Inspection on 11/10/06 for Rowfant Residential Home

This inspection was carried out on 11th October 2006.

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

Rowfant Residential Home 16/01/06

Rowfant Residential Home 12/08/05

Rowfant Residential Home 15/09/04

Rowfant Residential Home 10/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rowfant Residential Home Wallage Lane Rowfant Crawley West Sussex RH10 4NG Lead Inspector Mrs J Hough Key Unannounced Inspection 11th October 2006 09:50 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 Rowfant Residential Home DS0000014695.V307074.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. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowfant Residential Home Address Wallage Lane Rowfant Crawley West Sussex RH10 4NG 01342 713747 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) rowfant.home@virgin.net Rowfant House Limited Mr Viesturs Dude Care Home 19 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (19) of places Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons accommodated should not exceed 19. Date of last inspection 16th January 2006 Brief Description of the Service: Rowfant Care Home provides personal care and accommodation for nineteen older people over the age of 65 years. It is owned by Rowfant House Limited a non-profit making organisation, which is affiliated to the Latvian Church. The Registered Manager responsible for the day-to -day running of the home is Mr Viesturs Dude and the Responsible Individual is Mr Mike Ward. The home mainly accommodates elderly Latvian people some of whom have lived in self catering accommodation in a large community/country club (Rowfant House) in the same grounds prior to moving into the care home but also admits residents who are not Latvian. The two-storey detached building was a converted stable block, which has been extended and added to during the last five years. All the resident’s bedrooms are single and five offer en-suite facilities and there is a passenger lift giving access to all floors. The home is set in extensive grounds, which include woodland and a river. There is a large patio area to the front of the property with a fishpond and raised flowerbeds, which are accessible to the residents. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 5 hours and Mr Viesturs Dude the Registered Manager was present at the inspection and provided the information required. Evidence was gathered by speaking with the residents, staff and any visitors available during the day. A pre-inspection questionnaire was completed prior to the inspection and residents were given questionnaires to complete. Seven were completed and returned and feedback and evidence gathered from these are included in the inspection report. A tour of the premises was made, and records were examined in relation to resident’s care plans and assessments, staff recruitment files, and accident and complaint logs. Three requirements were made as a result of this inspection. The current scale of charges are: - £345 to £489. What the service does well: The residents live in a comfortable, homely and well-maintained home that is run by an experienced manager and team of staff. The atmosphere in the home was calm and welcoming, and it was noticed that staff took the time to stop and talk with residents as part of their work. The residents praised the staff for their kindness and care. The residents are provided with a varied programme of activities of their choice and trips to the local town for shopping are arranged when required. The home offers the residents a good choice of nutritious and well-prepared food, and all residents spoken to praised the quality of the food. Rowfant Residential Home DS0000014695.V307074.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. Rowfant Residential Home DS0000014695.V307074.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 Rowfant Residential Home DS0000014695.V307074.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): 3,6. Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. There was no written evidence available that all residents admitted to the home had a pre-admission assessment carried out. The home does not provide intermediate care. EVIDENCE: The admission process for the home includes a visit by the manager or deputy manager to assess the needs of the prospective resident before any agreement is made for admission to the home. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 9 However records were examined of two residents recently admitted to the home for respite care, and in both cases there was no completed assessment available. From speaking with both residents it was clear that the home was meeting all their needs. The home does not provide intermediate care. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are fully met by staff. The medication procedures for the home ensure safe practice. Staff treat the residents with respect and ensure their privacy is maintained. EVIDENCE: Resident’s records were examined and in most cases a full needs assessment with a detailed care plan was completed and signed by residents or relatives to show they had been involved in the care planning process. However, two residents admitted to the home in May and August 2006 did not have a needs assessment and care plan in place. Some care plans read, did not give evidence of having been reviewed on a monthly basis, and one handling risk assessment was incomplete although the resident was assessed as having mobility problems with a history of falls. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 11 Residents spoken with praised the level of care and support given by the staff and felt their needs were fully met. Observations made of staff and residents showed that staff had formed good relationships with residents and had a good understanding of resident’s individual needs. Advice and support is provided from the district nursing service when required. The district nurses were visiting the home to treat and monitor a resident with a pressure sore. The district nurse was complimentary about the home saying the residents always looked well cared for, and appeared happy and content living in the home. On touring the premises and visiting some residents in their rooms it was seen that special equipment was provided when required as the resident with a sore heel was supplied with a pressure-relieving cushion while in bed. Arrangements were made for residents to attend any special clinics and health services as required. Records were kept of these visits. On the day of the inspection the registered manager took one resident for an appointment at the local surgery. The medication administration records were accurately completed. The majority of the medicines were dispensed from blister packs. A list of specimen signatures of staff that have been trained to administer medicines was available with the medicine charts. The administration of medicines given only when required was carefully monitored and recorded on the reverse of the medication records giving the reasons for administration and there effect. The Controlled drugs administered were recorded in a separate book and signed by two members of staff. On checking the book it was found that an error had occurred in the calculations for the amount of one drug in stock, and this was discussed with the manager and immediately amended. Controlled drugs were stored in locked metal boxes in the medicine cupboard. None of the present residents had expressed a wish to administer their own medicines. Accurate records were kept of all medicines returned to the chemist for disposal. It was clear that staff respected the privacy and dignity of residents. Residents spoken with said the staff were courteous and kind and always knocked on their bedroom doors before entering. Personal care was provided in the privacy of their own rooms or bathrooms. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. Residents choose what they want to do and how they spend their day. Residents are offered a good choice of nutritious and well- prepared food. EVIDENCE: All the residents spoken with were happy with the level of activities provided in the home. Some expressed a particular interest in certain areas and said the home did everything possible to provide activities in line with their interests. Exercise classes took place two mornings per week and on occasions an outside entertainer provided musical entertainment. A varied programme of activities was in place to suit individual needs. Outings were arranged to visit the local town for shopping when requested. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 13 Rowfant House situated in the grounds surrounding the home is a country club and residents are welcome to participate in social events and use the facilities of the restaurant and bar. Residents were given choices in all aspects of their daily routine and preferred times for getting up and going to bed were recorded on care plans. A request from several residents had been made to change the times of the evening meal and this was being considered after asking all residents their preferred times. There are no restrictions regarding visiting arrangements in the home and residents and one visitor spoken with said that visitors were made very welcome and were free to come and go as they please. The home has a policy not to handle resident’s finances and only keeps small amounts of spending money for some residents. Records were maintained of all transactions and receipts kept where appropriate. Access to resident’s money was only available through the manager or deputy manager. Residents praised the quality and choice of food provided. Lunchtime was observed as being a relaxed and social occasion. Lunch on the day was shepherds pie with sprouts followed by prunes and custard. Special diets are catered for, and assistance with eating and drinking is given when needed. There were two dining rooms one upstairs and one downstairs both very pleasant and bright. Residents are able to eat in the dining room or in their own rooms if preferred. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure for the home ensures all complaints are investigated and acted upon. The policies and procedures and training provided in the home ensure the residents are protected from harm. EVIDENCE: The home had no recorded complaints. Residents spoken with said they have had no cause to complain, but would not hesitate to speak with the manager should the need arise. The manager maintains daily contact with residents and both staff and residents said he was very approachable. All staff had attended training on the Protection of Vulnerable Adults. The last recorded training session was carried out in March 2004 and was due an update. The West Sussex Adult Protection Procedures were available in the home for reference. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 15 Staff spoken with demonstrated they understood their responsibilities in reporting any incidents or allegations of abuse within the home and all said they would not hesitate to do so. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 16 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): 19,26 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, clean and well-maintained home. EVIDENCE: The location of the home is excellent being situated in extensive grounds in a rural location. A programme of routine maintenance was in place and two extra en-suite facilities had been fitted since the last inspection. All corridors had been repainted and new carpets fitted in six bedrooms. The pre-inspection questionnaire states that the home meets the requirements of the fire officer’s last visit in April 2005. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 17 A tour of the premises was made and all areas of the home were clean and fresh and well maintained. The home was bright and homely and some residents had furnished their rooms with small items of furniture of their choice and personal possessions. Resident’s comments stated that the home was always kept spotlessly clean. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The staffing numbers were appropriate to provide the residents with the care they need. The staff team is competent and experienced. The recruitment procedures in the home must be followed to ensure the protection of the residents. . EVIDENCE: Staff rosters showed that staffing levels had been maintained with three care assistants working during the day plus the manager or deputy manager. On Thursday and Sunday afternoons the number of care assistants was reduced to two until 4pm when a third care assistant comes on duty. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 19 At night there were two care assistants one awake and one sleeping in. The care assistant sleeping in works until 11am and then starts work at 06.30am. Both staff and residents felt there were sufficient numbers of staff working on each shift to give the residents the care and attention they needed. Residents said that staff generally responded promptly to their calls for assistance. Residents said, “Staff were always around when you needed them and nothing was too much trouble.” On the day of the inspection there was a relaxed atmosphere in the home and staff were observed going about their work in a calm manner. On checking staff lists it showed that most of the staff had been working in the home for several years. Staff files were examined for the two new members of staff employed in the home since the last inspection in January 2006 to check that the relevant checks had been carried out prior to them working in the home. Two members of the care staff had commenced working in the home prior to having confirmation of a satisfactory Protection of Vulnerable Adults (POVA) check and a Criminal Records Bureau (CRB) check. One member of staff had no evidence of having two written references. Staff confirmed that during the first weeks of employment they completed an induction programme that included the home’s aims and objectives and policies and procedures. The completed pre-inspection questionnaire stated that 50 of the care staff had achieved the National Vocational Qualifications (NVQ) in care at level 2 or above. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The health and safety and welfare of the residents are protected as far as practicable. The home is run well by an experienced and approachable manager. EVIDENCE: The registered manager is competent and experienced to run the home. The manager had not yet obtained his management qualification but plans were in place to commence a management course in January 2007. Both staff and residents praised the manager saying he was approachable and made himself available to staff and residents on a daily basis. Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 21 At the last inspection a requirement was made for monthly visits to take place under Regulation 26 and evidence showed that these now take place during most months. Staff training records and the pre-inspection questionnaire showed that staff had regular training for manual handling, fire safety, first aid, food hygiene and infection control. The pre-inspection questionnaire and maintenance records showed that all systems and equipment were regularly serviced and maintained. Arrangements to fit window restrictors on upstairs windows were in place. Since the last inspection the use of door wedges had ceased and resident’s bedroom doors had been fitted with door guards. Rowfant Residential Home DS0000014695.V307074.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 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 23 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. 1. Standard OP3 Regulation 14(1)(b) Requirement Timescale for action 13/11/06 2 OP29 3 OP7 The registered person must ensure that all residents have a needs assessment carried out prior to admission to the home. 19(1)(b)(c The registered person shall not ) employ a person to work in the home unless he has obtained in respect of that person the information and documents specified in Schedule 2. 15(1) The registered person must ensure all residents have a written plan as to how the resident’s needs in respect of his health and welfare are to be met. 13/11/06 13/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rowfant Residential Home DS0000014695.V307074.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Rowfant Residential Home DS0000014695.V307074.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. 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