Inspection on 11/05/07 for Rutland Villa

This inspection was carried out on 11th May 2007.

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 Villa 09/05/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Rutland Villa Rutland Villa 62 Chesshire Avenue Stourport on Severn Worcs DY13 0EA Lead Inspector Rachel McGorman Unannounced Inspection 11th May 2007 10:00 Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 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 Villa DS0000064213.V336924.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 Adults 18-65. 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 Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rutland Villa Address Rutland Villa 62 Chesshire Avenue Stourport on Severn Worcs DY13 0EA 01299 879221 01299 879576 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) Minster Pathways Limited vacant post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate one young person (aged 17). Date of last inspection 9th May 2006 Brief Description of the Service: Rutland Villa is registered to provide residential care for up to 3 adults who have a learning disability. The home may also accommodate one young person aged 17, although the person for whom this registration was granted no longer lives at the home. Situated in a pleasant residential setting, approximately 2 miles from Stourport-on-Severn, the two-storey building provides a good standard of accommodation. There is access to public transport and a range of amenities and facilities. The home also has a minibus, for the benefit of the people who live at the home. Rutland Villa was first registered in November 2005 and is owned by Minster Pathways Ltd. Mr Colin Farebrother is the Operations Director and support to the home is provided by the Operations Manager Ms Maria Baughurst. The range of fees varies between £800 & £2,000 per week. The stated purpose of the organisation is, to offer high quality care to individuals, who have the opportunity to maintain an ordinary lifestyle, and who are encouraged to work towards achieving their own goals and aspirations. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine key inspection, was to monitor the care provided at the home, to assess how well the service meets the needs of the people who live there, in relation to the stated aims and objectives, and to follow up previous requirements and recommendations. Preparation for the inspection included looking at previous reports, and considering the various contacts made with the home since the last inspection. Information about the home and the services provided was also found in the Annual Quality Assurance Document that providers are required to submit to the Commission. The visit was unannounced and took approximately 4 hours, when some time was spent with residents, mostly observing their interactions with the people who support them, as they are not easily able to communicate their views verbally. The relationship between residents and the staff who support them was seen to be respectful and considerate, and was pleasing to observe. During conversations with staff, comments were made about what it is like to work for the company, how the home is organised and how they support the people who live at Rutland Villa. In addition the opportunities for training and the supervision they are given in doing their work was also discussed. The views of the family of one resident were sought, during their visit to the home during the inspection, and their comments were very positive. The care records of residents were seen, and the contents discussed with the acting care manager, who was on duty during most of the inspection. The plan of care of one person was inspected in detail for case tracking purposes. A tour of the house was undertaken with the staff member responsible for the maintenance of the building, and the records kept in respect of the servicing of equipment, and safe working practices were also seen, including the fire log and the accident book. These were all found to be well maintained. What the service does well: Rutland Villa is a friendly home, and a warm welcome is given to visitors, including the inspector. There is evidence of mutual respect and consideration between service users and staff. The atmosphere throughout the home was calm and relaxed, although residents were quite ‘busy’, with their individual activities. Relevant information about the service, and what can be provided, is available to service users and their families, and can be produced in an appropriate Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 6 format. This is reviewed regularly to ensure that it is up to date and accurate, and therefore able to assist prospective residents and their families to make the right decisions about their care. The procedures relating to the assessment and admission of people who want to live at the home are detailed and they are implemented thoroughly. The needs of prospective residents are identified, and staff are able to determine if the needs of the individual can be met appropriately at the home. A good standard of personal and health care is provided for each resident at the home, and the staff work well with other professionals and agencies, to help improve and maintain their health, with obvious benefit to service users. The policies and procedures relating to the administration of medication and the training provided for staff, help to ensure that residents are protected. The arrangements for purchasing food give service users choice about their meals and mealtimes and greater involvement in the running of the home. Recruitment and selection procedures are followed, and the management is clear about the support, training and development for the staff it employs. Staff confirmed that they are given appropriate training opportunities. The building is maintained to a high standard, and is comfortable, safe and clean. The home has a vehicle to provide transport for residents, to enable them to undertake various activities in the community. What has improved since the last inspection? Care planning procedures have been reviewed, and the Person Centred Planning approach introduced, which should improve the quality of life of the people living at the home. There is an ongoing commitment from the management of the home, to the further development of the service, and to putting the people who live at the home at the centre of everything. Greater involvement of family members has been encouraged throughout the assessment and admission process, in the care planning and review processes and in the daily life of the home, which benefits everyone. Residents are encouraged to make more decisions about their lives, both within the home and also outside in the community. Opportunities for each person to do the things they enjoy are increasing, and as a result their life skills and confidence are also developing. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 7 The various activities are now supported by risk assessment, which promotes the safety of residents and enables them to have more independence. Facilities have been improved for the people who live and work in the home by further development and maintenance of the premises, and the replacement of various items of furniture. 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 Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 & 4 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information provided for people who are considering moving to the home, will help them to make the decision about their future care arrangements. The assessment process is detailed and thorough to ensure that the home is able to provided the care that is needed. The admission procedure includes planned visits to the home to meet other residents and the staff, and this helps everyone to know if the home will be suitable. EVIDENCE: A Statement of Purpose and a Service Users Guide have been produced, and can be made available in a suitable format when required. A copy of the Statement of Purpose was seen, and contains relevant information for residents and their families, about the services and facilities that can be provided at the home. The Service Users Guide is being reviewed at present, and the updated version will be available in the near future. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 10 There have been two recent changes in the resident group at the home. One person transferred to Rutland Villa before Christmas, in November 2006, and the other came in the New Year, in January 2007. Both people appear to have settled in well, and the family of one resident said they were really pleased with the progress made. The file of one resident was inspected in detail as part of the case tracking process. A comprehensive policy has been produced that outlines how the admission of new residents to the home will be achieved. Evidence was seen of the assessment and admission procedures, and how these had been implemented. The resident’s file included extensive assessment by staff from the home, and also a Community Care Assessment prepared by the social worker from the placing authority. Discussions with the acting manager and also the relatives of a resident confirmed their involvement throughout the process, that introductory visits were made to the home prior to a decision being made, and that relevant information was provided about the service that could be provided by the home. They said that they were completely satisfied with the way things had been handled, and with the care that was now being provided to their relative. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plan of care is based on the initial assessment, which clearly identifies the assessed needs of the resident, and how these will be met. The ongoing development of the person centred approach to the care of each resident helps to ensure that all the decisions made revolve round them. The key-worker system ensures that the people living at the home are supported in making choices in all areas of their lives. Assessments are in place and enable a responsible approach to the risks associated with the various activities of daily living. EVIDENCE: Care planning procedures have been further developed at the home recently, and those seen detailed the specific needs of the person and how these are to be met. An individual plan of care is produced for each resident, which is based Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 12 on the initial assessment undertaken at the time of admission. The content of the plan is reviewed regularly, to ensure that it accurately reflects the care that is provided. The plan of care seen during the visit was informative and provided a clear profile of the resident, and evidence that life at the home revolves around the people who live there, was obtained through observation of the relationship between the staff and the people they support, and also in discussion with the acting manager and visitors to the home. The care plan is written from the resident’s point of view, and relates to every aspect of their care. Information is included about the following, ‘Personal details, my health and keeping safe, how to communicate with me, the important people in my life, good things about me, my life story, things I like and things I don’t, my hopes and dreams and goals’, etc. Changes are monitored over a period of time, and amendments made when necessary. Two key-workers are assigned to each resident, and the staff seemed clear about their role in ensuring that appropriate care is provided. The family of one person confirmed that they are fully involved with the care of their relative, and that any proposed changes are always discussed with them. The residents living at Rutland Villa are not easily able to communicate verbally, although they are usually able to make themselves understood, so staff have to interpret their individual needs and preferences. Each person is constantly encouraged to be involved in the daily life of the home, and any indication that a resident may not wish to do something is acknowledged and respected. One person, when asked initially by the inspector if she could visit his room, made it very clear that he did not welcome this, but later she was taken by the hand, by this resident, who proudly showed her his very tidy bedroom. Residents living at the home sometimes challenge the service. The care plan describes how this will be managed, and staff have access to the Behaviour Management Team, who support them in providing appropriate care for each person. Records of any intervention are maintained. Risk assessments are completed, in relation to the premises, to the activities undertaken and any restrictions imposed, and also in respect of every aspect of the life of each person. The details relating to risk assessments are well documented, and are reviewed regularly to reflect any changes. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The opportunities made available to residents, and their regular contact with family and friends, enable them to live as fulfilling a life as possible. The involvement of each individual in planning their activities, both within and outside the home, means that they are able to choose what they wish to do. There is a flexible approach to the provision of a healthy diet, and service users are encouraged to decide what to eat and when. EVIDENCE: Residents living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range activities. There has been some Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 14 progress in accessing activities within the local community, although these opportunities could be further explored. An individual programme of activities is arranged with each resident that acknowledges their preferences, and the daily routines revolve around their personal choice. If they decide they don’t want to do something or to go somewhere, then they don’t have to. One person was very clear about not wanting to attend a day centre. The wishes of every individual are respected and recorded. A weekly plan for proposed activities is produced and a daily diary is maintained about what each individual has achieved that day. One resident continues to access the local shop and this is a regular part of his routine, while another loves animals, so a visit to the safari park had been organised. One person prefers to be alone sometimes, but will go out in the minibus occasionally. He also likes to eat ‘al fresco’, so the appropriate arrangements have been made when the weather permits. Trips to the cinema and to a local disco are also organised, and other activities include going for walks in the local park, or on a shopping spree. Birthdays are also celebrated at the home, together with the families of the people who live there. Residents are encouraged and supported by staff to achieve their identified goals, and to develop and maintain various life skills, by doing general household chores, and helping with food shopping and preparation. Educational opportunities are included in activities such as arts and crafts, music and role-play, and in developing communication skills. Further possibilities were discussed e.g. accessing the local library, or learning IT skills, and the acting manager agreed that these and other proposals will be followed up, and additional activities organised. There is evidence of involvement with families and this is actively encouraged. One resident was collected during the afternoon by her family to stay with them for the weekend, and they expressed their total satisfaction with the care provided, and referred to the remarkable improvement seen in this resident. The home is able to accommodate visitors without intrusion on other people, and everyone has regular contact with their family. A record is maintained of all visitors to the home. The arrangements regarding the provision of food reflect the individual likes and dislikes of each resident, and menus are planned with them. Pictures are used to assist them in choosing what they would like to eat, and a record is kept of the food provided. Each individual is involved in food shopping with staff, and they assist with preparing snacks and drinks. The advice of a dietician has also been sought in to ensure that specific nutritional needs are managed appropriately. Risk assessments are in place in relation to weight monitoring, and the support of family is encouraged in promoting healthy eating for everyone. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manner in which support is provided by staff helps to ensure that the rights of each resident are respected, when meeting their personal and health care needs. The care that is provided at the home revolves around the people who live there, and their complex needs are understood and met in an appropriate way. The procedures for the administration of medication ensure that the health of each resident is promoted, and that they are protected. EVIDENCE: The personal and healthcare needs of each resident are well documented, and there is evidence to show how staff understand and respond to them in an appropriate way. Reviews are undertaken regularly with each individual to ensure that any change in their needs is responded to appropriately. Personal care is provided in privacy. Residents are given support by staff only in the areas that they are unable to manage themselves without some Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 16 assistance. The independence and dignity of each individual is promoted, and a relaxed and flexible approach maintained towards their personal care needs. Health Action Plans have not been introduced for residents living at the home, although some information from the Worcestershire HAP format has been included in the residents Health Monitoring Record, which are also produced in picture format. These contain detailed information on general health and weight issues, and all visits to the doctor or consultant, involvement of the nurses, attendance at clinics, sight, hearing, dental checks, and chiropody treatment are recorded. The healthcare of the people who live at the home is closely monitored, and an initial health assessment is done on admission, which is then regularly updated. The consent of each person is obtained, and that of their family or representative, to record their health related information and