Inspection on 19/12/05 for Rotherbank

This inspection was carried out on 19th December 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

Rotherbank 26/10/06

Rotherbank 20/06/05

Rotherbank 06/12/04

Rotherbank 09/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Rotherbank Rotherbank Farm Lane Liss Forest Hampshire GU33 7BJ Lead Inspector Peter J McNeillie Unannounced Inspection 19th December 2005 09:00 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 Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 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. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rotherbank Address Rotherbank Farm Lane Liss Forest Hampshire GU33 7BJ 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) 01730 892081 01703 892081 rotherbank@binternet.com Mrs. Christine Ann Hillyer Mrs. Christine Ann Hillyer Care Home 21 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (21), Old age, not falling within any other of places category (21) Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Four service users only in the category DE to be admitted over the age of 55 years Date of last inspection Brief Description of the Service: Rotherbank is a privately owned and managed care home offering accomodation and support for up to 21 older persons in the categories OP (older persons) DE(dementia between 55 and 65 years of age) and DE(e) (dementia over 65 years of age). The home is sited in a residential area in Liss Forest village, a short distance from local amenities. Residents are accommodated on two floors, with the majority of service users accommodated in single rooms some fitted with ensuite toilet and washing facilities. Two shared double rooms are available. This service has one bed designated for respite care. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two unannounced inspections for 2005/2006. During the inspection which took place between 9:15am and 12:30pm the inspector who was assisted by the registered manager spoke with a number resident’s, the registered manager, and staff on duty. Evidence was also gathered from a tour of the building, reading records, care plans, previous inspection reports comments by management/staff and observations. During the previous inspection in June 2005 the majority of the core standards were inspected. At that time no concerns were noted and no requirements made. During this inspection only those core standards that could improve, not previously inspected and standards /areas commented by residents and staff were looked at. Comments regarding all other core standards can be found in the previous report dated 20th June 2005. What the service does well: What has improved since the last inspection? Since the last inspection assessments and care plans have been reviewed and all now indicate and confirm that residents /residents representatives were consulted when the assessment/care plan was produced. All care plan now include a photograph of the resident. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 6 A number of new dining chairs have been provided. These chairs have been made with a broad base and runners to assist residents and ensure safety. 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. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 7 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 Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 8 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): 3 Prospective residents are issued with information they need to make a choice about living in the home which has a well developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. EVIDENCE: This standard was assessed at the last inspection and found to be satisfactory apart from the absence of confirmation that residents/residents representatives were consulted when the assessment was carried out. This information is now available. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 9 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 The arrangements for planning care are clear ensuring that the personal care needs of residents are met and their privacy and rights respected EVIDENCE: This standard was assessed at the last inspection and found to be satisfactory apart from the absence of confirmation that residents/residents representatives were consulted when the plan was drawn up and a photograph of the resident concerned. This information is now available. All of the residents when spoken with expressed total satisfaction with the care they were receiving and the manner in which it was delivered, all were full of praise for their carers describing them as hard working, pleasant, respectful( always knocked before entering their room),willing , available and keen to help. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 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): 15 The provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: The quality, quantity, and choice of food served came in for particular praise from the residents. A full and varied menu based on individual likes, dislikes and choices produced by a professional cook was available.Special dietry needs are catered for. The inspector highlighted the need to ensure that the menu was displayed in format that all residents would understand. This is of prime importance for persons with dementia who may find the addition of pictures would be beneficial. The manager gave a verbal undertaking this would be done. Progress will be evaluated at a future visit to the hone. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 11 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 and 18 The home has clear policies and procedures in place which ensures residents are protected from abuse .The complaints procedure was satisfactory with evidence that residents are confident to use and feel their views/concerns will be acted upon. EVIDENCE: The home’s a policy and procedure which operates in tandem with The Hampshire County Council policy and procedure designed to protect vulnerable residents from abuse was available as were records to confirm all staff had received training in adult protection. Staff spoken with confirmed they were mainly aware of the procedure to follow should they witness or suspect the abuse of any resident. A record of complaints was seen. The inspector noted a number of complaints had been received from residents regarding the restrictions to natural light caused by large conifers .The manager explained this was an ongoing matter that require permission to remove trees from the local authorities. The inspector highlighted the need to ensure this matter was resolved and the natural light available in the home improved. Progress will be evaluated at a future visit to the home. Residents spoken to stated they felt comfortable in raising any concerns they had with the home’s management and confident any matters raised would be dealt with fairly and promptly. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 12 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 and 26 A safe, well maintained, clean and suitably furnished home and accessible garden is provided for service users which largely meets their needs. EVIDENCE: As on the previous visit a tour of the building indicated that it was fit for its stated purpose, accessible, safe, well maintained and meeting resident’s individual and collective needs, however a number of residents did raise the issue of natural light being restricted by conifer trees. (The previous section of this report refers) Furniture was comfortable and homely and in keeping with the décor. Residents commented how satisfied they were with the accommodation. Since the last inspection new dining chairs have been provided in addition to routine maintenance and a redecoration/maintenance programme. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 13 Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 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 and 30. Residents needs are met by sufficient numbers of trained care staff who are recruited and selected using a procedure designed to protect all service users EVIDENCE: At the time of the inspection four care staff including the deputy manager plus a cook and a handyman were on duty. The staffing levels appeared adequate to meet the needs of the residents an opinion shared by the residents who were full of praise for their carers comments such as good girls, always willing to help, always there when we want them etc were a sample of the residents positive responses to the staff. The inspector noted that care staff are allocated “prime time” which allows them to offer one to one support on a regular basis to the less able and high needs residents. Care staff confirmed the level of staffing and training allowed them to deal with residents in an unhurried manner. Following induction and foundation training and a probationary period all staff are expected to participate in a National Vocational Qualification (N.V.Q) training programme. Currently 87.5 of staff have been trained to N.V.Q level 2, of these 75.0 to N.V.Q level 3 and 6.25 to N.V.Q level 4. A number of the qualified staff are in the process of training to achieve a higher qualification e.g. a further three staff are undertaking N.V.Q. courses at level four. The staff and management are to be congratulated for the high level of training and Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 15 qualification achieved which is far in excess of the original 50 target of care staff trained to N.V.Q. level two by the year 2005. The majority of staff have also all completed a ten week examination course in caring for people with dementia All staff are recruited in accordance with the home’s selection and recruitment procedure which includes the completion of an application form, signing a rehabilitation of offenders declaration an interview and satisfactory Criminal Records Bureau (C.R.B),Protection Of Vulnerable Adults(P.O.V.A.) and reference checks. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 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): 31,33 and 35 The manager of the home through a quality assurance monitoring system and safe working practices ensure that the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents. EVIDENCE: The manager who has twenty years of managing residential homes is qualified to N.V.Q. level four has demonstrated during a number of previous inspections she is able to manage the home to provide a good quality of care to all residents A quality monitoring system that seeks the views of residents, residents representatives/relatives and external professionals (doctors and nurse ,etc) is in place. A verbal undertaking was given by the manager that results from the next survey will be sent to C.S.C.I. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 17 A sample audit of residents money held by the manager for safe keeping reconciled with the records kept which all included receipts. Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X x Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 19 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. Refer to Standard Good Practice Recommendations Rotherbank DS0000011720.V273586.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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