Inspection on 11/03/09 for Rutland Care Village

This inspection was carried out on 11th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rutland Care Village 17/10/07

Rutland Care Village 30/11/06

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 10/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rutland Care Village Huntsmans Drive off Barleythorpe Road Oakham Rutland LE15 6RP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Debbie Williams     Date: 1 1 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Rutland Care Village off Barleythorpe Road Huntsmans Drive Oakham Rutland LE15 6RP 01572722350 01572725980 oakhamvillage@prime-life.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Prime Life Ltd Name of registered manager (if applicable) Ms Debra Crossfield Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 82 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Physical Disability - Code PD Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection 82 82 0 82 Over 65 0 0 82 0 care home 82 Care Homes for Older People Page 4 of 27 Brief description of the care home Rutland Care Village is a care home for older persons, providing nursing and personal care for up to 72 people, some of whom have mental health needs, dementia and/or physical disabilities. The home was purpose built in 2006 and is owned and managed by Prime Life Limited. The home is situated in the town of Oakham, Rutland. The home is close to the main road and is easily accessible by private or public transport. Rutland Care Village has three distinct units, which can accommodate up to 24 people, including a unit for people with dementia related conditions. All the units have a dedicated team leader and a team of care staff and there is a trained nurse on duty at all times to provide nursing care to nursing clients. Accommodation is provided on the ground floor. All bedrooms have en-suite facilities and a patio door leading to the landscaped gardens, which surround the home. A copy of the latest Inspection report is available at the home, or it can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the registered manager. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection included a visit to the service. We visited the service on the 11th of March 2009. The main method of inspection used was case tracking which meant selecting three people and tracking the quality of their care by checking records, discussion with them and with staff. We also looked at the providers own assessment of the services they provide, which they sent to us, this is called the annual quality assurance assessment or AQAA. We checked all the standards which the Commission for Social Care Inspection have Care Homes for Older People Page 6 of 27 decided are key standards during this inspection. In some sections we have also checked additional standards, these will be detailed in the main report. During this inspection we also considered some information we received from the local authority social services department and this was about care practice on Cottesmore unit. We spent time in each of the three units at the home and spoke with people living at the home and their relatives. We also spoke with staff and observed care practice. We looked at records required for the efficient and safe running of the home and spoke with the registered manager about policy and procedure at the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is provided to prospective residents enabling people to make an informed choice before moving in. People have their needs assessed before moving in to ensure the service is able to meet peoples needs. Evidence: A brochure and statement of purpose is provided to all prospective residents and this enables people to make an informed choice before moving in. The provider said this information could be provided in different languages or in larger print should this be required. One person spoken with said they had received written documentation about the home before moving in and had previously stayed at the home for respite care. One visitor spoken with said they had been able to choose a specific room for their Care Homes for Older People Page 10 of 27 Evidence: relative. A needs assessment is carried out before people move into the home. This is carried out by a senior staff member and ensures that the service can meet the persons needs before they move in. A trial period is then provided before a decision is made to move in permanently. Assessment records were seen for people we case tracked, these contained pre admission assessments and risk assessments. A getting to know you document is also used and this ensures that people make a record of their individual preferences, social, cultural and religious needs. There are five intermediate beds at the home, people admitted for intermediate care are supported by a dedicated team of care and rehabilitation staff who come in to the home. Care Homes for Older People Page 11 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs were mostly met. People are protected by the homes policies and procedures for dealing with medicines. Evidence: Care records and care plans were seen for four people that we case tracked. Care plans appeared to address all assessed needs. For one person, more attention was needed within their care records to ensure that risk assessments were regularly reviewed and signed by the person carrying out the review and that care needs identified were referred to the appropriate health-care professional, this is to ensure that peoples changing needs are communicated to staff and the correct action taken to meet needs. Care records and care plans seen on Belvoir unit were individualized and person focused, individual preferences were stated and evaluations were detailed and up to date. Care Homes for Older People Page 12 of 27 Evidence: One visitor spoken with felt that staff did contact the GP and requested a visit whenever this was required. However, one resident had not seen their GP for more than a year and this was despite this person having complex health problems, a requirement was made regarding this. Other records seen confirmed that staff were consulting with GPs and community nurses where health-care needs were identified. Qualified nurses are employed at the service and there is a qualified nurse on duty at the at all times. The providers were able to demonstrate that staff did follow safe policies and procedures for the management of medication. Staff responsible for managing medication are supervised and have their competency assessed. This minimizes risk for people living at the home. People spoken with felt their medication was managed effectively and they received their medicines on time. Interactions observed between staff and residents were positive and respectful. People spoken with felt that staff did maintain their privacy and dignity and treated them respectfully. Care Homes for Older People Page 13 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Most people living at the home find the lifestyle experienced matches their expectations and preferences but more staff training and support is required regarding caring for people with dementia or mental health needs. Evidence: There are no restrictions on visiting and people spoken with felt visitors were made welcome at the home. One visitor spoken with said, staff know me well and make me feel welcome. This person also said they had lunch with their relative once a week at the home. A separate unit known as Brambles provides day care and is also used by people living at the home for social and recreational activities. Information about the activities on offer was displayed on a television screen on each of the three units. Activities being provided included trips out (wheelchair accessible transport was available on a weekly basis), games, exercises to music, movies, poetry, cooking and celebrations. It was evident that people living in the units Quorn and Belvoir were able to make choices and that routines of daily living were made flexible in order to meet peoples Care Homes for Older People Page 14 of 27 Evidence: preferences. People spoken with said they were able to choose how to spend their day, what time to get up and what time to go to