Inspection on 29/09/05 for Rockville House

This inspection was carried out on 29th September 2005.

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.

Other inspections for this house

Rockville House 11/08/09

Rockville House 13/02/09

Rockville House 11/01/08

Rockville House 11/10/06

Rockville House 06/02/06

Rockville House 08/02/05

Rockville House 17/08/04

Rockville House 03/02/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

12 Orchard Mews

Stallcombe House

Stepping Stones

Cornerstones

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

CARE HOME ADULTS 18-65 Rockville House 2a Rockville Park Plymstock Plymouth Devon PL9 7DG Lead Inspector Tina Maddison Announced Inspection 29th September 2005 0930 Rockville House DS0000003447.V251517.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 Rockville House DS0000003447.V251517.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. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rockville House Address 2a Rockville Park Plymstock Plymouth Devon PL9 7DG 01752 407130 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) sm.bailey@btopenworld.com Independence South West Mr Stephen Michael Bailey Care Home 3 Category(ies) of Physical disability (3) registration, with number of places Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age 18-65yrs One Service User named elsewhere, who is under 18 years of age can reside at the home 8th February 2005 Date of last inspection Brief Description of the Service: Rockville Respite Centre is owned and managed by the registered charity Independence South West. The respite facility is purpose built on one level, and is adjacent to a day centre that is owned and managed by the same organisation. The service is registered to provide respite accommodation to a maximum of three service users who have a physical disability and who may also have a learning disability. The centre is situated in a residential area in the town of Plymstock, and is close to shops and all local amenities. The centre has the use of 2 minibuses. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A pre inspection questionnaire was completed by the Registered Manager prior to the inspection. Comment cards were received from a number of relatives and carers of the service users. The inspection commenced at 0930 and finished at 1400. A tour of the building was undertaken, Records and documents were available for inspection, and discussion was held with the Registered Manager, the Management Committee and staff. Service users were spoken to at the day centre, and will be interviewed further to gain their views at the next unannounced inspection. What the service does well: What has improved since the last inspection? Policies and procedures continue to be developed as does recording and documentation. New windows have been fitted to bedrooms. New beds have been bought to ensure service users comfort during their respite stays. The homes quality assurance systems continue to be developed. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 6 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. Rockville House DS0000003447.V251517.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 Rockville House DS0000003447.V251517.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): 1,2,3,4,5. Service users can be assured that the Centre will meet their assessed needs when they require respite care. They are able to use a comprehensive service users guide and statement of purpose. EVIDENCE: The centre provides a statement of purpose and service users guide to all new and prospective service users these documents are planned to be produced in a video format to help service users with a learning disability to understand the information. Service users records evidenced that a pre admission assessment is completed for all service users prior to their admission, and these assessments are comprehensive and informative and are completed with information provided by the service user, families of the service users, and involved health and social care professionals. Prospective service users are invited to the centre for a meal or trial stay to meet the staff and current service users before they decide to use the centre. On the day of the inspection a prospective service user was visiting the centre for tea. All service users had a financial contract on file between the funding local authority and the centre, and a contract has been devised between the centre and the individual service users, but these contracts have not yet been completed and signed. This should happen in order for the centre and the service users to be clear about their responsibilities, and the services offered at the centre. Rockville House DS0000003447.V251517.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): 6,7,9. The Registered Manager and staff continue to improve the homes recording and care planning information and processes. Service users views are sought when possible, and service users can be assured that staff will enable them to be as independent as possible and be encouraged to participate in all aspects of life at the centre. EVIDENCE: All service users that use the respite centre had a care plan on file. Two care plans were examined, and These documents were comprehensive and detailed all areas of health and welfare and how individual needs were to be met. Care plans are regularly reviewed, and files contained comprehensive manual handling plans and risk assessments. The Manager has introduced service users meetings and service users views are sought regarding their care at these meetings. Choices of bedrooms that service users prefer to use when at Rockville are noted and every effort is made to ensure that the bedroom of choice is allocated if at all possible. Service users money whilst they are in the home is recorded in and out, although records in one instance were not complete. Rockville House DS0000003447.V251517.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): 12,13,14,16,17. Personal development is encouraged enabling service users to maintain and develop their independent living skills. Service users can enjoy a range of activities that are available to all. Meals provided at Rockville are nutritious and varied. EVIDENCE: Pre admission assessment information and service user plans contained information regarding service users social, emotional, communication and independent living skills. The home has a range of equipment and adaptations to support service users to attend to tasks as independently as possible. Daily communication books are passed between the respite centre, home and other services to ensure that staff are aware of any issues and can reinforce skills that are being developed. The centre is well supported by the local community and the centre offers coffee mornings and invites the neighbours. A variety of activities are offered to service users using the centre, and there is transport provided to offer outings to the pub, shops and local amenities and leisure facilities. All service users bedrooms doors and bathrooms have an appropriate lock. Mealtimes are flexible, and service users are offered the opportunity to assist with the planning of meals, shopping and cooking. Meals taken by Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 11 service users are not recorded at present. Special diets are catered for and recorded in care plans. Rockville House DS0000003447.V251517.