Inspection on 29/11/05 for Rookstone

This inspection was carried out on 29th November 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

Rookstone 21/09/07

Rookstone 31/07/06

Rookstone 25/10/04

Rookstone 25/10/04

Rookstone 19/04/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Rookstone 1 Lawrie Park Crescent Sydenham London SE26 6HH Lead Inspector Cheryl Carter Unannounced Inspection 29th November 2005 10:00 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 Rookstone DS0000038682.V265641.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 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. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rookstone Address 1 Lawrie Park Crescent Sydenham London SE26 6HH 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) 020 7778 0317 Salvation Army Mrs Christine Fell Care Home 31 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (30) of places Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd August 2005 Brief Description of the Service: The home is part of the Salvation Army Social Care Division and is a registered care home for 31 service users. The home provides 24-hour care, trained and experienced staff, ancillary staff and an activity worker. The home accesses all health care services in the local community. Opticians, Dentist and Chiropodist services are supplied through a domiciliary service. Rokstone is a large detached property that has been adapted as a residential home. There are 29 single rooms, adequate bathroom and washing facilities. The home has a lift to the upper floor. The home is located in a very quiet road, close to shops and public transport and has a very large garden. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was started on The 29th November 2005, because of, the condition of the office and the constant barking of the dog the inspector was unable to continue and the inspection was postponed and was resumed in January 2006. The content of this report reflects the inspector’s findings on the day of the inspection in January. The dog was not present in the office and the office was clean and free from odours. The inspector attended the staff meeting, which took place on the morning of the inspection. The inspector spoke with three members of staff and two service users. There were no visitors present in the unit at the time 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. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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 Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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, 2, 3, 4, 6 The home’s assessment format and process was adequate for ensuring that the initial perceived needs were identified upon admission of new service users. EVIDENCE: The home has a Statement of Purpose and a Service User Guide but both these documents need to be reviewed. The registered provider must keep under review the Statement of Purpose and the service users guide. (Req.1). The Terms and Conditions need to include the room to be occupied. (Recommendation 1) Staff from the home always visit prospective service users prior to admission. During the visit an initial assessment of need is completed which includes diet, routines, interests, likes and dislikes, medication needs, personal hygiene needs and any special needs, activities and health needs. This assessment forms the basis of a care plan, which is compiled after admission. No service user is admitted for intermediate treatment. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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, 8, 9, 10, 11 Care plans in place set out the resident’s daily needs to provide staff with the actions required to meet these. Staff ensures that residents privacy and dignity is respected. EVIDENCE: Residents care plans were inspected. The format remains unchanged since the last inspection. Assessment areas included pressure sore risk, general risk assessment, and record of weight loss; current medication needs eye care, hearing, and continence. The daily plan of care identifies needs under headings of mobility, safety, tissue viability, communication, social needs and personal hygiene. Care plans were inconsistent; some files did not have the name of the key worker or the name of the person that carried out the assessment. The home need to carry out an audit of care plans. (Recommendation. 2) The home does not have a policy on death an dying. The registered providers need to produce a policy on death and dying. (Recommendation 3) Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 9 The manual handling policy is out of date and needs to be updated. The registered person must ensure that there is a safe system for moving and handling of service users. (Req. 2) No service user self medicates. The arrangements for the storage of medication were satisfactory. Only staff with the relevant trining is allowed to administer medication. There are monthly in-house reviews on all care plans. Residents spoken to say that the staff respected their privacy. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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): 12, 13, 14 & 15 The home has maintained good contact with families. Service Users are encouraged to exercise choice where possible EVIDENCE: Visitors are welcome at all times. Menus seen evidenced a well balanced diet. There are only a limited amount of activities at the home. Activities are organised on Tuesdays and Thursdays. On Mondays there is Bible Study and on Fridays there is a quiz. The home does not have an activity worker. This post has recently become available and is being advertised. The hairdresser visits every Wednesday. The home needs to have a designated activities worker to implement an activity programme tailored to meet the needs of the service users. (Recommendation 4) Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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 & 18 The home’s complaints procedures allow service users and their families to raise concern and make complaints. EVIDENCE: The home complaints procedures are in place. This procedure gives advice to service users on how to complain, and who they can complain to. Staff are aware of the policy on Adult Abuse but so far the staff have not had training in the protection of vulnerable adults. The registered person must ensure that all staff receive training in the protection of vulnerable adults. (Req. 3) Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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, 20, 21,23,24, 26 The home is in need of redecoration and refurbishment. There are sufficient numbers of bathroom and toilet facilities. EVIDENCE: The home is badly in need of refurbishment and redecoration. The registered manager explained that there are plans to refurbish the lounge and is awaiting quotes for the work to be done. There are also plans to refurbish and redecorate the dining room and communal corridors. The bedrooms are decorated after each becomes vacant. After the next deep clean of the kitchen the kitchen will be refurbished. These plans are somewhat vague. The manager is unsure when the work will commence. The home is clean and free from odours. The registered provider must ensure that all parts of the home are reasonably decorated and well maintained. (Req. 4) Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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): 27, 30 The home employs care staff and ancillary staff to meet the needs of the service users. Almost all care staff has attained the Level 2 NVQ and Support staff has attained Level 1. EVIDENCE: The staff team consists of care staff, domestic and laundry staff, cook and kitchen assistants to ensure that the resident’s needs are met appropriately. Staff files seen showed that the recruitment of staff and the information required are held by the home in respect of care staff. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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): 31, 33, 34, 36 Staff receive appropriate levels of supervision. The home has suitable accounting and financial procedures in place. EVIDENCE: The manager is a qualified nurse and is undertaking Registered Managers Award and Level 4 NVQ. The inspector attended a staff meeting where range of staffing issues were discussed. A range of health and safety documents were inspected and these were up to date. There was a chemical spill in the home recently where a member of staff suffered burns. Since then the storage of chemicals have been reviewed and now stored in a locked cupboard. The relevant reporting for this incident was done, RIDDOR, an accident report was completed and Regulation 37 sent to the Commission. There was evidence that new risk assessments regarding the storage of chemicals have been completed. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 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 2 2 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 2 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 3 x 3 x x Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 16 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 Standard OP1 Regulation 6a & b Requirement Timescale for action 31/03/06 2 OP8 13.5 3 OP18 13.6 4 OP19 23.2.a The registered must keep under review the Statement of Purpose and the service users guide. The Terms and conditions need to include the room to be occupied. The registered person must 31/03/06 ensure that there is a safe system for moving and handling of service users. The registered person must 31/03/06 ensure that all staff receives training in the protection of vulnerable adults. The registered provider must 31/03/06 ensure that all parts of the home are reasonably decorated and well maintained. 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 OP2 Good Practice Recommendations The Terms and conditions need to include the room to be DS0000038682.V265641.R01.S.doc Version 5.0 Page 17 Rookstone 2 3 4 OP7 OP11 OP 12 occupied. The home need to audit care plans indicating who the key worker is and who carried out the assessment. The registered providers need to produce a policy on death and dying. The home needs to have a designated activities worker to implement an activity programme that is tailored to meet the needs of the service users. Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Rookstone DS0000038682.V265641.R01.S.doc Version 5.0 Page 19 - 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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