Inspection on 14/02/06 for Roscarrack House

This inspection was carried out on 14th February 2006.

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

Roscarrack House 16/12/08

Roscarrack House 25/01/07

Roscarrack House 30/08/05

Roscarrack House 06/01/05

Roscarrack House 27/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Roscarrack House Bickland Water Road Budock Falmouth Cornwall TR11 5BP Lead Inspector Ian Wright Announced Inspection 14th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Roscarrack House Address Bickland Water Road Budock Falmouth Cornwall TR11 5BP 01326 312498 01326 312498 roscarrack@talktalk.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 David Edwards Mrs Maureen Edwards Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Roscarrack House provides care for 19 elderly people. The home is situated on the outskirts of Falmouth in large grounds with extensive views over the open countryside. The home is approached by a long drive with car parking available. Accommodation is on two floors with a stair lift provided. The majority of bedrooms have en suite facilities that include a toilet and washbasin. There is suitable wheel chair access. The registered providers are Mr and Mrs Edwards. Mr M. Gibbs the manager of the home supports them. Suitably qualified and experienced care staff provide personal care within a relaxed, friendly atmosphere. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over eight hours. The inspector was able to speak to many of the service users and met with one of the owners Mrs Edwards, and Mr Gibbs the manager of the home. The inspector examined the care and business records, and toured the building. 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. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Suitable information is provided to enable service users to make an informed choice to move to the home. Service users receive a statement of terms and conditions of residency / contract on admission, which informs them of their rights and responsibilities. Suitable measures e.g. a pre admission assessment, and links with external professionals are in place so the registered provider can meet the needs of service users. EVIDENCE: A suitable service user guide was inspected. All service users, and where appropriate, their representatives have received a copy of the service user guide. Individualised and signed copies of the provider’s statement of terms and conditions of residency / contract on admission were filed on individual staff files. Pre admission assessments are completed before the service user comes to live in the home. From discussion and records it appears there are suitable links with external professionals such as general practitioners, chiropodists, social workers and district nurses. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10,11 Service users personal and health care needs are met appropriately. EVIDENCE: All service users have suitable care plans. These contain satisfactory information to enable staff to deliver care. Care plans are reviewed appropriately. Suitable links have been developed with GP’s, community psychiatric nurses, district nurses, chiropodists and dentists etc. Interventions by health care professionals are documented. The registered provider operates a satisfactory medication system. Medication records are kept appropriately. Staff who administer medication have generally received suitable training. One person has yet to receive external training, but the manager said this person has been trained in house and is supervised when they are administering medication. The inspector spoke to several service users who said their rights were respected, and they were treated with dignity by staff. Staff were observed working with service users in an appropriate manner. The manager said all Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 9 service user clothing is labelled. Staff were observed knocking on service user doors before entering. The registered provider has a suitable death and dying policy. The manager outlined a suitable approach regarding the care of service users when they are dying. For example family and friends are welcome to sit with the service user, and additional staffing is provided if this is necessary. Appropriate medical care appears to be provided. The registered provider said, where possible, at least one representative from the home will attend a service user’s funeral. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14, 15 Routines and activities are tailored according to individual service users needs. Suitable arrangements are made to assist service users to manage their finances. Meals provided are to a good standard. EVIDENCE: Service users said they could get up and go to bed when they wished, and have autonomy how they organise their time. More agile service users are able to go for a walk on their own. The home has extremely pleasant grounds where service users can choose to relax. The registered providers employ an activities worker two afternoons per week. She organises individual and group activities with service users who wish to participate in these. The manager said the vast majority of service users either look after their own moneys, or their next of kin or legal representative manage these. Where the registered provider looks after service user moneys, satisfactory records are kept. The registered provider or other staff do not act as appointee for any service users moneys or bank accounts. Service users can bring their own possessions to the home. Service users said meals are to a good standard. The manager and service users said if service users do not like what is on the menu an alternative is provided. The manager said staff have a good knowledge of individual Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 11 preferences. Special diets can be catered for. A hot and cold alternative meal is provided in the evening. Hot and cold drinks are available throughout the day. The inspector shared a meal with service users. Fresh produce was used and the meal was to a high standard. Service users said they enjoyed the meal. