Inspection on 02/02/06 for Rose Cottage

This inspection was carried out on 2nd February 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 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

Rose Cottage 18/02/09

Rose Cottage 10/07/06

Rose Cottage 09/02/05

Rose Cottage 04/08/04

Rose Cottage 03/02/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rose Cottage 99a High Street Woodford Kettering Northants NN14 4HE Lead Inspector Irene Miller Unannounced Inspection 10:00 2 February 2006 nd 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 DS0000012900.V273382.R01.S.doc Version 5.1 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. DS0000012900.V273382.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rose Cottage Address 99a High Street Woodford Kettering Northants NN14 4HE 01832 735417 NONE 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 Richard John McLoughlin Miss Claire Williams Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places DS0000012900.V273382.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home will limit its services to the following service user categories: No person falling within the category Older Persons (OP) can be admitted where there are already 8 persons of category OP already in the Home. The total number of service users in the Home must not exceed 8. 2. Date of last inspection 4th August 2005 Brief Description of the Service: Rose Cottage is located in a quiet residential area in the village of Woodford. It is an extended detached property offering ground floor accommodation in single bedrooms with en-suite facilities. The home has two lounges and a dining area adjacent to the kitchen, and there is a well-maintained and attractive garden with patio area that is fully accessible to Service Users. Rose Cottage is registered to provide personal care and support to up to 8 older people over the age of 65 who require such personal care and support due to their old age. All health care needs are provided by community health care professionals.The registered owner and manager live on site, on both the first floor of the registered home, and the adjoining adjacent property. DS0000012900.V273382.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved tracking the care of two resident, through a review of their records, discussion with them where possible, observation of care practices, discussion with the Registered Manager, residents, staff and visitors The inspection took place over a period of three hours following a period of one hour’s preparation, which included reviewing previous inspection reports and other documentation in relation to the home. What the service does well: What has improved since the last inspection? What they could do better: Regular recording of resident’s weights could identify the early intervention required to prevent the premature deterioration of resident’s health. DS0000012900.V273382.R01.S.doc Version 5.1 Page 6 The residents contracts are satisfactory however they require further work to fully inform residents on what they can expect the home to deliver, in terms of residency the rights and obligations of the service user and registered provider and who is liable if there is a breach of contract. 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. DS0000012900.V273382.R01.S.doc Version 5.1 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 DS0000012900.V273382.R01.S.doc Version 5.1 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): 1,2,3,4 & 5 Prospective residents can make an informed choice as to whether the home can meet their needs and expectations EVIDENCE: There is a statement of purpose and service users guide, that sets out the aims and objectives and the facilities the home provides. The residents care plans looked at included pre assessment documentation that identified the prospective residents needs prior to them moving into the home. The care plans were signed and dated by the resident, and regularly reviewed. The residents contracts are satisfactory however they require further work to fully inform residents on what they can expect the home to deliver, in terms of residency the rights and obligations of the service user and registered provider and who is liable if there is a breach of contract. DS0000012900.V273382.R01.S.doc Version 5.1 Page 9 Rose Cottage is a small care home, which provides a home for older people with low dependency needs. Residents that display challenging behaviour can impact greatly on the well being of other residents. Through discussion with the registered manager, there have been rare occasions where the home has been unable to continue to care for residents who display challenging behaviour, such as verbal abuse towards other service users, staff and visitors. A resident who had recently moved into the home said that they had chosen to live there and was sure that they had made the right decision, saying that the staff were very helpful, and they liked the idea of being within a small village were they could go out for walks and feel safe. DS0000012900.V273382.R01.S.doc Version 5.1 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 the following standard(s): 7,8,9,10 & 11 The home meets the needs and expectations of residents. EVIDENCE: Residents care plans are detailed and staff are knowledgeable of the individual residents needs. Residents spoke very highly of the care they received. Within the care plans there was records of residents being referred to their general practitioner as and when required. Domiciliary services visit the home to provide eyecare, hearing, chiropody and dental services. The General Practitioners visit the home and residents also visit the local surgery from time to time. Residents are supported in attending healthcare appointments. Records of residents weights were retained within the care plans, however they were not frequently recorded, one care plan showed that there had been a 9 DS0000012900.V273382.R01.S.doc Version 5.1 Page 11 month gap since the last record had been taken, this was discussed with the registered manager. All of the staff are trained in the administration of medication, certificates were available to view, the dispensing pharmacy conducts regular inspections of the homes medication storage and administration practices. Residents could spend time in their own rooms if they wished, and that their privacy is respected. Care plans looked at contained residents’ wishes in the event of death and staff have received training on loss and bereavement. DS0000012900.V273382.