Inspection on 16/05/05 for Rogate

This inspection was carried out on 16th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Rogate 30/09/08

Rogate 21/11/06

Rogate 06/03/06

Rogate 06/10/04

Rogate 05/05/04

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Insight - Eastchurch

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 Rogate 63 Surrenden Road Brighton East Sussex BN1 6PQ Lead Inspector Glynis McLeod Announced 16 May 2005 13:30 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 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 Stationary 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. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Rogate Address 63 Surrenden Road Brighton East Sussex BN1 6PQ 01273 561685 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Hallcreed Limited Ms Sandra Davis Care Home 12 Category(ies) of Learning Disability (LD) 12 registration, with number of places Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is twelve (12). 2. Service users must be aged between eighteen (18) and sixty-five (65) years on admission. 3. Service users with a learning disability only to be accommodated. Date of last inspection 6 October 2004 Brief Description of the Service: Rogate is situated in a pleasant residential area of Brighton, close to local parks, shops and pubs. The home is convenient for bus services into Brighton and other areas, and Preston Park train station is also nearby. The home is registered to accommodate up to twelve people with learning disabilities; it does not provide nursing care. The building is a four-storey Edwardian house retaining some original features. The basement area has a games room and a covered hydrotherapy pool with a ramp. There are also changing and shower facilities available and a lift from these facilities to the pool. The home is fitted with ramps to enable wheelchair access, and a sloping path leads down to the pool and the large back garden where there is a barbecue area. The sitting room, dining room and some bedrooms are on the ground floor, and the home is therefore suitable for wheelchair users. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was announced, took place over five and a half hours and was one of two inspections required over the year. A tour of the premises took place and records relating to care, medication, staffing and maintenance were inspected. One of the residents, two staff members and the manager were spoken to. Comment cards from residents, families and other professionals were received and were generally very positive about the service. The inspector would like to thank the residents and staff for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? What they could do better: There were some problems with medication, which might, if not dealt with now, lead to mistakes being made when medication is being given. Staff need to make sure that they always write down when any medication is taken out of its packet. The home also needs to keep up-to-date with all safety checks to equipment, and with the regulations that cover how care homes are run. This will make sure that residents’ health and safety is always fully protected. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 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 standard(s) 1, 2 and 4 The information given to prospective residents and their families is clear and detailed and enables them to make an informed decision about whether the home is suitable for them. The manager appropriately assesses prospective residents. Consultation with other professionals and families ensures that a clear picture of residents’ needs and wishes is available before admission. Prospective residents are given many opportunities to visit and meet with staff and other residents before moving in so that they become familiar with the home. A long six-month settling-in period gives residents and staff plenty of time to decide whether the placement is right. EVIDENCE: The statement of purpose has recently been reviewed and contains all the required information. The home has produced a very clear and effective service user guide in pictures, which gives residents all the information they need in a simple and understandable format. The home has a long-term group of residents and only one person has been admitted in the past four years. As part of the assessment process, the manager will talk to families and carers, and request written assessments from any previous placements and from the social worker. Risks and restrictions Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 9 are discussed with families and other agencies and are included in the care plan. The moving-in process takes place over several months and includes day visits, and overnight and weekend stays at the home. A six-month settling-in period is offered to give the new resident and existing residents the opportunity to get to know each other and ensure that the placement meets both the needs of the individual and the group. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 10 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 standard(s) 6 and 9 Each resident’s care plan is updated and reviewed at regular intervals to ensure that it reflects their goals and meets their needs. Risk assessments are properly completed and provide relevant information to enable staff to care for residents safely. To encourage independence, staff support residents in taking responsible risks in their day-to-day activities, and also provide more specific challenging opportunities for them. EVIDENCE: Residents, families and professionals are invited to contribute to drawing up the care plan and to participate in the six-monthly reviews. The care plan includes both general and specific risk assessments, copies of which are placed in a separate folder and are readily accessible to staff. Each resident has an allocated keyworker, and the resident spoken to could name their keyworker and say what their role was. Many residents at the home are extremely vulnerable but staff try to ensure that opportunities to try new experiences and meet new challenges are made available. For instance, one resident, who enjoyed fast rides, was taken to Thorpe Park for the day. Another went alone on a week’s holiday with a Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 11 disabled charity. On a day-to-day basis, residents are also encouraged to be as independent as possible by, for example, taking the bus into town and helping to shop. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 12 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 standard(s) 13 and 15 The residents are fully integrated into the life of the community, and many local amenities and facilities are accessed providing opportunities for recreation and stimulation that enhance their lives. Residents are given daily opportunities to meet with different people and are encouraged to keep in contact with their friends and families. This enables them to develop life and social skills and to maintain important family relationships. EVIDENCE: Residents and staff in the home have developed good relationships with their neighbours and see themselves as part of the community. Regular visits to local amenities, such as shops, cinema, pubs and the sports centre form an important part of residents’ lives. Weekends are quite flexible and residents choose what activities they would like to do. The staff group reflects the mix of residents, and male and female care workers from a number of different nationalities make up the care team. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 13 Visitors are made welcome in the home and some residents accompany their relatives on outings and also stay with them at weekends. The staff assist residents to keep in touch with their families by helping them to send cards, and the manager maintains regular telephone contact with families to keep them updated on their relative’s progress. Residents attend day centres or college and have many opportunities for mixing with and meeting many different people. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 14 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 standard(s) 20 Staff are properly trained but greater care must be taken with the accuracy of recording and labelling to ensure that mistakes are not made which might put residents at risk. EVIDENCE: None of the residents is assessed as being able to manage their own medication and trained staff are responsible for administering all medicines. A local pharmacy conducts regular audits on how the home stores and administers medication, and also provides regular training for staff. Two recommendations made at the previous inspection had been attended to. It was found that some tablets had been removed from their blister pack, but this had not been recorded on the medication chart. This was confusing and could lead to medication either being missed or given again. Also, following a change in the naming of certain medicines, the dosage pack for one resident did not reflect the new name of the medication being prescribed. A requirement was made that the record sheets must be completed as soon as medication is removed from the pack and that the dosage label must accurately reflect the medicine given to avoid any mistakes. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Neither of the above standards was assessed on this occasion. EVIDENCE: Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27 and 30 Residents live in a clean, safe and comfortable home where they are able to relax and spend time with other residents and staff in a homely and friendly environment. Toilets and bathrooms provide privacy and are fitted with various aids designed to assist residents with bathing. The laundry room is well-equipped but an alternative method or route of taking dirty laundry to the laundry room should be found to prevent the possibility of infection. EVIDENCE: The home is well-decorated, clean and comfortable has a homely feel. A rolling maintenance programme ensures that the premises are kept in a good state of decoration and repair, and any problems are picked up and dealt with quickly by the maintenance man. Requirements from the last inspection, which required tiles in the changing area to be replaced and a risk assessment for the scaffolding to be completed, had been attended to. There are two main bathrooms and two en-suite bathrooms available for residents. A shower room is presently in the process of being refurbished. A previous requirement that the outside lock on one of the bathroom doors be removed has been attended to. All toilets and bathrooms are lockable and can be overridden by staff if necessary in the case of an emergency. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 17 The home has two part-time dedicated cleaning staff and care staff also assist with domestic duties. The laundry room is situated in the basement and new washing machines and tumble driers have recently been purchased. To reduce the risk of infection, a recommendation was made that dirty laundry is not carried openly through the kitchen annexe but taken to the laundry room either in sealed boxes or via an alternative route. The home has replaced the lid of one of the clinical waste bins as required at the previous inspection. Relevant policies and procedures relating to health and safety are in place. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 The home has made efforts to comply with the regulations covering recruitment but there are still some gaps, which must be attended to ensure that the most suitable staff are employed to care for residents. The home must keep up-to-date with all amended regulations to ensure it continues to operate within the law. The training programme covers all core training and other relevant learning disability training. The home liaises effectively with the local authority training department and identifies individual training needs for staff; in this way the home ensures that residents benefit from being cared for by properly trained staff who have a good knowledge of their needs. EVIDENCE: A requirement made at the previous inspection that POVA and CRB checks are completed for all staff before they start work has been attended to. However, the manager was not aware of the need to obtain a statement as to the mental and physical health of new employees. A copy of the new Care Home Regulations, which was amended last year, also needs to be obtained in order that the home complies with all updated regulations pertaining to the Care Standards Act 2000. Requirements were made that the home obtains the above-mentioned information. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 19 Staff spoken to and staff files examined confirmed that terms and conditions and copies of the GSCC code of conduct are given to all staff on starting work. The home is good at involving residents in the appointment of new staff members and also arranges ‘goodbye’ parties for staff who are leaving. The home is fortunate to have recently employed a training officer who is also an NVQ assessor. Staff receive a six- to ten-week long induction, which is followed by extensive foundation training. The manager accesses other relevant training, for both staff and herself, through the local authority. The home is working towards having 50 of its staff trained to NVQ Level 3. A recommendation was made that the home continues its process of compiling individual training and development files for all staff. Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The home conducts regular health and safety and fire training for staff, which ensures that they are familiar with safe working practices and procedures. Policies must be kept updated and regular servicing of appliances must be made by qualified plumbers and electricians to ensure they continue to operate safely and do not present a hazard to residents. EVIDENCE: Staff have recently attended moving and handling, and food hygiene training. 15 staff were due to attend a first aid course taking place the day after the inspection. Documents showed that fire alarm and burglar alarm systems are tested regularly and that fire drills for staff and residents take place quarterly. The manager and maintenance man conduct monthly risk assessments of the entire premises. Accidents and incidents are properly recorded and safety posters are displayed in relevant areas. A requirement from the previous inspection that a gas safety certificate be obtained had been attended to; a further requirement was made at this inspection that all portable electrical appliances are also tested and issued with Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 21 a safety certificate. A recommendation was made that the policy on safe working practices be updated. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x 3 Standard No Rogate Standard No 31 32 Score x x Version 1.20 Page 22 H59-H10 S14230 Rogate V215859 160505 Stage 4.doc 11 12 13 14 15 16 17 x x 3 x 3 x x 33 34 35 36 x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 23 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 20 34 Regulation 13 (2) 19 (1, 4 & 5) Schedule 2 Requirement All medication must be accurately labelled and properly recorded. All information required by the Care Standards Act 2000, including a declaration of health, must be provided for all members of staff. The home must keep updated with new and amended regulations. The home must ensure that all portable electrical appliances are tested and receive a safety certificate. Timescale for action Immediate Immediate 3. 42 23 (2)(c) 30.6.05 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. 2. 3. Rogate Refer to Standard 30 35 42 Good Practice Recommendations Dirty laundry should be taken to the laundry room either in sealed boxes or via an alternative route. The process of compiling individual training and development files for all staff should continue. the policy on safe working practices should be updated. H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Rogate H59-H10 S14230 Rogate V215859 160505 Stage 4.doc Version 1.20 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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