Inspection on 30/11/06 for Rutland Care Village

This inspection was carried out on 30th November 2006.

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

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

Other inspections for this house

Rutland Care Village 11/03/09

Rutland Care Village 17/10/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rutland Care Village Huntsmans Drive off Barleythorpe Road Oakham Rutland LE15 6QJ Lead Inspector Rajshree Mistry Unannounced Inspection 30th November 2006 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 Rutland Care Village DS0000066626.V319337.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. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rutland Care Village Address Huntsmans Drive off Barleythorpe Road Oakham Rutland LE15 6QJ 01572 722350 01572 725980 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) info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Sheila Naisbitt Care Home 72 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Mental disorder, excluding learning of places disability or dementia (24), Mental Disorder, excluding learning disability or dementia - over 65 years of age (24), Old age, not falling within any other category (48), Physical disability (12), Physical disability over 65 years of age (12) Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old age not falling within any other category (OP) 48. No persons falling within the category OP to be accommodated when there are 48 persons of category OP already accommodated within the Rutland Care Village Mental Disorder, excluding Learning Disability or Dementia over 65 years (MD) (E) 24. Mental Disorder excluding Learning Disability or Dementia over 50 years (MD) 24. No person falling within the categories MD or MD(E) to be accommodated when there are 24 persons of those categories or combined categories already accommodated within the Rutland Care Village Dementia over the age of 50 years DE 24. Dementia over the age of 65 years DE(E) 24. Persons falling within the DE or DE(E) category to be accommodated only in the Cottesmore Lodge area of Rutland Care Village No persons falling within the categories DE or DE(E) to be accommodated when there are 24 persons of those categories or combined categories already accommodated within the Cottesmore Lodge area of Rutland Care Village Physical Disability over 50 years of age PD 12. Physical disability over 65 years of age PD(E) 12. No persons falling within the categories PD or PD(E) to be accommodated when there are 12 persons of those categories or combined categories already accommodated in Rutland Care Village The maximum number of persons to be accommodated within the Rutland Care Village is 72 To admit a named service user of category MD under 50 as named in the application to vary conditions received on 14th August 2006 2. 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Rutland Care Village is a care home with nursing and registered in June 2006, to accommodate 72 people. The home was purpose built in Rutland, Oakham. The home is close to the main road and links to major roads. The home is easily accessible by private or public transport. Rutland Care Village has three distinct units to 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. There is a trained nurse on duty at all times to provide nursing care to nursing residents. All the bedrooms Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 5 have en-suite facilities and is equipped to support people with mental health and physical needs. Accommodation is provided on the ground floor. Meals and laundry services are provided in the style of ‘hotel services’. The home’s brochure provides information about the service to prospective and current residents and includes the terms and conditions of they stay. The fees start at £343 to £525, provided in the pre-inspection questionnaire and may vary in accordance with the level of care required. There are additional costs for individual expenditure such as hairdressing, newspapers, and private chiropody, some social events and trips. The CSCI published inspection report would be available at the home and is referred to in the home’s brochure. The people who live there and their relatives would be informed about the CSCI inspection reports individually or through the unit meetings in the future. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This is the first key unannounced inspection of Rutland Care Village, which was registered in June 2006. The inspection process consisted of pre-planning the inspection, reviewing the information received at the point of registration. Review of the Pre-Inspection Questionnaire and Comment Cards/Surveys distributed to residents, and General Practitioners by the Commission for Social Care Inspection (CSCI) along with the reviewing of significant events. The unannounced site visit commenced on the 30th November 2006 and lasted 1 day. The focus of the inspection is based upon the outcomes for the residents. The method of inspecting used was ‘case tracking’. This involved identifying residents with varying levels of social care and nursing needs and looking at how these are being met by the staff at Rutland Care Village. Six residents were selected, two from each unit: Quorn Lodge, Cottesmore Grange and Belvior Court and discussions were held them and visiting relatives to ascertain their views about the care provided. The case tracking also included the review of residents’ individual care records, discussions with staff of various delegated responsibilities