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Inspection on 16/01/07 for Rockny House

Also see our care home review for Rockny House for more information

This inspection was carried out on 16th January 2007.

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

Rockny House is a happy, friendly home, and there is evidence of mutual respect and consideration between service users and staff, which is also extended to visitors. A warm welcome is always given, and this was confirmed repeatedly by comments from families, and professionals visiting the home on a regular basis. The atmosphere throughout the home was calm and relaxed. The commitment of the management and staff to the provision of person centred care is commendable. `We focus on the clients and everything else follows`, is how it is described. Residents are involved in making decisions about their lives, both within and outside the home, their independence is promoted at all times, and they are supported appropriately with risk assessments. Opportunities are available for service users to do the things they enjoy, and the activities in which they are involved are many and varied, and these also increase their life skills and confidence. The arrangements for purchasing and preparing food give service users more choice about their meals and mealtimes and greater involvement in the running of the home. Relevant information about the service, and what can be provided, is available to residents, and their families. It is produced in an appropriate format and reviewed regularly to ensure that it is up to date and accurate, and therefore able to assist prospective residents and their families to make the right decisions about their care. The families of service users are also supported and their involvement with the home is encouraged. Advocacy services are also available to service users to ensure they are able to freely express their views to an independent person. A high standard of personal and health care is provided for each person living at the home, and the staff work well with other professionals and agencies with obvious benefit to service users. The needs of service users are regularly reviewed. The management follows good recruitment and selection procedures, and is clear about the support, training and development for the staff it employs. Staff confirmed that they are given good training opportunities. The building and equipment is well maintained and the house is nicely decorated, and is also comfortable, safe and clean, and provides a pleasant environment for service users. The records and documents at the home are maintained to a high standard, and kept safely, which ensures a well-organised service.

What has improved since the last inspection?

There is an ongoing commitment from everyone involved at the home to maintain and develop the service. The care planning procedures have been reviewed regularly and adapted to suit the individual needs of service users. Training has been provided for staff on dementia awareness and the Protection of Vulnerable Adults from abuse, and further training courses are planned, An individual training and development assessment and profile has been produced for staff, and also the training programme has been further developed, all of which should ensure an effective and competent workforce. Quality is monitored and surveys done, to ensure that service users are able to say how they would like the service to develop.

What the care home could do better:

A more detailed record could be maintained, of comments made about the service, specifically any compliments received, to give a more balanced view of what people think about the home. The further development of the quality assurance system to include the auditing and publishing of the results of the surveys and questionnaires that are distributed, would ensure compliance with the National Minimum Standards, and enable the management to measure their success in achieving their stated aims and objectives.

