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Inspection on 05/07/06 for Roughcote Hall Farm

Also see our care home review for Roughcote Hall Farm for more information

This inspection was carried out on 5th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Roughcote Hall Farm is a comfortable home where staff were observed to have good relationships with the residents. Mrs Pointon the Proprietor/Care Manager and her husband live at Roughcote Hall Farm. They also have a cat and a dog, which enhances the `homely` feel of this home. One of the residents has a guinea pig that she is very fond of. The service user views about the service were all positive. One resident said that the staff `are marvellous` other comments were " the workers are lovely" "you couldn`t wish for anything better" "I love living here" All staff were observed to be interacting with residents in a positive way encouraging and enabling individuals with their chosen daily routines. The residents were consulted with about day-to-day activities. The manager is supported by three staff members, two of whom who have worked at the home for some time. The stability of the staff team provides consistency of care for the service users. The staff spoken with demonstrated a good understanding of the service users` 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.

What has improved since the last inspection?

Fire system has been updated prior to registration of further bedrooms at the home. Risk assessment relating to residents mobility has now been carried out and placed on residents care records. En/suite in bedroom has been completed. Fire training and Medication training have been carried out. Care Manager is doing the Registered Managers Award. All staff are involved in LADAF training.

What the care home could do better:

Ensure that paperwork can be easily found; Health and Safety reports Environmental Health Reports Electrical Wiring Certificates All completed but need to be appropriately filed so they can be found.

