Inspection on 07/02/06 for Vi & John Rubens House

This inspection was carried out on 7th February 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

Vi & John Rubens House 07/03/07

Vi & John Rubens House 25/08/05

Vi & John Rubens House 22/12/04

Vi & John Rubens House 03/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Vi & John Rubens House 39 Clarence Avenue Gants Hill Ilford Essex IG2 6JH Lead Inspector Ms Gwen Lording Unannounced Inspection 7th February 2006 14:00 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 Vi & John Rubens House DS0000025964.V282482.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. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Vi & John Rubens House Address 39 Clarence Avenue Gants Hill Ilford Essex IG2 6JH 0208 518 6599 0208 554 6402 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) Jewish Care Mrs Mary O`Rourke Care Home 121 Category(ies) of Dementia - over 65 years of age (16), Old age, registration, with number not falling within any other category (105) of places Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: Vi and John Rubens House is owned and operated by Jewish Care Ltd. It is a care home registered to provide accommodation with personal care and nursing for up to 121 residents, of whom 16 have dementia type illnesses. All residents are over 65 years and of the Jewish faith. The home is purpose built and situated in a residential area of Gants Hill in the London Borough of Redbridge. The home is well served by public transport and close to shops and other amenities. The majority of the bedrooms are single and have en-suite facilities, some with showers. The home has a passenger lift to all floors. Vi & John Rubens House DS0000025964.V282482.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 over one day, commenced at 2pm and lasted three and a half hours. This inspection focused on the dementia unit and the specific care of the residents on this unit. Discussions took place with the registered manager, the Dementia Care Coordinator and several members of care staff. The Inspector also had the opportunity to undertake a general tour of the whole home and speak to several residents and also relatives who were visiting the home. A number of staff and care records were looked at. All of the requirements from the previous inspection had been complied with. This is the second statutory inspection visit in the inspection programme for 2005/2006. Over the course of these two visits all key standards have now been assessed. The Inspector would like to thank the staff, residents’ and their relatives/ visitors for their input during the inspection. What the service does well: What has improved since the last inspection? A Dementia Care Co-ordinator has recently been employed for the home. This is a new post and part of an initiative by the registered providers Jewish Care, to develop and provide best practice in dementia care throughout the organisation. Part of her role is to develop the skills and understanding of all Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 6 staff to care for people living with dementia. This includes addressing issues such as nutrition, adapting existing activities, cultural aspects of caring for people living with dementia and working in partnership with residents and their relatives. The environment on the dementia unit has improved considerably in helping to meet the needs of people living with dementia. This includes new signage and décor; improved lighting and the addition of “memory boxes” fitted to bedroom doors to aid orientation. The manager and staff are to be commended for these positive developments and improvements. Some refurbishment and re-decoration has taken place on the Sugar Wing and these improvements are ongoing. 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. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 7 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 Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 8 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): Standard 3 was not assessed on this visit. However, evidence from the last inspection was that: • Appropriate pre-admission assessments are carried out for all residents prior to them moving into the home. care plans are drawn up from the information in this assessment, ensuring that the needs of the residents are identified, understood and met. The home does not offer intermediate care. EVIDENCE: The above standard was not specifically tested on this visit, as there were no outstanding requirements in relation to Standard 3. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be re-tested at a future inspection. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 9 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): Standards 7, 8, 9 and 11 Individual care plans are generally detailed and comprehensive around the health care needs of residents. Information was limited around meeting choice, social and personal care needs of people living with dementia. However, this is being actively addressed by the home’s Dementia Care Co-ordinator through the development of care plans specific to residents with dementia. There are clear medication policies and procedures for staff to follow and all staff responsible for administering medication have received training, ensuring the safety of residents. Standard 10 was not assessed on this visit. However, evidence form the last inspection was that: • Residents are treated with respect and the arrangements for their personal care ensure that their right to privacy is upheld. EVIDENCE: The above standard was not specifically tested on this visit, as there were no outstanding requirements in relation to Standard 10. At the time of the last inspection, all of the outcome standards were assessed as met. This standard will be re-tested at a future inspection. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 10 Individual care plans are available for each resident and the records of five residents were examined. Entries in daily recordings did not always relate to specific care plans and some entries made gave little indication of the actual care given Comments made included: “Fine, all care given. Good nights sleep”. New care planning documentation has been introduced throughout the home and was in various stages of implementation on the dementia unit. In addition the recently appointed Dementia Care Co-ordinator is in the process of developing care plans specific to residents on the dementia unit, which adopts a person centred approach to care. The Inspector looks forward to reviewing the progress of this work at a future inspection. The registered organisation Jewish Care are currently undertaking a project on the development of dementia care within the organisation, as a whole, based on a person- centred/staff-approach to the care of people living with dementia. One initiative from this project is the development of the post of Dementia Care Co-ordinators. The Dementia Care Co-ordinator for Vi and John Rubens House has been in post since November 2005. Her general remit is to develop the skills and understanding of all staff, to care for people living with dementia. This includes looking at issues around nutrition, mental capacity, adapting existing activities, cultural aspects and support