Inspection on 24/02/06 for Rowallan House

This inspection was carried out on 24th 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

Rowallan House 11/07/06

Rowallan House 01/02/05

Rowallan House 02/12/04

Rowallan House 11/03/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Rowallan House 17 Little Heath Chadwell Heath Romford Essex RM6 4XX Lead Inspector Ms Harina Morzeria 24 th Unannounced Inspection February 2006 2.15 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 Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rowallan House Address 17 Little Heath Chadwell Heath Romford Essex RM6 4XX 020 8597 4175 020 8597 1118 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 Marina Stack Mr Laurie George Taylor Justice Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th August 2005 Brief Description of the Service: Rowallan house is located in a residential area in Chadwell Heath, in the London Borough of Redbridge, close to public transport links. The home provides residential care to residents over the age of 65 who have physical illnesses or conditions associated with the ageing process. It is registered to provide care for 41 residents, offering personal care and assistance in a homely environment. The bedrooms are situated on the ground and first floor, which are served by a lift and stairs. There are three lounges, one of which is used as a smoking room plus a separate dining area. There are 37 single bedrooms, of which 13 rooms have en-suite facilities. The home also has two double bedrooms. Adequate bathing and toilet facilities are also provided. Various activities are planned such as listening to music, board games, exercise classes and bingo as well as outings during fine weather, which are actively enjoyed by the residents. Staff also take some of the more able residents out individually and those residents who are able and willing to go out independently are encourage to do so. The residents are offered a varied, nutritious and culturally appropriate diet. They are able to have their meals flexibly at different times or in their rooms if the wish. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection visit in the inspection programme for 2005/06. Over the course of the two visits, all core standards have now been assessed. Four requirements were set at the previous inspection and the registered person has complied with all the required action. This inspection was unannounced and started at 2:15 pm. The inspector spoke to seven service users during the inspection as well as the deputy manager. Staff files as well as residents’ files were checked. What the service does well: What has improved since the last inspection? Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 6 The registered person ensures that a record is kept of all complaints made including details of investigation and any action taken. The registered person ensures that the home operate a through recruitment procedure, including confirmation of staff in post only after a satisfactory CRB check has been undertaken. The registered provider undertakes monthly monitoring visits to the home as required under regulation. Staff files have improved greatly with all required information readily available and accessible. 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. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 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 Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that the statement of purpose and service users guide provide the information that prospective residents need to make an informed choice about where to live. All residents have a written contract with the home. A comprehensive preadmission assessment is undertaken for all residents prior to their admission to the home. Residents and their representatives are invited to visit the home so that they know that the home they enter will have the knowledge to meet their needs. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 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): These standards were not tested on this visit. However evidence from the last inspection was that residents benefit from the close attention paid by the staff at Rowallan to meeting their health and care needs. The individual plans of care for each resident provide staff with the information they need to satisfactorily meet the residents needs. The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. Personal support in the home is offered in such a way as to promote and protect residents privacy, dignity and independence. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. Records for two new residents were looked at and indicated that for one resident all required records including a care plan which sets out the needs of the resident and how they will be met by the home were in place. For one other resident, an assessment is still being undertaken with a decision to be Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 10 taken at a review regarding her status in the home after which a care plan will be drawn up. Daily records showed that her basic needs are being met by the home and her relatives are satisfied with the care she receives. Residents spoken to said that staff provide personal care in a way which maintains their privacy and dignity. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 11 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): These standards were not tested on this visit. However evidence from the last inspection was that social activities are both well-managed, creative and provide daily variety and interest for the service users living in the home. Friends and relatives are welcome to visit at any reasonable time enabling the residents to maintain contact with their loved ones. Rowallan is good at being able to meet the cultural and religious needs of people from different ethnic backgrounds, particularly from the Jewish community. The meals in this home are good offering both choice, variety and cater for special dietary needs. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. Towards the end of the inspection, the inspector observed that it was nearing supper time and all residents were being escorted to the dining room or served suppers of their choice by the staff. Staff were observed to assist those who needed help. The meals looked appealing and there was clearly a wide variety Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 12 of choice being offered to the residents. The inspector noticed that some meals were being served to residents in their bedrooms. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 13 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, The home works hard at sorting out problems before they become complaints and make sure that residents and relatives feel confident that their complaints and concerns will be listened to and acted upon. All complaints are logged in a complaints book. EVIDENCE: The home has policies and procedures in relation to the reporting and investigating of complaints. Residents said that they felt able to make complaints and raise issues if they needed to. During the inspection the inspector was able to see the complaints log where complaints are logged. These outline the investigation and outcome of the complaint. A policy and procedure for responding to allegations of abuse is available and staff continue to receive training regarding this. A complaint was received by the inspection unit and an investigation of the way these complaints were handled by the manager showed that the policies and procedures were appropriately followed and the complaint was sensitively and satisfactorily handled by the manager. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 14 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): These standards were not tested on this visit. However evidence from the last inspection was that the standard of the environment within the home is very good, providing residents with a clean, attractive, safe and comfortable place in which to live. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to the standards. At the time of the last inspection, all of the outcome standards were assessed as met. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 15 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 Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the residents. Residents benefit from a committed and experienced team of staff who have the skills and training to meet their needs. The procedures for staff recruitment are followed and provide the safeguards to offer protection to people living in the home. EVIDENCE: A good deal of positive feedback about the staff at the home was received from the residents and their relatives. A typical comment being “the staff are very kind and caring.” Most of the staff have worked there for a number of years and have built up a good knowledge and understanding of the needs of the residents. The staff rota showed that staffing levels for both care and domestic staff were sufficient to ensure the residents needs continue to be met. Staff files showed that they have done training in essential areas, such as food hygiene, health and safety, administering medication, adult protection and first aid. A comprehensive training programme is in place, a lot of which is provided internally. Most staff are in the process of completing their NVQ level 2 and level 3 courses. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 16 Staff files were examined during the inspection, the inspector noted that four new staff have been recruited and the recruitment procedure has been followed. The inspector was informed that the new staff have not yet commenced employment as they are waiting for CRB checks as well as references and the staff will be confirmed in their posts once these have been received. The inspector was pleased to note that a great deal of effort has been made by the administrator as well as management staff to compile well organised staff files which contain all necessary required information which is easily accessible. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 17 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, 32, 33, 34, 36, 37, 38 The leadership, guidance and direction to staff ensures that residents receive consistent quality care. The home is good at making sure that residents are kept safe and secure whilst living at Rowallan. The registered provider carries out monthly monitoring visits to the home and reports on the quality of the service provision. EVIDENCE: The manager and deputy manager work closely together to achieve high standards for the home. Feedback from residents was positive about the way in which the home is run. The home is well maintained and provides a safe environment for the residents and staff. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 18 Evidence was seen that care staff receive supervision on a regular basis from the senior officers. The senior officers in turn receive supervision from the deputy manager. Staff meetings occur on a monthly basis. At the time of finalising this report the inspector received confirmation from the manager, clarifying the level of support and supervision received by the deputy manager. The inspector was informed that the administrator as well as the handyman also receive regular supervision. The inspector now receives monthly regulation 26 visit reports carried out by the registered provider. A number of statutory records were inspected, which are up-to-date and accurate. Individual records are secure and used in accordance with the Data Protection Act 1998. A maintenance person is the designated health and safety officer in the home, who carries out weekly health and safety checks of the premises and takes action according to any problems identified. He is aware that all areas of the home especially the hallways and corridors must be kept free from clutter at all times to reduce the risk of falls for residents and staff. Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 19 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X 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 3 3 3 x 3 3 3 Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Rowallan House DS0000025922.V284329.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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