Care Home: Rocklyn

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What the care home does well Rocklyn is part of the Lifestyles - Care and Support company; this company is forward thinking and imaginative, and constantly considers improving on what is already a good service. There is a strong emphasis on enabling residents and achieving positive outcomes. Each person has a real voice in how the home is run. Each person receives the care and support to be as independent as possible, in the way that suits them. Taking risks are part of each person`s independent lifestyle. This home works well with a number of agencies such as advocacy, healthcare workers and Social Workers to achieve good outcomes. Each person has full access to the healthcare services they need. The way the home is run encourages people to be active and valued. What has improved since the last inspection? Management are constantly looking at the service provided to ensure peoples rights and freedom of choice is respected. CARE HOME ADULTS 18-65 Rocklyn 46-47 Esplanade Whitley Bay Tyne & Wear NE26 2AR Lead Inspector Allan Helmrich Unannounced Inspection 2nd July 2008 9:45 Rocklyn DS0000046020.V367368.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 Rocklyn DS0000046020.V367368.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. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rocklyn Address 46-47 Esplanade Whitley Bay Tyne & Wear NE26 2AR 0191 2529036 F/P 0191 252 9036 greynewbiggen@ic24.net 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) Lifestyles - Care & Support Ltd Jim Maughan Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD, maximum number of places: 11 The maximum number of service users who can be accommodated is: 11 27th June 2006 Date of last inspection Brief Description of the Service: Rocklyn is converted from two terraced houses. It is situated just off the seafront near Whitley Bay town centre. The home is on three floors and has no passenger lift; it is therefore unsuitable for anyone with a physical disability. The home is registered to provide care to 11 people with learning disabilities. All bedrooms are for single occupancy and each contains a vanity unit or wash hand basin. The communal facilities consist of; two lounges, a dining room and a small kitchen on the second floor currently used by one resident. There is also a small kitchenette attached to the main kitchen that is occasionally used to promote domestic skills. The home has two bathrooms with w.c’s, two shower rooms, one with a w.c. and three separate toilets. There are good transport services in the area, and a good range of local amenities in the town centre. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Reason for the inspection This is the homes annual unannounced key inspection and follows the inspection last year on 27 June and an annual service review done in January 2008. The Visit: The inspection was unannounced and was undertaken by the link inspector for the service. Information was collected in one day. During the visit we: • • • • • • • Talked with people who use the service and their visitors, Talked with the registered manager and staff on duty, Looked at information about the people who use the service and how well their needs are met, Looked at case records for three residents and other records which must be kept, including medication, Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, Looked around the building to assess if it was clean, safe and comfortable, Checked what improvements had been made since the last visit. Questionnaires were provided to the home to distribute to residents, their visitors and professional people who come into the home. Returns were received from seven residents and six relatives. Information from these sources is used in the production of this report. What the service does well: Rocklyn is part of the Lifestyles - Care and Support company; this company is forward thinking and imaginative, and constantly considers improving on what is already a good service. There is a strong emphasis on enabling residents and achieving positive outcomes. Each person has a real voice in how the home is run. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 6 Each person receives the care and support to be as independent as possible, in the way that suits them. Taking risks are part of each person’s independent lifestyle. This home works well with a number of agencies such as advocacy, healthcare workers and Social Workers to achieve good outcomes. Each person has full access to the healthcare services they need. The way the home is run encourages people to be active and valued. 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. Rocklyn DS0000046020.V367368.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 Rocklyn DS0000046020.V367368.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): 2. People who use the service experience adequate quality outcomes in this area. Information from care managers and other professional sources is always collected and considered before a referral is accepted. However this information is not always formulated into a working plan for staff to ensure the individual’s needs are met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The case record of a recent admission contained much quality information collected from; care reviews, involved professionals and previous placements. The manager spoke knowledgeably about the resident and daily recordings and other documentation showed that much work has been done in the home to support this person. However, there was no photograph on file to identify this resident and no key worker notes or care plans developed showing that the resident and staff have been involved in the direction of care provided. Rocklyn DS0000046020.V367368.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. People who use the service experience good quality outcomes in this area. Although each person spoken to was positive about the direction of their lives and the support they receive from staff, service user plans were of varying quality and were often not reviewed for several months. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Four residents spoken to during the day stated that they choose where to go and what to do. They were all aware of records held in the home about them and that these records are held securely. Each resident talked about the involvement of key workers and the meetings they have to talk about future plans they want to make. A member of staff spoken to stated that regular meetings are held with individual residents when future plans and goals are discussed. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 10 The plans of care reviewed did not contain this standard of information. Where it was expected that plans for aggression and the promotion of positive behaviour would be found, they did not exist. Some plans contained good information obtained from meetings with the individual resident but, these were not reviewed as regularly as needed to ensure they were up to date. Residents are supported to make decisions and a good example was provided by one resident who is active as an advocate for others both within and outside of the home. Each resident manages their own finances, although this is not always done well and risk assessments are recommended to determine when active support should be provided. Generally risks are well managed in the home and they promote fulfilment. Rocklyn DS0000046020.V367368.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): 12, 13, 15, 16 & 17. People who use the service experience excellent quality outcomes in this area. Each person is able to choose what to do and where to go and they are part of the local community. Everyone is supported in their preferred relationships and rights and responsibilities are actively promoted. A healthy diet is offered to all. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: At the time of inspection; one resident was holidaying at an outdoor activities centre and three others had recently returned from holidays in either Portugal or Torquay. Each person has a range of things to do that suit them and that they enjoy. One person said that they would like to do more activities and these are being arranged. Each person is using a good range of community facilities. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 12 Skills that are important to people are being encouraged and promoted as part of everyday routines. The rights, choice, inclusion and independence of each person is being actively promoted. One resident recently moved rooms to have a kitchen for his personal use. He invited me in an offered to make a coffee. Another resident stated that she does her laundry and staff stated that several residents take charge of this domestic chore. Each person has a range of relationships that suits them, and the home offers the right kind of support that people require. Each week staff and residents choose the menu for the following week. A resident and a staff member confirmed this. One person said that he assists with purchasing the food occasionally. Everyone who commented said they enjoy the meals and that they can have what they want. There were eight people for evening meal and three substantial choices were provided. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 13 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 & 20. People who use the service experience good quality outcomes in this area. Each person’s healthcare needs are being met and they each receive the personal support they need in the way they prefer. Each person also has support relating to medication in a way they prefer and systems ensure they are safe. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Rocklyn is very effective at ensuring people get access to a range of general and specialist healthcare services. Care plans identified that appropriate professional assistance is requested to support individuals when they require it. Four people said they are well supported by the staff team and staff were observed throughout the day dealing sensitively with all issues that arose and promoting individual independence where it was appropriate. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 14 Each person spoken to made there own lifestyle choices and where necessary these were supported by management and the staff team. Medication processes support individual abilities and choices in a safe controlled way. Policies and procedures to inform staff were in place with the exception of a procedure dealing with medicines for people leaving the home for short breaks. The manager explained the process used to ensure people are safe. Staff have received training in handling medicines, although two staff are awaiting formal training. The medical administration records demonstrated that medicines given are recorded appropriately although hand written entries were not signed and checked to ensure their accuracy. Homely remedies provided are always approved by a G.P. One person who self medicates was fully aware of the system in place for himself. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 15 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 & 23. People who use the service experience good quality outcomes in this area. Each person’s views are listened to and acted upon and systems are in place to protect people from abuse and neglect. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Each person was very clear about the complaints procedure and to whom they can make a complaint to, including whom to go to if they are not happy with the outcome. Complaints are used as a positive tool. Four complaints recorded by the home were each well documented with a range of people involved to ensure the issues were fully resolved. Four people spoken to stated they would definitely complain about things not to their satisfaction. The home has demonstrated that the protection of each person is properly considered and balanced with rights and choices. Protecting adults is an essential part of staff training and supportive information is readily available in the home. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 16 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 & 30. People who use the service experience good quality outcomes in this area. Rocklyn is clean and hygienic and provides a homely and comfortable place to live. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Each room is different in style and character and the home provides a homely and comfortable place to be. People are involved in how the home is decorated and furnished. One person stated that their room had been decorated specifically to their choice. There is a constant programme of repairs and maintenance. Some water temperatures exceeded the safe comfortable range of 37-43 °C. The manager agreed to take immediate action by monitoring the temperature of all baths taken until a more permanent solution is in place. Bath Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 17 temperatures and the associated risk to people was identified at the last inspection of the home. Everywhere that was inspected was clean and free from any odours. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 18 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): 32, 34 & 35. People who use the service experience good quality outcomes in this area. The home’s recruitment procedures protect the people that live at Rocklyn and the home’s training and development programme ensures a competent and qualified staff team supports people. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The files of two recent recruits demonstrated that a thorough recruitment process is followed before staff are employed. Everyone spoken to commented on the good quality of the staff team and the support they provide. Each person said that there is enough staff on duty. The rota indicates that there are sufficient numbers of staff on duty at a time when people need them. Staff spoken with stated that their training needs are met and that support is available as and when required. The training plan demonstrated that the Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 19 manager is aware of the training needs of each staff member and where appropriate, training is provided. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 20 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, 39 & 42. People who use the service experience good quality outcomes in this area. Each person benefits from the company’s approach to leadership and management. With quality assurance being constantly developed to improve the service for all. With the exception of bathing water temperatures, each person’s safety and welfare are properly considered. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The Manager and directors of the company are all involved in ensuring that people living in Rocklyn are appropriately supported to enable them to lead safe and fulfilling lives. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 21 Quality assurance systems are continually being developed and include people who live in the company’s homes as peer assessors, although the homes regulatory reports have not been produced of late and some systems require repair for the benefit of people who live in the home. Most matters regarding safety and welfare are satisfactory. Maintenance checks are conducted regularly, fire checks are in place and the home’s fire risk assessment is currently being updated. As mentioned previously water bathing temperatures must be reduced to ensure the safety and comfort of all. Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 22 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 2 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 4 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 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 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 23 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 YA24 Regulation 12(1)(a) Requirement The manager must ensure the water temperatures in the home are controlled within the safe comfortable range of 37-43 °C. Timescale for action 31/07/08 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 YA2 YA6 Good Practice Recommendations A fully developed service user plan should be in place for all people living in the home. This plan should include a photograph of the person; identify the support to be provided and any risk management plans that are needed. Supplement the home’s quality monitoring with regular reports as required by Regulation 26 of The Care Homes Regulations 2001. 2 YA39 Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Rocklyn DS0000046020.V367368.R01.S.doc Version 5.2 Page 25 - 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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