Inspection on 01/08/05 for The Rookery

This inspection was carried out on 1st August 2005.

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

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

Other inspections for this house

The Rookery 18/07/08

The Rookery 01/10/07

The Rookery 04/08/06

The Rookery 19/01/06

The Rookery 18/01/05

The Rookery 09/08/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 The Rookery Mill Common Road Walcott Norwich NR12 0PF Lead Inspector Pearson Clarke Unannounced 1 August 2005 st The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Rookery Address Mill Common Road, Walcott, Norwich, NR12 0PF 01692 650707 01692 650330 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Janith Homes Limited Mr Alfred Finlay 30 Category(ies) of Learning disability (30) registration, with number of places The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: The Rookery is a care home providing personal care and accommodation for 30 adults with a learning disability. The service is owned and operated by Janith Homes ltd, who also operate three smaller services for the same client group within the same area. The Rookery stands in a rural area on the outskirts of the Norfolk seaside village of Walcott. The service operates as a community with people attending for day services. The complex also encompasses un-registered holiday accommodation which people use with their own carers. The Rookery is based around a small farm where animals are raised. There is also a strong artistic ethos with one of the farm barns having been converted into a large studio where artists work with and alongside service users. The living accommodation is largely in the main house with some separate purpose built and converted units. Bedrooms are currently a mix of single and double occupancy. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of The Rookery was unannounced and was primarily focused on the premises which have been subject to recent change and improvement. During time spent in the home the inspector was able to talk to and observe a selection of people living there. As on previous visits the atmosphere was relaxed with residents generally confident in their surroundings and in their dealings with staff and the inspector. The home was represented by the registered manager and on this occasion the inspector did not interview staff. What the service does well: What has improved since the last inspection? Since the last inspection the provider has worked to reduce the numbers of people sharing rooms through the provision of new accommodation. The resultant changes whilst not finished offer greater choice and the new rooms are finished to a very high standard. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,4,5 Residents coming to live at The Rookery are given the information to allow them to make an informed choice. Admissions are planned to take place at a pace to suit each individual. Needs are assessed to ensure that people can have confidence in the placement meeting the persons needs. EVIDENCE: During the inspection the inspector tracked the most recent admission to the home and also looked at the assessment and admission process taking place for two imminent admissions. In each case the process was tailored to meet the individual’ s needs and circumstances. One person had experienced a very gentle introduction to the service starting with day care leading to short stays and finally to long term care with regular visits home. The two imminent admissions had received visits in their current settings and appropriate assessment information had been gathered in each case. The pattern of visits by the residents to the service differed based upon the individual needs of those concerned. A sample contract was seen for the most recent admission and the service manager confirmed that all residents have such a contract. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 The services care planning system is broadly effective, however there is a need to ensure that all of those accommodated have a full plan of care at all times. EVIDENCE: Sample plans of care were inspected and whilst the plans for all of the established residents were satisfactory the most recent admission did not have a full plan of care. Whilst it is accepted that the individual concerned is well known to the home having attended for day care for some two years, the service management must ensure that all people in receipt of care have a satisfactory plan of care at all times. See requirement The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this visit to the home. EVIDENCE: The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this visit to the home. EVIDENCE: The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The home has a satisfactory complaints and adult protection process which provides a framework for the protection of those cared for. EVIDENCE: The inspector observed the homes complaints process on display and the manager confirmed that no complaints had been received since the last inspection. Staff have received training relating to adult protection, although this was not looked at in any detail. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,28,30 The service has a variety of differing accommodation on the same site and as such residents live in accommodation suited to their needs. Residents are likely to benefit from further change to the existing provision designed to offer individuals more personal space EVIDENCE: The inspector made an extensive tour of the building and found all areas to be clean and hygienic. The provider has recently created two three bedded units in what was previously holiday accommodation. Although they are not yet fully in use the rooms have been completed to a high standard and offer a more domestic style of living than the main house. The recent changes have not resulted in an increase in numbers and when fully completed more people will have the opportunity to have their own room and many of those will enjoy large rooms previously used as doubles. Although not all bedrooms were seen it was clear from the décor and possessions that residents are encouraged to personalise their own space to reflect their personalities. It was noted that in some bedrooms the carpeting is looking somewhat tired and shabby and a recommendation is made to review this with a view to provision of new carpeting where necessary. The last inspection of the Rookery resulted in a recommendation to make improvements to the homes main dining area in order to make it less The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 14 institutional in feel. On this visit the inspector could see that this recommendation had been adopted and the use of pictures, curtains and new lighting has helped soften what was a somewhat stark space. In addition to this new furniture has been ordered. See recommendation The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this visit to the home. EVIDENCE: The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this visit to the home. EVIDENCE: The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 4 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Rookery Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 15 Requirement That all residents have a comprehensive plan of care based on a full assesment of need. Timescale for action Immediate and on going 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 25 Good Practice Recommendations That the service provider carryout a review of all carpeting in residents rooms and where neccesary replace carpets which are no longer fit for purpose. The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Rookery I55 s27307 therookery v242143 010805 stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!