Care Home: Rubicon Rise

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What the care home does well Each person who lives at the home had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it. Each person has a care plan, which contains information for staff about how to support them and meet their needs. The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. Staff support the tenants to use local services so they are part of the community. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. The home has protection procedures in place to protect the tenants from risk of harm. The staff team is trained and experienced which means that they know how to provide the tenants with good care. Quality assurance systems are in place. This will help the home to shape the quality of the service and ensure it is run in the best interests of the people who use it. What has improved since the last inspection? The home has now developed their contract/ statement of terms and conditions so it is more accessible to the people who use the service. This means that people are more likely to understand it and therefore be able to make a more informed choice of homeRubicon RiseDS0000032745.V376686.R01.S.docVersion 5.2 What the care home could do better: If more staff worked at the home, the tenants would be able to go out more and take part in meaningful activities. They could also go on holiday. This would help them to gain confidence and self-esteem as well as increasing their social skills and independence. If disposable hand towels and liquid soap were used in communal toilets and bathrooms, this would keep the people who live at the home and the staff safe from the possibility of cross infection. When making a written entry into the medication records, if two staff checked the entry and signed to say it was correct this would be an extra way of making sure the information was accurate therefore safeguarding the people who use the service. Key inspection report CARE HOME ADULTS 18-65 Rubicon Rise Badgers Close Hall Farm Doxford Park Sunderland SR3 2XF Lead Inspector Hilary Stewart Key Unannounced Inspection 30th June 2009 10:30 Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rubicon Rise Address Badgers Close Hall Farm Doxford Park Sunderland SR3 2XF 0191 553 4109 0191 553 4109 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) Council of City of Sunderland Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2007 Brief Description of the Service: Rubicon Rise is a small registered care home run by the City of Sunderland Council’s Social Services Department. It provides personal care and support services for up to six men and women who have a learning disability and may also have a physical disability. Nursing care cannot be provided. The home is situated in the residential area of Doxford Park. A large supermarket and a public house are close by. The area is also well served by public transport, and people living at the home make good use of this with staff support. Accommodation is provided in a spacious, purpose-built and suitably equipped bungalow, which is decorated and furnished to a good standard. There is a pleasant large enclosed garden with ramped access to a summerhouse at the rear and ample car parking space for staff and visitors. The home currently charges £872.00p per week. Rubicon Rise DS0000032745.V376686.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. Before the visit: We looked at: • Information we have received since the last visit on 17th May 2007. • How the service dealt with any complaints, concerns and safeguarding issues since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 30th June 2009. During the visit we: • • Talked with the staff and the acting manager. The organisation is in the process of recruiting a manager. Observed the people who live at the home. Talked to the people who live at the home. Due to the communication needs of some of the people it was difficult to get their opinion on the quality of care received, and therefore there are no specific comments quoted in this report. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked to see if the staff have the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. • • • • • We told the acting manager what we found. 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. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home has now developed their contract/ statement of terms and conditions so it is more accessible to the people who use the service. This means that people are more likely to understand it and therefore be able to make a more informed choice of home Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 7 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 8 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 Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 People using 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. People are assessed before they are offered a service initially to make sure that their needs can be met at the home and also so plans can be made to make sure they get the care they need. EVIDENCE: The acting manager said that they were given initial information about people when they were referred to the home. This information is provided by the person’s care manager. They then carry out their own assessment to make sure the home can provide the care the person needs. A placement is offered only if the manager is sure that persons needs can be met there. When a person is referred to the home, they can visit before they make a decision to move in permanently. The acting manager and staff said that they would be gradually introduced to the other people who live there. The people, who live at the home now, were gradually introduced to each other and the home. They had visits and overnight stays. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 10 The acting manager said that now each person has a contract, which sets out the terms and conditions of their placement, and it is written in form that is easily assessable to people with a learning disability. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People using 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. The standard of care planning gives a good level of information to staff to support meeting peoples needs and at the same time minimising any risk. People who use the service get the personal support they require and are supported to be more independent. At the same time staff make sure that their privacy, dignity and independence is respected EVIDENCE: The acting manager said that each person at the home has a personal plan. They try to involve the tenants as much as possible in writing their own plan although they may not fully understand the concept due to their disability. Each person has a key worker who makes sure that the plans are reviewed and up to date. The acting manager said that they are reviewed every two months. Care plans included information about what care the person needed, Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 12 such as how they communicate, their social relationships, things they do not like and what type of support they need. The plans were easy to read and used photographs and pictures. Part of the care plan in called “All