Inspection on 26/02/08 for Rodney House

This inspection was carried out on 26th February 2008.

CSCI found this care home to be providing an Adequate service.

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 15/07/09

Rodney House 26/05/09

Rodney House 23/02/09

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rodney House 4-6 Canning Street Liverpool Merseyside L8 7NP Lead Inspector Helen Carton F52 S38483 Key Unannounced Inspection 26th February & 5th March 2008 10:30 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 Rodney House DS0000038483.V360970.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 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. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rodney House Address 4-6 Canning Street Liverpool Merseyside L8 7NP 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) 0151 709 3883 EBS Services Ltd Care Home 56 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (28), Old age, not falling within any of places other category (53), Physical disability (2) Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No more than 56 persons shall be accommodated at any one time. 2 named males and 1 named female service user under 52 years of age within the overall number of 56 One named service user in the category Mental Disorder, excluding learning disability or dementia under 52 years old may be accommodated 5th June 2006 Date of last inspection Brief Description of the Service: Rodney House is a large former hotel, situated in a conservation area close to Liverpool city centre. Both of Liverpool’s 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. Some of the rooms are large enough to accommodate a married couple or friends who wish to share. There are spacious communal rooms, but little outside garden space. On street parking is limited. Rodney House provides care and support to older people and some over the age of 50 years who have mental health needs and those who may have suffered self-neglect or affected their own welfare through an overuse of alcohol. Many of the residents are self-caring, though they need support and reminding to maintain personal standards of health and hygiene. The current scale of weekly charges is £274.50 - £307.50. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. As part of the inspection process we sent the service an Annual Quality Assurance Assessment (AQAA) document, which was to be completed prior to the site visit. This document was to provide information about the service at Rodney House and to tell us where they felt they had made improvements to the way they support residents and the staff team. The manager completed and returned the document before the site visits took place. Two site visits where made to enable us to examine documentation and to discuss how the service supports residents’ in all aspects of their lives. Part of this process involved speaking with the manager, owners, members of the staff team and spending time with residents to find out their views on living at Rodney House. We spent approximately 13 hours at the service. What the service does well: The manager is very enthusiastic about supporting and valuing residents in their daily lives. She is committed in her role as manager to ensure the staff team provide the most appropriate care and support in a respectful way to the people who live at Rodney House. Residents we spoke with made the following comments: “I like to be on my own it helps me Sheila (manager) understands and doesn’t hassle me to come down to the lounges all the time”. “It’s great here the staff look after us well”. We observed the manager and most members of the staff team supporting residents in a respectful and sensitive way. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 6 Members of the staff team spoken with had an understanding of their roles and responsibilities and felt supported by the manager. The manager and owners are keen to provide the staff team with training opportunities including looking at issues of equality and diversity. What has improved since the last inspection? What they could do better: Information held in residents care plans and risk assessments does not reflect the full range of needs and expectations of residents particularly their emotional and mental wellbeing. The manager has begun to review these documents and acknowledges further work is needed to create a fuller picture of each resident. There is no structured activities programme available for residents to access. Specialist training opportunities need to be made available to the staff team to ensure the skills and experience of the team can meet the assessed needs of residents. This is to ensure residents are supported by a staff team who have insight and understanding of their life experiences and individual care needs. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 7 Some of the medication practices need to be reviewed this is to ensure residents receive their medication at the correct times and that detailed records are kept. This will make it possible for residents medications to be effectively audited and will promote residents health and safety. 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. The summary of this inspection report can be made available in other formats on request. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 8 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 Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The statement of purpose does not accurately reflect the services being provided at Rodney House. Resulting in prospective residents not being able to make an informed decision as to whether the service can meet their assessed needs and personal expectations. EVIDENCE: Currently the statement of purpose and the service user guide do not accurately reflect the service being provided at Rodney House, resulting in prospective residents and their families having insufficient information on which to make a considered choice as to whether Rodney House can meet their individual needs and expectations. We discussed this issue with the manager and the registered owner who acknowledged the issues and said they intended to review these documents following consultation with residents. