Inspection on 03/06/05 for Rockrose

This inspection was carried out on 3rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Rockrose 25/09/09

Rockrose 07/07/09

Rockrose 10/02/09

Rockrose 12/02/08

Rockrose 27/04/07

Rockrose 02/06/06

Rockrose 21/10/05

Rockrose 01/02/05

Rockrose 02/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rockrose 10 Kingsfield Road Herne Bay Kent CT6 7EA Lead Inspector Jenny McGookin Announced 03/06/05 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 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. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rockrose Address 10 Kingsfield Road, Herne Bay, Kent, CT6 7EA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01227 740549 Mr Soodeo Sawock and Miss Uyjayantimala Aubeeluck CRH 7 Category(ies) of Care Home for Older People - 7 registration, with number of places Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01 February 2005 Brief Description of the Service: Rockrose is a care home, registered to provide accommodation and personal care for 7 older people aged 65 years and over. Currently, 5 older people live in the home. It is owned and managed by Mr.Sawock and Miss Aubeeluck, who live on the first floor of the premises. They have been the registered owners / managers of this home since 1998. The Property is a detached chalet bungalow and is located in a quiet residential area of Broomfield. There is access to public transport close by, with local amenities being situated at a further distance. All the home’s bedrooms are single, ground floor rooms, with en-suite facilities. The communal areas provided consist of a lounge and, dining room/ sun lounge. There is an enclosed garden to the rear of the property. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which was the first visit by the new inspector to the home. The inspection process took just over eight and three quarter hours, and involved meetings with three residents (as a group over lunch and separately with one), two relatives (in one case after the inspection), two support staff (one of who was from an agency), and the registered owners / managers. Comment cards from five residents and four relatives / visitors were also taken into account. The inspection also involved an examination of records and documents and the selection of one resident’s case file, to track their care. And the visit was also used to check compliance with matters raised from the last inspection (January 2005). Six bedrooms were inspected for compliance with the National Minimum Standards, and the inspector also checked some communal areas. Interactions between staff and residents were observed throughout the day. What the service does well: What has improved since the last inspection? What they could do better: Some matters are raised for attention in respect of the Statement of Purpose, Service Users’ Guide and contract, to obtain compliance with the national Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 6 minimum standards or current legislation. Some matters are also raised in respect of bedrooms. The challenge will be to demonstrate the active participation of all interested parties, most notably the resident, and care planning documentation needs to better reflect the practical steps required to address those individual needs. The home will need to demonstrate that not only do residents and other interested parties know how to make complaints but are actively assisted to do so i.e. though independent advocacy services. 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. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 5 1. Not all the documentary information necessary for potential residents to make an informed choice is available. 2. There is a contract governing each placement, though some matters are raised for attention in respect of its content 3. There is a systematic preadmission assessment format to ensure a consistent approach 5. The admission process includes an invitation to visit the premises, taste the food and stay for trial stays 6. This home does not provide intermediate care. EVIDENCE: Matters raised for attention by the last inspection in respect of the Statement of Purpose had been attended to, and this document is now generally compliant with the provisions of the National Minimum Standard. Some recommendations are made to further improve the document. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 9 Some matters are, however, raised for attention in respect of the Service Users’ Guide, and placement contract to obtain full compliance with the National Minimum Standard. No other languages or formats are currently warranted. Feedback on the day of this inspection indicated that the decision to apply to this home was influenced more by its locality (i.e. close to where the resident or relatives lived) and personal recommendation - than by any public information produced by the home itself. The proprietors said that vacancies are advertised in a local leaflet “Daily Doings” – as they feel this gets a better response than local papers. Enquiries tend to come directly from prospective residents of their relatives and they are invited to visit, view the home, stay for lunch or tea or even to have a trial stay. If all parties agree, the proprietors carry out an assessment of the prospective resident in their current setting – home or hospital. There is a standard assessment form to ensure a consistent approach. The placement contract confirms the proprietors’ advice that there is a month’s trial stay, during which time the initial assessment is reviewed on a day-to day basis. A care plan is set up during the first month, following a meeting with the resident or their relatives. This is reviewed monthly. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 7. The assessment and care planning processes cover health and personal care needs, as well as some social care needs 8. The home is served by a range of healthcare professionals as appropriate, but has problems accessing dental services. There are adequate facilities for privacy. 9. The home has access to The Royal Pharmaceutical Guidelines on medication and each individual’s capacity to self administer is subject to risk assessment. 10. Observed interactions between staff and residents were respectful during this inspection. EVIDENCE: The format of the care plan, which follows on from the preadmission assessment is clearly designed to address the health and social care needs of the residents. Less clear, however, was the extent to which residents or their relatives / representatives were actively engaged in this process, and how the home established the resident’s own perspective and any unmet needs. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 11 There was clearly an overwhelming physical care bias in care plan objectives, and the resident’s file selected for case tracking showed no changes other than in respect of medication administration arrangements. The challenge will be to demonstrate the active participation of all interested parties, most notably the resident, and care planning documentation needs to better reflect the practical steps required to address those individual needs. The home has access to a range of healthcare professionals and residents must be registered with a GP as a condition of their admission. The proprietors said there were difficulties accessing dental services, but district nurses and Occupational Therapists can be accessed via GPs. The home has had CPN input, and chiropodists visit every 4-5 weeks or as and when required. Residents would have to fund any alternative therapies themselves. Each bedroom is single occupancy, so that examinations and treatments can be given in privacy. Each bedroom has an en-suite WC and hand-wash basin, so their privacy and availability is assured, but commodes are routinely used at night in case of falls. The bath has a shower attachment, so that residents have some choice, and the bath has a dedicated hoist. All five residents confirmed that their privacy was respected, and four said they felt well cared for. One other said she only felt this sometimes and this is attributed to an issue causing misunderstanding with one of the proprietors, which was resolved during the inspection. Feedback from five relatives / visitors invariably confirmed they were satisfied with the overall care provided The home uses the Royal Pharmaceutical Society Guidance on the administration and storage of medication, and records showed that one resident was briefly assessed able to manage their own medication. An examination of medication administration records for three residents showed compliance with required standards for record keeping. One minor matter was raised for attention. Practice and competencies were not further assessed on this occasion. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 12. Residents are generally content with their lifestyles in this home, and the home has been able to match their expectations. This home offers a limited range of activities inside and outside the home, and records individuals’ activities 13. There are open visiting arrangements, and the home is reasonably well placed for access to local shopping outlets and transport links. 14. There is choice and control over most aspects of daily routines. 15. Meals are well prepared and presented, and staff are readily available to assist residents. Mealtimes are unhurried and the setting is congenial. EVIDENCE: The home keeps a “Therapy Book” as a diary of activities and visitors. This showed a range of activities, inside and outside the home. Entries were read from June 2004 till June 2005, and there were discussions with the residents, their relatives and staff. Residents can choose when to go to bed or get up, and what to do during the day, but tend in practice to have their own fairly set routines. Three residents, for example, have a daily routine in the afternoons, which involves watching Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 13 television or sitting in the conservatory, listening to music, reading or chatting. Another prefers her own company and does not like to socialise. The home organises occasional outings (e.g. a group picnic and one resident was taken to a garden centre for a cup of tea and ice cream) or walks; quiz games, music and dance / exercise sessions; table-top games (dominoes, snakes and ladders, puzzles, crosswords). On one occasion an entertainer visited. This home has an open visiting policy and this was confirmed by two relatives. The records show regular visits by relatives and these often involve the resident or a couple of residents being taken out. Each room has a telephone point, though the installation of private telephone lines would be at the residents’ own expense. One resident has done so. There is also a cordless communal phone, which can be taken into the privacy of bedrooms. There is no charge for its use. Religious preferences