about me” and describes what people like to do and their favourite trips out. In one person’s, care plan it said, “My ideal day is going to South Shields and then the pub”. Staff said that the care plans contained enough detail to give them the information they need to support the tenants and provide them with good care. As some people do not communicate with speech, staff said that they would make a suggestion and see how people react to gauge whether they liked something or not or they would take them somewhere and observe their reactions to see if they looked as if they were enjoying themselves or not. The care plans contained information for staff about how to recognise when people were becoming upset or frustrated and how they react to this situation to keep the person safe and themselves. One person was observed interacting with a member of staff by using gesture and pointing. The acting manager said that they are planning to improve the plans by using more pictures and photographs to try to make them more accessible and easier to understand. Some risk assessments were general and about the home as well as each person having individual ones. Records showed that the risk assessments and risk management plans were reviewed and up to date. The acting manager said that they are reviewed every two months to make sure they are accurate. Staff could describe how they work consistently with the people at the home. Some individual risk assessments demonstrated that the balance of risk was too high for them to, for instance manage their own money or their own medication. The acting manager said they plan to develop a risk management plan for one person, the aim of which is for them to become more involved and take more responsibility for managing their own money. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 13 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): This is what people staying in this care home experience: 12,13,15,16 and 17 People using 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. People at the home are supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. EVIDENCE: Staff said that the tenants are given choices as much as possible. All of the people have individual activities and some were out during the visit. On the day of the visit one person was at school, another at a day centre, one person was about to go out shopping and another was going out for a walk. The acting manager said that they support people to choose activities and have been using pictures to support people to communicate what they would like to do. Some of the people find it difficult to tolerate busy crowed areas so this Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 14 limits some of the choice. The home records activities and trips out in each person daily records so it was difficult to judge the variety and frequency of activities. Staff said that activities and trips out are limited in the evenings as there are only two staff on duty and most of the people need two staff when they go out. One person wanted to go out to town on the day of the visit but there wasn’t enough staff to support them. They are unable to plan holidays due to insufficient staff as well. The daily routines within the home are structured around the people who live there. Staff said that the tenants are involved in domestic routines as much as they can. They work with the people to support them to improve their independence and support them to carry out domestic tasks. Staff said that they respect the people’s privacy and they are aware of their rights. They were observed knocking on people’s bedrooms doors prior to entering. The tenants at the home looked relaxed and comfortable with the staff. Staff were observed explaining to the people what they were doing and asking them what they would like to do that day. The people at the home are supported to keep in contact with their families and friends. They are encouraged to visit them as much as they want. Staff said one person sees their family every weekend. Records showed that the people have regular contact with their family and friends. The acting manager said that the meals served at the home are the choice of the people who live there. They are usually decided on the day. Staff keep a daily record of meals and the food served so they can make sure the tenants eat enough and have a varied healthy diet. Meals served at the time of visit looked appetising and nutritious. One person was being supported to make a sandwich in the kitchen for their lunch. Staff support the tenants to try new foods to see if they like them and they can use the kitchen at any reasonable time to make drinks and snacks. The acting manager said that they get enough money to buy food for the home. There were adequate amounts of food in the kitchen during the visit. The acting manager said that the staff are encouraging the tenants to eat healthily and one member of staff has received training in nutrition. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 People using 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. People have personal support when they need it so they can be as independent as possible. Healthcare needs are met, which ensures that people stay healthy. EVIDENCE: The care plans identify the personal support that each person needs with everyday tasks. One person needs help with their personal hygiene and relevant details were in their care plan. Records showed and the acting manager said that each person has a health care plan. Specialist support is available from psychologist/psychiatric services when required. The acting manager said that each person’s key worker is responsible for making sure they attend their appointments. They also work closely with the Complex Needs Team who support people to get the health care they need. Records are in use to monitor the administration of prescribed medicines. They were up to date and had been signed by staff when they have Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 16 administered medication to people. Some handwritten entries had not been signed by two staff to confirm they were correct. The acting manager said that they updated the protocol for each person who has PRN medication. They are now clear and in enough detail. They have also devised a pictorial guide to provide and identify each person’s medication and the reason they need it. Staff who are authorised to administer medicines are listed in the file and there is a copy of their signatures. The manager said that staff have received training in the safe administration of medication. They do not administer medication unless they have completed this training and have been assessed as being competent. Staff said that they had been trained and could describe the procedures that are followed in the home. The manager said that the people at the home ware supported to administer their own medication if after following a risk assessment this could be managed safely. One person does manage their own medication and has a locked cabinet in their bedroom. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using 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. A satisfactory complaints procedure is in place. This means that complaints should be dealt with effectively so people know that their comments are taken seriously. Satisfactory protection procedures are in place to protect the people at the home from risk of harm. EVIDENCE: The acting manager said that policies and procedures are in place that describe how the home responds to complaints. A record is kept of any complaints, there had not been any made to the home since the last inspection. All of the people receive a copy of the complaints procedure when they move into the home. There is a version in pictures that is easier for people to understand. Staff said that they would support staff to make a complaint. All staff have received training in how to protect vulnerable adults. The service has policies and procedures on safeguarding adults to inform staff what to do if they think a person at the home could be suffering from abuse. There is a copy of the Local Authority safeguarding adult’s procedures in the office. Staff and the manager could describe what actions they would take to safeguard the people who live at the home from potential abuse. The manager, staff and records showed that staff had received training in safeguarding adults. One person when asked if they felt safe at the home said “yes”. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 18 Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using 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. The home is comfortable, warm and clean so the people have a pleasant place to live. EVIDENCE: The home is a purpose built and all areas are accessible to people who have a physical disability. It is comfortably furnished and the décor is up to date. There are laundry facilities that are adequate for the people living there. The bedrooms looked comfortable and the tenants personalised them. They had been made very individual. All of the rooms have their own en suite bath or shower. One communal toilet did not have disposable hand towels so this may cause a risk of cross infection. Some of the bathrooms had cloth covered chairs in them, which were said to be waterproof, but they looked stained and Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 20 damp. The acting manager said that they would look into whether they were appropriate for use in a bathroom immediately. The building is generally well maintained; it is clean and hygienic so the people have a pleasant comfortable place to stay in. Staff said that the housing association who own the property carry out repairs when needed. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 People using 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 have opportunities for training so they know how to give the people who live at the home good care and meet their needs. The home has recruitment procedures in place, which help to prevent risk of harm to the people who live there. EVIDENCE: Staff said that they receive training, which helps them with their work. The acting manager said that all staff have appraisals and they keep a training record to make sure they get the training and support they need. The staff said and records showed that they all have mandatory training such as first aid; food hygiene and safeguarding adults training. The acting manager said that six staff have vocational qualifications and the three are working towards one. There has recently been two staff development days at the home where the staff team spent time focusing on person centred planning. Staff have recently received training in the Mental Capacity Act. One member of staff is Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 22 trained as a “Charter Champion” which means they have the responsibility to make sure that tenants are aware of the Learning Disability Customer Charter. Sufficient staff were on duty at the time of the visit. Staff said and records showed that there are sufficient staff to care for people when they are in the home but the staffing levels do not always allow the tenants to go when they would like. The manager and staff said that this limits the leisure and social lives of the people at the home. The manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. All staff go through a recruitment process and they cannot not start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that checks had been carried out. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 People using 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. The acting manager has the experience to run the home in the best interests of the people who live there. Quality assurance systems are in place. This will help to shape the quality of the service and ensure it is run in their best interests. The opinions of the tenants are sought about how the home is run so they know their views are valued. EVIDENCE: The acting manager said that the tenants and their families are asked their views about the running of the home as much as possible. Staff said and records showed that the people have tenants meetings regularly and have discussions on a daily basis. The acting manager said that the annual Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 24 development plan for the home needed to be updated but they have recently updated the maintenance and improvement plans for the building. Safety checks have been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that fire drills and fire instruction take place. Staff said that they have fire drills and instruction. Records showed that regular training is provided for staff in fire safety and first aid. The manager said that they carry out health and safety checks every six months to make sure everything is safe. Records showed and the manager said that the home has regular monitoring visits from a representative of the registered provider who checks on the welfare of the people who live at the home. Copies of their reports were kept in the office at the home. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 25 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Version 5.2 Page 26 Rubicon Rise DS0000032745.V376686.R01.S.doc No 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 YA13 Regulation 16 Requirement Sufficient staff must be available at the home for them to support people outside of the home so they can pursue interests and activities. Timescale for action 01/08/09 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. 2. Refer to Standard YA20 YA30 Good Practice Recommendations The manger should make sure that if hand written entries are made in the medication records two staff signed to say that it is accurate. This will be an extra safeguard. The manager should make sure that liquid hand soap and disposable handtowels are in communal toilets and bathrooms. This is to reduce the chance of cross infection. They should also check that the chairs are waterproof and appropriate to be used in bathrooms. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 27 Care Quality Commission Care Quality Commission North Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.northeastern@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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Rubicon Rise DS0000032745.V376686.R01.S.doc Version 5.2 Page 28 - 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!