Inspection on 04/03/09 for Rufford Care Centre

This inspection was carried out on 4th March 2009.

CSCI found this care home to be providing an Adequate service.

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 04/09/08

Rufford Care Centre 17/06/07

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 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Rufford Care Centre Gateford Road Gateford Worksop Nottinghamshire S81 7BH Lead Inspector Stephen Benson Unannounced Inspection 4th March 2009 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rufford Care Centre DS0000063345.V374408.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. 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.V374408.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) Mimosa Healthcare Holdings Ltd Manager post vacant 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.V374408.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 4th September 2008 Date of last inspection Brief Description of the Service: Rufford Care Centre is a purpose built care home first registered in August 2003. Rufford Care Centre is owned and managed by Mimmosa Healthcare who purchased the home in April 2008. 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 with ensuite facilities. The home is divided into four units that offer a specific specialist care service. Clumber Unit provides accommodation for up to twenty-five younger adults between the ages of eighteen and sixty-five. Hardwick Unit accommodates up to twenty-five service users over the age of sixty-five who require twenty-four hour nursing care and who have Dementia. Thoresby Unit has a total of twenty five places for residential placements and the Welbeck Unit supports people suffering from varying degrees of Dementia. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 5 The Care Centre has 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 acting manager said on 03/03/09 the homes current weekly fees range from £355 to £532. Hairdressing and chiropody fees are not included. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1* star. This means the people who use this service experience adequate quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people accommodated and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our second visit to the home since 1st April 2008. This inspection involved two inspectors; it was unannounced and took place in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. The main method of inspection used is called ‘case tracking’ which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the people’s needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Part of this inspection looked at the quality of care people with dementia experience when living at Rufford Care Centre. We are not always able to communicate effectively with some people who have dementia to understand how they experience life at the service and therefore we have used a formal way to observe people in this inspection to help us understand. We call this, the ‘Short Observational Framework for Inspection (SOFI). This involved observing 4 people accommodated, over 2 hours and recording their experiences at regular intervals. We made judgements about their state of well being, and how they interacted with staff members, other people who use services, and the environment. What the service does well: Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 7 Anyone new coming to the home has their needs assessed to make sure they can receive the help and support they need. This is normally done before they move into the home, but if the person comes in an emergency then this is done as soon as practical. Visitors are welcome to come at anytime so people can keep in contact with family and friends and routines in the home are flexible to take into account people’s wishes. There was a varied menu providing a choice of main meal and people enjoyed their lunch. The home is well maintained and kept clean and tidy and there are measures in place to prevent the spread of infection, which means people live in a comfortable environment. There is a suitable manager in post and regular checks and tests are carried out on the building and equipment. What has improved since the last inspection? People returning for respite care must have an updated assessment to see if their have been any changes to their needs The safeguarding procedures have been used when allegations of abuse have been made. Clumber unit has been redecorated making it a more comfortable environment for people to live in. The management structure of the home has been changed to provide greater consistency between units. The home will hold money for people so they can make any purchases they want to. All transactions are signed for and witnessed to safeguard people’s financial interests. New staff can only start work when the required checks have been carried out, including a satisfactory Criminal Records Bureau or Protection of Vulnerable Adults check. Regular training is provided and staff are expected to obtain a professional qualification. people are able to express their views on how the home is run through completing questionnaires and through residents’ meetings. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 8 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.V374408.R01.S.doc Version 5.2 Page 9 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.V374408.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are normally assessed before they come to the home, but if this is not possible due to being admitted in an emergency, they are assessed as soon as possible afterwards. . EVIDENCE: Four care files were seen for people who have recently been admitted to one of the units. All of these had a completed assessment prior to admission, including an assessment by the local authority where appropriate, except for one person who was admitted as part of the continuing care programme one evening in an emergency, and was assessed the following day. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 11 The acting manager said she goes out to undertake assessments and will also involve the unit leaders where appropriate. The acting manager said she spends a lot of time on assessments to make sure they ‘get it right’ Staff said seniors go out to visit people before they come to the home to assess their needs, and they hear about anyone new coming to the home in the daily handover meetings. Staff also said they can read the assessments in the care files. A person recently admitted to the residential unit said, “I spoke to someone about coming here”. There is no arrangement made for the home to provide an intermediate care service. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff and people living in the home need to be more involved in the new care planning system. More needs to be done to fully meet people’s healthcare needs. EVIDENCE: All units are in the process of changing over to the care planning system used by the providers in other homes they own. The majority of care files have now been prepared on the new format and it was pointed out by the acting manager and a number of staff that these will develop over time. Senior care staff are responsible for preparing and updating care plans and although care staff spoke of using the care plans they were uncertain as to Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 13 what some of the documentation is for and how to use it, for example understanding risk assessments for dependency. One dependency risk assessment identified through a scoring system that the person had very high dependency needs, and a care plan was needed, however there was not a care plan for dependency needs in the file. A number of staff spoken with said they thought the new care planning system was an improvement and they were easier to refer to. Other comments made by staff included needing to have the time to get into the new plans and that senior staff will always explain anything they ask. The people living in the home who were asked if they knew about the changes to the care planning system said they were not aware of this, and no one said they had been involved in preparing their care plans. None of the plans seen were written in a person centred approach. During a period of observation one person who was case tracked was being helped to move from a wheelchair to an armchair. This was not being done as described in the person’s care plan for mobility. There was not all the equipment available for assisting people with their mobility and when assisting people to transfer there was little dialogue, including not explaining to the person what action they were about to take. A senior care who also observed this said that the staff need more moving and handling training. During the SOFI observation staff were seen to talk to one person they were hoisting all the way through process explaining what they were doing. Staff said they try to ensure people have a good diet and take plenty of fluids. There were fluid intake charts seen in some bedrooms where someone was confined to bed. A bath or shower list was seen on one unit and this showed only six people had been bathed or showered week commencing 23rd February 2009. Staff were seen discussing with some people about their heath and one member of staff said she would call the doctor out for someone as they were complaining of an ailment. Comments made by people about their health care included, “I will tell someone if I am not feeling well” and “It’s difficult not being able to see properly, but the staff are kind and help me”. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 14 There are designated storage rooms on each of the units to store all medication in. Part of the lunchtime medication rounds were observed on each of the units and the correct safe administration practices were seen being followed. Medicine Administration Records were fully completed, although some were seen that had been handwritten and signed by the person doing so but these had not been checked for accuracy by another member of staff. There was a date error seen in a controlled drugs book on one unit. The acting manager said that they were in the process of changing pharmacists and one of the reasons for this is to reduce the number of hand written records that have to be written out. One person was heard discussing her medication with a member of staff and said that she self medicates. Staff were seen taking people somewhere private to see to personal needs, and staff were able to describe good practices in promoting people’s privacy and dignity. There were occasions observed where staff referred to people in an infantile manner, including calling one person a ‘good boy’ for finishing a drink and referring to people that needed assistance with eating as ‘feeders’. Some staff said they sometimes come across people who are unaware they are compromising their own dignity and they respond as quickly as possible to prevent this. Comments from people when asked if they felt their privacy and dignity were promoted were all in agreement that it was. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s experiences of having their social and recreational interests met differ between units. More needs to be done in some units to make mealtimes an enjoyable social occasion. EVIDENCE: There is an activity coordinator on each unit who organises the activities for those on the unit. The acting manager said she thought that this could be developed more and was looking at ways of getting the activities coordinators working together. The activities coordinator for one unit was on leave and there were not any arrangements made to cover this. The activities coordinator on another unit was seen playing a card game involving eight people, and during the SOFI observation the activities Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 16 coordinator attempted a singing session but when the people were not wanting this a game of dominoes was played instead, followed by noughts and crosses. Staff said they will provide activities in addition to the activities coordinators and will do things like bingo, watch films and have a karaoke sing song. Comment made by people about how they spent their time differed between the units. Some comments were positive, “We have enough to do”, “I am looking forward to the bingo this afternoon” and “I enjoy going for a walk”. Other comments included, “I haven’t done anything this morning apart from check my room” and “I don’t know what I will do this afternoon, there’s not a lot to do”. One