systems for staff. Meetings are scheduled to take place with catering staff to look at issues related to nutrition and encouraging independent eating for as long as possible. A meeting with relatives has also been arranged to address the issues and concerns raised by relatives and help to increase their understanding of dementia. The organisation, manager, staff and dementia care co-ordinator are to be commended for the positive developments in improving the quality of care being provided to residents living with dementia. An audit was undertaken of the management of medications on the dementia unit. There are clear medication policies and procedures for staff to follow, and discussions with staff and the review of medication records showed that staff are following the policies and procedures. All staff responsible for administering medication undertakes appropriate training. The registered provider has made suitable arrangements with an agency licensed with the Environment Agency to receive unwanted medication from a care home with nursing, and dispose of safely, in line with recent legislation and requirements. The husband of a couple who have been resident in the home for some time, died recently. The Inspector spoke to the daughter who was visiting her mother. She commented: “all the staff had been very supportive to her and her mother”. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 11 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): Standards 12, 13, 14 and 15 were not assessed on this visit. However, evidence from the last inspection was that: • Social activities are well managed and provide daily variation and interest for people living in the home. The home is able to meet the cultural and religious needs of people from the Jewish faith. Visiting times are flexible and people are made to feel welcome in the home so that residents are able to maintain contact with their family and friends as they wish. • EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be re-tested at a future inspection. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 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): Standards 16 and 18 The home’s complaint policy/ procedure provides residents and their relatives with the appropriate information to ensure that their complaints are dealt with promptly, effectively and to their satisfaction. However, not all residents would be able to use a formal, written process. Staff working in the home have received training in Adult Protection/ Abuse Awareness to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a complaints policy/ procedure and the records inspected indicate the number of complaints received and includes details of investigation, any action taken and the outcome for the complainant. Some of the residents would not have the capacity to use a formal, written process. However, this is being addressed as part of the Dementia Development Project. At the last inspection a requirement was made for amendments to be made to the information contained in the policy displayed in the home. This requirement has now been met. There is a written policy and procedure for dealing with allegations of abuse and whistle blowing. There is an ongoing programme Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 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): Standard 19. The environment on the dementia unit has improved considerably in meeting the needs of people living with dementia. Standard 26 was not tested on this visit. However, evidence from the last inspection was that: • The overall atmosphere in the home is very welcoming, with a good standard of cleanliness and hygiene, providing a safe and comfortable environment for people to live in. EVIDENCE: The above standard was not specifically tested on this visit, as there were no outstanding requirements in relation to this standard. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be re-tested at a future inspection. Following the recent appointment of a Dementia Care Co-ordinator, the environment on the dementia unit has improved considerably in helping to meet the needs of people living with dementia. This includes new signage and Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 14 décor; improved lighting and the addition of “memory boxes” fitted to bedrooms doors to aid orientation. All dining tables are now fully laid at mealtimes, with tablecloths, napkins and table decorations, reflecting good practice within care homes. More improvements are planned including changes to seating arrangements, re-location of the nurse’s station, improved access to outdoor facilities and continuing improvements to the décor. The registered providers, the registered manager and Dementia Care Coordinator are to be commended for the initiatives and positive changes made to improve the environment on the dementia unit, in helping to meet the needs of people living with dementia. More improvements are being discussed and the Inspector looks forward to reviewing these changes at a future inspections. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 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): Standards 27,28, 29 and 30 were not assessed on this visit. However, evidence from the last inspection was that: • Staffing levels are satisfactory and there is sufficient staff on duty to meet the personal and nursing needs of the residents. • The procedures for the recruitment of staff are robust and provide safeguards for people living in the home. Residents benefit from a committed team of staff at the home who have the skills and training to meet their needs. • EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be re-tested at a future inspection. Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 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): Standard 38 Resident’s best interests are safeguarded by the homes record keeping. Standards 31, 33 and 35 were not assessed on this visit. However, evidence from the last inspection was that: • The manager is a very experienced and well-qualified person and residents benefit as the home is run in their best interests. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. These standards will be re-tested at a future inspection. A wide range of records were looked at, including fire safety, emergency lighting, recording of water temperatures and accidents/ incidents. These Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 17 records were detailed, up to date and accurate and confirmed that the home is being run responsibly with essential checks being made and acted upon. Vi & John Rubens House DS0000025964.V282482.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 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 19 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. 1. Standard OP7 Regulation 15 Requirement Care plans for people living with dementia must be more detailed around choice, social and personal care needs. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Vi & John Rubens House DS0000025964.V282482.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Vi & John Rubens House DS0000025964.V282482.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. 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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