Care Home: Rowfant Residential Home

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What the care home does well Rowfant Residential Home is an established home which has been recognised as providing a good quality of service for a number of years. The home employs a stable and committed team of staff who know, understand and respect the needs of the people who live there. Rowfant Residential Home continues to operate as a relaxed and friendly home where residents benefit from the provision of care in a respectful and dignified manner. The Inspector received lots of positive feedback about the home which was repeatedly described as "brilliant", "like a five-star hotel" and "I love it here and wouldn`t go anywhere else for anything". Similarly staff were referred to as "very helpful" "kind" and "nothing they wouldn`t try and do for you". The home is situated in a stunning rural location which shares the grounds of Rowfant Country Club and offers a pleasant environment for residents to live in. The Registered Providers have a rolling programme of maintenance and strive to give residents a choice of comfortable communal and private spaces to spend their time. The activities provided are excellent with opportunities for residents to participate in a wide range of both in-house and community activities. The home celebrates a range of cultural and religious festivals and respects and promotes the equal and diverse needs of the people who live there. What has improved since the last inspection? The environment has continued to be maintained and upgraded and the purchase of new hoists and adaptations have improved the safe transfer and mobility of residents as needed. Admission documentation has improved with the Registered Manager being able to evidence that the home conducts appropriate pre-assessments prior to people moving to Rowfant Residential Home. What the care home could do better: This inspection has identified good outcomes for the people who live at Rowfant Residential Home and only two requirements have been made as a result of this report. Whilst each resident has a plan of care, some of the information is not very detailed and has not been regularly reviewed. The high quality of care that is delivered at the home is therefore dependent on the knowledge and experience of staff. A more robust recording system must be developed to ensure that care plans enable any staff member to provide support in a consistent way. Greater attention must be afforded to the information that is obtained when recruiting new staff to ensure that every step has been taken to fully protect residents. CARE HOMES FOR OLDER PEOPLE Rowfant Residential Home Wallage Lane Rowfant Crawley West Sussex RH10 4NG Lead Inspector Lucy Green Unannounced Inspection 23rd January 2008 09:30 X10015.doc Version 1.40 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 Rowfant Residential Home DS0000014695.V358087.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 Older People. 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. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rowfant Residential Home Address Wallage Lane Rowfant Crawley West Sussex RH10 4NG 01293 718486 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) rowfant.home@virgin.net Rowfant House Limited Mr Viesturs Dude Care Home 19 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (19) of places Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons accommodated should not exceed 19. Date of last inspection 11th October 2006 Brief Description of the Service: Rowfant Residential Home provides personal care and accommodation for nineteen older people over the age of 65 years. It is owned by Rowfant House Limited a non-profit making organisation, which is affiliated to the Latvian Church. The Registered Manager responsible for the day-to -day running of the home is Mr Viesturs Dude and the Responsible Individual is Mr Mike Ward. The two-storey detached building was a converted stable block, which has been extended and added to during the last five years. Resident accommodation is provided by way of single rooms, five of which offer en-suite facilities. Communal areas comprise of a lounge and two dining rooms. A passenger lift provides level access to both floors. The home is set in extensive grounds and with a country club and chapel that provides services in both Latvian and English. In addition to the grounds that are open to residents and their visitors, there is a large patio area to the front of the care home with a fishpond and raised flowerbeds, which are accessible to the residents in wheelchairs. More detailed information about the services provided at Rowfant Residential Home, including the range of fees can be found in the home’s Statement of Purpose and Service User Guide - copies of these documents can be obtained directly from the Provider. Latest CSCI inspection reports are on available in the home. Rowfant Residential Home DS0000014695.V358087.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. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Rowfant Residential Home are referred to as ‘residents’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from representatives and an unannounced site visit which lasted five hours on Wednesday 23rd January 2008 between the hours of 9:30am and 2:30pm. The site visit included a partial tour of the premises and an examination of medication, care and staffing records. The Inspector observed the lunchtime meal being prepared and served. Throughout the inspection process, the Inspector met with seventeen residents and spoke with seven of them individually. The Inspector also observed the way other residents spent time in communal areas The Inspector spent time with the Registered Manager and spoke with four staff members including two one Senior Carer, two carers and the Cook. What the service does well: Rowfant Residential Home is an established home which has been recognised as providing a good quality of service for a number of years. The home employs a stable and committed team of staff who know, understand and respect the needs of the people who live there. Rowfant Residential Home continues to operate as a relaxed and friendly home where residents benefit from the provision of care in a respectful and dignified manner. The Inspector received lots of positive feedback about the home which was repeatedly described as “brilliant”, “like a five-star hotel” and “I love it here and wouldn’t go anywhere else for anything”. Similarly staff were referred to as “very helpful” “kind” and “nothing they wouldn’t try and do for you”. The home is situated in a stunning rural location which shares the grounds of Rowfant Country Club and offers a pleasant environment for residents to live Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 6 in. The Registered Providers have a rolling programme of maintenance and strive to give residents a choice of comfortable communal and private spaces to spend their time. The activities provided are excellent with opportunities for residents to participate in a wide range of both in-house and community activities. The home celebrates a range of cultural and religious festivals and respects and promotes the equal and diverse needs of the people who live there. 