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Care Home: Rodney House

  • Rodney Road Walton-on-Thames Surrey KT12 3LE
  • Tel: 01932241219
  • Fax: 01932231086

Rodney House is a care home providing personal care for up to 20 adults with learning disabilities. The home is operated by Kingston and Wimbledon YMCA who have a contractual arrangement with Surrey County Council to provide the staff. The service users are accommodated in four, five bedded houses, each with a lounge, dining room, kitchen, laundry room, two bathrooms and single bedrooms. One of the houses (Ashvale) has a stairlift. Dolphins has a flat with its own bathroom, kitchen and lounge/dining area. Each of the houses has a garden. The home also offers a short-term break service for four service users in Foxes house. There is a central `common room` and an office for the Registered Manager. Rodney House is located near to a Health Centre and Community Hospital and within walking distance of Walton town centre. The fees for the home are £928.50 per week.

  • Latitude: 51.380001068115
    Longitude: -0.40500000119209
  • Manager: Manager post vacant
  • UK
  • Total Capacity: 20
  • Type: Care home only
  • Provider: YMCA London South West
  • Ownership: Private
  • Care Home ID: 13145
Residents Needs:
Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 21st January 2008. CSCI found this care home to be providing an Excellent service.

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.

For extracts, read the latest CQC inspection for Rodney House.

What the care home does well Good procedures are in place for assessing residents prior to admission to the home. Each resident is given a booklet prior to admission, which they can complete, giving details about people that are special to them, contact details and hobbies. There are also spaces for photographs to be included.Care plans are in place for all residents and these are regularly reviewed in consultation with the resident. Risk assessments are also in place and agreed with the resident. The home promotes residents rights to choice and dignity, and friendships with family and friends are encouraged and maintained. Recruitment practices are robust and protect the residents. One person who lives at the home told the inspector that she also helps the manager to interview new staff. What has improved since the last inspection? No requirements were made following the last inspection. One recommendation that was made for the manager to ensure that reviewed documents are signed and dated to indicate that the most accurate and up to date information is being used when assisting service users and this has now been met. What the care home could do better: A recommendation was made at the last inspection in September 2006 that the overall decoration of the service should be maintained at a sufficiently high level. The manager stated that no refurbishment or redecoration was planned as the home is being sold by the Kingston and Wimbledon YMCA.This will be recommended again so that this can now be discussed with YMCA or the new owners. CARE HOME ADULTS 18-65 Rodney House Rodney House Rodney Road Walton-on-Thames Surrey KT12 3LE Lead Inspector Lesley Garrett Key Unannounced Inspection 21st January 2008 11:00 Rodney House DS0000060465.V347847.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 Rodney House DS0000060465.V347847.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. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rodney House Address Rodney House Rodney Road Walton-on-Thames Surrey KT12 3LE 01932 241219 01932 231086 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) Kingston & Wimbledon YMCA Mrs Sally Reardon Care Home 20 Category(ies) of Dementia (1), Learning disability (20) registration, with number of places Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user may fall within the category of Dementia (DE). Four of the five service users to be accommodated in The Foxes house will receive short-term care (respite), increasing to five service users when the long-term service user has moved out. At any one time, one service user, accommodated for short-term care, may fall within the category of Physical Disability (PD). The age/ age range of those to be accommodated will be: 18 - 65 years of age. One named person may be accommodated for respite care over the age of 65 years. 14th September 2006 3. 4. 5. Date of last inspection Brief Description of the Service: Rodney House is a care home providing personal care for up to 20 adults with learning disabilities. The home is operated by Kingston and Wimbledon YMCA who have a contractual arrangement with Surrey County Council to provide the staff. The service users are accommodated in four, five bedded houses, each with a lounge, dining room, kitchen, laundry room, two bathrooms and single bedrooms. One of the houses (Ashvale) has a stairlift. Dolphins has a flat with its own bathroom, kitchen and lounge/dining area. Each of the houses has a garden. The home also offers a short-term break service for four service users in Foxes house. There is a central ‘common room’ and an office for the Registered Manager. Rodney House is located near to a Health Centre and Community Hospital and within walking distance of Walton town centre. The fees for the home are £928.50 per week. Rodney House DS0000060465.V347847.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 3 star. This means the people who use this service experience excellent quality outcomes. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced ‘Key Inspection’. The registered manager represented the service. The inspector arrived at the service at 11.00 and was in the home for six hours. It was a look at how well the home is doing. It took into account detailed information provided by the home’s manager, and any information that CSCI has received about the service since the last inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Documents sampled during the inspection included the care/person centred plans, daily records and risk assessments, medication procedures, staff recruitment folders, staff training records, and health and safety records. The home has submitted the Annual Quality Assurance Assessment (AQAA) prior to the inspection, some details of which have been added to the report. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. From the evidence seen by the inspector and comments received, the inspector considers that the home would be able to provide a service to meet the needs of individuals who have diverse religious, racial or cultural needs. The inspector would like to thank the residents in the home and the staff for their time, assistance and hospitality during this inspection. What the service does well: Good procedures are in place for assessing residents prior to admission to the home. Each resident is given a booklet prior to admission, which they can complete, giving details about people that are special to them, contact details and hobbies. There are also spaces for photographs to be included. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 6 Care plans are in place for all residents and these are regularly reviewed in consultation with the resident. Risk assessments are also in place and agreed with the resident. The home promotes residents rights to choice and dignity, and friendships with family and friends are encouraged and maintained. Recruitment practices are robust and protect the residents. One person who lives at the home told the inspector that she also helps the manager to interview new staff. 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. Rodney House DS0000060465.V347847.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 Rodney House DS0000060465.V347847.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 good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The homes admission and assessment procedures ensure that individual’s needs are appropriately identified and met. EVIDENCE: The inspector was advised that there have been no admissions to the home since the last inspection. The manager stated that the only admissions that had taken place were those residents needing respite care. The manager demonstrated the knowledge and ability to ensure that the home’s admission and assessment procedure would be implemented for a person who wanted to move to the home to determine that the care home could meet the needs of the individual. The manger showed the inspector the policies available for admission to the home. There is also a booklet that residents, relatives, friends or other people that are important in the prospective residents life can complete. The resident keeps this booklet so that photographs and information can be added at any time, which keeps this booklet current. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 9 The manager stated that the Service User Guide and Statement of Purpose have recently been updated. The inspector sampled these documents and found them to contain the information required for people to make a decision to move into the home. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 10 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): 67&9 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents needs are reflected in their individual care plans, and they are encouraged to make decisions and take risks as part of an independent lifestyle. EVIDENCE: The inspector sampled two care plans. Both of the care plans were noted to be well written and clear, demonstrating the care needs of the individual. They had also been developed to include a more person centred approach and the deputy manager explained that all care plans are being redeveloped and that she was about to include health action planning into the documents. The care plans detailed the individuals preferred choice of name, their significant others and friends contact details, the individual’s hobbies, likes and dislikes, the people that are significant in their lives, their personal histories Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 11 and what support and assistance they would like and need from staff. All plans had been reviewed recently and the manager stated that when the review had taken place a new plan is inserted and the old one filed. All plans had been signed by a member of staff and agreed by the resident. It was clear following conversations with several residents that staff support them to make decisions about their daily lives. One resident told the inspector that she wanted to do some activities that required the staff obtaining a medical opinion first. When this had been sought staff then assisted with this activity. The resident was keen to tell the inspector about her experiences and who the staff were that supported her. Another resident told the inspector that she was about to move to her own place and would be moving away from the respite house very soon. She was supported by the staff to make decisions about furniture and things she would need in her new home. During the inspection residents returned to the house with staff from a shopping trip. They had chosen to have hot chicken from the supermarket and residents from three of the houses were sitting together in one house enjoying lunch with the staff. The manager stated that all residents have their own building society accounts and staff supports them to go and draw money when they need it. Staff enable the residents to take risks and theses are all well documented. The manager told the inspector that one of the activities that is undertaken is crossing busy roads. Another involves not talking to strangers and understanding the risk that some strangers may pose. The risk assessments in place for all residents were well written and clear. They had also been signed by a member of staff and agreed by the resident. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 12 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. This judgement has been made using available evidence including a visit to this service. Residents at this home have opportunities for personal development and to take part in a wide range of activities. They take part in local community activities and family and friendship links are encouraged. Residents are offered a healthy diet. EVIDENCE: The manager told the inspector that of the fourteen residents they support two are in paid employment. On the day of inspection one resident returned from work where she walks to and from each day. The resident said that she enjoyed her work and that she was just going to the freezer to get some fish out for her lunch. The manager stated that an independent organisation, Employability, find the jobs for the residents, carry out the work place risk assessments and are available to assist with any problems with the work placement. All of this information is documented in the care plans. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 13 The inspector spoke with some of the residents who told them of the educational opportunities that they also take part in. One resident stated ‘I had a lap top for Christmas and I attend computer classes which I really enjoy’. Other residents attend further education classes in pottery, literacy and cooking. One resident stated ‘I can’t go to the party next week, because I go to cookery classes’. The manager stated that nothing would prevent her going to the classes if she could help it as she really enjoys it. The home benefits from its own transport, which enables staff to take the residents to various leisure activities. On the day of inspection some of the residents were returning from a shopping trip to the local supermarket. They told the inspector they enjoyed doing the shopping for the houses. A staff member stated that they let the other houses know they are going to the supermarket and they will also get shopping for them if they want. One resident told the inspector how the staff takes her for horse riding sessions and swimming. Some residents enjoy the local cinema, pubs and restaurants. The manager also stated that some residents also attend the local church regularly. The manager stated that family and friends are actively involved with the home. On the day of the inspection one resident told the inspector about her parents and how often they visit her. Another resident said that she has a particular friend that she likes to visit and staff help her to do this. The resident were very enthusiastic about the Christmas that they had celebrated. The manager stated that some former residents returned for the day to enjoy lunch with all the residents. During a tour of the building it was observed that all the rooms have locks. The manager stated that all the residents have keys. It was observed that staff knocked on doors before entering. During the course of the inspection it was observed that there was good interaction between both staff and resident. Each house in the home has their own kitchen and dining area. There is a communal kitchen and dining room in the administration block but this is usually used for special occasions. The manager stated that each house organises their own menus. There is no formal menu for the week, as often residents will decide on the day what they would like to eat. A record is kept for each day to say what each individual has had. Some of the residents have their own provisions budget so they are able to shop and cook for themselves. All the resident help to prepare and cook meals and this was confirmed during conversations during the day. It was noted that fresh fruit and vegetables were available in all of the houses. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. The home has consistent recording and documentation to evidence that residents attend health care appointments to ensure their wellbeing and welfare. The homes medication procedures are robust to ensure the safety and wellbeing of all residents in the home EVIDENCE: The care plans demonstrated that the personal support needs were well documented and had been agreed with the resident. The manager stated that the time for getting up and going to bed in the home is flexible. The deputy confirmed that health action care plans had recently been completed and agreed for all residents and would be placed in the individuals care plan. The manager stated all residents are registered with the local general practitioner (GP). They can visit the GP whenever an appointment is needed and a member of staff will accompany them if necessary. The home also benefits from a walk-in centre near to them and these services are also available. One completed survey said that their son had recently been Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 15 seriously ill and ‘the diligence of the staff in keeping accurate records of his condition and medication ensured that his health problems were diagnosed very quickly returning him to full health’. It was documented in the care plans that residents also have access to a dentist, chiropodist and optician. Staff will support individuals to attend hospital appointments if necessary. A resident confirmed with the inspector that a member of staff had taken her to her hospital appointment recently. The home’s medication comes in blister packs. For those residents that selfmedicate the manager said these medicines come dispensed for a week at a time. All self-medicating residents have a locked facility to store their medication. Each house has their own medicine trolley stored in a locked room and the residents will go to this room to receive their medicines at the appropriate time. Records and conversation with staff demonstrated that staff that dispense medications have had training. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. Residents’ complaints or concerns are listened to and they are protected from abuse. EVIDENCE: The home has a clear complaints policy and this is available to all relatives or representatives. Survey forms retuned to CSCI stated that they were clear who to complain to if the need arose. The manager told the inspector that she had not received a complaint, but should she receive one she would keep a log. Residents spoken to and survey forms completed and retuned to CSCI stated that they were clear who to raise a concern with. The inspector noted that the home has the local authority’s multi agency procedures for safeguarding adults and the manager advised that the home follows these procedures and therefore does not have a local policy. The manager stated that there had been no safeguarding referrals under the safeguarding adults procedures. Staff spoken to on the day were clear about the safeguarding procedures and how they would report a concern. The deputy confirmed that staff had undertaken training in safeguarding procedures and the records confirmed this. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 17 Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 18 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. This judgement has been made using available evidence including a visit to this service. The layout of the home enables residents to live in a safe environment. The home is clean, pleasant and hygienic throughout. EVIDENCE: The premises were found to be clean and hygienic. Staff stated that they were responsible for some of the cleaning and that the residents also helped. The communal areas of each of the houses consist of a sitting room, a separate dining area and kitchen, these areas were homely and found to be meeting the needs of the residents. During the last inspection in September 2006 a recommendation was made for the manager to ensure that the overall décor of the communal areas is maintained. During this inspection it was observed that communal areas would benefit from painting. Some furniture is looking worn and some kitchen doors were missing in one particular house. The manager said that YMCA is selling the home so there were no plans for a Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 19 refurbishment programme in this financial year. It is recommended that the home looks at a programme of re-decoration and refurbishment and this will be recommended at the end of the report. All residents have their own bedroom and these had been made personal with pictures and posters, televisions, music and radio facilities and individual bedding and soft furnishings. Bedrooms were seen to be of a good size and one service user had a personal computers and desk fitted in her bedroom. Each house has their own laundry room with washing machined and drier. The member of staff said that some of the residents are supported to do their own washing. None of the laundry is mixed so all residents have their washing done separately to anyone else in the home. The inspector noted that there were no paper hand towels available for staff to dry their hands. The staff have to use towels that are placed in the communal toilets, which are used, by residents and staff. The inspector spoke to the manager about infection control procedures for the home and she stated that they could place hand towels in the laundry room, therefore, no recommendation has been made on this occasion. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 20 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 excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff in the home are skilled and in sufficient numbers to provide 24-hour care to the residents living there. The systems for recruitment and training are robust and, therefore, protect the service users. EVIDENCE: All staff at the home have the benefit of a full induction programme and the records confirmed this. The deputy, who is also responsible for the training for all staff, said this induction is also linked to LDAF, which is Learning Disabilities Award Framework. She said that all staff have to pass this award before they can do their NVQ, National Vocational Qualification, training. The deputy also said that all staff have their NVQ at level 2 or 3 or are in the process of doing this award. Two employment folders were sampled and contained all the relevant documents as detailed in Schedule 2 of The Care Homes Regulations 2001. All staff has had a criminal record bureau (CRB) check and Protection of Vulnerable Adult (POVA) check prior to starting work in the home. One Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 21 resident told the inspector that she helps the manager with interviews for new staff and that she really enjoys this. The deputy showed the inspector the training plan that she keeps. She said that each member of staff has their own training record and this is one of the subjects discussed at supervision. Staff spoken to stated that they had training at the home and that they had completed their NVQ training. Mandatory training takes place and the deputy confirmed this includes moving and handling, safeguarding adults, first aid and food hygiene. Fire awareness is also a priority for the home. The manager stated that residents are involved with the evacuation of the houses. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 22 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. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home and can be confident their views are taken into account. The health, safety and welfare of residents are promoted and there are appropriate risk assessments in place. EVIDENCE: The manager has been in post since 1995 and has completed both her Registered Managers Award and NVQ level 4. A deputy manager supports the manager. It was clear from observation and talking with the residents that they have good relationships with members of the staff team. Residents were pleased to tell the inspector that the manager had cooked a five-course meal for them all on Christmas day. The atmosphere in the home on the day of the Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 23 inspection was relaxed and friendly. The manager stated she is fortunate that she has a stable staff team. Quality assurance systems are in place in each house. Resident meetings are held every month and the minutes are documented and action plans drawn up if necessary. Regulation 26 visits take place every month by the Responsible Individual and these are saved in the home and available during inspection. The health and welfare of the service users is a priority in the service and records observed on the day of the inspection were found to be well documented and kept up to date. This included certificates for the testing of Legionella, electrical and a number of other areas tested. The gas certificate was held at head office but the manager was able to give the inspector the date that this test was completed for the records. The AQAA demonstrated the health and safety checks had taken place also. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 24 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 3 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 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 YA24 Good Practice Recommendations It is recommended that the manager ensure that the overall decoration of the service is maintained at a sufficiently high level. To include painting communal areas and replacement of furniture where necessary. Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Rodney House DS0000060465.V347847.R01.S.doc Version 5.2 Page 27 - 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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