Inspection on 19/07/06 for Rufford Care Centre

This inspection was carried out on 19th July 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

Rufford Care Centre 04/03/09

Rufford Care Centre 04/09/08

Rufford Care Centre 17/06/07

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 Rehana Rashid Key Unannounced Inspection 19th July 2006 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.V305130.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.V305130.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 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.V305130.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 28th February 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 form 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.V305130.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 service 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 fee, which is £297 to £510. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on 19th July 2006 for the duration of six hours. This was the homes first inspection for this financial/inspection year April 2006. The main method of inspection was case tracking, which involved randomly selecting four residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. The registered manager gave the inspector a partial tour of the building. Which included the communal areas, shower room and bathroom, kitchen and three bedrooms. Residents were briefly observed during lunch. Other documentation including health and safety records were also examined. The management of medication was partly assessed. During the course of the inspection the Inspector spoke with five residents, the feedback was very positive about the level of care received. These residents spoke positively about the care staff and about the service provided by the home. The Registered Manager assisted in the inspection process. Two members of staff were spoken with and four staff files were viewed. The registered manager and staff members were helpful and pleasant to the inspector throughout the inspection. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). No requirements or good practice recommendations had been made at the last inspection. What the service does well: Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 7 Personal care and health needs are assessed comprehensively. Residents and representatives spoken with confirmed that staff undertook their responsibilities in a sensitive and considerate manner. The staff team receive regular training relating to the care needs of the residents in each unit. The home has endeavoured to operate less as an institution and develop each unit independently. The catering facilities are extremely well managed and provide food, which is well received by residents. 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. Rufford Care Centre DS0000063345.V305130.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.V305130.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 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 area is good this judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. EVIDENCE: Four residents that were case tracked spoke with the inspector. All of the assessments were comprehensive and contained sufficient information to enable staff to ensure that they could meet the residents assessed needs. The files case tracked contained pre-admissions assessments. Two resident spoken with stated their relatives visited the home prior to the their admission to Rufford Care Centre. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 10 The home obtains specialist advise from resident nurses and other health care Professionals including tissue viability, infection control, general practitioners and continence advisors. This was supported by documentation in care plans. Residents also spoke of visiting healthcare professionals and domiciliary community services, such as Dentist services. Rufford Care Centre DS0000063345.V305130.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 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 area is adequate. This judgement has been made using available evidence including a visit to this service. Health care records are well organised within the resident’s files. Resident’s health, personal and social care needs are generally set out in and individual plan of care. Medication is well organised; however procedures must be robust around medication administration. Residents are treated with respect and their right to privacy is upheld. Resident’s rights are respected. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 12 EVIDENCE: Four care plans were viewed which were randomly selected. Documentation is thorough. Detailed descriptions of personal assistance required, were present, together with comprehensive mobility assessments. Records of multi agency assessment and reviews are recorded, alongside care staff daily records. Care plans are well-written and kept in good order. Some care plans were seen to contain very good information for carers; setting out in detail the action they need to take to meet individual need. Care plans and risk assessments are reviewed. Resident’s files also contained daily records, which have been signed and dated by the author. There was evidence seen on the files confirming residents have access to input from health care professionals including the GP and District Nurse. Residents and staff spoken with confirmed that residents were encouraged to make their own decisions and staff were made aware of their rights as citizens during the induction process. Residents spoken with stated they are able to make choices, for instance one resident stated she prefers to spend time in her room and during meals times she will sit with other residents. Limitations in decision-making are recorded in the care planning process. Residents spoke of how the staff support them to help themselves and the ways in which they support them to maintain and increase their independence. This was a particularly positive issue throughout the home, specifically in the Clumber unit. In the clumber unit the kitchenette’s layout allows residents in wheelchairs to use the facilities. The home has a policy and procedure for receipt, recording, storage, handling, administration and disposal of medication, this was not observed as part of this inspection. The home uses a monitored dosage system for the majority of the medicines. Medication was observed to be stored securely in the treatment room in a lockable trolley. The inspector directly observed a member of staff dispensing and administering medication. Medication from the blister pack was being popped into plastic pots for administration. One resident required assistance to take some of her medication, an individual pot was used and the member of staff stayed with her until she took the medication. During the drug round the member of staff left the medication trolley unsupervised outside the kitchenette in the corridor. This was immediately raised with the staff member who stated she only left the trolley unattended when she was close by. Under no circumstance should prescribed medication be left unsupervised. Observation throughout the inspection evidenced that the staff are sensitive and respectful towards residents. Residents spoken with during the inspection Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 13 confirmed that they are happy with the arrangements made to promote privacy and dignity. Whilst the inspector was being shown around the home, the manager knocked on bedroom doors before entering resident’s rooms. Residents spoken with stated this was standard practice at the home and staff knocked on the door prior to entering. Residents stated overall staff are friendly and polite. Residents spoken with confirmed that personal care takes place either in the bathroom or residents individual bedrooms. The inspector observed positive interaction between staff and residents. Residents spoken with stated the staff are welcoming of their visitors and there are no restrictions when residents receive visitors. There is a pay phone for residents. Some residents have direct phone lines in their individual bedrooms. Rufford Care Centre DS0000063345.V305130.