Inspection on 20/03/07 for Rookvale

This inspection was carried out on 20th March 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rookvale 26/08/09

Rookvale 28/08/08

Rookvale 04/03/08

Rookvale 04/10/05

Rookvale 05/04/05

Rookvale 19/10/04

Rookvale 06/05/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 Rookvale 3 Carlton Drive Heaton Bradford West Yorkshire BD9 4DI Lead Inspector Mary Bentley Unannounced Inspection 20 March 2007 09:30 Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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 Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rookvale Address 3 Carlton Drive Heaton Bradford West Yorkshire BD9 4DI 01274 543898 01274 783700 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 Jarnail Singh Bassan *** Post Vacant *** Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4), Physical disability over 65 years of age (1) Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th October 2005 Brief Description of the Service: Rookvale is situated in the Heaton district of Bradford, which is approximately 3 miles from the city centre. The home provides personal care for service users with mental health problems who are under pension age. The home does not provide nursing care. There are 9 single bedrooms and 5 double bedrooms available on 3 floors. The home cannot accommodate people with physical disabilities. The home is close to a regular bus route and is well served with local amenities including, shops, post office, park, and public houses. The home stands in its own grounds and has outdoor sitting areas and parking. The weekly fees are £350.00. Residents are sometimes asked to make a contribution to the cost of organised outings. If necessary the home can arrange services such as hairdressing at an additional cost but generally people prefer to make their own arrangements outside of the home. Residents have access to NHS chiropody services. A copy of the last inspection report is available in the reception area. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 we made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home and Individual Needs and Choices. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate”, and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The last inspection was in October 2005 and there were five requirements. We have not made any additional visits to the home since then. The purpose of this inspection was to look at how the needs of people living in the home are being met. I did this unannounced inspection in one day and spent 7.5 hours in the home. During the visit I talked to residents, staff and management, examined various records, observed staff supporting residents, and looked at some parts of the home. The home completed a pre-inspection questionnaire and the information provided was used during the inspection. Comment cards were sent to the home to be given to residents and relatives. Comment cards give people the opportunity to share their views of the service with us. The information we get is shared with the home without identifying who has provided it. None had been returned at the time of writing this report. What the service does well: Prospective residents are encouraged to visit the home and to have an overnight stay before making a decision about moving in. Residents are involved in developing their individual support plans. The home reviews the support plans every 3 months, residents are involved in this and are encouraged to share their views. The home has good links with community based social and health care staff and residents are given the support they need to make sure their personal and health care needs are met. The home has a relaxed atmosphere and daily routines are flexible, rules are kept to a minimum and those that are in place, such as restrictions on smoking, are clearly explained. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 6 Residents know how to raise concerns and when they do their concerns are taken seriously and acted on. 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. The summary of this inspection report can be made available in other formats on request. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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 Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4, & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not move in until their needs have been assessed. However, the written information provided about the home needs to be improved so that people get clear and accurate information about the services offered. EVIDENCE: The Statement of Purpose was reviewed in March 07 however it does not give people clear and accurate information about the service. For example the visiting times in the Statement of Purpose and Service User guide are different. The Service User guide does not provide any information about how to make a complaint. The Statement of Purpose does not make it clear how people should complain or how complaints are dealt with. It refers to the home’s policies relating to complaints; this is not helpful to either existing or prospective residents, as they do not have easy access to these documents. It was clear from talking to staff that they understand the importance of finding out about people’s needs and aspirations before making a decision about admission. They get copies of assessments done by other professionals and do their own pre-admission assessment. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 9 Prospective residents are encouraged to visit the home, have a meal, and spend time getting to know other residents and staff before they decide whether or not to move in. They are given the opportunity to have an overnight stay if they want to. The home was expecting a new resident a few days after this visit, the preadmission paperwork was available, and the resident had been to visit. The majority of residents are funded by Social Services and have a copy of the Social Services contract. The records showed that most people had copies of the home’s terms and conditions. The home’s terms and conditions do not include all the required information such as a breakdown of the fees. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in planning their care; their personal goals are reflected in the care records. EVIDENCE: I looked at the records of four residents. The plans address all aspects of personal and healthcare support and there is some information on social care. The home is in the process of changing the format used for care plans. I saw one of the new care plans and it gives a much more detailed picture of peoples’ needs. The plans are reviewed every 3 months, residents are involved in the review process and whenever possible they sign the care records. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 11 There is good information on how staff should respond to challenging or aggressive behaviour. Where there are restrictions in place for example some residents have restricted fluid intake, these are well documented. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rights of residents are respected and they are supported in having appropriate relationships. More could be done to make meal times an enjoyable experience for residents. EVIDENCE: Some residents go to day centres, one person attends a group for Asian men once a week, and another has a “befriender” who accompanies him on social outings. Unless there is a specific reason why people should not go out alone residents are free to come and go as they please. There is an activities organiser who provides some activities such as board games and DVDs in the home. However, she is unable to got out with residents unless accompanied by another member of staff. This limits the Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 13 support she can provide to people in taking part in activities outside of the home. The new acting manager has identified this as an area to be addressed. There is some information on social care in the care records but it is not very detailed. This is being dealt with by the introduction of more detailed individual care records. Residents who choose to maintain links with family and friends are supported in doing so, for example a number of people go out and stay with family or friends at the weekend. Residents are supported in developing and maintaining intimate personal relationships, one couple are hoping to move to independent sheltered housing and the home are helping them to plan and prepare for this. Residents are consulted about meals and generally they were satisfied with the food. However, more thought needs to go into the menu planning, for example on the day of the visit there was Gammon for lunch and bacon for tea. Halal food is provided for people who want it. Most of the meals are one course, with puddings only provided on Sundays. The manager said this was to help promote healthy eating and to help maintain cholesterol levels within the recommended guidelines. This level of awareness of the importance of healthy eating is commendable however this must be balanced against individual choice. The meal I observed was not a particularly social occasion. Residents lined up at the hatch to get their meals, the tables were not set, and there were no drinks, condiments, or napkins. It is acknowledged that is some cases there are good reasons for this. For example some residents need to have a restricted fluid intake and it would not be appropriate to have a jug of water on the table. However the home needs to look at how this is managed. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given appropriate support to make sure their personal and health care needs are met. Improvements are needed to the way in which residents are supported in managing their own medicines. EVIDENCE: There is a key worker system, which means that residents have an allocated worker who has the main responsibility for co-ordinating their care needs. Most people are able to manage their own personal care with some support from staff. The records showed that residents have access to a range of NHS services including chiropody and eye tests, which are provided in the home. Most people go to their GPs surgery; if necessary they are accompanied by staff. At the last inspection the company was asked to produce a policy on how residents should be supported to manage their own medicines. This has been done but it is not suitable because it does not include any information on assessing the risks. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 15 One person in the home was managing his own medicine, a risk assessment had not been done, and a safe storage place had not been provided. The rest of the systems for managing medicines are satisfactory. All staff have received training on dealing with medicines. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home fosters an environment where residents feel protected and are able to raise concerns with a range of different staff both inside and outside the home. EVIDENCE: The home has had three complaints since the last inspection. We have not received any complaints or concerns about the service. I saw evidence that residents had used the complaints’ procedure and their concerns had been dealt with appropriately. Residents have regular contact with other professionals such as social workers and community psychiatric nurses. This provides them with the opportunity to raise concerns outside of the home if, for whatever reason, they feel unable to raise their concerns with staff in the home. The local authority adult protection procedures are available. Staff have basic training in adult protection as part of their induction. More detailed training has not been provided; this is needed so that staff can be confident that they know how to respond to any allegations or suspicions of abuse. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, & 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and reasonably comfortable. It needs to be refurbished and more attention needs to given to maintenance to make sure that it provides a safe and pleasant place for people to live. EVIDENCE: The home was clean and there were no offensive odours. A new carpet has been fitted in the communal areas and some new chairs have been provided. Apart from that very little progress has been made with the refurbishment programme. This was a requirement at the last inspection. The wallpaper in the small lounge near the dining room is coming away from the wall in several places and the curtains are frayed at the ends. The conservatory, which is the designated smoking area for residents, is basically furnished with chairs around the walls and a couple of small tables. It Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 18 could be made more comfortable and pleasant for residents for example by fitting some window blinds. The dining room is functional and would also benefit from some homely touches. There was evidence throughout the home that more attention needs to be paid to maintenance, for example in one room all the handles were missing from the wardrobe doors leaving screws sticking out and a drawer was missing from a chest of drawers. One resident said he would like a new carpet because his was badly stained. Several light fittings did not have light shades leaving exposed bulbs, which do not create a homely environment. One of the glass panels in the conservatory door was broken and had been replaced by a piece of wood. Residents said this happens all the time because the door bangs shut. There are 3 bathrooms that residents can use. Two of them were seen and both are in need of refurbishment. In the shower room on the first floor one of the taps on the washbasin was broken and there was no plug for the sink. In the shower some of the tiles were broken and others were missing. Residents said they have keys to their rooms. Most people had lots of personal belongings but there was not enough storage space in some rooms meaning that people had to leave things piled up on the windowsill. There are not enough electrical sockets in some rooms, residents were using extension sockets, and the wires were trailing across the floor creating a trip hazard. There was no evidence that portable appliance testing had been done, this must be done every year to make sure that electrical appliances are safe and to reduce the risk of electrical fires. The laundry is in the basement; staff said most residents do their own laundry with support from staff. There was liquid soap and paper towels throughout the home and staff said protective clothing such as gloves, and aprons were provided. There are limited opportunities for residents to make their own meals or practice their cooking skills because there are restrictions on when they can use the kitchen. The manager said the owners were planning to build an extension; this should include a small kitchen for residents to use. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough staff to meet residents’ needs. Staff training needs to be improved to make sure that staff are supported in obtaining the skills and knowledge they need to meet residents’ needs. EVIDENCE: During the day from 8.00am to 9.00pm there are usually 3 staff on duty as well as the manager. Overnight there is one person on duty and another sleeps over in the home and is called if needed. During the week the home also has a domestic assistant, a cook and an activities organiser on duty. The manager said that a lot of residents go out at weekends so there are enough staff to provide support for residents and do the cooking. There are duty rotas available, they do not show the full names of staff. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 20 On occasions staff from Rookvale are required to work in other homes owned by the company or to cover shortfalls in the domiciliary care services. While acknowledging that this is not common practice senior management must make sure that this arrangement does not compromise the welfare of residents at Rookvale. The National Minimum Standards recommend that 50 of care staff are qualified to NVQ (National Vocational Qualification) level 2 or above, in Rookvale 55 of the staff have this qualification. The training manager left in July last year and since then very little training has taken place. New staff complete an induction checklist but a more detailed induction training programme has not been available since July 06. Staff appraisals have been done and the new acting manager has identified a number of areas where training needs to be provided or updated. The company has engaged the services of an external training provider. The acting manager said a full programme of both mandatory and specialist training should be available in the near future. Staff meetings are usually held every 2 months. Staff are required to sign residents’ individual plans to show that they understand what they must do to support residents. However a formal staff supervision programme has not yet been developed; the new acting manager is aware that this needs to be addressed, as it is outstanding from the last inspection. The files of two staff employed since the last inspection showed that all the required checks had been completed before they started work. We discussed the new guidance on CRB (Criminal Record Bureau) checks; the disclosure forms must be kept for inspection. The company employs the cook centrally but he is more or less permanently based at Rookvale. A copy of his recruitment file was not available for inspection. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff in the home are committed to promoting residents’ rights and they work hard to make sure that residents have a say in the day-to-day running of the home. However, there are some issues which potentially put residents at risk and the company must make sure that the appropriate resources are made available to deal with these issues. EVIDENCE: We were informed in June 2006 that the registered manager had left and an acting manager had been appointed. An application for registration was not made. He is now planning to leave and a new acting manager was appointed Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 22 in February 2007, we were not informed about this. The new manager must make an application to be registered without delay, so that people using the service can be confident is it managed by a suitably qualified, experienced, and competent person. The required monthly visits by the owners, or a nominated representative, have only been done every two months. These visits are intended to be part of the organisations quality assurance system and to provide support for the manager. They are particularly important when, as has been the case in Rookvale, the acting manager is not registered and is relatively inexperienced in management. The acting manager said a visit had taken place during the week prior to the inspection but the report had not yet been completed. The only visit report available in the home was dated August 2006 and was not signed. There is a quality monitoring system and the home manager does internal audits on various aspects of the service in accordance with an annual schedule. Records are kept of these checks. There are regular residents meetings and residents are consulted as part of the 3 monthly care reviews. Some questionnaires have been sent out but there has generally been a poor response. We discussed sending surveys to other professionals involved with the service so that they have the opportunity to share their views and make suggestions as to how the service could be developed and/or improved. The fire safety systems are checked weekly and there are regular fire drills which residents and staff take part in. The fire risk assessment has been done according to guidelines provided by the fire safety officer. The electrical wiring certificate was not available. An up to date gas safety certificate was not available. In October 2005 the gas company recommended that the boiler be replaced within 6 months. In August 2006 they informed the home that they considered it a potential hazard and that it’s continued use could be a breach of the gas safety regulations. It was not clear what the owners intended to do about this. New water tanks have been fitted but it was not clear if systems were in place to control the risk of Legionella. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 2 2 3 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 3 26 2 27 2 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 2 3 X 2 2 X Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 YA1 Regulation 4&5 Requirement The Statement of Purpose and Service User guide must include all the required information so that people using the service and/or thinking about using the service have clear, accurate, and up to date information about the services offered. A copy of the updated Statement of Purpose and Service User guide must be sent to the CSCI. A policy, procedure, and risk assessment must be produced for residents who wish to be responsible for their own medication to make sure that residents who wish to self medicate get the appropriate support. Previous timescale of 01/12/05 not met. To make sure that medicines are stored safely and to reduce the risk of people taking medicines that are not prescribed for them suitable storage facilities must be provided for residents who Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 25 Timescale for action 27/07/07 2 YA20 13(2) 31/05/07 wish to self-medicate. 3 YA23 13(6) To make sure that residents are safeguarded from any form of abuse staff must receive training on the protection of vulnerable adults. The CSCI must be provided with details of when the training is to take place, the name of the training provider, and the names of staff attending. The CSCI must be provided with a detailed plan for the refurbishment of the home including timescales for the completion of the work to make sure that the home provides a pleasant and homely environment for residents. 29/06/07 4 YA24 23(2) 29/06/07 5 YA37 39 6 YA38 26 7 YA42 13(4) Previous timescale of 01/01/06 not met. The CSCI must be notified in 31/05/07 writing of the management arrangements for the home so that we can be assured that residents are safe and that the home is being managed by a suitably, qualified and experienced person. In order to make sure that the 31/05/07 new acting manager receives appropriate support and to make sure that the home is being run effectively the owners must carry out monthly visits and provide the CSCI with copies of the reports from these visits. To make sure that the home is 22/06/07 safe the CSCI must be provided with: • Confirmation that portable appliance testing has been carried out Information on the Version 5.2 Page 26 • Rookvale DS0000001286.V325085.R01.S.doc arrangements for making sure that electrical appliances that are brought into the home are safe • • • A copy of the electrical wiring certificate A copy of the gas safety certificate Confirmation that appropriate measures have been taken to make sure that the gas boiler is safe to use and Confirmation that checks to reduce the risk of Legionella have been carried out. • 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 YA5 Good Practice Recommendations The terms and conditions should include information on the breakdown of the fees and specify the room number to be occupied. The home should get specialist nutritional advice on menu planning so that they can continue to promote healthy eating and give residents the opportunity to have a more varied diet. More should be done to make meal times a social occasion for residents. 3 YA26 Bedrooms should have a least two double sockets so that residents are able to safely use their personal electrical DS0000001286.V325085.R01.S.doc Version 5.2 Page 27 2 YA17 Rookvale equipment. Bedrooms should have enough storage to accommodate residents’ personal belongings. Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Rookvale DS0000001286.V325085.R01.S.doc Version 5.2 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!