Inspection on 29/05/07 for Rose Cottage

This inspection was carried out on 29th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 26/10/05

Rose Cottage 24/05/05

Rose Cottage 24/01/05

Rose Cottage 28/07/04

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 136 Rothley Road Mountsorrel Leicestershire LE12 7JX Lead Inspector Ruth Wood Key Unannounced Inspection 29th May 2007 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 Cottage DS0000001696.V334328.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 Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Cottage Address 136 Rothley Road Mountsorrel Leicestershire LE12 7JX 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) 0116 2302860 0116 2375358 nicky@rosecottage-home.com Mrs Nicola Dawn Schofield Mrs Nicola Dawn Schofield Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 26th October 2005 Brief Description of the Service: Rose Cottage is a home for thirteen older people located in the village of Mountsorrel, and is close to local shops and the health centre. The home is converted from three Victorian terraced cottages and has a large lounge/dining area and quiet lounge. Bedrooms are located on the ground and first floor with access via the stairs and stair lift. Some bedrooms provide en-suite facilities, details of which are enclosed in the home’s Statement of Purpose. The rear of the property has a large garden area with seating, a raised fishpond and a raised decking area, which is accessible to wheelchair users and those with mobility difficulties. Printed information, including a residents’ guide to services and facilities is available from the manager and the home’s latest inspection report is kept in the entrance to the home. Fees at the home are approximately £450 per week, dependent on the level of care required and the type of room occupied. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit took place on a weekday between 9:30am and 2:30pm. Discussion was held with residents and staff about their experiences of living and working in the home and with the deputy manager about how the delivery of care was managed. All communal areas of the home were seen, together with all residents’ bedrooms. Care practice (such as medication administration) and interaction between staff and residents was directly and indirectly observed and documents including staff recruitment and training records, care plans, and health and safety records were examined. Five residents, ten relatives and two professionals responded in writing to the Commission’s survey about standards of care in the home and the information gathered from their responses, together with that gained during the inspection visit was used in writing this report. What the service does well: What has improved since the last inspection? Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 6 Hot water temperatures are monitored and recorded as recommended at the previous inspection and information about the results of questionnaires sent to relatives and residents have been included in the home’s Statement of Purpose. (This is the document which outlines the philosophy of care and the services provided). 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. The summary of this inspection report can be made available in other formats on request. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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 Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 Quality in this outcome area is Good Opportunities to visit the home and comprehensive assessment procedures mean that residents know their needs will be met. Improvements are needed in the accuracy of some of the printed information about the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service User Guide is clearly written in a large font and appears to contain accurate information. Some information in the Statement of Purpose (the document that outlines the philosophy of care and services provided) about the review of care plans, visits by fire officers and provision of activities is inaccurate. Information about the results of surveys into residents’ and relatives’ opinions of the home is included. Five residents completed one of the Commission’s surveys and said that they felt that they had been given enough information about the home before they moved in. One commented that they had made “several welcome visits before they moved in”. Discussion with residents confirmed that the home was flexible in its approach to admission; one resident had been unable to visit the Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 9 home before they moved in but their relative had visited and the manager had assessed the resident’s needs in hospital. This information was confirmed through discussion with the Deputy Manager and examination of assessment documents. The home also offers a limited number of day care places and some residents attend on this basis until a residential vacancy arises. The home does not offer intermediate care Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent Residents receive good quality, highly individualised care, which meets their health and personal care needs well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans outline how residents’ needs should be met but contain no clear evidence to demonstrate the involvement of residents or their relatives’ involvement in formulating them. The way care plans are recorded is currently being updated. Of the ten relatives who responded to the Commission’s survey nine felt that the home always met their relatives’ needs while one felt they usually did. One relative commented, “We the family are extremely satisfied with the care given and content in the knowledge that mum is safe, secure and looked after for her own individual needs.” Three residents surveyed felt that they always received the care they needed and two felt that they usually did. Discussion with the deputy manager and Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 11 staff members indicated that