within the home, reviewing the records, the staff training and meeting records. Comment cards were received from 41 of the residents. The majority of the comments received indicated they were very satisfied with the care provided, the home environment and the staff. Comments incorporated within Resident’s Comment Cards included: “Very welcome to look around – even without an appointment” “Emergency admission when wife admitted to hospital” “I get the care I ask for, I have no problems” “The staff work very hard, always do the very best for the people in the village” “The staff always seem to be welcoming caring and helpful. Nothing seems to be too much trouble.” “Staff at care village are always ok. District nurses and intermediate care team are not so reliable”. “If a problem arises the medical support we receive is always prompt” “Better social life than at home” “I go out in the bus a lot” Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 7 “With so many people to cater for the village does very well with arranged activities” “Probably appreciate a better choice of menu” “Food too good – sadly we are now having to ask the staff to watch mum’s weight as clothes are getting tight” “We have been told the door is always open and who we can speak to if we have a complaint” “Don’t feel we would ever need to complain as we constantly talk to the staff and all little points are noted and would never grow to complaint level” “This is not a care home but a hotel where you are cared for – Amazing place! Staff too” “Since my dad moved into the Care Village the staff have done everything to make his stay a happy one” “Have been very impressed by the high standards at the home and excellence and kindness of staff” What the service does well: Rutland Care Village is a purpose built care home, which was designed to support and meet the needs of the people living at the home. The home is divided into three distinct units with a communal lounge and dining room. Cottesmore Grange provides care for 24 residents with dementia or mental health needs; and Quorn Lodge and Belvior Court are designed to provide care to residents whose needs are associated with age, although there may be some residents with mental health issues. Rutland Care Village has been nominated for National Design Award, the ‘Pinders’ Award in relation to the build quality of the home. The décor is modern with ample natural light. All the bedrooms are spacious with small seating area with comfortable chairs and table and have en-suites with hand washing, toilet and shower facilities. Bedrooms are decorated with complimentary furniture to match the décor. Residents benefit from having access to social and leisure activities within each unit and at ‘brambles, the day centre. The planned social and leisure events are advertised to the residents, who may choose to attend. Residents have a good choice of meals and drinks throughout the day. The Chef develops the menus with views expressed by residents, offering a good choice and opportunity for residents to try different meals. Mealtimes are Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 8 flexible and residents may eat in the dining room or can chose to eat their meals in the privacy of their own bedrooms. Visitors are welcomed at any time and can meet with residents in private. The staff in the home showed a good awareness of residents needs, were familiar with individual level of care and nursing needs and their preferred routines. All staff wear uniforms, and are distinguished between the care staff and trained nurse. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rutland Care Village DS0000066626.V319337.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 Rutland Care Village DS0000066626.V319337.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): 1, 2, 3, 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All new and prospective residents receive detailed information about the home. The assessment process is thorough, involving the residents and/or their family, which ensures their individual needs, are met. EVIDENCE: The majority of the comment cards received from the residents stated that they had received a contractual agreement for their stay at the home, with the terms and conditions specified. Residents and their relatives spoken with said they were fully consulted and agreed to the contract. Copy of the contractual agreement is held in the residents care file. All residents spoken with said they and their relatives had received the information pack with details of the services available at the home and what they can expect to receive. The information is in an easy read style and would Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 11 be available in other formats on request. Residents spoken with confirmed they had the opportunity to visit the home before moving in to be satisfied that they would be cared for and the home environment was suitable for them. A multi-disciplinary team that includes physiotherapists, occupational therapists, General Practitioner and trained nurses assesses residents requiring intermediate care for a short period. Care records of six residents, two from each of the three unit, showed an assessment was undertaken identifying the individual care and nursing needs to be met. The Registered Manager carries out the assessment to establish the care and nursing needs with the resident. The assessment included details of the resident’s history affecting their wellbeing, health, significant events and the details of who will be meeting the health care needs such as the trained nurse, Community Nurse, dietician or the General Practitioner. Additional information is gathered about the resident’s preferences and cultural and social interests. The care files also contained a copy of the social worker’s assessment of needs, which was part of the referral process. Rutland Care Village DS0000066626.V319337.