Inspection on 17/06/07 for Rufford Care Centre

This inspection was carried out on 17th June 2007.

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

Rufford Care Centre 04/03/09

Rufford Care Centre 04/09/08

Rufford Care Centre 19/07/06

Rufford Care Centre 28/02/06

Rufford Care Centre 22/06/05

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Rufford Care Centre Gateford Road Gateford Worksop Nottinghamshire S81 7BH Lead Inspector Andrew Sales / Karmon Hawley Unannounced Inspection 27th June 2007 10:00 X10029.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 Rufford Care Centre DS0000063345.V341252.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 and 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. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rufford Care Centre Address Gateford Road Gateford Worksop Nottinghamshire S81 7BH 01909 530233 01909 533044 rufford@carecentre.wanadoo.co.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) Florence Mallaband Limited Linda Catley Care Home 100 Category(ies) of Dementia - over 65 years of age (35), Old age, registration, with number not falling within any other category (50), of places Physical disability (25) Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. Welbeck unit may accommodate service users within categories Old Age not falling within any other category (OP) 25 beds Dementia over 65 years (DE/E) 25 beds Clumber unit may accommodate service users within category Physical Disability 18-65 years (PD) 25 beds Hardwick unit may accommodate service users within categories Old age not falling within any other category (OP) 25 beds Dementia over 65 years of age (DE/E) 10 beds Service users shall be within categories DE/E (35), OP (50) or PD (25) The registered manager must be a 1st level nurse and full time, with full time supernumery hours Unit managers are to have at least 2 days supernumery hours of work. Up to 4 beds for OP may be used for Terminally ill and up to 8 beds may be used for persons with dementia over 45 years of age. Thoresby Unit may accommodate residents within categories Old age not falling within any other category OP (25) beds 19th July 2006 Date of last inspection Brief Description of the Service: Rufford Care Centre is a purpose built care home. The home was officially registered with the National Care Standards Commission on August 26th 2003. Rufford Care Centre is owned and managed by Florence Mallaband Ltd. The home is situated on the Worksop bypass along Gateford Hill approximately one mile from the centre of Gateford. Rufford Care Centre is registered to accommodate up to one hundred service users, all in single occupancy rooms. The home is divided into four units that offer a specific specialist care service. Clumber Unit offers accommodation for up to twenty-five younger adults between the ages of eighteen and sixty-five. Hardwick Unit now offers accommodation for up to twenty-five service users over the age of sixty-five who require twenty-four hour nursing care and who have Dementia. The Thoresby Unit offers a total of twenty five places for residential placements and the Welbeck Unit supports people suffering from varying degrees of Dementia. The care home is registered to cater for up to four service users at any given time who may require terminal care and up to eight places are available for adults over the age of forty-five who may have Dementia. The Care Centre has Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 5 been designed so that each unit can run independently with their own communal settings. The catering and laundry services are based within the basement of the centre and they provide a service across the four units. The registered manager confirmed the homes current weekly fees range from £360 to £520. Hairdressing and chiropody fees are not included. This information is made available at the point of enquiry. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by two inspectors reviewing all the previous inspection records available, looking at information provided by the manager about Rufford Care Centre and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspectors also checked that information provided by the manager matched individual experiences of service users living at the home by talking with them and observing the care received. Nine service users and one relative were spoken with, all of them expressed that care was at a good standard and staff were very kind and attentive. General records maintained by the service and staff records were looked at to ensure these were maintained and provided positive outcomes for service users. During the visit an observational tool was used, which has been designed in partnership with the Alzheimer’s Society and Bradford University. This has been developed to enable inspectors to evaluate the care provided to people who are unable to communicate their views. On this occasion four people with Dementia were observed over a two-hour period. The information gathered helped us to make judgements about the type of support resident’s were receiving and their well being. This involved observing their interaction with other people and the tasks they were involved in. What the service does well: What has improved since the last inspection? Ongoing redecoration and maintaince is taking place to ensure service users live in a comfortable and well-maintained environment. Recruitment policies and procedures have been tightened and now ensure that staff are recruited safely and service users are protected. Staff training has improved to ensure that they have the necessary knowledge and skill to deliver care to service Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 7 users. The arrangement for the safe keeping of medication has been reviewed to ensure that service users are protected. The manager for the unit providing services for people with Dementia has continued to improve the culture and philosophy of care. She is seeking advise as to how to promote better person centred care and is encouraging staff to adopt a more focused approach to individuals needs and preferences. She has also developed links with local groups, which has resulted in residents being able to go out of the home and join in community events like reminiscence groups. 