Inspection on 14/09/06 for Rodney House

This inspection was carried out on 14th September 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

Rodney House 09/11/05

Rodney House 14/06/05

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 House Rodney Road Walton-on-Thames Surrey KT12 3LE Lead Inspector Kenneth Dunn Key Unannounced Inspection 14th September 2006 10:00 Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 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 Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 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. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rodney House Address Rodney House Rodney Road Walton-on-Thames Surrey KT12 3LE 01932 241219 01932 231086 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) Kingston & Wimbledon YMCA Mrs Sally Reardon Care Home 20 Category(ies) of Dementia (1), Learning disability (20) registration, with number of places Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user may fall within the category of Dementia (DE). 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. At any one time, one service user, accommodated for short-term care, may fall within the category of Physical Disability (PD). The age/ age range of those to be accommodated will be: 18 - 65 years of age. 9th November 2005 3. 4. Date of last inspection 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 DS0000060465.V302190.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced site visit to be undertaken by the Commission for Social Care Inspection year April 2006 to March 2007. A partial tour of the premises took place, staff and service users were spoken to, and care records and documents were inspected. Some service users living at the home have communication difficulties and judgements were made about them based on their mood, behaviour and information given by staff. On the day of the inspection the manager was off duty and the inspection was facilitated by one of the services Assistant Team Manager (ATM) who has very knowledge and understanding of how the home operated. A number of residents were spoken to, who were able to communicate and able to express themselves. Positive comments were made regarding the staff and the service users were happy regarding their daily living routine. Observation made was that the service users and staff have a good rapport; the service users were relaxed and comfortable with staff on duty and felt able to approach the inspector and ask who he was. The inspector would like to thank the staff on duty and service users for their contributions to the inspection. What the service does well: What has improved since the last inspection? What they could do better: This was a very positive inspection with very genuine feedback from service users and family members. The manager should however ensure that the overall decoration and furnishings of the home are suitable for the service user groups. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 6 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 DS0000060465.V302190.R01.S.doc Version 5.2 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 Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The statement of purpose and service user guide have been designed to provide service users and prospective service users with sufficient information and details about the service and the services they provide, enabling them to make an informed choice about admission to the home. The arrangements for assessing needs are robust ensuring service users need are assessed and identified prior to admission to the home. EVIDENCE: The home has a statement of purpose and service user guide, which is regularly reviewed and updated to ensure that it contains the most accurate of information. The information contained in the statement of purpose was clearly written and well presented it is designed to be accessible and understandable to all of the service users. The home has a policy on assessment of needs and service users admitted to the home have a full assessment prior to admission. The pre admission assessments are comprehensive document that covers health; personal care and social care needs. The assessment documents are the bases for all action planning that the service that the service will undertake with the service users once they move in as a permeate resident. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for care planning at the home are good ensuring service users assessed needs are reflected in the final working care plans. The systems established for decision making at Rodney House are very well designed ensuring service users are fully supported to make decisions about their lives. Risk taking policies are robust and are under constant review to ensure that they are as up to date as possible. EVIDENCE: The service has care plans and life plans are the drawn up with the full involvement of service users together with relatives, care staff and other professionals. The home involves service users in decision making, which is reflected in the care plans. All care plans are reviewed monthly these are signed and dated by the members of the staff team and signed off by the Assistant team Managers (ATM’s). The plans reviewed showed evidence of regular reviews (files seen PE MT & SM). However it is recommended that the staff indicate that they have reviewed the plan even when there are no changes to be made. Life plans included personal goals for each individual to achieve. The inspector was informed that the goals are reviewed and can be amended at any given time. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 10 The staff team produce a monthly summery to indicate of all items on the individuals life plan these signed off in agreement with the service users they are asked to comment and also if they agree with the statements. A random review of 4 service users files clearly demonstrated that the service users are willing to make comments on the work of the staff and how they see the plan working. It was very commendable to see that the service users were confident enough to own their own comments by signing or making a mark to indicate that they have reviewed the plans and agree or disagree with the staff. Observations confirmed staff provided service users with information to make decisions about their own lives. The service user are fully involved in the operations of the service meetings are held regularly to enable everyone to make decisions and choices, for holidays, menu planning and outings. Resident’s individual choices of meals were recorded on the weekly menu plan. The home has a policy of risk taking and risk taking plans and risk assessments were in place for individual service users. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 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): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rodney House offers well-balanced support to all of the service users to ensure that they take part in valued and fulfilling activities. The arrangements established at the service enable service users to be part of the larger local community. The policies in operation at the home promote personal relationships with families and promote the rights of service users. Meals at the home are good offering both variety and choice EVIDENCE: The ATM on duty stated that the ethos of Rodney House is to actively encourage and support the service users to be independent, to make their own choices and to live their lives as they wish, as far as they are able. Service users make full use of the local facilities and go out to pubs, cinemas, shop and parks. The inspector was informed that where appropriate the service users are supported by members of staff to go shopping for their toiletries, clothing and footwear. The service has two service users how are very independent and access the local community on there own. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 12 All outings are subject to risk-assessments and their individual abilities these were seen to be updated and reviewed at very random but regular intervals. All service users are encouraged to become fully involved in the daily operations of the service. The household routines are kept to a minimum and are only in place to enable service users to share their home’s facilities and to maintain harmony within the household. One service users are a very keen and active user of the Internet and has a computer set up in her bedrooms to enable her freely enjoyed the freedom that it brings her. The service users are involved with the cooking and preparation of their meals with staff support. It was noted that the service has investigated alternative menus for specific service users at the time of the inspection one has religious meal requirements and another service users is a vegetarian. There was evidence that both of these special needs were being met effectively by the measure in place at the home. All service users are encouraged to maintain links with family and friends where they are part of that individual’s life. On a regular basis relatives are invited to attend meetings to discuss any issues or pending arrangements for example holidays and activities. Staff stated and it was observed, that they knock before entering individuals bedrooms and that personal care is offered discreetly. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 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): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in operation for providing personal support at Rodney House are individually designed to meet the specific needs of each service user. There are robust arrangements for meeting the health care needs of service users living at the service. The management of medication at the service is good and promotes the health of service users. EVIDENCE: The service users are supported in a way that promotes their privacy and enhances their dignity, the inspector noted that care staff knock on doors before entering service users bedrooms. The service users preferences about personal support are recorded in care plans and observations confirmed staff supported service users to maintain their independence in choosing clothing, meals and activities. The home has health action plans and service users have access to a GP, dentist, optician and chiropodist to maintain good health. The system for medication administration was seen and was generally carried out to a high standard. The Medication Administration Record (MAR) sheets were seen and no gaps in the recording were noted. Staff stated key workers, who report in turn to the registered manager, monitor the MAR sheets. Any recurring gaps Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 14 or errors would be referred to the manager, and this would be discussed at a supervision meeting. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All required policies, procedures and practices are in place to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse. EVIDENCE: Complaint forms were available in all 4 houses for the service users and any interested parties to record a complaint. Records demonstrated there had been series of formal complaint received by the manager and the ATM’s these were made by service users in respect to issues they were encountering in one of the houses. The complaints were of a very sensitive nature and the responses given to the individuals reflected this and measures have been put in place to rectify the situation. Service Users are well protected by the companies training policies and procedures with regard to the protection of vulnerable adults. Up to date training in the Protection of Vulnerable Adults is in place and is part of the company’s ongoing commitment to staff training. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: The premises were found to be clean and hygienic, all staff to be congratulated on the cleanliness of the homes. The communal areas of each of the houses consist of a sitting room, a separate dining area and kitchen theses areas appeared to be homely and were found to be meeting the needs of the individual service users. The manager should however ensure that the overall décor of the communal areas is maintained a suitable level in areas the wall were badly marked and the paint was chipped off. All service users have their own bedroom and these had been made personal with pictures and posters, televisions, music and radio facilities and individual bedding and soft furnishings. Bedrooms were seen to be of a good size and one service user had personal computers and desk fitted in their bedrooms. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 17 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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All interactions observed between staff and residents evidenced a high degree of respect and skill in working with the individual service users. Staffing is kept under review and provided to meet the needs of the service users at all times. EVIDENCE: It was pleasing to note that staff have a good understanding of the service users needs, they were respectful and demonstrated a good rapport with the each individual. Staff recruitment files are up dated and contain all the relevant documents as detailed in Schedule 2 of The Care Homes Regulations 2001. All staff has had a criminal record bureau (CRB) check and Protection of Vulnerable Adult (POVA) check prior to starting work in the home. Staff supervision was seen to be undertaken on a regular basis, and staff are provided with a copy. In addition one of the service users who is employed by the home as a domestic is also provided with supervision session by the ATMs. The management of the home has produced a training programme, to enable them to identify when staff require up dates to their training. A number of training courses have been undertaken and all new staff receive an induction programme, which is covered over several weeks. The inspector was informed that the service is currently working with 100 of all care staff NVQ level 2 qualified. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 18 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, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from the management approach in operation at Rodney House it provides an open, positive and inclusive atmosphere. The health and welfare of all service users and staff are safeguarded by the implementation and adherence of very user-friendly policies and procedures. EVIDENCE: The manager was not on duty during this inspection the inspector was assisted by one of the ATM’s during the review of the service. The manager was described as being very effective and understood the needs of the service users. 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. The home has an effective quality audit monitoring system in place. The service manager completes a regular monthly regulation 26 notification visit and the report is well documented. The health and welfare of the service users is a priority in the service and records observed on the day of the site visit were found to be well documented Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 19 and kept up to date. This included certificates for the testing of Legionella, gas, electrical and a number of other areas tested. All interactions observed between the manager, staff and service users at this inspection evidenced an open, positive and inclusive atmosphere. Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 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. 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 Refer to Standard YA6 Good Practice Recommendations The manager should ensure that reviewed documents are signed and dated to indicate that the most accurate and up to date information is being used when assisting service users. The manager should however ensure that the overall decoration of the service is maintained at a sufficiently high level. 2 YA24 Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Rodney House DS0000060465.V302190.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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