Inspection on 14/06/05 for Rodney House

This inspection was carried out on 14th 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

Rodney House 14/09/06

Rodney House 09/11/05

Rodney House 06/09/04

Rodney House 19/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Rodney House Rodney Road Walton on Thames Surrey KT12 3LE Lead Inspector Denise Debieux Unannounced 14 June 2005 10:00am th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rodney House Address Rodney Road Walton on Thames Surrey KT12 3LE 01932 241219 01932 231086 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) Kingston YMCA Care in the Community Limited Mrs Sally Reardon Care Home 20 Category(ies) of DE - Dementia (1) registration, with number LD - Learning Disability (20) of places Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- One named Service User may fall within the category of Dementia (DE) 2 - Four of the five Service Users to be accommodated in The Foxes House will receive short-term care (Respite), increasing to Five Service Users when the long-term Service User has moved out. 3 - At any one time, One Service User, accommodated for short-term care, may fall within the category of Physical Disability (PD). 4 - The age/age range of those to be accommodated will be 18 - 65 years of age. Date of last inspection 6th September 2004 Brief Description of the Service: Rodney House is a care home providing personal care for up to 20 adults with learning disabilities. The home is operated by Kingston YMCA Care in the Community Limited who have a contractual arrangement with Surrey County Council to provide the staffing. The service users are accommodated in four, five bedded houses, each with a lounge, dining room, kitchen, laundry room, two bathrooms and single bedrooms. One of the houses (Ashvale) has a stairlift. Dolphins has a flat with its own bathroom, kitchen and lounge/dining area. Each of the houses has a garden. The home also offers a short-term break service for four service users in Foxes house. There is a central ‘common room’ and an office for the Registered Manager. Rodney House is located near to a Health Centre and Community Hospital and within walking distance of Walton town centre. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This inspection was carried out by Denise Débieux, Lead Inspector for the service. Mrs Sally Reardon (Registered Manager) was present as the representative for the establishment. A tour of the premises took place. Four care plans and service user risk assessments were inspected. Three of the service users were spoken to at length, in private, with a further two service users and four on-duty staff being spoken with during the tour. This was a positive inspection. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? The home has a continuing programme of redecoration and refurbishment. The most recent upgrade has been the fitting of new flooring and storage in the communal area that is shared by all service users from each house. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 standard(s) 2 Service users’ needs and aspirations are fully assessed and documented prior to admission and on an ongoing basis in monthly reviews. EVIDENCE: The four care plans sampled during this inspection were seen to be based on comprehensive pre-admission assessments. Where available, the views and experience of previous carers and relatives have been included. One service user stated that she is glad she moved to Rodney House. From observations made at this inspection, care plans sampled and service users spoken with, it was clear that the home is able to meet the assessed needs of the service users currently at the home. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 standard(s) 6, 7 and 9 The service users’ individual plans are clear and comprehensive including details of needs and goals. They also incorporate known or indicated preferences and choices, and include in depth risk assessments. EVIDENCE: Service users spoken with were complimentary regarding the care they receive at the home. Care plans inspected were comprehensive and set out actions which need to be taken by care staff to ensure that all aspects of the health and personal care needs of the service users are met. The care plans fully evidence that staff enable service users to take responsible risks. These risks are assessed and included in each care plan with appropriate actions/training identified to reduce the level of risk. One service user said that when he wants to do something new the staff ‘Help make it safe’. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15, and 16 The service users have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. Systems are in place to ensure that service users’ rights are respected. EVIDENCE: All service users have individual life plans that detail their stated likes and dislikes. Staff enable and work with service users to plan and follow activities and pursuits based on the life plan information. Service users are also offered the opportunity to try activities that they have not tried before. Two of the service users spent time telling the inspector about their jobs in the local area and explained how staff helped them to find the jobs. The daily routines in each house reflect the requirement to promote independence, individual choice and freedom of movement with service users observed to be enabled to make choices of what to do and when. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 11 Service users are all offered the option of a minimum seven days annual holiday, which they help choose and plan. Holidays planned this year include Cornwall, Dorset, Somerset and the Isle of White. However, at present, the cost of their holidays is not included in the basic fees. The inspector was advised that the home is talking with the placing authorities for this cost to be included in the service users’ fees. Therefore the previous recommendation has been brought forward to this report. Staff support service users to maintain family links and friendships inside and outside the home, this may involve family members or friends being invited to participate in planned activities, meals or enabling the service user to visit the family home. There are no restrictions to visiting and service users can see visitors in the privacy of their own rooms if they wish. All interactions observed between the staff and service users were seen to be respectful and caring. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 standard(s) 18 and 19 Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: Service users spoken with all confirmed that staff provide personal care and assistance, where needed, in the way they have indicated they prefer. This was seen to be clearly set out in their individual plans. Many of the service users are independent with their personal care and are assisted to maintain and develop that independence. One service user stated ‘I do what I can and then I tell them what to do.’ The care plans sampled also provided evidence that service users’ healthcare needs are being met. Service users are all registered with a local GP and referrals to other health care professionals are obtained, as necessary, from the GP surgery. Staff were observed to always knock and ask permission to enter service users’ private rooms and all personal care was carried out behind closed doors. Service users all confirmed that staff do not enter their personal rooms without permission. Assistance is provided to promote and maintain independence where appropriate. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 standard(s) 22 All required policies and procedures are in place to ensure that service users feel their views will be listened to. EVIDENCE: A comprehensive complaints procedure is in place and all service users have a copy. There are complaints forms readily available to the service users. There have been no complaints to the service or the CSCI in the past 12 months. All service users spoken with were aware of the complaints procedure and who they would talk to if they did have a complaint. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 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 standard(s) 24 and 30 The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well-maintained. The home was found to meet service users’ individual and collective needs in a comfortable and homely way. EVIDENCE: The home was toured and found to be in a good state of repair. Furniture and furnishings were seen to be of good quality and well maintained. All bedrooms were well decorated, furnished and highly personalised to each service user’s choice. One service user spent time showing the inspector his room and the many personal possessions that he had arranged there. At the time of inspection the home was warm and bright with a homely atmosphere. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 Service users benefit from well supported and supervised staff. EVIDENCE: The inspector was advised that all staff receive formal supervision on a monthly basis, with the manager receiving supervision from her line manager. All interactions observed between the staff and service users evidenced that the home has a close and caring staff team. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Service users benefit from the management approach at the home providing an open, positive and inclusive atmosphere. EVIDENCE: The manager currently holds a postgraduate Certificate in Management. She has over 24 years of experience in the care field and has been the manager at Rodney House since 1995. All interactions observed between the manager, staff and service users at this inspection evidenced an open, positive and inclusive atmosphere. Rodney House H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 17 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 2 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rodney House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x x x x x H58 H09 S60465 Rodney House V221985 140605 Stage 4.doc Version 1.30 Page 18 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation NONE 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. Refer to Standard 6.6 14.4 Good Practice Recommendations It is recommended that service users or their representatives sign their life plans and guidance sheets (care plans) to evidence their involvement and agreement. It is recommended that long term service users have, as part of the basic contract price, the option of a minimum seven-day annual holiday outside the home. 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