Inspection on 30/08/06 for Rowan House

This inspection was carried out on 30th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 03/02/06

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 Thea Richards Unannounced Inspection 30th August 2006 10:30 Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 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.V308782.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 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.V308782.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowan House Address 2 Spa Lane Hinckley Leicestershire LE10 1JB 01455 613749 0116 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.V308782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection Brief Description of the Service: Rowan House is a large attractive Victorian House providing accommodation for eight people who have a learning disability. The home is situated close to the facilities that Hinckley can offer and is easily accessible by private or public transport. The premises consist of two floors, which are accessed by use of the stairs. All bedrooms have an en suite facility and there are 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, which have level access for all the residents to walk or sit. There is information available in the reception area, including photographs of the staff and the residents. The Registration certificate from the Commission for Social Care Inspection is displayed in the dining area. The latest copy of the Inspection report from the Commission for Social Care Inspection is available in the managers office The current fee level is at current local authority rates. There are additional costs for personal toiletries, optician, hairdressing and some recreational activities Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of the home that was concluded with an unannounced visit to the home. Prior to the visit the inspector spent four hours reviewing the previous inspection report and information relating to the home received since the last inspection on the third of February 2006. The visit took place on the 30th August 2006 from 10:30 and lasted five hours. During the course of the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to two residents living at the home, by speaking with the residents themselves; talking with staff supporting their care; checking records relating to their health and welfare and viewing their personal accommodation (with their consent) as well as communal living areas. The inspector also checked other issues relating to the running of the home including health and safety, management and staffing. During the visit the inspector spoke with other residents in the home, staff, and the manager. The inspector also observed care practices when the staff assisted the residents. What the service does well: This was a positive inspection with the home having achieved all the recommendations from the last inspection. The staff spoken with and observed were very committed to delivering an excellent and fulfilling life for the residents. The residents are encouraged and enabled to make choices in their daily lives enabling them to live as independent life as is possible. Staffing levels are good and the staff were found to be knowledgeable about the safeguarding of adults, the medication policy and the care needs of the residents. This ensures that the residents receive the appropriate care delivered safely by knowledgeable staff. There is an excellent and varied range of appropriate recreational and educational activities facilitated for the residents. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 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.V308782.R01.S.doc Version 5.2 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, 2, 4, 5 Quality in this outcome area is good. This judgement has been made using the available evidence. Residents’ needs are well assessed prior to moving into the home by the completion of a pre-admission assessment by a trained member of staff, by Social Services and by the oportunity of a gradual move. EVIDENCE: The residents spoken with on the day of the visit were happy with the provision made for them in the home. There were no visitors available to talk with on the day of the visit to enable the inspector to discuss their views of the home. The inspector checked the care records of two residents who were case tracked. The residents have a contract and a statement of terms present in in their files. Completed pre-admission assessments are present in the residents files, identifying their needs, prior to their admission to the home. Care plans reflected the needs of the resident identified in the pre-admission assessment. The residents spoken with told the inspector that they had had a visit from the Home Manager and social services before their admission to the home. They had the opportunity of gradually becoming resident by staying at the home for more days and nights each week until they were happy to move in completely. Staff spoken with said that they were aware of the residents needs prior to them moving into the home. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 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, 7, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The residents are enabled to make informed choices in their daily lives. EVIDENCE: Evidence activities manager option to home. was available in the care plans identifying resident’s choices in and occupation and the residents spoken with, the staff and the confirmed that whilst a range of activity is offered residents have the choose what they wish to do, or if they occasionally wish to stay at There is evidence of the residents choice of bedtimes and there has been a democratic decision, confirmed in the minutes of a residents meeting, taken by the residents to go to their rooms by 10:30 pm to avoid disturbing the other residents, although they can go to bed when they wish and may continue to watch television in their own rooms if they wish to. The residents spoken with confirmed that they had all made this decision were happy with it and it was working well. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 10 The inspector observed residents being asked about ther choices with an activity and with meal choice. Risk assessments support the care plans, which ensures that residents have the freedom to undertake their chosen activities within an environment promoting their safety and welfare. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 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): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The residents are able to make decisions and choices about their activities, meals, occupation and lifestyles. The manager and staff are active in enabling residents to make decisions. EVIDENCE: The two care plans viewed by the inspector, included information as to the daily occupation of the residents. Both attended a variety of occupation including Further Education Colleges and an animal refuge. The records contained evidence of involvement in the community with regular visits to pubs, cafeterias, shops and local recreational facilities. The residents enjoy parties particularly when celebrating a birthday and the residents spoken with said that they had really enjoyed the party held the previous day. The residents had a holiday in Weymouth earlier in the year and were all excited about the planned holiday to Euro Disney in December. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 12 The home has a vehicle, which is shared with their ‘sister’ home enabling the residents to have transport to both their educational and recreational activities. All the residents spoken with said that they were provided with plenty of activities, that they were able to choose which they wanted and that if there was something that they would particularly like to do the home would try to arrange it for them. If residents wished to go to church this was either arranged with the home family or the church itself, none of the current residents wished to attend church. There was evidence from the records and the manager that residents were able to express their sexual needs and that this was facilitated in the most appropriate way and place. The residents had good links with the community and were well supported by local people and businesses particularly with the bank facilitating the independent management of their accounts. The manager and the residents spoken said that the a lot of the people, including the local police force, in the town knew them and would help them if they needed it. The inspector viewed a menu plan, which demonstrated a choice of meals, but residents are asked as to their choice of meal on a daily basis, this was observed when a member of staff was preparing lunch for the residents at home on the day of the visit. The residents spoken with told the inspector that they really liked their meals and were able to choose what they wanted to eat and that they particularly enjoyed Wednesday evenings which was ‘Take away’ night when they had fish and chips from the shop or a Chinese meal. There is an excellent range of activities and outings for the residents and the home is to be commended on the efforts made to facilitate the residents wishes for education and recreation. Good access has been made to the local Further Education Colleges with comprehensive courses ranging from basic literacy to animal husbandry being undertaken. The manager and the staff are very aware of all the residents’ likes and dislikes and are totally committed to fulfilling the residents wishes wherever possible. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 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, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Resident’s physical, emotional and healthcare needs are met with their own choices being supported by the staff. EVIDENCE: The care plans for two residents were ‘case tracked and they were found to contain good individual evidence of care which reflects the care being given to the residents. This included their need for physical care occupation and recreation. There is evidence of the involvement of other professional staff and appointments that the residents need to attend. The daily record of care is up to date which enables the staff caring for the residents to be aware of their current care needs and recent occurences and it contains entries for the resident’s involvement in activities. Regular reviews of care needs have been completed, ensuring that staff are aware of the residents’ current needs. There is a key worker system of care in place, which means that residents have an individual member of staff with responsibility for their care. Risk assessments support the care plans, which ensures that residents have the freedom to undertake their chosen activities within an environment promoting their safety and welfare. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 14 A wide range of information was available in a variety of files but was found to be in little order and it is recommended that the manager organises the information into a form that is easier for the staff to access, which will reduce the risk that incorrect care could be given. The inspector observed residents being treated with dignity and respect when staff spoke with them and undertook activities with them. The residents spoken with were happy with the way in which the staff treated them and said that they looked after them well. The manager and the staff spoken with were very aware of the care needs of the residents. There were no visitors in the home on the day of the visit for the inspector to obtain their views of the home, however there was evidence in the daily record and in the conversations with the manager and the residents that there were frequent visits to the home by friends and families, enabling the residents to maintain good contact with them. The medication records for the case tracked residents were in order. Staff were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. The home manager completes regular audits of the medication records, which were satisfactory. There is a policy in place for those residents administering their own medication and the staff check that they have taken their medicines at the correct time. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are robust measures in place to protect the residents and to ensure that any concerns are responded to quickly and effectively for their protection. EVIDENCE: The Commission for Social Care Inspection has received no complaints or expressions of concern since the last inspection. The home has a robust complaints policy in place and has received no complaints or concerns since the last inspection. The staff have a Criminal Records Bureau check in place, as they are required to do when working with vulnerable adults. Procedures for the safeguarding of adults are in place and the staff are aware of the requirements for reporting an alleged incident. The residents spoken with on the day of the visit were aware of the procedure to complain and said that they would be able to do so if they needed to and were confident that they would be listened to and action taken. There were no visitors in the home on the day of the visit for the inspector to discuss this issue with. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 16 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, 25, 30 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to the service. The residents live in a generally good and safe environment suited to their lives. EVIDENCE: The Registration Certificate from the Commission for Social Care Inspection was displayed in the dining area. The latest report from the Council for Social care Inspection was available in the manager’s office. The communal areas including the two lounges and the dining/kitchen areas were homely and welcoming with evidence of personalisation by the residents. The dining area, which is adjacent to the kitchen, provides a family atmosphere where the staff and the residents gather for meals and for company. With their permission, the bedrooms of the ‘case tracked’ residents were looked at. The bedrooms provided good accommodation and provided considerable evidence of individual interests and personalisation. One of the bedrooms was having a new wardrobe fitted on the day of the visit which the resident was very pleased about. The bedrooms viewed on the day of the visit all had en-suite facilities of either a shower, W.C. and wash hand basin or a Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 17 W.C. and wash hand basin and there was further provision of shower rooms for the use of the resdents. The garden provides a pleasant area with a well-maintained patio area to sit or walk in. Fire records were inspected and were found to be up to date. Whilst all the taps in the residents’ areas of the home had been fitted with safety valves to control the water temperatures, there was no evidence that these had been checked to ensure that the temperatures were being maintained within safe limits. There was no evidence of outstanding health and safety issues on the tour of the premises. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 18 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, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Sufficient numbers of staff to fulfil the resident’s needs are recruited and trained through a robust recruitment process. EVIDENCE: Three staff files were viewed by the inspector and the required documentation was complete in them all. There was evidence of a robust recruitment policy in place which ensures the safety of the residents. There was evidence of staff training and staff spoken with confirmed that they received regular training in both the mandatory and other training such as coping with challenging behaviour. There is currently only one member of staff with an National Vocational award (NVQ) at level two, with a further two awaiting their certificates and several more were about to commence in September. The home manager is currently undertaking the Registered Managers’ award which is an award through the NVQ system and the Commission for Social Care Inspection recommends that it be achieved by home managers. The National Vocational Qualification is a qualification for care staff to ensure that they receive appropriate training in the needs of the resident group whom they are caring for. There was evidence that training had been received for the safeguarding of adults, the manager and the staff were knowledgeable about the requirements and the procedure to follow in the event of an alleged incident. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 19 There is evidence of a good skill mix of staff to give the care identified for the residents needs and the number of staff on duty reflected the duty rota. Residents and staff spoken with felt that there were always sufficient numbers of staff on duty to cater for their needs. There was evidence that staff supervision was in place which gives staff time with their line manager to discuss their work and training needs. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 20 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, 38, 39, 42 Quality in this outcome area is good. This judgement is made using available evidence including a visit to the service. The ethos of the homes management together with the policies and procedures to promote health, safety and welfare make robust provision for the care needs of the residents. EVIDENCE: The home manager was available throughout the visit. She is the owner/manager and Rowan house has been open for three years having transferred from another home, which she had owned for ten years. She has a wealth of experience in this area care and is currently undertaking the Registered Managers Award to enhance her management skills. The manager holds regular meetings with the residents and their families in addition to one to one discussions with them to ensure that the home is making the provision that they need and require. The manager and her staff demonstrate enthusiastic commitment to the residents and to providing a fulfilling life for them, on occasion enabling them to ‘move on’ into independent living accommodation. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 21 Health and safety records relating to fire were up to date, however water temperatures had not been checked to ensure the maintenance at the correct temperatures. Residents are protected by the recruitment policy, with the obtaining of relevant documentation such as references, identification and criminal records bureau checks. Staff were being given appropriate training to look after the residents both in care needs and health and safety issues. This was confirmed by available documentation, the manager and by staff spoken with. Residents handle their own personal finances with the assistance and help of a local bank who with the manager promotes independent management of their money. Rowan House DS0000057197.V308782.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 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 3 2 4 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 4 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 4 3 X X 3 X Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? None 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 YA19 YA24 Good Practice Recommendations The registered person should organize the care plans into an easier format for the staff to understand. The registered person should ensure that water temperatures are regularly monitored. Rowan House DS0000057197.V308782.R01.S.doc Version 5.2 Page 24 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.V308782.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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