Inspection on 16/03/06 for The Rookery

This inspection was carried out on 16th March 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

The Rookery 17/03/08

The Rookery 14/03/07

The Rookery 17/11/05

The Rookery 20/01/05

The Rookery 25/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Rookery Milnthorpe Road Holme Carnforth Lancashire LA6 1PX Lead Inspector Jane Strawbridge Unannounced Inspection 16th March 2006 12:30 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 The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 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. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Rookery Address Milnthorpe Road Holme Carnforth Lancashire LA6 1PX 01524 782304 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) Mrs Rose Ann Savage Mrs Rose Ann Savage Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 3 service users to include: up to 3 service users in the category of OP (Old age, not falling within any other category) 17th November 2005 Date of last inspection Brief Description of the Service: The Rookery provides care and accommodation for three older people. The home is a two-storey house situated in a quiet location on the outskirts of the village of Holme near Carnforth. The detached property is set in pleasant grounds with a small parking area to the front of the home and accessed by a short driveway. The home is within walking distance of the village where there is a post office, public house, churches and other amenities. There is a bus stop at the end of the driveway for the bus service to Kendal, Lancaster and points in between and beyond. The home has a large lounge, kitchen/diner, and visitors’ lounge and downstairs toilet. There are three bedrooms for residents, one of which is on the ground floor. A stair lift allows for easy access to the first floor where there are two bedrooms for residents on the first floor, one of which has en-suite facilities and there is a separate bathroom within easy reach. The proprietor also has accommodation on the first floor. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during an early afternoon. Mrs Savage, the proprietor/registered manager was present during the inspection. This was a short inspection because two residents had gone out with friends for the day and the manager had made plans to take the third resident out for the afternoon. The inspector spent some time talking with the registered manager and the resident, looked around the home and saw records relating to the care of the residents and the day-to-day running of the home. What the service does well: 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 Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 6 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 The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 The home provided prospective residents and their family carers with a comprehensive range of information to help them to make an informed decision whether the home would be able to meet their needs. EVIDENCE: The home’s brochure has details about the range of services it provides. There was a clear admissions procedure to the home that included a full assessment of need being carried out. The proprietor/registered manager was aware of the registration categories and had been careful not to admit anyone into the home whose needs could not be met. It was routine to issue all residents with an individual contract and terms and conditions of residency after the successful completion of a trial period. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 11 Practices within this home mean that residents and their representatives are confident that their wishes will be respected. EVIDENCE: This home has detailed personal files recording a wide range of information about health and personal care needs, daily routines and preferences, including residents’ expectations and wishes after their death. This information enabled staff working in the home to understand and respect the expectations of the residents so that they could provide a consistently high level of care. Mrs Savage has lengthy experience of working with people who were in the final stages of their life and would take medical advice from the local doctors and community based nurses to enable terminally ill residents to remain at home if they wished to do so. Excellent professional relationships have been formed with the local district nurses who visited frequently and whenever necessary especially during a critical illness. The proprietor said, “We would see it through together if at all possible.” The home offered support to the families of the service users in their care and welcomed them to visit as often as they wished. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 People living in this home are encouraged to be involved in making the decisions that affect their daily lifestyle. EVIDENCE: Residents are offered choices throughout their daily living activities. The home has a flexible approach to daily routines and aims to enable all residents to assert their right to choose for themselves from a range of options. For example people are offered to opportunity to visit their favourite places for outings, and on the day of the inspection two of the residents had chosen to go out for lunch with friends and the third resident had chosen to stay in and go out later. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The home has satisfactory procedures in place to ensure that the legal rights of residents are protected. EVIDENCE: The proprietor recognises the right of each resident to make their wishes known and if necessary will arrange to introduce them to an advocate who will speak on their behalf. She was aware of the voluntary local advocacy service that could be used by residents who were unable to speak for themselves or who did not have a family member or friend who could take on the role. The home has a small sitting room that can be used by anyone who needed to speak to someone in private. The electoral register had been kept up to date and the residents had been assisted to apply for postal votes in preparation for voting in political elections. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23, 24, 26 This home continues to provide a safe and comfortable, homely environment that meets the needs of the people who live there. EVIDENCE: The home was clean and tidy and smelt fresh. All communal rooms and personal bedrooms were warm and comfortably furnished and residents had been encouraged to bring their favourite or most valued possessions with them to make their rooms more homely and individual. The bathrooms had been equipped to enable residents to bathe safely and as independently as possible. Occupational therapists had been involved in assessing residents and providing them with mobility aids. The home’s stair lift is used every day and had recently been serviced. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 This home has competent and trained staff on duty at all times. EVIDENCE: The proprietor/registered manager lives on site and is available to advise and supervise staff whenever necessary. All necessary recruitment checks had been done whenever staff had been appointed so that the residents’ interests and wellbeing had been protected. There are few members of staff because the residents live as a small extended family and turnover tends to be low, which means that the staff and residents get to know each other really well. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 35, 36, 37, 38 There are procedures and practices in place to protect the rights of the residents and to ensure the health and safety and wellbeing of the residents, staff and visitors. EVIDENCE: The home uses a Chartered Accountant to manage its financial affairs throughout the year and the accounts are audited annually. The home is adequately insured. The residents’ financial interests were protected by the home’s policies and procedures meaning that no personal money is held on their behalf. Each resident or their family controlled their own personal financial affairs. Work had been done to reintroduce the staff supervision programme for the new member of staff appointed since the previous inspection. The home has a no smoking policy and all records relating to health and safety had been completed satisfactorily to protect the people living and working in the home. The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 14 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 3 3 X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 3 3 3 The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations The Rookery DS0000022623.V284170.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 DS0000022623.V284170.R01.S.doc Version 5.1 Page 17 - 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!