Inspection on 03/10/06 for Rose Bank Care Home

This inspection was carried out on 3rd October 2006.

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 22/11/05

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 Key Unannounced Inspection 3rd October 2006 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.V307772.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. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 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.V307772.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 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.V307772.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by the assessed quality rating of the home. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a visit to the home. All regulated services will have at least one key inspection before 1st July 2007. This is a major evaluation of the quality of a service and any risk it might present. It focuses on the outcomes for people living at the home. All core National Minimum Standards are assessed and this provides the evidence for the outcomes experienced by residents. The last inspection was on 22 November 2005. At that time the home’s quality rating was Level 3 (good), and no random visits have been needed since then. This visit was unannounced and carried out by one inspector over one day. The inspector has also been involved in previous visits during 2004 and 2005. The inspection started at 9.30am and finished at 4.00pm. Verbal feedback was given to the manager and deputy manager at the end of the inspection. The purpose of the visit was to make sure the home is being managed for the benefit and well being of the residents and to see what progress had been made meeting requirements from the last inspection. Information to support the findings in this report was obtained by looking at the pre inspection questionnaire (PIQ). Examples of information gained from this document include details of policies and procedures in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Records in the home were looked at such as care plans, staff files, and complaints and accidents records. Most residents were spoken to as well as members of staff and the management team. CSCI comment cards and post-paid envelopes were left at the home to be given to residents and their relatives as well as comment cards for health care professionals who visit the home. At the time of writing this report no responses have been received. From the information in the pre inspection information, the standard weekly fees range from £391 to £434. Hairdressing and chiropody are not included in the fees. From the evidence gathered at this inspection, the quality rating remains good. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 6 What the service does well: The home is well managed and the best interests of the residents are at the heart of staff practice. Comments made in a satisfaction survey earlier this year included: From a social worker: • ‘The management team are excellent and always available to answer any queries or problems that occur. I find the home very caring and person centred and staff are always available’. From a relative: • • • • ‘Its really good for us to see our relative happy and smiling again. She had just about given up on life before she came to the home’. Clothes are always laundered and residents are kept clean and tidy’. ‘Staff are always friendly and welcoming. They always speak and act in a homely way to the clients and visitors making everyone feel welcome’. ‘My relative always looks forward to mealtimes especially her lunch. Excellent cooking’. Residents are properly assessed before they agree to live in the home. The care plans that are made up are clear, regularly reviewed and address health, personal and social care needs, wishes and preferences. Staff practices make sure that residents are treated with respect and dignity and the care plans identify ways of doing this. The atmosphere in the home was calm, warm and welcoming. It was clear that there were good relationships between staff and residents. Residents enjoy regular contact with family and friends and visitors feel welcome in the home. Residents are positive about their lifestyles. Their social needs are assessed and documented and activities are arranged that are geared to stimulate and interest them. Residents said that they were comfortable in the home and that the staff were kind, caring and respected their privacy. They also said that they could choose when to get up, go to bed and whether or not to stay in their own rooms or sit in the lounge. Without exception, the residents said that the food is good. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Outcomes for residents are good. Things that must be done are with the building. Some recommendations are made. Plans for an extension to the building have been approved by the City Council and arrangements are being made for the work to start, but this will not take place during winter months. This work will include some matters that currently let down the general standards in the existing building. Whilst some of this has been mentioned in previous reports it is acknowledged that the issues below are best done as a ‘job lot’ with the extension. The tour of the premises noted the following: • • • • • Window frames must be attended to or replaced. Vanity units throughout the building must be checked and repaired or replaced. The kitchen must be refurbished. The dining room must be refurnished. The lounge carpet must be replaced. It was recommended that: • • • Although care by the chiropodist could be evidenced this should also be recorded on the same record as other health care professional visits. The home should give consideration to putting some additional electric sockets in bedrooms to avoid the use of extension leads. The home should continue to work towards 50 of the staff team holding National Vocational Qualifications. Rose Bank Care Home DS0000001424.V307772.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. Rose Bank Care Home DS0000001424.V307772.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 Rose Bank Care Home DS0000001424.V307772.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 at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and/or their relatives have the information they need before they choose a home. Residents can be sure their needs will be met because assessments are made before people move in to the home, that give staff a clear idea of the person and their care needs. EVIDENCE: The home has a statement of purpose and a service user guide and copies of these have been made available to the Commission. From the manager’s description, no resident is admitted to the home without first being assessed and where possible, visiting the home. If that is not possible, then relatives always visit on the resident’s behalf. The service user guide is given at the introductory visit. There are plans to extend the building and both documents will need to be updated to reflect these changes and the manager said that this work was being done and would be completed when application is made to the CSCI to register the extension. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 11 As part of the evidence gathering three residents were case tracked. This meant detailed checking of their files, speaking to the residents about the individual care provided to make sure that their care needs were being met, and speaking to the staff who deliver the care to make sure that they had a clear understanding of each individual’s needs. Key standard 3 requires the home to carry out a comprehensive assessment of each resident’s needs before they are admitted to the home. Of the three residents case tracked one was the last person admitted to the home. There is a standardised pre admission form that is useful and its format lends itself to providing detailed information about the individual and each of the files seen had an assessment that had been completed. In addition, easy care documentation was also on file. The combination of these assessments gives all the indications that the approach is person centred. Staff spoken with had a good knowledge of the residents they care for. Rose Bank Care Home DS0000001424.V307772.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 at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be sure their health and personal care needs will be met as care plans are agreed with residents or their relatives and give a clear picture of the person, their needs, wishes and preferences. The plans address health, personal and social care needs. Staff practices make sure that residents are treated with respect and dignity. Medication procedures and practises are safe. EVIDENCE: The three residents who were case tracked each had differing needs. These were clearly identified in each care plan. The plans were easy to follow and reviewed each month as required. Each plan was positive and identified specific needs, personal strengths and wishes. Having read the plan the reader has a good picture of the person and their needs. Specific health care needs were well documented. There was a clear audit trail of staff observations and concerns that they document about an individual’s health problem, any subsequent referral to the GP or other health care professional Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 13 and the advice and treatment that followed could be clearly seen from the files. There was evidence of regular and routine optical and dental care from the records that included optical prescriptions and appointment dates and treatment. Although foot care could be evidenced it was recommended that this is also recorded on the same record as other health care professional visits. Risk assessments were up to date and covered moving and handling, falls and nutrition. The advice to staff on reducing risk was clear. Each of the residents had their weight checked monthly or more often if there were concerns. There was a record of falls and falls monitoring. The details of medication and of GP visits and treatments that were in the care plan were checked against the medication administration charts and medication held. The checks evidenced sound record keeping and observations made of staff practice with medication indicate that systems and procedures are safe. It was good to see that any drug with a sedative effect that is administered is recorded in the same way that controlled drugs are, with double signatures. This extra vigilance is good practice. Resident’s said that they were settled and comfortable living in the home. They said that staff were kind and caring and respected their privacy. The observations of the staff as they related with residents supported these comments and in particular the work they did with the three residents that were case tracked during the inspection. Throughout the day staff were seen knocking on doors before entering and where they were providing personal care to residents in their rooms, they made sure the door was closed. Similarly residents’ privacy was protected when toileting was taking place in communal facilities. The home operates a key worker system that is being developed. This involves the worker in responsibility for weight checks, weekly body checks, and any care plan for things noted. Also responsibilities for personal grooming including bathing, hair care and nail care. The manager monitors that this work and record keeping is up to date. The staff spoken with had a clear picture of the needs and lifestyle wishes and preferences of the three residents who were the focus of the inspection. Although there was no response to the CSCI satisfaction questionnaires the home had conducted its own survey earlier this year. These were seen and some of the comments made were noted. From a social worker: • ‘The management team are excellent and always available to answer any queries or problems that occur. I find the home very caring and person centred and staff are always available’. DS0000001424.V307772.R01.S.doc Version 5.2 Page 14 Rose Bank Care Home From a relative: • ‘Its really good for us to see our relative happy and smiling again. She had just about given up on life before she came to the home’. Rose Bank Care Home DS0000001424.V307772.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 at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are positive about their lifestyles. Their social needs are assessed and documented and activities are arranged that are geared to stimulate and interest them. They are encouraged to make choices about what they do and enjoy contact with family, friends and visitors from the community. There is a balanced menu that residents like and any special dietary needs are catered for. 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 and the shops. A trip to Blackpool is planned. Staff are planning a Christmas pantomime to entertain the residents. 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 Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 16 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. 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. Some comments made in the home’s survey questionnaire by relatives were: • • • ‘Clothes are always laundered and residents are kept clean and tidy’. ‘Staff are always friendly and welcoming. They always speak and act in a homely way to the clients and visitors making everyone feel welcome’. ‘My relative always looks forward to mealtimes especially her lunch. Excellent cooking’. Rose Bank Care Home DS0000001424.V307772.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 inspected at least once during a 12-month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel safe living in the home. There are appropriate procedures in place for responding to and dealing with complaints. EVIDENCE: There is a complaints procedure that is displayed on notice boards in the home and is appended to the service user guide. Observations showed that 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. The introduction of a periodic newsletter and the home conducting its own survey questionnaires shows that the manager is keen to engage relatives and residents and be proactive in identifying where improvements need to be made and where people are satisfied. The comments made in the survey results indicate that relatives feel welcome and relaxed and able to speak freely with staff. There is an adult protection procedure and staff spoken with confirmed that they are to attend training in October. This is to be provided by the manager and deputy manager who attended ‘Training the Trainers’ sessions on adult protection earlier this year. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 18 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care is provided to residents in a clean, comfortable environment, but work is needed to bring some things up to satisfactory standards. This is planned when building work starts on an extension. EVIDENCE: A full tour of the building was made that included all the communal areas, the kitchen and bedrooms. 