Inspection on 24/06/05 for Roclyns Rest Home

This inspection was carried out on 24th June 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

Roclyns Rest Home 21/10/08

Roclyns Rest Home 23/11/06

Roclyns Rest Home 06/12/05

Roclyns Rest Home 08/02/05

Roclyns Rest Home 16/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Roclyns 344 South Coast Road Telscombe Cliffs East Sussex BN10 7EW Lead Inspector Kev Whatley Unannounced 24 June 2005 07:20 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 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 Older People. 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. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Roclyns Address 344 South Coast Road Telscombe Cliffs East Sussex BN10 7EW 01273 583923 01932 568795 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Samood Mosafeer Mrs Bibi Hapsa Mosafeer Care Home only 19 Category(ies) of Old age, not falling within any other category registration, with number (OP) 19 of places Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. That a maximum number of nineteen (19) service users are to be accommodated. 2. That service users must be aged sixty-five (65) years and over on admission. 3. Only older people who have been assessed as requiring residential care can be accommodated. Date of last inspection 8 February 2005 Brief Description of the Service: Roclyns provides care and support for up to 19 residents from the age of 65 and over. On the day of the inspection the home was fully occupied. Roclyns is situated on the coast road at Telscombe Cliffs. The home is within close walking distance of local shops and is on a regular bus route. The accommodation for residents is situated on the ground and first floor of the home, with comunual space being provided by a large and comfortable lounge area and a homely dinning room. To the rear of the home residents have the opportunity to enjoy a large and well maintained patio and garden. There is a lift available for those who do not wish to use the stairs. Roclyns is situated on the coast road at Telscombe Cliffs. The home is within close walking distance of local shops and is on a regular bus route. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term ‘service user’ to describe those living in care home settings. For the purpose of this report those living at Roclyns will be referred to as ‘residents’. The unannounced inspection took place on a weekday morning in June, beginning shortly after 7am and lasting for approximately five hours. The focus of the inspection was subsequently centred on the morning routines of the home. At the time of the inspection the home was accommodating nineteen residents and was therefore full. The inspection included a tour of the premises and it’s facilities, with many residents also consenting for their bedrooms to be viewed. Approximately five residents were spoken with individually, whilst several others commented on their care during a group discussion. The manager, the cook, a domestic worker, and two members of care staff were spoken with during the visit, as was a relative of a resident who was visiting at the time. Care staff were also observed carrying out their duties. Records and documentation inspected included: residents files, residents care plans, the homes complaints and accident books, and staff files, whilst various policies and procedures were also viewed. What the service does well: Roclyns provides care to residents in a homely environment with committed staff who are experienced, caring, and respectful. Residents can request support, assistance, and nourishment at all hours of the night. Residents stated that care staff are ‘thoughtful’ and ‘caring’. The atmosphere at Roclyns is relaxed, caring, and supportive, whilst the home is kept clean, tidy, and hygienic. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, and 5. The home ensures that the needs of prospective residents are assessed prior to being admitted to the home; the home must ensure that such assessments are recorded accordingly. The home encourages residents and their families and friends to visit prior to being admitted. EVIDENCE: A number of resident files were viewed, notably those relating to the most recently admitted residents, and these confirmed that relevant pre admission information is obtained from such sources as: social services, G.P’s, and relatives. There was evidence of the manager of the home carrying out care needs assessments of residents prior to admission, with the physical, mental, emotional, and social care needs being identified and subsequently transferred into personal care plans. Several residents stated that they had been visited by the manager of the home prior to being admitted. One recently admitted resident, although being visited by the manager in hospital, did not have a completed needs assessment in their file. A number of residents stated that they had been invited to visit the home prior to being admitted and acknowledged that they had been informed of the homes policy concerning the first four weeks of admission being a trial period. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 9 A relative confirmed that they had been kept informed of such procedures and stated that the admission process had been made as clear as possible by the ‘supportive’ staff team. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9, and 10. Roclyns have developed a suitable system of care planning, though the home must ensure that all residents have a documented plan of care. The home should review it’s medicine administration procedures. Residents are treated with respect, care, and dignity. EVIDENCE: Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 11 A number of care plans were seen and these were found to be legible, concise, and relevant and were based on the assessment of service users care needs. The care plans noted the level of care required in respect of residents physical, personal, and health care needs and the manner in which such care should be provided. Care plans noted the monthly date of review, though the outcomes of such reviews were unclear. A resident who was recently admitted for ‘respite’ care did not have a completed care plan. The homes medicine administration system was viewed. This confirmed that an appropriate manner of disposal and recording of medicine administration is in place during the daytime. However the early morning medicine administration procedures, whereby night staff dispense medicines with the residents breakfasts in their bedrooms, appeared inappropriate as medicines are dispensed downstairs into pots before being distributed. Care staff were seen to be patient, caring, and thoughtful. The early morning routine of the home appeared relaxed with staff responding to the needs of residents calmly and respectfully. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13. The routines of the home adhere to the needs of residents. The home should develop it’s programme of activities and events. Residents are encouraged and supported to maintain contact with others outside of the home. EVIDENCE: Records from the previous night confirmed that night staff had provided residents with cups of tea and one with a sandwich during the night following requests. The early morning began with some residents choosing to have their breakfasts in their rooms at 6.30am; on the day of the inspection all residents took breakfast in their rooms. The morning routine was seen to be unhurried, relaxed, and thoughtful with care staff assisting residents to begin their day in a pleasant and considerate manner. Many residents chose to sit in either the lounge or dinning area during the morning, though others decided to enjoy the fine weather outside in the garden. Residents said they often did the ‘same thing every day’, with several commenting that there were not any regularly planned activities at the home. Records noted that an exercise session was due to take place that morning though the facilitator had cancelled due to illness. The home have a T.V, a stereo, and a number of board and card games, whilst many residents have televisions in their rooms, however no evidence of a weekly programme of activities or events could be found. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 13 The visitors book was viewed and this confirmed that residents receive regular visits from family and friends. One relative visiting the home stated that care staff encourage them to visit as often as they wish and noted that they are always made to feel ‘welcome’ when they do. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The home ensures that there are suitable policies and procedures in place to address resident’s views, concerns, and complaints. Residents are protected from the risk of harm, abuse, or neglect. EVIDENCE: The homes complaints book was viewed. This indicated that no complaints had been received by the home since the last inspection; CSCI have not received any complaints since the last inspection. The homes complaints policy clearly outlines the manner in which the home have to address any concerns or complaints, including the timescales by which any investigation has to be completed. A number of residents stated that should they have any concerns that they feel able to talk to either a member of care staff, the manager, or the proprietor. A number of staff files were viewed and these confirmed that all necessary requirements had been followed including gaining confirmation of Criminal Records Bureau (CRB) checks and references prior to staff commencing work at the home. Since the last inspection Roclyns were required to liaise with the Coroners Office regarding a death at the home. The findings of the investigation found that the home were not culpable of any inappropriate practice, care, or procedures. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 23, 25, and 26. Residents live in a well maintained and homely environment. The home must ensure that the premises are assessed to confirm the environment can meet the needs of all residents. Roclyns is clean, tidy, and hygienic. EVIDENCE: Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 16 The home is in a good state of decorative order both inside and out, being furnished in a homely manner. Residents rooms have been maintained to a high condition and have been individualised with personal items such as pictures, photos, and ornaments. The garden and patio area is pleasantly proportioned and kept tidy and accessible. Several residents currently placed at Roclyns are reliant on wheelchairs to assist them around the home. It appeared that some of the homes environment made easy wheelchair access difficult, including corridors and corners inside the premises and access to the garden area outside. The domestic cleaner at the home had begun their duties prior to the inspection beginning, they stated that they work five days a week. The home was found to be clean, tidy and free from any offensive odours or smells, whilst the laundry was suitably equipped to meet the needs of the residents. The last reports of the Fire Safety Officer and the Environmental Health Officer were inspected and were satisfactory. The records of the testing of emergency lighting, fire alarm points and fire fighting equipment, and of fire training for staff were inspected and found to be in order, with a fire safety training event having taken place this week. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. The home should review the numbers of care staff deployed during certain periods of the day to ensure the needs of residents are met at all times. The home protects residents from the risk of harm, neglect, or abuse. EVIDENCE: The staff rota was viewed. This confirmed that the home deploy two care staff during the night, one being a ‘waking’ night carer, with support, should it be required, from a ‘sleep in’ night carer. Records also indicated that the ‘waking’ night carer carries out two hourly checks on all residents during the night. Between the hours of 8am and 5pm the home deploy a minimum of four care staff, however this is reduced to two between 5pm and 10pm. As previously mentioned the home also employ a full time domestic cleaner and full time cook. A number of staff files were examined. These were found to include confirmation of the necessary checks being undertaken prior to staff working at the home such as completed application forms, references, and copies of Criminal Records Bureau (CRB) checks. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, and 38. The manner in which the home is managed encourages openness, choice, and respect. The manager must review the formal supervision system and must ensure that the appropriate authorities are informed of significant events. EVIDENCE: Mr and Mrs Mosafeer are both registered nurses and have extensive and relevant experience in caring for older people in need of residential care. Mrs Mosafeer has a management qualification in Care (City and Guilds 325.3), whilst Mr Mosafeer has relevant qualifications in management development and teaching and assessing within the care industry. Both care staff and residents alike stated that they felt able to approach the manager should they have any problems, concerns or recommendations. The atmosphere in the home felt relaxed, homely and caring with the manager working as a member of care staff on the day of the inspection due to unforeseen staff shortages. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 19 No evidence was found of care staff currently receiving formal supervision, however the manager acknowledged that staff supervision is a priority in the coming months. Records maintained at the home, as required by registration, were legible, relevant, and concise, whilst confidential information concerning staff and residents is stored in the office in lockable cabinets. The accident book was viewed and this confirmed that a previous incident involving a resident falling and subsequently being hospitalised was not forwarded to the Commission for Social Care Inspection (CSCI). Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x 2 3 x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 2 x 2 Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 21 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. 1. 2. 3. Standard OP2 OP7 OP22 Regulation 14(1)(b) 15(1) 13(4)(b)& (c) Requirement That all residents must have a written needs assessment. That all residents must have a written care plan. That an assessment of the homes premises be undertaken by an Occupational Therapist in regard wheel chair access and movement. That care staff receive a minimum of 6 formal supervision sessions per year. Such sessions should be recorded, dated and signed by both parties. That the home must inform CSCI of any significant event within 24 hours. Timescale for action Immediate Immediate 24th December 2005 24th December 2005 Immediate 4. OP36 18(2) 5. OP38 37(1)(c) 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. Roclyns Refer to Standard OP7 OP9 Good Practice Recommendations That the outcome of any monthly review be recorded in residents care plans. That the homes medicine administration procedure in the morning be reviewed. H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 22 3. 4. 5. OP12 OP27 OP31 That the home addresses the need for a regular activities and events programme. That the levels of care staff cover between the hours of 5pm and 10pm be reviewed. That the manager obtains NVQ level 4 in Care and Management. Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Roclyns H59-H10 S21196 Roclyns V218970 240505 Stage 4.doc Version 1.20 Page 24 - 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. 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