Inspection on 03/02/06 for Rowan House

This inspection was carried out on 3rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 30/08/06

Rowan House 10/11/04

Rowan House 03/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Rowan House 2 Spa Lane Hinckley Leicestershire LE10 1JB Lead Inspector Trisha Gibbs Unannounced Inspection Friday, 3rd February 2006 09:30 Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 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 DS0000057197.V282061.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 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 DS0000057197.V282061.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rowan House Address 2 Spa Lane Hinckley Leicestershire LE10 1JB 01455 633009 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 Ann O`Neill Mr Roy William McCormick Mrs Ann O`Neill Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 11th July 2005 Brief Description of the Service: Rowan House is a large attractive Victorian House providing accommodation for eight people who have a learning disability. All bedrooms have an en suite facility and some additional shower rooms. There are two good-sized lounges and a dining room for communal use. A pleasant garden and patio area is situated at the back of the house. All rooms are nicely furnished and decorated with good quality furniture and soft furnishings. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection took place between 9.00 a.m. and 12.00 p.m. and was the second unannounced Inspection this year. . Planning for this inspection included reviewing the previous inspection report. During the Inspection, the Inspector spent time with four residents, two of whom showed the Inspector their bedrooms. Care records and other documents were inspected. Two care files were looked at. The inspector spoke to and observed the practice of staff and talked to the Registered Provider/Manager. What the service does well: What has improved since the last inspection? What they could do better: The Manager should now continue to develop the key worker system in order to ensure care plans are relevant and are being implemented. Daily logs do not always reflect whether or not appointments scheduled in the diary have been attended for. Bedtime routines should be reviewed and agreed with staff and residents, and if necessary recorded in care plans. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 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 DS0000057197.V282061.R01.S.doc Version 5.1 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 DS0000057197.V282061.R01.S.doc Version 5.1 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): xx Standards 2, 3, and 4 were inspected at the last Inspection on 11th July 2005. Standard 2 was assessed as not met and Standards 3 and 4 as fully met. EVIDENCE: Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 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 Standards 7 and 8 were inspected at the last Inspection on 11th July 2005 and assessed as fully met. Standard 6 and 9 were assessed as not met. Although the individual needs of residents are very well met, some care plans are not detailed enough. EVIDENCE: Residents are consulted about, and sign their care plans. The Inspector looked at care plans for six residents. These were satisfactory, however there is now a need for a robust key working system to back up and implement them. The Manager confirmed that she is re launching the key working system, and there was evidence to support this in staff meeting minutes. The inspector spoke to a member of staff about one young resident who has dietary/health needs and is also resistant to getting up in the morning and Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 10 attending day activities. Although there is a range of appropriate health professionals working alongside the staff at the home re the diet, the care plan gives no detail of a dietary regime being in place, or of strategies being utilised to encourage the resident to get up in the mornings. The staff team have their own techniques to encourage the service user to get up in the morning, meeting with varying degrees of success. These provided two examples where care plans should provide more detail. Risk assessments are in place for all residents. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 11 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): 14, 15, and 17 Standards 11, 12, 13, 14 15, were inspected at the last Inspection on 11th July 2005 and assessed as being exceeded, and Standard 16 as being almost met. Residents are supported to lead active and fulfilling lives. EVIDENCE: Residents enthusiastically described to the Inspector activities, which they engaged in during the week. It was very evident that they were encouraged to pursue individual interests. One young woman who loves animals works on a farm one day a week. Another young man has guitar lessons and attends a literacy class. He told the Inspector that he recently ‘read in church’. The Manager works hard to support residents to maintain good contact with their families, frequently facilitating transport where relatives are not mobile. This is commendable. The residents enjoy their meals, most of which are home cooked. On the day of the unannounced Inspection a fresh chicken was being roasted for tea with Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 12 fresh vegetables. There were some gaps on the menu sheets, which staff complete each day to record food that each resident has consumed. The Inspector, looking at recent menu records, noted that there appeared to be no particular consideration given to utilising healthy options for the resident who has dietary needs, neither were these detailed in care plans. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 13 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 Standards 18, 19, and 20 were inspected at the last Inspection on 11th July and assessed as being fully met. Residents receive good personal support; however recording of this could be better. EVIDENCE: The Inspector noted that health, and other appointments recorded in the central diary, were not routinely being confirmed as being attended, or not in, the daily logs for individual residents. Appointments, and outcomes of appointments, should be confirmed in individual records. One staff member described how residents are now encouraged to all go to their bedrooms at a fixed time each night, where they continue to watch their own television if they wish to. This is to some extent to facilitate the sleep in night staff. The Registered Manager should review this arrangement with staff and residents, giving consideration to Standard 18.6 and to residents’ needs and wishes, and record the outcome of the consultation. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 14 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): xx Standards 22 and 23 were inspected at the last Inspection on 11th July and assessed as being fully met. EVIDENCE: Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 15 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 Standards 24, 25, 26, 27, 28, and 30 were inspected at the last Inspection on 11th July and assessed as being fully met. Rowan House provides a safe and comfortable environment to live in. EVIDENCE: The Inspector looked at two bedrooms, the kitchen and dining area, a lounge and a downstairs bathroom. All were pleasant, clean, homely and comfortable. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 16 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 and 34 Standards 33 and 35 were inspected at the last Inspection on 11th July and assessed as being fully met. The staff group are sufficiently competent to support residents, however the team lacks a senior layer of staff. EVIDENCE: The staff team is shared with the sister home on the same road. The staff members spoken to on the day of Inspection were clear about their roles and responsibility, and demonstrated a good awareness of individual residents’ needs. Since the last Inspection the Deputy Manager has left the home, and this role has not yet been replaced. Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 17 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 and 42 Standards 38 and 39 were inspected at the last Inspection on 11th July and assessed as being fully met. The home is well managed by the two Registered Provider Managers, and residents are routinely consulted about any developments or initiatives. EVIDENCE: Staff members spoken to confirmed that one of the Registered Providers carries out routine Health and Safety checks around the house, and ensures that maintenance and repair work is promptly attended to. The Inspector observed the environment to be clean and free from obvious hazards on the day of Inspection. Residents and staff said that the Registered Manager was always approachable, and accessible. The Manager is very involved in daily functioning of the home, and although always available on an informal basis, Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 18 meets every week with the residents for a residents’ meeting. these meetings are displayed in the kitchen. Notes from Rowan House DS0000057197.V282061.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 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 4 15 4 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 x x x x x 3 x x 3 x Rowan House DS0000057197.V282061.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. 1 2 Refer to Standard YA6 YA18 Good Practice Recommendations The Manager should continue to develop the key worker system to support care plans. Daily logs should always reflect whether or not appointments scheduled in the diary have been attended for. Bedtime routines should be reviewed and agreed with staff and residents, and if necessary recorded in care plans. 3 YA18 Rowan House DS0000057197.V282061.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 DS0000057197.V282061.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. Re-publishing this information is in breach of the terms of use of that website. 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