Inspection on 05/01/06 for Rubicon Rise

This inspection was carried out on 5th January 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rubicon Rise 17/05/07

Rubicon Rise 21/09/05

Rubicon Rise 20/01/05

Rubicon Rise 14/07/04

Rubicon Rise 24/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Rubicon Rise Badgers Close Hall Farm Doxford Park Sunderland SR3 2XF Lead Inspector Gillian McCabe Unannounced Inspection 5 & 9 January 2006 10:00 th th Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 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 Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 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. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rubicon Rise Address Badgers Close Hall Farm Doxford Park Sunderland SR3 2XF 0191 553 4109 0191 553 4109 rubicon.rise@ssd.sunderland.gov.uk 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) Council of City of Sunderland Elaine Cruikshanks Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Rubicon Rise is a small registered care home run by the City of Sunderland Council’s Social Services Department. It provides personal care and support services for up to six men and women who have a learning disability and may also have a physical disability. Nursing care cannot be provided. The home is situated in the residential area of Doxford Park. A large supermarket and a public house are close by. The area is also well served by public transport, and people living at the home make good use of this with staff support. Accommodation is provided in a spacious, purpose-built and suitably equipped bungalow, which is decorated and furnished to a good standard. There is a pleasant large enclosed garden with ramped access to a summerhouse at the rear and ample car parking space for staff and visitors. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days, in January 2006. As the inspection was unannounced the views of service users, their families and other professionals were not gathered before the inspection. The inspector met all service users during the inspection and two service users had a chat with the inspector. Meeting and talking to Service users showed that all were happy with the care and support they receive from staff at Rubicon Rise. The manager, senior care and two residential officers views were also given about the running of the home and the support and training they receive to help them to do their jobs. As part of case tracking, two service users file were looked at along with records of care plans, staff training records, and service user contracts. A tour of the home was carried out looking at the standard of accommodation on offer and the plans in place for maintaining safe living and working conditions. Two service users gave the inspector a tour of their rooms. What the service does well: What has improved since the last inspection? The home continues to encourage service users to participate in developing care plans; service users are encouraged to talk about their goals and aspirations and how they would like to be supported in different areas of their lives. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 6 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. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 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 Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 5 Rubicon Rise has good procedures in place to determine that service users only move in if their needs can be met. Each person is issued with a very informative service user guide and a copy of terms and conditions of residence, which clearly states what is to be provided in the home. However this document is not in an accessible format. EVIDENCE: All service users have a pre admission assessment, carried out by the manager before taking up residence in the home. A person may only move to Rubicon Rise if the manager is certain that his or her needs can be met. Evidence of pre assessment was found in service users files that were sampled for case tracking. Service users who take up residency at Rubicon Rise will be issued with a statement of terms and conditions or a contract. This comes in the form of a booklet known as ‘Your Home’. This informs the person of the services they will expect to receive along with details of fees and what may be payable. Also included in the contract are details of guidelines service users need to follow to maintain a safe environment. The contract is very detailed however people who find it difficult reading the written word may not understand it. Service users would benefit from having this information in a more accessible format. This would assist service users to make an informed choice of their prospective home. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Service users assessed needs are reflected in detail within their individual plans of care. This information provides clear guidance for members of staffs’ care practices’. Some areas in the plans of care were not completed fully. EVIDENCE: Two service user files were looked at and both contained very detailed written and pictorial person centred plans. The plans identified care needs and how they would be met, individual personal goals, risk assessments and details of health related needs. The manager informed the inspector that reviews are carried out every 2 months with the service user and their key worker; and documentary evidence of reviews supported this. The review gives an opportunity to discuss and evaluate current needs, as well as identifying and planning future goals. However work is needed around completion of service users personal plans for the part that describes ‘objectives’ or ‘goals’; as it was not clear what the person’s objectives were. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14, & 15 Service users are assisted to lead active and fulfilling lifestyles by having regular community presence and accessing a range of community facilities. Good contact is maintained between service users and their relatives and the opportunity is available for service users to spend time with their families inside and outside of the home. EVIDENCE: Rubicon Rise is situated in the heart of the community. The home is run so that people who live there have the opportunity to participate in varied activities and keep in touch with friends and families. Service users are encouraged and supported regularly to visit local amenities such as the supermarket, public houses, theatres and restaurants. One member of staff showed the inspector the individual activity files that had been developed with service users involvement. All service users have an activities file showing details in pictures and written words what the person likes to do. For example, one person’s file shows pictures of the empire theatre, the metro and the stadium of light. One person who likes animals had recently visited the ‘Triple A Animal Shelter’ with staff Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 11 support. Staff said they are looking into arranging these visits on a regular basis as the person enjoyed it so munch. Another person likes to go out for a walk on a regular basis and staff supported this person to do this during the inspection. Staff sensitively promote service users independence when preparing to leave for their activities. They give prompts discreetly in relation to personal items that might be needed for the activity, and in relation to the temperatures outside. All activities undertaken are clearly documented in individual files. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 Service users living at Rubicon Rise needs are supported and met where appropriate, which can ensure that people’s dignity and privacy is respected. Service users have their personal care needs clearly outlined within their case files; health care needs are identified and suitable arrangements are in place to ensure they are promoted and met. EVIDENCE: Service Users files have detailed support plans outlining their preferred way of support. For example one service user has a ‘night support plan’ giving stepby-step details of where the person needs support to enable him to have a comfortable night in bed. Records in files show that service users attend G.P, chiropodist, speech therapist, specialist consultant, opticians, dentists etc. Staff support service users with attending to healthcare needs, which promotes the persons physical and emotional well-being. The manager and staff confirmed that appointments would be made with various healthcare professionals when necessary and healthcare professionals would visit the home if requested. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All standards assessed and met at previous inspection. EVIDENCE: Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All standards assessed and met at previous inspection. EVIDENCE: Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 35 The home has robust recruitment practices in place, however one element of information was not available in one persons records when the home was inspected. Members of staff receive regular training opportunities that ensure service users are appropriately supported and protected by competent and qualified members of staff. EVIDENCE: Discussions took place with the manager regarding recruitment & selection procedures. Evidence of necessary employment checks are in place. However one file that was looked at did not have records of ‘POVA First Check’ or CRB clearance; the Care Homes Regulations 2001, states that all staff must have relevant employment checks before an appointment is made. Service users are supported by a competent staff team; the staff team have worked hard and the manager said that at least 50 of them are now qualified to NVQ level 2 in care. All staff have completed mandatory training as well as training that is relevant to supporting the need of service users at Rubicon Rise. The manager has a training file giving details of all courses staff have carried out. The manager likes to keep up to date with staff training needs and also Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 16 carries out a training needs analysis on a yearly basis. The analysis highlights where members of staff need training or updates on training. The manager explained that training needs are also discussed as part of staff supervision. Discussion with the manager and records indicate that new members of staff receive training in the form of an induction, as well as receiving mandatory training. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 43 The manager, who is well experienced and well supported by the staff team, ensures that service users benefit from a well run home, which is focussed on ensuring that the health, safety and welfare of service users is always promoted and protected. The manager has qualifications relevant to the post and is currently working her way towards completion of NVQ 4 in Management and Care. EVIDENCE: Observation and discussions with service users and staff confirmed that good working relationships have developed between staff service users and the manager. Staff seek direction and advice from the manager and service users interact confidently with the manager. Routines in the home are flexible and organised to suit service users needs. Observation of staff practises’, discussion with the manager, and records show that regular health & safety audits, including an audit of the building, fire safety checks and instruction, and regular water temperature tests are carried Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 18 out in the home by the manager and staff team. The manager explained the home is also subject to monitoring visits, which are carried out by Sunderland Social Services Performance and Governance. The manager continues to work through her NVQ IV in Management & Care and is confident that it will be completed within the next couple of months. Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 4 X X X X X 2 Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 20 Yes 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 YA5 Regulation 5 (1)(c) Requirement The service user contract/statement of terms and conditions requires further development in order to make it more accessible to people who difficulty understanding the written word. (TIMESCALE OF APRIL 2005 NOT MET) Timescale for action 31/03/06 2. YA37 9 (2(b(1)) The registered manager must 31/03/06 achieve National Vocational Qualification (NVQ) Level IV awards in ‘management’ and ‘care’. (TIMESCALE OF DECEMBER 2005 NOT MET) The Registered Manager must ensure that all staff have appropriate employment checks and records of checks are kept. 09/01/06 3. YA34 19(1)(a) S2(2) Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 21 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 Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Rubicon Rise DS0000032745.V262568.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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