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents individual care and nursing needs are met in a way that promotes and support their choice of lifestyle, although improvements to care planning must be made in one unit so that care is consistent across all units. EVIDENCE: Residents said they had been asked about their daily routines, the amount of help needed on a daily basis and confirmed by the visiting relatives. The care plans seen for residents in two units were individual, setting out the level assistance and accurately reflected the care and nursing needs of residents. There was clear guidance for staff to provide the care in a way that suited the resident and evidence that the care needs were reviewed monthly. Residents care plans showed how measures were taken to minimise risks such as moving and handling, falls, special diets, nutrition, and communication. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 13 However, care plans for two residents in one unit contained minimal or no information as to their current nursing and social care needs. This indicated that residents care needs are not being met and staff had no knowledge of the residents’ physical, mental and sensory impairment. Both residents confirmed that their needs were being met and their named care staff were aware of their individual preferences. This was discussed with the Team Leader, who showed the information in the communication book, used to share information with care staff at the handover meetings. The development of the resident’s profile showed a summary of their care required. The daily records showed the wellbeing of the residents and how their care, nursing and social needs met. All the residents have a named care staff responsible for their needs being met. The care staff ensure the resident’s bedroom, clothing are tidy and personal toiletries are available. Residents described how care staff help them on a daily basis with their personal, social and nursing care needs, making choices about how they chose to spend the day, to choosing their clothes and meals. The information received from the residents, visiting relatives and care staff spoken with was consistent with the records made in the residents care file. Care staff demonstrated a good understanding of the residents care needs and their responsibilities to meeting those care needs. Observations made during the inspection showed care staff are vigilant to the residents needs and responding to call bells promptly. Residents were seen throughout the day being treated by care staff in a respectful manner and enjoying friendly conversation. Staff addressed residents by their preferred names, maintaining their dignity. The staff described how they encourage residents to maintain as much independence as they are able, such as washing their face or walking short distances with support. Residents said the General Practitioner is called when requested and comments received, “the carer takes me across in a wheelchair to see my GP”. Residents receive health support from Community Nurse’s, General Practitioners and records are kept of the visit and treatment given. Although two Community Nurses are seen visiting residents in each of the units, there was no opportunity to speak with them. The Team Leaders said the trained nurse on duty provides sound knowledge and guidance on current practice when caring for people at risk of developing pressure sores. Special equipment is provided to benefit the residents. Residents needing continence products are supplied individually and supported by the supply seen in the resident’s bedroom. The medication is stored securely in each unit. The Team Leaders are responsible for the ordering, receipt and returning medication. The trained nurses and Team Leaders, trained in ‘Safe Handling of Medicines’ administer the medication. The medication and records were checked for residents were completed accurately. The storage and procedure for managing controlled medication was in good order. Residents spoken with said they receive their medication on time and this was observed during breakfast and lunchtime. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents enjoy a full, stimulating lifestyle; continue to make choices about daily living, and are offered variety of meals to suit. EVIDENCE: Residents were seen receiving visitors throughout the day. Residents can enjoy spending time in the lounge/dining room in the individual units with other residents and staff. Alternatively, residents can go to the ‘Brambles’, social centre where organised social and leisure events take place arranged by a team of dedicated staff. The Brambles staff organise and advertise the planned social events for each month. Residents spoke about social activities enjoyed in November such as: gentle exercise to music, Bingo, pub crawl, musical entertainment, Children in Need competition, Conkers and Hot Toddy and were celebrating St Andrew’s Day on the day. The visiting relative felt their relative enjoyed a social life to the full and was impressed with the seasonal festive activities for December Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 15 2006 displayed, which included