to also pass this on to the relevant people if necessary. Additional specialist support and advice is sought from the primary health care team, and other health professionals, when needed. The Continence Advisor has been involved with a management programme for some residents living at the home, and this has been very effective in improving their quality of life. Medication arrangements at the home are satisfactory, and residents are protected by the policies and procedures that are in place. Information about medication is provided for residents in picture format, to aid their understanding. A Monitored Dosage System is in use, and the local Pharmacist undertakes a regular check to ensure that the correct procedures are being followed. The Medication Administration Records were seen and had been completed to a good standard, and training has been provided for staff. Regular reviews are also undertaken of the medication prescribed for service users at the home. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their family or a representative are able to express any concerns, through a clear and effective complaints procedure. The awareness of the management, together with the training provided for staff, ensures the protection of the people who live at the home, from all forms of abuse. EVIDENCE: A clear procedure for the investigation of complaints has been produced and any issues are dealt with immediately, to prevent them developing into a larger problem. The document has been produced in a format that is clear to residents, and discussions have been held with the families of the people who live at the home about the process. Several very positive comments were made to the inspector about the home and the care provided, about the commitment of the staff to making the lives of the people they support as good as they can, and about the ongoing progress evident in individuals living at Rutland Villa. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 18 Since the last inspection, the records at the home indicate that one complaint has been made, which was dealt with by the company, and a satisfactory outcome has been achieved. A neighbour had contacted the Environmental Health Department about noise from residents when in the garden, and about footballs and other objects going over the fence into his garden. A new, higher fence has been erected, and the acting manager is seeking to improve relationships with the local community. The Commission also received a complaint several months ago, about staffing levels at the home not being adequate for the needs of a resident who had been admitted for a period of respite care. The provider was asked to investigate this matter, and responded appropriately. Several changes have been made, and an appropriate number of staff are now employed at the home, as evidenced by the staff rotas, and also in discussion with staff. Staff are able to demonstrate a clear understanding of the issues relating to abuse, and also to their individual role as an advocate for service users. An appropriate procedure is in place relating to the many aspects of abuse. Training for all staff on the Protection of Vulnerable Adults has been provided. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,28 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises are comfortable and clean, and ensure as far as possible that the safety and wellbeing of residents is promoted. The décor and furnishings are in good condition, and provide residents with an attractive and homely place to live. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space for the needs of each individual. The programme of improvement and upgrading of the home helps to enhance the quality of life for the people who live there. EVIDENCE: Rutland Villa is a large, three bedroomed, detached house, situated in a pleasant residential area, approximately 2 miles from the town centre of Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 20 Stourport-on-Severn. There is access to public transport, although residents mainly use the people carrier and a minibus. The premises is well maintained, with accessible gardens that provide a suitable area for residents, particularly during the warmer weather. The communal areas of the house, include a lounge and a separate dining room, that are nicely decorated and comfortably furnished, and in keeping with the modern, minimalistic approach. There are three large bedrooms each with an en suite toilet and shower or bath. Two bedrooms are situated on the first floor, and the ground floor bedroom has access to the garden through French windows. The bedrooms reflect the tastes and interests of the people who live there, and each resident indicated that they were happy with their room. Several developments discussed during the inspection were observed to have improved facilities for service users and enhanced their quality of life. These include the following: • The replacement of bedroom furniture • The purchase of a new leather sofa • The fitting of new stair carpet and a bedroom carpet • The replacement of the garden fence • The provision of new curtains • The fitting of a new wall-attached desk • The redecoration of several areas of the home The inspector was able to speak with the person with responsibility for the upkeep of the building, who was able to confirm that regular maintenance and servicing arrangements are in place, and that everything at the home was in good working order. Contracts are in place, and the records are well maintained with all the appropriate certificates available. The home is clean and fresh, and staff confirmed they are familiar with the procedures regarding the control of infection, and also that they have been given training in health and safety matters. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 & 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has an effective team of staff, who are able to ensure that the needs of people living at the home can be effectively met. Recruitment and selection procedures help to ensure the protection of residents. The training programme available to staff ensures that they understand their role, and are able to provide appropriate care to the people they support. EVIDENCE: Staffing arrangements at the home are now more satisfactory, having been through a period when an appropriate number of staff had not always been available, to ensure that the individual needs of the residents were met. The acting care manager confirmed that there is a minimum of two staff on duty throughout the waking day, when residents are at home, and additional members of staff are available to support individuals in their various activities in the community. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 22 The staff team at Rutland Villa now appears to be more settled, although there have been several additions to the group during the last 12 months. Discussions with the staff who were on duty during the visit, about their experiences of working at the home, recruitment procedures, the induction process, and the training opportunities provided, confirmed that appropriate procedures had been followed, that they feel supported by the management, and that they are aware of their responsibilities in relation to the people they support. A thorough recruitment and selection procedure has been produced by the organisation. The files of two staff were seen, and relevant information is recorded and appropriate documentation is in place, which includes evidence of Criminal Record Bureau (CRB) checks, written references, a birth certificate and passport as proof of identity, and training certificates. A training programme is followed at the home and includes statutory and specialist care related training. Induction and foundation training, is provided to all new staff initially, two staff have completed the National Vocational Qualification Level 2 in Care, and six carers are currently doing the course. In addition, one person has achieved the NVQ Level 3 in Care, the deputy is taking NVQ Level 4 in Care, and the acting manager is nearing completion of the Registered Managers Award. The acting care manager advised that arrangements are being made for the Learning Disability Award Framework (LDAF) accredited training to be made available to staff, and that this forms part of the training programme for the next 12 months. Basic training is provided for all staff, and recently has included Fire Awareness updates, the Appointed Persons First Aid course, basic food hygiene, moving and handling, and health and safety. Care related training has included abuse awareness, epilepsy, medication, sign language/widget, challenging behaviour, autism, and risk assessment. All staff are also given training in SCIPrUK (Strategies for Crisis Intervention and Prevention). Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The knowledge and experience of the acting care manager will be of benefit to both residents and staff who are living and working in a well run home. The quality assurance system needs to be fully implemented, to confirm that the aims and objectives of the home are being met. The rights of service users are safeguarded by the effective policies and procedures, together with appropriate records that are maintained at the home. Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 24 EVIDENCE: The Acting Care Manager, Ms Tia Sharman, has several years experience working with people who experience learning difficulties. She has good communication skills, and a clear understanding of her role and responsibilities. She has attended various care related training courses to ensure that she is aware of the various developments relating to the care of people with a learning disability, and is hopeful of completing the Registered Managers Award within the next two months. An application for registration as care manager at Rutland Villa is to be submitted to the Commission in the near future. A quality monitoring system is being developed at the home, but is not yet fully operational. A quarterly audit report is completed that covers the management of the home, the premises and related documentation, care planning, staffing and administration. The views of family, advocates and professionals are sought through questionnaires, but the results now need to be reviewed and an annual report produced that measures how well the home meets the needs of the people who live there. The home has a clear policy that details how health and safety matters are to be addressed, and all staff are trained in safe working practices. The records seen had been completed to a satisfactory standard, and regular maintenance and servicing of equipment is undertaken. The service reports and certificates are all in order, temperature checks are recorded and accident records also maintained. The Fire Log was seen, and appropriate checks are undertaken with the required frequency. Notifications are made under Regulation 37, which requires reports to be sent to the Commission of the death or serious illness, or any other event in the home which may adversely affect the wellbeing of a service user. Regulation 26 visits are made to the home by or on behalf of the registered provider, but these reports have not been submitted to the Commission regularly. The acting manager provided copies to the inspector for the preceding three months. Rutland Villa DS0000064213.V336924.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA14 Good Practice Recommendations Further opportunities should be identified for residents to participate in various activities, both at home and in the community, to ensure that their lives are as interesting and meaningful as possible The manager should seek registration with the Commission without further delay to ensure that the home fulfils its stated purpose and meets the needs of the people who live there The quality monitoring system should be further developed to include an audit of the information obtained, to measure the success of the home in achieving its stated aims and objectives 2 YA37 3 YA39 Rutland Villa DS0000064213.V336924.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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. 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