Inspection on 04/03/08 for Rookvale

This inspection was carried out on 4th March 2008.

CSCI found this care home to be providing an Poor service.

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 20 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 20/03/07

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 28/09/2008.

CARE HOME ADULTS 18-65 Rookvale 3 Carlton Drive Heaton Bradford West Yorkshire BD9 4DL Lead Inspector Sughra Nazir Key Unannounced Inspection 4th March 2008 10:30 Rookvale DS0000001286.V360207.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.V360207.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.V360207.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rookvale Address 3 Carlton Drive Heaton Bradford West Yorkshire BD9 4DL 01274 543898 01274 783700 rookvale@pcslimited.net 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 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.V360207.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th March 2007 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 people 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. People 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. People have access to NHS chiropody services. A copy of the last inspection report is available in the reception area. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 stars. This means the people who use this service experience poor quality outcomes. This report is based on information gathered in a number of ways. • • A review of the information held on the home’s file since its last inspection. Information sent to us by the registered provider in a document called the Annual Quality Assurance Assessment (AQAA). This tell us what the home does well, what improvements they have made and what they could do better. 4 surveys sent back to us by people who live at the home, one form returned by a relative. An unannounced visit to the home, which lasted about six hours. This visit included a tour of the premises and talking to people who live at the home and staff. We also looked at menus, staff records, and people’s care plans and watched staff looking after people. • • We were not able to look at some records due to the absence of keys. The acting manager had the keys and was not available on the day of the visit. Feedback about what we found at the home was provided to the owner in a meeting on 11th March 2008. What the service does well: From the outside, the home looks like other large family homes in the area. One person told us the level of support they had received at Rookvale has “reshaped my life after a lifetime of working. I have to say I have nothing but gratitude for all the help they have given me.” People can and do go out when they choose. We saw minutes of meetings that show that people are part of discussions about their home. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 6 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.V360207.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.V360207.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 3 and 5 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People do not move in before coming to look round. 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: At the last inspection we asked the home to make some changes to the documents that tell people about their service. This was so that people had a better understanding of how to complain, a breakdown of the fees they are charged and to tell them which room they will stay in. The documents have not been changed. We did not see any assessments in the files we looked at. Staff told us a preadmission assessment is carried out this tells them what care a person will need when they come to stay. Staff told us that people who want to come live at the home are encouraged to visit the home, have a meal, and spend time getting to know other people and Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 9 staff before they decide whether or not to move in. They are given the opportunity to have an overnight stay if they want to. Rookvale DS0000001286.V360207.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 and 9 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Detailed care plans are not in place and this means people’s care needs are not met. For staff to look after people properly they should have information that tells them about the person’s background, their abilities and their needs and how to meet them EVIDENCE: We asked to look at the care records for 5 people, care staff could not find any information about one person. This is poor practice because it means staff have no information about that person’s abilities and needs. We were told at the last inspection that the care records were being changed. Information about people was hard to find and we looked in both old and new files to try and find out about the care needs for 4 people. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 11 The information we saw told us that staff: Have contact details for people including when they came to stay, their age and what their religion is. Have brief details of care needs for example, someone who needs a healthy diet. Keep a brief daily record of what people did. We saw that some care files were locked away and this told us that staff did not check the files to see what care people need. The records did not give staff enough information to meet people’s personal care, social, dietary and religious needs. People’s choices and preferences were not recorded. This means some care needs are not met. For example one person was given a meal that was against their religious beliefs and another did not have the prayer and washing facilities they needed. The help people needed to keep their rooms clean was not recorded and we saw that people were not getting this help. There were no risk assessments in place and no records of any reviews of care plans. One relative told us that they were shown a care plan when their relative first moved in but that they had not been shown any documents for the past 4 years. A number of daily records we saw said “did nothing today”. This does not tell the owners or us what care is being provided. During the visit one person asked for money to go to the shops. Staff told them that the money was locked away and that they did not have any keys. Staff and people told us that one person had a limitation on the number of hot drinks they had but we did not see any documents to tell us that this had been agreed or recorded. We also saw that one person’s cigarettes were held in a safe but there was no documentation to tell us why. Rookvale DS0000001286.V360207.