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Appropriate arrangements are in place so any complaints are resolved effectively. Suitable arrangements are in place to ensure service users legal and civil rights are protected. Suitable procedures and training are in place to protect service users from abuse. EVIDENCE: The registered provider has a satisfactory complaints procedure, which is displayed around the home. Information how to make a complaint is also issued to service users for example in the service user guide. One service user said he was not happy with the conduct of one member of staff. The manager said the matter had been investigated, and no action was required. It was agreed the situation needed to be monitored. The manager said postal votes are arranged for service users. Information regarding advocacy services is available to service users e.g. as part of the service user guide. Age Concern visit the home to check service users are happy with their care on behalf of social services. The registered provider has a satisfactory adult protection policy. The manager said issues regarding abuse and adult protection are covered in staff induction. However this is not documented on the induction checklist, and the issue should be added. Some staff have also attended adult protection training run by social services. Additional training regarding abuse is being arranged by the manager to take place in April. Staff employed from July 2004 have received Protection of Vulnerable Adults checks (POVA) in line with the government guidance. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Roscarrack provides suitable accommodation to meet the needs of service users living there. The home is clean, pleasant and hygienic. EVIDENCE: The property is very well maintained, appears to be safe, and is comfortable and homely. Furnishings and decorations are of good quality. The home has a large lounge where service users can choose to relax. Other facilities include a pleasant dining room, and suitable bathrooms and toilets. The home was clean and hygienic on the day of inspection. Bedrooms are suitable for purpose, and pleasantly decorated. A carpet in one of the bedrooms was rippled, and could over time present a trip hazard. The manager said the carpet would be replaced. Service users all said they were happy with their accommodation. One service user said they would like to have a hook on the back of her bathroom door. The manager said he would arrange this. The inspector spoke to service users sitting in the lounge who said they were happy with their accommodation. Children’s programmes were on the TV and when asked the service users said they would prefer to watch something else. The service users did not know how to work the remote control. It is suggested staff assist service users to make choices regarding what is on the TV. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Suitable staffing levels are provided to care for service users. Staff are recruited and trained appropriately. EVIDENCE: Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 15 Suitable staffing is provided. Rotas show: • • • • • There is a minimum of three staff on duty between 0730 and 1030 (however there is usually up to five staff on duty during this time). Between 10:30 and 1400 there is between 3 and 4 staff on duty. Between 1400 and 1730 there is between 2 and 3 staff on duty. Two staff are on duty between 1730 and 2130. There is one waking night and one sleep in member of staff on duty between 2130 and 0730. The manager said cleaning, laundry; maintenance and gardening staff are employed. The manager said 50 of care staff have a National Vocational Qualification (NVQ) in care. Other staff are either completing an NVQ or have the opportunity to obtain this qualification. Copies on NVQ certificates are maintained on file. The manager outlined a suitable recruitment procedure. Staff records were inspected. These were generally acceptable and included appropriate information for example two references and an application form. Staff have received a Criminal Record Bureau check and (where appropriate a Protection of Vulnerable Adults (POVA) check. However references, and copies of documentation to verify identification, were not available for one member of staff. The manager said he was sure references had been obtained but not been filed. Some staff files still need to have a photograph of the member of staff as required by regulation. The manager outlined an appropriate training programme. Records show staff have generally received appropriate training as required by regulation. There were a handful of gaps in training records examined. For example a minority of staff had not received first aid, food hygiene and/or infection control training. The manager said this would be arranged by the end of March 2006. This training, required by regulation, also needs to be arranged for new staff by the end of their 6th month of employment, unless there are mitigating circumstances (e.g. staff sickness). One member of staff did not have certificates to verify attendance of a first aid course attended in 2003, and a food hygiene course attended in late 2004. The manager said he would obtain duplicate certificates if possible. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35, 37, 38 Service users benefit from a home, which is suitably managed and run in their best interests. EVIDENCE: The manager said suitable financial records are maintained regarding the running of the business. From the appearance of the home and the number of staff employed, the inspector has no reason to doubt the business is not financially viable. The records and cash kept on behalf of service users were checked, and the service user moneys system appears to be satisfactory. The registered provider ensures staff are appropriately supervised on a day-today basis. For example the manager works office hours from Monday to Friday. A senior member of staff is also on duty. There is also a very good formal staff supervision system in place where staff meet with a more senior member of staff on a one to one basis. Sessions are appropriately documented. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 17 Records examined regarding the management of the home, and in regard to service users care are appropriate. Health and safety precautions are satisfactory for example in regard to servicing of fire, moving and handling equipment, gas appliances, electrical equipment etc. The Environmental Health Officer and Fire Officer have recently visited, and reported arrangements were satisfactory. Accident records are satisfactory. Staff appear to be aware of service users who are at higher risk of falls, and risks assessments regarding this issue appear satisfactory. Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X 3 3 Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP30OP18 Good Practice Recommendations The registered provider should document that issues regarding abuse and adult protection are covered on induction. This should take place for all staff inducted from the receipt of this report. Staff should assist service users to make choices regarding what is on the TV. 2 OP20 OP12 Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Roscarrack House DS0000009125.V274803.R01.S.doc Version 5.1 Page 21 - 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. 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