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Inspection on 21/06/05 for Rufford Court Care Home

Also see our care home review for Rufford Court Care Home for more information

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a comfortable and safe environment. The gardens are well laid out and thoughtfully landscaped to the needs of the residents. The care planning in operation is comprehensive. Staff know the service users needs and enable them to lead fulfilling lives. Relatives are consulted at care plan reviews or as needs change. Each service user, regardless of their disability is enabled by a committed staff team to participate in personal and valuable activities. Individual time is given each day to ensure each person has been given the opportunity to participate in a fulfilling activity. The home is well managed by a committed management team. The home is suitably staffed with a stable staff team that are fluent with the needs of the service users.

What has improved since the last inspection?

The manager and staff team have continued to improve standards for the residents of Rufford Court. Particular time and attention has been paid to developing the resource centre adjacent to the home. This will provide extra space and facilities for residents to use and will enable them to vacate the home to access stimulation, relaxation therapy and other activities. The requirements from the previous inspection have been addressed.

What the care home could do better:

There was nothing identified during this inspection that the inspector felt could be improved, though not all standards were assessed on this occasion.

CARE HOME ADULTS 18-65 Rufford Court 3-5 The Cliff Cinderhill Nottingham3 NG6 8RE Lead Inspector Andrew Sales Unannounced 21 June 2005 10:00 st 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rufford Court Address 3-5 The Cliff Cinderhill Nottingham NG6 8RE 0115 975 3100 0115 976 4623 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Active Care Partnerships Limited Miss Jacqueline Johnson Care Home with Nursing - Private 20 Category(ies) of LD Learning Disability - 20 registration, with number of places Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14/03/05 Brief Description of the Service: Rufford Court is a care home, also providing nursing care, to adults who have a learning disability and additional complex needs such as autism, sensory impairment, physical disabilities or behaviour that challenges services.It is registered to accommodate 20 people. The home is situated in the Bulwell area of Nottingham and is within easy access to various local amenities as well as bus routes into the city centre.The home is split into three distinct areas – a ground floor “unit” for eight service users, another split-level, self-contained unit for four, and the first floor for a further eight people. The home has adequate communal space as well as a fully equipped music room, snooze room and is presently refurbishing the hydro pool building to provide an activities area and large snoozelean.There is a large attractive main garden as well as a sensory garden.The home has its own car and wheelchair accessible mini-bus. The manager is committed to maintaining a high standard of service to a group of service users who might not be easily provided for elsewhere.The standards and principles of the service have been effectively communicated to the staff team, who are knowledgeable about the service user group as a whole and sensitive to the needs of individuals. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and conducted by Andy Sales on 21/06/05, lasting three and a half hours. A majority of residents were unable to verbally take part in the inspection process, however they all appeared to the inspector to be well supported and cared for. A number of residents files were observed. Staff were interviewed and also observed interacting with residents. A tour of the building was conducted. What the service does well: What has improved since the last inspection? The manager and staff team have continued to improve standards for the residents of Rufford Court. Particular time and attention has been paid to developing the resource centre adjacent to the home. This will provide extra space and facilities for residents to use and will enable them to vacate the home to access stimulation, relaxation therapy and other activities. The requirements from the previous inspection have been addressed. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The home conducts appropriate assessments for each of the residents admitted. EVIDENCE: Three residents files were examined and contained well documented individual assessment of needs and goals. Comprehensive risk management plans are evident and any restrictions are recorded in the residents care plan and environmental risk assessments. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,9 The care planning and risk assessment framework are well organised. Staff at Rufford Court are well informed and aware of residents needs and plans. EVIDENCE: The inspector examined care plans of 3 residents. The plans are based on the activities of daily living, include all appropriate risk assessments and demonstrate that reviews were undertaken as needs changed and every six months. Each plan was easily referenced and describes how staff support the resident with daily living. Residents are unable to be involved in the development of the care plans due to their complex needs. Annually, relatives of the residents are invited to a complete care plan review, undertaken by the manager and professionals involved in the care of the individual. There is evidence that residents are weighed monthly and have their nutritional needs assessed. Each resident has a named keyworker allocated to manage their individual care plans. Three staff were interviewed and demonstrated a commendable understanding of their role in care planning. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13,14 The home provides a range of daily internal and external activities, the homes management and staff are clearly committed to providing a stimulating environment. EVIDENCE: Most of the residents are unable to hold jobs or participate in formal education or training. However, the home employs an activities co-ordinator who is responsible for organising and undertaking a broad range of activities with service users both within and outside the home. A number of staff spoken with discussed the activities available. Some residents were observed participating in activities and going out with staff. Residents are provided with opportunities to maintain and develop social, emotional, communication and independent living skills, mainly through interaction with staff and their families and through the broad range of activities they can take part in. For example, some residents are encouraged to make their own drinks or to do baking under staff supervision. Some residents attend a day centre outside the home. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 11 Some service users periodically attend church. The response of individual service users to particular activities is recorded on activity sheets so that this can be monitored. Activities include use of the home’s resource centre, which provides a range of stimulating and relaxation facilities i.e; music therapy. External activities include day trips, pub visits, lunches out, swimming, walking, shopping, ten pin bowling and attending church, football matches, concerts pantomimes and nightclubs. Staff confirmed that each person has their wishes considered and support is provided daily for people to undertake activities and access the local community. The home provides a mini bus to transport service users in pursuit of their individual lifestyles and activities. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) NA EVIDENCE: Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The home has appropriate complaints and adult protection procedures in place. EVIDENCE: The home has a written complaints procedure. No formal complaints have been recorded but there is a recording system in place. Both managers discussed the Adult Protection framework within the home. Both managers are trained in non-violent management of aggression. Training for staff in non-violent crisis intervention is implemented at the home. Staff interviewed confirmed this, the training schedule and course certificates were observed. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 The home provides a clean, domestic and well maintained environment. EVIDENCE: The home was clean and well maintained. Communal areas were homely with good quality furnishings and adaptations. The premises were safe, comfortable, bright and free from offensive odour. The home and grounds are accessible to wheelchair users. There is continuous maintenance of all areas, with planned decoration and renewal programmes. CCTV operates outside of the building for security purposes only. The home is inspected by the local Fire and Environmental agencies. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32 The home’s staff are clear of the home’s objectives, their role and receive training appropriate to their role. EVIDENCE: Staff spoken with confirmed that they were aware of the homes policies and procedures and how to implement them. Staff demonstrated a sound understanding of the homes aims and objectives and how their work promotes them. A majority of the staff team have worked at the home for many years and are fluent with the needs of the service users they support. Staff spoke of the training they have received. They felt training was frequent, relevant and very useful. This includes all mandatory subjects and is supplemented with a regular program of needs specific training including, epilepsy awareness, understanding of client groups and managing aggression. Training schedules and certificates were observed. A number of staff have completed the NVQ level 2 program. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,42 The home is well managed and safe systems of working are employed. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She is qualified and experienced with the client group and continues to access training to update her skills. The manager confirmed that she has completed the registered managers award. There is a health and safety policy in place and environmental risk assessments reviewed regularly. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 17 Evidence of the annual gas boiler service was seen. Water chlorination and hot water storage is compliant with legionella controls. Thermostatic control valves are in place. External contractors maintain the fire system and records of the inspections were seen. The fire alarm is tested weekly and recorded on a rotational basis. Fire risk assessments have been undertaken. Evidence of recent Health and Safety and company audits were observed. Accidents and injuries are recorded appropriately. Chemicals are stored safely. Electrical equipment is tested. Staff are trained how to move people safely. Staff are trained in fire safety every 3months with records held. Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 x x x Standard No 31 32 33 34 35 36 Score 3 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rufford Court Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Rufford Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 Court C53 C03 S55281 Rufford Court V233915 210605 Stage 4.doc Version 1.30 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!