Inspection on 14/12/05 for Ruckland Court Care Home

This inspection was carried out on 14th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ruckland Court Care Home 06/06/07

Ruckland Court Care Home 05/09/05

Ruckland Court Care Home 23/02/05

Ruckland Court Care Home 09/09/04

Ruckland Court Care Home 11/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Ruckland Court Nursing Home Ruckland Avenue Lincoln Lincs LN1 3TP Lead Inspector Mr Ken Hague Unannounced Inspection 14th December 2005 09:00 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 Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 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. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ruckland Court Nursing Home Address Ruckland Avenue Lincoln Lincs LN1 3TP 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) 01522 530217 01522 513371 enquiries@lacehousing.org LACE Housing Limited Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (49), Physical disability (1) of places Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Conditions of Registration A condition of registration is that the maxium number of service users in the home with Nursing needs does not exceed 14, and the maximum number of service users with Personal Care needs only, does not exceed 36. Condition of Registration Any service user admitted within the category PD shall be between the ages of 50 and 64 years inclusive. 05/09/05 2. Date of last inspection Brief Description of the Service: Ruckland Court is a purpose-built establishment. It provides personal care for older people over the age of 65 years. It is owned by a voluntary organisation, LACE Housing, and the day-to-day running of the home is organised by a Registered Manager, Pat Schuck. The home is located in a residential area to the north of the City of Lincoln. The city’s amenities can be reached by car or bus. Accommodation for service users comprises mainly of single occupancy flats. Single flats usually contain a bed, sitting room, kitchenette, shower and toilet, although there are 8 single occupancy flats with a separate bedroom. There are 6 double flats; these are usually allocated to married couples or relatives who may choose to share.The double flats have similar accommodation and a separate lounge. Each flat has a lockable front door with a letterbox. Newspapers, mail and groceries are delivered directly to each flat. The home has communal dining areas and lounges for service users to use if they wish to. The dining room is a shared facility with day centre attendees. Service users from the home can also choose to attend the day centre if they wish. There is a small shop and hairdressing salon on-site. The home is surrounded by gardens and there is a central courtyard area with raised flowerbeds and seating for service users to use and enjoy, weather permitting. There are designated car parking spaces available at the front of the property. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 8am and 12.30pm. The main method of inspection used is called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. A tour of the premises was conducted and care records were inspected. One member of staff and four service users were interviewed What the service does well: What has improved since the last inspection? In October 2005 the home ceased to offer nursing care. The changes in staffing due to be ending of this service was affecting staff morale at the time of the last inspection. Staff morale has now improved and good professional teamwork is taking place within the home. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 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. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 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 Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 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): 1,2,3 & 5 The home undertakes comprehensive assessments before people are admitted to the home to ensure that the home can meet their needs. Potential residents visit the home prior to admission to make sure that the home is suitable for them EVIDENCE: The home has an admission policy and procedure, which includes an assessment being carried out prior to admission, this is undertaken to make sure that the home can meet prospective residents needs. The homes statement of purpose is displayed in the reception area of the care home. This documents set out the resources of the care home and the facilities offered to all new residents. Care records contained details of the terms and conditions for residents staying at the home. A resident interviewed confirmed he had a copy of the terms and conditions for his placement. The registered manager confirmed that all new residents are encouraged to visit the home and looked round prior to them booking into stay for any period of time. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 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 & 10 The health needs of residents are recorded in their personal care plan. The home ensures identified health care needs are met by using the resources of the home and community health care services. The medication policy of the home is being followed, residents can self Medicate after a risk assessment demonstrates this is appropriate. Rights and privacy of the residents are upheld by all staff. EVIDENCE: The care records for three individual residents were studied in detail. These contained any identified health care needs. The care plan set out how the resident’s health needs are to be met including the resources to be used. There were details of dental care, chiropody and eye tests. A resident interviewed confirmed that he had received assistance from the home to have his eyes tested. A staff member stated one of the residents been case tracked had received dental care arranged by the home. The home has a policy on the Administration the storage of medication which meets a National Minimum Standards. This policy was seen and discussed with a members staff on this inspection. The records for the medication of one resident being case tracked was followed from the point of the issue of the prescription to the administration of the medication. This resident was selfRuckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 10 medicating after a risk assessment had confirmed that this was appropriate and with the approval of the general practitioner. The medication was checked