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. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are protected by an assessment process that ensures their needs are identified and confirmed they can be met before they move into the home. Rowfant Residential Home does not provide intermediate care. EVIDENCE: The Inspector viewed the pre-admission assessments in place for two people who have been admitted to Rowfant Residential Home in the last twelve months. There was documentary evidence that a representative from the home had conducted an assessment on both of these individuals prior to them moving into the home. Where appropriate, information had also been obtained from other relevant professionals, such as hospital discharge forms. In line with a requirement of the last inspection, the home now ensures it obtains Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 9 assessment information in line with the National Minimum Standards for all residents, including those on short stay respite, before they move into the home. The Registered Manager confirmed that prospective residents and/or their representatives are encouraged to visit the home prior to admission to assess the suitability of the placement. In most cases, the assessment is undertaken at the home with prospective residents spending at least one day at Rowfant Residential Home. The home has a waiting list and people are encouraged to visit the home and join day activities to get to know the home while they wait for a place to become available. All residents who were case tracked as part of this inspection confirmed that the admission process had been tailored to meet their needs and that either they or a relative had visited the home before they moved in. There is no provision for intermediate care at Rowfant Residential Home and therefore Standard 6 is not applicable. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff practice reflects a good understanding of residents’ personal and healthcare needs. Whilst the staff team have the knowledge, skills and leadership support to meet the needs of the residents, the documentation in place however, does not fully reflect the high standard of care provided. . Residents are protected by the systems in place to manage medication. EVIDENCE: Staff practices observed throughout the inspection demonstrated a good understanding of the residents and their needs. Discussion with the Registered Manager and staff produced evidence that staff have the knowledge required to provide appropriate personal and healthcare support to the residents at Rowfant Residential Home. A sample of three care plans were viewed and whilst key information about residents’ needs is recorded, it was identified that the positive outcomes Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 11 observed for residents at this time are dependent upon staff knowledge and memories, rather than full and detailed recording systems. In all three care plans viewed the initial ‘plan of care’ had been recorded on admission, but had not been reviewed since that time. There was however evidence that short term care plans that introduce additional support to residents were more robustly reviewed. Each of the three care plans viewed also contained regularly falls risk assessments that had been reviewed monthly. Residents are fully supported with their health care needs and care plans contain a record of any visits or contact with professionals external to the home. There was evidence of current involvement from General Practitioners, District Nurses, Dentists and Chiropodists. Discussion with staff and management identified that the home are proactive in seeking specialist support to increase residents’ independence and improve their quality of life. The quality in this outcome area has been rated as ‘good’ at this inspection as the consensus of feedback from residents was that their needs are being met at this time. Those spoken with commented “staff go out of their way to make you feel at home” and “the girls are very helpful and kind, there is nothing they wouldn’t do for you”. Similarly, discussion with three staff members confirmed that staff have an excellent understanding of the support needs of each of the residents and how to ensure care is delivered in a person centred way. It has therefore been judged that the stability and dedication of the Registered Manager and his staff team have prevented the identified gaps in care planning from having any negative impact on the residents at Rowfant Residential Home. It was however discussed with the Registered Manager that improvements to documentation, especially in the conducting of monthly reviews must be made or there is a potential risk that the quality of care could drop if there are changes to the management or staffing structure. Medication systems were inspected by way of a review of the Medication Administration Records (MAR sheets) and examination of the storage of medication. The medication policy was not inspected on this occasion. The supplying pharmacy undertakes routine checks of medication and it was evident that any recommendations from these visits have been actioned. The home has a good system in place for managing medication. A medication trolley allows the safe transportation of medication around the home. Records are clear and it is possible to track changes of medication. The Registered Manager confirmed that only staff who have been appropriately trained and supervised handle medication. All residents and visitors spoken with confirmed that the staff at Rowfant Residential Home are respectful and respect their right to privacy and dignity. During the inspection, it was observed that staff spoke appropriately to Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 12 residents knocked on bedroom and bathroom doors before entering. Some residents have private telephone facilities in their bedrooms. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to lead their lives how they choose. Residents benefit from an inclusive environment that respects their equality and diversity needs and where there are many opportunities to participate in activities and outings. Mealtimes provide a range of freshly prepared, wholesome and balanced food. EVIDENCE: The daily running of the home was observed to provide residents with the flexibility and choice about how and where to spend their time. On the Inspector’s arrival at the home it was evident that individual routines were being respected by staff and residents are able to get up as early or late as they wish. Breakfast is served in bedrooms at a time agreed with the residents – this arrangement was reported by all of the residents spoken with to work well and they confirmed that they had choice regarding what they have. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 14 A menu is displayed outside the dining room and copies are also provided in residents’ bedrooms if desired. The preparation and serving of the lunchtime meal was observed with vegetable stew and minced meat balls being offered, each followed by a dessert of fried apple and custard. The meal was noted to be entirely home-made with fresh ingredients. The meal looked appetising and well presented. A tour of the kitchen revealed a list of residents’ likes and dislikes which was confirmed as accurate by the Cook and the residents spoken with. Residents told the Inspector that they can choose where to take their meals which are served in either the two dining rooms or residents’ bedrooms. One resident stated that they like to have their lunchtime meal at the Country Club when they are well and that this is also facilitated. Residents spoken with were all complimentary of the food provided at Rowfant Residential Home. One resident told the Inspector “the food is perfectly cooked” and another commented “I have a small appetite and the food is very suitable, healthy and well presented”. The home provides a range of activities for residents to get involved in. Every Tuesday afternoon a carer is specifically employed to run activity sessions. A questionnaire was sent to residents to request ideas for the types of activities they would like to see made available. From this feedback a programme of activities has been devised. The most popular in-house activity was reported to be the quizzes which all residents spoken with said they thoroughly enjoyed. One resident told the Inspector “the quiz is great, yesterday twelve residents took part and I have won it three times, winning prizes including a camera, aftershave and socks”. In addition to the in-house activities provided by the home, Rowfant Residential Home also arranges for external people to come into the home. This has included a ‘pottery lady’ who visited the home over a period of weeks to offer residents the opportunity to make crockery as gifts for relatives. Similarly, exercise classes have been run and there are visits from a ‘pat dog’. The home produces a two-monthly newsletter that informs residents of upcoming events and changes to the home. The newsletter for January – February 2008 was available in the lounge and residents also showed the Inspector copies in their rooms. This document and the photos on display provided evidence of the social trips, festivals and birthday celebrations that have taken place or are scheduled. One resident told the Inspector “the trips to the theatre involve a lot of planning, but are well worth it” and another commented “the Latvian mid summer celebration is incredible”. Photos available showed the celebration of St Patrick’s day that was laid on in honour of one Irish resident. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 15 Residents are encouraged and supported to maintain contact with their family and friends. The home operates an open door policy and residents are able to spend time with their guests in their rooms or in one of the lounges. Visitors were observed being welcomed into the home during the inspection and the visitors’ book evidenced that there are lots of regular visitors to Rowfant Residential Home. The staff and residents referred to visitors as “part of the Rowfant family”. The ability to access the Country Club also enables residents to have meals with their relatives and friends in a relaxed and private setting. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from an open culture where they are able to express their views and feel valued and protected from harm. EVIDENCE: Rowfant Residential Home has a complaints policy which is accessible to both residents and visitors to the home. The Registered Manager stated that the home has not received any formal complaints since the last inspection. Examples were however cited of where the home had implemented changes in respect of feedback from residents and relatives. The residents spoken with all confirmed that they knew how to complain and stated that if they had any concerns they would speak to either the Registered Manager or Deputy Manager. The staff spoken with were knowledgeable about the vulnerability of residents and the systems in place to protect them. Staff have received training in the protection of vulnerable adults and prevention of abuse. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents continue to benefit from the clean, accessible and homely environment in a stunning location. EVIDENCE: The residential home is an attractive two-storey detached building which was formerly a stable block that has been extended and added to during the last five years. Resident accommodation is provided by way of single rooms, five of which offer en-suite facilities. Communal areas comprise of a lounge and two dining rooms. A passenger lift provides level access to both floors and the aids and adaptations meet the needs of the people who live at Rowfant Residential Home. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 18 The Inspector conducted a partial tour of the home and found the rooms and areas viewed to be clean, fresh and well maintained. There was evidence of an ongoing programme of redecoration and improvement. The seven residents who spoke privately with the Inspector confirmed that they had been able to personalise their bedrooms with their own furniture and belongings as desired. All people spoken with also remarked on how well the home was maintained. One resident stated “the home is kept spotless”. Similarly, two staff reported that all staff share the responsibility to keep the home clean. The home is set in extensive grounds and with a country club and chapel that provides services in both Latvian and English. In addition to the grounds that are open to residents and their visitors, there is a large patio area to the front of the care home with a fishpond and raised flowerbeds, which are accessible to the residents in wheelchairs. It was evident from the tour of the home that real attention has been paid to detail in making the home as pleasant interesting as possible. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being supported by an experienced and committed team of staff, although the home must be able to provide evidence that robust recruitment procedures are followed at all times. EVIDENCE: The calm and relaxed atmosphere in the home on the day of the inspection, indicated that staffing levels are sufficient to meet the current needs of the residents. Any requests from residents were responded to promptly and the home was spotlessly clean. Discussion with the Registered Manager and a review of past and present rotas highlighted that the home is staffed during the day by three care staff, a cook and a cleaner. In addition, either the Registered Manager or his Deputy Manager are working in a supernumerary capacity. The feedback received from all residents spoken with confirmed that staffing levels were sufficient and the three staff interviewed re-iterated the same view. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 20 The interaction between residents and staff was observed to be positive and all of the residents spoken with commented on how nice staff were. One resident expressed “staff are respectful of people’s wishes” and another resident stated “the care is very good and the staff are nice people” Staff training is ongoing and the Registered Manager reported that more than 50 of the staff team have completed National Vocational Qualifications (NVQ) to at least Level 2 in Care. The Registered Manager also confirmed that all new staff complete an induction and that the new programme is in line with Skills for Care. The home has a system for updating training in place and whilst not all staff were fully up to date with all courses at the time of the inspection, it was evident that staff have received a raft of training and that the Registered Manager had already identified where refresher training was required. As the service has already identified the training gaps and has plans to implement a full training matrix for 2008, this has not been reflected as a requirement, but will be followed up at the next inspection. The recruitment files for the two new care staff were inspected. For one of these individuals there was evidence of the required information being in place prior to commencing employment. For the other staff member however, there was no evidence of two written references having being obtained. The employment record for this individual had also not been fully completed. This issue was raised with the Registered Manager and the staff member concerned. Whilst there were valid reasons why appropriate references had been difficult to obtain, it was highlighted at the last inspection that this documentation is legally required to be in place and therefore action must be taken to remedy this situation. In future no staff member must commence working at Rowfant Residential Home until all the required information has been obtained. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from the commitment of a skilled and experienced Registered Manager who ensures that the home is well managed and run in the interests and safety of the people who live there. EVIDENCE: The Registered Manager is a skilled and experienced practitioner who has many years management experience and who is in the process of completing the Registered Manager’s Award (RMA). He is dedicated to his position and is available in the home five days each week and assumes on-call responsibility when not in the home. The Manager’s commitment to his work is reflected in Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 22 the positive feedback gathered during the inspection process. Both residents and staff spoken with were complimentary about the Registered Manager and comments included; “the home is very well run” and “the Manager is very good, very caring and very genuine”. Throughout the inspection it was observed that the Registered Manager had a good relationship with both residents and staff. The home has developed a number of systems to self-audit and review the services provided. The Registered Manager completes an annual development plan based on a collation of feedback from all relevant stakeholders. Regular staff and residents’ meetings are conducted. Satisfaction questionnaires that are sent out to residents and the Registered Manager produced evidence to show how the results of these had been collated and used to make improvements to the way the home is run. The Registered Manager informed the Inspector that the home only handles money for residents where there is no other alternative. At the current time it was reported that the home is not holding money for any of the residents. The Registered Manager confirmed that the home has a number of systems in place to ensure the health and safety of the home is monitored and maintained. The Inspector viewed a limited number of records pertaining to the maintenance of equipment and routine testing which were found to be satisfactorily completed. Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 24 YES Are there any outstanding requirements from the last inspection? 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 OP7 Regulation 15(1) & (2) Requirement The Registered Person must ensure all residents have a written plan as to how the resident’s needs in respect of his health and welfare are to be met and that the plan is kept under regular review. Timescale for action 01/03/08 2. OP29 19(1)(b)(c The Registered Person shall not ) employ a person to work in the home unless he has obtained in respect of that person the information and documents specified in Schedule 2, as amended. Previous timescale of 13/11/06 not met. 23/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000014695.V358087.R01.S.doc Version 5.2 Page 25 Rowfant Residential Home Standard Rowfant Residential Home DS0000014695.V358087.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Kent ME16 9NT 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 Rowfant Residential Home DS0000014695.V358087.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. 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