Inspection on 24/02/06 for Rookery Cottage

This inspection was carried out on 24th February 2006.

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

Rookery Cottage 28/01/09

Rookery Cottage 18/12/06

Rookery Cottage 28/06/05

Rookery Cottage 04/11/04

Rookery Cottage 11/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rookery Cottage 5 Church Way Thorpe Malsor Kettering Northants NN14 1JS Lead Inspector Irene Miller Unannounced Inspection 24th February 2006 12:00 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 Rookery Cottage DS0000012898.V282631.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. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rookery Cottage Address 5 Church Way Thorpe Malsor Kettering Northants NN14 1JS 01536 482776 01536 482570 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 Derek Arthur James Bass Mrs Diane Bass Mrs Diane Bass Care Home 13 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (13) of places Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: Rookery Cottage is care home registered to accommodate up to thirteen older people and up to four residents with dementia. The home is located in a small village of Thorpe Malsor, near Kettering, Northamptonshire. The home is in the style of other properties within the village. Thorpe Malsor is a small village with no local facilities and Kettering town centre is a short drive away. The home is furnished with comfortable furniture and decorated to create a homely atmosphere. Bedrooms are located on the ground and first floor, which are accessible by a passenger lift or the stairs. There is a large lounge with dining area. There is garden with are patio to the rear of the building. Car parking is also to the rear of the home. The Registered Managers office is located away from the home in a separate office. The Registered Manager has many years of experience of providing personal care to older people and all staff receive training. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved tracking the care of two residents, through a review of their records and discussion with them where possible. Observation of care practices, discussion with the registered manager, residents, staff and a limited tour of the building. The inspection took place over a period of three hours following approximately thirty minutes preparation, which included reviewing previous inspection reports, and other documentation. What the service does well: What has improved since the last inspection? There were requirement or recommendations made following the last inspection visit. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 6 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. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 7 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 Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 8 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): Standards 1-5 were not assessed, standard 6 is not applicable. EVIDENCE: Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 9 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): 7,8 & 10 The care plans do not fully reflect the resident’s health and personal care needs. EVIDENCE: The care plans viewed lacked detailed information on the full range of residents needs; there were records within the care plans of pressure care treatment and wound care/dressings from the district nurse, however there was no pressure care assessments or care plans in place. Turning charts did not identify the frequency of turning and were not consistently filled in. Residents living at the home diagnosed with dementia did not have care plans in place that reflected the emotional support required Through discussion with the registered manager it was clear that there was a reliance on verbal communication and that staff are aware of the residents needs, but this was not reflected within the care plans. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 10 Within the care plans looked at there was records of visits from the residents general practitioner and community psychiatric nurse The staff were observed, treating the residents with respect and respectful of their dignity and the residents rights to privacy followed. Residents said that they liked living at the home and that “the staff are like angels” residents said that their privacy is respected. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 11 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): 12,13,14 & 15 The lifestyle in the home meets the resident’s needs and expectations. EVIDENCE: Residents spoken with said that there was ‘things to do’, several residents were observed moving around the home independently as they wished, choosing were to spend their time. However the care plans lacked information on resident’s individual preferences in relation to their preferred daily living activities The home does not employ an activity co-ordinator; residents said that there were things to do, that daily newspapers were available, and that they enjoyed doing crosswords. On the day of inspection a planned swimming session had had to be postponed due to a technical problem at the local swimming pool. Residents said that they enjoyed going swimming and talked of outings, shopping trips and visits to the garden centre The residents said that communion was available within the home once a month, and said that they looked forward to this taking place; residents said that they were unable to go to church due to poor mobility Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 12 The home welcomes visiting entertainers and residents said that their visitors are welcome at any time. Resident’s food preferences were recorded within a communication book; also within this book were entries of when residents had received visitors. The meal on the day of inspection was fish fingers, mashed potatoes and peas, followed by strawberry cheesecake. The portions were ample and well presented. Within the care plans looked at there was no records of the residents weights one of the residents case tracked required support with eating their meals and in taking drinks, however this was not reflected within the care plan. All of the residents were provided with individual tables to take their meals, residents said that they were satisfied with this arrangement; staff were observed assisting frail residents with their meals which was carried out with sensitivity and discretion. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 13 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 &18 Residents living at the home are protected from abuse. EVIDENCE: Residents said that they would know who to speak with if they had any cause for concern about the care they were receiving at the home, the residents said that they had completed questionnaires about the care and facilities provided by the home, however no formal residents meetings take place. Staff training is planned on recognising and reporting abuse, the home has the local protection of vulnerable adults guidance available for reference, and staff spoken to said that they are aware of the different types of abuse, that this had been covered during their induction and National Vocational Qualification (NVQ) training Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 14 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): 19,20,22,25 & 26 Residents living at the home are provided with a pleasant, homely and comfortable environment. EVIDENCE: The general décor and furniture is to a good standard, and well maintained. Some of the residents who have limited mobility have purchased their own specialist seating, which provides them with extra support and comfort. To the rear of the home, building works were being undertaken to provide living accommodation for Mr and Mrs Bass, the homes owner and registered manager, it was anticipated that the works would be near completion before the spring arrives. There was a patio area for residents to access, residents said that they enjoyed sitting outside in the summer months and eating their meals alfresco. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 15 The home was clean, pleasant, hygienic and free from any offensive odours. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 16 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): 27,28,29 & 30 The staff have the skills and knowledge to meet the needs of the residents in their care. EVIDENCE: The staffing rota was viewed and the staffing levels are satisfactory, however the practice of care staff preparing meals and providing personal care gives cause for concern. Through discussion with the registered manager it was explained that staff shower after providing personal care, before entering the kitchen environment, however care staff are required to be available at all times to assist residents with personal care throughout their shift. Control measures have been put into place by the use of protective clothing and hand sanitizer, however these measures are not robust and remains a high risk area of cross contamination. The most recent visit from the environmental health officer took place on 16th August 2005 and was available to view; all staff have food hygiene training. The staff are required to complete a programme of induction and mandatory training covering moving and handling, health and safety, food and hygiene and dementia awareness. Staff are supported in achieving the National Vocational Qualification levels 2 & 3. There were records of staff training which is planned to take place, to include training on the protection of vulnerable adults. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 17 Staff recruitment files looked at demonstrated that the home operates a thorough recruitment procedure. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 18 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): 31,32,33,36 & 37 The leadership of the home safeguards the resident’s health, safety and welfare. EVIDENCE: Through discussion with the Registered Manager it is evident that she has indepth knowledge of the needs of the residents living at the home and was observed interacting well with residents and staff. The Registered Manager has many years experience of providing care to older people and managing a care home, having achieved the National Vocational Qualification Level 4 in Management and the Registered Managers Award. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 19 There is a low staff turnover, the staff team are appropriately supervised, staff spoken to said that they were happy working at the home and that they felt well supported by the management in gaining National Vocational Qualification training. There is a reliance on residents needs being verbally communicated, the care plans need further work to ensure that the residents health, emotional, physical and spiritual needs are recorded and reviewed on a regular basis. Residents were complimentary about the style of management and confidential records in relation to their care were stored securely. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 20 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 X 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 21 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. 1 Standard OP7 Regulation 15 (1) Requirement The care plans must be detailed to accurately reflect the full range of, health, personal, social and emotional needs and be reviewed at least monthly. There must be a system of nutritional screening in place, with records of resident’s weights. Timescale for action 30/03/06 2 OP8 12 (1) 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2 Refer to Standard OP12OP38 Good Practice Recommendations The appointment of a designated cook should be given consideration, to reduce the risk of any cross contamination within the kitchen environment, and allow the care staff to spend more time with the residents. Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Rookery Cottage DS0000012898.V282631.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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