Inspection on 05/01/06 for Rook View

This inspection was carried out on 5th January 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

Rook View 13/02/07

Rook View 12/08/05

Rook View 20/12/04

Rook View 20/07/04

Rook View 19/02/04

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Insight - Eastchurch

Southfields

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Dovedale Court

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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 Rook View Rook View 46 Rook Lane Chaldon Surrey CR3 5AB Lead Inspector Kenneth Dunn Unannounced Inspection 5th January 2006 10:00 Rook View DS0000013769.V261482.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 Rook View DS0000013769.V261482.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. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rook View Address Rook View 46 Rook Lane Chaldon Surrey CR3 5AB 01883 383817 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) Surrey Oaklands NHS Trust Mrs Kim Susan Mott Care Home 9 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (4) of places Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The number of persons for whom residential accommodation with both board and personal care is provided at any one time shall not exceed NINE (9). FIVE (5) WITHIN THE CATEGORY LD (LEARNING DISABILITIES) & FOUR (4) WITHIN THE CATEGORY LD(E) (OLDER PEOPLE/LEARNING DISABILITIES The age/age range of the persons to be accommodated will be: FIVE (5) IN THE RANGE 30-65 YEARS, FOUR (4) OVER 65 YEARS 20th December 2004 Date of last inspection Brief Description of the Service: Rook View is registered to Surrey and Boarders NHS Trust and is one of a number of Residential Homes managed by the organisation. The home is registered to accommodate a maximum of nine residents of either gender, five residents within the age range of thirty to sixty five years and four residents over the age of sixty five years. The home is detached and shares a site with two further Residential Care Service managed by the Trust. Local facilities and amenities are close by. The home provides a caring and supportive service and encourages residents to be as independent as practicable within an agreed risk assessed framework. The home maintains residents in day centres and encourages contact with reatives, friends and the local community. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was the home’s second inspection for the year 2005/2006. This was an unannounced visit, which meant that staff and residents were unaware that it was due to happen. The home had a comprehensive statement of purpose, which accurately depicted the services provided by the home. The service plans in place were comprehensive and are reviewed on a regular basis to ensure that they accurately depict the needs of the individual residents. The home provided a high level of individualised support and therapy to the residents. This was a commendable part of the home’s operation. Links with service users friends and family were well developed and maintained by the operation of the home. The residents’ health needs were well met. The home has a robust complaints procedure. There have been no complaints received either by the service or by the CSCI in relation to this service. What the service does well: What has improved since the last inspection? What they could do better: Overall this was a very positive inspection, however the general decoration of the home is not good and the refurbishment of some areas should be given a high priority. Please contact the provider for advice of actions taken in response to this Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rook View DS0000013769.V261482.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 Rook View DS0000013769.V261482.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): 1, 2, 3, 4 and 5 The home has a detailed and informative statement of purpose and service users’ guide. These documents, together with the home’s procedure of carrying out detailed assessments of needs and a well-structured admission policy enable service users and prospective service users to make an informed choice about admission to the home. EVIDENCE: Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 9 The care plans or Person Centred Plans (PCP’s) sampled during this inspection were based on comprehensive professional needs assessments. The home is able to demonstrate its capacity to meet the assessed needs of all service users resident at the time of the inspection. Details of the likes and dislikes were clear and self explanatory, PCP’s demonstrated a full knowledge of the service users and the levels of care needed to enable them to achieve as active a life style as possible. The PCP’s are reviewed annually and evidence seen supported that this has been the case at this service. A member of staff stated that if it is deemed necessary the PCP’s be reviewed more frequently if a change in behaviour is detected. The home has a set of detailed policies and procedures for staff to follow in the event of a new service user being assessed to move into the home. The policies guide the representatives of the home in making an assessment of needs and in the appropriateness of visits and a “test drive” to the service. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 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 the following standard(s): 6, 7, 8 & 9 The staff on duty at the time of the inspection demonstrated a high level of understanding of the service users needs and should them respect when offering support. This is evident from the positive relationships, which have been formed between the staff and the service users. EVIDENCE: The care plans or PCP’s sampled during the inspection were found to be comprehensive and included review reports and a social and medical history. Risk assessments are also on file. Challenging behaviour patterns are also identified. During the inspection the interaction between the staff and the residents was observed to be warm and cordial and really made Rook View a home. The staff on duty demonstrated a high level of respect and ensure that the dignity of the person the were assisting was observed at all times. The service users have the opportunity to assist with making food and drinks. Staff ensure that the service users nutrition needs are fully met and there is written evidence to demonstrate the involvement of a dietician in the designing and structuring of meals. Risk assessments seen were comprehensive and provided the reader with a clear picture of the service users. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 11 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, 13, 14, 15, 16 & 17 The home offers a good balance of care and support to enable the resident to engage in and have a fully active lifestyle. EVIDENCE: The philosophy of the home is to promote independence and to open and expand opportunities for all of the service users to enable them to become part of the wider community in which they live. There is good clear evidence detailing the support offered to enable the service users to maintain and develop appropriate personal and family relationships. Systems are in place to ensure that service users’ rights are respected. The care plans PCP’s sampled detailed the service users known and previous preferences for leisure activities. Staff members stated that they are continually introducing new activities and experiences in an effort to further expand the service users life experiences. The home receives regular visits from external therapists and groups the manager stated that this was in order to engage the service users and again to introduce them to new challenges. The basic menus were reviewed they appeared to be well balanced and are based on the service users’ previous likes and dislikes. The manager stated that they try to introduce new foods on a regular bases and in the event of the Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 12 service users not wanting what is offered there is always an alternative on offer. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 13 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): 18, 19, 20 & 21 Personal support is offered to promote the privacy, dignity and independence of the service users. If support is required it is offered in a respectful and sensitive manner. Sound policies and practices are in place for the administration and management of medications. EVIDENCE: Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 14 When the inspector arrived all of the service users were dressed and getting ready for their individual daily activities. The service users were well dressed at the time of the inspection. They were observed to be relaxed and comfortable with the staff on duty. The inspector was informed by a member of staff that the from her induction into the home the main ethos she has worked to has been that, personal care and support for service users must always be carried out in the privacy of their own bedrooms or the bathroom with the doors closed. The care plans PCP’s sampled provided evidence that service users’ healthcare needs are being met. Service users are all registered with a local GP and referrals to other health care professionals are obtained, as necessary, from the GP surgery. The inspector reviewed the home policies and procedures offering guidance for staff in dealing with ageing, illness and death of a service user they are clear and concise and cover all elements of the National Minimum Standards. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 15 Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 16 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 & 23 All required policies and procedures are in place to ensure that service users are safeguarded from harm or abuse. EVIDENCE: The complaint procedure inspected was compliant with statutory requirements, the manager stated that every service users is given a copy and they are encouraged to take any issue they have to staff. The inspector was unable to verify this at the time of this inspection. Complaint forms were available for recording complaints. Records seen demonstrated there had been no formal complaint received by the home or the regulator within the last twelve months. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 17 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): The service continues to meet all of the above standards please refer to the previous inspection report dated 12th of August 2005. EVIDENCE: Rook View DS0000013769.V261482.R01.S.doc Version 5.0 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 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 & 36 Staff appeared to be enthusiastic and committed to supporting residents. The organisation and the homes manager are committed to the further training and development of all staff and this is given a high priority. EVIDENCE: Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 19 The relationship between residents and staff was observed to be relaxed and friendly, creating a warm and homely feel. Residents were encouraged and supported to be as independent as they were able. Training and development of staff has been given a high priority. The training of staff continues to improve, with a detailed and coasted training programme in place and with supervision being undertaken by the manager and deputy on a regular basis. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 20 Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 21 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 & 43 The management approach of the home creates an open and positive atmosphere with progressive steps being taken towards developing a quality service. There is good leadership and consistent direction to staff in this home. The manager is fully aware of the needs of the Service Users and as such is able to communicate this to staff through example, regular staff meetings and individual supervision sessions. EVIDENCE: All interactions observed between the manager, staff and service users at this inspection evidenced an open, positive and inclusive atmosphere. Various systems are in place to ensure that the manager and staff are able to obtain the service users’ views on issues concerning their life at the home. The main method used is by skilful and careful monitoring and observation of the individual service user’s reactions and actions in all situations, the knowledge the team has developed over the years working with the service users. All required written policies and procedures are in place at the home. Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 22 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 3 3 3 X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rook View Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X 3 3 DS0000013769.V261482.R01.S.doc Version 5.0 Page 23 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. Refer to Standard Good Practice Recommendations Rook View DS0000013769.V261482.R01.S.doc Version 5.0 Page 24 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. 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