Inspection on 23/06/08 for Rose Court Lodge Care Home

This inspection was carried out on 23rd June 2008.

CSCI found this care home to be providing an Good service.

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 Court Lodge Care Home 10/05/07

Rose Court Lodge Care Home 09/01/06

Rose Court Lodge Care Home 20/06/05

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Rose Court Lodge Care Home 3 Sutton Road Mansfield Nottinghamshire NG18 5ET Lead Inspector Stephen Benson Unannounced Inspection 23rd June 2008 09:00 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 Court Lodge Care Home DS0000063714.V367688.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 Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Court Lodge Care Home Address 3 Sutton Road Mansfield Nottinghamshire NG18 5ET 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) 01623 400445 01623 400446 rosecourtlodge@aol.com European Care (GB) Ltd Mrs Mavis McLaughlin Care Home 110 Category(ies) of Dementia - over 65 years of age (110), Old age, registration, with number not falling within any other category (110) of places Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. European Care (GB) Ltd is registered to provide accommodation and personal care for a maximum of 110 older people at Rose Lodge. Rose Lodge can accommodate a maximum of 110 service users over the age of 65 years (OP) and a maximum of 55 service users with dementia (DE(E). 10th May 2007 Date of last inspection Brief Description of the Service: Rose Court Lodge is the registered name for 2 units on the same site, Rose Lodge and Rose Court, each providing personal care and accommodation for 55 older people, including those who have dementia. The home can provide short and long term care. The home is owned by European Healthcare. The home is located near Mansfield town centre and is close to shops, pubs, the post office and other amenities. The home was opened in June 1998 and consists of two identical purpose built buildings. Each unit has fifty three single bedrooms and all of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and each unit has a passenger lift. The home has well appointed garden and patio areas that are well maintained and easily accessible. There is ample car parking available. The manager said on 11/05/07 that the fees for the service range from £294£475 per week depending on dependency needs. There are additional charges for hairdressing and chiropody. Further information about the home is available from the manager or the website: WWW.Europeancare.co.uk A copy of the latest inspection report is available in the entrance hall to both buildings. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for people accommodated and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2008. This inspection involved one inspector; it was unannounced and took place over 2 days in the daytime, including lunchtime. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled ‘Have your say about…’ to a sample of people and 16 of these were returned. The main method of inspection used is called ‘case tracking’ which involves looking at the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the people’s needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: Anyone new coming to the home has their needs assessed to make sure they can receive the help and support they need. This is done before they move into the home, and staff are made of their needs and how these will be met in advance. Staff are learning to write person centred care plans, involving people living in the home, so they reflect the person’s wishes regarding their health and personal care. Some people in the home are able to manage their own medication, which helps them maintain their independence. People living in the home feel that they are respected and treated in a dignified manner Staff try to organise activities they know people like so they can spend their time doing things that they enjoy. Visitors are welcome to come at anytime so Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 6 people can keep in contact with family and friends and routines in the home are flexible to take into account people’s wishes. There was a varied menu providing a choice of main meal and people enjoyed their lunch in nice surroundings. There is a complaints procedure, which is available for people to use. This has been used by people to raise things they are not happy about, which are then resolved. There was information seen that told staff what they must do in order to make sure people are safeguarded. The building was nice and clean and repairs are carried when needed making it a pleasant place for people to live. Staff know what they need to do to stop any infection spreading around the home, including wearing protective clothing, so that people are not put at risk of being made ill. There are 7 care staff on duty in the morning, 6 in the afternoon and 4 overnight, which most people seemed to think was sufficient. New staff only come to work in the home once they have been through the checks they need to show they are of good character and suitable to work with vulnerable people. Staff are provided with training, including an induction for new staff, to make sure they know how to meet the needs of people living in the home. The manager has a lot of experience in her job and has got a professional qualification. People are asked to fill in surveys and comment on how the home is run. Comments made were positive. Safety checks are carried out on the building and equipment to make sure people do not face any unnecessary or avoidable risk. What has improved since the last inspection? 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 Court Lodge Care Home DS0000063714.V367688.