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 10 Examination of residents care files indicate on the whole the manager carries out formal assessments of prospective residents needs. Discussion with members of the staff team confirms that assessments are carried out and that they receive the information prior to the person being admitted. We discussed with the manager the need to ensure pre admission assessments seek information about the holistic needs of prospective residents including life experiences and significant people in their lives. This is to ensure the home can meet prospective residents needs and can provide the lifestyle choices a detailed assessments would identify. During the site visit we looked at a care file of a newly admitted resident whose needs had not been assessed prior to admission, resulting in the staff team not fully understanding the particular needs of the individual. Staff members confirmed this person’s initial stay at the home had been difficult for all parties. The manager stated the placing agency had needed an urgent placement resulting in no time to carry out an assessment. She had since requested an assessment by the placing agency but hoped the placement would settle and the individual would not be moving on. We would advise the skill mix, knowledge and expertise of the staff team form part of the assessment process. This will ensure placements are offered when the manager is confident the staff team can meet all identified needs appropriately and safely. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Care planning and risk management strategies currently used by the home do not accurately reflect the care and support needs of residents. EVIDENCE: A sample of residents’ care plans where viewed. We noted they do not provide detailed information about residents’ care needs, preferred routines, likes/dislikes or life experiences. This leaves residents at risk of receiving generalised care rather than a person centred and individualised care service. Care plans do not show the type and amount of support residents need with their personal, psychological and emotional needs particularly where specialised needs have been identified such as alcohol dependency. The plans provide little information about the activities and lifestyles residents choose to engage in and the impact some of these choices have on them as individuals and other residents. Little information is held about residents’ life experiences and how this may have shaped their views or behaviour. The manager acknowledged these issues and had already identified the need to review care Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 12 plans and was in the process of gathering information about more suitable care planning formats. The care planning and risk management systems used must be user friendly with the manger being able to audit the effectiveness and appropriateness of the care and support being provided. This will allow both the manager and owner to have confidence that the care being provided meets the holistic needs and expectations of residents On our second visit to Rodney House the manager and the registered owner confirmed care plans would be reviewed within a realistic timescale due to the size of the service. The staff team completes daily records however the information recorded is basic with generalised comments being used. Detailed daily records are an important tool in the reviewing of residents holistic needs. We discussed this issue with the manager who stated she had already identified this and would be providing training for the staff team as part of the review of the care planning system. A sample of risk assessments were looked at they did not provide detailed information about the risks identified. Clear guidance was not provided for the staff team to enable them to offer safe support and supervision to residents who are presenting with risky or aggressive behaviour. We advised the manager to look at providing conflict resolution training for the staff team as part of the review of the risk management strategies used. A sample of residents’ medication and the accompanying Medication Administration Records (MAR) were examined the following issues were discussed with the manager; On the whole a monitored dosage system is used to administer residents medication. However some medicines are administered from the manufacturers packaging. We noted a number of residents had been prescribed Paracetamol 500mg tablets to be taken when required. Examination of MAR sheets indicates the Paracetamol medication is being given in a communal manner. MAR sheets were signed to indicate medication had been given however examination of the medication blister packs showed the tablet had not been administered. The manager told us she would be having a senior staff meeting to discuss these concerns and to ensure residents health and welfare are promoted by the staff team’s care practices. Records indicated residents have refused specific medication for a significant period of time however the home had not contacted the prescribing GP to inform them of the situation. This would allow the GP the opportunity to review Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 13 the residents’ medication regime and look at alternative forms of treatment more acceptable to the individual. Medication is stored securely in locked medication trolleys and cupboards within a locked room. Senior staff members within the home administer medication and all have received training. The manager is advised to ensure information sheets on each medication prescribed to residents is held with the MAR sheets. This is to allow the staff team to be aware of any side effects of medication and to allow medical advice to be sought. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no structured social or leisure activities available for residents to engage in resulting in limited opportunities for residents to develop positive relationships with the people they live with. EVIDENCE: Currently the information held in care plans and risk assessments about the social and leisure activities residents enjoy is limited. The manager told us many of the people who live at Rodney House arrange their days independently and come and go as they wish, activities are arranged but not in a structured way. We acknowledged this however there are a significant number of people who live at the home who would benefit from the opportunity to engage in activities regularly arranged by Rodney House. Rodney House supports a diverse group of people with very different needs and from a wide age range. To positively interact and engage with residents is vital to encourage a positive communal living environment. During the first site visit residents spoken to made the following comments: Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 15 “Sheila’s (manager) great she has really helped me”. “I like to be on my own it helps me Sheila understands and doesn’t hassle me to come down to the lounges all the time”. “It’s great here the staff look after us well”. “I’d like to go on more outings”. The manager told us she has regular meetings with residents and discusses a wide range of issues. The manager and residents have started to produce a Rodney House newsletter, which she hopes will keep residents informed about what is happening at Rodney House. The main kitchen is in the basement area of the home with one of the dining rooms situated on the first floor. Kitchen staff carries meals up two steep flights of stairs this could result in cold meals being offered to residents. We asked the manager and the registered owner to look at how the food is served to ensure residents receive their food hot. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures for dealing with complaints and safeguarding people are in place to support the people who live there. EVIDENCE: Rodney House has a complaints policy and procedure which gives timescales for responses to complaints and concerns raised with the manager. For minor complaints and concerns the manager has set up a complaints log, which shows she manages issues of concern in a proactive manner. Discussions with the manager and examination of training plans show the staff team have either received or are currently awaiting protection of vulnerable adults training. Examination of records and discussions with members of the staff team indicates the majority of staff spoken with were aware of the different types of abuse, neglectful practices and are aware of their roles and responsibilities. The manager told us she is confident in challenging poor practice and actively engages with both residents and staff to monitor care practice issues. The staff induction handbook indicates staff will be provided with training with regard to supporting and protecting residents undertaking sexual or personal relationships. This training has not been provided which leaves the staff team vulnerable to offering inappropriate support and advice to residents. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 17 We discussed with the manager the need to provide training regarding the impact of the Mental Capacity Act on the working practices of the staff team. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,23 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall Rodney House provides a comfortable, attractive and safe environment for residents to live in, resulting in residents benefiting from an environment that meets their needs and aspirations. EVIDENCE: A tour of the building indicates significant work has been carried out to ensure residents live in a well maintained and comfortable environment. A number of issues were raised with the manager and the owner who provided us with information that showed Rodney House is undergoing a total refurbishment. It is planned the work will be completed by the end of July 08 however the replacement of damaged windows will continue after this date due to the size and layout of the building. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 19 Since the site visits we have been provided with evidence that shows the main lounge has been fully refurbished with new furniture, carpet, curtains and the room redecorated. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s recruitment and training processes do not always promote residents’ safety or a person centred approach to their holistic needs. This leaves them vulnerable to receiving a generalised care service that does not meet their individualised needs. EVIDENCE: Examination of training records and discussion with the manager indicates little specialised training has been provided to the staff team regarding residents identified needs. The AQAA data set completed by the manager provided the following information about the diverse group of people Rodney House supports. They include people who require support with personal care, mental wellbeing, cognitive impairment, alcohol dependency and people with a learning disability. This lack of training may lead to residents receiving inappropriate care and support particularly when they are presenting with risky or aggressive behaviours. The manager told us she had begun to identify training needs and had booked some training such as basic food hygiene, first aid and mental health awareness training. On the second visit to Rodney House we discussed with the manager and the owner the need to broaden the training programme to ensure specialised training is provided to meet the identified needs of residents. This is to ensure residents receive a person centred and Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 21 individualised care service rather than a generalised approach to their care and support. The training needs of the care staff that are from overseas were discussed with the manager. We advised that such training should include providing cultural and social awareness sessions that help staff to understand the life experiences of the people being supported. This would assist in supporting and enabling this group of staff to care for residents in a holistic way based on