person has an electric scooter and is able to go out independently and the acting manager said other people go out with a member of staff or one of their relatives. Visitors are welcome at any time and several visitors were seen during the inspection. One person said, “My husband comes to see me and takes me out”. Staff said people are able to be flexible about their daily routines and gave examples of when people get up, where they spend their time and whether they have a male or female carer to assist them. Staff said they have not got any aids to assist people with communication difficulties in making decisions and they had not had any training on working with people with dementia, which would include communication and helping them to make choices. During periods of observation, including the SOFI observation, staff were seen offering people choices about whether they wanted a drink, whether they wanted to take part in an activity and where in the unit they wanted to go. However there were also occasions observed where people were not offered any choices. These included telling someone to sit in a certain chair and then another member of staff moved them without asking or explaining why to another seat (this was because they wanted to use the hoist on someone). A new four week menu has been recently introduced which includes a choice of main and tea time meals. The acting manager said this menu was used in another home by the provider and had received positive comments for its nutritional value. The menu had been discussed in residents’ meetings and was warmly received. Staff and the acting manager said that alternatives can always be provided, and said there is one person who will only eat a salad, so one is provided. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 17 Meals are cooked in a central kitchen and taken to each unit in a heated trolley, where they are served out by care staff. Part of lunch was observed on each unit and some differences were noted on how this is done. Some units provided condiments on the tables and others did not. Some units had the tables laid in advance, one bough the cutlery to the person when they served the meal. Other observations included people sharing a table were not being served their meals together and there was not a choice of drink offered. Some people did not receive one until they had finished or almost finished their meal. The lunch was a choice of liver and sausage casserole or pasty with potatoes, vegetables and gravy. This was followed by a lemon roly poly. People were asked if they had enjoyed their lunch and all said they had. One person said the roly poly was lovely” and another said, “I didn’t leave enough room for the pudding”. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Day to day complaints people may have are not being dealt with through the complaints procedure. Staff are not up to date on parties to ensure people are safeguarded. EVIDENCE: There is a complaints procedure for people to raise any complaints they have. The acting manager showed the complaints file which had four recent complaints in. These concerned care practices, laundry and staffing consistency. Appropriate action was taken as a result of these. Staff were aware of the complaints procedure, but none spoken to had taken any complaints. Staff said they did not record any missing clothing as a complaint. One person said a skirt she had been given as a Christmas present had gone missing some time ago. The person said she had told staff, but it had not yet been found, and it had not been dealt with as a complaint. The acting manager was unaware of this and said she would ensure it is found, and later reported that it had been. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 19 There were 2 baskets of unclaimed clothes in the laundry, but no complaints were seen concerning misplaced laundry. The acting manager spoke of introducing a corrective action form concerning missing laundry. The manager said that some safeguarding adults training has been provided and further courses are planned. Staff did not understand the term ‘safeguarding’ but when asked about protecting people they spoke of POVA (Protection of Vulnerable Adults) and said they had received training on this. There is one safeguarding investigation currently ongoing and the acting manager said they are waiting for a report from the local Social Services office about this. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, well-maintained environment, which is clean, pleasant and hygienic. . EVIDENCE: The unit was clean and tidy and areas visited were in good repair. Clumber unit was being decorated at the time of the visit and the acting manager said people living on the unit had chosen the colour scheme. There are new carpets to follow when the decorating is completed. A handyperson is currently being recruited and in the interim any maintenance is carried out by external firms. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 21 Staff said the building is well laid out and they have plenty of room to attend to people’s needs in their bedrooms and the bathrooms. People living on Clumber unit said they were pleased with the decorating being done. Staff were seen using protective clothing when assisting people and when serving food. There has been a recent training session provided by an infection control nurse and further sessions are planned. One person said that staff always wear gloves and aprons when they are helping with her personal care. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff concerns about staffing levels have not been listened to, and staff are not fully equipped to met the needs of people with dementia. People are supported and protected by the home’s recruitment practices. EVIDENCE: Changes are being made to the management structure of the home and two deputy managers are being recruited. The staffing levels differ between some of the units. Staff on the two units with nursing said they felt they had sufficient staff on duty to see to the needs of people there, and the SOFI observation on one of these did not show a lack of staffing. Staff on one residential unit said the one downside to the job is sometimes there are not enough staff, and staff from the other residential unit said they did not feel they had sufficient staff, which explained why some instances have been noted when people’s needs have not been fully met. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 23 Staff also said that due to the risk of people falling there should always be someone in the lounge, however this is not possible when seeing to the needs of other people. Staff meeting minutes from a staff meeting on 08/02/09 were seen which stated, “It was felt by all staff that staffing levels were becoming dangerous for service users……..”. The acting manager was unaware of the comments made in the staff meeting and agreed an assessment of staffing levels should be carried out to determine if there are sufficient staff on duty. It is a requirement of the provider that all staff must enrol on a National Vocational Qualification level 2 or higher. Some staff spoken with said they have already achieved this qualification and others said they are either working towards one or have just signed up to start one. A sample of files for recently started staff were seen and these contained the required pre employment checks. The acting manager said she was in the process of obtaining Criminal Records Bureau checks on all long standing staff. A recently appointed member of staff said she had provided two references and undergone a Criminal Records Bureau check before starting work in the home. Staff training records showed that regular staff training is provided and they are organised so that it can easily be identified when people require training updates and refreshers. Some staff said they had recently had training on people handling and infection control, but some working on units caring for people with dementia said they had not had the opportunity to take part in any training on caring for people with dementia. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home is being improved and will be better placed to ensure the home is run in the best interests of people living there. EVIDENCE: The acting manager has been in post since October 2008, but has not yet submitted an application to be registered. The acting manager said she will start the process shortly by getting her Criminal Records Bureau check submitted. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 25 Staff spoke positively about the acting manager saying she is enthusiastic about her job and they find her approachable. Staff said the acting manager regularly comes onto the units and she was seen talking with people on the units during the visit. The acting manager said that she wanted to involve people in the running of the home and said that some people are involved in the recruitment of new staff. Surveys have been sent out to relatives and people living in the home. The acting manager showed some that had been returned and said she was waiting for more to come back and then she will correlate them and send out a report of what they have said. The acting manager aid there have been a number of issues raised that she will be looking into. There is a system where people can be assisted in looking after their money. A record is made of each transaction and signed and witnessed. Receipts are kept when available. However when someone withdraws a sum of money to go shopping and decides to keep any change there is a record made of this, but this is not witnessed. The acting manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Staff and people living in the home were asked if they had any health and safety concerns and everyone said they did not. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 26 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 27 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. 1. Standard OP7 Regulation 15 (1) Requirement Staff must be able to fully understand and use the care planning process and people should have opportunities to contribute to their care plans to ensure they receive the care they require in the way they prefer. Staff must know the correct procedures for assisting people with their mobility and have the required equipment available. This will ensure people are safe when assisted to move. When it is necessary to handwrite a Medicine Administration Record this must be signed by the person doing so and by another person to confirm they have checked it has been copied correctly. This is to ensure that people living in the home are given the correct medication When speaking to or about people living in the home this must be done in a way that respects their dignity. Timescale for action 01/05/09 2. OP8 12 (1)(a) 01/04/09 3. OP9 13(2) 01/04/09 4. OP10 12(4)(a) 01/04/09 Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 28 5. OP12 16(2)(n) 6. OP14 12(3) 7. OP15 16 (2)(i) 8. 9. OP16 OP27 22 (2) 18 (1)(a) 10. OP30 18(1)(c) All people in the home must have opportunities to participate in activities to satisfy their social and recreational interests so people have opportunities to spend time doing things they find enjoyable and stimulating People must have opportunities to make choices and decisions they are able to about their daily routines. This will give people some control over their daily lives. The current arrangements for serving and eating meals should be reviewed to make sure that all people are able to enjoy the social part of having a meal. All complaints made must be addressed using the home’s complaints procedure. Concerns expressed by staff about the number of staff on duty must be considered and a review of staffing levels carried out. This will ensure there are sufficient staff on duty to meet people’s needs. Staff must be aware of best practiced when working with people with dementia. This will ensure people with dementia receive the best care possible. 01/06/09 01/06/09 01/06/09 01/04/09 01/04/09 01/06/09 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 OP18 Good Practice Recommendations Staff must be aware of and understand the terminology used in ensuring people are safeguarded. Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 29 Rufford Care Centre DS0000063345.V374408.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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.V374408.R01.S.doc Version 5.2 Page 31 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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