Inspection on 15/07/09 for Rodney House

This inspection was carried out on 15th July 2009.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rodney House 26/05/09

Rodney House 23/02/09

Rodney House 26/02/08

Rodney House 05/06/06

Rodney House 25/10/05

Rodney House 06/01/05

Rodney House 19/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 26/11/2009.

Random inspection report Care homes for older people Name: Address: Rodney House 4-6 Canning Street Liverpool Merseyside L8 7NP zero star poor service 23/02/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Simon Hill Date: 1 5 0 7 2 0 0 9 Information about the care home Name of care home: Address: Rodney House 4-6 Canning Street Liverpool Merseyside L8 7NP 01517093883 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) EBS Services Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 56 Number of places (if applicable): Under 65 Over 65 0 53 0 mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 28 0 2 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (Maximum number of places 53), Mental disorder, excluding learning disability or dementia - Code MD (Maximum number of places 28), Physical disability - Code PD (Maximum number of places 2). The maximum number of service users who can be accomodated is: 56 Date of last inspection Care Homes for Older People 2 3 0 2 2 0 0 9 Page 2 of 16 Brief description of the care home Rodney House is a large former hotel, situated in a conservation area close to Liverpool city centre. Both of Liverpools cathedrals, shops, libraries and museums are within walking distance of the home. Accommodation is provided in single rooms (56), on three floors with lift and stair access. There are two lounges and a designated smoking room on the ground floor with dining rooms situated on the ground floor and the basement area. On street parking is limited. Rodney House is registered to provide care and support to older people. Many of the service users are self-caring, though they need support and reminding to maintain personal standards of health and hygiene. A copy of the most recent inspection report by the Care Quality Commission is available from the manager. The current scale of weekly charges is 270.00 to 390.00 Care Homes for Older People Page 3 of 16 What we found: We visited the home because we found medicines were not being handled safely at our last inspection. Following that visit a statutory requirement notice (legal notice) was issued outlining shortfalls in the way medicines were being handled. A specialist pharmacist inspector carried out the visit and checked a sample of medicines records, medicines stock and peoples care plans. Overall we found good improvements in the handling of medicines that meant the requirements of the legal notice were met. We found medicines stock to be well organised, records were clearly presented and spare stock was stored securely in a clean and tidy room. Records of medicines received into the home, given to people and disposed of were usually signed and up to date. We saw a better system for checking medicines and staff told us about a new system of running stock balances that was to be introduced to help make further improvements. Adequate stocks of medicines were now kept in the home and the procedures for ordering and checking medicines had been improved which had helped make sure a sufficient supply of medicines were kept in the home. We looked at how people were supported to look after their own medicines and we saw improved procedures. People were encouraged and helped to do this whenever possible and we saw examples of people managing their medicines safely. We gave some further advice about how to improve the paperwork to support this so people always receive the right amount of support. We checked how controlled drugs (medicines that can be misused) were handled. A lockable cupboard was used for storing them but this did not meet the requirements of the law, the acting manager said a new one had been ordered and it would be fitted as soon as possible. A special register was used for record keeping and this was completed correctly apart from some records of controlled drugs received into the home were not always witnessed by staff. Having secure storage and witnessed records helps prevent mishandling and misuse. We looked at the times medicines were given to people and found some were not given at the right time, notably those that need to be given before food. We gave some advice about how to organise and record this better as having medicines at the wrong time can stop them working properly. We looked at how staff were trained to handle medicines. On the day of our visit staff were receiving further medicines handling training and the acting manager said that formal assessments of staff competence were to be carried out that would involve watching staff handle and record medicines. Regular training and competency checks on staff help make sure they have the necessary skills to handle medicines safely. What the care home does well: What they could do better: Care Homes for Older People Page 4 of 16 Controlled drugs must be stored in a cupboard that meets the requirement of the law to help prevent mishandling and misuse. Medicines must be given to people at the right time in relation to food intake to help make sure they work properly. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 16 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 1 6 The statement of purpose 30/05/2008 must accurately reflect the services and facilities being provided at Rodney House. With particular regard to the service user categories. 2 1 4 The statement of purpose 14/05/2009 must accurately reflect the range of needs that Rodney House is intended to meet and the services and facilities to be provided. This is to ensure prospective service users, their relatives or supporters can have sufficient information on which to make an informed choice/decision. 3 3 14 A full assessment of needs must be undertaken prior to an offer of placement being made to a prospective service user. This is to ensure Rodney House is confident it can meet the identified needs and lifestyle choices of a prospective service users and that they do not have a negative impact on the 30/04/2009 Care Homes for Older People Page 6 of 16 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action people already living at the home. 4 3 14 Prior to admission to Rodney 30/04/2008 House a full assessment of needs must be carried out. This is to ensure the staff team posses the skills and experience to support them with the individual needs. 5 4 14 Where specialist care needs 30/04/2009 are idenfied in the assessment process the home must be able to evidence they have the skills and expertise to meet these needs. This is to ensure service users and their representatives have confidence that the home they enter will meet their needs. 