Inspection on 22/11/05 for Rose Bank Care Home

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rose Bank Care Home 06/09/07

Rose Bank Care Home 03/10/06

Rose Bank Care Home 11/05/05

Rose Bank Care Home 07/09/04

Rose Bank Care Home 17/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rose Bank Care Home 48 Station Road Scholes Leeds West Yorkshire LS15 4BT Lead Inspector Paul Newman Unannounced Inspection 22nd November 2005 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 Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 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. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rose Bank Care Home Address 48 Station Road Scholes Leeds West Yorkshire LS15 4BT 0113 265 0027 0113 2650027 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) Mr Franklin Ronald Brown Mrs Lorna May Brown Mrs Lorna Brown Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The home is situated north of Leeds and is a large house with three single and one double bedroom on the ground floor, and six single and one double room on the first floor. Access to the first floor is by means of a stair lift for people unable to manage the stairs. Prospective residents need to have a mobility risk assessment done prior to admission to ensure they would be safe on the stairs. There is a call system throughout the home. People are welcome to bring their own furniture and possessions with them if this is their choice. Nursing care is not provided by the staff at the home but they are supported by the local healthcare teams including GPs, community nurses and if required specialist services. There are plans to extend the home in the future to improve accommodation and offer more space. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 11 May 2005. There have been no further inspections until this unannounced visit. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. The purpose of this inspection was to gain an overview of the care, services and facilities provided and also to assess progress in the way the home is dealing with any issues that were raised in the last inspection report. Over the two inspections this year, all of the key standards identified in this report have been inspected at least once. During the inspection records were looked at, some parts of the home were seen, such as bedrooms, lounges and bathrooms; care staff were seen carrying out their work; conversations were held with the manager, three members of staff, a training coordinator from an external company and six residents. Survey cards were left at the home for residents, relatives or visitors to complete and return to the Commission for Social Care Inspection (CSCI). These cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of those who replied. The inspection started at 9.30 and lasted for four hours, in addition time was spent preparing for the inspection. What the service does well: What has improved since the last inspection? There has been no staff turnover since the last inspection and morale has improved. Staff meetings are being held regularly and changes to the way the teams operate have been welcomed by the staff, who feel that there is a good spirit. Job descriptions for senior care and other care assistants have been updated. Carpets throughout the building have been industrially cleaned. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 6 What they could do better: 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. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 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 the following standard(s): 3 and 5. Standard 6 is not applicable to this home. The admission process is good and includes introductory visits where possible, enabling people to make a informed choice about the home. Residents’ needs are properly assessed prior to their admission to the home, making sure that their needs will be met. EVIDENCE: The standards inspected during this inspection previously met requirements and continue to do so. Two care plans were seen and both files contained clear pre-admission assessments that had been carried out by either the manager or deputy manager. The information was clear and a formal care plan could be drawn up that should accurately identify residents’ needs. The home has a good admissions policy that includes introductory visits and the residents spoken with said that they had been happy for their relatives to visit the home to make sure that it was suitable for them. They said that it was the homeliness that had been one of the major factors in them making the decision to live there. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7, 8, 9, 10 and 11. Care plans provide staff with clear, and up to date information and guidance to follow. Health care needs are identified and monitored with good support from local health care services. Medication procedures and practices are safe. Staff are aware of residents’ needs and treat residents with dignity and respect. As a result the healthcare needs of residents are met. EVIDENCE: Two care plans were seen. These provided staff with clear information about the care needs of individual residents and guidance about the way to deliver the care. The plans are evaluated each month and changes are recorded. In one case communication needs had been clearly identified and the reviews reported improvement. There was good monitoring of the resident’s weight with weight gains noted. Risk assessments are also included in the plans and these are also subject to review but in one case where the resident had recently been admitted and had been identified at risk of falling, there was no risk assessment in place. The manager said that this would normally be completed following the four to six week trial period at the home, but it is recommended that where a resident is identified as at risk of falling, a formal risk assessment be documented prior to or on admission. It was clear though Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 10 from the discussions with staff, that the needs of the resident including the risk of falling had been discussed with staff and they were fully aware of the strategies to reduce the risk. Liaison with doctors, nurses, dentists, the optician and dentists was recorded. Medication policies and procedures were discussed and practice observed. This was safe and the recording of the administration of medicine was error free. Further training on the administration of medicines has been arranged for staff. Care practices that were observed showed staff giving sensitive care that made sure that the residents are treated with respect and dignity. Residents said that staff are friendly and helpful and respect their privacy like knocking on doors before entering. The home has approached the Commission in cases where palliative care has been necessary and with support from local nursing services good care has been provided that has been acknowledged in thank you cards from relatives. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12, 13, 14 and 15. Residents are encouraged and supported to make their own decisions about their lifestyle, making sure that they meet their expectations and preferences. Residents are able to maintain contact with family, friends and visitors, who are welcomed at the home. Social and leisure activities are offered that people are happy with. Good wholesome food is provided that takes account of residents’ personal likes and dislikes. EVIDENCE: There is an activities programme that includes contributions from an activity organiser twice weekly. She is popular with the residents and through her encouragement a good number of residents join in the in-house activities. There is also a motivation session organised each month. During the summer there have been some trips out shopping and to local places of interest. During the inspection residents said that they are able to get up and go to bed when they wish, free to spend time privately in their rooms and were happy with the external services offered by the hairdresser, optician, dentist and chiropodist. A local minister holds monthly religious services that are well attended. The written information about the home makes it clear that family and friends are welcome to visit and the conversations with residents showed how important this was for them. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 12 The menus show that good wholesome food is provided. Residents spoken with said that the food was good, there was always plenty of it and that their likes and dislikes were known and kept to. There are regular snacks and drinks provided throughout the day. The meal served was well presented, hot and was enjoyed by all. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16. Residents understand that they can raise concerns and feel confident in doing this. They feel staff listen and respond quickly to put things right. EVIDENCE: There is a complaints procedure that is displayed on notice boards in the home and is appended to the service user guide. The residents have good relationships with staff and said that they felt comfortable in raising concerns and problems, and were confident that staff listen and put things right. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 19 and 26. The home is safe and well maintained and offers a comfortable communal lounge area. Bedrooms suit personal needs, can be personalised with your own possessions and made private. The home has aids that make things like bathing and toileting easier. EVIDENCE: All the communal areas, the kitchen and some bedrooms were seen. No health and safety hazards were noted and staff were seen doing their work properly dressed and equipped, and their practices make sure the home is clean, free from unpleasant smells and hygienic. The gardens are pleasant and well kept and there is a patio area that residents enjoy going out to in the good weather. Since the last inspection carpets throughout the building have been given an industrial clean. Plans for an extension to the building have been resubmitted to the planning department. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The staff are experienced, well trained and know what they are doing. They have good relationships with the residents and care for them well. EVIDENCE: The home is benefiting from a stable staff team and the manager felt that morale had improved because of this and the staff spoken with confirmed this. Staff meetings are held regularly and those attending include night staff. Whilst the home has yet to achieve targets for numbers of those who are NVQ qualified progress is being made. There has been ongoing National Framework training provided by a trainer from Keighley College. This has included adult protection, healthy eating and nutrition, managing aggression, health and safety, dementia and the administration of medicines. Senior staff have been involved in management development and have completed modules on equality and diversity and managing stress in the workplace. By coincidence the trainer from the college was visiting the home on the day of inspection and said that she was pleased with the response and commitment of the staff. The manager has updated staff job descriptions for senior care and care assistants. The personnel files for two staff were seen including the most recently appointed. These contained all of the relevant documentation to demonstrate the home carries out proper recruitment and vetting procedures. The atmosphere in the home was good with lots of laughter. said that they thought the staff were wonderful. Rose Bank Care Home DS0000001424.V265741.R01.S.doc The residents Page 16 Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were inspected. EVIDENCE: No standards were inspected. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 17 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP31 Regulation 9 Timescale for action The manager must complete the 31/03/06 Registered Manager’s award. (Previous timescale of 31.03.05 not met) Targets set with regard to 31/03/06 numbers of staff gaining NVQ must be achieved. (Previous timescale of 31.03.05 not met) Requirement 2. OP28 18 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 Where residents pre-admission assessments identify that they are at risk of falling, a risk assessment should be made and documented from the point of their admission. Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Rose Bank Care Home DS0000001424.V265741.R01.S.doc Version 5.0 Page 20 - 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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