CARE HOMES FOR OLDER PEOPLE Roughcote Hall Farm Roughcote Lane Caverswall Stoke On Trent Staffordshire ST11 9ET Lead Inspector Mrs Kathryn Marks Key Unannounced Inspection 5 July 2006 9:30 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.V297187.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.V297187.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 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 3 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (3), Old age, not falling within of places any other category (1) Roughcote Hall Farm DS0000005101.V297187.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 24th February 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 a dog and cat 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 residents with Learning Disabilities and at the time of this Key Inspection the variation to the registered number was being processed. 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. Information gained from the Care Manager identified that the current fees charged are £354 to £374 per week. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out on the 5th July 2006 between 9.30am to 2.30pm. During the course of the inspection positive interaction was observed to be taking place between staff on duty and residents in the home. Residents themselves were observed to be relaxed and comfortable in the presence of staff with warm exchanges taking place. 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 residents completed breakfast and were in the sun lounge watching TV reading and looking at photo album. Both staff and residents made the inspector very welcome on arrival at the home. Resident’s accommodation is located at ground and first floor. During a walk around the home the inspector’s observations were that the home was clean and well maintained to a high standard. Resident’s bedrooms were personalised and reflected the personality of the individual occupying the room. The home had in place a Statement of Purpose and Service Users Guide that provide information to prospective residents and their relatives about the service the home is able to offer. New residents have a full assessment of their needs carried out prior to admission to ensure their needs can be met at Roughcote Hall Farm. Two residents were case tracked both were spoken with and bedrooms visited. Arrangements are in place for meeting the health and personal care needs of residents and details are recorded in care records. A variety of social opportunities are available for individuals both at day placements and at home. There were no visitors at the home today although residents spoke of families and how good they are to them. Observations of the menu identified that there is a choice of well-balanced and nutritious food offered to residents. The Inspector joined residents for lunch which was a very tasty shepherds pie followed by melon and ice cream. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Fire system has been updated prior to registration of further bedrooms at the home. Risk assessment relating to residents mobility has now been carried out and placed on residents care records. En/suite in bedroom has been completed. Fire training and Medication training have been carried out. Care Manager is doing the Registered Managers Award. All staff are involved in LADAF training. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 7 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. Roughcote Hall Farm DS0000005101.V297187.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.V297187.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3. Standard 6 is not applicable to the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service Users Guide provides prospective residents with details of the services and facilities Roughcote Hall Farm has to offer enabling an informed decision about admission to be made. The home was also able to demonstrate that a thorough assessment of needs of individuals is carried out prior to a resident moving into the home. EVIDENCE: The inspector-spent time talking to all four residents who said that they were very happy living at the home various comments were made by individuals “couldn’t wish for anywhere better” “Very well looked after” “workers are fun” one resident has a guinea pig that lives in the garage and has a run on the lawn. Statement of Purpose and Service Users Guide has been updated June 06 to include the new bedrooms and Learning Disability registration. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 10 Community care assessment seen for the last resident admitted this was detailed and informative. Roughcote Hall Farm DS0000005101.V297187.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ personal social and health needs are satisfactorily met, risks relating to mobility had been addressed to ensure residents safety. Individuals were treated in a respectful way. EVIDENCE: As at the previous inspection the personal social and healthcare needs of all service users were discussed with the manager. The manager was able to demonstrate a good understanding of their needs and of how the needs were being met. Good healthcare arrangements are in place and residents attend the local healthcare practice. Two residents were case tracked care plans were reviewed and recorded appropriate information. Both residents were spoken to at length both were able to clearly converse and speak about life at the home. Diverse needs of residents are met by attending varying placements as appropriate for the individual. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 12 It was noted at the previous inspection that one resident’s mobility had deteriorated and that she was now using a walking frame. A risk assessment on the mobility of this resident has been carried out and was on care record. Observations were made of residents being treated with dignity and their privacy being respected. A service user confirmed that staff treated her well and that the staff were always polite. Staff are trained in the management/administration of medication. Roughcote Hall Farm DS0000005101.V297187.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents take part in a variety of activities in the community that are appropriate to their assessed needs. Individuals maintain contact with relatives/friends going out with them or by letter and telephone. Residents said they are happy with the food provided and are able to choose what they would like to eat. EVIDENCE: As at the previous inspection the residents take part in a range of activities, which are appropriate to their assessed needs. One service user has a very structured week and has activities planned for six days of the week. These activities include dancing, cooking and crafts, college courses, helping at a farm, meals out and shopping. Three other service users have a less structured week but do also go to dance, arts and crafts and have meals out and shopping. Two residents also have frequent contact with family members whom they visit on a regular basis. One resident is going to Abersoch next week with her daughter and family for a holiday she talks very fondly of her grandchildren. Another resident said she Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 14 enjoys playing the piano and does this very well with other residents dancing and singing. We also have Holly the Guinea Pig who belongs to a resident who enjoys looking after her. One resident has a payphone in her room another has a mobile and two others use the homes hands free. Two service users’ files were examined and there was evidence that social activities are recorded within each file. Staff on duty, residents themselves and observations of the inspector confirmed that residents do take part in a range of activities. All four residents were spoken with about the meals in the home. The views expressed were positive the inspector joined residents for lunch this was very tasty and portions were generous. Home made shepherds pie, melon and ice cream with alternative choice. A varied wholesome diet was provided. Staff said that they discuss food with the residents on a daily basis about what they would like to eat. These discussions were observed during the inspection. The staff member said that a hot meal was generally served at lunchtime with a choice of sandwiches available at teatime, and that fruit and snacks are always available. The service users have a meal out on Saturdays. The larder, fridge and freezer were well-stocked and fresh fruit and vegetables were available. A menu was in place, however, the manager stated that they don’t tend to stick with it as they listen to what service users want. A record is kept within the home of all meals, which have been served. This was examined. There was evidence that a varied range of meals is offered to service users. Roughcote Hall Farm DS0000005101.V297187.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system residents said they feel their views are listened to. Vulnerable Adults training is carried out. EVIDENCE: The homes complaints procedure is clear and easily understood. It is displayed in the main reception area on the notice board and residents are aware of this. Residents said if they were unhappy about something they know who to speak to and said the concern would be dealt with. The home has a book in place to record concerns and complaints and any action taken to deal with them but to quote a resident “complain about what”. Residents are protected from abuse via appropriate staffing and staff training, detailed up to date care records, observations of practice in the home. Vulnerable adult training is part of LDAF training and Recognition and Prevention of Abuse are covered during supervision. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Roughcote Hall Farm offers a good standard of accommodation to residents in attractive homely surroundings. EVIDENCE: As at the previous inspection Roughcote Hall Farm is set in a rural location and provides a spacious and comfortable environment that has been adapted to provide suitable accommodation and facilities. There is a pleasant patio area with seating situated close to the conservatory and the extensive grounds surrounding the home are also accessible to residents. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 17 The environment is very homely and domestic in nature, being shared by residents and the Registered Proprietor/ Manager who lives on the premises. All four residents said that they were happy living at the home and liked their bedrooms. Bedroom accommodation is located on the ground and first floor there are two staircases to access the bedrooms on the first floor one of which has a stairlift. Observations when walking around the home were of a clean odour free environment. Alterations to the premises including work required by the fire officer have been carried out to increase the registered number of residents from three to six residents with learning disabilities. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 18 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place for the recruitment and selection of staff. EVIDENCE: The home has a registered Care Manager and three members of staff. The manager stated that all staff members have achieved awards of NVQ Level 2 or above. The care staff all have previous experience of working in a care setting. Staff and resident interaction was warm and friendly with positive exchanges taking place. Two staff members was spoken with - one confirmed that she had NVQ Level 3 and had worked within the home for nearly four years, another a senior care had been at the home for ten years. Both staff members demonstrated a good value base and a clear understanding of the individual needs of the service users and of the routines and systems within the home. There is a quality control questionnaire that is used at the home regarding resident’s lives and life at Roughcote Hall Farm. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 19 The Care Manager confirmed that there is always at least two staff on shift and this was identified on the new staff rota. 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. Ongoing staff training takes place with records being maintained. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Care Manager is competent and experienced to run the home. A quality assurance system based on seeking the views of service users is now in place to measure success in meeting the aims set out in the statement of purpose and to aid further development. EVIDENCE: As at the previous inspection the Registered Proprietor/Manager, Mrs Yvonne Pointon has nearly 20 years of experience in running a small care home as well as previous nursing and management experience. Mrs Pointon is currently doing the Registered Managers Award. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 21 The homes quality assurance system, which includes seeking views from service users, relatives and professionals, was seen. Questionnaires that are also in place for residents, families, and staff, are collated together and acted upon. Safe working practices are in place and staff had received training in moving and handling, fire safety, first aid, and food hygiene. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 22 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 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 4 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.V297187.R01.S.doc Version 5.2 Page 23 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 OP37 Good Practice Recommendations Ensure that paperwork can be easily found; Health and Safety reports Environmental Health Reports Electrical Wiring Certificates All complete but need to be appropriately filed so they can be found. Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Roughcote Hall Farm DS0000005101.V297187.R01.S.doc Version 5.2 Page 25 - 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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