Carol Service, Rutland Brownies Singing Choir, baking mince pies, buffet and Christmas Day festivities. Residents said they often go out on the minibus trips and have seen the Christmas Lights and popped into the local pub for mulled wine. Some residents were seen choosing to stay in their units meeting with their relatives, others were knitting, watching television or enjoying games with the care staff. Residents care plans viewed showed the involvement from family such as receiving daily newspapers. Daily records evidenced the choices made by residents, examples of which being their choice as to whether they participate in activities, where they wished to eat their meals and whether or not to have a bath or shower. Residents spoken with said arrangements are in place to receive Holy Communion in private. Residents maintain links with the local community; many previously lived in the area before moving to Rutland Care Village. Rutland Care Village produces a monthly newsletter containing information about changes to the home, such as appointment of a maintenance person, providing a trained nurse at all times and events at the Brambles. Meals are prepared by the qualified Chef at Quorn Lodge and transferred to the other units in the catering trolleys. The Chef said meals are prepared suitable to meet dietary needs of residents. The care plans contained details of the resident’s dietary needs. The information about resident’s dietary needs is acquired from the residents, their relatives and key workers. The Chef demonstrated commitment to involving residents in menu planning and making sure that they are able to enjoy the food they prefer and like. There is a choice of meals including a variety of dishes, served with fresh vegetables that encourage residents to try new and sometimes unfamiliar food. On the day, residents had a choice of Chicken Tikka or a selection of homemade pies and vegetables. The menu appeared varied, balanced and nutritious. All the residents and relatives were complimentary about the meals, felt confident to speak with the Chef and are offered drinks and snacks at any time. Fresh fruit and vegetables were seen being delivered with bowls of fresh fruit for residents in each of the units. Meals are served at the dining table. Staff were seen assisting those residents who need help to eat in a discreet and sensitive manner. Mealtimes are relaxed, staff are patient and helpful, and allow residents the time they needed to finish their meal comfortably, encouraging them to serve themselves. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Residents said they were informed of the home’s complaints processes at the point of moving in and were provided with information in the home’s brochure. The complaints procedure is displayed in the individual units within the home with details of how to contact advocacy services. The Registered Manager said complaints procedure would be made available in other formats upon request. Residents and their relatives when asked were confident that should they have any concerns, whom they should speak with, in addition there is a written complaints procedure. The Complaints Record showed the home has not received any complaints since it was opened and the Commission for Social Care Inspection has not received any expressions of concern about Rutland Care Village. Rutland Care Village have received compliments and commendations in the form of cards and letters. Cards are displayed in each of the units. Residents and relatives were very complimentary about the homely environment, the facility and the staff, and felt there was no reason to complain. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 17 Staff files checked showed staff have received training in ‘safeguarding adults’, in the induction training and as part of attaining a National Vocational Qualification (NVQ) in care. All staff spoken with demonstrated a good understanding of their responsibility and procedures to follow in relation to safeguarding adults and were confident to whistle blow on poor or bad care practices. Comments received directly from residents and relatives: “I go to . . . . . for help” “We have been told the door is always open and who we can speak to if we have a complaint” “Don’t feel we would ever need to complain as we constantly talk to the staff and all little points are noted and would never grow to complaint level” “Yes, I do, Team Leader or go to the Manager of the home” Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 18 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, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have an excellent standard of accommodation that is safe and well maintained including the garden areas and the social centre, which individually and collectively meets residents’ needs. EVIDENCE: Rutland Care Village is a purpose built care home, which was designed to support and meet the needs of the people living at the home. The home is divided into three units, which accommodates 24 residents. Each of the unit has a reception area. There is a maintenance person employed to ensure the home environment is safe and minor repair and faults are remedied. There is welcoming atmosphere as you enter the home. The wide corridors are well lit, clean, tidy and smells fresh. Light décor and pictures on walls create Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 19 an ambience of calmness and homely feel. There are handrails throughout the corridors. The individual lounges and dining rooms were of a very good standard in terms