Inspection on 06/03/06 for Rogate

This inspection was carried out on 6th March 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

Rogate 30/09/08

Rogate 21/11/06

Rogate 16/05/05

Rogate 06/10/04

Rogate 05/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 James Houston Unannounced Inspection 6th March 2006 08:30 Rogate DS0000014230.V249565.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 Rogate DS0000014230.V249565.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. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 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 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) Hallcreed Limited Ms Sandra Davis Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twelve (12). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Service users with a learning disability only to be accommodated. Date of last inspection 16th May 2005 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 DS0000014230.V249565.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was announced, took place over 5.25 hours and was one of the two inspections required over the year. Four residents, four staff and the registered manager were spoken with. The inspector made a tour of the whole home, and read a selection of records, including four care plans, and policies and procedures. Eleven residents were in residence on the day of the inspection. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 6 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 Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 7 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): 3 and 5. The home meets the needs of its existing resident group. Suitable resident contracts have been drawn up. EVIDENCE: The home has a group of residents almost all of whom have lived in the home for many years. After meeting with staff and residents and reading a range of documents and policies and a tour of the premises the inspector considers that that staff individually and collectively have the skills to meet the needs of the existing resident group. The manager said that she would not admit a resident whose needs the home did not feel that it could meet. Several residents use Makaton in communicating and records inspected showed that the home attaches considerable importance to ensuring that staff achieve a sufficient level of proficiency. The home has a suitable pictorial version of its contract for residents and a copy is held on their files. Residents if able sign the copy. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 8 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): 6,8 and 10. Residents have care plans that reflect their personal and care needs. Review frequency could be increased for some plans. Residents are involved in the running of the home. Confidentiality is respected. EVIDENCE: The care plans of four residents were read. Each resident’s plan is updated and reviewed, but it is recommended that in all cases this be at not more that six monthly intervals, or more frequently if so indicated. A risk assessment needed review. A resident confirmed that they take part in their review and that the manager reads through the outcomes with them. The home does not have residents’ meetings but arranges on an informal basis consultation with residents about the running of the home. The manager said that prospective staff meet some residents prior to appointment and are invited to undertake a trial shift before accepting an employment offer. The home has an appropriate policy setting out aspects of confidentiality. Staff spoken to knew when information given to them in confidence should be shared with their manage or others. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 9 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): 11,12,14 and 17. Residents have opportunities for personal development, education, training and leisure activities. Meals and mealtimes promote the well being of residents. EVIDENCE: Staff help residents to develop emotional, education, training and leisure activities. The manager said that residents have needs requiring specialist interventions, and in one case the manager will pursue a referral for assistance that has not been actioned. Staff confirmed that a resident’s spiritual needs are being met, and that cultural needs are addressed as desired. All the residents attend day centres and some residents also attend college on a part-time basis. Two are currently doing sculpture. Residents currently do not have any work or voluntary placements. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 10 Staff ensure that residents have access to and choose from a range of appropriate leisure activities. One resident is a keen fan of the local league football team attending home matches, and other residents enjoy pool. The home has its own games room. The home has two minibuses and a car and staff said that residents are taken out in small groups to for example local restaurants and theatres. A resident said that they enjoyed outings to local pubs. Residents confirmed that they have regular holidays, and staff confirmed that small groups go on holiday with them. A resident said that they liked meals served and that alternatives are offered. The home has a menu plan of meals to be served, and a staff member confirmed that alternatives given are recorded. The manager said that staff give assistance with cutting up food etc as needed, and that a special diet for one resident is provided. The home does not have a specialist cook, with all care staff participating in cooking duties, and staff confirmed that they have had appropriate training in food hygiene. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 11 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): 19,20 and 21. The home’s medication arrangements are thorough. Suitable arrangements are made to meet the ongoing healthcare needs of residents and to care for ill and dying residents. EVIDENCE: Records inspected showed that suitable arrangements are made to meet the health care needs of residents. Staff said that they take residents to GP and hospital appointments and go in with them to meet the relevant health professional. Residents are weighed regularly. Medication policies and procedures were all in place. Records inspected of the administration of medication to residents were fully kept. Records showed that staff had had suitable training. Medicines were found to be securely stored. The manager said that a community pharmacist inspects the home’s medication systems on a regular basis and that there are no outstanding recommendations. The home has a suitable policy on the action to be taken by staff in the event of the death of a resident. Care plans were seen to contain details of what staff should do to ensure that residents’ and their families’ wishes about any arrangements to be made are carried out. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 12 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): 22 and 23. The home has suitable complaints and adult protection policies. EVIDENCE: The home’s complaints policy contains all the required details. There is also a suitable version for residents in an appropriate format. The home has a complaints log in which to record the details of any complaints made to it. The home has received no complaints concerning its running since the last inspection and neither has the Commission for Social Care Inspection. The home has suitable adult protection policies and procedures. Staff said that they have received suitable recent training and records inspected confirmed this. Records inspected showed that staff receive training on dealing with challenging behaviour. The home has a suitable policy on staff and their receiving gifts and bequests from residents. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 13 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): 24,26 and 28. The home provides a homely and warm environment for residents. EVIDENCE: The home is a detached house with accommodation on four floors. It is comfortable and well furnished and maintained. The home has its own maintenance staff member who was working in the home during the inspection. Staff said that if items need attention they are seen to very quickly. The home meets the standards of the local Environmental Health Officer and Fire Brigade. Residents have well-furnished and decorated bedrooms. A resident confirmed that they choose the décor in their room. Residents are able to have their own possessions in their rooms and inventories on file demonstrated this. Bedrooms are lockable, and one resident holds the key to their room. Residents have a pleasant sitting room and good dining facilities. There is also a large conservatory. The home also has at lower ground floor level a large hydrotherapy pool, with level access to it and to the changing facilities. The home has a large well-kept garden that a resident said that they enjoy. Staff have a large office, a two bed second floor flat for sleeping in staff, and lockable facilities for their personal possessions. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 14 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): 31,32,33,34 and 35. Recruitment processes are robust. Residents have the support of an effective staff team. Qualification levels need review. EVIDENCE: Staff have suitable job descriptions and copies of these were available for inspection. Staff said that they were familiar with the General Social Care Council code of conduct and records inspected confirmed this. Staff were seen to have a good relationship with the residents they support. No volunteers are currently used in the home. Five staff currently hold NVQ level 3 in care and ten do not, and the manager said that the group prefer to enter staff directly for this level of qualification, rather than NVQ 2. It is recommended that the recommended level of qualification of 50 of staff be reached. A staff rota was available for inspection. This confirmed that sufficient staff are on duty at all times to meet the needs of residents the evidence of the inspection confirmed this. Staff said that there is an on call support system for them and that this works well. The manager gave an assurance that staff left in charge of the home are over 21 years of age. Formal minuted staff meetings are held and the minutes and agenda of the last one held were made available to the inspector. It is recommended that these be held at the recommended frequency of at least six times per year. Staff turn over is low, and the manager said that agency staff are not used. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 15 The home now obtains all the required information on staff appointed and now has a copy of the amended Care Homes Regulations. The home has compiled individual training and development files for all staff. Rogate DS0000014230.V249565.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): 38,39,40,42 and 43. The home has an open atmosphere. Management systems and procedures are thorough. Procedures are well kept. Quality assurance systems could be further developed. EVIDENCE: The home is run in an open and inclusive way. A resident said that they like living in the home. Residents’ meetings are not held, but residents are involved in all aspects of the home’s operation. Staff said that the home is a good place in which to work and that they are able to put forward ideas for the development of the service. The home uses a questionnaire regarding residents’ views as to the service and the manager plans to undertake this exercise again shortly. The views of stakeholders as to how the home achieves outcomes for residents should be sought formally from time to time. The owner makes monthly visits to the home and a copy of his reports on his visits was available for inspection. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 17 Those policies and procedures sampled were well kept, and were found to be reviewed regularly. Staff confirmed that the policies are available to them. The home has had its portable electrical appliances tested since the last inspection and has updated its policy on safe working practices. The home is well managed. Staff on duty were clear about the lines of communication within the organisation. The organisation’s administrative officer is based in the home. A current certificate of insurance was on display in the home. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 18 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 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rogate Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score X 3 2 3 X 3 3 DS0000014230.V249565.R01.S.doc Version 5.0 Page 19 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. Standard Regulation Requirement Timescale for action 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. Refer to Standard YA6 YA32 YA39 Good Practice Recommendations Review care plans at least six monthly. 50 of care staff old NVQ level 2 in care. Stakeholders are asked formally from time to time how the home achieves outcomes for residents. Rogate DS0000014230.V249565.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office 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 DS0000014230.V249565.R01.S.doc Version 5.0 Page 21 - 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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