Inspection on 15/02/06 for Roslyn House

This inspection was carried out on 15th 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

Roslyn House 23/10/07

Roslyn House 04/10/06

Roslyn House 10/08/05

Roslyn House 10/03/05

Roslyn House 17/08/04

Roslyn House 05/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Roslyn House 68 Molesworth Street Wadebridge Cornwall PL27 7DS Lead Inspector Mike Stokes Announced Inspection 15th February 2006 1:30 Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 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 Roslyn House DS0000009222.V275141.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 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. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Roslyn House Address 68 Molesworth Street Wadebridge Cornwall PL27 7DS 01208 815489 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) mo.whittingham@hft.org.uk www.hft.org.uk Home Farm Trust Mrs Muriel Whittingham Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: The Home Farm Trust is registered to provide accommodation and personal care for up to 8 persons with a learning disability, in the age range of 18 to 65 years. Roslyn House is a large, three storey and detached building close to the centre of Wadebridge Town. The home is close to community facilities, shops and public transport. The service users bedroom accommodation is provided on the ground and first floors. There is an enclosed, small garden to the front of the building. There is parking to the rear of the building, accessed through a private secure area, which also contains the separate resource centre building owned by the Home Farm Trust. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection arranged to review the standards of care at the home. The registered manager has recently completed the registration process. I arrived at 1.30 pm and left at approximately 5.30pm. During the inspection I met service users returning home from day care activities, members of staff and a Service Manager. I looked at records kept to monitor the care provided to service users and was escorted in a tour of the premises. The registered manager completed a pre inspection questionnaire and 3 comment cards from relatives and 2 service users were received. 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. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 6 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 Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4. The registered person understands the need for pre-admission assessments and has produced information to assist prospective service users in choosing a home. EVIDENCE: The statement of purpose and service users guide has been completed. 8 service users are now accommodated at Roslyn House and 6 service users have lived with the Home Farm Trust for 12 years. The home provides a service users charter of rights and information for service users. Full assessments, home visits and time at Roslyn House were arranged to assist in the process of the admission of a service user on 31.1.05. The registered manager discussed the pre admission procedures that are provided in the procedures manual and that a Home Farm Trust service manager and social worker would also assist in this process. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Service users are living in a stable and supportive environment. The service users are involved in decisions affecting their lives and enabled to participate in chosen activities. EVIDENCE: A requirement made in the previous inspection regarding plans of care has been complied with. The registered manager discussed the complex range of needs that are presented by service users and the records inspected detailed how this care is provided. The plans of care involved health care issues required as a duty of care and also the service users aims and aspirations in educational or social interactions. The service users have key staff to assist in monitoring and updating the service users care plan every 6 weeks. The registered manager is providing appropriate supervision to staff and progress with identified goals is discussed. Risk assessments are completed for various aspects of service users needs and activities. Community, leisure and holiday activities are provided with support and supervision according to individual assessments. The registered manager stated that various communication skills are required at the home and the use of symbols, signing and picture exchange systems would be developed. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 13, 15, 16 and 17. The home ensures that service users have access to a range of opportunities for development and leisure activities. The home provides a varied menu and service users exercise choice over what they eat. EVIDENCE: The registered manager confirmed that service users are involved in a range of appropriate leisure activities and maintain contact with relatives. The 8 service users attend the Home Farm Trust Resource Centre during the week and service users access a range of community activities such as swimming, horse riding, walking, Gateway Club, cinema, pub meals and trips to places of interest. These were recorded in individual plans and the Home Farm Trust provide additional staff to assist in these activities. A discussion also occurred regarding the organisation of the rota; where a service user is contracted for services at a 1:1 staffing level. Menus evidence a good choice of meals and a dietician has been consulted, all staff have a responsibility for meal preparation. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. The health needs of service users are well met with evidence of multi disciplinary working taking place as required. EVIDENCE: The registered manager and support staff are ensuring that the service users are receiving health care services as required. Service users are registered with General Practitioners at the Wadebridge and Camel Estuary Practice. The key worker role is responsible for ensuring that the identified needs of service users are monitored and that services, equipment and support is provided as required. Assessments by the home determine that service users do not currently self-medicate. The medication policy and procedures are appropriately maintained. Service users are assisted with their medication needs and the registered person maintains records regarding the ordering and administration of prescribed medication. The medication records, procedures and storage facilities are appropriately maintained. The registered manager discussed a recent event, regarding an error in the administration of medication procedures by 2 staff members. This has been rectified through supervision and training. The registered manager stated that the local authority will complete an annual contract review for service users by delegating the annual review of care to the Home Farm Trust. The Home Farm Trust review the care it provides and reports to the local authority. