of the home were of a good standard, which were clean, comfortable and created a homely environment. All individuals have a single bedroom. There is one vacant room. Bedrooms were not viewed on this occasion. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 20 Individuals confirmed that they had a key to their bedroom door and that this is their private space. Staff and one individual stated that there is lockable storage in each person’s room for items they want to keep safe. Toilets and bathrooms were all furnished to a high standard of finish, with clean baths, shower areas, modern tiling and functional flooring. All bathrooms and toilets had locks and offered privacy. Communal areas and the kitchen were clean and homely. As noted at the last visit routine maintenance and décor is completed by the provider with contractors completing works on the electrics, plumbing or involved major building works. Handrails were seen throughout the property and a stair lift assists individuals to the first but not the second floor of the home. There are two ground floor bedrooms. Evidence was provided that the home takes and acts upon the advice of professionals including the purchase of aids and adaptations. Returned surveys from people who use the service said the home is always clean. The home has recently employed a domestic to assist with the cleaning of the home and the laundry. This has evidently released the care staff to support the people living in the home enabling them to have more opportunities to go out. This is good practice. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,45,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent and sufficient staff support the people living at Rockleaze. Good systems of support and communication are in place for staff. EVIDENCE: The rota, conversations with individuals, staff and the manager provided evidence that the home is staffed in accordance with the needs of the individuals accommodated in Rockleaze and the statement of purpose. There are usually three staff working during the day including the manager with one staff providing night waking cover. Two nights per week there are two staff working at night in the absence of the manager who lives on the premises. This is commendable and it was evident that the manager is committed to meeting the needs of the individuals without comprising their safety. The manager said that there have been changes to the staff team. Three staff have recently left due to career moves, retirement and personal reasons. The manager said the newly recruited staff have brought along new ideas. It was evidently that this was viewed as being positive. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 22 Whilst the new team is still developing it was evident that this had not affected the care of the people living in the home. Staff described a good team spirit and were clear about their roles and the ethos of the home. Four staff were case tracked in respect of the recruitment processes adopted by the home. All information that is required of the home was in place including an application form, two references and the appropriate criminal record bureau check. Where there were gaps in the application a letter was sent to the applicant requesting further information. This is good practice. It was clear from discussion with the manager that he would only employ a person suitable to support the people living at Rockleaze. The manager stated that where a person has a criminal record, this would be fully discussed during the interview stage. However, less apparent was documentation of the discussion and a risk assessment describing the degree of risk and any safeguards that may need to be put in place. This would ensure that the service is open and transparent. Once a member of staff is employed in the home, they complete a comprehensive in-house induction and the Learning Disability Induction Award. The home has demonstrated compliance to a requirement to ensure that all staff complete an induction in accordance with the Skills for Care guidelines. Once staff have completed their induction they will proceed onto completing a National Vocational Qualification award at level 2 in care. Two staff have an NVQ 2 in care with a further three staff presently completing this and a further member of staff will be enrolling shortly. It was evident that the home was planning to exceed the 50 target. There was a good rolling programme of mandatory training, which was being closely monitored, by the registered manager. Other training was in place including “supporting people with a learning disability, dementia and learning disabilities, communication and dementia and infection control. Staff commended the manager on the new induction and the training that was in place. Staff said that if a training request was made to the manager and it was beneficial to the people in the home then this was supported. The home has good communication systems in place including daily handovers, two monthly one to one meetings with staff and the manager and two monthly team meetings. Staff spoken with described good support networks and a commitment to working for the home and the provider/manager. The manager has responded to a recommendation to ensure that all staff have regular formal supervisions with records being maintained. In addition each staff member has a professional development folder. It is evident that the manager is committed to developing staff. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good open management is in place. Staff and the individuals have confidence in the management of the home. Individuals can be assured that Rockleaze is a safe place to live. EVIDENCE: Mr Jonathon Short is the registered owner and the provider of Rockleaze. Mr Short has completed his National Vocational Qualification at level 4 in management. It was evident that there was a commitment to develop the service to the benefit of the people living in the home. Mr Short is keeping up to date with training. Although as mentioned earlier in this report attendance at a course on safeguarding would be appropriate. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 24 Staff and people who use the service spoke very highly of the management of the home. Staff said that Mr Short had an open door approach to the management of the home. It was evident that staff felt valued and had specific roles within the home. People who receive a service stated that Mr Short will support them to do whatever they wanted. It was evident that Mr Short is a “hands on manager” working alongside his staff team and supporting the individuals living at Rockleaze. The home is in the process of implementing a quality assurance tool, which includes seeking the views of the individuals living in the home, their relatives and staff. In addition audits were being completed on care planning, staffing, menu planning and the environment. The manager has yet to submit the annual quality assurance assessment that is required by the Commission for Social Care Inspection. Fire Records demonstrated that fire equipment checks, fire drills and training was all up to date. A fire risk assessment was in place. External contractors were involved in the checking of the electrical appliances, stair lift and the fire equipment. A safety gas check had been completed. This demonstrated that routine checks were being completed in accordance with the legislation ensuring the safety of the individuals. Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 26 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. Standard YA34 Regulation 19 (1) (a) Requirement Where a member of staff has information disclosed on the criminal record disclosure then records maintained of the discussions and a risk assessment detailing any measures that are in place to protect the individuals living in the home. For the registered provider to attend appropriate update training on safeguarding. Timescale for action 15/05/08 2. YA23 13 (6) 06/08/08 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. 3. Refer to Standard YA23 YA23 YA20 Good Practice Recommendations For individuals to sign for all expenditure or where they are not able two staff signatures. For all staff to receive refresher training to enable them to be clear about the role of Social Services in the reporting of all allegations of abuse. For the manager to be assured of staff’s competence in relation to the administration of medication with records DS0000003352.V360142.R01.S.doc Version 5.2 Page 27 Rockleaze maintained. (Outstanding recommendation). Rockleaze DS0000003352.V360142.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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