Latest Inspection
This is the latest available inspection report for this service, carried out on 17th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Rookvale.
What the care home does well The manager and the staff team have worked hard to make the improvements we said were needed. They have also maintained the good standards in delivering care and support that we saw developing at our last visit. What the care home could do better: Rookvale has improved as a result of the leadership and management of the home. A good number of previous requirements and recommendations have now been met . However: Further training for staff on health and safety issues is still needed. The records required by regulation must be kept up to date and available for inspection. Refurbishment of the home is still required as an ongoing project. The servicing of the fire system needs completing so that people are protected. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Rookvale 3 Carlton Drive Heaton Bradford West Yorkshire BD9 4DL one star adequate service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Mike ONeil Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Rookvale 3 Carlton Drive Heaton Bradford West Yorkshire BD9 4DL 01274783771 01274783700 rookvale@pcslimited.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Jarnail Singh Bassan Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 19 Number of places (if applicable): Under 65 Over 65 4 1 mental disorder, excluding learning disability or dementia physical disability Conditions of registration: Date of last inspection Brief description of the care home 14 0 Rookvale is situated in the Heaton district of Bradford approximately 3 miles from the city centre. The home provides personal care for people with mental health problems. The home does not provide nursing care. There are 9 single and 5 double bedrooms available on 3 floors. The home cannot accommodate people with physical disabilities. The home is close to a regular bus route and is well served with local amenities including, shops, post office, park, and public houses. The home stands in its own grounds and has outdoor sitting areas and parking. The home has a designated
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home smoking area. In August 2009 fees range from 315.84 to 678.79 pounds per week. Hairdressing, toiletries, transport and newspapers are not included in the weekly fee and are charged separately.The current fee levels are available by contacting the manager of the home. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
On 26th August 2009, we carried out a key inspection. At this inspection we gave the home a rating of 1 star and said they were providing people with an adequate service. We also made six requirements and asked the home to provide us with a plan of how they were going to meet these requirements. On the 17th May 2010 we returned to Rookvale and carried out a random inspection to check on progress with the requirements we made. The inspection process included looking at the information we have received about the home since the last key inspection in August 2009. Prior to the visit the service had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the service was doing well, what had improved since the last inspection and any plans for improving the service in the next twelve months. The AQAA also included data as to when utilities and equipment at the home were serviced. Information from the AQAA is included in this report. Before the visit we sent surveys to the home to distribute to people using the service, visiting health care professionals and staff. Fifteen surveys were returned to us 5 from staff and 10 from people who live at Rookvale.The information from the surveys is included within this report. Our visit to Rookvale was carried out over a period of three hours. We talked to 3 staff about their work and the training they have completed. We checked some of the records, policies and procedures the home has to keep. We also looked at some parts of the home and observed staff as they carried out their duties. The manager was in charge of the home at the time of our visit. We spoke with 4 people who use the service, their views are included within this report. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. At the last key inspection we made a requirement and several recommendations as we said that peoples changing needs were not being reflected in sufficient detail in their personal support/care plan.This meant that people may not get the right support to meet their personal goals and changing needs. At this visit we looked at the two peoples care plans. We found significant improvements in the care records we checked. The care plans contained details about the persons biography, personality and their preferences and choices. Overall we felt that the plans were good and they did try to focus on the individual person. The care plans were concise and clear. Staff were reviewing peoples care plans regularly. Risk assessments were included within the documentation and
Care Homes for Adults (18-65 years) Page 4 of 11 included moving and handling, skin integrity, nutrition and other risk factors. The care plans identified that a range of health care professionals visited the home to assist in maintaining peoples health care needs. People said they had regular contact with their GP and other health care professionals such as Community Psychiatric Nurses. People said they were aware of care plans and that they were involved in discussions about their care. This means that people can have a say in how they receive care or support. Daily routines are flexible. People said they can have their meals at any reasonable time and we saw people eating their breakfast and lunch at varying times during the morning and early afternoon. People said that there continues to be more social activities arranged for them to join in. People said they were always busy and discussed the various places and leisure activities they participated in over the