CARE HOME ADULTS 18-65 Rockny House 25 Birmingham Road Kidderminster Worcestershire DY10 2BX Lead Inspector R McGorman Unannounced Inspection 16th January 2007 1:30 Rockny House DS0000044977.V321144.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 Rockny House DS0000044977.V321144.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. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rockny House Address 25 Birmingham Road Kidderminster Worcestershire DY10 2BX 01562 864067 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) catsg1971@aol.com Mrs Anna Giannini Caterina Giannini Caterina Giannini Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (2) of places Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service is primarily for people with a learning disability, but the home may also accommodate people with an associated physical disability. The home may also accommodate a maximum of two people with an associated mental disorder. 16th march 2006 Date of last inspection Brief Description of the Service: Rockny House is registered to provide residential care for up to 10 adults who have a learning disability, and who may also have a physical disability, and for 2 people who may have an associated mental disorder. Two of the service users are over 65 years of age, although they remain active. The premises is a large, detached, Victorian house, which has been extended and upgraded to provide a high standard of accommodation. Situated in a residential area of Kidderminster, it is on a bus route and also within walking distance of the town centre, where there is a range of amenities and facilities. The stated aim of the home is to provide 24 hour support for service users, who are encouraged to be as independent as possible and to achieve their maximum potential. The range of fees varies between £336 and £370 per week. Mrs Anna Giannini and her daughter Ms Caterina Giannini are the registered providers, and Caterina is the registered care manager. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine key inspection, was to monitor the care provided at the home, to assess how well the service meets the needs of the people who live there, in relation to the stated aims and objectives, and to follow up previous requirements and recommendations. Preparation for the inspection included viewing previous reports, and considering the various contacts made with the home since the last inspection. The pre inspection questionnaire provided updated information about the establishment, and any recent changes that have taken place. Comments were received from service users, and their families or a representative in response to surveys that had been sent to them recently. The views of health and social care professionals in contact with the home were also sought. The visit was unannounced and took approximately 4 hours, when some time was spent with service users, discussing with them what is like living at the home, and observing their interactions with the people who support them. During conversations with staff, comments were made about what it is like to work at the home. The care records of two service users were checked in detail for case tracking purposes, and discussions held with the care manager, Mrs Caterina Giannini, about the organisational arrangements for the home. The documentation seen, included records relating to the care of service users and their Health Action Plans, staff files, the accident books, the fire log book, and the records kept in respect of the maintenance of equipment and safe working practices. Several parts of the premises were viewed, including some bedrooms, the bathing and toilet facilities, and the gardens and communal areas. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 6 What the service does well: Rockny House is a happy, friendly home, and there is evidence of mutual respect and consideration between service users and staff, which is also extended to visitors. A warm welcome is always given, and this was confirmed repeatedly by comments from families, and professionals visiting the home on a regular basis. The atmosphere throughout the home was calm and relaxed. The commitment of the management and staff to the provision of person centred care is commendable. ‘We focus on the clients and everything else follows’, is how it is described. Residents are involved in making decisions about their lives, both within and outside the home, their independence is promoted at all times, and they are supported appropriately with risk assessments. Opportunities are available for service users to do the things they enjoy, and the activities in which they are involved are many and varied, and these also increase their life skills and confidence. The arrangements for purchasing and preparing food give service users more choice about their meals and mealtimes and greater involvement in the running of the home. Relevant information about the service, and what can be provided, is available to residents, and their families. It is produced in an appropriate format and reviewed regularly to ensure that it is up to date and accurate, and therefore able to assist prospective residents and their families to make the right decisions about their care. The families of service users are also supported and their involvement with the home is encouraged. Advocacy services are also available to service users to ensure they are able to freely express their views to an independent person. A high standard of personal and health care is provided for each person living at the home, and the staff work well with other professionals and agencies with obvious benefit to service users. The needs of service users are regularly reviewed. The management follows good recruitment and selection procedures, and is clear about the support, training and development for the staff it employs. Staff confirmed that they are given good training opportunities. The building and equipment is well maintained and the house is nicely decorated, and is also comfortable, safe and clean, and provides a pleasant environment for service users. The records and documents at the home are maintained to a high standard, and kept safely, which ensures a well-organised service. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: A more detailed record could be maintained, of comments made about the service, specifically any compliments received, to give a more balanced view of what people think about the home. The further development of the quality assurance system to include the auditing and publishing of the results of the surveys and questionnaires that are distributed, would ensure compliance with the National Minimum Standards, and enable the management to measure their success in achieving their stated aims and objectives. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 8 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. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 9 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 Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 10 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 & 4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The information provided for prospective service users helps them to make decisions about their future care needs. The assessment process is detailed and thorough to ensure that the appropriate care can be provided. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 11 EVIDENCE: A Statement of Purpose and a Service Users Guide have been produced, and are available in a suitable format for everyone. They provide detailed information for service users and their families, about the services and facilities available at the home. There have been no recent changes in the resident group at the home. Evidence was seen of the assessment procedures to be used for any prospective admission, which together with the information provided, will inform the service user if the home is able to meet their needs. Several service users said they had visited the home and stayed for tea before deciding to live there, although it was a long time ago now, so they couldn’t remember it very well. The most recent admission to the home was in September 2003. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 12 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. The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. The key-worker system ensures that service users living at the home are supported in making choices in all areas of their lives. Service users are helped to take part safely in the various activities of daily living and to enjoy new opportunities. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 13 EVIDENCE: An individual plan of care is developed with each service user, and is based on the initial assessment undertaken during the admission process. These care plans are all very well maintained, and they are reviewed at least monthly, although the actual frequency is determined by the needs of each person. The individual preferences of every service user are identified as far as possible, and the details recorded about each person are discussed with them and their family, or a representative. The person centred approach is being implemented at the home, and the involvement of each service user in making decisions about their daily lives both within and outside the home is constantly encouraged by staff. Evidence was seen in the care plans, and was confirmed during conversations with service users, that life at the home revolved round the people who live there. In addition the positive interactions between residents and staff were pleasing to observe. There was also evidence, of the mutual respect and consideration amongst the group, which creates the positive and stimulating environment that everyone appeared to be enjoying so much. The many comments from service users, both verbally and in response to surveys, about how wonderful the staff are, and how happy they are to be living at Rockny House, were very reassuring. These included: • • • • • • • • • • I’ve got a happy life here You have a choice of what to do It’s nice here, lovely and clean You can go out on your own, and with friends I have a good laugh here The staff are kind and caring They listen to me We all get on well together I like to be with all my friends who live here I definitely don’t want to move from here Residents meetings are regularly held, although it was evident during the inspection that service users feel able to express their views, and to voice their opinions very freely. Service users are consulted about the way the home is run and their input into this, and also about any changes they may like to see. They are also occasionally asked to complete surveys to let the management of the home know what they think in a more formal way. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 14 The care plan of one service user was seen, and this was very comprehensive. The specific areas of need are identified, and details recorded as to how these are to be met. The long-term and short-term goals are included, and any changes are monitored and recorded. Additional information for one service user is a memory folder, containing many photographs that assist with the recall of events and people and the relationship they have with this person. A ‘Life-Plan’ is developed with each service user, and as a result everyone is helped, as much as possible, to live the life they choose. Risk assessments are completed, in relation to the premises, to the activities undertaken, and any restrictions imposed, and also in respect of every aspect of the life of each service user. There is evidence in the care plans of the ongoing review of all the risk assessments. The management of the risks encountered every day, and also when doing something more unusual, encourages service users to be more independent, and to take greater responsibility for what they do. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 15 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, 14,15,16 & 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users help to plan their lives. Each person takes part in various activities, both within and outside the home, and they are able to choose what they want to do and when, which helps to ensure that their rights are respected. The opportunities made available to service users, and their regular contact with family and friends, enables them to live a full and satisfying life as far as possible. There is a flexible approach to the provision of a healthy diet, and service users are encouraged to decide what to eat and when. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 16 EVIDENCE: Service users are constantly encouraged and supported by staff to be as independent as possible, to achieve individual goals, and to develop and maintain various life skills, by doing general household chores, and helping staff with food shopping and preparation, and one service user likes baking cakes. Some people enjoy pottering in the garden during the summer months, and there are hanging baskets and flower tubs for planting and tending. Service users living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range of leisure activities. They are enabled to attend various activities in the local community and these include swimming, browsing around markets, and going to the cinema. A visit to Snow White, the pantomime at The Hippodrome in Birmingham was arranged recently, and was very much enjoyed by everyone. An individual programme of activities is arranged with each service user that acknowledges their preferences, and the daily routines revolve around their personal choice. If they decide they don’t want to do something or to go somewhere, then they don’t have to. The wishes of each service user are respected and recorded. One service user decided when she reached the age of 60 she didn’t want to go to work anymore, and so she retired. Several service users attend day centres during the week, and one person who loves trains, often goes out independently and will spend time at the railway station train spotting. This resident is also very interested in wrist watches, and will spend hours taking them apart and repairing them. Two service users regularly go into town together shopping, and will then call in at the local pub for some lunch on the way home, and one person likes to go to church occasionally. Other activities that service users choose to be involved in at home from time to time include, knitting and sewing, doing jigsaw puzzles, playing board games or cards, and also playing bingo. Some people like listening to music, watching TV or playing a video/DVD. One person was doing word search competitions during the afternoon in between making tea for the inspector. Holidays are arranged for service users who like to go away, and last year included Brean Sands and Weston-Super-Mare. The majority of service users have family with whom they are in regular contact, and arrangements are made to visit them whenever possible. An advocate is involved with any service user without family contact, and also with other residents when requested. The surveys were completed with the assistance of an advocate, to ensure an accurate assessment. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 17 There are no specific visiting times and the involvement of family and friends is actively encouraged. Visitors are made very welcome at Rockny House and they are usually enjoyed by everyone, as part of the family life of the home, although service users can meet with people in private, if this is their wish. Several comment cards were received from relatives that confirmed their satisfaction with the service provided at the home, and included the following: • • • • • • • • • • I am always made to feel very welcome My daughter is always happy The home is very clean and welcoming My brother is treated like one of the family Everyone is always pleased to see you I’m very pleased my daughter can live at the home My uncle receives the best care he could get My relative has become much more independent The residents always seem very happy What more could one ask The arrangements regarding the provision of food reflect the individual likes and dislikes of each service user, and menus are planned with them. General food stocks for the home are purchased on the internet and delivered each week but incidental food shopping is done with the assistance of service users. Service users were all very complimentary about the lovely food, and that they were able to have what they wanted. Several people said that the occasional ‘take-away’ was also very much enjoyed. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 18 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. The care that is provided at the home revolves around the service users who live there, and their individual needs are understood and met in an appropriate way. The manner in which support is provided by staff helps to ensure that the rights of service users are respected, when meeting their personal and health care needs. The health of service users is promoted and they are protected, by the regular medication reviews, and by the high standards maintained when giving medication. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 19 EVIDENCE: The personal and healthcare needs of service users are well documented, and there is evidence to show how staff understand and respond to them in an appropriate way. Personal care is provided in privacy. Reviews are undertaken regularly with all service users to determine their specific needs, and Health Action Plans have been implemented at the home. The healthcare of service users is closely monitored, and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. Each person living in the home receives the individual attention they need, and they are all supported by staff to attend for routine dental and eye appointments, and also for chiropody treatment. One service user has spent some time in hospital recently, having been very poorly, but he has made a good recovery and told me how pleased he is to now be back home. Another service user has been having some special treatment as an out-patient, and this has been coped with very well. Staff have provided constant support to these service users, both at home and in the hospital, and also with the transport arrangements. Medication arrangements at the home are satisfactory. A Monitored Dosage System is in use at the home, and regular checks are undertaken by the Pharmacist. The Medication Administration Records were seen and had been completed appropriately. A profile has been developed to include the side effects of each medicine, and a photograph of the service user is attached. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 20 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 good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express any concerns, through an effective complaints procedure. Staff know what they should do to protect service users from all forms of abuse. EVIDENCE: A clear procedure for investigating complaints has been developed, in a suitable format for service users, and any issues are dealt with immediately. There have been no complaints about the service during the past year, but neither were there any compliments recorded in the log book. The care manager was encouraged to record all comments made about the home and the care provided, to give a more balanced view of the service. A suggestion box, produced by a service user, is available, and everyone is encouraged to make use of it. Policies and procedures for protecting service users have been produced, and are reviewed by the manager regularly. An appropriate procedure is in place relating to the many aspects of abuse, and all staff receive training as part of their induction process. Further training has been provided recently on the Protection of Vulnerable Adults, and discussions with staff showed they have a clear understanding of the issues. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 21 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. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space for the needs of service users. The home is comfortable and clean, and ensures as far as possible that the safety and wellbeing of service users is promoted. The décor and furnishings are in good condition, and provide service users with an attractive and homely place to live. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 22 EVIDENCE: Rockny House is a large, imposing, Victorian style property, which has been sensitively developed and upgraded, and is being maintained to a high standard. The house has been completely redecorated over the last few years, and new hot water and central heating systems installed. A new laundry has also been provided, which has improved facilities at the home. Further development of this area is now being considered, with plans being drawn up to provide additional space for recreational facilities. The office is situated off the main lounge, and the sleeping in room is located on the first floor. Three of the service users bedrooms rooms have en suite facilities, and a shower room and toilet for the use of another three service users, has been provided on the first floor. Further consideration is being given to increasing the number of en suite facilities throughout the home. These changes have created additional communal space for service users and also improved facilities for staff. There are a total of 8 single bedrooms and a double room, which two service users have made a positive choice to share. Each bedroom is tastefully decorated and furnished to a high standard, and reflects the individuality of the service users, who are each encouraged to personalise their rooms. The needs for aids and adaptations for service users are minimal, but these would be provided should the need arise. One service user requires the use of a wheel chair, if walking any distance, and this is serviced regularly. The home is clean and fresh and staff confirmed they are familiar with the procedures regarding to the control of infection, and that they have been given training in health and safety matters. There are no outstanding requirements following the most recent visit of the Environmental Health Officer. Contracts are in place for the servicing and maintenance of equipment at the home, and the records are well maintained with all the appropriate certificates available. The member of staff with responsibility for this area of work, confirmed that everything at the home was in good working order. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 23 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, 34 & 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has an experienced and competent team of staff, who are able to ensure that the needs of service users living at the home can be effectively met. Appropriate recruitment procedures ensure that service users are supported and protected by staff. The training programme available to staff ensures that they understand their role, and therefore are able to provide appropriate care and support to service users. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 24 EVIDENCE: Staffing arrangements at the home are satisfactory, with a minimum of two staff on duty at all times when service users are at home. The staff team is experienced and competent, and receive appropriate support from the Care Manager. A deputy is also employed to assist the manager in running the home. The recruitment and selection procedures that are in place at the home are satisfactory, although the staff team remains very stable and there have been no changes recently. The file of one member of staff was seen, and the correct procedures appeared to have been followed, and appropriate documentation was in place. The consistency of the staff group at the home has obvious benefits for service users, who said how kind and caring the staff are, and also how much help and support they are given, so that they can do many of the things they want to. One service user when asked if the staff treated her well said, ‘of course they do’. Another person commented, ‘ I wouldn’t want to move from here.’ Training is provided for staff at the home, and ‘core’ training has been undertaken by all staff. The courses organised in relation to the more specialised areas of care include, person centred planning, continence management, communication and confidentiality. All staff have also completed the Protection of Vulnerable Adults (POVA) and dementia awareness training recently. The training and development programme in place for the coming year includes, coping with aggression, medication administration, risk assessment, diet and nutrition and health and safety. An individual training and development assessment and profile has been implemented for all staff. The deputy is currently undertaking the Registered Managers Award, and should complete this later in the year, and two other staff are working towards the NVQ Level 3 in Care. In addition the Learning and Disability Award Framework (LDAF) is being done with a trainer from Lea Castle. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 25 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, 41 & 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Satisfactory management arrangements at the home, ensure that service users and staff benefit from a well run home. The rights of service users are safeguarded by the effective policies and procedures, together with appropriate records that are maintained at the home. The quality assurance system needs to be fully implemented, and the results of surveys audited, to confirm that the aims and objectives of the home are being met. The health, safety and welfare of service users is promoted and protected in respect of all safe working practices Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 26 EVIDENCE: The Care Manager Ms Caterina Giannini has completed the Registered Manager’s Award in both management and care, and is also an NVQ Assessor. The manager seeks the advice of other professionals at an early stage if a problem arises. There is evidence of a clear sense of direction and strong leadership in the management approach within the home. The positive interactions observed between staff and service users are pleasing to observe. The Mulberry System for measuring the home’s success in achieving the stated aims and objectives, has been introduced, but is not yet fully operational, and needs further development. The results now need to be audited and published annually, and a copy submitted to the Commission. The policies and procedures at Rockny House, are reviewed regularly, and updated when necessary, and staff support service users in understanding those relevant to them. The records seen had been completed to a satisfactory standard, and records of equipment testing, service reports and certificates are all in order. Notifications are made under Regulation 37, which requires reports to be sent to the Commission of death, illness or other events in the home. The accident records were also seen to be in order. The Fire Log Book was seen, and appropriate checks have been undertaken with the required frequency. The Fire Risk Assessment has been reviewed and updated recently. Fire awareness training is provided for staff, and fire practices and evacuation are undertaken regularly. Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 27 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 2 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 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 X 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 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 X 2 X 3 3 X Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 28 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. 1 2 Refer to Standard YA22 YA39 Good Practice Recommendations All comments, concerns and compliments made about the service should be recorded Further development of the quality assurance system should be undertaken Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. Extracts may not be used or reproduced without the express permission of CSCI Rockny House DS0000044977.V321144.R01.S.doc Version 5.2 Page 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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