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. The summary of this inspection report can be made available in other formats on request. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are given enough information to make an informed choice about where they live. People are assured that their needs will be assessed and met before entering the home. EVIDENCE: A copy of the statement of purpose and service user guide was available within service users rooms. This was in depth and outlined everything a service user needed to know about the service. The acting manager or unit manager visits prospective service users in the community prior to admission. Evidence of a pre-admission assessment taking place was contained in service users files. People can visit the home or have a trial stay before making a decision to Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 10 move in to the home. One service user spoken with discussed how they visited the home and chose their own room before they moved in. A relative said that they had visited the home and received all the appropriate information before making a decision. The manager confirmed that the home does not offer intermediate care. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are comprehensive arrangements in place to ensure that service users personal and health care needs are met. Service users feel that staff are respectful at all times and their privacy is maintained. EVIDENCE: Service users undergo various assessments such as the activities of daily living, behaviour, manual handling and nutrition. Information gained had been Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 12 used to formulate the plans of care. Care plans seen identified people’s needs in depth and were personalised. Each offered relevant information about the individual’s personality, their likes, dislikes and preferences to make sure that staff supported them appropriately. Issues with regards to maintaining service users privacy, dignity and independence were also noted within the plans. Comments received from service users about their care were as follows: “nothing is too much trouble”, “staff always listen to me and care for me as I ask”, “staff know what I like, I have a good rapport with them which makes me feel comfortable”. One service user, who is mostly self caring, stated that they were very happy at the home, staff were polite and helpful, facilities were good and they were able to do their own washing. Risk management plans were in place for all identified potential risks including possible triggers in regards to managing challenging behaviour. There was also evidence of a balance of safety with independence, offering service users the opportunity to negotiate their plan of care and to have control of the choices they make. Staff were observed helping people with a variety of activities, including moving them safely around the home and assistance with eating. Interaction was positive and staff were observed being patient. Staff were able to describe the care planning process and demonstrated a good understanding of the needs of individual people. They were very in touch with the approaches of care for people with Dementia, such as Respect, Acceptance, Acknowledgement, Validation, Enabling and Inclusion. Records showed that access to the doctor, district nurse, optician and other specialist services had been facilitated demonstrating that appropriate support is obtained. During the brief tour of the home specialist equipment such as hoists, beds and cushions were seen, however one member of staff felt that additional mobile hoists would be beneficial to ensure service users individual needs are met. One service user said that they could see the doctor at any time they wanted. Another discussed the service received from the optician. Appropriate mediation polices and procedures were in place. To ensure that medication is administered safely staff who have this responsibility have undertaken training. Evidence of this was available in staff training files. Service users medication requirements are included in their plans of care. To ensure security of medications the drug trolley was supervised throughout the medication round. Two service users said that staff look after their medication and hand it out when it is time; they stated that they were happy with this arrangement. All rooms are single, and may be locked if required. To ensure service users dignity and privacy is promoted and protected signs such as do not disturb were seen to be in use. Service users spoken with said that staff were Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 13 respectful at all times and they felt that their privacy was upheld. Staff were able to discuss the issues of ensuring privacy and dignity are maintained and how they did this in practice. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a flexible routine where they are supported to make decisions about their daily lives and participation in their chosen activities. EVIDENCE: Two activities coordinators are employed who work on all of the units. Activities such as bingo, arts and crafts, games, films, reminiscence therapy, stimulation games, trips out and music to movement are on offer. There is also a games room on the younger adults unit. Service users spoken with offered Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 15 the following comments, “I am very happy here, I join in some activities such as bingo”, “I am extremely happy and the activities are good”. The routine of the home is flexible and service users make their own decisions about how they spend the day, service users spoken with said, “I like having choices and I can make my own decisions”, “I have good relationships with the staff and we