Inspection on 28/02/06 for Rufford Care Centre

This inspection was carried out on 28th February 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 19/07/06

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 HOMES FOR OLDER PEOPLE Rufford Care Centre Gateford Road Gateford Worksop Nottinghamshire S81 7BH Lead Inspector Andrew Sales Unannounced Inspection 28th February 2006 10:00 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 Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 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.V284408.R01.S.doc Version 5.1 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 22nd June 2005 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 approximatly one mile form the centre of Gateford. Rufford Care Centre is registered to accommodate up to one hundred service users, alll 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 been designed so that each unit can run independently with their own Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 5 communal settings. The catering and laundry service are based within the basement of the centre and they provide a service across the four units. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted by A.J.Sales on 28 February 2006. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting four residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspector also spent time talking to other residents in the home, two members of staff and a relative of one of the service users. Overall the feedback was very good. Residents were happy to express their views about the home, they were positive in terms of the skills and attitude of the staff and of the overall standards of care, food, social recreation and the environment. What the service does well: 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. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 7 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.V284408.R01.S.doc Version 5.1 Page 8 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 Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 9 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): 1,3,4,6. The home provides adequate information for residents prior to and during admission. Resident’s receive an assessment prior to admission. Assessment plans are well documented. The staff team are familiar with the individual needs of the resident’s. The manager supports staff to access training in the needs of older people. 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. One resident, due to move in to her own accommodation, spoke of her stay at the home and was complimentary about the support she has received. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 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. All residents spoken with felt the that staff were competent and professional. Staff discussed training events previously attended and courses they were due to attend. These were; mandatory health and safety training, dementia awareness, pressure area/skin care, NVQ level 2 and Adult Protection. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 11 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. Each resident has an individual plan of care. Resident’s health needs are well met. Residents are protected by the home’s medication policies and procedures. Residents feel safe, and are treated with respect, their dignity and privacy is respected. EVIDENCE: Assessment plans are well set out and detail each area of need and an action plan is drawn up to meet this need. Risk assessments are also observed to be well documented. Attention is placed on the need to prevent pressure sores, and promote safe working practices. Daily records are well maintained by care staff and professional input from district nurses and GP’s is well documented. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 12 Evidence gained from speaking to residents and staff suggested the care planning process was accurate and outcomes satisfactory. The inspector spent time talking to staff and making observations in the Welbeck Unit. Support is well planned and sensitive to the needs of the individuals there. The acting manager spoke positively of the decision to move residents with dementia and nursing needs to another unit which will enable more personalised support for all individuals. Residents also confirmed they are involved in the care planning process. The care staff spoken with, confirmed that residents are involved in this process. Care plans evidenced reviews that were dated and signed. In a discussion with the member of staff, it was clear they had a thorough understanding of the emotional impact admission to residential care may have on individual residents and were able to describe how they support residents to come to terms with such a transition. Observations were made of professional interaction with residents, which supported resident’s comments that they feel well respected and supported. Staff spoke of a number of training subjects and courses they have attended, which evidence that the staff team is well equipped with a range of skills and experience to meet the needs of residents. Staff training records that were viewed, evidenced that medication training was provided for staff responsible for the administration of medication. The home has a policy and procedure for receipt, recording, storage, handling, administration and disposal of medication. The home’s medication records were not observed as part of this inspection. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Residents are supported to pursue, religious and social interests. Residents are helped to exercise choice and control over their lives. Residents receive good quality food and a balanced diet in a relaxing atmosphere with support from staff where required. EVIDENCE: Residents and relatives spoken with, commented that were made welcome at any time when visiting the home. The residents spoken with confirmed that they have visitors at any time. The accommodation allows for relatives to visit in private rooms where required or there is a quiet lounge if desired. The home arranges for local entertainers to visit the home and an activities coordinator is employed at the home. Residents spoken with confirmed that they looked forward to such events. Residents and relatives were positive about the conduct of the staff and their sensitivity over handling different and complex issues. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 14 Staff were observed during the visit interacting positively with individuals. All residents spoken with, reported that staff provide a good standard of care and areas of concern would be discussed with the registered manager. All residents who spoke with the Inspector commented positively on the conduct and attitude of the staff. Residents spoke very highly of the food provided within the care home. The four dining areas are pleasantly decorated, with seating for all residents if required. Each of the four units also have a pleasant, well-equipped kitchenette areas that can be utilised by residents, relatives and visitors. Staff members were available to assist residents who may require assistance with their dietary needs/intake from appropriate assessment. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. The home operates suitable complaints and adult protection procedures. Residents feel protected. Issues are being addressed following a recent complaint. EVIDENCE: The home has a suitable complaints procedure, which is appropriately displayed, throughout the home. Residents and relatives spoken with, stated they would raise concerns with the registered manager and the proprietors, where needed. Complaints records were not observed on this occasion. One complaint was discussed with the homes manager. The manager discussed further action to be taken in relation to addressing the issue, which included improving security/access to and from the building. The home has an appropriate Whistle Blowing Policy and a policy detailing Adult Protection Procedures. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are all satisfactory. The home has comprehensive policies regarding residents money and financial affairs. The manager discussed plans for Adult Protection training for staff. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,25,26. Rufford Care Centre is a safe and well maintained environment. There are sufficient and suitable lavatories and bathrooms for the residents. There is a range of specialist equipment available to maximise independence. The home is clean, fresh, and hygienic in all areas. EVIDENCE: No issues have been raised during the homes annual fire inspection. 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. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 17 Policies and Procedures are in place for Infection Control. The Home was found to be clean, tidy throughout and free from malodours. The laundry area is extensive and the laundry facilities were found to be of a high standard. A large team of domestic staff attend to the homes cleaning and laundry. Their efforts in keeping an extensive property in such a clean and presentable condition are commended. Satisfactory maintenance records were observed for water systems, lighting, electrical and gas central heating. Records were observed for the testing of water temperatures at outlets throughout the home. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Staff are recruited in accordance with the homes recruitment procedure, which meets the National Minimum Standards. Staff are trained in mandatory subjects required by this standard and for care specific support. Residents feel the staff are competent. EVIDENCE: There are suitable recruitment policies and procedures that have been observed at previous inspections. Four staff files were sampled at random. They contained evidence of applications, interviews, pre employment checks, criminal declarations and training plans and CRB disclosures. Files also contained evidence of training in a number of health and safety subjects, dementia awareness and NVQ levels 2 and 3. Staff spoken with, informed the inspector of various training courses they had attended, which included, adult protection , dementia awareness and the safe handling of medicines. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. The home is well managed with residents interests put first. Health and safety management is well documented. Staff are well supported and supervised. EVIDENCE: 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. 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. The staff stated that they receive monthly supervision and attend regular team meetings. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 20 The manager stated that the staff have received training updates in the last year on moving and handling, first aid, basic food hygiene, administration of medication and health and safety issues including hygiene control. Certificates and individual training profiles supported this. The care staff spoken with also confirmed this. Residents finances are managed separately. Records of these were observed but not inspected on this occasion. Records were observed for the appropriate testing and servicing of the following systems and appliances; Electrical appliances, Lifts, Hoists, Gas, Fire alarms, Fire equipment and Water temperatures. Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 21 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 X 3 3 X x 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 3 3 3 3 X X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Rufford Care Centre DS0000063345.V284408.R01.S.doc Version 5.1 Page 23 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. 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