Inspection on 01/02/06 for Romney House

This inspection was carried out on 1st February 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

Romney House 14/12/06

Romney House 31/08/05

Romney House 07/03/05

Romney House 13/12/04

Romney House 30/10/03

Romney House 08/05/03

Romney House 11/06/02

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

CARE HOMES FOR OLDER PEOPLE Romney House Romney House 11 Westwood Road Trowbridge Wiltshire BA14 9BR Lead Inspector Stuart Barnes Unannounced Inspection 1st February 2006 3-00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Romney House Address Romney House 11 Westwood Road Trowbridge Wiltshire BA14 9BR 01225 753952 01225 753952 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) Mr Gary Wesley Mrs Renate Wesley, Ms Anita Hampson Ms Anita Hampson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 Brief Description of the Service: Romney House is an adapted and extended family house on the outskirts of Trowbridge town. It is set in 1/2 an acre of well maintained gardens that includes a shaded patio area. The home provides care and accommodation for up to 20 people aged over 65 years. It also offers 2 day-care places for local people aged over 65 years. The accommodation is on two floors connected by a lift and 2 staircases. All bedrooms are single rooms. Fourteen of them provide ensuite toilet facilities. The service offers long term care as well respite care for 2 weeks. Communal rooms consist of a spacious reception hall, 2 conservatories, a sitting room and a dining area. The home is typically staffed by three care staff in the mornings and 2 care staff covering the late afternoon and evening. At night there are two awake care staff working. The home also employs housekeeping, catering and clerical staff. The home does not provide care to people with dementia or provide nursing care. The service is run as a family business. It is a condition of residency that the home is a no smoking home and pets are not allowed. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was unannounced, covered 3½ hours. The main focus was to progress the requirements and recommendations made at the previous inspection, to spend time meeting with service users to obtain their views on the services provided and to inspect a small number of national minimum standards that were either not inspected at the previous inspection or were ones which were not fully met. The inspector also spent time with some of the staff that were on duty and with the manager and deputy manager. In accordance with Commission’s current risk assessment methodology for this home only 10 out of 38 standards were inspected. 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. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4. The service user guide has been updated and provides sufficient information about the services provided. Assessment and care planning is much improved. Service users’ report good satisfaction levels with the care they receive. EVIDENCE: The service user guide and statement of purpose has been re-drafted since the last inspection and now provides details about visiting therapists and hairdressers. More information is provided about the organisation. The inspector examined 4 randomly selected files and found that the assessment and care planning documentation covers all the indicators in the relevant standard. Service users report high satisfaction levels with the care receive - this being a feature of this and previous inspections. The inspector observed support staff respond patiently and appropriately to a person who appeared somewhat confused and muddled. It is evident from case documentation and the personal accounts of service users that they are supported to access a range of relevant health care service and that where necessary staff keep and maintain a watching and caring eye on people who feel poorly or have health concerns. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9 Care plans are much improved. The arrangements for storing and administering drugs belonging to service users appear to be satisfactory. EVIDENCE: The inspector was informed that all care plans have been updated since the last inspection using a revised and much improved format. A randomly selected sample of 4 case files showed they had indeed being updated. They include where relevant, • Details on what interventions support staff need to make and when. • Matters concerning health care needs. • Service users desired outcomes and those of any other family member. There is evidence to show that care plans link with assessment documentation. Staff report that they periodically review each care plan and service users confirmed that the support staff consult with them when their needs change. There is a written policy on managing medication. It details the procedures staff must follow. Services users who wish to administer their own medication can do so, subject to undertaking a risk assessment that it is safe for them to do which must be endorsed by their general practitioner. The method of storing medication and the way it is administered was found to be satisfactory. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 9 It includes keeping a record of any unused or unwanted drugs returned to the chemist. It is policy that no ‘over the counter’ drugs such a aspirin or indigestion tablets are given to service users unless their GP has okayed it. The manager reports that there are plans for 10 staff to undertake a distance learning training package in the safe handling of medication commencing March 2006. There are records to show that supervising staff check each day that drugs are being administered correctly. Records also show that local chemist undertakes periodic medication audits; the last one was undertaken in July 2005. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were inspected on this occasion. When last inspected they were found to be of a satisfactory or better standard. EVIDENCE: Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The management of complaints has improved because these are now being recorded. When complaints and other representations are made the service responds quickly and appropriately. Though strictly not currently needing improvement care needs to be taken that expressed dissatisfactions and complaints continue to be recorded in the register of complaints. EVIDENCE: Service users and those who represent them are provided with details on how to complain. In practice most issues are resolved informally. At the request of the Commission the manager now keeps a register of complaints. Also the service retains a record of compliments received. There are many more compliments than complaints. Most compliments highlight the caring nature of the service praising named workers. Three complaints were recorded. One was from a person who was given soup by mistake and not given wine with their meal; another service user complained that a comb and some tights were missing. These were later found. The third complaint was a resident wanting a different place to sit at. A new innovation in the home has been providing a suggestion box in the reception hall for people to make comments. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Many service users praise the standard of accommodation and the facilities they have. The house is well maintained and appeared clean, safe and tidy. Fire safety is taken seriously but the exact date of when fire drill take place is not being recorded. EVIDENCE: No service user made any adverse comment about the accommodation and several praised it for its location and comfort. Inspection of the grounds found that it was tidy, safe and well maintained. Outside stores were found locked. Some slight improvements have been made to make the dining area less of a workstation. Since the last inspection flooring in bathrooms have been upgraded and the outside pond has been fenced off. Checks were made concerning the management of fire safety. There is evidence fire safety is taken seriously and staff undertake periodic fire safety training. Fire drills are routinely carried out but records of when are still not recording the exact date and time. Records confirm that fire equipment is being serviced and maintained. All areas of the home appeared exceptionally clean and tidy. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29. Recruitment checks were found to be satisfactory. EVIDENCE: Two recruitment records of two staff members were selected at random and were found to be in order. There was evidence of the service obtaining satisfactory criminal record bureau checks, checks on the list of people considered unsuitable to work with vulnerable adults and references. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35. This standard is considered met. EVIDENCE: It is the policy of the home that service users manage their own financial matters or they appoint someone to do this on their behalf such as another family member, solicitor or bank manager. Service user reported that the billing system works smoothly for them. Typically invoices are sent out every 4 weeks and receipted when paid. The home provides a facility to keep valuable items safe and secure. There are policies in place which prohibit staff from receiving gifts from service users and benefiting from wills. Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X x Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Refer to Standard OP36 Good Practice Recommendations It is strongly recommended that one to one supervision meetings take place at least once every 2 months and such meetings from time to time consider the development of the skills, the knowledge and the understanding needed to adequately meet the health and welfare needs of those living at the home. Please note; this standard was not inspected and therefore it was not verified whether this recommendation has been met. For this reason the recommendation will stand. It is recommended that the date and time a fire drill takes place is recorded. 2 OP19 Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Romney House DS0000028215.V278519.R01.S.doc Version 5.1 Page 18 - 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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