can have a laugh and a joke” and “I can make my own choices”. Staff confirmed that the routine of the home is flexible and service users may spend their time as they wish. Service users were seen to occupy themselves and move freely around the home as able. One service user was seen to go out and then return to the home and use the access code to enter the building. Both staff and service users stated that people have a choice when they retire to bed, however there were concerns expressed about the staffing levels at this time. This was discussed with the manager who stated that some service users cooperate by getting into their nightclothes for 8pm; staff and service users spoken with confirmed this. One member of staff in the unit providing services for people with Dementia told us how the manager has continued to improve the culture and philosophy of care. She described how they are encouraged to promote better person centred care and how to adopt a more focused approach to individual’s needs and preferences. The unit manager described how she developed links with local groups, which has resulted in residents being able to go out of the home and join in community events like reminiscing groups. We observed two residents on their way out to attend this. There are no restrictions on visiting and one visitor said that they were made welcome at any time. The manager said that regular visitors are given the access codes so that they can access the building freely, this was observed throughout the day. Staff were seen to have good relationships with visitors and made them feel welcome. The acting manager discussed how service users privacy is maintained should they wish to maintain a relationship; there is a private room available for them to spend time together. Service users personal preferences were noted in the plan of care and those spoken with said that they felt that they were treated as individuals and staff listened to them. One person said, “nothing is too much trouble for the staff, they listen to me and I feel safe and relaxed”. Staff confirmed that people could gain access to advocacy services if needed. One service user spoken with said that their room was perfect and they had been able to bring in their personal possessions. Service users appeared empowered and were confident in approaching staff for support, ideas and information. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 16 A wholesome and appealing menu is on offer. Service users spoken with said, “the food is very good, I get plenty to eat” and “choices are on offer at each meal and they are very nice”. The main meal on the day of the visit looked well presented and offered service users several choices. The mealtime was relaxed and unhurried and services users were assisted as needed. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel comfortable to approach staff should they have any concerns and they are confident that these will be acted upon. Service users are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: There had been a number of complaints received since the previous inspection regarding standards of care, staffing levels, staff attitudes and staff competencies. All of these were documented in the complaints register. There was evidence to show that these issues had been investigated and resolved to the complainants’ satisfaction. Staff were able to discuss how they would respond to a complaint if received. Service users said that they felt comfortable with staff and that they would raise any concerns should they arise. They also said that they felt confident that these would be remedied. A relative stated that they had raised concerns in the past and these had been acted upon and resolved. The home’s adult protection policy is in line with current local guidelines. To ensure staff are knowledgeable in the protection of vulnerable adults a number of staff have received training in this area and further training has been Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 18 planned for the near future. Staff spoken with confirmed that this training had taken place and they were able to discuss how they would respond if they suspected abuse was occurring. Service users spoken with said that they felt safe within the home and that staff were kind, caring and always respectful. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and homely environment, but the condition and cleanliness of some carpets needs attention. EVIDENCE: The acting manager said that redecoration of the home is ongoing as is routine maintenance. All areas of the home were well maintained both internally and externally. One service user spoken with said, “my room is perfect”. Their Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 20 relative added that as it led out onto the garden it made the person, feel as if this was their own garden. There are several seating areas available within each unit offering a choice of where to spend time. A games room and laundry room on the younger adults unit offers resources to remain as independent as possible and kitchenettes are on each unit where service users and relatives may obtain drinks. During the brief tour of the home all areas except the Welbeck unit were clean, tidy and well maintained. The carpets in the communal areas on the Welbeck unit were dirty and worn, there was also quite a powerful malodour throughout which affects the comfort of service users and visitors. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by knowledgeable and well-trained staff, who are recruited safely. EVIDENCE: Staffing on each unit was checked at the beginning of the visit, this showed that each unit was staffed sufficiently to meet the needs of people currently living at the home. Service users spoken with, except two, felt that sufficient staff were available to meet their needs. Comments included: “staff are very respectful, polite and they help me when needed”, “I am well looked after and in general there are enough staff available” and “staff answer my call bell whenever I need help”. A relative also stated that issues concerning staffing levels had been addressed and they now felt that enough staff were available. One service user said that there used to be occasional problems with staffing at night, but presently there were no persistent concerns. Staff confirmed this Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 22 and stated that they could be short on occasion due to sickness, however to ensure sufficient staff were available attempts were made to cover shifts. The acting manager said that there had been problems in the past, however agency staff had been used and she was in the process of recruiting additional staff. To ensure that new staff are aware of service users needs and the policies and procedures of the home they undergo an in depth induction. There was evidence within staff files of this taking place and three staff members confirmed they had undertaken an induction. The acting manager said that 90 of staff have attained either the national vocational training level 2 or 3 in care (a nationally recognised work and theory based qualification) Records and staff comments confirmed they had undertaken this training. Four staff files were seen, all contained the required documentation such as Criminal Record Bureau checks (a police check to see if an individual has a police caution or criminal record), references and proof of identity. Two members of staff spoken with were able to describe the recruitment process and said they had not been able to start work at the home until the necessary checks had taken place to ensure that service users were protected. Each staff member has an individual training file identifying the training they had undertaken. With the exception of one member of staff spoken with all said that the training provided was excellent and that they had attended compulsory training such as manual handling and health and safety. The other member of staff said that they had asked for additional training as they felt they had not attended many courses. The acting manager said that further training had been planned; dates for this were seen in the diary. She said once senior staff had undertaken their training this would be cascaded to junior staff so that they had the relevant knowledge needed to meet people’s needs. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and systems are in place to ensure that service users and staff are protected. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 24 EVIDENCE: The acting manager has been in post since September 2006, she is in the process of applying to become the registered manager. She has experience in managing a care home and has worked in a specialist unit for people with challenging behaviour in the past. She is currently undertaking the registered managers award (a nationally recognised work and theory based qualification.) Staff spoken with said that they enjoyed working at the home and felt that the acting manager was approachable. One service user said, “things have improved since the appointment of the new home manager, she is always approachable and stops to have a conversation”. To ensure a quality service is maintained various audits take place on a monthly basis. These include areas such as, medication, the kitchen and care plans. An action plan is then devised to address any areas that require improvement. To ensure that service users views are taken into account questionnaires are given out. Some positive responses from the previous questionnaires were as follows: it is a lovely home to live in; they are friendly and I have always felt that I’ve had more good times here; very caring when approaching residents, nothing is too much trouble; the provision of good meals; celebrating special events; knowledgeable and approachable nurses and helpful care staff. There were a few negative comments recorded such as, carpets are not hygienic and smell and sometimes more staff are needed were received, the acting manager said these would be looked into. One service user said that they had not had chance to give input into how the home is run as yet as they had not been there long, however they felt that the opportunity would be given to them in the future. Regular staff and service users meetings are held, minutes for these were available to show that both have a voice which is heard in the running of the home. People are able to have personal allowances kept in safe keeping should they wish. There are also lockable facilities available in service users rooms. One relative spoken with confirmed that their relative had money kept in the safe, they were confident that this was used appropriately and said that this could be accessed at all times. The hoist maintaince certificate was seen to show that this had been serviced. Accident records were available within service users files, which showed that sufficient information had been recorded and appropriate action had been taken. Staff have received training in health and safety and were seen to promote staff working practices. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 X 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 26 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 OP26 Regulation 23(d) Requirement Ensure measures are in place to keep carpets clean and fresh ensuring service users live in a well-maintained and comfortable environment. Ensure systems are in place to keep the home free from offensive odours to ensure service users live in a comfortable environment. Timescale for action 30/07/07 2 OP26 16(k) 30/07/07 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 OP27 Good Practice Recommendations Take into consideration staff and service users views about staffing levels to ensure they feel reassured that appropriate staff are available to meet their needs. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Rufford Care Centre DS0000063345.V341252.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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