they had a detailed knowledge of each individual; one resident commented “They know just how to look after you here”. Residents are very satisfied with the way their health care needs are managed, with all five respondents to the survey saying that they always received the medical support they needed, “If a doctor is required it is dealt with immediately” “They have been excellent at monitoring my medical needs”. Discussion was held with one resident about how their diabetes was managed: staff had received training in administering insulin (certificates were in place to evidence this), regularly recorded blood sugar levels and were knowledgeable about the condition. A local optician and dentist visit the home regularly as does a chiropodist (who visited on the day of inspection). The lunchtime medication round was observed. Certificates were in place to demonstrate that those administering medication had received appropriate training. Two staff, working together, administered medication and the Medication Administration Record (MAR) was not signed until the resident was observed to have taken their medication. Medication being received into and leaving the home is appropriately recorded. At all times during the inspection visit, residents were observed as being spoken with in a calm and friendly manner and with respect. All five residents who responded to the survey said that they felt staff listened to what they had to say. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is excellent Residents enjoy a good lifestyle, which matches their individual needs and preferences and includes a healthy and varied diet served in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Currently all residents are of a white, British background and all festivals such as Easter and St. George’s day are celebrated. Attention is given to individual residents’ interests and needs and the deputy manager said how they had tried to modify the kinds of activities provided as people’s needs had changed. One resident said that they appreciated being able to choose whether to join in or be by them self, “there are plenty of things to do but you don’t have to do them.” Of the five residents who responded to the Commission’s Survey, three felt that there were always activities arranged by the home they could take part in, two felt that there usually were. “There is always something being organised we have ‘I spy’ bingo, sing-a- longs, dominoes … and we have a lot of laughs”. Representatives from both the Roman Catholic and Church of England faiths visit the home to offer communion and general pastoral support. Of the ten relatives who responded to the Commission’s survey, eight said that the home helps their relative to keep in touch with them with two saying that Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 13 they visited so regularly that this wasn’t really an issue. All respondents said that the home kept them up to date with important issues about their relative. All residents’ bedrooms are highly personalised containing items of furniture and other belongings that they have brought from home. Details of independent advocacy services are available to residents and one resident had been supported in completing their survey by an independent advocate and uses their services on a regular basis. Residents spoken with (and overheard speaking to each other) were very complimentary about the quality of the food, “I like the food very much – it’s real home cooking” “We never have anything that isn’t fresh” “They ask us what we want – consider our likes and dislikes”. Both of the home’s cooks hold a Certificate in Food Hygiene and are currently undertaking their National Vocational Qualification in Catering. All residents were helped to their seats before lunch was served – the atmosphere was relaxed and residents appeared to enjoy the social experience of eating together, “You can eat in your room if you want to but I like to come here and see everybody”. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good Good procedures and practice ensure residents are protected from abuse and any concerns expressed by residents or relatives are taken seriously and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The five residents who responded to the Commission’s survey all said they knew how to make a complaint and who to speak to if they weren’t happy. Residents spoken with during the inspection visit were all clear that they would tell their manager or deputy if they weren’t happy and one commented that the deputy “knows just by looking at you how you are!” All ten relatives who responded to the survey said they knew how to make a complaint, six said that the home responded appropriately to any concerns raised and four said that they had never had any concerns; one relative commented that “the staff are always readily available to listen.” The deputy manager and care staff on duty demonstrated their understanding and responsibilities under the home’s whistle blowing policy saying that they would report any concerns to make sure that residents were kept safe. Staff recruitment records showed that staff had been checked against the Protection of Vulnerable Adults register before they started work in the home and Criminal Records Bureau checks had been received or applied for. The deputy manager was unclear about local agency protocols in relation to the protection of vulnerable adults and it is recommended that she contact the Local Authority Social Services Department to obtain training in this area. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 26 Quality in this outcome area is excellent Attention to detail in the physical environment means that residents live in a very clean, comfortable and safe home, which meets their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Many residents commented on the homely environment at Rose Cottage and this is achieved partly through attention to detail in the physical environment. Each bedroom has colour coordinated linen and towels – which are only used in that area for that resident. Equipment is in place such as hoists and special beds but this does not detract from the homely atmosphere. There are fresh flowers throughout the communal areas and décor is light and bright but in keeping with the age and character of the building. All areas of the building are well lit and the home throughout is very clean and tidy. Certificates demonstrated that staff have received training in infection control and domestic staff said that they are to start a National Vocational Qualification in housekeeping. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 16 All five residents who responded to the Commission’s survey said that the home was always fresh and clean and relatives were equally positive with their responses, “Rose Cottage is very homely and very clean” “The owner is always updating and replacing furniture/fixtures.” “Mum moved into a newly decorated room and was given a choice of colours.” “The care home is always clean and attractively enhanced with flowers and photographs.” Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good Effective training and recruitment practices mean that residents are well supported by the staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed to respond promptly to residents’ requests for assistance and respondents to the Commission’s survey felt that there were always or usually staff available when needed. All twelve respondents to the relatives and professionals’ survey felt that staff had the right skills and experience to look after the residents. Four care staff hold National Vocational Qualifications in Care at level 2 or above and three are currently taking this qualification at level 2. The two staff members who cook are undertaking level two qualifications in catering. Discussion with staff members and examination of records demonstrates that training in areas such as moving and handling, fire safety and medication management is regularly updated. Recruitment records showed that two written references and a criminal records bureau check are in place for the majority of staff working in the home. Only verbal references had been obtained for a new staff member who started work on the day of the inspection. No staff member should start work in the home without two written references having been obtained. It was noted that this staff member’s name had been checked against the Protection of Vulnerable Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 18 Adults Register and they were working under the direct supervision of an experienced staff member. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 38 Quality in this outcome area is good Good management ensures that the health, safety and welfare of residents and staff is promoted and that the home is run in the best interests of its residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager holds a National Vocational Qualification at level 4 in care and the Registered Manager’s Award. Staff spoke positively about the support that they receive from the management team; one commented that even if the manager was not at the home “there is always someone at the end of the phone”. Residents’ and relatives’ opinions about the service are regularly sought both informally and through the use of questionnaires (completed copies were available for inspection). Ten relatives responded to the Commission’s survey; seven felt that the home always supports people to live the life they choose and three felt that the home usually achieves this. Comments from residents Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 20 during the inspection visit such as, “they ask us what we want” “they consider our likes and dislikes” suggest that the home takes note of residents’ wishes. The home has no involvement in managing residents’ finances; this is done by the resident themselves, their relatives or advocate. Documentation was in place to show that fire systems and equipment were regularly serviced and tested and that staff had received training in fire safety. Staff have also received training in food hygiene, infection control and moving and handling although training in first aid needs updating. Water temperatures are regularly checked and a record of these was available for inspection. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 21 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 2 X 3 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 4 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 6 Requirement Timescale for action 31/07/07 2 OP31 19 (4) (b) (i) The statement of purpose must be reviewed to ensure that it accurately reflects the facilities and services provided by the home so that prospective residents make an informed decision. 30/06/07 No person who has regular contact with residents should be employed to work at the care home unless two written references have been obtained in respect of that person. This should include, where applicable a reference relating to the person’s last period of employment, which involved work with children or vulnerable adults. This is to ensure that unsuitable people do not have access to vulnerable adults. Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 23 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 During the current update of care planning documentation it is recommended that attention be given to how the involvement of residents and/or their relatives in the care planning process can be documented and evidenced. Training should be obtained from the local authority to clarify local agency protocols in relation to protection of vulnerable adults. The registered person should make arrangements to ensure that staff training in first aid is updated. 2 3 OP18 OP38 Rose Cottage DS0000001696.V334328.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000001696.V334328.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. Re-publishing this information is in breach of the terms of use of that website. 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