Inspection on 07/06/05 for Rockliffe House

This inspection was carried out on 7th June 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

Rockliffe House 08/12/08

Rockliffe House 13/12/07

Rockliffe House 23/01/07

Rockliffe House 05/12/05

Rockliffe House 12/10/04

Rockliffe House 06/05/04

Rockliffe House 19/03/04

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

CARE HOMES FOR OLDER PEOPLE Rockliffe House 466 Beverley Road Kingston upon Hull East Yorkshire HU5 1NF Lead Inspector John Gregory Unannounced 7 June 2005 9:15 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 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. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rockliffe House Address 466 Beverley Road Kingston upon Hull East Yorkshire HU5 1NF 01482 342906 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Joanne Marie Bush Jean Susan Goodwin Joanne Marie Bush Care Home 21 Category(ies) of SI Sensory Impairment (21) registration, with number SI(E) Sensory Impairment - over 65 (21) of places Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12th October 2004 Brief Description of the Service: Rockliffe house is a care home registered to offer accomodation and personal care to both younger adults and older persons with visual impairment . The bulk of service users are older persons, some of whom have been resident for a considerable number of years. The accomodation is a converted Victorian house built over three floors all of which are used by clients. The floors are connected by a passenger lift. The home has 6 double and 9 single bedrooms. there are thre communal longes and a separate dining room. There is a patio and garden area with a car park. The Home is sited on Beverly Road in Hull approximately 1.5 miles from the city centre. There are shops pubs and other community facilities in the vicinity.The home is ajacent to a Day centre for persons with visual impairment. The home is on a major Bus route to the town centre. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the course of one day in June 2005. The inspection took 8.5 hours, two hours in preparation and six and a half hours in fieldwork. A sample of policies procedures and records were examined related to statute and the standards examined. There was a brief tour of the homes facilities, observation of activity and interviews with three staff the manager and four clients. A 20 sample of service users records and staff files were examined. Case tracking was used in two cases. A verbal feedback of the inspection was given to the manager and co-owner before the fieldwork finished. The inspector would like to thank Jean Goodwin the co-owner for her help through out the inspection and the manager clients and staff of Rockliffe House for their time cooperation and hospitality. What the service does well: What has improved since the last inspection? What they could do better: The service provider must improve the quality of the process for the recruitment of staff in order to make it a more rigorous process to support and protect clients. The service provider must more systematically and regularly undertake the necessary tests and assessments for fire and health and safety. In order that the environment is a safe place to both live and work for both clients and staff. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 6 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. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 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 standard(s) 2&3 The service provider has made progress in adopting new methods and documentation to ensure that clients are appropriately admitted to the home and have good information on which to base their stay. EVIDENCE: The service provider was able to produce a newly developed contract which has not yet been issued to the clients in the home. In the light of the progress made and the time scale to achieve this statutory requirement is extended. The client most recently admitted to the home had been the subject of an expanded form of the homes own assessment. All the case files examined contained details of an assessment made under the care management arrangements. All the clients interviewed were able to confirm that they had been the subject of an assessment prior to their admission. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 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 standard(s) 7,8,&10 The care in the home is based on a robust care planning and review system. The health care is good. Both of which ensure that the clients day to day and long term needs are met. The privacy of care is compromised by the high proportion of shared rooms which reduces their independence and opportunities to be alone. EVIDENCE: All the case files examined contained care plans which were reviewed monthly by care staff and in a more extended form by a meeting comprising carers senior homes staff and the client. Clients interviewed were able to confirm their involvement in this process. Interviews with clients confirmed the written information that they are given regular medical assessment by a general practitioner and have access to the full range of medical and ancillary services. The majority of service users are required to share a room and although clients were seen to have written agreement for this process the proportion of shared rooms is significantly higher than that recommended in the National minimum standards. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 10 Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14&15 The clients enjoy a varied life with many options available to them in terms of lifestyle. They remain included in their extended families and enjoy a wholesome and varied diet. This ensures that the clients have a full lifestyle. EVIDENCE: Interviews with clients and staff confirmed the range of activities in the home which included media entertainment and board games and visiting live artists. Visits are made to the Theatre, local pubs. Some clients go to the adjacent day centre and one client is in full time employment. The clients reported regular contact with their extended families and visits home. One service user with few family members in the area reported good contacts with visitors from the local church. The bulk of service users handle their own finances either alone or with the assistance of their families. The food is based on a three weekly menu with some day to day variation. One meal time was observed and seen to be a leisurely social occasion, the food being well served nutritious and plentiful. Clients were unanimous in their praise of the food and choices available. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 12 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 standard(s) 16&18 With some minor attention to procedures and training the good protection given to clients and access to having their concerns met will be enhanced. EVIDENCE: Some work is necessary to enhance the complaints procedure by including time scales. Staff were clear on how to deal with any complaints they received and clients confident that any concern they expressed wound be put right. The documentation on the prevention of abuse to vulnerable adults was extensive but clearer links need to be made between the service providers procedure and that procedure of the local joint agencies. The homes manager and co-owner have attended training on the prevention of abuse which they intend to cascade to all staff. Staff were clear what they would do if an abusive situation occurred. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 13 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 standard(s) 19&26 The service provider has made considerable progress to upgrade the furniture fittings and décor in the home to ensure that the clients live in a light airy and increasingly domestic environment. This work needs completing for all the facilities in the home. EVIDENCE: Large areas of the home have recently been redecorated, furniture and beds replaced, the kitchen refitted and the passenger lift replaced. The male toilet lacked locking door facilities and had tiles missing. Many of the toilets lacked towels for hand drying. Some corridors were partially blocked by stored equipment. These matters need to be put right. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29&30 The home is basically staffed by well trained staff which underpins some of the good care on offer. The service users are not supported and protected by a robust recruitment practice exposing them to some risk of poor care. EVIDENCE: The staffing rota was examined and found to meet the basic figure agreed by the CSCI. The staff interviewed confirmed the written evidence of a good level of training both of physical care and care targeted specifically at those with visual impairment. Staff confirmed having started work towards NVQ level 2 status. The staffing files examined were deficient in not all have two references, contact not having been made with previous employers in the care business and no health declaration having been made. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35&38 The home is well managed with the clients interests paramount through the quality assurance system and good financial controls for clients. The health and safety of clients and staff must be improved through systematic attention to issues of fire safety and routine health and safety inspection of the home. This would ensure the continued safety of the clients and staff working in the home. EVIDENCE: The manager is working towards achieving the NVQ level 4 shortly. The service provider has a quality assurance system and the analysis of questionnaires by service users has recently been completed. The service users personal allowances could be audit tracked and a sample audit found them to be in order. Examination of the health and safety and fire records showed much to be in order. However, the fire alarm and emergency lighting was not tested weekly Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 16 and there was no clear evidence that fire drills had taken place These matters must be put right. There was no evidence of a systematic work place risk assessment having taken place and the fire risk assessment was out of date. These matters should be put right. All the staff and clients interviewed felt safe living or working in the home and felt that the owners would respond rapidly to any deficiencies they reported. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 1 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 2 2 x 3 x 3 x x 1 Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 18 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 OP 2 Regulation 5b Requirement Timescale for action 01/09/05 2. OP 29 19 Schedule 2 (3,4,8) 3. OP 36 23 (4) c e The service provider must provide each service user with a statement of terms and conditions in respect of accomodationto be provided for service users,including as to the amount and method of payment of fees (Previous timescale of12/02/05 not met) The service provider must obtain 01/07/05 the following information in respect of persons working in the care home. 3.Two written references 4.Where a person has previousley worked in a position involving contact with vulnerable adults or children written verification or the reason why he ceased to work in that position. 8.A statement by the person as to their mental and physical health The service provider must make 01/07/05 adequate arrangements for -giving warnings of fires. -reviewing fire precautions -Undertake fire drills and practices at suitable intervals Version 1.30 Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Page 19 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. 4. 5. 6. 7. Refer to Standard OP 16 OP 18 OP 19 OP 19 OP 28 Op 31 OP 38 Good Practice Recommendations The service provider should update the Complaints procedure to include all timescales All staff should undertake training in the prevention of abuse to vulnerable adults The service provider should upgrade the male toilet and put locks on the toilet doors and make good the tiling to the walls Stored equipment should be removed from all corridors 50 of all care staff should obtain the NVQ level 2 in care as soon as possible. The manager should obtain the NVQ level 4 in care and management as soon as possible The service provider should undertake a work place risk asssessment on a routine basis. Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Rockliffe House J54_s46755_Rockliffe House_v230036_070605_Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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