Inspection on 17/11/05 for The Rookery

This inspection was carried out on 17th November 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 17/03/08

The Rookery 14/03/07

The Rookery 16/03/06

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 17th November 2005 10:15 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.V265941.R01.S.doc Version 5.0 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.V265941.R01.S.doc Version 5.0 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.V265941.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2005 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, 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 Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during a morning and early afternoon. Mr and Mrs Savage were present during the inspection. The inspector spent some time talking with the residents individually, and with the staff on duty. The inspector 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.V265941.R01.S.doc Version 5.0 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.V265941.R01.S.doc Version 5.0 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): 3, 4, 5 The home uses an admission procedure that means a proper assessment takes place before people move into the home. This practice together with the information given to prospective residents, helps to reassure them that their care needs will be met. EVIDENCE: All prospective residents are given sufficient information about the services provided at The Rookery so that they and / or their representative has an understanding of what the home has to offer them. The owner / registered manager routinely visits prospective residents to assess their needs, to see if the home is suitable for them and to obtain as much relevant information as possible from the person and their family and carers. This is followed by a visit to the home to help each party to make an informed decision about moving in. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 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, 8, 9, 10 The health care needs of each resident are identified, recorded and met in a way that respects their dignity and privacy. Routine safe practices generally protect residents from harm. However the medication administration record sheets require attention to provide evidence that medicines have been administered correctly. EVIDENCE: This home has detailed personal files that contained a wide range of information about health and personal care needs, daily routines and preferences, to enable staff working in the home to provide a consistently high level of service. Case reviews had been held regularly and whenever there had been significant changes in circumstances. All residents were registered with their own GP and the local community nurses attended as required. The registered manager / owner ensured that residents kept health appointments whenever necessary. The local pharmacist gave advice on medication prescribing medicines in their usual containers from which they were administered in the home. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 9 The registered manager used to keep detailed records of the medication administered but the recording had lapsed over the last few months. Records must be kept to protect the residents and staff, therefore a requirement has been made to cover this shortfall. Members of staff on duty were seen to behave in a professional manner showing respect and courtesy for each of the residents. This observation was confirmed by residents who said “the staff willingly help me when I need it.” “Everyone is very kind to me”, and “they know us better than we know ourselves!” The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 10 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): 12, 13, 15 The Rookery staff members welcome visitors at any reasonable time and the social activities are well organised. This combination means that there is usually something happening to interest and stimulate the residents. Meals are balanced and nutritious to offer a healthy variety of food that meets the residents’ tastes and choices. EVIDENCE: The Rookery has an open door policy where visitors are welcome at any time. Residents can see their visitors in private in their own room or in the small sitting room or the main lounge. The interests and preferences of each resident were listed in their personal file and every effort made to assist them to pursue these to the full. The Rookery has well-established social links with a nearby small residential home and together they organise joint weekly outings to places of interest and for meals out. Residents also enjoy social evenings with their friends from the local home when they often have supper together and play their favourite board games and scrabble. The residents said that they looked forward to these social occasions. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 11 Meals are generally taken together in the kitchen / dining room although if someone preferred to have their meal on their own this was easily accommodated. During this inspection, one resident ate their meal in the dining room and for different reasons the others had their meals, either in their bedroom or in the small sitting room. Residents said that they “enjoyed their meals” which were “beautifully cooked and presented.” They also said that they could always choose something as an alternative if they did not like what was on the menu. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 12 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): 16, 18 Residents in this home are confident that any concerns they may have are taken seriously and dealt with. The home has a procedure to protect people from harm. EVIDENCE: All residents said that they knew whom they should speak to if they had a concern or complaint. They said that they expected any concern to be taken seriously and acted upon. However they also said they were very happy with everything and had nothing to complain about. The registered manager has many years experience working in a residential care setting and has passed on her knowledge and expertise to her staff team. They had been given training on how to respond to any suspicion or allegation of abuse. The home has its own policies and procedures in place together with Cumbria’s Adult Protection Policy for staff to refer to if needed. Staff spoke knowledgably about their responsibilities to ensure the wellbeing and safety of residents at all times. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 13 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): 19, 20, 21, 25, 26 Recent investment in a refurbishment and redecoration programme has improved the standards of some accommodation for residents. EVIDENCE: A new bow window had been installed in the main lounge as part of the refurbishment programme to improve the standards of accommodation. In addition some of the bedrooms and the ground floor bathroom had recently been redecorated to brighten them up and make them more attractive. The Rookery has sufficient bathroom and toilet facilities for the number of people living there. Equipment to assist with mobility had been provided to enable the residents to undertake daily living tasks as independently as possible. All rooms were clean and tidy, pleasantly furnished, warm, comfortable and homely. The bedrooms had personal possessions of the occupant on display The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 14 making them personal and individual. The residents appreciated their lifestyle, living informally as members of an extended family. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 15 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): 27, 28, 29, 30 The procedures for staff recruitment are sound and offer protection for people living and working in the home. The numbers of staff on duty during the day and night are sufficient to meet the needs of the residents. EVIDENCE: This home benefits from a low turnover of staff and the current staff team is well established. However the registered manager followed the necessary procedures and checks to protect the residents from harm whenever it had been necessary to recruit new members of staff. The registered manager was on duty for a significant majority of the hours in each day because the residents lived as part of the family. However two part time care workers were employed for specific hours each week to enable the registered manager and her husband to take time off. Sufficient hours were routinely provided to adequately meet the needs of the residents. Staff members who were on duty were observed working competently with residents and colleagues. Residents confirmed that they were happy with the way in which staff provided personal care for them and respected their privacy and dignity. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 16 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): 31, 32, 33, 36, 38 The registered manager provides adequate direction, guidance and leadership for the staff so that residents are given consistent quality care. There are procedures and practices in place to ensure the health and safety and wellbeing of the residents, staff and visitors. EVIDENCE: The registered manager / owner is an appropriately qualified and experienced manager in residential care. Areas of responsibility and accountability were clearly defined. Staff had been given training to protect themselves and residents from harm. This training included moving and handling, infection control, fire prevention and what to do in the event of a fire, food hygiene and first aid. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 17 Staff members are supervised as they work and any matters requiring attention were addressed as necessary to ensure safe and appropriate working practices. Recorded formal supervision sessions to discuss practice and training and development issues had not taken place as frequently as prescribed under the National Minimum Standards, therefore a recommendation has been made to cover this shortfall. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 18 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 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X X 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 3 3 3 X X 2 X 3 The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 19 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 OP99 Regulation 13 Requirement Arrangements must be made to record all medication administered to residents. Timescale for action 31/12/05 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 OP3636 Good Practice Recommendations Arrangements should be made to give care staff formal supervision at least six times per year. The Rookery DS0000022623.V265941.R01.S.doc Version 5.0 Page 20 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.V265941.R01.S.doc Version 5.0 Page 21 - 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. 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