Inspection on 09/11/05 for Rodney House

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rodney House 14/09/06

Rodney House 14/06/05

Rodney House 06/09/04

Rodney House 19/04/04

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Southfields

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

CARE HOME ADULTS 18-65 Rodney House Rodney House Rodney Road Walton-on-Thames Surrey KT12 3LE Lead Inspector Kenneth Dunn Announced Inspection 09th November 2005 10:00 Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rodney House Address Rodney House Rodney Road Walton-on-Thames Surrey KT12 3LE 01932 241219 01932 231086 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Kingston & Wimbledon YMCA Mrs Sally Reardon Care Home 20 Category(ies) of Dementia (1), Learning disability (20) registration, with number of places Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user may fall within the category of Dementia (DE). Four of the five service users to be accommodated in The Foxes house will receive short-term care (respite), increasing to five service users when the long-term service user has moved out. At any one time, one service user, accommodated for short-term care, may fall within the category of Physical Disability (PD). The age/ age range of those to be accommodated will be: 18 - 65 years of age. 14th June 2005 3. 4. Date of last inspection Brief Description of the Service: Rodney House is a care home providing personal care for up to 20 adults with learning disabilities. The home is operated by Kingston YMCA Care in the Community Limited who have a contractual arrangement with Surrey County Council to provide the staffing. The service users are accommodated in four, five bedded houses, each with a lounge, dining room, kitchen, laundry room, two bathrooms and single bedrooms. One of the houses (Ashvale) has a stairlift. Dolphins has a flat with its own bathroom, kitchen and lounge/dining area. Each of the houses has a garden. The home also offers a short-term break service for four service users in Foxes house. There is a central ‘common room’ and an office for the Registered Manager. Rodney House is located near to a Health Centre and Community Hospital and within walking distance of Walton town centre. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection that has taken place this year 2005/2006. The inspection was announced and therefore the residents and staff were aware that the inspector was visiting. The manager was present throughout the inspection and the inspector was given plenty of opportunity to speak to several residents and staff who were on duty. Records were also seen. The atmosphere in the home was relaxed. Residents were freely accessing many different areas of the home. The home was clean and tidy and there were adequate staff on duty. The inspector wishes to thank all those involved in providing the information in this report and in particular the residents, the relatives, the manager, the provider and the staff present. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 14 June 2005. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 13, 14 & 17 The Network of links with Rodney House, The YMCA and the local community enhance the resident’s opportunities for social and educational opportunities. The meals in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: There was clear evidence of the support the residents receive from staff to enable them to develop and in some cases to move on from a care home setting and potentially their own home in the community. One resident lives semi independently in his own flat within the home, he maintains a semiindependent lifestyle with the minimum support from the staff. The resident spoke very highly about the care and assistance he get from the staff and stated that he was very happy living at Rodney House but very much looks forward to the day when he has a home of his own. Care workers in the 4 houses encourage service users to make their own choices and this is reflected in the variety of foods the service users receive. The home provides three main meals per day with snacks of fruit, soft drinks, tea coffee and biscuits throughout the day. On the day of inspection there was a good supply of food, in the home. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 11 In line with a requirement from the previous inspection report the service users now benefit from one fully staffed holiday per year. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The healthcare needs of Service Users are well met with evidence of good consultation with other professionals taking place on a regular basis. EVIDENCE: There is a good medication policy in place. Rodney House has a policy governing all administration of medication and the medication is stored securely in lockable cabinets in the offices of the 4 independent houses. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Service Users are well protected by the organisations training policies and procedures with regard to the protection of vulnerable adults. EVIDENCE: Service Users are well protected by organisations training policies and procedures with regard to the protection of vulnerable adults. Up to date training in the Protection of Vulnerable Adults is in place and is part of the company’s ongoing commitment to staff training. The manager stated that all staff has completed Surrey Social Services Protection of Vulnerable Adults training, this training is mandatory and is also covered by the organisations induction process. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 The standard of the environment within this home is relatively good; it currently meets the collective and individual needs of the residents, providing a homely place to live. EVIDENCE: The individual houses are spacious, comfortable clean and free from odours. The furnishing, fitting and equipment are of satisfactory quality. The resident’s bedrooms were personalised. There were many soft toys sitting around on the beds. There were some photographs of family members. The communal areas had notice boards with various items of interest to the residents. However the floor coverings throughout all of the 4 houses was heavily stained and marked. The lounge furniture in one of the houses (Dolphins) was old and somewhat dilapidated and is not suitable for a young and active group of service users. The light shades in several areas were scorched and burnt and require to be changed, in addition the light fittings themselves must be checked to ensure that they are still safe. The manager must ensure that the all areas highlighted receive attention and must be replaced. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The support needs of residents are met by the planned approach to training and development of the workforce. EVIDENCE: All staff access regular training updates and are conversant with the needs of residents with learning or physical disabilities. There is a key worker system in place and new staff have received induction training. The home has a staffing complement of almost 100 NVQ qualified employees. The final two members of staff to complete their NVQ expect to do so by early 2006. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 There is good leadership and consistent direction to staff in this home to ensure that Service Users receive consistent quality care. The manager is fully aware of the needs of the Service Users in the home and as such is able to communicate this to staff through regular staff meetings and individual supervision sessions. EVIDENCE: The frequency of staff meetings and informal supervision was indicative of an open and supportive atmosphere. Regulation 26 (Monthly visits by the proprietor) are undertaken and evidence was seen of their occurrence. Relevant policies and procedures were in place. Systems existed to demonstrate these had been communicated to staff. There were policies and procedures in place for the health, safety and welfare of service users and staff. Detailed policies and procedures were in place in relation to safe working practices. Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 X 3 X 2 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rodney House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000060465.V259617.R01.S.doc Version 5.0 Page 18 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 2 Standard YA24 YA30 Regulation 16(1) 23(1 & 2) 13 Requirement The manager must ensure that all unsuitable or items of poor quality be replaced. All carpets must be cleaned to remove all staining or where the stains cannot be removed they must be replaced with appropriate covering. Timescale for action 01/01/06 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rodney House DS0000060465.V259617.R01.S.doc Version 5.0 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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