are identified as part of the initial assessment and care planning process. Although a Church of England vicar is said to visit the home occasionally, there has not been much interest from the residents. In terms of managing finances, the situation is as reported at the last inspection. No monies are held on behalf of residents – an arrangement has been reached with family members that residents would have access to a small personal allowance. The inspector joined the residents for lunch. The meal was well prepared and presented and, with one exception (due to an unrelated misunderstanding, which was resolved) the residents clearly enjoyed what they were presented with. The member of staff was attentive and the dining area was well decorated and maintained, and provided a congenial setting. Adapted cutlery and crockery are not currently warranted. The proprietors have dispensed with four-week menu rotas, and are catering on a daily basis. Records are kept of the main meals, but not of breakfast or snack options. This is required. Every day except weekends, one of the proprietors has lunch with the residents, to socialise with them and observe their input / appetite. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 16. Residents and relatives said they knew who to tell if they were unhappy about any aspect of the care they were receiving, and there is a complaints procedure readily available, though iy requires amendment. EVIDENCE: The home has a complaints procedure, which is detailed in its contract and is being redrafted, for inclusion in its Statement of Purpose and Service Users’ Guide. However, the contract version refers to outdated legislation and all versions need to be checked / amended to advise the complanants that they can contact the CSCI at any stage if that is their preference. All five residents said they knew who to talk to if they had any complaints, and only one of the four relatives was unaware of the home’s complaints procedure. All four relatives said they had not had any cause to make a complaint. The home keeps a hardback book as its complaints register, but there is no format for recording complaints to ensure a consistent approach, and there were no complaints registered. Daily records indicated a number of issues raised by one resident, which could usefully have been processed through the complaints procedure to show how they had been effectively managed resolved. On the day of the inspection, the homes’ ability to manage one resident’s anxiety over an issue was demonstrated with discretion and respect. All five residents said they felt safe at this home, but this standard was not otherwise inspected. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 25, 26 19. The layout of this home is generally suitable for its stated purpose. 20. Residents have a choice of communal areas, and furnishings tend to be domestic in character. There are homely touches throughout. 21. Each bedroom has an ensuite WC and wash basin, so that their availability and privacy is assured. A communal bath and WC facility are accessible to communal areas. 23. All the bedrooms are spacious and single occupancy. Each bedroom is reasonably personalised, and bedroom doors have standard locks, which should be replaced with double acting locks so that staff can access the bedrooms in an emergency. Portable cash tins need to be secured against a firm surface or replaced by more secure facilities. 25. Spot checks of maintenance records indicated that they were up to date and that there were no outstanding urgent matters 26. The home is well maintained, clean and, with the exception of one bedroom, free of offensive odours. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 16 EVIDENCE: General Findings All areas of the home inspected were found to be homely, comfortable and clean – though one bedroom will require better continence management. The furniture tends to be domestic in style and there were homely touches throughout. All the radiators have guards as a precaution against the risk of accident. All bedrooms, bathroom, WC and communal areas have accessible call bells. The rear garden area provides a pleasant and generally private area to walk or sit in, although one section of the fence was undergoing replacement. The home has a “No Smoking” policy, which is clearly stated in the contract. Communal areas There is a lounge and conservatory, with a ramp and handrail to the rear garden. Each area has a TV and either a radio or video so that residents have a choice, and there was a range of seating, to meet residents’ individual needs and preferences. There is also a dining area, with tables arranged to enable residents to sit as a group or alone. One dining room chair had arms for support. The kitchen was clean and generally well maintained, though some areas of the terra cotta tiled floor were discoloured (despite being mopped every day) and there were some pieces of chipped crockery in need of disposal. Communal WC / bathroom This is sited on the ground floor and has an integral shower attachment so that residents have a choice, plus a hoist and grab rails. There is also a dedicated WC for staff, which was very clean but one crack in wall requires attention. Bedrooms With one exception, all the bedrooms were inspected and found to be personalised and well maintained. One was in need of better continence management, and the wall in one bedroom was scuffed and in need of redecoration. In terms of their furniture and fittings, the bedrooms were generally compliant with the provisions of the National Minimum Standards. Each bedroom door can be locked, although only one resident chooses to do so. However, all the locks are standard which would make it difficult to access the rooms if the keys were left in. Records show that this had occurred on several occasions. One resident has a lockable drawer and the rest have been provided with lockable cash tins, but these are easily portable. These tins need to be secured against a firm immoveable surface or replaced by more secure facilities. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 17 Each bedroom has a telephone point for private landline, though this would be at the resident’s own expense. Every bedroom also has a TV point – though the provision of personal TVs is also at the resident’s own expense. Each bedroom has an en-suite WC and hand-basin. This clearly ensures these facilities are readily accessible to them and that privacy is assured. All bedroom doors have magnetic door closers linked to the fire alarm system, so that they will slam shut when the fire alarm is activated. The bedrooms are linked with a call bell system, which can only be reset at source. The inspector was shown an assessment of the premises by an Occupational Therapist in July 2003, which noted that doorways were adequate for use by attendant controlled wheelchairs and communal areas were spacious enough to accommodate walking aids. The Occupational Therapist recommended the Installation of a handrail on a ramp and grab rails in the communal bathroom, and these were in place. The Occupational Therapist also recommended the installation of toilet frames in the en suites, but the proprietors have decided that residents should use commodes overnight, as a precaution against the risk of falls rather than toilet frames. They have also decided that the provision of a Loop system for the hearing impaired is not currently warranted. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 27. Staffing rotas confirmed the staffing levels as described on the day of this inspection. 28. The proprietors are involved in direct care. Both have had a range of health and safety related training, and one has also had training in adult protection. 29. The proprietors have a recruitment policy, which selects individuals with relevant accreditation. EVIDENCE: Both proprietors live on site (on the first floor of this property) and both featured in the staffing rotas supplied for May 2005 every day either as the sole carers or assisted by another e.g. to free one of the proprietors up. One carer, for example, who is NVQ level 3 accredited, works 3 days a week from 8am till 1pm or 2pm. An agency student nurse then works at this home on the other 2 weekdays, from 8am till 5pm or 6pm A third carer works on weekends from 8am till 2pm and is a BSC OT / Social carer in her 2nd year. The two proprietors are then on duty again from 2pm till 8am. When asked, all the relatives agreed that there were, in their opinion, always sufficient staff on duty. There is also a handyman who works from 9.30am till 12.30 every weekday, though he was on annual leave at the time of this inspection. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 19 Records confirm that the recruitment process was generally systematic – but there were gaps and the records were kept loose leaf in pocket files, and liable to loss or disarray. The home’s recruitment practice requires two references (though one was missing from one file checked); a health declaration; Equal Opportunities monitoring information and a formal interview (though the record of one interview was not in file). The files did confirm that satisfactory Enhanced CRB checks were carried out, and that a contract is issued in each case. One file included an induction programme, which addressed a range of personnel and care principles as well as health and safety related issues (e.g. manual handling, fire safety, and health and safety). However, the other two checked, did not. And only one personnel file included evidence of training following recruitment, though the other two had already obtained accreditation before their recruitment. One member of staff confirmed that she had regular supervision sessions every six weeks. One other was from an agency and not subject, therefore to the same arrangements for supervision. See section on “Management and Administration” for details on the proprietors’ experience and training. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 31. The home has been owned and managed by the current owners since 1998, and staff, residents and relatives are generally very satisfied with the way the home is managed. 32. Feedback, maintenance records and observation confirmed that the health, safety and welfare of the residents were central to the organisation of this home. EVIDENCE: One of the proprietors is a retired SRN – and has not renewed his PIN number. Records confirm that since 2001 his qualifications have been enhanced by specific training on fire safety, basic food Hygiene and nutrition awareness; health and safety; safer moving and handling; infection control (with special reference to working with older people). He is also trained as the home’s Appointed Person for 1st Aid. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 21 The other proprietor is an RGN and is expecting to finish her Registered Managers Award in September. Over he past two years she has augmented her qualifications with a range of relevant training over the past two years: Quality Assurance; Adult Protection Awareness; Fire Prevention; training to meet the underpinning knowledge of NVQ Management Level 4; Caring for the Terminally Ill; Staff supervision in social care and Supervision and Appraisal for Managers. She also has a Foundation Certificate in Food Hygiene. The fact both proprietors live on site and are actively involved in the day-today care of the residents means that there is a shared and visible line of accountability; and staff, residents and relatives always know who to talk to. The arrangements for managing residents’ finances were not inspected on this occasion, as families and other parties outside the home’s control have responsibility for this. Records confirm that periodic assessments of the premises by suitably qualified officers have been arranged e.g. the fire safety officers (March 2004), and an Occupational Therapist (July 2003), to ensure the home maintains its capacity to meet the needs of the residents and to ensure compliance with health and safety standards. Spot checks of maintenance records indicated that they were up to date and that there were no outstanding urgent matters. See section on Environment. Five residents completed comment cards which indicated a generally high level of satisfaction with their care; the way they were treated by staff, activities and food.. They all said they felt safe there and knew who to talk to if they were unhappy with their care. None wanted to be more involved in decision making within the home. The relatives were equally satisfied. They said they could visit at any time and were always made welcome. They said they were kept informed of any matters affecting the relatives and were consulted appropriately. Although one was not aware of the home’s complaints procedure, they all said they had never had caused to make a complaint Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 1 x x 3 3 x x x 2 x 3 Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 23 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 OP1 Regulation 5 Requirement Timescale for action 31 08 05 2. OP2 5& Schedule 4 Service Users Guide. The following elements need to be included, to obtain full compliance with the NMS: a standard form of contract or information on how to access the placement contract; information on how to access the latest inspection report; a copy of the homes complaints procedure; a selection of service users views; contact details for the local social services department and healthcare authorities; and the reference to the NCSC needs to be updated to the CSCI Placement Contract. The 31 08 05 following matters are raised for attention: the format of the contract must include the room number; references to legislation require updating; references to the previous registration authority require updating; the section on complaints needs to make it clear that complainants can contact the CSCI at any stage if that is their preference; the insurance cover arrangements need to be specific. Version 1.30 Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Page 24 3. OP16 22 Complaints Procedure. Any references to legislation need to be checked for their currency. each version needs to be amended to advise the complainants that they can contact the CSCi at any stage if that is their preference. See also recommendations in respect of format 31 08 05 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 OP1 Good Practice Recommendations The Statement of Purpose would benefit by statements outlining who would or would not be eligible to apply to the home; by a statement outlining the day-to-day staffing arrangements; a description of local religious resources; the arrangements for making / receiving telephone calls or mail; inclusion of the homes complaints and fire action procedures The Statement of Purpose and Service Users’ Guide should show issue dates so that their currency can be judged. The challenge will be to demonstrate the active participation of all interested parties, most notably the resident, and care planning documentation needs to better reflect the practical steps required to address those individual needs. The allergies section on Medication Administration Records (MAR) sheets be filled in or marked as not known / not applicable7 The hardback book used as the homes complaints register should have a pre-set format for recording complaints to ensure a consistent approach. The home will need to demonstrate that not only do residents and other interested parties know how to make complaints but are actively assisted to do so i.e. though independent advocacy services. Bedrooms. The following matters are raised for attention: One bedroom will require better continence management; standard locks on bedroom doors should be replaced with double acting locks so that staff can access the bedrooms H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 25 2. 3. OP1 OP7 4. 5. 6. OP9 OP16 OP16 7. OP23 Rockrose in an emergency; portable cash tins need to be secured against a firm surface or replaced by more secure facilities; one bedroom wall was scuffed and should be redecorated. 8. Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 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 Rockrose H56-H05 S23526 Rockrose V223864 030605 Stage 4.doc Version 1.30 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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