Inspection on 06/02/06 for Rockville House

This inspection was carried out on 6th February 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 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 29/09/05

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 Unannounced Inspection 09:00 6 February 2006 th Rockville House DS0000003447.V257973.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.V257973.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.V257973.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 01752 481624 sm.bailey@btopenworld.com 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) Independence South West Mr Stephen Michael Bailey Care Home 3 Category(ies) of Physical disability (3) registration, with number of places Rockville House DS0000003447.V257973.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 29th November 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 leisure amenities. The centre has the use of two minibuses. Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection report should be read in conjunction with the full announced inspection report of 29th November 2005. A tour of the building was undertaken, records and documents were available for inspection, and discussions were held with the Registered Manager and service users. What the service does well: What has improved since the last inspection? What they could do better: Individual risk assessments should be in place for each service user. Quality assurance systems should continue to be developed. Financial records should Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 Page 6 evidence how much money the service users leave with when they go home. The kitchen would benefit from refurbishment, and plans are in place to commence this work in the near future. 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.V257973.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.V257973.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 Rockville will meet their assessed needs when they require respite care. The service users are able to use a comprehensive service users guide and statement of purpose. EVIDENCE: There is a new statement of purpose for the centre, and this was found to contain all the necessary elements required in order to meet this standard. Plans are under consideration to produce this document and the service users guide in a video format that will help service users who have a learning disability to understand the information. The service continues to thoroughly assess any prospective service users, to ensure that the service will be able to fully meet their care needs. Pre admission assessment documents were seen and evidenced that information is obtained from the prospective service users family, care manager and any involved health professionals. The prospective service user is then invited for a tea visit. The outcome of this assessment and the Managers recommendation then goes to the Committee that oversee the service, and they will approve or not approve the application. The need to have up to date contracts/statements of terms and conditions in place for all service users was a recommendation from the previous inspection. These documents have been formulated and produced, and are now going to the Committee for approval. Financial contracts between the service and the funding authorities were on file for all service users. Rockville House DS0000003447.V257973.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): 6,8,9,10. The Registered Manager and staff at Rockville continue to improve the recording and care planning information and processes. Service users views are sought whenever possible, and service users can be assured that staff will enable them to be as independent as possible during their stay, and they will be encouraged to participate in all aspects of life at the centre. EVIDENCE: All service users of the centre had an up to date care plan on file. Two care plans were examined, and these documents were found to be up to date and 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. A service user confirmed that his opinion regarding choice of activities and which bedroom he prefers was always sought, as was his choice of meals. Service users can assist with cleaning and cooking their meals if they wish to. Service users risk assessments were examined, and whilst most had comprehensive personal risk assessments on file, one service user did not have a personal risk assessment on file. Service users are able to bring small amounts of money to the centre for their use during their stay, and whilst it is always recorded what amount they bring in, it is not clear how much they took home with them, and this Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 Page 10 should be recorded. The Manager confirmed that service users are encouraged to be as independent as possible in all daily living tasks and activities. Personal handling preferences are recorded and staff were aware of these. Information regarding service users is kept safely and securely, and staff were aware of confidentiality issues. Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 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): 11,14,15,17 Personal development is encouraged at Rockville, enabling service users to maintain and develop their independent living skills. Service users can enjoy a range of activities that are available for all. Meals provided at Rockville are varied and nutritious. EVIDENCE: Service users are encouraged to be as able as possible during their stay at Rockville. Independent living skills and independent personal care are encouraged as much as possible. The home has a range of equipment and adaptations to support service users to attend to tasks as independently as possible. A variety of activities are on offer to service users at the centre, and include pub visits, and individual hobbies such as train spotting and visits to a donkey sanctuary are encouraged and enabled by staff. A service user confirmed that whilst at the centre he is able to enjoy a range of activities depending on what he wants to do. Transport to activities is provided as part of the basic fees. The centre has the use of three minibuses. Meal times are flexible, and service users choose which meals they would like. These meals taken are recorded, and any food allergies, likes and dislikes are recorded on care plans. Service users are offered the opportunity to take part in the planning of meals, the shopping, preparing and cooking of meals. It is evident Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 Page 12 that families are included and consulted about placements, and two parents are present on the committee. Service users are able to have friends and families to visit whilst they are staying at Rockville. Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 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): 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. The service users can be assured their health care needs will be met. EVIDENCE: Service users personal and healthcare needs are documented and are udated when required. Moving and handling preferences are documented. The centre has good links with the local GP surgery, and can telephone for advice or assistance from the District Nurse. The services medication administration systems are robust, and records were found to be 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 safely store medication. Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 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 Service users can be confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: The service has a written complaints procedure as required by this standard, and this is available in a picture format. Any concerns and complaints are recorded. Since the last inspection there has been one minor complaint recorded at Rockville, and no complaints have been made to the Commission for Social Care Inspection. A service users spoken with confirmed that he knew how to complain if he wished to, and he knew who to complain to. He felt that staff listened to any views or opinions expressed by service users. Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Rockville House is well maintained, very clean and warm. Service users have the specialist equipment that they need 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 physically disabled service users. All three bedrooms are large single rooms. Plans are in place to redecorate the unit, and a new kitchen is planned that will be installed in the very near future. This will be fitted to enable the service users maximum independence in the kitchen. On the day of this unannounced inspection, the home was found to be very clean and warm. Rockville House DS0000003447.V257973.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): 33,35,36. Care staff numbers are adequate to meet the needs of the 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 in both the day centre and in the respite unit. Staff were observed working with the service users at the day centre, and it was clear that they have an empowering and positive relationship with the service users. Training profiles evidenced that staff attend an appropriate range of training opportunities. Staffing levels are reviewed depending on the level of need of the service users staying in the home. Records evidenced regular supervision, and annual appraisals occur for staff. Staff meetings are also held on a regular basis. Rockville House DS0000003447.V257973.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): 37,38,39,42. The home continues to be 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 hoping to soon complete his Registered Managers Award and then undertake a Masters Degree in Disability studies. He operates an inclusive and open style of Management and has an open door policy for staff. The Registered Manager and staff with the support of the Committee, continue to develop and organise the homes recording processes, policies and procedures to good effect. Risk assessments were available for the building. Fire records were up to date and evidenced good fire safety procedures. Portable electrical appliances were recently tested. Health and safety is part of the Managers role and is a priority in the home. All disability aid equipment has been regularly maintained and inspected. The home continues to work towards developing a quality assurance system. Rockville House DS0000003447.V257973.R01.S.doc Version 5.0 Page 18 Rockville House DS0000003447.V257973.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 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x 2 2 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rockville House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x 3 x DS0000003447.V257973.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 YA24 YA9 YA42 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 when the service user commences their stay and out at the end of the stay. Consideration should be given to redecorating the respite centre to create a homely appearance. All service users should have their individual risk assessments on file. The Registered Manager should continue to develop the quality assurance system. Rockville House DS0000003447.V257973.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.V257973.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!