Inspection on 13/12/05 for Rowan House

This inspection was carried out on 13th 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

Rowan House 05/11/07

Rowan House 14/12/06

Rowan House 23/02/06

Rowan House 08/03/05

Rowan House 16/11/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Rowan House Church Lane Doddinghurst Brentwood Essex CM15 0NJ Lead Inspector Mr Ron Reeves Unannounced Inspection 13th December 2005 11:00 Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 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 Rowan House DS0000018115.V265534.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rowan House Address Church Lane Doddinghurst Brentwood Essex CM15 0NJ 01277 823853 01277 822722 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) rowan.house@achuk.com Aitch Care Homes (London) Limited Mrs Trudy Jane Hunter Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2005 Brief Description of the Service: Rowan House is owned and managed by AITCH Care Homes. It provides care and accommodation for six service users who have a moderate to high level of learning disability. Rowan House is situated on the edge of a small village, with local shops and amenities nearby. Public transport does present some difficulty for staff and visitors. The home has its own transport to support service users to access community facilities. The building is a spacious mock Georgian family house. Service user bedrooms are provided on two floors in all single accommodation. There is a separate lounge and dining room on the ground floor. Rowan House has developed two rooms, one as a music/art activity room and one as a sensory room. There is an enclosed garden at the rear of the property, which is mainly laid to patio and a gravel parking area at the front of the property. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on the 13th December 2005 and lasted for 6 hours. Opportunity was taken to tour the premises, examine records and policies, talk to staff and observe residents. None of the residents had any significant speech. The first part of the inspection was managed by the deputy manager whilst the manager escorted a resident for a hospital appointment. The manager took over when she returned. What the service does well: What has improved since the last inspection? What they could do better: Policies and practices should be developed for managing the care of residents who are dying. The home must ensure that its staff induction programme meets the standards set by ‘Skills For Care.’ The location of the laundry still remains a problem. The home should consider relocating the laundry or provide access that is not through the kitchen. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 6 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. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 The home operates a thorough and responsible pre-admission assessment process. Appropriate written information is given to prospective residents and their families enabling informed choices. Individual’s needs were being met by the home. EVIDENCE: The home has an appropriate Statement of Purpose and service users’ guide, which has been developed in a pictorial and sign format. Examination of the care plan of the last person admitted revealed a comprehensive transition assessment from his previous placement and a full social work assessment. Daily records showed that the prospective resident had a series of trial stays before admission to ensure the home could meet his needs. Each residents file contained a comprehensive terms and conditions of residence. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-9 Care planning systems are clear and appropriate. Residents are encouraged and supported to maintain their independence. EVIDENCE: Care plans sampled were seen to be to a high standard and provided clear and comprehensive details of action to be taken by staff to meet the residents’ needs. Staff spoken with during the inspection demonstrated a sound knowledge of the residents’ needs. Residents limited abilities restrict their involvement in the care planning process and in the day to day running of the home, however residents are encouraged and supported to maintain their independence as far as is possible. This is managed through a comprehensive risk assessment process. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-17 Social activities are generally well managed. The home provides a range of appropriate activities for residents both within the home and in the local community. Resident’s nutritional needs were being met by the home. EVIDENCE: Each resident has a daily activity programme. This includes regular attendance at adult education centres for physical movement, sensory art and aqua sport. Outings are arranged to local pubs, restaurants and leisure facilities in the local community. A wide range of in-house activities are organised on a daily basis. Family involvement is encouraged by the home. Three residents regularly spend time at their families’ homes. Residents’ have access to all areas of the home and staff encourage residents to make choices as far as is possible within their abilities. The home’s menu is planned on a four weekly basis. Healthy eating is promoted. Menus are planned taking into account residents likes and dislikes. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-21 Evidence reflected that residents’ personal and health care needs are managed effectively. EVIDENCE: Care plans detail how the residents like their personal care needs to be met and evidenced that residents are supported to access all the local health care facilities. No resident has been assessed as able to manage their own medication. The manager has recently reviewed the medication administration system with each resident having their own individual medication administration plan. All staff have recently undertaken a refresher course in medication administration. The home’s staff training programme has been improved to include age related issues. Resident’s wishes regarding funeral arrangements are recorded in their care plan. The home does not have a policy or staff training on managing of the illness and death of a resident. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 The home has appropriate policies, procedures and staff training in place to protect vulnerable adults. EVIDENCE: The home has an appropriate complaints procedure, which has been developed into a pictorial form. The manager confirmed that no complaints have been received by the home. The home has a policy for protecting residents from abuse. Copies of the Essex County Council’s Adult Protection procedures have been obtained and all staff have been given a copy. All staff have now received training in the protection of vulnerable adults and in conflict management. The manager advised that three service users’ money are managed by a corporate appointee and the other three residents money is managed by their families. All residents have cash cards with which specified staff at the home are able to withdraw money from residents accounts. The manager maintains appropriate records of resident’s money which is spent on their behalf. Cash and receipts are balanced each day. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The home provides a good standard of accommodation for the residents. EVIDENCE: Bedrooms were seen to be well furnished, decorated and personalised to each individual residents taste. Communal space consists of a large lounge, dining room, music room and a snoozelem. A large accessible garden is available for residents. No specialist aids or adaptations are required to meet resident’s needs. A bathroom with shower is located on each floor and large communal toilets located throughout the home. The home’s laundry was kept secure from residents and control of hazardous substances were safely stored. Access to the laundry is gained through the kitchen. All laundry is put into special bags before taking through the kitchen. The manager is aware of the problem and is looking at ways of changing the access to the laundry. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36 The home benefits from an enthusiastic, well trained staff team who are well supported and supervised. EVIDENCE: The home has improved its staffing ratios since the last inspection. Four staff are generally employed throughout the day with another staff operating a 9.00am to 5.00pm shift. At nights there are two waking staff. Staff spoken with felt that the present staffing levels are appropriate to meet the residents needs and that their workload was not too heavy. One of the major improvements since the last inspection is the development of the staff training programme. In addition to foundation training staff have attended training in conflict management, medication, recial diazepam, epilepsy, fire training, protection of vulnerable adults. Training in autism has been arranged for January. In addition, six staff have achieved NVQ level 2 and seven staff are training to achieve NVQ level 2. Two staff will be starting NVQ 3 training in February 2006. The deputy manager hopes to qualify at NVQ level 4 in February 2006. The home has a staff induction programme, did not appear to meet the standard set by “skills for care”. The manager said she would investigate further. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 15 Staff supervision is managed by the manager and deputy who have both received training in supervision. An annual plan of supervision is displayed in the office. Staff commented that they had a good staff team who support each other and that staff morale is very good. Staff were observed throughout the day to care for the residents in a sensitive, unhurried and respectful manner. This contributed to developing a relaxed atmosphere in the home in which the residents felt comfortable and secure. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-40 & 42 The home benefits from an experienced, competent manager who provides stable leaderships to staff to ensure a consistent quality of care. EVIDENCE: The registered manager has over seven years experience with the client group and has managed Rowan House for nearly three years. She is at present training at NVQ level 4 which she hopes to complete before the end of the year. Staff spoken with said the manager was easily approachable and supportive. Staff comments included “She’s one in a million,” “the manager is very competent and courteous.” The manager has developed a quality assurance system that takes into account family, visiting professionals and staff views and has completed a report on the homes performance for the year 2003. She hopes to complete the 2004 report in January 2006. A sample of policies and records examined were found to be generally well maintained and up to date. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 17 Safety certificates were seen for services and equipment and regular checks maintained on the fire precaution equipment. Regular health and safety checks are carried out throughout the building. Rowan House DS0000018115.V265534.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rowan House Score 3 3 3 2 Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 3 X DS0000018115.V265534.R01.S.doc Version 5.0 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA21 YA30 YA35 Good Practice Recommendations A policy and procedure on care of the dying should be introduced. The access to the laundry via the kitchen to be considered. The staff induction programme should meet the “Skills for Care Standards”. Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Rowan House DS0000018115.V265534.R01.S.doc Version 5.0 Page 21 - 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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