Inspection on 19/01/06 for The Rookery

This inspection was carried out on 19th January 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 18/07/08

The Rookery 01/10/07

The Rookery 04/08/06

The Rookery 01/08/05

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 Norfolk NR12 0PF Lead Inspector Mr Pearson Clarke Unannounced Inspection 19th January 2006 09:30 The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 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 DS0000027307.V279283.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 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. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Rookery Address Mill Common Road Walcott Norwich Norfolk NR12 0PF 01692 650707 01692 650330 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) Janith Homes Limited Mr Alfred Finlay Care Home 30 Category(ies) of Learning disability (30) registration, with number of places The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st August 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 unregistered 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 DS0000027307.V279283.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the service was unannounced and focussed on key standards which were not inspected at the last visit. The atmosphere found was generally relaxed and calm and the inspector found much positive interaction between staff and service users. During the visit the inspector spoke to a visiting nurse and social worker and their very positive views of the service have helped inform judgements made by the inspector. Lunch was taken with service users and time was spent observing daily activities. What the service does well: What has improved since the last inspection? What they could do better: The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 6 The home needs to continue to strive to ensure that it maintains the standards set and that good recording is always used to back up practice. 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 DS0000027307.V279283.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were not inspected on this visit, however at the time of the last inspection the outcomes were met. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 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 the following standard(s): 6,7,9 Those living at The Rookery have an individual plan of care which addresses their assessed needs and wishes. Individuals are supported to exercise choice and make decisions about their lives in the context of reasonable risk. EVIDENCE: At the time of the last inspection it was identified that a recent admission to the service did not have a full plan of care and a requirement arose from this. During this visit a selection of plans were seen by the inspector and all were found to be generally in order. Plans contain risk assessments, set goals and identify what needs to happen and by who to achieve goals. Plans contain risk assessments and demonstrate that assessed risk taking is supported by staff. Discussion took place as to the review process and whilst plans contain a review evaluation sheet it was not possible to easily track when reviews had taken place and a recommendation is made to improve this. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16,17 The rookery supports service users to enjoy a meaningful life with abundant opportunities for fulfilment and personal development. EVIDENCE: The Rookery continues to offer service users a good range of meaningful activity both on site and through access to the wider community. It is based around a working farm and a large art barn and service users were seen working in both areas. Although rurally located the service is large enough to be a community in its own right with people able to experience a sense of belonging, however appropriate efforts are made to enable people to gain access to the immediate and wider area. As such people attend a variety of educational courses and groups. Some service users have personal relationships and it is clear that the ethos of the service allows individuals to explore their own sexuality in a supportive and responsible manner. Since the last visit to the home the service has a new chef and the inspector was told of a general improvement in meals offered. The inspector joined service users for lunch and can confirm that the meal served was tasty and nutritious and that service users enjoyed their food. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 11 The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18,19,20 The service is meeting the health and personal care needs of service users in an appropriate way. Whilst medication is generally well managed staff must take care to ensure that all medication is given as prescribed or can be fully accounted for. EVIDENCE: Like many longstanding services for people with a learning disability, the Rookery is being presented with the challenges posed by an ageing population. This was discussed with the service management who are striving to meet the needs of those cared for safely, but with an awareness that some needs cannot be met appropriately. The home enjoys good working relationships with the community learning disability team and with GP’s and other health professionals. As such the needs of those cared for are kept under review. The arrangements for the management and storage of medicines were inspected and whilst broadly satisfactory one of the records sampled showed no record of refusal, with the morning medication having not been given. This was discussed on the day and seems likely to have been human error, nonetheless it is important that all medication is given as prescribed and that it can always be accounted for and a requirement in respect of this is made. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22 Service users views are sought informally and through a process of survey and these views are considered and acted on EVIDENCE: The inspector saw the results of the last quality survey and could track ways in which views expressed had influenced change. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 25 Residents have benefited from the provision of new carpets in some bedrooms, making their rooms a more comfortable and pleasant place. EVIDENCE: The last inspection of the service led to a recommendation that a review of the carpeting in residents bedrooms took place. On this visit the inspector was shown a number of bedrooms in the main house where new carpets had been fitted as a result of this review. With the exception of this the premises were not inspected on this visit. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Service users benefit from well trained staff who are able to meet their needs EVIDENCE: During the inspection the Inspector observed staff at work, talked to the service management and inspected a variety of training records. The training records show staff to have a good range of training and the service now has more than 50 of care staff with an NVQ level 2 or above which meets government targets for such training. Staffing rota’s were seen and these show adequate staffing levels. The service manager confirmed that in the case of staff sickness etc agency cover is used to maintain the staffing pattern. The services employment process was tracked and the inspector saw evidence of a safe system with appropriate criminal record bureau checks undertaken. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The home is well managed and the views of service users are sought and acted on. Health and safety is accorded appropriate attention. EVIDENCE: The service manager confirmed that he has completed the registered managers award and that he is keen to continue to develop and improve the service. There is an internal quality assurance process based on an annual survey and the inspector could see a high level of satisfaction with the service with action being taken to address any issues raised. The service has recently achieved investors in people status and this has highlighted the importance of ensuring the development of a management team. The inspector would endorse this as it has been of concern that the company as a whole is highly dependant on the registered manager, without an underpinning management structure. In the light of this it was encouraging to see that a management development programme has been commissioned from an external consultancy. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 17 Health and safety records and procedures were inspected and these indicated that risk assessments are in place , necessary servicing takes place and policies and procedures are supported by staff training. The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 18 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 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 x 25 3 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 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 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 19 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. 1. Standard 20 Regulation 13 Requirement That the provider ensure that prescribed medication is fully accounted for at all times. Timescale for action 19/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations That the provider ensure that evidence of review of care plans is easily accessible ( reviews should be dated and signed ) The Rookery DS0000027307.V279283.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Norfolk Area Office 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 DS0000027307.V279283.R01.S.doc Version 5.1 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. 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