bed, where to take their meals (either in the lounge of in their own room) and had opportunities to participate in recreational and social activities. Cottesmore unit accommodates people with dementia and mental health problems. It was not clear whether the evening and night time staffing levels on this unit were sufficient to meet the needs of people living there or to ensure that people did have enough flexibility in routines of daily living to meet their preferences. A requirement was made regarding this. While some of the residents from Cottesmore did attend the Brambles center to participate in social activities, it was evident that some residents had very limited opportunities to participate in meaningful activities and staff interaction for some people during the morning of this inspection was very limited. More staff training in caring for people with dementia and the provision of meaningful activities would address this shortfall. The lunchtime meal was observed on one of the units during this inspection, the dining area was congenial and staff were present to assist people as required. However, the specialist needs of people with dementia were not being met with regards to mealtimes and a requirement was made regarding this. One person spoken with said - the food is jolly good and there is always a choice, it was liver and onions or Cornish pasty today followed by bread and butter pudding. Staff were observed during the afternoon offering drinks, fruit, biscuits or sweets to people in one of the lounge areas. Staff spoken with confirmed that drinks and snacks were always available for people living at the home. Another resident spoken with said - Sometimes I have late nights, there is always someone around to get you a cup of tea. Care Homes for Older People Page 15 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this 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 living at the home are protected by complaints and safeguarding adults policies and procedures. Evidence: The complaints procedure is included within documentation given to people before they move in to the home. Residents and staff spoken with felt the management team at the home were approachable and would take their concerns seriously and take appropriate action. One person spoken with said they would complain to staff if they had any worries and that staff like you to anyway. Staff spoken with were aware of the correct procedures to follow in the event of suspected abuse. Three staff members had recently attended local authority training regarding safeguarding vulnerable adults and four more staff were booked to attend this training. Since the last key inspection the providers have demonstrated that appropriate action is taken and procedures followed in the event of a safeguarding incidents, this includes informing social services and the Care Quality Commission. Care Homes for Older People Page 16 of 27 Evidence: Not all staff had received training in the safe management of challenging behaviour and a requirment was made regarding this. Procedures for the management of residents personal finances were robust and protected people from financial abuse. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent 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 and comfortable environment which meets their needs and is accessible to them. Evidence: The service consists of three separate units each accommodating up to twenty four people. All areas of the home seen were clean and provided a homely environment furnished and decorated to a high standard. There were attractive and accessible outside areas for residents use, all private rooms have a patio door that opened out to the homes gardens. Peoples private accommodation was personalized with their own possessions. People spoken with said the home was cleaned every day and was always clean and fresh. Each unit offers a number of lounge and dining areas and all rooms are en suite. There is also a separate unit which is dedicated to the provision of day care and for activities for people living at the home. Information provided within the annual quality assurance assessment confirmed that all routine maintenance and safety checks had been carried out. Care Homes for Older People Page 18 of 27 Evidence: Staff had received training in infection control and this minimized the risk of cross infection. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 living at the home are protected by the homes recruitment policies. Peoples needs are mostly met by numbers and skill mix of staff. Evidence: People spoken with felt there were enough staff on duty to meet their needs and that staff were competent. On Cottesmore unit it was not clear whether night time staffing levels were suffcient to meet needs or to provide choice regarding daily living activities such as what time to go to bed and a requirment was made regarding this. However, staff spoken with did say that staffing levels had recently improved. All staff complete an induction training when they commence employment. One recently employed staff member was spoken with and they confirmed they had received induction training. This staff member had not yet received any training regarding caring for people with dementia or challenging behaviour. An ongoing training and development programme was in progress and this ensured that all staff received the mandatory training they required to do their jobs. A programme of National Vocational Qualifications in care was also ongoing and avialable to care staff. Care Homes for Older People Page 20 of 27 Evidence: Recruitment procedures were robust and ensured that all staff were checked as suitable for working in care before they commenced employment. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 home is run in the best interests of people living there. The health, safety and welfare of people living at the home is promoted and protected. Evidence: The registered manager had recently registered as registered manager of the service with the Care Quality Commission and had the relevant management experience and qualifications. One staff member spoken with said they were very well supported to do their job and that there was a good team and a good atmosphere to work in. People living in the home and visitors spoken with also felt the management and staff team were approachable and would listen to their concerns and opinions. A quality assurance and audit system was in place to check the quality of the service Care Homes for Older People Page 22 of 27 Evidence: provided and this included seeking the opinions of people living at the home. Procedures were in place for the management of peoples money where this was required and this minimized the risk of financial abuse. Staff had received all mandatory training required to promote safe practice in the home. Records were maintained or incidents or accidents. Information provided confirmed that all required health and safety checks and routine maintenance work had been carried out. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 12 The providers must make 08/05/2009 proper provision for the health and welfare of people living in the home and for the provision of treatment from health-care professionals as required. People living at the home have access to the healthcare they require. 2 12 16 Staffing numbers and skill mix must be sufficient to meet the needs and preferences of people living in the home. People living in Cottesmore unit should be able to make choices about how to spend their day and be able to participate in meaningful activities. 27/04/2009 3 15 12 Staff must be trained to meet the specialist needs of people with dementia with regards to nutrition and meal times. 30/04/2009 Care Homes for Older People Page 25 of 27 People living at the home receive a nutritious and varied diet and the risk of malnutrition minimized. 4 38 18 Care staff responsible for 26/06/2009 caring for people with dementia must receive the training they require to meet their specific needs and manage any challenging behaviour safely. This will ensure that people have their needs met and are protected from harm. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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