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): 18,19,20 Service users can be assured that staff will treat them with respect and that their personal care needs will be given in the way they prefer. They can also be assured that their health care needs will be met. EVIDENCE: Service user files contained details of moving and handling preferences. These preferences were documented and staff made aware of these. Any changes in personal and healthcare needs were updated at each respite stay. The Registered Manager confirmed that service users are supported to attend any pre arranged health appointments, and can see their own GP or register locally as a temporary patient if required. Case tracking evidenced that the home liaises with specialist health services when required, including Occupational Therapy, Physiotherapy and Learning Disability services. The Registered Manager confirmed that he or a representative of the service are always willing to attend individual care plan reviewing meetings. The services medication administration systems are robust and were recordings were found to be accurate and up to date on the day of the inspection. The service has a medication policy and procedure in place. A lockable metal storage cabinet is available to ensure medication is safely stored. Rockville House DS0000003447.V251517.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 Service users can be confident that their concerns will be listened to, taken seriously, and acted upon. The vulnerable adults procedure is robust which will ensure the protection of service users. EVIDENCE: The service has a written complaints procedure as required in the standard, and this is also available in a picture format. Any concerns and complaints are recorded and action taken to resolve them is also recorded. It was clear from care plans that service users who use the service have a range of skills relating to finances, and require a varying level of assistance from staff. If a service user requires assistance with the handling of money, the money they bring with them is recorded and kept on an individual basis. An inventory of personal items brought into the home is also kept. Feedback cards received from users of the service commented that they were aware of the homes complaints procedure and felt able to use it if necessary. All staff have attended vulnerable adults training and clear guidelines were available to staff advising them what to do if they suspect an incident of abuse. Care plans contained appropriate guidelines to be used by staff should a resident have difficult or challenging behaviour. Rockville House DS0000003447.V251517.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): 24,25,26,27,28,29,30 Rockville House is well maintained, very clean and warm. Service users have the specialist equipment they require to maximise their independence. The home would benefit from redecoration to give a more homely feel. EVIDENCE: The respite centre is part of a larger building that provides a day care facility and is also managed by Independence South West. The centre is on one level, and the respite unit has been purpose built and adapted to meet the needs of the service users with a physical disability. All three bedrooms are large single rooms. The hallway has recently been painted, and new windows have been fitted. However, there remains a rather clinical appearance at the centre, and it would benefit from redecoration and updating to provide a more homely feel. Bedrooms contain most of the fixtures and fittings required by the standard. Locks have been fitted to bedroom doors to provide privacy. All bedrooms have a hand wash basin, and these are fitted with temperature regulation valves. There is also a separate shower room which has recently been redecorated and retiled. There is adequate shared and private indoor and outdoor space and the corridor and doors are wide to enable wheelchair access. Service users are able to access the garden at the front of the house, and are able to use an attractive sensory garden area. The home has a range of equipment and adaptations in order to meet the care needs of physically disabled service Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 15 users, and to maximise their independence. Records evidenced that this equipment is regularly checked by staff and serviced by outside agencies. On the day of the inspection the home was found to be very clean and hygienic throughout. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 16 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): 31,32,34,36 Care staff numbers are adequate to meet the care needs of the service users. There is a robust recruitment procedure and this offers protection to service users. There is a consistent staff team who are committed, caring and appropriately skilled to provide care to service users. EVIDENCE: Staff at Rockville House work at both the day centre and in the respite unit. Staff were observed working with service users at the day centre, and it was clear that they have an empowering and positive relationship with service users. Records evidenced that there is an induction procedure for new staff. Training profiles confirmed that staff attend a range of statutory and specialist training opportunities. There is a training plan but this would benefit from being updated. Staffing levels are reviewed dependent on the individual needs of the service users staying for respite. The home has a robust recruitment procedure, and staff files contained all the required elements to meet this standard. The home has a written supervision policy, which is linked with staff induction and annual appraisals. Staff meetings are regularly arranged and daily recording and handover meetings are also used to communicate important information. It is recommended that staff are trained in child protection issues, as one service user is under eighteen years old. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 17 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): 37,40,42 The Home is managed by a very competent Registered Manager. There is a clear management structure operating in the home that is clearly effective. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The Registered Manager holds a degree in social policy and is due to complete the Registered Managers Award in the near future. He operates an inclusive and open style of Management and has an open door policy for staff. The Registered Manager continues to work hard to develop and organise the homes recording processes, policies and procedures in conjunction with the management committee. The homes policies and procedures were available for inspection, and the Registered Manager has continued to review this information to ensure that it relates to the respite unit. Risk assessments were available for inside and outside of the building, staff and service users. Fire records were up to date. A record of accidents is appropriately kept, and records were up to date for the maintenance of gas and electrical systems, Portable appliance testing and physical disability equipment. The home has Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 18 recently had visits from the Environmental Health Department and fire safety officer, neither of who had any recommendations. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 2 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 2 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 x 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rockville House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 4 3 x 3 x 3 x DS0000003447.V251517.R01.S.doc Version 5.0 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 3 4 5 Refer to Standard YA5 YA8 YA17 YA24 YA32 Good Practice Recommendations An individual contract should be completed between the centre and individual service users. All money belonging to service users should be recorded in and out when the service user has finished their stay. All meal choices should be recorded. Consideration should be given to redecorating the respite centre to create a homely appearance. The staff training plan should be updated, and staff should attend child protection training. Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Rockville House DS0000003447.V251517.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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