Inspection on 08/12/05 for Rocklyn

This inspection was carried out on 8th December 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.

Other inspections for this house

Rocklyn 27/06/06

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 Unannounced Inspection 8th December 2005 10:00 DS0000046020.V258426.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000046020.V258426.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000046020.V258426.R01.S.doc Version 5.0 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 Mrs Brenda Mary Turnbull Care Home 11 Category(ies) of Learning disability (11) registration, with number of places DS0000046020.V258426.R01.S.doc Version 5.0 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. 23rd August 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. DS0000046020.V258426.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home currently has 2 inspections each year: this as an unannounced inspection that lasted for 6 hours. Key standards were assessed at this inspection as well as those that are important to the people who live here. The views of 6 people who live at Rocklyn are included in this report. The manager was available throughout the inspection, and the care, support and health needs of people were discussed in detail. Records dealing with the recruitment, training and supervision of staff were inspected and discussed. No requirements or recommendations are included in this report: CSCI is satisfied that Rocklyn will develop care and support practices as a result of discussions during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Strategies are underway to supervise some staff and assist them understand the needs of residents better. DS0000046020.V258426.R01.S.doc Version 5.0 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. DS0000046020.V258426.R01.S.doc Version 5.0 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 DS0000046020.V258426.R01.S.doc Version 5.0 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, 5 Each person has an assessment of need and a contract. EVIDENCE: Each file inspected included an assessment that had been carried out by the placing authority Social Worker, these were supplemented by further assessments regarding health needs, carried out by Community Nurses. Each file also included a contract that had been drawn up by the placing authority. DS0000046020.V258426.R01.S.doc Version 5.0 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 Each person’s needs are reflected in individual plans. People are getting the assistance they need to make decisions. EVIDENCE: Each person’s file that was inspected included a plan that reflected the person’s individuality, apart from one that has yet to be carried out. The Manager explained the context as to why there had been a delay in developing the plan, and this was acceptable. There was evidence of that plans are flexible and are anticipating people’s changing needs in pro active way, and that where necessary, plans have been devised by other professionals. The Manager was eager to discus each person’s plans and needs, and made notes that from these discussions in order to develop the service that people receive. There is a clear link between care and support planning and decision-making: the Manager explained that she is attempting to introduce different ways of working with people in order to focus on communication needs. DS0000046020.V258426.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 15, 16 Each person is part of the local community and is supported to have appropriate relationships. People’s rights and responsibilities are recognised and promoted. Each person is offered a healthy diet. EVIDENCE: 6 people said that they had a good lifestyle: each person has a good range of activities that they say they enjoy, and it is clear that all activities ensure that people are part of the local community. Each person is supported to have a range of relationships both within and outside of this home. There was continuing evidence that relatives are involved in the care and support of the people living here. Each person has opportunities to meet people who do not have learning disabilities through the use of what the local community has to offer. The home ensures that people’s rights and responsibilities are recognised in everyday living. People’s privacy is respected through staff being courteous and only entering bedrooms when they have permission. Staff were observed talking with people and involving them in what was going on. People are able DS0000046020.V258426.R01.S.doc Version 5.0 Page 11 to spend time in the home as it suits them, they can choose to be with others or spend time alone. DS0000046020.V258426.R01.S.doc Version 5.0 Page 12 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): 21 Ageing and illness are handled with respect. EVIDENCE: Very good plans are in place to guide staff through the changing needs of the people they are supporting. Clear and positive outcomes have been achieved that promote people’s independence and wellbeing: each person has full access to healthcare services to meet their medical needs, with support from staff where it required. DS0000046020.V258426.R01.S.doc Version 5.0 Page 13 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 People’s views are listened to and acted upon. Proper measures are in place to protect people from abuse and neglect. EVIDENCE: An anonymous complaint was recently received about Rocklyn and has been effectively dealt with by the Directors and Managers from Lifestyles. None of the elements of the complaint were upheld. Good evidence was available that all procedures had been followed, that the views of the people living here were taken into consideration, and that an action plan was developed where concerns were raised that were not related to the original complaint. This is good practice. Lifestyles are good at identifying where people may be vulnerable and take the necessary steps to protect them. Challenging behaviour was discussed with the Manager, and again, notes from these discussions were made in order to develop the service that people receive. DS0000046020.V258426.R01.S.doc Version 5.0 Page 14 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 Rocklyn offers a homely and comfortable place to live in, and it is clean and hygienic. EVIDENCE: Rocklyn is homely and comfortable and suits the current needs of residents; the building is not recognisable as a care home and blends in with the local environment. People were observed using all parts of the building. There are on going repairs to the building due to general wear and tear. Everywhere that was inspected was clean and hygienic. DS0000046020.V258426.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 36 People are being supported by a developing staff team. People are supported and protected by this home’s recruitment practices. People benefit from supervised staff. EVIDENCE: Each person said that the staff were one of the best things about living at Rocklyn. Documents looking at how new staff are recruited were inspected and were in order – two written references had been received, satisfactory CRB checks had been returned and interviews recorded. The people who live here are also involved in the recruitment of new staff. Each member of staff is supervised to support them in carrying out their duties and responsibilities: there was evidence where staff have benefited from extra supervision, as well as indicators that some staff would benefit from further supervision – this was discussed with the Manager, and strategies are planned to support those staff in delivering a service based on good values and attitudes. DS0000046020.V258426.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 42 People benefit from the leadership and management approach of the home. The health, safety and welfare of people are promoted and protected. EVIDENCE: The Manager and Directors provide a clear sense of leadership which people find very easy to relate to. The current Manager displayed excellent values and attitudes and demonstrated how these are promoting positive outcomes for the people who live at Rocklyn. All matters relating to health, safety and welfare that were inspected were satisfactory. DS0000046020.V258426.R01.S.doc Version 5.0 Page 17 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 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 4 Standard No 37 38 39 40 41 42 43 Score X 3 X X X 3 X DS0000046020.V258426.R01.S.doc Version 5.0 Page 18 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. 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 DS0000046020.V258426.R01.S.doc Version 5.0 Page 19 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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