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 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 area is good. This judgement has been made using available evidence including a visit to this service. Residents find the lifestyle experienced in the home matches their expectations and preferences. The home arranges social activities for the residents. They maintain contact with family, friends and exercise control over their lives. Residents receive a balanced diet. EVIDENCE: Residents spoken with stated they are happy with the level of social activities. An activities co-ordinator is employed by the home. During the tour of the Clumber unit the inspector was shown the communal room, which contains a Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 15 pool table and football table. The manager stated during the recent football world cup the room was covered in flags for the different teams. She also stated over the next weeks the residents will use one of the walls to describe what Rufford Care Centre means to them. During the inspection residents were observed sitting in the lounge, bedrooms and dinning area. Some were interacting with staff and fellow residents. Photographic displays were seen in the four units showing residents taking part in social activities. One resident commented that she thoroughly enjoys movement to music. A resident in Clumber Unit stated she has been taken into town for shopping and to the local pub. The home has a welcoming and friendly atmosphere, which was witnessed at the inspection. Residents spoken with confirmed that visiting times were flexible and staff are welcoming of visitors. The manager stated residents are encouraged to maintain contact with the local community. Visitors to the home were observed to come and go from the home throughout the inspection. One visitor spoken with stated staff members are polite and friendly when she is visiting her friend. She also commented that if she is visiting when the tea trolley is going round staff offer her a cup of tea. Residents informed the Inspector that they are encouraged to make their own choices including meals and what they wish to wear. Resident’s rooms were very personalised, which was observed when three bedrooms were viewed. All meals are prepared in the main kitchen and taken in hot food trolleys to each individual unit. The chef records food temperatures, which are recorded daily. The meal on the day of the inspection was freshly prepared and was well presented. The menu included seasonal vegetables with chicken casserole, cottage cheese salad. The dessert was fruit cocktail with ice cream. The menu was displayed outside the kitchenette area. Residents spoken with said that the food in the home was of a high standard and there are alternative choices. The chef stated due to the recent hot weather the menu has been altered. The inspector observed residents being offered drinks for instance in the Thoresby Unit in the lounge cold drinks were placed beside residents. Care plans viewed contained details of foods that residents liked and disliked which are used to plan the menu ensuring all needs are catered for. The kitchen was clean, and orderly, and a good selection of fresh vegetables were available. Food storage areas viewed were clean. Residents said that they are asked daily what meals they would like for the following day this practice was observed by the inspector. The four dining areas are pleasantly decorated, with seating for all residents. Each of the four units also has pleasant, well-equipped kitchenette areas that can be utilised by residents, relatives and visitors. Meals are served from the kitchenettes; the manager stated residents who are able to make a drink are able to do so. Lunch was briefly observed, residents were in two dinning area’s and some residents prefer to eat in their rooms. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 16 Rufford Care Centre DS0000063345.V305130.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s complaints are taken seriously. Staff members spoken to during the inspection were aware of the issues of protection of service users from abuse, but need updating regarding the procedure of reporting adult protection issues to external agencies. EVIDENCE: A complaints procedure is in place, which was displayed throughout the home. Residents spoken with confirmed that they were aware of the complaints procedure. It was clear from residents that they would feel confident to complain and that they felt any concerns would be dealt with immediately and appropriately. One resident stated that she felt listened to and had no reason to complain. Rufford Care Centre have a complaints folder in which the staff record all complaints received this verified that concerns are appropriately dealt with in the home. Complaints are well documented and outcomes recorded. One complaint was discussed with the registered manager, which she is dealing with actively to resolve. The registered manager discussed further action, which she will take to resolve the matter; the complaint has been taken seriously. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 18 There are policies and procedures available at the home concerning adult protection issues, these were not viewed at this inspection but were viewed at the last inspection. The manager and staff presented a good understanding of the vulnerability of older people and younger adults living at the home. However, one staff member was not sure about the adult protection reporting procedures to agencies outside of the home. This staff member was clear about the reporting of adult protection procedures internally. Another staff member was clear about adult protection reporting procedures to agencies outside of the home and was aware of the homes whistle blowing policy. Rufford Care Centre DS0000063345.V305130.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a wellmaintained environment, which is clean, pleasant and hygienic. The home was clean. Bedrooms are well equipped and personalised according to personal choice with resident’s own possessions around them. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 20 EVIDENCE: No issues have been raised during the homes annual fire inspection which took place June 2006, a letter from Nottinghamshire Fire and Rescue Service was viewed confirming this. Rufford Care Centre provides its residents with a clean and well-maintained environment. The atmosphere in the home is welcoming and homely. During the partial tour of the premises it was evident that the home was clean and free from offensive odours. The kitchen area was clean. The home has a passenger lift. Each unit have two lounges including a quiet room these are well decorated. Three bedrooms were viewed these were personalised to meet individual needs and have ensuite facilities. The home has appropriate equipment meeting individual needs including hoists, commodes, and wheelchairs and bathing aids. The accommodation is flexible enough to provide for a range of different needs. There are parts of the home that are designated smoking areas. There are also smoke free areas. There are accessible toilet facilities close to the lounge and dining rooms. The Home was mainly found to be clean, tidy throughout and free from malodours. The laundry area was briefly viewed it is extensive and the laundry facilities were found to be of a high standard including industrial washers and driers. During the inspection a domestic staff was seen cleaning the Thorseby Unit to a high standard. Domestic staff efforts in keeping an extensive property in such a clean and presentable condition are commended. On the day of the inspection it was an extremely warm day, resident’s room viewed were cool. The home had ensured that there was adequate ventilation by placing fans in lounges, having all windows opened. Residents spoken with stated ventilation was ok during the hot weather. Rufford Care Centre DS0000063345.V305130.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 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 area is adequate this judgement has been made using available evidence including a visit to this service. Residents are in safe hands. Rufford Care centres recruitment procedure needs to be robust. EVIDENCE: Four staff files were sampled at random. Whilst examining the files it was evident the homes policies and procedures for recruitment needs to be more robust. Four staff files viewed showed that four staff members had started employment before the Criminal Records Bureau checks had been received, however satisfactory CRB checks were received shortly after commencement of employment. There was evidence on file which confirmed one staff member commenced employment after a satisfactory POVA first check had been received. Another staff member started a few days before the POVA first was received. There was no evidence on the other two staff files to confirm whether POVA First checks had been completed. This was discussed with the manager who stated that a POVA first check would have been carried out prior to the staff starting; no evidence was seen to confirm this. The homes recruitment Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 22 process should ensure staff do not commence employment without a POVA first check and a satisfactory CRB disclosure. These checks need to have been applied for and obtained before staff commence employment (Regulation 19). Staff spoken with stated they enjoy working at the home and feel they receive adequate training to enable them to develop in their roles. Staff spoken with had a good understanding of the needs of the residents. Staff informed the inspector of various training courses they had attended which included, fire training, palliative care, food hygiene and moving and handling. One staff member commented that some specialist training is required in area’s such has working with residents who have had head injuries. One staff member confirmed they are currently studying towards NVQ 2. Training certificates were displayed in the Thorseby Unit, which confirmed that staff had received certificates in safe handling of medicines. Rufford Care Centre DS0000063345.V305130.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 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 area is good. This judgement has been made using available evidence including a visit to this service. Rufford Care Home is run and managed by a person of good character who is fit to be in charge. Resident’s financial interests are safeguarded. The health & safety of residents and staff at the home are promoted and protected. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered manager is registered with CSCI. Residents said they felt the home was well run and the manager and staff team were always on hand for support and advise. Staff spoken with confirmed that they felt supported by the manager and that they are approachable to discuss any issues. In addition to this residents spoken with about the registered manager were highly complimentary about the way in which Rufford Care Centre is run and managed. Each unit has its own unit manager. Staff spoken with confirmed that they felt supported by the manager and unit managers and that they are approachable to discuss any issues. They confirmed that there is an open management approach and a positive culture within the home. Rufford Care Centre has a quality assurance system in place. The manager stated the questionnaires are distributed to residents and visitors twice a year. Summary of the feedback was viewed by the inspector the feedback was positive. The manager stated she has an open door policy where relatives and residents are able to talk to her about the service provided. Resident’s financial interests are safeguarded by the homes financial procedures. Resident’s money is kept in a secure lockable safe. On the day of the inspection the financial records were not inspected. Resident’s finances are managed separately. Records of these were observed but not inspected on this occasion. The home maintains these records and keeps all the receipts for amounts spent, these are attached to the individual residents sheets. During the inspection the inspector randomly viewed a selection of records relating to health and safety. The Employers Liability Insurance Certificate was displayed in the reception area, which had expired 28th June 2006; this was immediately raised with the manager. She showed the Inspector a faxed copy of the new certificate, which commenced from 29th June 2006 the original certificate, is to follow shortly. The registration certificate was displayed in the reception area. On the day of the inspection records viewed regarding fire testing showed that these take place at regular intervals as advised by the fire officer. A letter from Nottinghamshire Fire and Rescue Service was viewed which at the fire inspection on 2nd June 2006 confirmed no concerns were identified. The gas-servicing certificate was viewed which confirmed last service took place 30th July 2005. Water outlet temperatures are recorded monthly. The passenger lift was last serviced July 2005; the manager confirmed this is due to be re-serviced during this week sometime. Portable appliances testing (PAT) had taken place on 16th February 2006. Rufford Care Centre DS0000063345.V305130.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 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 3 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No requirements set at 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 OP29 Regulation 19 Requirement Timescale for action 19/08/06 2. 3. OP18 OP9 13.6 13 Ensure that new staff do not commence work in the home until all the necessary recruitment checks have been carried out which include POVA first check and a satisfactory CRB disclosure. These checks need to have been applied for and obtained before staff commence employment. Provide an update for staff on 29/09/06 adult protection procedures The registered manager shall 19/08/06 make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines and other prescriptions (No medication to be left unsupervised during administration). RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 27 No. Refer to Standard Good Practice Recommendations Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. Rufford Care Centre DS0000063345.V305130.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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