Inspection on 27/06/06 for Rocklyn

This inspection was carried out on 27th June 2006.

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.

Other inspections for this house

Rocklyn 08/12/05

Rocklyn 23/08/05

Rocklyn 01/12/04

Rocklyn 06/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Rocklyn 46-47 Esplanade Whitley Bay Tyne & Wear NE26 2AR Lead Inspector Bill Middlemist Key Unannounced Inspection 27th June & 10th July 2006 10:00 Rocklyn DS0000046020.V291024.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 Rocklyn DS0000046020.V291024.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. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rocklyn Address 46-47 Esplanade Whitley Bay Tyne & Wear NE26 2AR 0191 2529036 0191 252 9036 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) Lifestyles - Care & Support Ltd Vacant Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 8th December 2005 Date of last inspection 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 DS0000046020.V291024.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted for five and a quarter hours, a second visit was made to the home to talk with more of the people who live there who were busy on the first day, and hear about their experience of what the home provides for them. An action plan was produced in between the two visits to address the requirements and recommendations made at the first visit. Assessments, care planning and risk assessments were examined. Each person who lives here talked about what it is like to live at Rocklyn, and what they did both inside and outside of the home. The way each person’s health care needs and personal support requirements are addressed was inspected. A tour of the premises was made to assess if the home was safe and comfortable. The way staff are recruited, trained and supervised was looked at. Management arrangements were discussed and the health, safety and welfare of people living in the home was inspected. What the service does well: Each person has a real voice in how the home is run. Each person receives the care and support to be as independent as possible, in the way that suits them. Taking risks are part of each person’s independent lifestyle. This home works well with a number of agencies such as advocacy, healthcare workers and Social Workers to achieve good outcomes. Each person has full access to the healthcare services they need. The way the home is run encourages people to be active and valued. Proper measures are taken to balance people’s rights and choices with protection. Management are aware of the need to constantly review and improve the service provided. An action plan to address requirements and recommendations was quickly produced. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 6 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 DS0000046020.V291024.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 Rocklyn DS0000046020.V291024.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person has an assessment of need. EVIDENCE: Three people’s assessments were examined, each had been carried out within the past year. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 9 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): 6, 7, 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person’s assessed and changing needs and personal goals are included in an individual plan. Each person is supported to make their own decisions. Each person’s independence is supported by risk assessment and risk management plans. EVIDENCE: Each person’s service user plan is well written, with clear guidelines to promote choice, rights, inclusion and independence. The new manager is re writing each person’s plan in a way that reflects individuality and diversity, and is doing so with the person concerned. Five people were very clear about the information that is written down in their plans and files, and said that they found this way of working very useful. Some plans have not been reviewed and this should take place in line with the home’s own guidelines: the manager’s action plan is already addressing this matter. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 10 Three people said that they are well supported by staff when they need to make any kind of decision. Where there is possibly difficult decisions to make, or where people might have been given conflicting advice, independent advocates are used to ensure that the person’s voice and opinions are listened to and acted upon. Each person’s file includes individual risk assessments and risk management plans that are clearly linked individual plans. One person talked about the risks involved in becoming more independent and fully understood why the home has written guidelines to support them. Some risk assessments have not been reviewed: the manager’s action plan is already addressing this matter. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 11 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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. Each person is able to take part in activities that they value and are part of the community. Each person is supported in their preferred relationships. Rights and responsibilities are actively promoted. Everyone is offered a healthy diet. EVIDENCE: At least five people were out doing activities during this inspection. Each person has a range of things to do that suit them and that they enjoy. One person said that they would like to do more activities and these are being arranged. Each person is using a good range of community facilities. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 12 There is excellent evidence that skills that are important to people are being encouraged and promoted as part of everyday routines. The rights, choice, inclusion and independence of each person is being actively promoted. Each person has a range of relationships that suits them, and the home offers the right kind of support where people require it. One person said that “the food suits me and there’s lots of choice”. Another said that the food was good. Menus are varied and special diets are catered for, with consistently good outcomes. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 13 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): 18, 19, 20 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person gets the personal support they need in the way they prefer. Each person’s healthcare needs are being met. Each person benefits from the way the home deals with medication. EVIDENCE: Each person is encouraged in their individuality. Four people said that they get the support they need in a way they prefer. Rocklyn is very effective at ensuring people get access to a range of general and specialist healthcare services. All matters regarding medication are satisfactory. There are clear policies and procedures for dealing with medication, including promoting independence for those who take charge of their own medication. Medication is stored correctly. Recording of medication gives a clear audit trail. All staff have received training in working with medication. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 14 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, 23 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person’s views are listened to and acted upon. Systems are in place to protect people from abuse and neglect. EVIDENCE: Each person was very clear about the complaints procedure and to whom they can make a complaint to, including whom to go to if they are not happy with the outcome. Complaints are used as a positive tool and are well documented. Five people said that comments which are not complaints are always listened to and acted upon. The home has demonstrated that the protection of each person is properly considered and balanced with rights and choices. Protecting adults is an essential part of staff training. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 15 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, 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Rocklyn provides a homely and comfortable place to live in. A few things need to change to bring safety up to the home’s usual high standard. Rocklyn is clean and hygienic. EVIDENCE: Each room provides a homely and comfortable place to be and people are involved in how the home is decorated and furnished. There is a constant programme of repairs and maintenance. Some matters need urgent attention. Window restrictors are not installed in the attic kitchen dormer window. Water temperatures were too hot at 49 °C. There are exposed wires in the blue bathroom. The fire door next to the red living room was not closing effectively in to the rebate. These matters have been corrected. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 16 Other matters should be considered. The carpet on the upper stairs and landings is worn. An unused commode is stored on the first floor landing. Toilet tissue is of basic quality. One person pointed out that they would prefer a second handrail on the bath in the blue bathroom. The mixer tap in the attic kitchen has a slow drip. The chairs in the red living room are beginning to look worn. The carpet in the green living room is soiled in places. All of these matters either are or have been addressed since the day of the first visit. Everywhere that was inspected was clean and free from any odours. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 17 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, 34, 35, 36 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person benefits from competent and qualified staff. The home’s recruitment procedures are protecting the people that live at Rocklyn. Staff get the training they need to do their jobs, and further training is scheduled. Staff are well supported to do their jobs but there has been a lack of formal supervision recently. EVIDENCE: Staff have experienced several changes of management since the last inspection and these appears to have strengthened their values and attitudes. Staff listened to suggestions regarding care approaches. Staff training is generally up to date but there is some uncertainty regarding further training that staff are willing to do. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 18 Each person said that there are enough staff on duty. The rota indicates that there are sufficient numbers of staff on duty at a time when people need them. Good recruitment procedures have been followed to protect the best interests of people living at Rocklyn. Staff files were somewhat disorganised and there has been a lack of supervision during changes of management. Both points are being sorted out by the new manager. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 19 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, 38, 39, 42 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Each person benefits from a well run home. Each person benefits from the Lifestyle’s approach to leadership and management. Quality assurance is being constantly developed and each person’s views underpin the development of the service they receive. Each person’s health, safety and welfare are properly considered. EVIDENCE: The Manager is new in post and has the required qualifications to do the job: he has made several changes to the way things are done and is very focussed Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 20 on outcomes for the people who live here. Further gradual changes are going to be made to constantly improve the service provided. Each person clearly benefits from the way Lifestyles run their homes. The Directors have a regular, visible and accessible presence in each home. Lifestyles are continuing to develop their quality assurance systems, and are including people who live in the company’s homes as peer assessors. Most matters regarding health and safety are satisfactory. Some out of date food was being stored – these items were removed immediately and there is now a regular audit carried out. The Fire Log was up to date and a record is kept of all servicing of utilities. Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 21 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 X 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 4 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement 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. Refer to Standard Good Practice Recommendations Rocklyn DS0000046020.V291024.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office 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. 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