6 7 15 Care plans and risk 30/06/2008 assessments must be produced in consultation with residents, other professionals and where appropriate their representatives that accurately reflect their holistic needs. This is to ensure a person centred approach to an individuals care needs is adopted rather than a generalised approach to their care. Care Homes for Older People Page 7 of 16 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 7 7 15 Care plans must accurately 01/06/2009 reflect the care needs of service users and provide detailed information to enable the staff team to support them effectively and safely. This is to ensure service users needs are met in a safe and supportive manner. 8 8 12 Service users health care needs must be effectively supported and monitored. With health care professionals advice and input sought when changes in health or mental well being are observed. This is to ensure service users health and well being is promoted and maintained by the care practices of the home. 30/04/2009 9 9 13 Controlled drugs (medicines that can be misused) must be stored in a legally compliant controlled drug cupboard. This will help prevent mishandling and misuse 27/08/2009 10 9 15 Peoples care plans must contain sufficient detail, information and instructions to staff about how to meet each persons health and welfare needs. This will help make sure their 30/06/2009 Care Homes for Older People Page 8 of 16 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action health and wellbeing is protected. 11 10 12 Service users must where 15/06/2009 practicable be involved in the drawing up of their care plans. This is to ensure service users wishes and needs with regard to how they are supported with their personal care is met. 12 12 16 A programme of activities to 30/06/2008 promote residents mental, emotional, intellectual and physical wellbeing must be provided. This is to ensure residents are offered a range of options to engage in positive social activities. 13 12 16 A varied programme of activities must be provided. This is to ensure service users are able to engage in meaningful activities and build positive relationships within the home community to support them to maintain their emotional and mental well being. 29/05/2009 14 12 12(4)(b) Staff members employed at 30/05/2008 Rodney House must be provided with a basic understanding of the cultural needs and historical events that have impacted on residents lives. This is to Page 9 of 16 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action ensure the staff team have the skills and knowledge to engage with residents in all aspects of their lives. 15 14 12 The challenging behaviours of some service users must not continue to have a negative impact on the quality of life of the remaining service users. This is to ensure each service users rights to exercise choice and control over their lives is respected and valued. 25/05/2009 16 15 16 Nutritional supplements must 27/04/2009 be given as directed by healthcare professionals This is to ensure service users nutritional needs are supported and monitored effectively to maintain their health and general wellbeing. 17 18 13 If physical restraint is to be used on service users a detailed support plan must be produced and the staff team must receive appropriate training. This is to ensure service users safety and legal rights are protected at all times. 30/04/2009 18 18 13 The staff team must be provided with suitable conflict resolution training and protection of vulnerable 29/06/2009 Care Homes for Older People Page 10 of 16 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action adults training. This is to ensure they have the necessary skills and knowledge to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. 19 19 23 A detailed risk assessment 29/05/2009 must be carried out to ensure a safe environment is maintained. Particularly with regard to damaged windows, tripping hazards and damaged plasterwork around the home. This is to ensure service users live in a comfortable and safe environment that meets their assessed needs. 20 20 23 Seating in the lounge areas should be in sufficient numbers to meet the needs of the service user group. This is to ensure there are opportunities for service users to spend time together if they so choose. 21 22 23 service users must be supported to be able to independently access the entance of the home or an alternative access must be made available. This is to ensure service users can independently access the community when Care Homes for Older People Page 11 of 16 30/06/2009 20/07/2009 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action they choose. 22 25 23 The temperature in all areas of the home must be maintained at a comfortable temperature. This is to ensure service users health and welfare is maintained by living in an environment that is warm and comfortable. 23 27 18 Staff members employed by the home must have the skills and expertise to support service users appropriately and safely. Particularly with regard to the use of physical intervention and conflict resolution training. This is to ensure service users are supported in a safe and supportive manner and results in positive outcomes in their daily lives. 24 27 18 The training programme for 30/07/2008 the staff team must be reviewed. To ensure they have the knowledge and skills to support residents with more specialised needs such as alcohol dependency, cognitive impairment and learning disabilities. 22/06/2009 20/04/2009 25 28 18 A detailed training plan must 18/05/2009 be produced, which ensures the identified health and Page 12 of 16 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action social care needs of service users can be met. This is to ensure service users assessed individual needs can be met by a competent and skilled staff team. 26 30 18 The induction programme must be reviewed. This is to ensure service users are supported by a staff team who are confident they know how to support service users and are aware of their responsibilites as a care worker. 27 30 18 The induction programme currently used must be reviewed to ensure more detailed information is provided about residents needs and key policies and procedures such as safeguarding and equality and diversity issues. A review of the quality assurance systems in operation must take place. This is to ensure service users, their families and other stakeholders views of the service provided at the home are actively sought. So that changes and improvements made reflect their needs and aspirations. interests Care Homes for Older People Page 13 of 16 29/05/2009 30/07/2008 28 33 24 29/06/2009 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 29 38 12 Safe working practices must 20/04/2009 be adopted at all times. Particularly with regard to maintaining records of safety checks such as fire safety records. This is to ensure service users health and safety is maintained at all times. Care Homes for Older People Page 14 of 16 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 Medicines must be given to people at the right time in relation to food intake. This will help make sure they work properly. 12/08/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 15 of 16 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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