in her flat to establish that it was being stored appropriately. The storage facilities for drugs and medical records were inspected. This included the facilities for storing controlled drugs and the inspection of the controlled drug register. The records for the returning of all news drugs to the pharmacy was seen and discussed with the member staff. A sampled stock check was carried out for one resident. The medication recorded in care records corresponded with the quantity of drugs stored on behalf of this resident. The evidence and demonstrated that the policy of the care home was being followed and that the Administration and storage of drugs did meet the Care Standard Regulations. The care records sampled during this visit contained a common statement that the privacy and dignity of all residents must be considered when providing personal care. The observations made during his visit provided further evidence that staff do treat all residents with sensitivity and respect their dignity and privacy. In discussions with the three residents they all confirmed that in their opinion all care staff respect their dignity. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 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): Not inspected on this visit but all standards met in September 2005 inspection. EVIDENCE: Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 12 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): 16,17,18 The home has a complaints procedure which is displayed in the home and is known to staff and service users. Service users are able to raise any complaints or concerns through this procedure or service user meetings. The home has policies and procedures in place to ensure that any suspicion of possible abuse is investigated. EVIDENCE: The home’s adult protection policy was is in line with current local guidelines. The complaint procedure of the home was displayed in the foyer area. Staff were able to discuss this and give the timescales for any responses to a complaint. Staff spoken with had a good knowledge of the types of abuse that could occur and the actions that they must take if they had any concerns. The registered manager knows the procedures to follow regarding reporting any suspected abuse to the Commission and social services. Staff comments and training records demonstrated that staff had received appropriate training in this subject which would help them to recognise and take appropriate action should the need arise. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 13 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 Service users live in a home with a clean, comfortable and homely environment. The health and safety policy of the care home is being followed. there is still no evidence other role in maintenance program been carried out within the home. EVIDENCE: A tour of the home included three residents’ bedrooms. The residents concerned said that they were very happy with their rooms and had been encouraged to personalise them. The communal lounges were clean and furnishings provided a homely atmosphere. In the September 2005 inspection report it was recommended that the home consider instigating a rolling maintenance program as some areas of the home are in need of redecorating. There is still a need in December 2005 for a the redecoration programme to be established. The infection control policy of the home is being followed and there were no health and safety issues identified at this inspection. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 14 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): 27,29 & 30 The home provides training for all care staff and encourages NVQ training. There are always sufficient staff on duty to provide essential care for service users. The recruitment policy of the care home is been followed and this meets the National Minimum Standard. EVIDENCE: The recruitment records for a new member of staff were studied. All the appropriate documents required by the Care Home Regulations had been obtained prior to this staff member being offered employment. This staff member was interviewed and she confirmed that she had completed an application form, supplied references and obtained a current enhanced criminal record bureau check before employment had being offered. She described her induction programme and the home provided records which demonstrated this induction had taken place over a number weeks and was ongoing. All induction records was signed and dated by the trainer and the trainee. The registered manager describe the training plans for the care home and showed records of training included specialist training being offered to care staff. Residents spoken to during the visit confirmed in their opinion there was always suffer sufficient staff on duty. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 15 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): 31,32,36 & 38 The home is well run, with look good leadership and guidance from the registered manager who has worked for many years in the provision of community care. The health and safety and welfare service users is promoted. EVIDENCE: Staff stated that the registered manager is very supportive and consistent in the guidance she gives to care staff. Staff stated that she encourages them to be involved in NVQ training and to take advantage of appropriate training courses. The service users spoken to during this inspection stated that the registered manager is very approachable and listens to their comments regarding the services provided at the home. They stated that the home holds regular residents meetings. They stated that the staff treat them as individuals and Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 16 confirmed they are satisfied that there individual care needs of being met. There were no health and safety issues identified at this inspection. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 17 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 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x 3 x 3 Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? yes 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 OP24 Good Practice Recommendations It is recommended that the registered person introduces a maintenance program which ensures planned redecoration is carried out. Ruckland Court Nursing Home DS0000002550.V265108.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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