Inspection on 06/12/05 for Roclyns Rest Home

This inspection was carried out on 6th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Roclyns Rest Home 21/10/08

Roclyns Rest Home 23/11/06

Roclyns Rest Home 24/06/05

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 Kevin Whatley Announced Inspection 6th December 2005 10:00 X10015.doc Version 1.40 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 Roclyns DS0000021196.V254790.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 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 DS0000021196.V254790.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Roclyns Address 344 South Coast Road Telscombe Cliffs East Sussex BN10 7EW 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) 01273 583923 01932 568795 Mr Samood Mosafeer Mrs Bibi Hapsa Mosafeer Mrs Bibi Hapsa Mosafeer Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That a maximum number of nineteen (19) service users are to be accommodated. That service users must be aged 65 (sixty-five) years and over on admission. Only older people who have been assessed as requiring residential care can be accommodated. 24th June 2005 Date of last inspection Brief Description of the Service: 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 communal space being provided by a large and comfortable lounge area and a homely dinning room with a smaller lounge attached. 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 to the first floor. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 announced inspection took place on a weekday in early December, beginning shortly after 10am and lasting for approximately five hours. At the time of the inspection the home was accommodating seventeen residents. The inspection included a tour of the premises and it’s facilities, with many residents also consenting for their bedrooms to be viewed. Approximately four residents were spoken with individually, whilst several others commented on their care during a group discussion and lunchtime. The proprietor, the manager, the cook and two members of care staff were spoken with during the visit. Care staff were also observed carrying out their duties. Records and documentation as required by registration were also seen along with various policies and procedures. As part of this inspection a number of completed questionnaires were received from residents and their relatives, whilst the proprietor and manager completed a pre-inspection questionnaire. What the service does well: Roclyns provides prospective residents and others with suitably detailed information regarding the home and the services it offers. No resident is admitted to the home without firstly having had their care needs fully assessed, such needs are incorporated into comprehensive plans of care. Residents have the option of participating in activities and benefit from home cooked food and a varied and balanced menu. Residents are able to voice their concerns through the homes complaints policy, whilst robust policies and procedures protect residents from the risk of harm or abuse. The homes environment is generally well maintained and care staff are committed, experienced and caring. The management approach of the home ensures that the atmosphere is relaxed, open and supportive. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 the following standard(s): 1, 2, 3 and 4. Prospective residents and others are provided with sufficient information regarding the home and the services it offers. No resident is admitted to Roclyns without first having their care needs fully assessed, whilst residents and their relatives/carers are involved in the admission process. EVIDENCE: Roclyns statement of purpose and service user guide was viewed, this confirmed that the physical layout of the home, the homes philosophy of care, and the care services offered at the home are suitably described. All relevant issues are covered in reasonable detail including the homes complaints procedure and the contact details of the Commission for Social Care Inspection. One new resident had been admitted to the home since the last inspection. Their file confirmed that the manager of the home had visited the resident in their own home prior to admission and had undertaken a care assessment of the residents care needs that included identifying their physical, emotional, social and health care needs. Such needs were subsequently recorded as were risk assessments in relation to all aspects of the residents needs such as risk of Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 9 falls, mobility and diet. The file also contained evidence of other pre-admission information being obtained from their G.P’ and relatives. It was clear from documentation that the resident was involved in the admission process and had been consulted about the level of care and support they felt they needed. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9 and 10. Residents benefit from having their assessed care needs incorporated into robust plans of care that subsequently inform care staff as to the manner in which such needs are to be met. The home have a suitable medicine storage and administration system, though the home must be vigilant in storing prescribed items suitably at all times. Residents are treated with respect, dignity and care. EVIDENCE: 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. There was evidence of clear links being made between the initial care needs assessment and the current plan of care. The care plans viewed detailed the physical, personal, and health care needs of each resident including the nature of personal care needs on an individual basis. Care plans noted the monthly date of review and the outcome. Since the last inspection a new section has been added to the residents daily log that enables comments to be recorded by the manager or her deputy regarding the care status of residents on a daily basis, whilst care staff are encouraged to include more detail on daily recordings such as visits by residents. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 11 The health care needs of residents were clearly documented in their care plans, daily logs and the homes main communication book. All residents are registered with local G.P’s and where residents health care needs have increased, lessoned or changed other health care professionals have been adequately notified by the home and subsequently involved in addressing the most appropriate manner to meet the resident’s individual health care needs. The homes medicine administration and storage system was viewed. This confirmed that an appropriate manner of disposal and recording of medicine administration is in place; since the last inspection the process of night staff dispensing medicines into ‘pots’ has now ceased. The records of medicine administration were found to be concise, up to date and accurate. However during the tour of the building (see also Environment) two prescribed items of lotion were found in the communal bathroom. Care staff were observed to be patient, caring, and thoughtful. All residents spoken with spoke positively of the way in which the homes staff care for them, and noted that care staff were ‘lovely and helpful’. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 the following standard(s): 12, 14 and 15. The home have a regular activities programme that allows residents daily opportunities to participate in events, however the programme should be reviewed to ensure if offers sufficient choice and interest. The dietary needs of residents are met, though the lack of a consistent evening menu should be addressed. EVIDENCE: The home have suitable daily routines in place with times of meals being at reasonable periods of the day, residents have the option of having their meals, notably breakfast, in their rooms. Roclyns have an activities programme that states that there is an activity or event available to residents on a daily basis. This includes bingo, quizzes and a visiting exercise trainer who visits once a week. Specific care staff are responsible for facilitating activities on certain days of the week. Comments received on inspection questionnaires and from residents on the day noted that ‘some of the activities are ok’, however several residents stated that it was ‘too quiet’ at the home and that activities currently on offer are either ‘poorly attended’ or are ‘boring’. Several residents stated that they had been taken out to visit local shops and facilities such as the nearby garden centre. The home keep a daily activities log book in which comments are made by staff as to the nature of the events Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 13 that had taken place during the day. Comments included ‘played bingo and cards’ and ‘watched tv and chatted’. The cook was spoken to and she confirmed that she writes the menu’s for the lunchtime and passes the on-going menu to the proprietors who subsequently purchase the food. Two residents currently have special dietary needs such as vegetarian and diabetic diets, menu’s indicated that these needs are adequately met by the cook and care staff. The Inspector was invited to have lunch at the home, this was found to be well presented, well prepared, tasty and nourishing. Residents stated that the food was ‘very nice’ and ‘home cooked’. The evening meal is prepared by care staff, though no actual menu could be found. Residents stated that this is often a ‘lighter meal’ though they did not know what they were having each day as there is no menu for this. Care staff stated that they ask residents what they would like for ‘tea’ on a daily basis, though it appeared this could potentially cause difficulties without any prior menu planning. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. The home ensures that the views, concerns and complaints of residents and others are addressed through appropriate polices and procedures. Residents are protected from the risk of harm, neglect or abuse. EVIDENCE: The home have a suitable complaints procedure, that is clear, concise and relevant with clear information regarding the homes policy on complaints including the manner that any concerns will be investigated by the home, the timescale that they have to be investigated in, and the contact details of the CSCI. This policy and procedure is displayed clearly in a communal area of the home. The complaints book was viewed, this confirmed that no complaints or concerns had been reported by residents or others since the last inspection. No complaints have been received by the CSCI since the last inspection. Roclyns have satisfactory policies and procedures for the protection of vulnerable adults, and new care staff undertake relevant adult protection training as part of their induction programme. The most recently appointed member of care staff had undertaken a suitable adult protection course and had been certified as completing this satisfactorily. Care staff spoken to had a good understanding of such procedures, and of the issues associated with adult protection in general. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 22, 23, 24, 25 and 26. The home is generally well maintained with suitable facilities for residents both indoors and out, whilst residents have their individual tastes considered. The home must ensure that health and safety issues are considered at all times. EVIDENCE: A tour of the home confirmed that the premises are in a good state of repair both indoors and out, with no obvious structural concerns or defects. The home is decorated to a reasonable standard throughout though is showing some signs of ‘tiredness’ in certain bedrooms and communal areas. The home is furnished in a homely fashion and resident’s bedrooms were found to be clean and hygienic with personal items such as photos, paintings and ornaments individualising their space. The home offer resident’s suitable communal space with one large lounge and one smaller lounge being available to use plus the dining area. In general the communal areas of the home were found to be tidy, clean and hygienic. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 16 The home also has a large and well maintained garden to the rear of the property that affords residents ample opportunities to enjoy fine weather; although an assessment of wheelchair accessibility should be carried out. During the tour of the building the cupboard containing the homes cleaning liquids and detergents was found to have an ineffective lock, whilst two call alarms were found to be faulty; the proprietor agreed to address this as a matter of ‘urgency’. The communal bathroom was also found to have two bottles of prescribed lotion that belonged to a resident. Records confirmed that regular fire alarm checks are carried out, whilst the homes fire equipment is regularly serviced, though it was unclear when the last fire drill was carried out. Records of staff training in relation to fire safety was also noted. The day before this inspection the local Fire Safety Officer had carried out a visit, the documentation left confirmed that there are no major fire risks or concerns at the home, though a recommendation regarding the replacement of a residents door hinge was made. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were inspected. The assessed needs of residents are met by the numbers and skills of care staff deployed at the home. The home must continue to strive toward ensuring care staff obtain compulsory qualifications. The homes recruitment and induction procedures ensure that residents are protected from the risk of harm. EVIDENCE: The staff rota was viewed. Between the hours of 8am and 5pm the home deploy a minimum of four care staff, this is reduced to two between 5pm and 10pm; the proprietor and manager stated this part of the day is constantly under review and should residents needs increase then more care staff will be allocated during this period. 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. As previously mentioned the home also employ a full time domestic cleaner and full time cook. Many of the care staff employed at the home have previous experience of working within the care industry. Care staff undertake a compulsory induction programme focusing on the relevant areas of care, evidence of further training being undertaken by care staff included courses in the Protection of Vulnerable Adults, Effective Communication with Older People and Managing Challenging Behaviour for which staff have received certificates. No care staff currently hold the National Vocational Qualification (NVQ) level 2 award in Care, however two care staff are due to begin this in January 2006. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 18 Since the last inspection the home have employed one new member of staff. The staff file relating to this person was viewed and this confirmed that all necessary requirements had been followed including gaining confirmation of Criminal Records Bureau (CRB) checks and references prior to them commencing work at the home. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 19 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 31, 33, 35 and 38 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, 33, 36 and 38. Roclyns is managed for the benefit of residents in a manner that is open, caring and committed. The management of the home supports it’s care staff to carry out their tasks, though they should continue to develop the system of formal supervision. 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. It was clear from observing the interactions between staff and residents, and by speaking to both, that the home is managed with the needs of residents at it’s centre. Care staff said they felt able to speak to the manager in the event of any issues or concerns they may have within the home, whilst residents Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 20 stated that they felt ‘supported’ by the approach taken in running the home. The atmosphere within the home was found to be relaxed and caring. Since the last inspection the manager has developed a supervision programme for care staff. To date this has constituted care staff being observed carrying out particular care tasks by the manager and subsequently discussing them with her to highlight both the positive and negative aspects of that care practice. The manager acknowledged that this format needs to be developed further to ensure one to one meetings take place on a regular basis to explore all areas of care practice, training needs and policy and procedures. All records relating to residents and staff are kept securely in the office, whilst the homes policies and procedures are suitably stored in the same area. All records viewed were legible and accurate. Documentation seen in regard health and safety within the home, including the fire log and accident book contained necessary and up to date information. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 21 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. 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 X 2 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 X 3 Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 22 YES 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 OP9 OP19 OP22 Regulation 13(2) 13(4)(c) 13(4)(b)& (c) Requirement Timescale for action 06/12/05 4 OP28 18 (c) (i)&(ii) That medicines be suitably stored at all times. That a suitable lockable lock is 06/12/05 fitted to the cupboard containing hazardous liquids and chemicals. That an assessment of the 06/02/06 homes premises be undertaken by an Occupational Therapist in regard wheel chair access and movement (outstanding from the previous inspection). That 50 of Care staff obtain 06/06/06 the NVQ level 2 award in Care. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP15 Good Practice Recommendations That the home should review the current activities programme to ensure that residents benefit from a creative and inclusive schedule of events. That the home should introduce a planned and recorded menu for evening meals. DS0000021196.V254790.R01.S.doc Version 5.0 Page 23 Roclyns 3 OP36 That the current programme of formal supervision for care staff be developed further to consider all areas of care practice and development. Roclyns DS0000021196.V254790.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection East Sussex Area Office 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. 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