Inspection on 05/10/05 for Rose Cottage Residential Home

This inspection was carried out on 5th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rose Cottage Residential Home 18/12/07

Rose Cottage Residential Home 28/09/06

Rose Cottage Residential Home 17/02/06

Rose Cottage Residential Home 24/08/04

Rose Cottage Residential Home 06/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Rose Cottage Residential Home School Road Broughton Cambridgeshire PE28 3AT Lead Inspector Matthew Bentley Unannounced Inspection 5th October 2005 11:30 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 Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rose Cottage Residential Home Address School Road Broughton Cambridgeshire PE28 3AT 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) 01487 822550 01487 824783 John Tillisch Limited Josephine Mary Brown Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2004 Brief Description of the Service: Rose Cottage offers accommodation, care, and support to up to 37 older people. All rooms are for single occupancy and are on the ground floor; 24 of the rooms have en-suite facilities, one is used for respite or short-term care. Residents have access to a range of communal areas including four lounges and a small kitchenette, which has been equipped for residents and relatives to make drinks and snacks. The home is located in the middle of the village of Broughton, which has a church and popular public house. The village is situated about four miles from Huntingdon, and a two-minute drive from the small town of Warboys. The home is also within easy reach of the facilities offered by Peterborough, Cambridge, and St. Ives. The building surrounds an attractive courtyard; to the front, a patio area has been built around a mature pond and there is a level path around the perimeter of the building. The home has a parking area to the front with wellmaintained borders, trees and shrubs. The building backs onto open countryside and many of the rooms have pleasant views of the surrounding meadows. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took 3.25 hours and took place on 5th October 2005 between 11.30 and 14.45. The inspection was carried out by one inspector who spoke to a number of service users and staff; the inspection also included reading documents, speaking to the manager and proprietor, and a tour of the building. The results of a survey of residents and relatives’ satisfaction has been sent to the Commission as part of the home’s quality assurance arrangements; the results showed a high level of satisfaction, and arrangements are in place to address to the one area of concern, which was problems with residents’ clothes sometimes going missing. Comments from residents on the day of inspection were all very positive; one said “it’s a lovely place; I’m very satisfied”. One of the letters and cards sent to the home by relatives described the home as having a ‘cosy family atmosphere’ other comments included ‘the staff are cheerful, friendly and happy’ and ‘[there is] a high degree of professionalism’. What the service does well: What has improved since the last inspection? The manager has successfully gained the Registered Manager’s Award (RMA) A deputy manager post has been created to support the manager with management tasks. Measures have been taken to address concerns about residents’ clothing getting mixed up or lost. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5 The home is capable of meeting the needs of older people, and information is provided to allow people who are interested in the home to make an informed choice about its suitability. The home takes suitable steps to ensure that potential service users’ needs are fully assessed prior to their moving into the home to ensure its suitability, and an appropriate length of time is offered as a trial period so that all parties can decide whether the placement is successful. EVIDENCE: A statement of purpose has been developed detailing the facilities available and what services residents can expect to receive; extracts of the statement of purpose are published on the home’s web site. Potential residents are usually visited by the manager, and they and their families or other representatives are invited to visit the home so that their needs and requirements can be talked through. In some cases, visits by the person concerned have not been possible due to the distances involved; when Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 9 this has been the case the manager makes arrangements to get as much information as possible about the needs of the person concerned so that she can be sure, as far as possible, that the home will be suitable. Once a person moves into the home, and as staff and management became familiar with the individual’s needs, the assessment information is developed to form a working care plan (see standard 7). Aids and adaptations are available to help staff to meet service users’ needs, and observation and discussions with staff, the manager, visitors, and residents, indicates that the home is capable of meeting the needs of older people. The home does not provide intermediate care therefore standard 6 is not applicable. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 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 Care plans are insufficient and do not give a clear description of what help each person’s needs nor how that assistance should be given, and the quality and depth of the information needs improving so that staff are clear about what assistance they need to provide. Arrangements are in place to ensure each service user receives input from relevant professionals to ensure each person’s health needs are met. Personal care is given sensitively so that individuals’ dignity and privacy are maintained. Procedures for managing service users’ medication are satisfactory and are being properly followed, so that medication is safely administered. EVIDENCE: Care plans relating to five residents were examined and were found generally to reflect the needs of the people to whom they related, however, the manager and provider acknowledged that there is a need to further expand on the information kept, and to document clearly and in detail, the way in which staff should provide care and support to service users so that if a new member of staff reads a plan, she or he would have good information about what help a person needs, what they can do for themselves, and how the help should be Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 11 given. Since the last inspection, a new system of care planning has been developed; the effectiveness of this will be examined as part of forthcoming inspections, however, the requirement made relating to the content of care plans, was a requirement resulting from the last inspection and failure to comply with this requirement may result in legal action being taken against the service. There is no evidence that residents or their representatives have been involved in the compilation of the care plans, and the plans have not been reviewed on a monthly basis to ensure that they are up to date. A requirement has been made about this. GPs are very supportive and visit the home every week and the manager said that relationships with GPs and District Nurses are very good. Arrangements have been made for individuals to receive regular dental and eyesight checks. Private chiropody services are available to people who need them. Medication is given to residents by the manager or a senior staff member, all of whom have had appropriate training. A staff member was seen giving medication to one resident in that person’s room; the home’s procedures were being followed properly, and records relating to medication were seen and found to be in order. Residents said that they felt their privacy and dignity are respected, and staff use the names that they prefer. Care staff were talking with service users whilst helping them walk from one place to another and at lunchtime; the way they spoke to the individuals concerned, and dealt with the issues they raised was respectful and polite. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 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 range and frequency of organised activities is good, and demonstrates a high degree of attention to detail and planning and preparation, so that residents’ social, religious, and recreational needs are met. Staff provide appropriate support to facilitate contact with family and friends. Residents are encouraged to make choices about their lives and are encouraged to maintain their independence. Dietary needs are well catered for, with a balanced and varied selection of food available to meet residents’ individual tastes and choices. EVIDENCE: The home employs a person specifically to organise activities and to encourage residents to take part (though those who do not want to be involved are not coerced). Forthcoming activities, events, and trips out are clearly advertised on notices in the main corridors and elsewhere, including copies in residents’ rooms. Recent, or forthcoming activities include a recent fete, shopping trips using a hired minibus, bingo, and numerous musical events. A fete took place recently, which was popular with residents, relatives, and staff; the event raised considerable funds which were donated to charity. The activities coordinator said that she values the work very much and said the proprietor is very supportive and makes funds readily available so that residents don’t have to pay extra for trips out or entertainment brought into the home. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 13 A member of staff is employed specifically to talk with residents on a one to one basis; this is especially important for those who do not have relatives or regular visitors. The person concerned was spoken to during the last inspection and was clear about her role, and was experienced and knowledgeable about issues such as loss and bereavement and the need to treat information given in confidence. Visitors are welcome to visit at any time, and can be received in sitting rooms or, if they wish to have more privacy, in bedrooms or outside in the garden or courtyard. Residents said that they are able to exercise choice in respect of their daily routines, including when to get up and go to bed and where to take their meals. Residents can bring personal possessions into the home, and many have done so, however, items of furniture and electrical equipment must meet the relevant safety standards. An inspection of the home was carried out by the environmental health officer about two weeks before this inspection. No requirements or recommendations were made, though specific advice about one aspect of the home was given and was acted on immediately. Lunch on the day of inspection was gammon with onion sauce, fresh vegetables and potatoes, followed by a range of sweets. An alternative is provided for those who want a different meal or who need a special diet. Meals are served in the dining area which provides a pleasant, homely and relaxed atmosphere. Almost universally residents said that the food was very good and that they were happy with the quality and quantity of the food provided; this was reflected in the home’s customer satisfaction survey. One person, however, said that the food was sometimes not as warm as they would like; this was discussed with the proprietor, the manager, and her deputy, who said that they would ensure that the time taken to get meals from the kitchen to the table is always kept to a minimum. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 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, 18 The home’s systems for dealing with complaints are satisfactory so that anyone who feels the need to make a complaint can be sure it will be dealt with properly. The arrangements for ensuring the protection of service users from neglect or harm are satisfactory, so that residents are protected from abuse or mistreatment. EVIDENCE: The home has a complaints procedure to inform people how to make a complaint about the service; the procedures are satisfactory. No complaints have been made since the last inspection and residents said that they would feel able to tell staff or the manager if they had a complaint or suggestion. The home has received a number of letters and cards complementing the service; samples of these are included in the summary of this report. The home has an adult protection policy to guide staff in dealing with allegations of abuse or mistreatment, and there is also a whistle blowing policy aimed at encouraging and protecting staff if they feel the need to raise any concerns. A number of staff members have undertaken training in the Local Authority’s Vulnerable Adults Protection procedures and the manager is aware of the need to follow the procedures closely, and to get professional advice and guidance if abuse or mistreatment were suspected. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 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, 24, 25, 26 The home is suitable for the needs of those living there, and sufficient equipment is provided so that service users’ independence is maximised. One matter affecting the safety of residents needs addressing so that they are protected from injury and one matter of maintenance also needs attention to ensure residents’ privacy is not compromised. The home is clean and hygienic and there are no unpleasant odours. EVIDENCE: The home is in a small village, which has a church and popular pub; access to the home is via ramps or steps. The home is well-maintained and decorated to a very high standard and has a homely and pleasant atmosphere. Residents have access to well-kept and attractive gardens; a range of colourful shrubs and flowers has been planted including scented plants in raised beds for people in wheelchairs or with a visual impairment to enjoy. There is also a large patio area adjacent to an established pond, and a level pathway has been created round the perimeter of the building. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 16 A large room in the centre of the building is furnished and laid out to provide a dining area and two lounges, one with a small library. A further lounge area is provided at the front of the home with patio doors onto the front garden, and a fourth lounge is situated at the rear of the building. Lighting in the communal rooms is domestic in character, and furniture is good quality and suitable to the needs of service users; all residents spoken to expressed their satisfaction with the communal facilities provided. Twenty-four of the rooms have en-suite facilities; five of these also have their own shower or bath. Residents have access to four shared bathrooms, though the bath in one is not suitable for people who would find it difficult to get in and out. The home has two sluice facilities, both of which are separate from the bathrooms. The lock on one bathroom door, and the locks to a number of the en-suite facilities in a number of bedrooms are inoperative; a requirement has been made about this. Pre-set valves are fitted to the baths and washbasins, to ensure that the hot water is delivered at a safe temperature, however, the temperature of the water being delivered to the baths in the older part of the building is much too high; a requirement has been made about this. All rooms are centrally heated and residents are able to control the temperature in their bedrooms with support if needed; radiators have been fitted with guards to ensure residents’ safety from hot surfaces. Appropriate aids and adaptations have been provided throughout the home, including bath hoists and grab rails in bathrooms and toilets, and around the building. A call system has been installed in every room used by residents so that they can summon assistance if necessary; one resident commented that staff members were very quick to respond when she used her call bell. Discussions with residents, and observation, indicates the there is sufficient equipment and adaptations to enable staff to adequately, and safely, meet the needs of the current residents. The home is light and airy, and the majority of the rooms have high levels of natural light, though some or the rooms in the older part of the building are not as well-lit as in the new part. The Home has appropriate laundry facilities which are sited so that soiled articles are not carried through areas where food was prepared, stored, cooked or eaten. The home is clean with no unpleasant odours, and residents commented that the home was always very clean; this was backed up by the findings of the home’s customer satisfaction survey. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 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, 29, 30 Sufficient staff are employed to ensure that service users’ needs are properly met. Staff are competent and properly trained and experienced, so that they can safely meet residents’ needs. The home’s recruitment procedures mean that appropriate checks are made on potential staff to ensure that unsuitable people are not employed. EVIDENCE: At the time of the inspection, five staff were on duty, along with the manager, and catering and housekeeping staff; the owner was also present in the home. Waking staff are on duty overnight and an on call system is in place in case management support is needed. Staff are well presented with name badges and were courteous, welcoming and helpful. At the request of residents staff do not wear a uniform, though some housekeepers wear yellow tabards. The home has a high level of commitment to training in general, and the National Vocational Qualification (NVQ) in particular. The home has already well exceeded the minimum requirements for the standard relating to NVQs, which is commendable. Training is reported to have been carried out on health and safety matters such as moving and handling, and fire safety, and continence training, and training regarding depression amongst elderly people has been given by the community psychiatric nurse who supports the home. First aid training is planned, as is training in the needs of people with dementia. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 18 Staff files include two written references, and Criminal Record Bureau (CRB) checks have been carried out, as has verification of staff members’ identity and other required checks, to ensure as far as possible, that unsuitable people are not employed at the home. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37, 38 The home is generally well-managed and staff are supported in what they do, however, the manager needs to put in place systems to develop the record keeping, supervision and other aspects of the management role that need improving. Two of areas relating to health and safety have some shortfalls, which may put residents at risk of accidental harm. EVIDENCE: The registered manager of the home is Josie Brown. Mrs Brown has worked at the home since 1986; she started as care assistant but was promoted to deputy manager in 1991, became manager in November 2002 and was successful in her application to be registered in July 2003. Mrs Brown demonstrates a high level of commitment and care to the people living at Rose Cottage and to the service as a whole. She has undertaken a range of courses Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 20 relevant to her work and, since the last inspection, has gained the Registered Managers’ Award. The manager and proprietor both have a high presence in the home and demonstrate an approachable and open style of management. Discussion and observation suggested that communication in the home is generally effective, though the need for staff to include more detail in their recording was discussed. Staff, residents, and visitors (including the hairdresser who has been coming to the home for 17 years and has seen many changes) said that they were happy with the style of management and would feel able to approach the manager or proprietor if they had any concerns or suggestions. The proprietor has a high level of commitment to maintaining and improving the service and has employed an external agency to carry out an in depth customer satisfaction survey. The results of the survey have been shared with the Commission and a summary has also been included on the home’s website. Residents’ meetings are held approximately every 3 months, and either the proprietor or the manager aim to carry out a daily tour of the home to give the opportunity for people to comment informally on the service. A meeting of relatives and friends takes place to give an opportunity for them to offer comments or suggestions to help the service develop further. The proprietor deals with the home’s accounts; these were not inspected, however, given the demand for places at the home, and the high level of occupancy, the inspector has no reason to question the financial viability of the home. Insurance documents appeared to be in order. Staff at the home look after the cash belonging to a small number of residents; records relating to the money kept on behalf of one person were seen and were in order. Informal supervision takes place involving the manager working alongside care staff, however, only a limited number of staff have had formal supervision, though the manager says that she, and her deputy have enrolled on a course regarding giving and receiving supervision. A requirement has been made that all staff receive formal supervision at least 6 times a year, however, the appointment of the deputy manager should make the task easier, and the manager said that, at the next inspection, systems will be in place to ensure the requirements of the standard are met. A tub of what appeared to be potentially dangerous chemicals was found in a cupboard in the small kitchen, these must be kept elsewhere or a suitable lock must be fitted to the cupboard concerned. A requirement has been made about this, however, the proprietor confirmed that, though the tub was only dishwasher salt being stored in a tub that had previously contained carpet cleaning crystals, a lock had been put on the door. A wedge was being used to prop open a fire door to one person’s bedroom and the door in another is Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 21 catching on the carpet, which would mean that, in the event of a fire, the doors would not close automatically. A requirement has been made about this. The manager has sent notification to the Commission of any incidents adversely affecting the welfare of residents as is required under Regulation 37 and the proprietor sends a monthly report of his visit to the home to the Commission, as is required under Regulation 26. Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 22 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 2 3 2 Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 23 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 OP7 Regulation 15 & Sch 3(1)(b) Requirement Information held in care plans must give an accurate and detailed account of how service users needs are to be met and how assistance and support should be given. Care plans must be reviewed at least monthly The locks on bathroom doors that were found to be faulty must be repaired or replaced Arrangements must be made to ensure that water is delivered at a temperature of close to 43oC Arrangements must be made to ensure that all staff receive formal supervision at least 6 times a year Hazardous chemicals must be kept out of service users’ reach at all times Fire doors must be allowed to close freely in the event of a fire Timescale for action 31/12/05 2 2 3 4 OP7 OP21 OP21& OP38 OP36 15(2)(b) 23(2)(b) 13(4)(a) 18(2) 05/10/05 15/11/05 15/11/05 15/12/05 5 6 OP38 OP38 13(4)(a) 23(4)(c) 05/10/05 05/10/05 Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rose Cottage Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Residential Home DS0000015105.V250888.R01.S.doc Version 5.0 Page 26 - 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!