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, 14, 15, 16 and 17 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Activities are limited and people do not get the food they want or need, at times that suit them. This puts people’s physical and mental health at risk. Individual needs and preferences need to be identified and met. EVIDENCE: People, who can go out, go to the local shops, church and pub. Some people 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. For people who stay in the home, a number of daily records we saw said “did nothing today”. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 13 One person told us that they had been unwell for two weeks and that no one had been to their room to see how they were. We did not see any information telling us that people’s social needs had been identified and recorded. This means that staff do not know what activities people like. The range of activities is limited and does not meet people’s needs. There is an activities organiser who provides some activities such as board games and DVDs in the home. One relative told us that there needed to be more leisure activities outside the home such as cinema, bowling etc. We saw that people are supported in developing and maintaining intimate personal relationships. Staff were respectful of privacy. People who choose to maintain links with family and friends are able to. For example a number of people go out and stay with family or friends at the weekend. Visitors can visit at any time. People have responsibility for cleaning their own rooms. In a survey one person told us, “I love Rookvale you can do your own cooking. I clean my room and do my washing” We saw notices displayed telling people about their responsibilities and restricting their rights, for example not being allowed to drink alcohol in communal areas. It was unclear why people could not have an alcoholic drink in the dining room or TV lounge. On the day of our visit the menu said that the main meal was spaghetti bolognaise with garlic bread. The pudding was apple crumble and custard. One person had cheese and onion pie with mashed potato and green beans. People were served their food after queuing at a serving hatch. We were told that there was no garlic bread or pudding because the shopping had not been done. People got a small pot of yoghurt for pudding without being asked what flavour they wanted. The tables were not set, and there were no drinks, condiments, or napkins. We saw that staff gave one person a meal that was against their religious beliefs. The person did not eat the meal and staff did not offer them an alternative. The cook did not know about the person’s requirements and care staff did not intervene. This is poor practice. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 14 We saw that the evening meal was served at 4pm. This is too early for people who stay up late. We looked at three or four people’s plates and saw that the meal was three fish fingers and a portion of beans. One person who lived at the home told us that they were not given enough drinks. The minutes of a meeting confirmed that there are set hot drink times which are breakfast time, 11 am, 3pm and 7pm. This is institutional practice and restricts people’s rights and choices. People’s health and wellbeing could be at risk. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 15 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 and 20 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The principles of respecting dignity and privacy are not put into practice. The health and personal care that people receive is not based on their individual needs. This means some people are not getting the care they need. Risk assessments, policies and procedures need to be introduced to better protect people who take their own medication. EVIDENCE: One person’s bedroom on the ground floor did not have curtains. This means that their privacy and dignity is compromised. The bedrooms shared by two people did not have curtains that closed properly to make sure that each person had their privacy respected. We saw some letters that told us that people had been to the hospital. One person told us that they had been to the hospital for blood tests the day before our visit. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 16 There was not enough information on files to tell us whether people had regular health checks. We looked at medication charts that staff sign after they give out medication to people. These records were complete and staff had papers that they fill in to record when medicines are brought into the home. Staff showed us the care record for a person who takes their own medication. There was no risk assessment or information about this on his or her file to tell staff who ordered the medication, where it was kept and how to make sure that the person stayed well. We asked staff where the person kept their medication, staff did not know. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 17 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 and 23 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Not all people have access to information about how to make a complaint. Because the system for dealing with complaints is not robust people cannot be confident that their concerns will be listened to or acted upon. Lack of staff training and understanding means that people are not protected from abuse. EVIDENCE: The documents available to people in the home do not tell them how to make a complaint. We saw that there was one complaint received since the last inspection but the recording of what the home did to sort this out, was not complete. One person told us about a serious complaint they had made about a member of staff but this was not recorded anywhere. At the time of inspection the home’s owners were dealing with a serious concern but this had not been reported to the adult protection team. Training records were incomplete and information the home sent to us said that some staff had not received training on protecting people from abuse. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 18 People who live at the home told us about 2 incidents that showed that staff do not know how to deal with reports of abuse. This is poor practice. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 19 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, 26 and 30 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a home that is poorly maintained. Bedrooms are not clean and lack basic items that would make them comfortable and homely. A programme of maintenance and refurbishment is needed to make sure that the people live in a clean and safe environment and have the facilities they need. EVIDENCE: The shared areas of the home were clean and smelt fresh. In the minutes of the meeting with people who live at the home we saw that it is the home’s practice for people to be told that it is their responsibility to clean their own room. Most of the rooms we looked at needed a thorough clean. This showed that these people needed some help to clean their rooms and were not getting it. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 20 All the carpets and floor coverings in bedrooms were worn. All the chairs we saw were soiled and needed a deep clean. Some shared rooms did not have curtains that closed to give people privacy. In one bedroom we saw a stained pillow and duvet cover; there was no sheet, no pillowcase or duvet. The curtain rail was hanging off and there were no curtains. The carpet was worn and dirty. The handles on the wardrobe were missing. In another room we saw that a headboard was missing, there was no mirror for shaving and the carpet had frayed and could cause a fall. We saw lots of other examples that told us that the home does not offer people a homely safe environment. After the last inspection we asked for a plan to tell us how and when the environment would be improved. We did not get this information. After the last inspection we asked the owners to provide sufficient storage and additional electrical sockets. This work has not been done. In two bathrooms we saw that there was a large container of body wash/shampoo and a net sponge that is used by everyone. We told staff that this is poor practice, which increases the risk of cross infection. People should have their own toiletries and washing sponges. The laundry area was clean, and well equipped. People do their own laundry on set days only. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 21 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. 34 and 35 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff do not have the training to make sure that they can look after the health safety and wellbeing of people who live at the home. EVIDENCE: One relative told us “The staff are sociable and willing to offer help and assistance when necessary although facilities are rather limited”. On the day of the visit there were 2 members of care staff on duty as well as a cook and cleaner and part-time activities organiser. Some of the people who live at the home were out so there were enough staff to look after people. When the cook is not working the care staff do the cooking. This means that sometimes people cannot go out if they need staff support. Information the home sent us tells us that more than half the staff have completed an NVQ (National Vocational Qualification) at Level 2. We could not access any records to check this. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 22 We looked at two staff files. Both contained evidence of a criminal records bureau check and 2 references. However neither person had provided a full employment history and there was no evidence that gaps in employment had been checked. We saw that new staff complete an induction checklist but staff told us that a more detailed induction training programme has not been available since July 2006. We looked at 2 staff training files and saw that there was no record of training on moving and handling, health and safety and fire safety. Staff do not have access to training that would help them look after people with mental health problems or with challenging behaviour. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 23 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, 39 and 42 People who use the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Management of the home is poor. The home is not being run in the best interests of people who live there. People are not always receiving the care that they need. The home has some institutional practices that restrict people’s rights and choices. Management and recordkeeping needs to improve to ensure that people’s health, safety and wellbeing is not put at risk. EVIDENCE: There is no registered manager at the home. Staff told us that there had been three managers at the home in the past year. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 24 To help us the plan the inspection we asked for the home for information. The information was received 7 months later and was incomplete. We saw records that showed meetings are held with people who live at the home. Minutes of a meeting dated 28th January 2008 showed that people have restrictions on drinking alcohol, access to hot drinks is limited, and laundry days are fixed. We also saw that mealtimes are inflexible. From other records we saw that the help people need is not always provided and complaints and allegations are not always followed up. This tells us that there is institutional practice at the home and that it is not being run in the best interests of people who live there. The home should tell us about important changes at the home but have not done so. For example one relative told us about a serious injury that had happened to their relative but we had not been told about this. There have been incidents involving staff that we have not been told about. The home does not carry out quality audits or get the views of people and their relatives to make sure that they are happy with the quality of services provided. The provider should be visiting the home to monitor the quality of the service being provided, to give support to the manager and staff. This has not been happening. A gas boiler was deemed unsafe in August 2006. Staff could not tell us whether this boiler had been fixed or replaced. At the last inspection we made some requirements for safety checks, this work has not been done. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 25 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 2 3 3 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 1 ENVIRONMENT Standard No Score 24 1 25 X 26 2 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 2 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 2 17 1 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 x 1 2 2 X X 2 x Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 26 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, 6 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. An up-to-date assessment of needs must be carried out covering all areas of care needed by people. This assessment must involve people and their relatives. This will mean staff have a good understanding of people’s care needs. The terms and conditions must include information on the breakdown of the fees and specify the room number to be occupied. This will mean people know what the service provides and what they need to pay for. Everyone living at the home must have a detailed care plan setting out the person’s goals abilities and care needs. The plan must be drawn up with the involvement of the person together with family, friends DS0000001286.V360207.R01.S.doc Timescale for action 31/07/08 2. YA2 14 31/05/08 3. YA5 5a 31/07/08 4. YA6 15, 14 31/07/08 Rookvale Version 5.2 Page 27 5. YA7 16 6. 7. YA14 YA17 16(2) 12 8. YA18 12 9. YA20 13(2) and/or advocate as appropriate, and relevant agencies/specialists. This will mean that people get the care they need. Any restrictions on choices must be agreed and recorded in individual care plans. People must have access to their money. The reasons for and manner of support needed to help people manage their finances must be documented. Staff must make sure that people have access to a range of appropriate leisure activities. People must have a varied and nutritionally balanced diet that meets their dietary and religious needs. People should have access to food and drinks at times that suit their needs and preferences. Curtains must be provided at all windows and in shared bedrooms so that people receive care in privacy. A policy, procedure, and risk assessment must be produced for people who wish to be responsible for their own medication to make sure that people who wish to self medicate get the appropriate support. 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 wish to self-medicate. Previous timescales of 01/12/05 and 31/05/07 not met. People must receive clear information about how to DS0000001286.V360207.R01.S.doc 31/05/08 31/07/08 31/05/08 31/05/08 31/05/08 10. YA22 22 30/06/08 Rookvale Version 5.2 Page 28 11. YA23 13(6) complain and any complaints they make should be recorded. Local adult protection and safeguarding protocols must be followed. To make sure that people are safeguarded from any form of abuse, staff must receive training on the protection of vulnerable adults. Previous timescale of 29/06/07 not met. 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 people. Previous timescale of 01/01/06 29/06/07 not met. Staff must make sure that people only use their own toiletries and washing sponges. This will help keep people safe from infections. People must get the help they need to keep their rooms clean. In order to keep people safe, a full employment history must be obtained for new staff and checks made on any gaps in employment. All staff must receive foundation training in line with General Social Care Council standards. A training and development programme must be in place to ensure all staff have training in core skills such as moving and handling, fire safety etc. This training will make sure that staff maintain the health, safety and DS0000001286.V360207.R01.S.doc 30/09/08 12. YA24 23(2) 31/05/08 13. YA30 13 (3) 31/05/08 14. YA34 Sch2 31/05/08 15. YA35 18 31/10/08 Rookvale Version 5.2 Page 29 16. YA37 39 wellbeing of people in the home and themselves. The CSCI must be notified in writing of the management arrangements for the home so that we can be assured that people are safe and that the home is being managed by a suitably, qualified and experienced person. Previous timescale of 31/05/07 not met. The home must notify the Commission of all events that adversely affect the wellbeing of people who live there. This will make sure that we can check that the proper action has been taken. Previous timescale of 31/05/07 not met. In order to make sure that the people are getting the care they need, the owners must carry out monthly visits and provide the CSCI with copies of the reports from these visits. Previous timescale of 31/05/07 not met. A system of quality assurance should be in place to make sure that the service is being run effectively and meets people’s needs. To make sure that the home is safe the CSCI must be provided with: • Confirmation that portable appliance testing has been carried out Information on the arrangements for making sure that electrical 31/05/08 17. YA38 37 31/05/08 18. YA38 26 31/05/08 19. YA39 24 31/10/08 20. YA42 13(4) 31/05/08 • Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 30 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. • 21. RQN 24 Previous timescale of 22/06/07 not met. The owner must send to the CSCI an improvement plan detailing how and when the issues raised in this report will be resolved. 31/05/08 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 2. 3. Refer to Standard YA9 YA16 YA19 Good Practice Recommendations The home should make sure there are risk assessments in place for moving and handling, smoking, alcohol etc. The daily routines should be flexible and promote independence and choice. People should receive support to care for their own environment if needed. Better records should be kept of people’s healthcare needs and the actions the home takes to meet those needs. This will mean the home can be sure it is meeting people’s healthcare needs. DS0000001286.V360207.R01.S.doc Version 5.2 Page 31 Rookvale 4. YA26 Bedrooms should have a least two double sockets so that people are able to safely use their personal electrical equipment. Bedrooms should have enough storage to accommodate people’ personal belongings. Rookvale DS0000001286.V360207.R01.S.doc Version 5.2 Page 32 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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.V360207.R01.S.doc Version 5.2 Page 33 - 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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