Care Home: Rutland Manor

What the care home does well There were a range of activities on offer for people to participate in and opportunities for staff to undertake one to one interactions with people. The premises were clean, tidy and odour free and well maintained. A staff survey commented that the service provided `the freedom and support our residents require` and several surveys commented on the `quality food` available. What the care home could do better: The service must ensure it provides a proper written response when formal complaints are received. Staff recruitment information must ensure that gaps in employment are fully explained. There must be continued attention to staff training and support. Random inspection report Care homes for older people Name: Address: Rutland Manor 99-109 Heanor Road Ilkeston Derbyshire DE7 8TA two star good 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: Janet Morrow Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Rutland Manor 99-109 Heanor Road Ilkeston Derbyshire DE7 8TA 01159440322 01159321793 rutlandmanor@fsmail.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Rutland Manor Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 41 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 41 1 One service user named in the letter received by the service dated 2 October 2007 to remain at the home under the category Mental Disorder - Code MD The maximum number of service users who can be accommodated is: 41 The registered provider may provide the following category of service only: Care Home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Dementia Code DE Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Rutland Manor is situated on the outskirts of Ilkeston. The building was previously a hospital. The accommodation is arranged on two floors with lounges and communal areas all being on the ground floor. Ongoing refurbishment is being undertaken to upgrade the accommodation. The service is registered as a care home with nursing for residents with dementia and can accommodate up to 41 residents. An activities coordinator is employed at the service and health professionals such as General Practitioner and chiropodist are accessed as required. Information provided by the service in June 2010 stated that the fees were in the range of £499.14 - £896.10 per week. Details of previous inspection reports can be found on the Care Quality Commissions website www.cqc.org.uk and are located in the entrance of the home. Care Homes for Older People Page 3 of 9 What we found: This inspection visit was undertaken to check progress made on requirements made at the previous inspection in June 2008 and to discuss managerial arrangements and support for staff following changes to the management of the service. It also assessed the services response to complaints and accident reporting. We looked at the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We looked at one persons care records. A care plan and risk assessments were in place and there were associated records that showed attention was paid to identified risks, such as nutritional risks, risk of falls and risk of pressure sores. The care plans were detailed and gave clear instructions to staff on what they should do. They were reviewed on a two monthly basis. Weight was recorded monthly and visits from other professionals such as General Practitioners were also recorded. We spoke with one person and their relative during the visit and another relative was contacted by telephone shortly after the inspection visit. Generally, they felt essential care tasks were completed but identified the main issues as insufficient staffing and incomplete responses to complaints. The AQAA stated that All complaints are investigated thoroughly and the company employs a quality manager to monitor complaints and take actions to resolve the issue. We promote a culture of valuing complaints and view it as an opportunity to continue improving our services. However, when we examined the complaints record, this showed that complaints were recorded but there was no written response available so it was unclear how the issues raised had been addressed. The AQAA told us that A deputy Manager / Operations Lead is also employed to support the home and provide clinical leadership to staff. This post also carries responsibility for health and safety and infection control within the home. A new manager had been appointed and confirmed that she would be making an application to register with the Care Quality Commission. She was clear in discussion in how she intended to improve the service and stated that the premises were going to have a full refurbishment that included re-decoration and new furniture for bedrooms. She also stated that staff training was a priority and that care planning documents were to be amended to be more person centred. The manager also had plans to make better use of external resources such as local health and social care teams, for example in relation to the prevention of falls. The AQAA told us that there had been a higher turnover of staff than the service would have hoped and that they were addressing this through improved recruitment and retention procedures. It also said that All staff undergo the required checks, including CRB, ISA, satisfactory references etc. and are not employed until satisfactory documentation is obtained. We examined three staff files for recruitment and training Care Homes for Older People Page 4 of 9 information. Most recruitment information was in place, such as identity information, criminal record bureau (CRB) checks and two written references but one file did not contain an explanation of a gap in employment. The files also showed that mandatory training had been undertaken in the last twelve months and staff spoken with confirmed this. We received seven staff surveys in February 2010. They raised concerns about the lack of training and guidance from management. We spoke to four staff during the inspection visit and they confirmed that they thought the service was improving and that training was much better with mandatory training ongoing and other courses being arranged. They also said that there had been improvements in support and guidance since the new manager had taken over. One survey was received from a relative and it stated that they look after my wife very well. It also stated that an improvement the service could make would be to communicate better with relatives. The manager acknowledged in discussion that there had been some issues with communication and two relatives meetings had been held, and the minutes of these were seen. A newsletter had also been produced and it was planned to continue with this on a regular basis. The manager stated that a new fire risk assessment was being undertaken for the service and a partial tour of the building showed that requirements issued by Derbyshire Fire and Rescue Service had been addressed. The kitchen had been refurbished and had achieved a four star rating in 2010 from the Local Authority Environmental Health Department for its food safety practice. A sensory garden had been completed since the previous inspection in June 2008 and people using the service had the option of being involved in gardening. What the care home does well: 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 Older People Page 5 of 9 Care Homes for Older People Page 6 of 9 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 Older People Page 7 of 9 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 16 22 The service must ensure it provides a proper written response when formal complaints are received. This is to ensure peoples concerns are taken seriously and are properly addressed. 25/06/2010 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 29 Recruitment information should identify gaps in employment and the reason for gaps must be explained prior to staff commencing employment in the service. There should be a continuing programme of training events that address areas relevant to the people using the service e.g. more advanced dementia training and continuous updating of mandatory training. 2 30 Care Homes for Older People Page 8 of 9 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 Older People 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 Older People Page 9 of 9 - 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!