of space, décor and furniture. The hotel services such as the kitchen and the laundry area were found to be sufficient to meet the needs of people living and working at Rutland Care Village. Residents were seen moving around the home independently or with some assistance from staff. The atmosphere in each unit differed as residents were seen enjoying watching television and talking with other residents, staff and visitors. Residents have the option of going to ‘Brambles’ the social centre where planned events take place for all residents wishing to participate. There is a lawned area and patio area both with beds of flowers, shrubs and trees between the units and car parking spaces for each unit. Seating is provided for residents. The daily records read by the Inspector confirmed that residents throughout the summer benefited from using the garden and continue to enjoy planned social events in the units, or at the Brambles and the trips and outings. All the bedrooms are spacious, with a seating area and comfortable. All bedrooms have en-suite shower and toilet facilities. Intermediate care is provided in a designated area in one unit equipped with specialist equipment. Call bells are in individual residents bedrooms in Belvior Court and Quorn Grange. Call bells in Cottesmore Grange are located at the end of each corridor although residents can have a ‘call bell’ system installed into their bedroom at anytime. The bathrooms and toilets are spacious, clean, and tidy and smells fresh. Wheelchairs and hoists are kept in the storeroom, close to resident’s bedrooms in each unit. Staff spoken with confirmed specialist equipment is promptly available when required. The Inspector met with residents and viewed the bedrooms of three residents. The bedrooms were clean, comfortable with personal furnishings that showed what was important to the resident. The residents and visiting relatives said they were satisfied with the cleanliness of their bedrooms and were aware of the arrangements for laundry. Each unit has a team of domestic staff responsible for the cleanliness of the home. Observations made throughout the day showed domestic staff were carrying out cleaning duties of resident’s bedrooms, toilets and bathroom. Residents were aware of when their laundry is done and satisfied with the process. Staff described the procedures followed for soiled clothes to avoid spreading infection or other communicable infections. Staff were seen wearing aprons and clothes throughout the day. Staff said there is an ample supply of protective clothing, which was supported by the supply seen in the bathrooms and toilets. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident’s care needs are met and their safety protected by the trained and qualified staff following thorough recruitment processes and employed in sufficient numbers. EVIDENCE: Rutland Care Village has a dedicated team of staff for each unit comprising of a Team Leaders and three or four care staff reflecting the resident’s level of needs. There is a trained nurse on duty providing 24 hours cover to residents requiring nursing care. The Registered Manager, two trained nurses currently provided 24 hours nursing care and the numbers would increase when more residents are assessed as needing nursing care. The staff rota accurately reflected the staff on duty, including the ancillary staff and the staffing levels over 24 hours and the week. Staff said they felt involved and more responsible for the residents in the unit. Residents said staff were always available and if they were busy helping another residents then they are told and return within the agreed time. Comment cards received from residents indicated that staff were available and confident to help or assist with their care needs. Relatives said staff, at all levels were responsive and approachable. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 21 The recruitment and selection procedure in place is thorough and is supported by a Human Resource Team in accordance the home’s policy and guidance. Since Rutland Care Village was opened, an additional twenty new care staff were recruited. The files of two care staff providing care to the residents were checked. Three care staff spoken with described the recruitment process and completion of application forms, and attaining satisfactory pre-employment checks and declaration of their health assessment. The Pre-Inspection Questionnaire showed references and Criminal Records Bureau and protection of vulnerable adults (pova) first checks, were received and satisfactory. This was confirmed in the staff files checked. Staff spoken with said they received training in health and safety, safeguarding adult procedure, infection control, dementia awareness and foundation training in care, hoist training, food and hygiene, fire and COSHH, (Control of Substances Hazardous to Health) as part of their induction training. Team Leaders have completed competency in Safe Handling of Medicines. Staff files contained evidence of the training completed, which was consistent with the information received in the Pre-Inspection Questionnaire. According to the staff training matrix and the 40 care staff and Team Leaders have National Vocational Qualification (NVQ) in care, level 2 or above; with a further 31 currently completing NVQ in care, level 2 or above; and 46 staff currently hold a first aid certificates. Staff said supervisions take place with the team leaders and records are kept in the individual staff files. The residents and their visiting relatives said the care staff are always available and residents were familiar with them. Comments received included: “The staff work very hard, always do the very best for the people in the village” “Couldn’t fault the care mother receives” “Carers are very patient”. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35, 37 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring residents health; safety and welfare are promoted, and given opportunities to share their views. EVIDENCE: The Registered Manager has clear lines of responsibility and accountability for the management for the home and is supported by the Hotel Manager, the Team Leaders in each of the units and the trained nurses. This was demonstrated by her discipline of going to each of the units, familiar with residents and being well informed of significant issues affecting the residents. The Registered Manager is a trained nurse and has attained the Registered Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 23 Managers Award. Staff at all levels indicated that there was strong leadership and confidence with the management of the home. All the staff spoken with said there were clear lines of responsibility and accountability. The Registered Person for Rutland Care Village has been visiting the home and is in contact with the Registered Manager, on a daily basis, to speak with residents, staff and the management team, to view the environment and deal with any specific issues. The Registered Person confirmed that monthly visits would be conducted in due course and reports of the findings produced. Rutland Care Village has had a Quality Assurance survey carried out to assess and monitor the service, within six months of opening. This was carried out on 22nd November 2006 and the draft report was made available to the Inspector. The document focused on numerous aspects affecting the efficient running of the home and the delivery of care to residents. The topics covered views of the residents, their relatives and staff in relation to the home environment, quality of the care provided, opportunity to engage in social and leisure activities, the staffing and management of the home, including visits from Environmental Health Officer and suggested areas for improvements. The Registered Manager confirmed the findings of the quality assurance survey would be shared with the residents and their relatives individually or collectively in the respective units with the overall quality rating awarded. Residents have lockable cabinets in their own bedrooms to safe-keep valuables and can choose to have a key to their bedroom. Residents said arrangements are in place for them to get access to their money to pay for the hairdresser, trips or to purchase personal toiletries. The visiting relative described process of how their relative’s money is managed by the home. The relative said they were able to view the financial records with consent from the resident. The small amount of money held at the home is kept locked with resident’s money, which is overseen by the home’s Administrator. This indicated that there is a clear procedure for handling residents’ money was in place. Residents care files contained copies of the risk assessments carried out for mobility, transfers using a hoist, pressure area care and measures taken to avoid any identified risks. Residents were observed being assisted by staff using safe techniques and at the resident’s pace. Records were in good order and easy to follow demonstrating care staff were following the guidance to assist residents. Residents said they were aware of their rights to view their records held at the home. Residents records were generally in good order and accessible. Residents said they felt safe both in the home and with the staff looking after them. The Pre-Inspection Questionnaire sent to the Commission before the site visit detailed the maintenance of health and safety systems, including fire systems and equipment, central heating systems and emergency call systems. All fire exits were clear of obstructions and clearly signposted. The fire drills, fire alarm testing records held in each unit showed checks are carried out Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 24 regularly. The maintenance person confirmed a programme of regular testing and checks is in place in addition to any remedial works carried out under warranty. Staff demonstrated good awareness of their responsibility in relation to health and safety and safe storage of Control of Substances Hazardous to Health (COSHH) materials. The Environmental Health Officer visited the home in September 2006 and Health & Safety Officer’s visit in October 2006 and no issues were raised. The accident book viewed was consistent with the notifications sent to the CSCI detailing events that have affected the residents’ safety and wellbeing. Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 4 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X 3 3 Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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 13,14, 15 Requirement The Registered Person must put in place a system of care planning to ensure: • Care needs are reviewed, • Clear direction is given to staff as to how to meet those needs, • That residents cultural and lifestyle choices are reflected. Timescale for action 30/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Rutland Care Village DS0000066626.V319337.R01.S.doc Version 5.2 Page 28 - 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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