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. Plans for an extension to the building have been approved by the City Council and arrangements are being made for the work to start, but this will not take Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 19 place during winter months. This work will include some matters that currently let down the general standards in the existing building. Whilst some of this has been mentioned in previous reports it is acknowledged that the issues below are best done as a ‘job lot’ with the extension. The tour of the premises noted the following: • • • • • Window frames must be attended to or replaced. Vanity units throughout the building must be checked and repaired or replaced. The kitchen must be refurbished. The dining room must be refurnished. The lounge carpet must be replaced. It was recommended that the home considers putting some additional electric sockets in bedrooms to avoid the use of extension leads. One comment made was: • ‘The laundry and other clothes are always clean and tidy. Bed linen and duvet covers are always very clean and changed regularly’. Generally residents said that they felt the home was clean and comfortable and they ‘want for nothing’. They are able to bring personal items into the home to personalise their rooms and said this made it feel ‘more like home’. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 20 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a settled and stable staff team. Residents and relatives are satisfied with the care they receive and enjoy good relationships with staff. There is a commitment to staff training and training programme to make sure staff receive up dates and are given some more specialist training. Sound procedures are followed to recruit staff and to make sure they are vetted and checked. EVIDENCE: The duty rotas provided for the inspection showed sufficient staff on duty although this will need to be reviewed when the planned extension is completed and occupancy levels increase. The staff team benefits from good stability and this provides residents with consistent care and familiar faces to care for them. All the staff spoken with said that there was a good team spirit. They talked about regular staff meetings and about the shift handover arrangements that appeared sound with written handover sheets and all residents discussed. They were enjoying the key worker role that is being developed and enjoy the responsibility that goes with it. Staff confirmed that there is a supervision system (one to one sessions with the manager). The residents said that they felt the staff were caring and terms like ‘they can’t do enough for you’ and ‘we have a good laugh and are happy, we are very Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 21 lucky’, were typical of the comments made. Similarly relatives made positive comments about the caring qualities of the staff in the satisfaction surveys that were seen. The observations made during the visit showed relationships to be good and there was a happy and jovial atmosphere in the home. The staff were supportive and watchful of the residents and their manner with them was friendly, warm personable but also professional. The pre inspection information provided by the home outlined the training that has taken place over the last year in the form of a matrix that showed each staff member. This showed that safe working practice training was either complete or up dates were planned and the date was identified for this. It was good to see that all staff have attended sessions on equality and diversity and all staff dealing with medication have successfully completed safe handling and administration of medication courses through a distance learning approach. Dementia training is planned. Progress is being made in the numbers of staff achieving National Vocational Qualifications with four staff having completed level 2 or 3 qualifications. Two staff are part way through and another two are enrolling. Two staff files were checked to make sure the home carries out proper recruitment and vetting procedures. These had all the necessary documentary evidence including Criminal Record Bureau checks, references application forms and also included the induction training records for each member of staff. Three members of staff spoken with confirmed that they also had followed induction training and spoke about other training they had attended. They showed a clear commitment to and acknowledgement of the importance of training. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 22 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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and a consistent management approach has given everyone working at the home a clear understanding of the home’s aims and objectives. Good systems are in place to monitor the quality of the service. EVIDENCE: The home’s owner also manages the home on a day-to-day basis and is well supported by her deputy. She has almost completed the Registered manager’s Award. Staff said they thought the home was well managed. The manager discussed various management systems that she has used to monitor the quality of care provided and this included spending time with staff and service users and Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 23 checking records. A newsletter has been introduced and the home has conducted a survey questionnaire that was sent to residents, relatives and visiting professionals. The results were published in the newsletter and it was good to see that the lack of progress in improving the environment was explained so that relatives understood what was going on and what is planned. Comments from the survey questionnaires and those made during the visit showed the home in a good light with a high degree of satisfaction with the care and services provided. The home has a policy of not holding any money for residents. They do equip each room with a small safe for residents to keep any cash, valuables or drugs if they self medicate. The pre inspection information stated that policies and procedures were available and regular maintenance and health and safety checks by external agencies were completed at the home. Fire records were checked and these confirmed that regular fire tests are carried out. Accident records were also checked and these are held on individual residents personal files. Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 24 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 3 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 25 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 OP19 Regulation 16 and 23 Timescale for action The following issues must be 01/06/07 addressed and included when work starts on the planned extension: • • Window frames must be attended to or replaced. Vanity units throughout the building must be checked and repaired or replaced. The kitchen must be refurbished. The dining room must be refurnished. The lounge carpet must be replaced. Requirement • • • Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 26 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. 2. 3. Refer to Standard OP8 OP19 OP28 Good Practice Recommendations Although care by the chiropodist could be evidenced it was recommended that this is also recorded on the same record as other health care professional visits. Consideration should be given to putting some additional electric sockets in bedrooms to avoid the use of extension leads. 50 of care staff should hold an NVQ level 2 or equivalent Rose Bank Care Home DS0000001424.V307772.R01.S.doc Version 5.2 Page 27 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.V307772.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!