Inspection on 28/04/10 for Rosebank
Also see our care home review for Rosebank for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 28th April 2010.
CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Rosebank presented as a welcoming and comfortable environment and the people using the service appeared relaxed and comfortable in their home environment. During the inspection the proprietors and staff were observed to communicate and engage with the people using the service in a respectful and dignified manner. Assessment and care planning systems have been developed to ensure the personal, health and social care needs of prospective and current service users are identified and planned for. Service users are encouraged to maintain contact with family members and to play an active role in the running of the home. Likewise, service users are supported to participate in a range of in-house and community based activities in order to lead fulfilling lifestyles. Staff have access to a range of training including induction, health and safety and service specific training and receive direct support and supervision from the senior staff to ensure the people using the service receive appropriate care. The proprietors continue to utilise the services of an external consultant to undertake a programme of quality assurance. Internal monitoring systems have also been developed and are in the process of being implemented to review and develop the service in the best interest of service users. Comments received from service users regarding the standard of care provided were generally positive and included: "It`s nice here." "I like living at Rosebank." "The home is good." "I like that I can help out." "We get looked after OK." "The staff are kind." "I like the food." "I`ve been living at Rosebank for six years and I`m happy." "I`m happy with my room."
What has improved since the last inspection?
Since the last inspection the service has introduced a new e-learning system to enable staff to complete a range of training including the common induction standards.Medication Administration Records had been signed by staff following the administration of medication to confirm medication had been administered in accordance with the prescribed instructions. A system had been established to periodically monitor and record the temperature of hot water at several outlets. The check should be extended to all outlets (see the section entitled `What they could do better`). A new fire alarm system had been installed and the alarm system had been tested on a weekly basis and drills in fire evacuation had taken place every six months. Advocacy services had been introduced for some of the people living at Rosebank.
What the care home could do better:
A copy of the Statement of Purpose and information pack should be on display in the home at all times to ensure people have access to key information on the service. A Service User Guide should be developed as a matter of priority in a format suitable for the needs of the people living at Rosebank. Care plans should be signed by residents or their representatives (where practicable) to confirm they are in agreement with the content and plan of care. The range of risk assessments in place should be expanded to also address any identified person centred risks. The menu should be developed in an easy read format using large print and identify alternative choices for each sitting to ensure best practice. Health care records should at all times be accessible and available for inspection to verify that the health care needs of the people using the service are being met. An audit trail for medication received into Rosebank should be maintained to safeguard the welfare of the people using the service and to ensure appropriate records are maintained. A copy of guidance issued by the Royal Pharmaceutical Society of Great Britain should be obtained for staff to reference. Handwritten entries on Medication Administration Records (MAR) should be signed and countersigned to verify that each entry is as per the prescribed instructions and has been checked by another suitably trained member of staff. A resident identification system and a record of staff designated to administer medication together with sample signatures / initials should be established to ensure best practice. The complaints procedure for Rosebank should be put on display and updated to include information on the timescales for investigating and responding to complaints The proprietors should locate or obtain a copy of the Local Authority`s adult protection procedures and update internal safeguarding procedures to help staff understand how to refer incidents of abuse to the local authority. The easy read complaints poster for service users should be updated with the correct name and contact details of the regulator (The Care Quality Commission) to ensure people have access to up-to-date information. The absence of water temperature valves and radiator covers in some areas of the home should be risk assessed to safeguard the health and safety of the people using the service. The minor maintenance tasks raised with the proprietors during the visit should be rectified. The proprietor should ensure that staff do not commence employment at Rosebank until all the information required under the Care Home Regulations 2001 is received. This will ensure the welfare of the people using the service is safeguarded. A minimum of 50% of the staff should complete a National Vocational Qualification in Care at level 2 or equivalent to ensure National Training Targets are met. Care staff employed at Rosebank should complete the Learning Disability Awards Framework to ensure staff have the necessary skills, knowledge and experience for their roles. The policies and procedures in use at Rosebank should be reviewed to ensure staff have access to up-to-date guidance to ensure best practice. Health and Safety records should at all times be available for inspection as required under the Care Home Regulations 2001. Relatives and advocates should assist service users to complete monthly quality assurance forms to ensure the system is objective and balanced. The temperature of all hot water outlets should be checked and recorded on a monthly basis, to minimise the risk of scalding. Day staff should receive fire instruction training every six months and night staff every three months and records of all training dates and participants maintained to safeguard health and safety.