Inspection on 30/04/08 for Roughcote Hall Farm

This inspection was carried out on 30th April 2008.

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

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

Roughcote Hall Farm 22/05/09

Roughcote Hall Farm 05/07/06

Roughcote Hall Farm 24/02/06

Roughcote Hall Farm 19/09/05

Roughcote Hall Farm 14/12/04

Roughcote Hall Farm 05/05/04

Roughcote Hall Farm 05/01/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Roughcote Hall Farm Roughcote Lane Caverswall Stoke On Trent Staffordshire ST11 9ET Lead Inspector Kathryn Marks Key Unannounced Inspection 30th April 2008 09:30 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 Roughcote Hall Farm DS0000005101.V362973.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 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. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roughcote Hall Farm Address Roughcote Lane Caverswall Stoke On Trent Staffordshire ST11 9ET 01782 397440 01782 777299 yvonne@roughcotehall.com 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) Mrs Yvonne Pointon Mrs Yvonne Pointon Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Old age, not falling within of places any other category (1) Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. LD- Minimum age 43 yrs on admission 1 OP relates to current occupancy only Date of last inspection 5th July 2006 Brief Description of the Service: Roughcote Hall Farm is a large detached property set in seven acres, situated on the outskirts of Stoke-on-Trent. It is located in a rural area and there are no transport links. The home uses its own transport to reach community facilities and services. The home has cats and each of the residents take a great interest in them and assist in their day-to-day care. One of the residents also has a Guinea Pig called Holly. The home is now registered for six people who use the service with Learning Disabilities and one older person. The Proprietor and her husband live on site. Roughcote Hall Farm is a large, comfortable family home that has been adapted to provide suitable facilities. On the ground floor, there is a large kitchen/diner, a lounge and conservatory, a separate toilet, laundry room and three single bedrooms, two of which has en-suite facilities. There are two staircases to the first floor, one of which has a stair-lift in place. On the first floor, there are three single bedrooms and a separate shower room. Observation of the service users guide and the homes statement of purpose did not identify fees at the home. Both of these documents are being updated to include this information. Readers of this report may wish to contact the home for up to date information. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is two star. This means that the people who use this service experience good quality outcomes. This key inspection was carried out on the 30th April 2008 between 10.00am to 4.00pm. On arrival for this unannounced inspection there were two care staff and the care manager on duty and five people who use the service at home. There was also a gardener/maintenance person on site. The Care Manager who is also the proprietor provided written information regarding staffing, staff training, menu and dietary provision that was observed by the inspector to be in place at the home. On arrival at Roughcote Hall Farm people who use the service were in the sun lounge discussing arrangements for the day with staffs we joined them and had coffee. Both staff and residents made us very welcome on arrival at the home. Arrangements for the day were discussed with us to enable arrangement for us to talk to people who use the service and for them to continue with their plans for the day. We spoke to two people who use the service, reviewed their records in detail and saw their bedrooms. We looked at the menus. We also looked at the Annual Quality Assurance Assessment (AQAA) this is a self-assessment tool and had been completed and sent to us prior to the Key Inspection. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment, which focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also received “Have your Say” surveys from six people using the service. All told us that they had contracts and had received information about the home prior to coming to live here. One told us, “I’m allowed to keep my guinea pig in the shed”, “We like to go to the pub on Saturdays and shopping”, “Lovely and clean my bedroom is”, “I like the meals at the home very much”, “The home is spotless”. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 6 We received surveys from three staff members who made positive comments as follows, “Always given up to date information about the needs of people using the service”, “The service meets the needs of individuals well”, “People using the service cared for very well”, “We provide a warm and caring home for people who use the service”, “We provide a happy clean caring environment for everyone”. What the service does well: The home continues to provide a warm comfortable place to live where people who use the service said to us that they live like a family. Throughout the time we spent with staff and people who use the service positive interaction was observed to be taking place in the home. People who use the service themselves were observed to be relaxed and comfortable in the presence of staff with warm exchanges and jovial banter taking place. People using the service told us they were well cared for and if they were unhappy about something they knew who to talk to. Individual accommodation is located at ground and first floor. We went to see bedrooms with people who use the service; these are homely and well maintained. Individual space is personalised, which reflects the personality of the person occupying the room. The home has a Statement of Purpose and Service Users Guide that provide information to prospective people who use the service and their relatives about the service the home is able to offer. People who use the service have a full assessment of their needs carried out prior to admission to ensure their needs can be met at Roughcote Hall Farm. Arrangements are in place for meeting the health and personal care needs of individuals and details are recorded in care records. A variety of social opportunities are available for individuals both at day placements and at home. There was a person at the home from the ‘Mencap Visiting Service’. This person was helping a person using the service to write a letter. The proprietor and her husband continue to live on site and provide two persons on call at night. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 7 Staffs at the home have good relationships with people who use the service and we observed positive interaction with individuals responding well to staff. We made observations of individuals being consulted and listened to throughout the visit. As at the previous inspection visit the stability of the staff team provides consistency of care for the people using the service. The staff spoken with demonstrated a good understanding of the people using the service’s needs and family support networks. The home is set in a peaceful rural location. There are extensive grounds, which the service users are able to safely access and were observed doing so today. 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. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 8 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 Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3, 6 were reviewed at this visit. Quality in this outcome area is good. People who wish to move into the home receive all the information that they require and they are assessed so that they can be assured the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The proprietor is currently in the process of updating the Statement of Purpose and Service Users Guide to include the fees charged and services offered, so that people using the service have the information they need. This review is done on a yearly basis and due to be completed by the 1st June 2008. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 10 We discussed information from the service users guide with people who use the service and they confirmed that they had been given information about Roughcote Hall prior to coming to live at the home. A comment in a survey received from a person who uses the service was, “Received Information about the home before I came to live here”. The AQAA that we received before we went to the inspection told us that people wishing to move into the Home receive a thorough assessment before they move in. We saw detailed assessments in place for the last two people admitted to the home. This means that they could be assured that the Home could meet their needs, before they moved in. The Home does not provide intermediate care. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 were reviewed at this visit. Quality in this outcome area is good. The Home meets the personal, health and social needs of the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Detailed care plans in modular format are in place for the people who use the service containing lots of information regarding past history, family, physical health, mobility needs, strengths, abilities, activities and personal safety. Care plans are discussed with the people using the service and are signed by them. All care plans are reviewed monthly. Risk assessments were seen on care plans. This means that the staffs have the information they require to support the people using the service safely. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 12 Detailed health care records are in the care plans and people who use the service go to local health care practices for appointments. Individuals attend well man and well woman clinics as appropriate. Medication is administered from a monitored dosage system and is signed for as given. Medication Administration Sheets are signed and up to date. Medications are stored in a locked metal cabinet. The people using the service are protected by the safe medication procedures. All people using the service have single bedroom accommodation that is personalised and reflects the personality of the individual. We talked to the people using the service about having locks on bedroom doors and they did not feel this was an issue saying, “what do we want locks for?” “ it’s our home we don’t want locks on doors”. Comments in surveys received from people who use the service included: “Lovely and clean my bedroom is”, “Home spotless”, “Staff listen to me” When asked if they receive care and support; “Yes I do my word”. Observations were made of privacy and dignity issues being promoted. People were spoken to in a dignified and respectful way and offered appropriate choices. We observed the people using the service being offered choices and making decisions, for example where they wanted to go that day, whose car they wished to travel in and what they wished to eat. The home has a mobile payphone and one service user has mobile. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15 were reviewed at this visit. Quality in this outcome area is good. The people using the service are given every opportunity to enjoy fulfilling lives and relationships with others. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On arrival at Roughcote Hall we were made very welcome by staff and the people using the service, who were happy and conversational. Contact is maintained with relatives, visitors to the home and the people they meet on a daily basis through involvement with various day centres and rural projects. Following some discussion on how to spend the day people using the service decided they would go out at lunchtime for a pub lunch. One person said, “We Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 14 will go where it’s two for one”. They also decided that they would call at the shops on the way back for items they wished to purchase. Comments in surveys received from people who use the service included: “There are always activities”, “always like the meals”. The home operates an open visiting policy and a Mencap visitor from the Visiting Scheme came to see one person during the morning and assisted them with a letter. This person told us they thought highly of Roughcote Hall and its homely atmosphere. One person has a guinea pig called “Holly”, which lives in a new shed, which according to a person using the service is like, “Buckingham Palace”. This person is helped to look their pet. We discussed holidays with the people using the service and three so far have decided they are going to Blackpool with staff, one is going to Bournemouth with relatives, and another is going to Wales. Comments made by individuals about staff included “Staff all wonderful”, “Staff are good do anything for you”, “Little happy family”, “Like living here”. The people using the service are signing up for a flower arranging class where they will stay for lunch afterwards. People who use the service said, “We like to go out for lunch on Saturdays and shopping”. Because they are now out so much during the day main meals have been changed to evenings. Staff and the people using the service shop at a local supermarket and other small shops in the area. Group meetings take place to discuss food and what individuals would like on the menu. Individuals decide on a daily basis what they want to eat. The home has a well-stocked pantry and food stores with a variety of choices available. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16, 18 were reviewed at this visit. Quality in this outcome area is good. People who use the service are able to make complaints and are safe guarded by the home’s procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is displayed in the home on the main notice board along with the previous inspection report. Complaints and how to complain were discussed with people who use the service and they were aware of how to complain. Individuals said “I would talk to staff or a relative if not happy about something”, “I never have anything to complain about”. People using the service said in surveys that they knew who to complain to and identified particular carers. We know that people who use the service are protected from abuse because staff receive training which includes Protection of Vulnerable Adults, Verbal, Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 16 Physical, Financial, Sexual abuse and awareness of the Mental Capacity Act and recognition and prevention of abuse documents are in place. Before staff are employed, safety checks are undertaken to make sure that the people using the service are supported by the right people. The home has a complaints and compliments book that is kept in reception hall and the last entry was in 2006. We discussed the provision of a pictorial complaints procedure and large print with the provider to enable those people who use the service and have a disability to access this. The provider has agreed to provide this. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 26 have been reviewed at this visit. Quality in this outcome area is good. Roughcote Hall Farm offers a good standard of accommodation to people who use the service in attractive homely surroundings that individuals refer to as home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The location and layout of Roughcote Hall is suitable for its stated purpose and provides six single bedrooms, three have an en/suite facility and three are adjacent to bathrooms and toilets. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 18 Roughcote Hall Farm is a friendly, very cosy environment where individuals told us they live as a “happy family”. All eat in the farmhouse style kitchen that encourages people to chat and exchange experiences of the day. There is a conservatory and lounge that again are homely and comfortable. We visited bedrooms with three individuals; these rooms were very personalised and comfortable, all being maintained to a high standard with an ongoing programme to ensure standards remain high. Externally there are large mature grounds with stables and fields surrounding the home. There is a maintenance log where staff record jobs to be done and these are picked up by the maintenance person and dealt with. There are no people who use the service currently requiring specialist equipment. Staffs have received training in infection control procedures and the premises are clean and free from offensive odour. The Home could consider the provision of paper towels in the ground floor communal toilet to ensure infection control is maintained. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 were reviewed at this visit. Quality in this outcome area is good. A well-trained and consistent staff team support the people using the service and keep them safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing at the home consists of the Registered Care Manager/Proprietor, three care staff, Administrator/Maintenance Gardener/Maintenance Admin Clerk. All staff members have achieved awards of NVQ Level 2 or above. The care staffs all have previous experience of working in a care setting. Two staff members on duty was spoken with - one confirmed that she had NVQ Level 3 and had worked within the home for nearly five years, another a senior care had been at the home for eleven years. Both staff members demonstrated a good value base and a clear understanding of the individual needs and abilities of the service users and of the routines and systems within the home. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 20 The Care Manager confirmed that there is always at least two staff on shift and information we saw on staff rotas and staff’s discussions on duty supported this. Robust recruitment procedures are in place to employ staff. Criminal Records Bureau checks are carried out along with POVA checks prior to permanent employment being offered. This makes sure that the people using the service are supported safely. Staffs do not work in the Home until the results of all the safety checks have been received. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 38 were reviewed at this visit. Quality in this outcome area is good. The people using the service are safeguarded by competent management systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Roughcote Hall is a well run home with people who use the service and staff being involved in discussions about what is happening at the home. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 22 The homes manager who is also the proprietor has the Registered Managers Award and twenty-one years experience in a social care setting. The registered manager involves herself in the same training as staff to ensure that she updates her knowledge. Quality assurance questionnaires are used for all areas of the home. Each person who uses the service is sent a satisfaction questionnaire to enable the home to monitor the service. The Annual Quality Assurance assessment was returned to us the Commission for Social Care Inspection prior to this inspection-taking place and provided us with detailed information about the service. The manager told us in the AQAA that policies and procedures are in place and reviewed regularly. We saw some of them during this visit, which confirmed the manager’s statement. All people who use the service receive their full personal allowances and manage their own money with assistance if required. Safe working practices are in place with all hazardous substances appropriately stored, regular servicing of equipment takes place. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 23 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 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 3 Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 24 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 2 3 Refer to Standard OP1 OP26 OP16 Good Practice Recommendations The Home needs to include fees in the Service User Guide, so that people using the service have the information they need. The Home may wish to consider providing paper towels in the ground floor communal toilet, to promote better hygiene. The complaints procedure could be developed in pictorial form and enlarged print to enable better understanding for the people using the service. Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Roughcote Hall Farm DS0000005101.V362973.R01.S.doc Version 5.2 Page 26 - 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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