Inspection on 31/08/06 for Rowans The

This inspection was carried out on 31st 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

Rowans The 21/08/07

Rowans The 20/01/06

Rowans The 04/03/05

Rowans The 12/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rowans The West Ella Way Kirkella Hull East Yorkshire HU10 7LP Lead Inspector Rob Padwick Unannounced Inspection 31st August 2006 1:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rowans The DS0000019758.V307000.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowans The Address West Ella Way Kirkella Hull East Yorkshire HU10 7LP 01482 659161 01482 653220 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) Humberside Independent Care Association Limited Mrs Jennifer Diane Taylor Care Home 53 Category(ies) of Dementia - over 65 years of age (53), Old age, registration, with number not falling within any other category (53) of places Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To take one service user under pensionable age Date of last inspection 20th January 2006 Brief Description of the Service: The Rowans is situated in Kirkella, a village to the west of the city of Hull. The home is registered to provide care and accommodation for up to 53 older people, including those with dementia. The home is owned and operated by the Humberside Independent Care Association Limited, which is a not for profit organisation. There is easy access to a wide variety of local shops, pubs and local transport. The accommodation is on one level and communal accommodation comprises of two shared bedrooms and 49 single bedrooms, some of which have en-suite facilities. Service users have the benefit of a number of lounges, a large dining room, open plan gardens and two small, enclosed courtyard areas. All areas of the home are accessible to service users. The standard fees charged by the home are £395 to £440 with additional charges made for hairdressing, chiropody, toiletries etc. The Rowans provides information about the home to service users in its Statement of Purpose and Service User Guide. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A Pre Inspection Questionnaire asking for information from the manager about the home was sent out before this visit and information from this was included as part of the inspection process of this service. Other information that was used included reports from monthly visits carried by a senior manager from the parent company and notifications sent to the Commission for Social Care Inspection about serious incidents that had taken place in the home. During this visit, a tour of the building was carried out and time was spent talking with residents in the lounge areas of the home and observing their daily lives. Further time was spent reading care plans and files and talking to staff. The home’s manager was out on a trip with a group of residents at the start of this visit so a senior staff member and the home’s administrator assisted by providing any information that was needed. Positive responses about the service were received from the 8 relatives that replied to a questionnaire that was sent out to a random group of 11 of them. Health and Social Services staff approached for their views were equally encouraging about the home. What the service does well: What has improved since the last inspection? Training had been given to staff in the use of medicines, in order to ensure the residents are kept safe. Residents’ support plans were being reviewed monthly, so that any changes that were needed were included. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 6 The views of health and social services staff had been obtained, so that the home could use these in monitoring how well it was meeting the residents’ needs. 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. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. Residents had been involved in the process of moving into the home and their needs had been assessed, in order to ensure that it could meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents confirmed that they had been involved in the decision about moving into the home. Case files confirmed that an assessment of the residents’ needs had been carried out, in order to ensure that the home could meet their needs satisfactorily. Most of the case files examined contained admission agreements between the residents and the home and a recommendation is made that these are issued to all of the residents living in the home. The manager confirmed that, as previously recommended, a letter would be sent to all future service users following their assessment of needs, confirming that the service could meet these appropriately. The manager confirmed that the home does not provide intermediate care. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The residents’ health and personal care needs were being met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of four residents were inspected and these confirmed that personal support plans had been developed, in order to guide staff in meeting the individual care needs of the residents. Monthly and annual reviews of the support plans were present in the case files examined, together with assessments of known areas of risk. A recommendation is made that the daily recording in the support plans be improved, in order to give a clearer picture of the care delivered and how the individual resident had been. Residents confirmed that their health and personal care needs were being met and one spoke at length about the benefits to her following an eye operation, which had resulted in her being able to take up her favourite hobbies of reading and writing to friends again. Positive comments were received from a District Nurse, who confirmed that care staff took a proactive approach in working with her and that any specialist advice from her was taken up and incorporated into the residents’ care plans. Case files inspected contained Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 10 evidence of regular monitoring of the residents’ conditions together with records of medical appointments undertaken. The home had policies and procedures, in order to safeguard the residents in respect of medication and evidence was seen that staff training in the safe handling and use of medication had been arranged, as previously required. The home’s medication system and associated records were checked and found to be satisfactory. Residents confirmed that staff treated them with respect and dignity and observation on the day indicated that the residents’ right’s to privacy was being maintained. Staff were seen to knock on doors before entering residents’ rooms, and the approach demonstrated by them in working with the individual residents was caring and sensitive. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The Quality in this outcome area is good. Residents were able to take part in a variety of activities and were being provided with a healthy and nutritious diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents confirmed that they could choose to participate in a variety of activities and social events and a timetable of these was displayed on one of the home’s notice boards. One of the residents said how much she enjoyed the regular manicures she received, whilst another commented on a “memory” session about the war years that he was looking forward to. A group of residents were out at the start of this visit on a trip to Hornsea, whilst a group of others spoke about a recent BBQ, that their friends and relatives had attended. Positive comments were received from all of the relatives that returned a questionnaire about the home, and staff demonstrated how the residents’ individual beliefs were respected, by giving examples of special diets, visits to church and following a request from a relative, the non-use of coloured drinks for a resident who was a Jehovah’s Witness. Residents said that that the food was good and that their individual preferences and choices were respected. Inspection of the menus indicated that a variety of nutritional meals were provided and the case files inspected Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 12 contained evidence of regular monitoring of the residents’ weight, together with assessments of their nutritional needs. A visiting relative, who regularly enjoys a lunchtime meal in the home, confirmed that the meals were of good quality. The home has achieved a “heartbeat” award for the provision of healthy meals, and these were observed being served in a relaxed and unhurried manner. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The Quality in this outcome area is good. The residents were being safeguarded from abuse and their concerns and complaints were being taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had an acceptable complaints policy and procedure and residents indicated that they were confident that any concerns or complaints they may have, would be listened to and taken seriously. The manager carries out 3 monthly audits of any complaints received and inspection of the complaints log indicated that appropriate action had been taken to resolve the issues raised, including referrals to the Local Authority Social Services, where adult protection issues had been identified. Policies and procedures were available in order to safeguard the residents from abuse. Staff indicated that they were aware of these and that they would act appropriately if this were needed. Training records confirmed that issues relating to the protection of vulnerable adults had been included as part of the staff induction process. A random check was made of the residents’ money and the records of these were satisfactory and accorded with what was being kept in the home. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The Quality in this outcome area is good. The residents’ environment was safe and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was bright, airy and comfortable. Bathrooms were equipped with aids and adaptations to aid the residents and staff, although one of them was not in use at the time of this visit. However, discussion with a senior staff member indicated that the other five bathrooms were sufficient to meet the residents’ needs. Staff were observed cleaning various parts of the home and the home’s laundry was neat and tidy. The home’s training programme indicated that infection control training had been covered as part of the induction process for staff and a random sample of health and safety certificates inspected were up to date and in good order. A slight malodour was present in some areas of the home, but inspection of the home’s cleaning log indicted that measures had been taken to address this Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 15 issue on a regular and on going basis. A recommendation is made about this matter. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The Quality in this outcome area is Adequate. The residents were being safeguarded by the homes recruitment process, but improved staff training would help meet the residents needs better. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents confirmed that the staff were meeting their needs and the home’s rota indicated that these included both care and ancillary staff. Information provided by the manager indicated that the care staffing levels were slightly below the levels recommended by the Residential Forum, but discussion with her indicated that the numbers of additional ancillary staff compensated for this. Staff were observed being caring and attentive to the needs of the residents, but owing to the dependency levels of those accommodated, a recommendation is made that the staffing arrangements and structures be re evaluated in order to ensure that welfare of the residents is safeguarded. Staff stated that they had received training on a variety of topics to help them do their jobs and inspection of staff records confirmed this. The provider organisation has an extensive training programme and induction process that all staff must complete, before they are allowed to undertake further training. The organisation compiles a list of training that they consider to be mandatory, but from inspection of a sample of staff records this training needs to be developed for The Rowans, in order to ensure that additional specialist training in dementia and infection control is provided to staff employed at the home. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 17 Discussion with the manager indicated that 13 of the 32 care staff have achieved an NVQ at level 2 or above and that a further 12 staff were undertaking this award. Recommendations are made in these matters. A recruitment policy and procedure was in place to ensure that staff are safe to care for the residents. Staff records inspected contained copies of Criminal Records Bureau checks and two written references and indicated that this procedure was being appropriately followed. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The Quality in this outcome area is good. The management of the home was safeguarding the residents’ health and welfare needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents and feedback received from relatives and professionals indicated that the home was being well run. The manager is suitably qualified and has substantial experience of working with the service user group accommodated at The Rowans. Positive comments received from the District Nursing service indicated that the manager takes a “hands on” approach to working with the residents and discussion with staff confirmed that she was a good manager and that she was open in her approach to managing the home. Inspection of the home indicated that it was being run in the interests of the residents and comments received from residents and their relatives were Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 19 positive. Staff were caring in their approach to working with the residents and were attentive and considerate to the individual needs of those accommodated. The home has a quality assurance programme to monitor its progress against its stated aims, and the views of health and social care professionals had been incorporated into this as previously recommended. However a further recommendation is made that consideration should be given to mechanisms to demonstrate that the views of the residents are included within this process. Information submitted by the manager indicated that a high number of the residents were subject to Power of Attorney and discussion with her indicated that relatives mostly took responsibility for the financial affairs of the residents. The Provider organisation has implemented a computerised system for the management of individual resident’s personal allowances, which are kept in a separate back account. A random inspection of this was satisfactory and indicated that the service users’ finances were being safeguarded. Inspection of the home’s records and discussion with staff indicated that the health, safety and welfare of service users and staff were being promoted and protected. Maintenance records randomly inspected were up to date and in good order and the home’s training plan indicated that staff had covered a variety of health and safety issues as part of their induction or identified learning needs. Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 21 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. Refer to Standard OP7OP7 Good Practice Recommendations The registered person should ensure that the daily recording in the residents’ individual support plans is improved, in order to give a clearer picture of the care delivered and how the individual resident has been. The registered person should ensure that an action plan is developed for the home, which includes management of continence with targets and review dates. The registered person should re evaluate the staffing arrangements and structures, in order to ensure that welfare of the residents is being safeguarded at all times. The registered person should ensure that additional specialist training in dementia and infection control is provided to staff employed at the home and that 50 of the staff have obtained a NVQ level 2 qualification in care. The registered person should ensure that consideration is given to demonstrate that the views of the residents are included within the homes Quality Assurance systems. DS0000019758.V307000.R01.S.doc Version 5.2 Page 22 2. 3. 4. OP26OP26 OP27OP27 OP28OP28 5. OP33OP33 Rowans The Rowans The DS0000019758.V307000.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Rowans The DS0000019758.V307000.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. 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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