Inspection on 16/05/05 for Roper House

This inspection was carried out on 16th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Roper House 17/12/08

Roper House 21/01/07

Roper House 03/10/05

Roper House 27/10/04

Roper House 20/05/04

Roper House 15/01/04

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Roper House St Dunstans Street Canterbury Kent CT2 8BZ Lead Inspector Christine Lawrence Unannounced 16 May 2005 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 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 and 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. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Roper House Address St Dunstans Street, Canterbury, Kent, CT2 8BZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 462155 01227 452351 john.lynn@rnid.org.uk / robert.isted@rnid.org.uk The Royal National Institute for the Deaf Mr John Lynn CRH 28 Category(ies) of Sensory Impairment registration, with number of places Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27 October 2004 Brief Description of the Service: Roper House is a care home providing care and accommodation for 28 people with sensory impairment. It is owned by the Royal National Institute for the Deaf (RNID). The home is located in the centre of Canterbury with all of its amenities.The home was opened in 1982 and consists of a large older building with a newer extension to the rear. All the home’s bedrooms are single, with en suite toilet facilities and a bath or shower. There is a lift. There are extensive, very well maintained gardens to the rear. Currently there are 13 residents who are over 65 years of age and 10 who are aged between 18 and 65. The outcomes therefore reflect a mixture of the national minimum standards for older people and people aged 18-65. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place between 11.00am and 3.40pm. Two members of staff were interviewed and the manager and the deputy manager provided information. Some interactions between staff members and residents were observed. A tour of parts of the building was undertaken and residents’ records were examined, as were some policies and procedures. No residents were formally spoken to at this time but the next inspection will include a BSL translator to enable the inspector to get the views of the people living at Roper House. 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. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 (Older People) and 2 (Adults 18-65) No person moves into the home without first having their needs carefully assessed and therefore being confident that these needs will be met. EVIDENCE: Residents’ individual files have copies of assessments undertaken before any decision is made about whether Roper House will be suitable. This format has been improved for more recent admissions and now contains a range of topics which encompasses all aspects included in standard 3.3 (Older People) and standard 2.3 (Adults 18-65). Where appropriate, there is also information relating to any special individual disability needs. These assessments are undertaken by the organisation’s development manager, the deputy manager of Roper House and another senior member of care staff. There were copies of assessments from the placing authority for some of the residents but there will always be an assessment undertaken by the organisation and staff from Roper Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 8 House. The records seen at this time also showed that the assessments are used to compile a care plan. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 0 These standards were not considered at this inspection. EVIDENCE: Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 These standards were not considered at this inspection. EVIDENCE: Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 (Older People) and 22 and 23 (Adults 18-65) Residents and their representatives can feel confident that any complaints will be taken seriously and responded to. Residents are protected from abuse. EVIDENCE: There is a clear complaints procedure which includes appropriate timescales. Some people have been provided with a diagram format and other people have had the information explained to them as the document or a summary is not yet available in Braille. There is a folder used for recording any complaints but there have been none for some time. The home has a key worker system and residents’ meetings and staff said that this enables things to be sorted out before becoming a complaint. The following policies are in place at Roper House:- Adult Protection and Prevention of Abuse which includes information about the Protection of Vulnerable Adults (POVA) and makes reference to local procedures with the social services department; Whistle blowing, which is based on the Public Information Disclosure Act 1998 and cross references to other policies; Challenging Behaviour, which includes guidance about physical intervention; Violence and Aggression; Bullying; and Management of Service Users’ Money and Financial Affairs. Staff receive training regarding the management of difficult behaviour during their induction, as the deputy manager is a trainer. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 12 POVA training has also been provided to all staff. The Administration Supervisor explained the procedures for safeguarding residents’ money. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 (Older People) and 30 (Adults 18-65) Residents live in a safe, well-maintained and pleasant environment which is kept clean and hygienic. EVIDENCE: The home is located in the city centre with easy access to public transport. The manager and the deputy manager continually monitor the physical standards within the home and highlight areas for maintenance needs or improvements. This is done as far as possible in a homely way. For instance some corridor lights are going to be improved and effort is being made to ensure that the planned improvement to light does not compromise the attractiveness of the fittings. The rear gardens are very attractive and are well maintained and provide a safe, accessible area for residents. Improvements are currently being made to make the garden more accessible for some Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 14 residents with special needs. Some closed circuit televisions are used to monitor some external areas for security reasons. The home was clean and free from any offensive odours. The housekeeping staff are using schedules to ensure that all aspects of the cleaning routine are covered. The laundry facilities are good and include a separate area which can be used by residents who wish to do their own laundry. Hand washing facilities are appropriate and reminder signs about the importance of hand washing are on display throughout the building. Appropriate policies and procedures are in place and accessible to staff. Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 These standards were not considered at this inspection. EVIDENCE: Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 These standards were not considered at this inspection. EVIDENCE: Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 17 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 x 2 3 3 x 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x x x x x x 3 Score Standard No 7 8 9 10 11 Score x x x x x Standard No 27 28 29 30 x x x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x 37 x 38 x Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 18 no 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF 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 Roper House H56-H05 S23293 Roper House V227057 160505 Stage 4.doc Version 1.30 Page 20 - 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!