Inspection on 04/09/07 for Rowan - Innova House CLD

This inspection was carried out on 4th September 2007.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Rowan - Innova House CLD 93 Windsor Road Mansfield Nottinghamshire NG18 4ED Lead Inspector Karmon Hawley Unannounced Inspection 4th September 2007 10:00 Rowan - Innova House CLD DS0000069976.V350131.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 - Innova House CLD DS0000069976.V350131.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 - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowan - Innova House CLD Address 93 Windsor Road Mansfield Nottinghamshire NG18 4ED 01623 626252 01623 650099 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) Innova House Health Care Limited Tracey Marie Ryan Care Home 1 Category(ies) of Learning disability (1), Physical disability (1) registration, with number of places Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Physical Disability - Code PD The maximum number of service users who can be accommodated is 1 2. Date of last inspection New service Brief Description of the Service: Rowan - Innova House consists of a two-bedroom bungalow on a private residential estate. The bungalow has private access with a driveway providing parking for several cars. The property is set within fenced gardens to the rear and open aspect to the front. The bungalow is intended to accommodate one person with the second bedroom to be used for the safekeeping of records. There is also a lounge/dining room and a separate kitchen. One bathroom with a toilet and a wet room. The homes ethos is ‘ordinary life principals’ It is close to local shops and only a short bus or taxi ride away from the main town of Mansfield. The current weekly fees are £1294 to £4,000 depending upon service users needs. Hairdressing, chiropody, personal items and holidays are not included in these fees. All required fee information is made available upon the point of enquiry. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about Rowan Innova House CLD and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of the service user living at the home by talking with them and observing the care received. General records maintained by the home were looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? What they could do better: To ensure that service users are fully protected by the service’s recruitment policies and procedures all documentation is required to be in place. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Rowan - Innova House CLD DS0000069976.V350131.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 - Innova House CLD DS0000069976.V350131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are confident that their needs and aspirations are fully understood and that the service is able to meet these prior to them making a decision to move into the home. EVIDENCE: To ensure that the service is able to meet service users needs staff visit prospective service users within the community prior to admission and carry out a preadmission assessment. To help judge if the home is suitable prospective service users may also spend time at the service before making a decision to move into the home. Staff spoken with were able to discuss the preadmission procedure. The service user spoken with explained the procedure that had taken place before they had moved into the home and confirmed that they had received all the information they needed to make an informed choice. Rowan - Innova House CLD DS0000069976.V350131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user is supported to meet their needs and achieve their personal goals. The service user is enabled to make decisions about their lives and take risks as part of an independent lifestyle. EVIDENCE: To enable the service user to lead an ordinary life the plan of care reflected the service user’s needs, aspirations and goals and was based upon their strengths and capabilities so that support may be offered appropriately. There was evidence that the individual is facilitated to make everyday choices about their life and care received. Reviews take place on a regular basis, which reflect any achievements made or further support required. Staff maintained in depth daily records, which demonstrated the care and support the individual had been offered. In addition to this to enable the individual to recall their days a personal diary is maintained which reflects personal thoughts, feelings and how they spend their time. Staff spoken with discussed how they support the individual to maintain their independence as able whilst offering support in a Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 10 dignified manner. The service user spoken with said “staff are very kind, they help me as I need,” and “I make my own choices about what I do from day to day.” Staff were observed to interact in a positive manner with the service user and support them as required. To enable individuals to make their own choices and decisions staff demonstrated they had a good understanding of service users rights. They respected the rights of the service user to make their own decisions whilst offering them the support needed to carry these out. There was evidence within the plan of care to show that the service user was making their own decisions and choices in regards to their daily lives. The service user spoken with said “I make my own decisions about what I do and how I spend my time.” This was observed throughout the visit. To ensure that the service user maintains control of their personal finances a plan of care and action plan was in place for this. The service user spoken with explained how they look after their own finances. Although the current service user does not use advocacy services, these would be made available if required. Risk assessments for all activities undertaken by the individual were in place, there was evidence that these had been discussed with the service user and the level of support required negotiated. These were based upon ensuring the individual leads an independent life with guidance and support. Staff spoken with showed a good understanding of the risk assessments in place and the service user spoken with confirmed they understood why these had been put into place. Rowan - Innova House CLD DS0000069976.V350131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user is able to live a fulfilling life and participate in activities of their choosing. The service user is part of the local community. EVIDENCE: As the service is registered for one service user, activities and opportunities for personal development are individualised. The service user spoken with discussed various activities that they enjoy taking part in such as bowling, discos, visiting the gym and trips to town as well as occupying themselves when at home. Staff are available to offer 24hour support and accompany the service user during these time. The bungalow is situated in a small cul-de-sac and the service user has regular contact with neighbours and the local community. The service user currently living at the home visits and uses several community facilities. The service Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 12 user said, “I enjoy the Dove Disco, I have a dance and meet other people, I like the music that they play there.” There are no restrictions imposed upon visiting, however it is advisable to telephone prior to visiting to ensure that someone is home. The service user spoken with discussed how they receive visits from their family. Staff discussed how relevant others are involved in the plan of care as necessary. To ensure a healthy well-balanced diet is on offer staff assist the service user with shopping and menu planning. Staff