Inspection on 17/01/08 for Rosewood Care Home

This is the latest available inspection report for this service, carried out on 17th January 2008.

CSCI found this care home to be providing an Good 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.

Other inspections for this house

Rosewood Care Home 19/07/06

Rosewood Care Home 11/10/05

Rosewood Care Home 19/04/05

Rosewood Care Home 07/12/04

Rosewood Care Home 14/09/04

Rosewood Care Home 30/01/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rosewood Care Home 131a Swift Road Woolston Southampton Hampshire SO19 9ES Lead Inspector Richard Slimm Unannounced Inspection 17th 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 Rosewood Care Home DS0000011616.V358232.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. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Care Home Address 131a Swift Road Woolston Southampton Hampshire SO19 9ES 023 8068 5224 023 8068 5224 mycarehomes@btconnect.com 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) Moors Park (Bishopsteignton) Ltd Mrs Nicole Ann Summers Care Home 26 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) 2. Dementia (DE). The maximum number of service users to be accommodated is 26. Date of last inspection 31st July 2007 Brief Description of the Service: Rosewood is a care home for up to twenty-six older people and is situated in Swift Road, Woolston, almost a mile from the local shops and about the same distance from the Southampton Weston Shore. The home aims to provide quality services to older persons and people suffering from age related mental health problems. Accommodation for residents is provided on the ground floor that has shared WC facilities with additional new ground floor bedrooms with en-suite facilities. The home is currently undergoing major development to increase the number of single bedrooms with en suite WCs, a new kitchen and other communal facilities. The works are extensive and are being carried out while people are still being accommodated, consequently the works are being phased in, in order to minimise disruption as far as possible. One major implication of the works is that the gardens and exterior area of the home are temporarily off limits, as access is restricted whilst the building works are in progress. The access road and front parking area are pot holed and will be improved as part of the works. The interior of the home is fully accessible with all rooms and facilities sited on the ground floor. The new rooms and facilities are of a good specification offering a valuing environment to people living at the home. The owners are clearly making significant investment into the property and intend to provide a home that is purpose designed for older people with age related mental health problems. Weekly fees are from £395.00 to £500.00 with additional and varying charges for hairdressing and chiropody. Rosewood Care Home DS0000011616.V358232.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 stars. This means the people who use this service experience good quality outcomes. This site visit formed part of the key inspection process and was carried out by Richard Slimm, regulatory inspector. The information used to write this report was gained from the homes Annual Quality Assurance Assessment; a visit to the service, that included interviews with people visiting the home and a review of comment cards received from 4 relatives and 5 people using the service as well as an interview with a visiting health and social care professional. Other information was gathered from the service’s history of events, previous inspection reports, direct observations and conversations with people living in the home, the staff including the management and an analysis of information supplied to and recorded by the link inspector. The findings of the inspection were discussed as they arose with the registered manager who assisted throughout the inspection process and at the end of the day. What the service does well: The owners of this service are making significant investments into the improvement of the fabric and design/layout of the building that should ensure a future good quality physical provision and a valuing environment for people using the home. There was evidence of a happy, cohesive staff team that is well supported by management. Residents spoke highly of the staff. The level of training was of an adequate standard, and staff interviewed were able to demonstrate a knowledge of the people they supported and cared for on a daily basis. Residents themselves also confirmed this. New care planning systems have been put in place since May 2007 and these systems are still developing, ensuring that the needs of people living in the home are supported and met. The home provides regular structured activities and employ external support including a weekly visit from one company and monthly visits from a keyboard player who attends the home to entertain residents. Staff members were also observed spending quality time with residents during the site visit. Meals are Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 6 served in a dining room with fully laid tables and staff waiting discreetly at table offering support where needed. Comments in surveys from family / friends included – “My parents have been in Rosewood for ……….. and already I can see an improvement in my mother’s physical and mental state. It’s a very pleasant atmosphere with caring staff. They listen and talk and have consideration for my parents different needs” “ In my opinion my friend is well cared for, and has been for ……….. years.” “From what I have seen from weekly visits they do look after their residents well.” “The home is undergoing major structural improvements and the staff are generally very caring in a friendly way.” “Very impressed so far.” “They do a difficult job very well.” “ The staff members at Rosewood are always cheerful and friendly. My mother in law is very contented and says she has never heard a cross word from any of the staff. They treat those in their care with dignity.” “Work is ongoing to improve facilities. I am sure that once these works are completed everyone will benefit.” “ The home provides a caring, homely and safe environment, catering for individuals needs in clean, pleasant and spacious accommodation. I wish to add that the manager is a genuinely caring, compassionate individual, instilling confidence and reassurance with both residents and relatives.” People using the service all returned positive responses to the survey, comments made included – “I was able to visit the home with my daughter before making a decision about moving to the home. The manager supported this.” “I initially came for respite for a month.” “Following a short stay I decided to move in as I was lonely and there were times I was frightened when I lived alone.” “ I was able to make an informed choice about moving in.” “ I like the home, the staff are very good.” “We could do with a chef, as the food varies subject to who is cooking currently.” “The food is always good.” Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 7 “I don’t like having to share my toilet, but I understand all rooms are going to be single with en-suites soon.” “They look after us very well, I’ve never heard a cross word, it’s a lovely atmosphere.” Feedback from a member of the local community healthcare team, external to the home, indicated that historically there had been times when things have not been reported as quickly as they could have, but this appears to have improved since the new manager has taken over. What has improved since the last inspection? What they could do better: There was evidence that recording at the home varied in content and quality. This indicated that some staff members would benefit from further training in care planning for people with dementia and what and how to record in daily records. There was also evidence that monthly reviews need to capture more accurately the outcomes in quality of life for people living at the home, especially those people with confusion and/or limited communication skills. Improvements in this area would enable the managers to identify any areas where the service needs improvement based on the needs and wishes of the people living at the home, and will also ensure that managers are responsive to changing needs and act to put in place the necessary resources to maintain standards of care and support, especially at a time of significant change and increasing resident numbers. The providers need to ensure that at least 50 of staff members are trained to the national bench mark of National Vocational Qualifications (NVQ) at level 2. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 8 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. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 9 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 Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No service user moved into the home without having had his/her needs and wishes assessed, and been assured that these will be met. EVIDENCE: Admissions are not made to the home until a full needs assessment has been undertaken. All new residents including people who are self-funding and without a care management assessment, are assessed by a skilled and experienced member of staff. The assessment is conducted professionally and sensitively and involves the individual and their family or representative, where appropriate. Where the assessment has been undertaken through care management arrangements the service insists on receiving a summary of the assessment and a copy of the care plan, so that it is ensured that the needs of people moving into the home can be met. The manager was doing an assessment at a local hospital at the time of us arriving at the home. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 11 Two residents recently admitted confirmed they were able to choose to come to the home, and had been involved in telling the manager about themselves and their needs. The manager explained that where people are very confused or have other communication difficulties the home asks relatives and/or friends to provide relevant information for assessment purposes. Some residents told us they had been to the home for short stays and respite support, and as a result had chosen to move in as permanent residents. There is a clear admission policy and a procedure. There was documentary evidence of assessments being carried out by trained, competent staff. A sample of case records tracked found contracts from the organisation and where appropriate other agencies involved in commissioning the service. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, social and personal care needs of people are set out in a personal plan of care and support. These plans are based on information gathered via assessments carried out with the people concerned, informing the delivery of care and support to service users and ensuring that their care needs are met. Plans of care need to be more person centred. Arrangements are in place to ensure peoples health care needs are identified and met. Where appropriate, people may self medicate. Where staff members support people with their medicines, staff members are trained and there are policies and procedures that provide guidance as to how people are to be protected and safeguarded. People feel they are treated with dignity and respect, and their rights to privacy are respected. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 13 EVIDENCE: We case tracked a sample of four of the sixteen people living at the home. The home has introduced a new care-planning format in May 2007, and this is still being implemented to some extent. It was noted that the quality of daily recording varied and some recording was found to include comments that were not specifically relevant to the needs of some people. However, some daily notes were of a good quality and explained what had happened to the person during the day/night and what actions staff had taken etc. While it was evident that staff members try to adopt a person centred approach, in practice, this was not always evident in the quality of the plan of care due to some less detailed recording and insufficient focus on quality of life outcomes being monitored via monthly reviews. It was noted that as the home only has sixteen people currently the manager keeps a close eye on the staff interventions and inputs, and sees all of the people living in the home regularly, but as the home admits more people this will become more difficult to achieve without good quality assurance systems such as good quality daily notes and reviews that clearly identify the outcomes for people living in the home. Current care planning takes account of health care needs, and action is taken to monitor people’s needs and gain access to external support where needed. Staff members follow the guidance of external professionals and it was confirmed by a visiting professional that this is improving at the home. People living at the home that were spoken to confirmed that they could access their GPs on request and also get support from other services relevant to their needs. The home has a monitored dosage system for the administration of medicines and people’s drugs. These are stored in a lockable drug trolley that is secured to a wall when not in use. Medicines are usually given out just after mealtimes, unless prescriptions suggest otherwise. Staff members are provided with training and with clear recording systems to log when medicines have been given, and staff members observe more forgetful residents taking their medications. The home has policies and procedures in place with regard to the management of medicines in a care home that are based around the guidance provided by the Royal Pharmaceutical Society. The manager was reminded of the need to ensure that all medications, including creams are kept safely when not in use. The manager took action immediately to remedy this issue. People spoken to said they felt respected and were well treated by the staff team who supported them. There was one communal bathroom lock that Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 14 needed to be repaired or replaced. The manager explained that this matter would be dealt with immediately in order to ensure resident privacy is promoted and protected at all times. Staff members were observed to treat people with dignity and in an age appropriate manner. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. People maintain contact with family/ friends/ representatives and the local community as they wish. People are helped, encouraged and supported to exercise choice and control over their lives. People receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: People have full freedom of movement about their home, but currently the outside areas are restricted due to the ongoing building works. People did not mind this and understood the need for care in accessing outside areas where builders are working. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 16 The home makes arrangements for regular weekly activities to be provided by an external company. These activities are varied and have a different theme each week based on the identified wishes of the people attending the activity sessions. People spoken to said they enjoyed the activities that were arranged at the home and looked forward to these sessions. The home also arranges for a keyboard player to come to the home every month to play music to the residents on the home’s organ. Once more people confirmed that they enjoyed these occasional singsongs. Staff members were observed to engage with people regularly in an informal way spending quality time with the residents chatting, singing and dancing. One resident was doing a crossword, and others were observed chatting together in a friendly relaxed manner. The lunchtime meal was also another opportunity for people to get together and chat while they ate their meal. Staff members confirmed that they were able to spend time with the residents and that the manager expected them to do this as part of their role working in the home. The home employs separate staff to carry out domestic and cleaning type tasks. We spoke to a visitor to the home who confirmed she was always made to feel welcome, and could call in at any reasonable time to see her friend. We also received positive feedback from a number of relatives and friends who returned surveys to us. People living at the home confirmed that they were supported and encouraged to maintain links with the community, and one person explained that she still keeps close links with her church attending regular meetings outside of the home. The home makes arrangements for church services to be held at the home for those people who prefer this and who cannot journey out to their churches any longer. Other people living at the home of different faiths also choose to attend these services. People said they could choose where they eat their meals, what time they got up and went to bed and when they had a bath/shower. Each resident has been encouraged and supported to personalise their own rooms and people are consulted about colour schemes when decoration is due. People were generally positive about the quality of food provided, but one person did say the home needs a chef, as the quality of food did sometime vary dependent on who was cooking. The manager confirmed that a new cook has been appointed and will take up post subject to the necessary checks that are being carried out. In addition to this the next phase of building is going to include the provision of a new kitchen that should be up and running within the next 4 to 6 months. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. People are safeguarded and protected form abuse. EVIDENCE: There had been no complaints received at the home in the past 12 months. The home’s complaints procedure is prominently displayed in the entrance lobby to the home. Friends and relatives said they knew who to speak to if they had any concerns. People confirmed that the manager was approachable and would listen to any concerns. The home’s service user guide provides clear guidance as to how to make a complaint. All people living at the home have access to this document. People said they did not have any concerns or complaints but felt if they did they would speak to the manager and the matter would be dealt with. The manager has trained as a trainer in safeguarding and is able to cascade accredited adult protection training to her staff team. Staff members were able to demonstrate an awareness of what to do in the event of identifying any safeguarding issue, and were aware of the whistle blowing procedures relevant to the service and the care industry. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 18 People said they felt safe living at the home and confident in the staff team. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, well-maintained environment. The home is clean and hygienic, protecting people from the risk of infection and providing them with a pleasant environment. EVIDENCE: As identified above the home is benefiting from a period of significant investment into the ongoing development and design of the environment of the service. The works are ongoing and safety is being maintained by carrying out the works in separate phases. This also enables existing residents to remain accommodated and reduces disruption to people living at the home. The works that have already been carried out and registered with us are of a good specification and quality. The home’s interior is well presented, clean and homely, and provides a valuing environment for the people living at the home. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 20 The people living at Rosewood said they were very happy with their environment, and two people said they were extremely happy with their bedrooms, that were spacious and had good en-suite facilities. Whilst it is clear that there is inevitably some disruption due to the works, and some restrictions to going outside at present, the manager assured us this was being kept to a minimum and that people were being consulted and kept up to date with developments. The owners plan to provide a linked corridor around the home so as people will be able to walk unhindered around their home, and have access to safe outside areas and courtyard style sensory gardens. The home employs specific domestic cleaning staff members who keep the home clean and tidy. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff meets service users’ needs. Some staff members need further training in such areas as recording, reviewing and NVQ level 2 training. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff training in NVQ level 2 needs to be improved to meet the 50 national target aimed at ensuring care staff are trained and competent to do their jobs. EVIDENCE: The home currently accommodates 16 people but is registered for up to 26 persons following a recent variation and the building of an extension. At the time of the visit staffing levels were sufficient for the number and needs of people living at the home. However, as more people are admitted to the new rooms additional staff members will need to be employed in order to maintain the quality of the service being provided. The manager is aware of this issue and is actively engaged in recruiting additional staff. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 22 Four staff members were interviewed; one who has worked at the home for about 4 months and only just recently completed her induction. This staff member confirmed the content and quality of the induction programme that is based on Skills for Care guidance and national occupational standards. Other care staff said they were keen to undertake their NVQ training, and the manager and owners will need to take action regarding this commitment to improve skills. Currently there is only 35 of staff trained to the national minimum standard of NVQ level 2. This means that an additional 15 must be trained as a matter of some urgency for the home to meet the standard. More senior staff are trained. There was some evidence that staff members would benefit from training input in the area of recording daily records with people using the service and there is a need to improve the quality of service user outcome monitoring via monthly reviews. On a more positive note staff members have been trained in safeguarding, and many have benefited from specific dementia care training recently. In addition we are advised that there have been improvements to staff core skills training in the areas of first aid; food hygiene; manual handling and moving; fire and health and safety. The staff group provided a good mix of ages, skills and experience, and people using the service spoke highly of the staff who supported them. Residents said the staff are always ready and willing to help, are cheerful and well motivated. Staff said they felt supported by the manager and get regular support and supervision. The home has clear recruitment policies and procedures that provide clear guidance as to the home’s duties and responsibilities in the area of staff selection, recruitment and staff checks. From discussion in respect of the recently appointed chef, and from relevant records it was evident that the manager would not start any employee until the necessary checks were completed to the necessary level of clearance. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 23 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People 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. The home is run in the best interests of service users. Peoples’ financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered manager has many years experience of working in the care industry. She is registered with us, and has the NVQ level 4 as well as the registered managers award (RMA). Feedback from stakeholders external to the service was positive in respect of the management of the home, and the approachability of the manager herself. Residents also spoke highly of the manager and felt able to approach her with any issues or concerns. There was evidence that people were consulted informally in many ways about the running of their home, and there are increasing forums developing to formalise this involvement and consultation of the people living at the home via such events as service user meetings, and quality surveys. Staff members interviewed felt the manager supported them in their role. Arrangements are in place for more vulnerable people to ensure their financial interests are looked after safely and externally to the home. Some people have legal arrangements in place via such offices as the Court of Protection, appointees and / or relatives with power of attorney. People said they could access any money they may need easily at the home. The home’s annual quality assurance declaration informs us that all necessary check and servicing takes place to promote and protect the health and safety of residents, staff and visitors to the home. There was also evidence observed of good practice in the area of health and safety, and staff confirmed they are provided with training and resources that promote safe practices at the home. Rosewood Care Home DS0000011616.V358232.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 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 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 OP30 Regulation 18 Requirement The registered person must ensure that at least 50 of care staff members are trained to NVQ level 2 as a minimum standard. Timescale for action 18/01/09 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. Refer to Standard OP7 Good Practice Recommendations It is recommended that staff receive additional training in respect of daily records – this training should explore what, when and why records are kept. Records should capture interventions and quality of life outcomes for people. The quality of monthly reviews needs to be improved and this will be dependent on the improved quality of daily notes recorded in care plans. Reviews must capture specific outcomes for people such as GP/nurse visits; activities attended; outings from the home; holidays away from the home; visits to the home by friends/relatives; any behavioural issues; general health and wellbeing; periodic appointments to dentist, opticians, audiologists etc. This is not an exhaustive list but begins to DS0000011616.V358232.R01.S.doc Version 5.2 Page 27 Rosewood Care Home identify the sort of things that needs to be picked up at monthly reviews and recorded. Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone 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 Rosewood Care Home DS0000011616.V358232.R01.S.doc Version 5.2 Page 29 - 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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