Inspection on 28/07/05 for Rush Court

This inspection was carried out on 28th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Rush Court 12/01/06

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Hillyfield Rest Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rush Court Shillingford Road Wallingford Oxfordshire OX10 8LL Lead Inspector Philippa MacMahon Unannounced 28 July 2005 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 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. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rush Court Address Shillingford Road, Wallingford, Oxfordshire, OX10 8LL 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) 01491 837223 01491 826723 enquiries.rushcourt@elizabethfinn.org.uk Elizabeth Finn Homes Limited Francine Gifford Care Home with Nursing 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (3) of places Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users with nursing needs must not exceed 35. 2. The total number of service users must not exceed 50. 3. The PD category is for service users aged 50-65 years. Date of last inspection 10 February 2005 Brief Description of the Service: Rush Court is registered to provide nursing and personal care for up to 50 male and female service users. The maximum number of service users with nursing needs must not exceed 35. There are three beds registered for service users aged between 50 and 65 years with physical disabilities. Registered nurses are on duty 24 hours a day and are assisted by care assistants. Accommodation is provided in single bedrooms and most have en-suite facilities consisting of toilets and washbasins. There are also six assisted bathrooms, a physiotherapy room, hairdressing salon, library (which is also used as a chapel) and an activities room. The public rooms are spacious and extremely well decorated and furnished. There is a wide range of activities available and service users are actively encouraged to maintain their independence for as long as possible. The home has large, well maintained gardens and is near to the market town of Wallingford. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the Inspector took the opportunity to talk to as many residents, staff, and visitors during the process. There was a very warm welcome extended to the Inspector, and the staff were all very helpful and attentive. The Manager was not available at the time of this inspection, and feedback was given to the senior staff on duty at the time, and by telephone to the Manager the following day. The home was very busy with the residents going about their daily activities and others preparing for an outing that had been arranged. Examination of a sample of individual resident’s care plans took place. This was followed up by the Inspector meeting with the individual residents to see if there was a match in the care that was provided and that which was received. Records, policies and procedures were examined. What the service does well: What has improved since the last inspection? This is the first time that the Inspector has visited the home and so no comment can be made on this occasion. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 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. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 3 Any person being admitted to the home, whether for a short or long stay, has a full assessment of their care needs, and is assured of the home’s ability to meet those needs. EVIDENCE: The Inspector examined a sample of the residents’ care plans, including the plan of the most recently admitted person to the home. All of these plans were based on a detailed assessment carried out prior to admission to the home. The Manager carries out all pre-admission assessments. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7,8,10&11. Each resident has a care plan in which their individual care needs are identified and the action required to meet those needs. It is commendable that the attention to detail in the action required to meet those is clear and personal to the individual resident. The care needs of the residents are met and specialist help is taken wherever necessary. Every person and visitor to Rush Court is treated with dignity and respect. At the time of their death residents are given every care and support, and this is extended to the person’s family and friends. EVIDENCE: The Inspector examined a sample of the care plans that are computer generated. All of the sample were clear, concise and accurately reflected the care needs of each individual and how these would be met. The detail in which the action for meeting the needs is identified is commendable, as it is quite clear and very personal to the individual resident. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 10 Risk assessments are carried out and included in the care plans and were seen to have been reviewed on a regular basis. The home has an internal system of audit review of the care plans that ensures that the present high standards are maintained and assists with future developments. The Inspector having examined the care plans then met the individual residents and was able to see that the care needs were being met, and the residents on each occasion expressed their appreciation of the care delivered. The residents spoken to said that the staff are wonderful, and that nothing was too much trouble to them, and that they were treated as individuals and felt loved and safe. It was apparent to the Inspector that all the staff understood the issues of privacy and dignity, such as addressing people in their preferred way, knocking on doors before entering a resident’s private accommodation, and in treating them as individuals. The Manager and her staff pride themselves on providing the best possible care to all the residents and particularly when they are nearing the end of their lives. A person who recently died was given every possible care including support from the Macmillan nurses, to ensure that the person remained as comfortable as possible during the last part of their journey. The family and close friends were given comfort and support during this difficult time. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12,13&14. This aspect of the service provision is excellent and it is commendable that the service provision at Rush Court is very much resident focussed, and every effort is made to ensure that the residents’ lifestyle experiences match their preferences and expectations. There is a warm welcome for all visitors to the home and all the residents are encouraged to exercise choice and control over their lives. EVIDENCE: The home employs an activities co-ordinator who works in the home 4 days a week. An excellent activities programme has been developed with the residents, which reflects their expectations and preferences, and has been drawn up following individual and group consultation, to ensure all were included. The programme covers a wide variety of activities offering something for everybody. A group of residents went out for a pub lunch at the time of this inspection, and a number of staff joined them. These are always popular events! Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 12 A monthly tea party is held which is hosted by senior members of staff and is also a popular event. Another popular activity that has grown out of a Lent course earlier in the year, is a group who meet for “time out”, that offers those who wish it to have a period of spiritual reflection, and friendship with like minded people. The activities co-ordinator meets with all new residents and spends time getting to know them and to enable them to have somebody whom they can relate to in the settling in period, until they really feel at home. This is commendable and much appreciated by the residents the Inspector was able to speak to. The Inspector was able to speak with a number of relatives and visitors to the home who all expressed how they were always made to feel very welcome and they loved to visit the home. Residents spoken to expressed that they are able to exercise choice over all aspects of the service provided, and they would not wish for it to be any other way. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 13 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 standard(s) The Inspector did not make a judgement about these outcomes as none of the Standards were inspected. EVIDENCE: None of these Standards were assessed on this occasion. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 14 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 standard(s) The Inspector did not make a judgement about these outcomes as none of the Standards were inspected. EVIDENCE: None of these Standards were assessed on this occasion. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The Inspector did not make a judgement about these outcomes as none of the Standards were inspected. EVIDENCE: None of these Standards were assessed on this occasion. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 38 Records required by regulation for the protection of residents, are in place and appropriately stored. Every effort is made to ensure the health, safety and welfare of all residents, and staff. EVIDENCE: The Inspector examined records and policies and procedures, and found them to be up to date and complete, and appropriately stored. The Inspector examined the fire log and found this to be up to date and complete. Examination of the service documents, and maintenance files showed that all necessary checks and precautions have been undertaken to protect the residents and staff in relation to health and safety. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 17 Staff receive training in moving and handling, fire safety, and food hygiene, and all necessary equipment is available to support this. Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x 3 3 Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 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 None. 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 None. Good Practice Recommendations Rush Court H57-H08 S65412 Rush Court V241100 280705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Burgner House, 4630 Kingsgate, Cascade Way, Oxford Business Park South, Cowley, Oxford. OX4 2SU 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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