also assist in the preparation and cooking of meals. The service user spoken with said, “the meals are ok, I enjoy it when I have a take-a-way.” Staff have undergone training in food safety, however there were no records maintained such as fridge, freezer or food temperatures - this is discussed further in standard 30. Rowan - Innova House CLD DS0000069976.V350131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user is confident that they will receive personal support in the way they prefer and their preferences will be observed. The service user is protected by the medication policies and procedures in place. EVIDENCE: To ensure that personal care is received the way in which the individual prefers a plan of care is devised. There was evidence that this had been negotiated with the individual to include their personal preferences. Staff spoken with were able to discuss the support and assistance needed and the way in which they ensure that individuals independence is maintained. The service user spoken with stated that staff were helpful and supported them as required. There was evidence within the plan of care to show that specialist services such as the general practioner and physiotherapist are accessed as required. Specialist equipment such as a wheelchair and a walking frame were available. The staff spoken with said that a good rapport is maintained with the doctors surgery and they can contact them at any time. The service user spoken with said that they see the doctor when they are unwell. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 14 Assessments take place with regards to the administration of medication to ascertain whether an individual is able to self-administer. Currently the staff administer medication to the service user residing in the home. The service user spoken with was happy with this arrangement. Medication checked on the day of the visit corresponded with the prescription and appropriate records such as medication being signed into and out of the building were available. Hand written entries had not been signed by two members of staff to show that these had been checked as correct. Rowan - Innova House CLD DS0000069976.V350131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users is confident that they may raise any concerns and that these will be dealt with. The Service user is protected from abuse. EVIDENCE: An in depth complaints policy and procedure is in place, and no complaints have been received by the service. Staff spoken with were able to discuss how they would handle a complaint should it be received. The service user spoken with said that staff were approachable and they felt that they could raise any concerns with them and these would be dealt with accordingly. Staff have received training in adult protection and dealing with challenging behaviour, staff spoken with were able to discuss what action they would take should they suspect that abuse was occurring. There was evidence within the plan of care to show incidents of challenging behaviour had been dealt with appropriately. Rowan - Innova House CLD DS0000069976.V350131.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user lives in a homely and comfortable environment, which is well maintained. EVIDENCE: The bungalow is approximately seven years old and has been maintained on a regular basis as required. The interior is well maintained and comfortable with good quality furniture. The gardens are landscaped and remain well cared for. The kitchen is of domestic nature, which is clean and well maintained. The issue regarding the lack of records in the kitchen was discussed with the manager, who said that the service has not yet had a visit from the Environmental Health Officer, however she said she would deal with this matter. All areas of the home seen were clean and well maintained. Staff are responsible for the cleaning of the home and doing the laundry however the service user helps with domestic chores as able. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent staff team support the service user. The service user is supported and protected by the home’s recruitment policies and procedures. EVIDENCE: To ensure that new staff are aware of their responsibilities and the running of the service they undergo an in depth induction, evidence of this was available within staff training folders and one member of staff confirmed they had undertaken this training. Three members of staff have undergone the level 3 National Vocational Qualification (a nationally recognised work and theory based qualification) and one has undertaken level 2. One member of staff is currently undertaking level4. Four staff files were observed, all contained the required documentation such as references, and Criminal Record Bureau checks (a police check to see if an individual has a police caution or criminal record), however not all contained proof of identity, or a photo of the employee, this was discussed with the manager who stated that photographic identity was available on the computer, this would be transferred onto staff files. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 18 Within the initial induction all compulsory training is covered, in addition to this specialist training is also offered such as care and support required by a person who has epilepsy. Staff spoken with said that training is offered as needed. The service user spoken with felt that staff were trained to meet after their needs. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user is confident that their views and opinions are taken into consideration with regards to the running of the service. Systems in place and a well-trained staff team ensure that the health, safety and welfare of the service user are promoted and protected. EVIDENCE: The manager of the service is based at a sister home, however visits on regular occasions and is in contact by telephone if required. She has completed the Registered Managers Award and a Degree relevant to the service. To support the manager in her role a team leader is in place at the service who oversees the day to day running of the home. Staff spoken with said that they can always get in touch with the manager if needed and she visits the home most days. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 20 To ensure that a quality service is on offer, quality assurance takes place on a continuing basis. Staff converse with the service user on a daily basis and take into account views expressed. When the manager visits the home she undertakes audits such as medication and care planning to ensure that these are maintained as required. Regular maintenance takes place to ensure that the environment remains safe. Staff have undergone training in health and safety and staff spoken with were able to discuss relevant issues. In depth risk assessments, policies and procedures are in place ensuring safe practices are maintained. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 21 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 22 N/A 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. 1 Standard YA34 Regulation 19(1,b (i)) schedule 2 Requirement To ensure that service users are fully protected by the service’s recruitment policies and procedures all documentation listed in Schedule 2 is required to be in place. Timescale for action 10/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations Handwritten entries are signed by two members of staff to show that these have been checked as correct. Rowan - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 - Innova House CLD DS0000069976.V350131.R01.S.doc Version 5.2 Page 24 - 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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