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has appropriate policy, procedures and has provided in house training for staff to protect service users from abuse. EVIDENCE: The registered manager understands the appropriate procedures to report issues of concern regarding service users welfare. In house training is provided for staff and The Home Farm Trust have appropriate policy and procedures to support senior staff. The homes policy and residents charter state the complaints procedure and this is presented in a relevant format for service users and for those acting on their behalf. These issues are discussed with service users at the advocacy group at the Resource Centre and in review procedures. Advice regarding various forms of potential abusive situations and procedure are available to staff and are raised during induction training. The policy refers to ‘No Secrets‘ and the need to refer concerns to the Social Services as the ‘lead’ agency. A comment received from a relative stated that they were unaware of the homes complaints procedure. The registered manager agreed that it would be good practise to review this area of communication with the advocates of service users. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28 and 30. The Home Farm Trust continues to develop the environmental standards. The overall quality of furnishings and fittings is good and service users live in a safe, clean and homely environment. EVIDENCE: I sat with service users and staff in the ground floor dining room and lounge areas. The furnishings and fittings are of good quality and service users live in a comfortable and homely environment. The lounge, bathroom and 2 bedrooms have recently been redecorated. The home is in keeping with the local community and offers service users access to local amenities as stated in its aims and objectives. The garden areas have been landscaped. Service users are provided with single room accommodation that are individually decorated and furnished. Toilets and bathrooms are provided in sufficient numbers and offer privacy to the service users. The home has refurbished the first floor bathroom providing a new bath, tiling and redecoration. A ground floor walk in shower is provided to assist service users. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 36. The Home Farm Trust is providing competent support staff to provide for the welfare of service users. EVIDENCE: A discussion with the registered manager and records confirm that a stable staff team is available, that is providing continuity and a consistent approach to care. 8 of the 9 support staff have completed NVQ training at levels 2 and above. Other training has been completed in first aid, person centred planning, moving and handling, health and safety and fire precautions. The registered manager is recommended to complete the staff training profiles that demonstrate the training completed. The registered manager will discuss work issues and development during supervision meetings with individual staff, staff meetings and service user meetings at 6 weekly intervals. The staff were observed to exhibit appropriate skills and attitudes in their interactions with service users. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 and 43. The registered manager has recently completed the registration process to be responsible for Roslyn House and has reviewed care plans and procedures at the home. EVIDENCE: The registered manager has completed the Registered Managers Award and is registered on the NVQ level 4 in Care. These qualifications are conditional to the registration process. The registered manager has reviewed all procedures and staff expressed approval of communication systems and the organisation at the home. The registered manager discussed quality assurance procedures and the various policies and procedures provided by The Home Farm Trust in management manuals. A review of schedules 3 and 4 showed that the records required to be kept are appropriately maintained. An assistant service manager supports the registered manager and completes a monthly report on the conduct of the home. The Home Farm Trust provides other administrative and financial support functions to the registered manager. A recommendation is made to consult the Fire Safety Officer regarding the procedures for fire precautions when there is only 1 member of staff on duty at night. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 15 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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 2 36 3 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 3 12 X 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 2 3 Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 16 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. 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. 2. 3. Refer to Standard YA22 YA35 YA42 Good Practice Recommendations The registered manager should review procedures for advocates of service users to have access to the homes complaints procedures. The registered manager should complete the staff training profiles to demonstrate the training completed. The registered manager should consult with the Fire Safety Officer to review the procedures for fire precautions when there is only 1 member of staff on duty at night. Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 17 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 Roslyn House DS0000009222.V275141.R01.S.doc Version 5.1 Page 18 - 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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