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 Court Lodge Care Home DS0000063714.V367688.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): 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents are fully assessed prior to moving into the home to ensure that their needs can be met. EVIDENCE: Information provided on The Annual Quality Assurance Assessment (AQAA) stated that there have been 65 people admitted to the home in the last 12 months and there had been 1 placement breakdown. A care file for someone recently admitted was seen on each unit. Both contained detailed pre admission assessments, which were completed prior to the admission to the home. There was also an assessment provided by the Local Authority for one of the people who lives in the home who they funded. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 9 The manager said that one of the deputy managers will go out to assess any prospective new resident and they have started taking a team leader along with them for them to gain experience. Staff said that management will assess whether a prospective new resident is right for the home. Staff said they get to know in advance when a new resident is coming in and they find out about their background. Someone who lives in the home said, “A social worker came to see me to see what help I needed. I always wanted to come here, I looked around about 4 years ago”. There is no arrangement made for the home to provide an intermediate care service. Rose Court Lodge Care Home DS0000063714.V367688.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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are being involved more in the planning of their care and health needs giving them a greater say. EVIDENCE: The care files are in the process of being rewritten in a person centred manner. A sample of six care files were looked at and these were mainly well written. There were some examples seen where the person centred approach had not been stuck to and the manager said this was due to staff getting used to writing in this manner. There were some files with life histories in and care plans for activities of daily living. There were assessments for tissue viability, nutrition and moving and handling. Care plans were being reviewed regularly and there was evidence seen of these being updated. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 11 People who live in the home and/or their relatives are involved in drawing up agreements with their care plans and risk assessments. The manager said she expected it would take about another six months to complete the change over of the care plans. The manager said that she audits three care plans a week in each home. Staff said they check care plans to see if there have been any changes to people’s needs. Someone who lives in the home said when asked if he had seen his care plan, “I wouldn’t know what I was looking at.” There is a section of the care file to record all medical appointments and these were seen completed. The manager said as part of the new person centred care planning system people who live in the home are encouraged to be involved in promoting their well being. Staff said they monitor people’s well being through asking them how they are, night time checks, providing a healthy diet, and ensuring they have the medication and aids and equipment they require. Someone who lives in the home said, “I normally clean my own glasses, but if I am not feeling well they ask if there is anything they can do for me”. There is an assessment process to see if any people who live in the home are able to self medicate and there are some people who live in the home that do so. Medication is stored in a locked room in each building and there are well ordered systems for checking medication received and disposed of. There are controlled drugs, which are appropriately stored. Medicine Administration records were fully completed. The controlled drugs register showed one person who lives in the home was given a pain relief patch late. The manager said that she undertakes weekly medication audits. Staff are going through medication training at present and staff can only administer medication when they complete a medication competency assessment. Staff said that only senior staff give only medication but are assisted by another member of staff who must have done the medication course. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 12 Someone who lives in the home said, “I have the medication I need to help with my Parkinsons”. There was a section in the new care files that ask if people who live in the home have any gender preferences as to who assists them. The manager said that staff have been provided with training in promoting people’s privacy and dignity. Staff described good practices in promoting people’s privacy and dignity and said they were told about the importance of confidentiality and providing care in a respectful manner. A person who lives in the home was asked if he was treated in a respectful manner replied, “We would complain if we weren’t”. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 13 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 and 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have opportunities to satisfy their social, cultural, religious and recreational interests and needs through opportunities provided within the home, the local community and being able to maintain relationships. People are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. EVIDENCE: Each unit has an activities coordinator and a designated activities lounge. There was a bingo session taking place in one unit and someone who lives in the home said, “I have got someone to play for me whilst I have my hair done, I don’t want to miss out on winning”. The activities coordinator was seen talking to someone who lives in the home about a forthcoming trip to a local park, if the weather is good. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 14 The manager said they use information collected in the life history to help plan activities. One person said, “I’ve always enjoyed sewing and art, they encourage me to do it. Staff said that there are lots of things going on including film nights and visiting entertainers. Staff were seen putting music on to play in the lounges. They were not seen asking people in the lounges what they would like to listen to. One person who lives in the home said, “They keep playing the same tunes time and again, I’ve not been asked what I would like to listen to”. There were photographs seen of activities in the home and trips out and staff said people go out to pubs, garden centres and boat trips are arranged. People who live in the home were seen with visitors and said that they are able to have visits from families and friends when they want. Staff were heard asking people who live in the home questions about what their preferences were, this was particularly so at lunchtime when people were asked things like ‘do you want gravy’ and ‘do you want me to cut your sausage up’. Someone living in the home said, “We seem to do pretty well what we would like to do”. Each unit has a fully staffed kitchen where meals are prepared and served. Each unit works to their own 4 weekly menu. There is a separate well presented dining room in each unit which allows for anyone to have assistance with eating if they need it. Part of lunch was observed in each unit and there was a choice of main meal. In one unit people were seen eating sausage and Yorkshire pudding, jacket potato with fillings and omelettes. In the other unit someone who lives in the home said, “I am having soup, it’s on the board. She (the cook) comes round and asks what you want”. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 15 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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate actions are taken following any complaints to improve the care of people who live in the home. Measures are taken to ensure people who live in the home are protected from any form of abuse. EVIDENCE: Information provided on The Annual Quality Assurance Assessment showed that there have been 4 complaints made in the last 12 months. One complaint was dealt with as a safeguarding matter. Two complaints were sent to us, which we forwarded to the provider to investigate. There was a complaint about management cover at weekends which was substantiated and amendments made to the rota, another about an infection control risk which was also substantiated and practices for removing soiled materials reviewed. In survey forms completed by people who live in the home, 4 people said that they knew who to speak to if they were not happy and 1 said they usually did. 5 people said they knew how to make a complaint. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 16 Staff said they dealt with minor issues, which were raised with them by people who live in the home or family members. Someone who lives in the home said, “If I have any complaints there are very good managers and we can approach them with any queries”. The manager showed a copy of the Nottingham and Nottinghamshire Safeguarding Adults Policy, Procedure and Guidance for Alerters and Referrers and a copy of the home’s whistleblowing policy was seen. Information provided on The Annual Quality Assurance Assessment showed that there has been 1 safeguarding referral made and 1 safeguarding investigation has taken place. There have not been any referrals made to the Protection of Vulnerable Adults list The manager reported the incident when bought to her attention by someone whistleblowing. The incident alleged a member of staff responding inappropriately to a person who lives in the home. The outcome of this was not substantiated. Staff spoken with said they had not had any safeguarding adults training, however the manager said that staff were going on courses as and when they could obtain places. Training records showed that some staff have received this training. Staff said they had been asked to read the Safeguarding Adults Policy, Procedure and Guidance for Alerters and Referrers. Someone who lives in the home said, “I feel very safe, no problem that way, in fact I don’t think I have got a problem here at all”. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 17 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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home live in a safe, well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: The home is well laid out and has wide corridors and everywhere is accessible to wheelchair users. There is a choice of communal areas. There are handrails on both sides of the corridors and grab rails in toilets and bathrooms. Some of the corridors have had murals painted to make them more interesting for people who choose to spend time walking up and down them. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 18 Areas of the home seen were clean and tidy and no outstanding repairs were noted. The home was well lit and fresh in odour. In survey forms completed by people who live in the home 2 people said that the home is always fresh and clean, 2 said it usually is and 1 said it sometimes is. The manager said that she ensures that the home is kept to a high standard of cleanliness and in good repair. There are designated housekeeping and maintenance staff employed. A relative commented prior to the visit that her mother found the call bell annoying when it went off. Staff were asked if any people who live in the home had complained about this and said they had not. A sample of six people who live in the home were asked if they were disturbed by the call bell and five said they were not, and one said you get used to it. They manager said she would look to see what could be done about this but obviously people needed to be able to attract the attention of staff. Someone who lives in the home said, “I think everything is fine with the building”. Information provided on The Annual Quality Assurance Assessment stated that 43 staff have received training on the prevention of infection and management of infection control. The manager said that all staff have received infection control training and were aware of the risk of super bugs. Staff confirmed they had received infection control training and that they felt the home was kept clean. A relative commented on one of the home’s questionnaire ‘When a toilet mishap happens I am impressed how quick the room is cleaned and smelling lovely again.’ Someone who lives in the home said, “I think everywhere is kept clean and tidy”. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 19 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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient and suitably trained staff employed at the home, ensuring that people’s needs can be met. People who live in the home are supported and protected by the home’s recruitment policy and practices EVIDENCE: Information provided on The Annual Quality Assurance Assessment showed that there are 76 care staff and a further 36 support staff employed. 32 care staff have left the home in the last 12 months. There has not been any shifts covered by agency staff in the past three months. The manager has assessed their minimum staffing levels to be 7 care staff in the morning and 6 staff in the afternoon and 4 staff at night. There are also deputy managers and team leaders on duty. In addition the home employs administrative staff, activity coordinators, kitchen staff, handyman and housekeepers. The manager said that she is able to adjust staffing levels as and when the need arises and said that she had recently added some additional hours to the morning shift. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 20 Staff said they had been one member of staff short today and additional cover had been brought in. Someone who lives in the home said, “There seems to be plenty of people on duty” and another person said, “I think staff have too much to do, they say they will see to it in a minute then disappear”. In survey forms completed by people who live in the home, 3 people said that staff are available when you need them, 1 said they usually are, 1 said they sometimes are and 1 said they never are. Information provided on The Annual Quality Assurance Assessment showed that there are 31 care staff who have National Vocational Qualification level 2 or above and a further 33 are working towards one of these. A member of staff said she had completed her level 2 this year and another said he had been offered the opportunity to take National Vocational Qualification level 2 but did not wish to do so. A sample of files were seen for new staff about to take up post. These contained the required information including a Criminal Records Bureau or Protection of Vulnerable Adults check. Staff said that new staff cannot start work until they have had the required checks. The deputy manager showed the training file, which showed staff are attending the required training. The manager said that training is very good and that there are plenty of opportunities. Staff said that there is always a lot of training going off and recent courses include hepatitis, health and safety, moving and handling and 1st Aid. Someone who lives in the home said, “They seem to know what they are doing”. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 21 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, 33, 35 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable management systems in place for the smooth running of the home and to protect people living in the home. EVIDENCE: The manager has been in post since 1998 and completed the Registered Managers Award earlier this year. Staff said the deputy managers do more of the day to day management of the units, but that they feel supported. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 22 There are questionnaires on display at the entrance to each building about services provided. In addition surveys are put into everyone’s rooms A sample of completed questionnaires showed positive comments made about the home. Staff said that they get the views of people living in the home and they ask families to express any concerns. Someone who lives in the home said, “They ask me what I think, that is nice, it’s nice to know they like to know. There is a system where staff will hold money for people who live in the home to pay for hairdressing, chiropody and other incidentals. A record is made of each transaction and signed and witnessed. Receipts are kept when available. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. . It was also stated that there are written assessments on hazardous substances. Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 (2) Requirement People must receive their medication at the correct time so they feel the full benefit of their medication and do not suffer any side effects Timescale for action 01/07/08 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 OP12 Good Practice Recommendations Provide people with an opportunity to select the music listened to so they can listen to music of their choice Rose Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Court Lodge Care Home DS0000063714.V367688.R01.S.doc Version 5.2 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. 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