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Inspection on 23/08/05 for Rocklyn

Also see our care home review for Rocklyn for more information

This inspection was carried out on 23rd August 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Rocklyn is extremely good at planning care and support that lead to good outcomes for residents. Staff, in collaboration with a range of Health and Social care professionals, properly addresses the changing needs of residents. People living at Rocklyn are encouraged to have a diverse range of leisure and educational activities. People and their relatives are consulted about what goes on in the home.

What has improved since the last inspection?

There is a constant programme of repairs and improvements to this home. The home`s Quality Assurance systems have been developed to make it much more easier for residents to voice matters of quality or concern.

What the care home could do better:

Details about consistency of care and support were discussed with the Manager; these have not resulted in any requirements or recommendations, because the home has a history of immediately implementing matters relating to good practice.

CARE HOME ADULTS 18-65 Rocklyn 46-47 Esplanade Whitley Bay Tyne & Wear NE26 2AR Lead Inspector Bill Middlemist Announced 23 August 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rocklyn Address 46-47 Esplanade Whitley Bay Tyne & Wear NE26 2AR 0191 252 9036 0191 252 9036 N/A Lifestyles - Care & Support Ltd 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) Mrs Brenda Mary Turnbull CRH 11 Category(ies) of LD - Learning Disability (11) registration, with number of places Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: One named person (LD) to occupy identified accommodation. If this person leaves, no further admissions are to be taken into this room without prior consultation with CSCI. Date of last inspection 1/12/04 Brief Description of the Service: Rocklyn is a small home in Whitley Bay for people who have learning disabilities; it is close to the town centre and the sea front. There are good transport services in the area, and a good range of local amenities for people who live at the home. Rocklyn is part of the Lifestyles – Care and Support company; this company is forward thinking and imaginative, and constantly considers improving on what is already a very good service. There is a strong emphasis on enabling residents and achieving positive outcomes. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection lasted for five hours. 6 residents were consulted about what it is like to live at Rocklyn, and of these 6, care and support for 3 were inspected in detail. The views of 3 visiting relatives are included in this report. Residents and their relatives returned completed questionnaires that were sent out before this inspection. 2 members of staff offered their views of the home, and the home’s Manager was available throughout. The kitchen, bathrooms and some shared areas were inspected. Documents relating to the Health and Safety of residents, and the efficient running of the home were also inspected. 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. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 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 standard(s) 2, 4 Each person’s needs have been assessed. Rocklyn offers people trail visits that suit them. EVIDENCE: The files for three people were inspected, 2 of whom have moved in to the home since the last inspection; each person has had their needs and ambitions assessed by suitably qualified professionals. One person was able to describe the trial visits to the home before they made up their mind to move in; there were enough opportunities to meet with residents and staff, and to get to know the building. Another person had been admitted in more of an emergency situation; all of the home’s systems made sure that their transition was as smooth as possible, and that staff had enough information to deliver care and ensure safety. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 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 standard(s) 6, 8, 9 Each person’s needs and ambitions are recorded in their individual plan. People are consulted on what happens in their home. Each person’s preferred activities are supported by risk assessments. EVIDENCE: Each of the 3 files inspected included evidence that needs and changing needs are recognised; strategies to address each person’s needs are clear and are based on the principles of good practice. Several people were aware of their care plans and were happy to relate the positive outcomes that they had achieved with support from the staff and Manager. Each person is consulted on what happens in the home, and what is important to them, through individual sessions with the Manager; these sessions are well documented and have resulted in positive changes. Rocklyn is very good at recognising that people’s preferred activities and development may involve risks, and have taken suitable steps to manage risks through risk assessments and risk management strategies. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 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 standard(s) 12, 14, 15, Each person has a programme of activities that suit them, including leisure activities. People are supported to maintain their preferred relationships. EVIDENCE: Several people were able describe what they did during each week and each person has a diverse range of leisure, work and educational activities. One person who has recently been admitted has been informed that since they have gone to residential care they might no longer require a day service; the home continues to promote the person’s preference to maintain the activities they were previously involved in, in line with the Government’s guidelines. There was good evidence that people who live at Rocklyn, as well as their relatives and friends, are supported to maintain a variety of relationships. The Manager consults with people’s relatives on a regular basis. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 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 standard(s) 18, 19 People receive personal support from the Manager and staff in a way that they require. Good consideration is given to people’s physical and emotional health needs. EVIDENCE: The Manager described how some people’s needs have changed and how a couple of people have complex and fluctuating needs, the manager also described what has been put into place to address those changing needs; each person’s individual care and support plans reflect the changes, and staff have responded to the changing needs by work in line with new plans. Residents confirmed that the staff and Manager were very helpful. Visiting relatives were complimentary about the approach and thoughtfulness of the staff and Manager. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 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 standard(s) 22, 23 People at Rocklyn know that their views are listened to and acted upon. Proper consideration is given to protect vulnerable adults. EVIDENCE: People have their views recorded in individual sessions with the Manager. All people know about the complaints procedure and this has been used in a positive manner four times since the last inspection. The Manager and Directors ensure that complaints are used to improve already high standards and change any practices that people may not be happy with. There is excellent, recent evidence that the home has followed the Protection Of Vulnerable Adults guidelines. Staff are made aware of the Protection Of Vulnerable Adults at induction training, and all staff are due to take part in further, more in depth training in the near future. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 12 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 standard(s) 24, 30 Rocklyn is homely and comfortable. Proper care is taken to maintain a safe environment. Everywhere that was inspected was clean and hygienic. EVIDENCE: Good efforts have been made to make and keep Rocklyn as homely and comfortable; various rooms have been decorated or their uses have changed. Plans are underway to adapt one bedroom and add an en suite shower room. One matter relating to Health and Safety was identified during this inspection and was acted upon immediately. Everywhere that was inspected was clean and hygienic. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The people who live at Rocklyn benefit from a well-trained staff team. EVIDENCE: All staff training required by law has been provided. There is a good Induction programme for new staff that is clearly linked to good outcomes for the people who live at Rocklyn. Further training has been provided that relates to the needs of the people who live at Rocklyn. 2 members of staff have nearly finished NVQ level 2 studies, 1 has started level 3 and 1 has completed level 3. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 39, 42 Rocklyn is a well run home. The people who live there benefit from the management approach of the home. The home takes people’s views seriously. Good consideration is given to promoting and maintaining people’s Health and Safety. EVIDENCE: The Manager takes a very thoughtful and active approach to assist people in achieving good outcomes. Both residents and their relatives are regularly consulted regarding matters within the home; these consultations are suitably recorded with evidence of outcomes achieved. Documentary evidence relating to Health and Safety, including the Accident Book, Fire Log, complaints and maintenance records, were all satisfactory. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 15 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 3 x 4 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rocklyn Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 3 x B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 16 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 Regulation Requirement There are no requirements arising from this inspection. Timescale for action 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 Good Practice Recommendations Ther are no recommendations arising from this inspection. Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 17 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Rocklyn B53-B03 S46020 Rocklyn V232062 230805 Stage4.doc Version 1.30 Page 18 - 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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