Inspection on 16/03/06 for Rockny House

This inspection was carried out on 16th March 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rockny House 16/01/07

Rockny House 13/09/05

Rockny House 22/03/05

Rockny House 01/07/04

Rockny House 30/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Rockny House 25 Birmingham Road Kidderminster Worcestershire DY10 2BX Lead Inspector R McGorman Unannounced Inspection 16th March 2006 15:30 Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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.V277860.R01.S.doc Version 5.1 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.V277860.R01.S.doc Version 5.1 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) 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.V277860.R01.S.doc Version 5.1 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. 13th September 2005 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. 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, it is within walking distance of Kidderminster town centre, and is also on a bus route to the town. 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 achieve their maximum potential. Mrs Anna Giannini & her daughter Ms Caterina Giannini are the registered providers, and Caterina is the registered care manager. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine, unannounced inspection was to check on previous requirements and recommendations, to check the recent alterations to the premises,and to monitor the care provision at the home in relation to the stated aims and objectives. The inspection took approximately 3 hours. Time was spent with service users, and staff, to ascertain their views on living and working at the home, and with the care manager, checking documentation, viewing the home, and discussing the organisational arrangements. Several areas of the home were inspected, including some bedrooms, bathing and toilet facilities, and the gardens, and brief discussions held about possible future developments. The documentation seen, included the service user care plans and 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. What the service does well: Rockny House is a happy home, and there is evidence of mutual respect and consideration amongst both service users and staff, which is also extended to visitors. A warm welcome is given, and the atmosphere throughout the home is 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, and their independence is promoted at all times, and supported appropriately with risk assessment. Relevant information about the home, and what can be provided, is available to service users, and their family, and is produced in an appropriate format. ‘The food is great’, and ‘I like living here’, were two of the many comments made by service users. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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 Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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): 1&3 The information provided by the home ensures that service users and their families are able to make an informed choice about their future care needs. The assessment and admission procedures should ensure that suitable placements are made for any prospective service users. EVIDENCE: A Statement of Purpose and a Service Users Guide have been produced, and are available in a suitable format for service users. A statement of the Terms and Conditions of residence is provided for each service user. A contract is provided by the placing authority. A copy of the last inspection report was displayed in the front hall. There have been no recent changes in the resident group at the home. Evidence was seen of appropriate assessment procedures to be used for any prospective admission, which together with the information provided, will inform the service users if the home is able to meet their needs. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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 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 well-documented views of service users are central to the delivery of the person centred care that is provided at the home. EVIDENCE: A plan of care, is developed with each service user, and is reviewed at least monthly, although the frequency is determined by the needs of the individual service user. The involvement of service users in making decisions about their daily lives, is clearly evident, and was confirmed during conversations with both residents and staff. The needs and individual preferences of every service user are identified as far as possible, and their participation in, and decisions about, the daily life of the home, constantly encouraged. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 10 Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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): 14 & 15 The opportunities made available to service users enable them to live as fulfilling a life as possible. The involvement of each individual in planning their activities, both within and outside the home, means that they are able to choose what they wish to do, and that everything revolves around them. 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 helping with food preparation, washing up and doing general household chores. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 12 There was evidence, during conversations with service users, of the mutual respect and consideration amongst the group, which created the positive and stimulating environment that everyone appeared to be enjoying. Varied activities are made available both within and outside the Home, for individuals and/or group participation. These include shopping, knitting, doing jigsaw puzzles, swimming, playing skittles, bingo, board games or cards, going to the pub, or going out for a meal, attending church, train spotting, browsing around markets or visiting family and friends. The individual wishes of service users are considered, and decisions not to be involved are respected and recorded. Two service users are over retirement age, therefore do not always wish to join in some activities. Holidays are being planned at present, and proposed destinations include Blackpool, Burnham-on-Sea and Weston-Super-Mare. Service users also visit their families, when appropriate. Visitors are made welcome at Rockny House, including the Inspector. There are no specific visiting times and family and friends’ involvement is actively encouraged. Visitors are usually enjoyed by everyone, as part of the family life of the home, although service users can meet with them in private, if this is their wish. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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 & 21 Support and encouragement is provided to each service user, in order to promote independence in respect of their personal and healthcare needs. Procedures are in place for managing the ageing process and possible illness and death of service users, to ensure that dignity and respect is maintained. EVIDENCE: The personal and healthcare needs of service users are closely monitored, and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. A policy relating to the ageing, illness and death of service users has been implemented at the home, and discussions held with service users and their families to determine their wishes concerning terminal illness and death. The outcome is recorded on their individual plan of care. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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 A satisfactory complaints procedure is followed at the home, and service users are encouraged and enabled to express their views and opinions. The management and staff understand the issues relating to abuse, which ensures the protection of service users, although the need for further training for some staff was identified. EVIDENCE: A complaints procedure has been developed in a suitable format for service users, and a record is kept of comments, compliments and complaints. There have been no complaints about the service, but neither have any compliments been recorded. 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. A module on the Protection of Vulnerable Adults (POVA), is included in the NVQ Level 2 in Care training, although further training for staff should be provided. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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): 24,26 28 & 29 The premises are maintained to a high standard, and are suitable for purpose, being safe, comfortable, and warm. The décor and furnishings are in good condition, and the standard of cleanliness is excellent, providing a homely environment for residents. The communal and individual facilities have been designed to meet the needs of service users and to enhance their quality of life. 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 recently, and new hot water and central heating systems installed. A new laundry has also been provided, which has further improved facilities at the home. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 16 A new office has now been created off the main lounge, and a sleeping in room with an en suite shower provided on the first floor. A new shower room and toilet is also available for the use of three service users. Three rooms already have en suite facilities, and the possibility of providing more is being considered. 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. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 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): 33 & 35 The staff team at the home have skills relative to the work they are doing, which enables the effective delivery of care. The training provided enables staff to have a greater understanding of the needs of service users, although a more structured approach is needed. 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 post has been created to assist the manager in running the home. Training is provided for staff at the home, and courses on Challenging Behaviour and Bereavement have been organised, although additional training is needed specifically in relation to the more specialised areas of care. The training and development programme needs to be implemented consistently, and each staff member should have an individual training and development assessment and profile Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 18 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): 38,39,40,41 & 43 The Registered Manager is very experienced, and residents and staff benefit from living in a well run home. The individuality with which the care of each service user is delivered produces a very positive outcome for all concerned. The quality assurance system now 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 policies, procedures and records maintained at the home, comply with legislative requirements and therefore help to safeguard the rights of service users. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 19 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 were 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. The results now need to be audited and published annually, with 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 financial viability of the business was confirmed verbally. Appropriate insurance arrangements are in place, and the certificate is available for inspection. The records seen had been completed to a satisfactory standard. The Fire Log indicated that weekly checks of the fire alarm system, and practice evacuations are undertaken. The need for an emergency evacuation plan was discussed with the Care Manager. Records of equipment testing, service reports and certificates are in order. Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 20 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 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 X 3 X 3 X X 3 Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES 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. 2 Standard YA35 YA35 Regulation 12 18 Requirement All staff must have an individual training and development assessment and profile A staff training and development programme must be implemented Timescale for action 30/06/06 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA23 YA39 YA42 Good Practice Recommendations Further training for staff on the Protection of Vulnerable Adults from abuse should be provided Further development of the quality assurance system should be undertaken An emergency evacuation procedure for the home should be produced Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 22 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: 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 Rockny House DS0000044977.V277860.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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