Inspection on 17/05/05 for Rowena

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rowena 21/08/07

Rowena 12/07/06

Rowena 22/11/05

Rowena 27/01/05

Rowena 24/05/04

Rowena 04/03/04

Rowena 05/12/03

Rowena 14/10/03

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

CARE HOMES FOR OLDER PEOPLE ROWENA 28 OAKWOOD AVENUE BECKENHAM KENT BR3 3PJ Lead Inspector CHERYL CARTER Announced 17 MAY 2005 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 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. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service ROWENA Address 28 OAKWOOD AVENUE,BECKENHAM, BR3 3PJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 650-3603 0208 650-3603 Mr Cader, and Mrs Bibi Cader MRS BIBI CADER CRH-CARE HOME 22 Category(ies) of DE (E) DEMENTIA OVER 65 - 22 PLACES registration, with number of places ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27.01.2005 Brief Description of the Service: Rowena is a residential care home located in a residential area of Beckenham. The home has been registered to the current owners since March 1995 and provides accommodation for up to 22 persons in the category of Dementia. The home is da detached property and has had some adaptions in order to make it more accessible to the service users. A passenger lift links the ground and first floor accommodation. There is a large lounge and dining room where service users are able to spen time with each other, watch television and participate in various activities and welcome friends and relatives. In addition there is a large garden where service users can sit out in the warmer weather. The Home provides staffing throughout the 24-hour period .Mrs Cader is the Registered Manager. Support services are offered via the Local Primary Care Trust including the GP and district Nursing Services. The chiropodist, optician annd dentist are provided via the domicillary service every six months. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out over seven hours in the presence of the manager. The inspector spoke with two relatives of current service users, two members of staff and three service users. A tour of the building was made. Two staff files and three care plans were looked at. There are currently 20 service users residing at the home. The inspector met with the staff available on duty to gain insight into staff understanding of the care needs of service and to assess the level of competency of the staff team in ensuring the welfare of service users. The home has a complaints procedure that provides protection for the service users. The home’s environment is comfortable. The Registered Provider/Manager is very involved in the day-today care of the service users. There are systems in place to ensure the Health and Safety of the Service Users. This was a satisfactory announced inspection. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 6 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 Standards Statutory Requirements Identified During the Inspection ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 7 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 standard(s) 1,2,3,4,5 Residents admitted to the home know that their needs will be met. EVIDENCE: The home has a Statement of Purpose and a Service User’s Guide that gives prospective service users the information that allow them to make an informed decision before moving into the home. All service users are assessed prior to moving into the home to ensure that their health and personal care needs can be met at the home. Service Users are issued with a contract and terms and conditions of the Home. All service users are assessed prior to moving into the home. All service users have a month’s trail, before their placement is confirmed. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 8 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 standard(s) Systems are in place to ensure the personal and healthcare needs of residents are met. There is a policy in place for the administration of medication. EVIDENCE: The home has introduced a booklet for each service user titled Assessment for Good Care Planning and this includes all information about the service user, a personal profile social and leisure activities, physical health Mental Health Assessment, physical health assessment, personal resident risk assessment, behaviour assessment, pressure-sore assessment, nutrition screening, falls risk assessment, needs and preferences, care/action plan, monthly evaluation and review, and monthly review weight record and out patient referrals. Residents were generally well presented. Residents spoken to were very complimentary about the care at the home. Questionnaires returned were very positive. There was evidence to show that staff members are aware of the importance of ensuring the service users privacy and dignity. The home has a policy and guidelines on the care of the dying and what to do in the event of a death of a service user. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 9 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 standard(s) 12,13,14,15 Staff supports service users to access local services and keep in contact with family. Meals are varied and well balanced. EVIDENCE: Some service users were able to provide feedback on their lifestyle. All the comments received were positive. Looking at records and talking to staff and relatives was an indication on how the home ensured service users lead satisfactory lifestyles. Friends and relatives can visit the home at any reasonable times. Some service users attend day centres. One relative spent considerable amount of time talking with the inspector and he is very happy about the care given at the home and had no concerns at the time of the inspection. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 10 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 standard(s) 16,17,18 The home has a complaints policy that is simple and accessible. EVIDENCE: The home has a complaints policy in place but there were no recorded complaints since the last inspection. Some care staff is currently undertaking Level 2 NVQ and 2 members of staff have completed their Level 3 NVQ. Not all staff has received training in adult protection and whistle blowing. The manager is currently arranging dates for training in adult abuse and whistle blowing. (Req.1) ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 11 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 standard(s) 19,21,22,23,24,26 The standard of the environment within this home is good and provides service users with a homely place to live. The home is furnished to a good standard that meets the needs of service users. Service users are allowed to bring some personal items to the home. EVIDENCE: The home is generally well maintained, clean and free from odours. Carpets were secure and no hazards were observed during the tour of the building. Rooms were personalised and screens are provided in shared rooms to ensure privacy and dignity. Some carpets have been renewed since the last inspection. The room where the service user is incontinent has been fitted with laminate flooring as this surface is washable and prevents odours. The Laundry room and the surrounding area needs to be bettermaintained.eg redecoration, and flooring. (Req. 2) ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Staff with appropriate qualities are recruited to the home and trained to ensure they have the appropriate skills to do the job. EVIDENCE: Three staff files were looked at. All files had evidence of identity and the result of an enhanced CRB check. The Provider/manager is responsible for ensuring that staff receives appropriate training. Staff have received training in Moving and Handling, Reminiscence, and Health and Safety issues when working with people with dementia. Staff receive regular supervision every two months. Two senior members of staff are leaving to take up new positions and new staff will be recruited. The Inspector spoke with the District Nurse who had no concerns at the time of the inspection. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 36, 38 The manager manages the home with the interest and safety of the residents as a priority. EVIDENCE: The Provider/Manager is present at the unit most weekdays. In her absence there are two duty managers. The Registered Provider is always accessible via the telephone. The registered Manager is a Registered Nurse and is currently undertaking the Registered Manager’s Award. Staff receives supervision every eight weeks. The home has a business plan that takes on board training for staff, repairs and maintenance of the building. The Providers are currently seeking planning permission to extend the lounge. Staff interviewed said that they felt confident about taking issues to the Manager; however there were concerns expressed about the low wages and this should be addressed with staff. Accidents were appropriately recorded. Fire Records, Portable appliances, gas and Electricity Records, hoists were current and up-to-date. ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 14 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x 3 3 3 3 x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 3 x 3 x x 3 x 3 ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 15 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP18 Regulation 18.1c Requirement The Registered manager must ensure that all staff recceive training in adult protection and whistleblowing The Registered manager must ensure that the premises are kept in a good state of repair. Timescale for action 15.08.05 2. OP19 23.2b 15.08.05 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 Good Practice Recommendations ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 16 Commission for Social Care Inspection RIVER HOUSE 1 MAIDSTONE ROAD SIDCUP KENT DA14 5RH 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 ROWENA G51s6965RowenaV221083 17-05-05 Stage 4.doc Version 1.20 Page 17 - 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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