Care Home: Rockfield Residential

Annual service review Name of Service: Rockfield Residential The quality rating for this care home is: The rating was made on: two star good service 0 5 0 2 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Pauline ORourke Date of this annual service review: 1 6 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: 22-24 New Queen Street Scarborough North Yorkshire YO12 7HJ 01723361019 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Comfy Care Homes Ltd Number of places (if applicable): Under 65 Over 65 17 0 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Rockfield comprises two terraced houses, adapted as one and situated on the north side of the town. An enclosed private corridor links the two properties. No.22 occupies four floors and provides single flat accommodation, all with kitchenette, sitting room, bedroom and en-suite facilities. No. 24 has five floors, the upper three providing single accommodation with adjacent toilets and bath or shower facilities. There are communal sitting and dining rooms for all people on the two lower floors. Neither property has a garden to the front but small, enclosed rear gardens are provided with suitable seating. The staff offer care and services to persons who have had or who are experiencing mental health problems. They seek to provide a holistic regime offering personal care, advice and guidance on daily living skills and activities, a catering service, a laundry service and domestic and cleaning services. The home has a statement of purpose and service user guide, which provide information about the scope and nature of the care and facilities on offer. These, with CQC reports, are 0 5 0 2 2 0 0 9 Annual Service Review Page 2 of 7 available on request at the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 8 surveys (out of 8 sent out) returned to us by people using the service, as well as surveys returned from relatives, other professionals and care staff from the home. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the service is still providing a good service and that they know what further improvements they need to make. People looking to move in to Rockfield have a full assessment of the help and support they need. The care manager meets with the prospective resident and all of the care team associated with the person. If the manager feels their needs can be met at Rockfield the person is invited for to the home for the day and an overnight stay. This stay introduces them to the routines of the home and to the other people living there. Each person is encouraged to be as independent as they are able. They have a care plan that outlines the support they require and this plan is reviewed every six months unless a review is required sooner. Feedback received from people using the service indicates that they got the information they needed prior to moving in. This included: Its very safe, I feel I can trust Rockfield, its like an old friend Its a very friendly place and I am happy with my flat, my own space It has a friendly comfortable atmosphere People are encouraged to retain their interests in the local community, and they have a choice to attend local day centres and leisure facilities. There are also house meetings where they are encouraged to have a say in the inhouse activities and the menu. Feedback from people in the service indicated they could continue with activities outside the home. People can retain their own GP and the staff work closely with the local mental health teams to ensure the correct support is provided. Feedback received for health professionals indicated that the staff work closely with them when necessary and seek advice to help support people in a positive way. One health professionals did think that more training in autism should be provided to enable staff to have a Annual Service Review Page 4 of 7 consistent approach to some of the clients. Feedback included: Support people with mental health needs encourage people to be more independent It demonstrates positive regards for the residents, attends to the physical conditions, and aids the medication regimes they respond to concerns from specialist services, respect peoples rights and monitor and adapt to changing needs of people They could look to provide more staff training on autism issues and approaches so that they could consistently apply behavioural guidelines across all staff There is a complaints policy in place and people in the home are encouraged to raise any concerns with the staff on duty. There have been no complaints made to the home or the Commission in the last twelve months. Staff have received training in the safeguarding of adults and are thoroughly vetted prior to the commencement of their employment. There have been no safe guarding referrals made in the last twelve months. The home is warm, clean and people are able to decorate and furnish their own rooms to their own taste. Several rooms have been decorated in the last twelve months and the management is looking in to changing some of the downstairs accommodation to accommodate less ambulant people. The staffing levels are appropriate for the people who currently live at Rockfield. All staff are thoroughly vetted and they are encouraged to train in mental health issues. More than 50 of the staff have obtained their National Vocational Qualification in Care at level 2, and two staff have completed their level 3 in care, in the last twelve months. The Acting Manager has started the level 4 management and leadership training and operates an open door policy to staff and people in the home. The equipment used in the home is maintained to the necessary specifications. Staff responded to a survey and indicated they were properly checked before commencing their employment and that they are provided with training and support from the management. Comments included: It looks after the residents individual needs and it has a homely atmosphere I have worked here for 6 years and always treat everyone with respect and support them with everyday needs Rockfield is a home in which people are encouraged and supported to live as fully an independent life and fulfilling life as possible. Several relatives also responded to the surveys and they indicated that they are kept informed of changes to their care plans and can be involved in the care planning. They also said that the staff help their relatives to keep in touch with them and that if they have raised any concerns they have been dealt with promptly. Comments included: Staff have enabled my daughter with her many needs to have a life It is pleasant and homely with friendly staff Annual Service Review Page 5 of 7 Overall the care is good and appropriate, but they need to encourage other activities apart from the local day centre and perhaps prompt people more to look after themselves. Since the new manager has joined the team the service has improved The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide very good outcomes for the people who use it. What are we going to do as a result of this annual service review? It is our Statutory responsibility to inspect all care service at least once every 3 years, therefore we are not planning to inspect this service before 5th February 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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