course of a week. People said they visit the local shops daily and visit the local GP and dental surgeries when needed. This will help people to maintain their links with the local community. The manager is aware of the need, and keen to provide more social activities for people. We discussed future plans for the service which included developing the homes grounds so that people could grow their own vegetables. People told us they enjoy the food and are offered a choice of meals. People are consulted about the menus and changes are made to try to accommodate peoples wishes. Staff are trying to accommodate peoples personal tastes in relation to the food served. We found the atmosphere at lunchtime had improved. The tables were pleasantly set with table cloths, condiments and drinks were poured for people as they arrived for lunch. Staff are trying to make mealtimes a social occasion for people. Most of the people living in the home are able to look after their own personal care needs. Some people need staff to encourage and prompt them and we saw some information about this in the care plans. Care plans showed that peoples health was monitored and people had access to health care facilities and any relevant specialists that were necessary. People are very positive about the level of care and support they receive at Rookvale and made comments such as: The staff are good here, they are lovely Im happy here,dont want to be anywhere else Im safe here. There are suitable systems in place to make sure that medicines are managed safely and people get their medicines as prescribed. Medication checked was securely stored. All medications administered were signed for on peoples medication charts. We made a previous requirement that people who retain and administer their own medication must be protected by the homes policies and procedures for dealing with medicines. The manager said that following the completion of risk assessments nobody at the home is currently self medicating.We saw risk assessments had been completed,involving the person themselves,and filed in peoples notes.These measures will help protect people from harm. Care Homes for Adults (18-65 years) Page 5 of 11 Information about the complaints procedure is available in the home. People told us they know how to make a complaint if they need to and know who to speak to if they are unhappy. People living in the home told us it is always clean and it was clean when we visited. Refurbishment of the home is still required as an ongoing project. Some parts of the home,particularly the dining room,small lounge and entrance hall look tired and in need of brightening up. The general manager assured us that refurbishment of Rookvale will commence within the next month. People told us that staff treat them well and take notice of what they say. People said there are usually two care staff on duty during the day, the manager, a cook and a domestic member of staff. People said staff are usually available when they need them. In the surveys staff said that there were sufficient numbers of staff employed to meet all the needs of people at the home. The staff we spoke to were happy with the staffing numbers employed. We saw that staff were available to attend to peoples needs when needed. Staff and people spoke very highly of the manager and said she is always available and very approachable and is continuing to improve things at Rookvale. Staff said that the amount of training available has increased. Over the past 6 months training has taken place on a variety of subjects including palliative care. Training has also been provided on safe working practices for example fire safety and food hygiene. Staff said they get the training they need to keep them up to date and to help them meet peoples needs. Some staff said they had not received any moving and handling training. The manager said that the staffs work does not involve moving people as all people who live at Rookvale are fully ambulant. However staff are involved in moving objects around the home and may need to help people in an emergency situation. We would therefore recommend that moving and handling training is provided to all staff at Rookvale. We found that staff training records and the service records of the home were filed in different places and some were not held at the home. This makes the audit trail very difficult and means that some servicing and training required under the regulations may be missed. The records required by regulation must be kept up to date and available for inspection. There was no documentary evidence available to show that the fire system had been serviced since January 2009.The previous certificate issued by the fire engineer recommends that the system is serviced annually. This servicing should be completed so that people are protected. What the care home does well:
The manager and the staff team have worked hard to make the improvements we said were needed. They have also maintained the good standards in delivering care and support that we saw developing at our last visit. Care Homes for Adults (18-65 years) Page 6 of 11 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 41 17 The records required by regulation must be kept up to date and be available for inspection. This is to make sure the home can demonstrate it is being managed effectively and safely and in the best interests of the people living there. 01/09/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 14 Everyone living in the home should be given the support they need to take part in a range of activities appropriate to his or her race, culture, religion, age, disability, gender, and sexual orientation. The servicing of the fire system should be completed at the freqency recommended so that people are protected. The programme of renewal of the fabric and decoration to improve the environment should continue. All staff should be given moving and handling training. This will help them to work safely.
Page 9 of 11 2 3 4 23 24 35 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
