Inspection on 05/06/06 for Rodney House

This inspection was carried out on 5th June 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 15/07/09

Rodney House 26/05/09

Rodney House 23/02/09

Rodney House 26/02/08

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Rodney House 4-6 Canning Street Liverpool Merseyside L8 7NP Lead Inspector Les Hill Key Unannounced Inspection 5th June 2006 09:30 X10029.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.V293532.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 and 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 DS0000038483.V293532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rodney House Address 4-6 Canning Street Liverpool Merseyside L8 7NP 0151 709 3883 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) EBS Services Ltd Linda Ellen Shore 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.V293532.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 25th October 2005 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.V293532.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Rodney House took place on Monday 5th June 2006 over a period of 4.5 hours. It involved the examination of records, discussions with the home’s manager, discussions with some staff, discussions with 4 residents and a tour of the building. The manager had completed a preinspection questionnaire that provided information about the homes polices and procedures, its safety and maintenance programme, a list of residents and confirmation of staffing arrangements. Overall the home provides a warm and supportive environment for the people who choose to live there. Residents are free to come and go as they wish though staff expect they will let them know when they are going out and when they are likely to return, for reasons of safety. What the service does well: What has improved since the last inspection? What they could do better: The report acknowledges the specific difficulties that staff at the home experience in caring for residents. However, there is a need for improved standards of maintenance, cleanliness and hygiene. The need for improved reception to TV sets around the home has been raised in two previous reports. Rodney House DS0000038483.V293532.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 DS0000038483.V293532.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 & 6 Prospective residents have the information they need to help them make a choice about the home. Pre-admission assessments give the information necessary for staff to decide whether a prospective resident can be supported appropriately. EVIDENCE: The home’s statement of purpose and its service user guide have not been amended since the CSCI inspection in October 2005. On that occasion both contained all matters required in Schedule 1 of the National Minimum Standards, Care Homes for Older People. The home’s manager also includes the outcomes from annual surveys she conducts with residents to gain their views on the day-to–day running of the home. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 9 Residents are provided with a contract/terms and conditions of residence by the home. Some of the residents also have a contract provided by the placing authority. The care records for five residents were examined during the inspection. Each of them contained a pre-admission assessment that the manager had undertaken to confirm that the home would be able to meet their health and personal care needs. Prospective residents and their relatives or friends have the opportunity to visit the home before making a decision to move in and can spend time in the home before taking a decision to stay. The home is not contracted to provide Intermediate Care. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Care planning and review processes confirm the continuing appropriateness of the placement at Rodney House. EVIDENCE: Individual care plans seen during the inspection were being maintained through regular reviews. Staff have worked to improve the detail of care plans and to ensure they remain relevant. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 11 Risk assessments are also in place where necessary. As a significant number of residents use cigarettes, the manager remains concerned about the ongoing safety of them and other residents in the home from fire. Residents have given assurances that they will not smoke after 10:00pm though this cannot be guaranteed. The continued awareness of safety in this area and the regular review of risk assessments for residents who smoke will be essential. The home receives good support from GP’s and from district nurses, when necessary. Community psychiatric nurses (CPN’s) and consultant psychiatrists are also supportive. Links have been made with the continence adviser and with dental and optical services in the community. The home funds the services of a chiropodist. Arrangements for storing and managing medicines were examined during the inspection. This was the first day of the monthly medicine routine in the home and so all “blister packs” and MAR (Medicine Administration Records) sheets were neatly in place. Staff were contacting the pharmacist to enquire about the non-delivery of some medicines. Where individual residents are assessed as being able to manage their own medicines a risk assessment is completed and safe storage facilities are provided in the resident’s own room. On this, and on previous inspection visits to the home, residents were complimentary about the care and support provided by staff at Rodney House. One of the residents has lived at the home for 19 years and remains happy to live there. CSCI sent out questionnaires to residents prior to the inspection in October 2005. Eight responses were received, seven of which said that the resident liked living in the home, they felt well cared for and staff treated them well. They also said staff respected their privacy and they felt safe in the home. The Commission was involved with an external advocacy service about concerns being expressed by the eighth resident. These have been resolved and the resident has remained in the home. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) 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, 14 &15 Residents are able to exercise choice and control over their life. EVIDENCE: A record is kept of the activities provided and the residents who participate. Trips out from the home have been arranged to New Brighton and to other local places of interest. Weekly Bingo and occasional “Play Your Cards Right” games have also been arranged. Some of the residents have been out to theatres, to a tea dance in the Palm House and for meals. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 13 One of the staff is from Japan and residents have urged her to teach them some Japanese. The manager reported that the weekly half hour sessions have been very well received. In addition some theatre groups have visited the home and residents who wished to do so have participated in workshops and discussions. One resident, supported by staff, has taken a short holiday in Blackpool and another holiday is to be supported in Presthaven Sands. The home’s mini bus is to be replaced by a newer, but smaller vehicle. Local Roman Catholic priests and Anglican clergy visit the home to offer spiritual and personal support. Staff arrange activities in addition to their day-to-day work. The home supports 56 residents and the inclusion of some dedicated time for an activities organiser could ensure a greater range of opportunity, particularly for those residents who need additional encouragement to participate. The home also provides television, radio music and DVD facilities in communal areas of the home. A number of residents also have a TV in their own room. The home’s handyman has erected more aerials on the roof to support additional, individual TV’s but reception on most of the sets remains less than good. This matter is has been a source of irritation for residents for some time and reported in at least two previous CSCI reports. The homeowner has promised to address the matter. The handyman has done what he can but the involvement of specialist aerial fitters may need to be arranged in order for the problem to be assessed professionally. Many of the residents are able to go out from the home on their own. Some will bring back items of shopping for others who are unable to go out quite so easily. Regular monthly residents meetings are held in Rodney House and minutes are kept. A representative from a local advocacy project attended a recent meeting to talk about the role of advocacy services and has been invited back. A community police officer has attended to discuss her role and the ways in which the police are trying to make the local community safer. She now calls in at the home for a chat when she is in the area. The home provides a varied diet that appeals to the wants and needs of the resident group. A choice of meal is offered at each sitting though residents can also have something different prepared if they don’t like (or wish to take) either of the meals on offer. They can have a light or fully cooked breakfast, a main meal at lunchtime and soups with hot or cold foods in the evening. A sweet course is offered at both the mid-day and evening meal times. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 Complaints are taken seriously. Resident’s legal rights are upheld and they are protected from abuse. EVIDENCE: The home has a complaints policy and procedures in place that identify all matters will be resolved within 28 days. Some work has been done to clarify what constitutes a complaint and what is a concern. The manager reported that one complaint and two “grumbles” (concerns) had been made to the home since the CSCI inspection in October 2005. All of the matters had been dealt with in the time scale stated and to the satisfaction of the complainant. All of the residents are listed on the Electoral Register and are eligible to vote in local and national elections. The home has adult protection and “whistle blowing” procedures in place that are supported by Liverpool City Council’s procedures. Adult protection procedures are discussed at induction, and staff that undertake NVQ training receive further instruction in the matters that constitute abuse and what Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 15 actions should be taken. The manager was advised to raise the subject of adult protection in staff meetings to ensure staff remain aware of the indicators and the procedures to be followed. At the time of this inspection the manager was dealing with an adult protection incident for one resident that occurred outside of the home. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Standards of cleaning and the general maintenance of the building need to be maintained. EVIDENCE: Rodney House is a former hotel that has accommodation for residents on three floors. It is located near to the city centre with all the amenities that this can bring. There are no outside recreation areas. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 17 At the CSCI inspection in October 2005 the inspector noted significant improvements in the standards of decoration to some areas of the home and was shown improvements to some of the residents rooms that was part of an ongoing programme. It was therefore disappointing to note that standards had not been maintained. The inspector acknowledges that some of the residents supported at Rodney House do not always appreciate the need to maintain high standards of cleanliness in their own room or in general areas around the home. The inspector is also conscious of the need to ensure that too high a standard of cleanliness and hygiene does not prevent residents from being comfortable in their home environment. However, a resident’s rights to have control over their own room and maintain a level of privacy about what staff can do, together with some of the manifestations of their mental health condition and the effects from irresponsible smoking, may be preventing staff from maintaining standards of decoration and cleanliness around the home. A number of bedrooms were in need of thorough cleaning and some redecoration. Bedrooms that had been recently redecorated and carpeted showed clear signs of deterioration. The carpet in room 112 was very badly stained although this was not unique. Three of the bedrooms had widow frames that were rotten and were fitted with a wooden brace that prevented them from being opened. Decoration and plaster was breaking away from the wall on the third floor corridor. Corridor carpets were in need of deep cleaning. A safety plate on the top step of one set of stairs (identified to the manager during the inspection) had worked loose. The main lounge that had been brightened through a programme of redecoration was yellowed from cigarette smoke and chair covers had been burnt through by cigarettes. The inspector is aware that the home’s handyman is skilled in many of the tasks required to maintain the upkeep of the building and is totally committed to his work. However, the volume of work necessary to bring the home up to a good standard of maintenance and decoration may require the support of other professionals. Electricians are reviewing the homes wiring systems and the programme of redecoration in resident’s bedrooms has been put on temporary hold until any remedial work has been completed. Standards of cleanliness around the home will require management attention and ongoing supervision. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 18 There have been no changes to the numbers of bathrooms or WC’s since the CSCI inspection in October 2005. A bath hoist has been replaced in one of the bathrooms. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Residents are protected by the home’s recruitment and selection procedures. EVIDENCE: Staff recruitment and selection procedures were examined and found to be in good order. Staff rotas were provided prior to the inspection and identified that a senior carer and four other staff work each day until 2:00pm after which time there is a senior carer and three staff. At night there is a senior carer and two care staff on duty at the home. The day shifts are from 8:00am until 8:00pm and the night shift runs from 8:00pm until 8:00am the next day. The manager’s hours are identified separately to the care staff rotas. At the time of this inspection the home employs 26 care staff, 13 of which have an award at NVQ level 2 or above in care. The manager told the inspector that two of the staff are leaving and she has recruited new carers, subject to Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 20 CRB checks to take their place. The home is only just meeting the standard of 50 of care staff with an appropriate NVQ award and no additional members of staff are currently engaged in NVQ training. The homeowner will need to ensure that the home is able to maintain the 50 standard through the appointment of further trained staff or the continued training of existing employees. The inspector examined the files for three more recently appointed members of staff. All of the required information was in place including confirmation of CRB clearance. However on two of the files the induction, training list had not been completed. The basic training elements of First Aid, Food Hygiene, Moving and Handling and oral health are provided for new staff with updating training for existing employees when necessary. Because of the support needs of residents, the home had provided specialist training in mental health, challenging behaviour and other appropriate skills. These additional training opportunities should continue to be provided to ensure the workforce is able to respond appropriately to residents in the home. Senior carers in Rodney House are being registered to undertake a team managers training course. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37 & 38 The home is run in the best interests of residents. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 22 EVIDENCE: The home’s manager has considerable experience in residential care and has gained the Registered Managers Award. A deputy manager is also in post. During the course of the inspection the inspector was able to observe that staff got on with their work without constant reference to the manager. Most of the residents in Rodney House would not settle easily into more traditionally run care homes for older people. Many have experienced mental health problems and some have been homeless. All of the residents who spoke with the inspector were complimentary about the care and support provided by staff at the home. The home’s manager caries out an annual quality assurance survey amongst residents requesting their opinion about the services provided. A survey had been completed immediately prior to the CSCI inspection in October 2005 and the manager had collated the responses. A report sheet identifying outcomes was prepared and was kept with the statement of purpose. The overriding views expressed by residents were positive and supportive of the home. The Commission is not aware of any financial matters that would affect the ongoing operation of Rodney House. The administrator manages small amounts of money on behalf of some residents at the home. The accounting procedures were checked on previous inspections and have always been found to be in good order. None of the residents have savings that would benefit from investment. Staff one-to-one supervisions have been put in place and occur approximately every three months. A record of what was discussed is kept in a supervision file. The manager is expecting that senior carers will be able to take over some of the supervision arrangements when they have completed the team leaders course. Standard 36 of the National Minimum Standards, Care Homes for Older People sets out an expectation that staff will receive formal supervision on six occasions each year. The home has made some progress in establishing a system for formal supervision and should progress the arrangements to ensure the standard is achieved in full. Records inspected during the visit to Rodney House were in good order. The home’s manager regularly notifies the Commission of all matters listed under Regulation 35 of the National Minimum Standards. Information was provided about the required maintenance checks. All of the matters that need to be checked on a regular basis were being kept up to date. The fire alarm system is activated weekly. The temperature of hot water Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 23 delivered to resident’s bedrooms and bathrooms is thermostatically controlled and the temperatures are checked and recorded. Chefs record the temperatures of fridges and freezers. The home has purchased a new cooker and a new fridge since the last inspection. Environmental Health Officers inspected the kitchens in August 2005. Some minor matters were identified and confirmed as complete in a subsequent visit. Some work has been carried out on electrical installations at the home. Some additional work has to be completed before the Electrical Engineer will issue a new certificate of electrical safety. A copy of the new certificate should be forwarded to CSCI. Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 ENVIRONMENT Standard No Score 19 2 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 4 34 3 35 3 36 3 37 3 38 3 Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 25 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. 1 Standard OP19 Regulation 23(2)(b) 23(2)(d) Requirement The Registered Person must ensure that all parts of the care home are of sound construction and kept in a good state of repair. The premises must also be kept clean and reasonable decorated. This refers to all of the matters identified in Standard 19 to the report and to any other areas of the home not seen by the inspector during this visit. Timescale for action 31/08/06 Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 26 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 OP12 Good Practice Recommendations The Registered Person should consider the employment of an activities organiser to support the recreational needs of residents. The Registered Person should ensure that the home is fitted with adequate aerials that provide clear TV pictures in resident’s lounges and in their own rooms. This mater has been raised on two previous occasions. The Registered Person should ensure that the home is able to maintain 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. The Registered Manager should develop the staff supervision arrangements to achieve the standard of six formal supervisions in each period of twelve months. The Registered Person should forward a copy of the new Electrical Wiring safety Certificate to the Commission, once it has been issued. 2 OP12 3 OP28 4 OP36 5 OP38 Rodney House DS0000038483.V293532.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 DS0000038483.V293532.R01.S.doc Version 5.2 Page 28 - 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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