Care Home: Rockhaven

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What the care home does well There is a welcoming atmosphere throughout the home. Service users` needs are met in a way that appears to respect their privacy and dignity and staff are courteous to the service users and visitors. Comment card returned by health professionals said they always inform GP of any health concerns to service users. Relative`s comments were " we are very happy with the care", "he appears to be happy at Rockhaven" and "the place is always clean". What has improved since the last inspection? Issues raised by the Environmental Health Officer have been addressed. On the day of the inspection new carpet was been laid in the lounge, kitchen hob replaced and a bedroom re-decorated. What the care home could do better: Comment card returned by health professionals said staff could do with more training in mental health issues relating to people with learning disabilities. Reviews and other information in service users care plan must be signed and dated. CARE HOME ADULTS 18-65 Rockhaven 57 Bachelor Lane Horsforth Leeds Yorkshire LS18 5NA Lead Inspector Hebrew Rawlins Key Unannounced Inspection 19th March 2007 09:45 Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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 Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rockhaven Address 57 Bachelor Lane Horsforth Leeds Yorkshire LS18 5NA 0113 2584984 0113 2584984 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) www.st-annes.org.uk St Anne`s Community Services Mrs Gloria Lesley Fryer Care Home 7 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (7) of places Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: Rockhaven provides nursing care for up to seven highly dependent men and women with learning disabilities, mainly the over-50 age group. The home is operated by St Annes Community Services, a major voluntary provider of services to people with learning disabilities in Leeds, and is managed by Ms. Gloria Fryer. The home comprises a large well maintained bungalow, a pleasant enclosed garden at the rear and good parking space at the front. All the bedrooms are well personalised and for single occupancy. There are good bathroom and toilet facilities and a comfortable lounge/dining area with a conservatory at the back. The bungalow is domestic in size and is situated in a quiet residential area near to the main shopping area in Horsforth on the outskirts of Leeds. The weekly fees are around £1122.08 to 1179.64 as per individual service contract. Additional charges are made for lease vehicle, holidays and toiletries. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This unannounced key inspection took place at 9.45am on the 19th March 2007. The purpose of the visit was to monitor standards of care in the home. The home completed a pre-inspection questionnaire. The information provided has been used in the preparation of this report. Completed survey cards were received from relatives and residents. Comments from the survey cards can be found throughout this report. During the inspection I spoke to residents and staff on duty. I looked at records and made a tour of the building. Feedback at the end of this inspection was given to the nursing officer. I would like to extend my thanks to everyone who contributed to the inspection and for the hospitality during the visit. What the service does well: There is a welcoming atmosphere throughout the home. Service users’ needs are met in a way that appears to respect their privacy and dignity and staff are courteous to the service users and visitors. Comment card returned by health professionals said they always inform GP of any health concerns to service users. Relative’s comments were “ we are very happy with the care”, “he appears to be happy at Rockhaven” and “the place is always clean”. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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 Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their representatives have access to clear detailed information about the services provided by St Anne’s Community Service and can be assured that their needs will be met. Prospective service users have the opportunity to visit the home, stay for a meal and speak to other service users before making any decisions about admission. The home carries out a pre-admission assessment to make sure that it can meet the person’s needs. EVIDENCE: There is plenty of written information about the home for people to read. Copies of the statement of purpose and service user guide were seen and copies of previous inspection reports are also available. There were assessment details in all of the care records sampled, and staff said that they had enough information about the care needs of people before they were admitted. It was clear that prospective service users are given the opportunity to visit the home as many times as they like. This was evident in service users file. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Because of service users communication and sometimes-physical disabilities staff help service users choices by skilled observation. Service users choices are respected and activities are based on their preferences and abilities. The paper work for care planning provides good care records. However, this information must be signed and dated. EVIDENCE: Care plans are reviewed monthly and show what factors have been taken into consideration. However some of these were not signed and dated. In all of the care records sampled there was evidence of health needs being met, by dental appointments, optical prescriptions and visits from GPs and district nurses. Through observation on the day of the inspection, and by speaking to service users and staff it is clear that the privacy and dignity of service users is respected. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 10 Staff are made aware of the importance of respecting privacy, dignity and confidentiality in their job descriptions and codes of conduct, as well as through the company’s policies and procedures and their training. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users choices are respected and activities are based on their preferences and abilities. Service users said the food was good. EVIDENCE: Personal background information in case files showed that activities are tailored to the interests of service users. Information showed that people had been consulted about the type of activities that they would like to be involved in. These included going to pubs, restaurants, leisure centres, shops, cinema, holidays. Independence wherever possible was encouraged. The meal was well presented and appeared appetising. There are specialised cutlery to support service users and staff. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans give staff clear and detailed instructions to follow which makes sure that all aspects of the service user’s health and personal care needs are met. Medication for service users is managed in a safe and professional way by staff, to ensure service users receive the correct medication at the correct time. EVIDENCE: It was clear that service users and relatives are involved in the development of the care plan and health care needs are met. There were records of visits by nurses, GPs, and chiropodists. Nursing officers followed proper procedures when administering medication. Medication administration records were looked at and found to be in order. Service users have a choice about sitting in the lounges or remaining in their rooms, where they were surrounded by personal possessions. Care staff were observed explaining what they were doing when assisting people and trying to encourage their cooperation. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to help service users or their relatives to make complaints. Adult protection training is done to ensure all service users’ rights are protected. EVIDENCE: The appropriate policies and procedures were seen to be in place with all the relevant details. Talking to staff on the day it was evident they are all clear on their responsibility about reporting any allegations of abuse. The training records show all staff had adult protection training. This is done in order to maximise staff awareness and minimise risks to residents. The home has not received any complaint since the last inspection. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 ,26, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a safe, well-maintained environment for the service users and they have access to the garden areas easily if they so choose. Communal areas and service user’s bedrooms are decorated and furnished to a good standard offering safety and comfort. Service users have all the specialist equipment they require. EVIDENCE: All areas of the home were inspected. The home is decorated and furnished to a good standard throughout and the communal rooms offer a safe and comfortable space for the service users. All areas of the home were clean and tidy and nothing was seen during the inspection that could cause a hazard to service users. Service users have access to a well-maintained garden, at the rear of the building. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff demonstrated a good level of knowledge of individual service users and seemed to understand the importance of encouraging service users to maintain their independence and dignity. Regular staff supervision takes place. EVIDENCE: The home operates a recruitment procedure based on equal opportunities and ensuring the protection of service users. Written references are taken up and Criminal Record Bureau Checks are made before appointments are confirmed. Staff have had regular formal supervision. Those staff spoken with said they are able to access any relevant training courses and are encouraged to do the NVQ awards (National Vocation Qualification). The home has a rolling programme for NVQ training. Comment card returned by health professionals said staff could do with more training in mental health issues relating to people with learning disabilities. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 16 The staff team were observed carrying out their roles in a calm and professional manner. They were seen explaining things to the service users, reassuring them before interventions were carried out. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and staff feels well supported by the manager. They confirmed that she offers excellent support and make herself available to discuss any issues that may arise. EVIDENCE: Policies and procedures are located in the office, these documents are readily accessible to staff. All records are secure and maintained in accordance with the Data Protection Act. Speaking with staff it was clear that they feel the manager offers excellent support and is always prepared to listen to them. Everyone spoken with felt that they could approach her if they had any problems or concerns. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 18 The home and service users benefit from a well run registered Housing Association. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 19 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 x 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x 3 3 x Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 20 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 YA6 Regulation 15 Requirement Reviews and other information in service users care plan must be signed and dated. Timescale for action 01/05/07 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 YA35 Good Practice Recommendations Comment card returned by health professionals said staff could do with more training in mental health issues relating to people with learning disabilities. Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Rockhaven DS0000001368.V325601.R01.S.doc Version 5.2 Page 22 - 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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