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14 & 15 The home in general matches the social, cultural, recreational and occupational expectations of residents. EVIDENCE: An activity person is employed to spend time with residents 2-3 afternoons per week, the need for an activity person was identified following residents feedback from the last quality assurance audit Residents are supported in maintaining contact with the local community, on the day of inspection 3 residents were attending a luncheon club, a neighbour visits residents at the home on a daily basis and spends time socialising with residents. The home endeavours to ensure that all residents have the opportunity to access local community groups, and pursue appropriate individual interests and hobbies. Residents spoke highly of the outside entertainers, singers and musicians that visit the home and also the efforts made by staff to provide meaningful activities. DS0000012900.V273382.R01.S.doc Version 5.1 Page 13 The home conducts service user satisfaction surveys to seek the views of residents and identify areas for improvements and a monthly newsletter is published to keep residents informed of internal and external events. There are two small dogs that live within the home, residents were observed enjoying the company of the animals and said that they enjoy seeing animals living at the home. There is a small dining area available for residents use with two circular tables to seat 8 people, residents were observed during the lunchtime that was a brunch of sausages, egg, bacon and hash browns. Residents said that they looked forward to the brunch and complemented the home on the quality of food provided. DS0000012900.V273382.R01.S.doc Version 5.1 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 the following standard(s): 16,17 & 18 Residents live in a home where their legal rights are respected and systems are in place to ensure that they are protected from abuse. EVIDENCE: The complaints procedure available to all residents, and a copy is available in the entrance hall to the building. There is a complaints book available, which outlines complaints, which have been made, and the action, which the home has taken to address them. Cash held on behalf of the residents was held securely, records of transactions were kept in good order. Staff training includes recognising abuse and the protocol for reporting any suspected or actual abuse. The home has access to the Northamptonshire protection of vulnerable adult reporting procedures for guidance. DS0000012900.V273382.R01.S.doc Version 5.1 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 the following standard(s): 19,20,21,22,23,24,25 & 26 Residents live in a home that is safe, comfortable and clean and meets their needs and expectations. EVIDENCE: During a limited tour of the building it was noted that resident’s bedrooms contained personalised items of furniture and belongings and the furnishings and decoration was to a good standard. The bathrooms and toilets were all clean and hygienic, a hand sanitiser was available to reduce the risk of cross infection. En-suites to bedrooms were personalised and homely. There is a pleasant patio area with tables and seating available, there is a one ramp leading from the lounge to the patio, which would be suitable for wheelchair users. DS0000012900.V273382.R01.S.doc Version 5.1 Page 16 There are two entrances in use to the home, one is a patio door which leads directly into the residents dining area, on one occasion a resident objected to a visitor entering the home through this entrance, during discussion with the registered manage, this was identified as an item to be put on the agenda for the next residents meeting, to provide the opportunity for all the residents to express their views on the use of the patio door as an entranceway. DS0000012900.V273382.R01.S.doc Version 5.1 Page 17 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 & 30 The resident’s health, safety and welfare is protected, by a committed staff team. EVIDENCE: There is sufficient staff to meet the needs of the residents as recorded in the duty rota. There is a strong commitment to staff training; all staff have achieved the National vocational Qualification 2 in care (NVQ2). Staff have received all the statutory training, such as Moving and handling, Fire Safety, Food Hygiene, Risk assessment and Medication training. DS0000012900.V273382.R01.S.doc Version 5.1 Page 18 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): 31,32,33,34,35,36,37 & 38 The manager provides a clear vision for the home, and staff demonstrated an awareness of their roles and responsibilities. EVIDENCE: The registered manager is experienced and holds the National Vocational Qualification level 4 (NVQ4) in Management and also the Registered Managers Award. Rose Cottage is managed in accordance with its Statement of Purpose the Registered Manager is committed to the continuous development of staff and the quality of service the home provides for its residents. The care provided at the home meets the needs and the expectations of the residents, who are encouraged to maintain their independence and to participate within the local community. DS0000012900.V273382.R01.S.doc Version 5.1 Page 19 The home is established within the local community, financial records showed that residents had each received a £10.00 Christmas present from the local village community fund The financial and accounting procedures within the home safeguard the resident’s interests, residents are encouraged not to bring expensive jewellery into the home, cash and valuables held on their behalf are stored securely and good record keeping is in place. Regular staff meetings take place, there is a small staff team and a low staff turnover, which ensures consistency in residents care. Records of accidents are maintained and individual risk assessments are in place, to ensure the health, safety and welfare of residents. DS0000012900.V273382.R01.S.doc Version 5.1 Page 20 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 3 3 3 3 X 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 DS0000012900.V273382.R01.S.doc Version 5.1 Page 21 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. Standard Regulation Requirement Timescale for action 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 OP2 Good Practice Recommendations The resident contracts should provide details to fully inform residents of terms of residency the rights and the obligations of the service user and of the registered provider and who is liable if there is a breach of contract. Residents weights should be regularly reviewed and recorded 2 OP8 DS0000012900.V273382.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000012900.V273382.R01.S.doc Version 5.1 Page 23 - 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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