Inspection on 24/05/06 for Rose Cottage

This inspection was carried out on 24th May 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 21/01/08

Similar services:

Insight - Eastchurch

Southfields

Thorndene

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Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Rose Cottage Oak Lodge Road New Romney Kent TN28 8BG Lead Inspector Wendy Jones Unannounced Inspection 24th May 2006 10:20 Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 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 Cottage DS0000065105.V296734.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 Adults 18-65. 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 Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Cottage Address Oak Lodge Road New Romney Kent TN28 8BG 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) Lothlorien Community Ltd Mrs Gillian Elizabeth Waghorne Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Rose Cottage is owned by Lothlorien Community Limited, which is a member of Craegmoor Group Limited. It is a large detached house located in New Romney that provides care for six people with a learning disability. The home is within walking distance of the high street, supermarket and the beach. A bus service to local towns is close by. On 5 May 2006 the owners advised that the scale of charges for Rose Cottage was between £692.12 and £1019.62. There are additional charges for chiropody, hairdressing, massage, some toiletries and magazines. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Wendy Jones, Regulatory Inspector, carried out this key inspection. It was carried out over a period of time and concluded with a site visit to the home between 10:20am and 13:50pm on 24 May 2006. A range of evidence has been used to inform this report and judgements have been made based on this evidence. Evidence used includes, concerns, complaints, allegations and other information received; reports of incidents that have occurred; a tour of the home; inspection of some records; comments from residents, relatives and care managers and discussion with residents, their relatives, staff and the manager. What the service does well: What has improved since the last inspection? What they could do better: Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 6 Controlled drugs are currently being stored in a locked metal cupboard that stands on the bottom shelf of the medication trolley. This does not comply with the Misuse of Drugs (Safe Custody) Regulations 1973. Controlled drugs should be stored in a metal cupboard, which complies with these regulations. 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 Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 Quality in this outcome area is good. Prospective residents have the information they need to make a choice about whether to move into the home. All residents have a written contract and statement of terms and conditions of the home. EVIDENCE: The statement of purpose and service user guide are in a form suitable for residents to understand. They include a contract and terms and conditions of the home. Residents said they were able to decide whether they wanted to move to Rose Cottage. Relatives said that they had also been able to be involved in this decision. Residents’ care plans contained assessments from their care managers and other professionals. These had been used to develop comprehensive assessments of their needs and goals. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-10 Quality in this outcome area is good. Service users needs and goals are reflected in their support plans. They are given assistance and supported to take risks and to make decisions about their lives. All participate in life in the home as far as they are able. EVIDENCE: Residents’ care plans were comprehensive and took a holistic approach. Details of all areas of their lives including their likes and dislikes, activities they enjoyed, what they like to eat etc., were well documented from a person centred perspective. Risk assessments covered activities and the environment and were clear and concise. They covered areas that were a particular risk for each resident. Care plans and risk assessments are reviewed each month and progress is recorded. Residents are clearly involved in developing their care plans. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 10 The manager explained that residents help with tasks in the home depending on their ability. Some clean their own rooms and help plan and prepare meals. A resident commented that they can do what want to do at all times and usually make their own decisions. A care manager assistant commented that the staff understand their client’s needs, there is a care plan which is followed and reviewed and they can visit their client in private. Residents’ money is kept in the home’s safe in individual moneybags. Detailed records are kept of the money put in and taken out. General details are kept in a file so that staff can see at a glance how much each service user has left. One service user’s finances were sampled and the records tallied with the money in the safe. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 - 17 Quality in this outcome area is good. Residents have opportunities to develop themselves. A range of leisure activities are organised for residents to take part in and they are involved in the local community. EVIDENCE: One resident said that they go to College in Folkestone and like to go swimming at the local pool. Others enjoyed a drink at the local pub. One resident had invited other residents and a member of staff to the pub for lunch to celebrate their birthday. The Manager said that one of the weekly activities arranged was music, which almost all residents attended and enjoyed tremendously. Relatives said that their relative was very happy in the home and was “benefiting enormously” from living in the home. Other relatives commented Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 12 that their relative has “responded very positively to the move to Rose Cottage” and has a “feeling of belonging”. One resident regularly goes home to stay with their parents and was going back with them that day. Some residents had recently been on holiday. The manager said that this had proved to be a great success. Relatives were very pleased that they had a “wonderful holiday” and had a good time. Menus are planned four weeks in advance but residents may change this at times. The Commission was sent a copy of a four weekly menu before this site visit was carried out. This and records of what each resident had had to eat each day indicated that they have a balanced diet. Relatives said their relative “never complains of being hungry” and is “clearly not underfed or undernourished”. They were particularly pleased that the kitchen was accessible at any time and their relative could help themselves to biscuits etc., if they wanted to. They also said that residents sometimes had fish and chip suppers or a Chinese takeaway. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 - 20 Quality in this outcome area is good. Residents’ personal, physical and emotional health needs are met and they are protected by the way the home deals with their medicines. EVIDENCE: Details of each service users’ personal, physical and emotional health needs are recorded in their care plans. Details of referrals to appropriate professionals and other health appointments are also recorded. Medication risk assessments and details of the medication that residents have been prescribed were seen in their files. Medication records had been accurately recorded and medication was stored appropriately and safely in a locked medication trolley fixed to the wall. One resident has been prescribed controlled drugs. These had been administered accurately and were recorded in a controlled drugs register. However, these drugs are currently being stored in a locked metal cupboard that stands on the bottom shelf of the medication trolley. Although there is no risk for the residents, this does not comply with the Misuse of Drugs (Safe Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 14 Custody) Regulations 1973. Controlled drugs should be stored in a metal cupboard, which complies with these regulations. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Residents’ views are listened to and acted on and they are protected from abuse. EVIDENCE: There have been five complaints received by the home. All have been investigated and responded to within 28 days. Two of these complaints were substantiated, the remaining three were partly substantiated. Records showed that complaints are investigated in an appropriate way. A resident commented that they know who to speak to if they are unhappy. Relatives said they were satisfied with the care their relatives receive. They said they know how to complain but have not had to make a formal complaint. If they had any concerns they would raise them with the manager and were confident they would be dealt with. Training records showed that staff are trained in adult protection. The manager was clear of the process to follow if an allegation of abuse was reported and who to report this to. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 – 28 and 30 Quality in this outcome area is good. Residents live in a safe, well-maintained and clean environment, which meets their needs and lifestyles and promotes their independence. EVIDENCE: The home was clean and free from offensive odours. The dining room and communal areas are well decorated, light and airy. The dining room has two dining tables and chairs and there is a table and chairs in the kitchen. Residents can eat where they wish. There is a separate lounge with comfortable furniture, TV and music system. There is a decking area and spacious, attractive garden. There are some pictures around the home, but it still feels rather “bare”. The manager said that they intend to decorate the home with artwork that the residents have made or have picked. There are two bedrooms on the first floor and four on the ground floor. Residents’ bedrooms have been decorated to their needs and tastes and contain their personal possessions. They are comfortable and individual to Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 17 them. No bedrooms are en suite, but all have a wash-basin. On the ground floor there are two shower rooms, one with a toilet and a bathroom. There is also a toilet on the first floor. The kitchen contains a cooker, microwave, dishwasher, fridge, and plenty of worktops and cupboards. It was clean and tidy. There is a separate room leading from the kitchen where the freezer is kept. This room also has a sink and washing machine where the laundry is done. The fridge and freezer contained a range of foods and fresh milk. The manager said that they prefer to use fresh meat and vegetables. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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 - 36 Quality in this outcome area is good. Residents are supported by a competent and qualified team and are protected by the home’s recruitment procedures. EVIDENCE: The manager, deputy manager and a support worker were on duty at the time of the inspection. The number of staff on duty was adequate to meet the needs of the residents. The manager explained that some new members of staff had been recruited since the home opened in November 2005. Staff were clear about their roles and responsibilities and how to meet the needs of the residents. Staff records were seen for three members of staff. These contained evidence that a thorough recruitment process had been followed and appropriate checks made. A training file was seen that contained details and certificates of attendance for training that staff had undertaken. Subjects included health and safety, first aid, food hygiene, COSHH, manual handling, infection control, epilepsy, challenging behaviour, safety of medication and fire. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 19 Induction programmes for two new members of staff showed details of what they had covered and learned. They were dated and had been signed by the member of staff and the manager. Records of supervision were seen. Currently the manager supervises all staff on a monthly basis. However, she is intending delegating some of this work to the deputy manager as part of her ongoing development. Staff spoken with said that the organisation is very supportive and has helped them develop. They felt there is a good team spirit and things are “going well”. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 - 42 Quality in this outcome area is good. Relatives live in a well run home that is managed by a competent manager. Their rights and best interests are safeguarded and their health, safety and welfare is promoted and protected. EVIDENCE: The manager is currently undertaking the Registered Managers’ Award and has a number of years of experience of management. Relatives said they felt the manager was “very good” and had a “good insight” into the needs of the residents. Other relatives commented “the staff are so friendly, well organised and have put in such a lot of effort in the last six months”. The atmosphere in the home is calm and residents were happy and contented. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 21 Discussions with management, records seen and staff observed working in the home showed that the home is run with the best interests of the residents in mind. All records are kept securely in the manager’s office. A current insurance certificate and the registration certificate were displayed in the entrance area of the home. Prior to this site visit the manager had sent the Commission details of maintenance and other essential checks that had been carried out. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 3 3 3 3 3 x Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 YA20.7 Good Practice Recommendations Controlled drugs should be stored in a metal cupboard, which complies with the Misuse of Drugs (Safe Custody) Regulations 1973. The cupboard should be: a) Of metal construction to a defined gauge; b) have a double locking mechanism; c) be fixed to a wall of solid construction, and if the home has no solid walls a steel plate must be inserted behind the wall; d) rag or rawl bolted to the wall, hence the need for solid construction or a steel plate. Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Kent and Medway Area Office 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 Rose Cottage DS0000065105.V296734.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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