a more informed appreciation of the residents personal and social histories. On the first visit to Rodney House a selection of staff records were looked at and the following issues were raised with the manager: The induction process currently used is limited and needs to be reviewed and changed to reflect current good practice and information provided by the Skills for Care organisation. On the second visit to the service the manager and owner had made contact with the Skills for Care organisation and had gained information about updating the induction processes. Where adverse information is identified on criminal record bureau (CRB) checks a risk assessment must be carried out to ensure all reasonable precautions have been taken to safeguard the vulnerable people living at Rodney House. On the second visit to the service we discussed with the manager and owner the checks made prior to an offer of employment being made. We advised them to seek advice from the Border and Immigration Agency to ensure the checks being made are robust and meet their requirements. The manager told us eleven staff members have gained National Vocational Qualifications (NVQ) level 3 in care and a further four are working towards NVQ level 2. Discussions with the manager and examination of records show regular team meetings take place. The manager told us formal supervision takes place every two months with information handovers taking place at the beginning of each work shift. Staff members spoken with confirmed this information. On our first visit to Rodney House we spoke to a few members of the staff team who made the following comments: Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 22 “I enjoy working here I’ve worked here over ten years.” “Sometimes the residents’ are aggressive”. “Sheila is great she listens and we have staff meetings”. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Currently the lack of clear management systems makes it difficult to audit the services provided. Which may result in residents’ health and welfare not being adequately protected. EVIDENCE: The manager has over twenty years experience in care services and has completed the Registered Managers Award. She has worked at Rodney House for over a year and has recently been registered with us as the registered manager of the service. A number of issues have been raised during the site visit which the manager and owner are committed to resolving particularly around record keeping. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 24 The training programme needs to be reviewed to ensure specialised training is provided to ensure residents are cared for and supported safely and appropriately. This will enable the manager and the staff team to evidence that Rodney House is run in the best interests of the people who live there. A sample of health and safety records were examined they are appropriately maintained. The owner carries out monthly visits to check how the service is operating and produces a report. On the second site visit we discussed with the owner the need to review this document. This is to ensure a broad sample of the operations of the service is undertaken such as talking to residents, looking at samples of records, talking to staff members and a tour of the building. This process can then be used effectively as part of Rodney House’s quality assurance processes. Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 25 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 2 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 2 18 3 3 X 3 X 3 X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 26 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 OP1 Regulation 6 Requirement The statement of purpose must accurately reflect the services and facilities being provided at Rodney House. With particular regard to the service user categories. Timescale for action 30/05/08 2. OP3 14 Prior to admission to Rodney 30/04/08 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. Care plans and risk assessments 30/06/08 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. Medication procedures must effectively safeguard residents ensuring they receive their DS0000038483.V360970.R01.S.doc 3. OP7 15 4. OP9 13 30/04/08 Rodney House Version 5.2 Page 27 prescribed medication at the stated times and intervals. 5. OP12 12(4)(b) Staff members employed at 30/05/08 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 ensure the staff team have the skills and knowledge to engage with residents in all aspects of their lives. A programme of activities to 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. 30/06/08 6. OP12 16 7. OP27 18 The training programme for the 30/07/08 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. 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. 30/07/08 8. OP30 18 Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 28 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 OP15 Good Practice Recommendations The way in which meals are transported from the kitchen to the ground floor should be reviewed to ensure residents receive hot meals. Training should be provided with regard to the impact the Mental Capacity Act will have on residential care services. Work should continue to ensure the ratio of 50 of care staff with an award at NVQ level2 or above, through ongoing supported training or the appointment of trained staff. Advice should be sought from the Border and Immigration agency with regard to the recruitment of staff from overseas. This is to ensure all necessary checks are made to safeguard residents. The current monthly report produced by the owner regarding the quality of the care being provided at Rodney House should be reviewed to encompass all aspect of the service. Including a tour of the building, discussions with residents, members of the staff team and other stakeholders. 2. 3. OP17 OP28 4. OP29 5. OP33 Rodney House DS0000038483.V360970.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000038483.V360970.R01.S.doc Version 5.2 Page 30 - 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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