This inspection was carried out on 9th January 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.
CARE HOMES FOR OLDER PEOPLE
Rose Court Lodge Care Homes Rose Court 3 Sutton Road Mansfield Nottinghamshire NG18 5ET Lead Inspector
Stephen Benson Unannounced Inspection 9th January 2006 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 Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Rose Court Lodge Care Homes Address Rose Court 3 Sutton Road Mansfield Nottinghamshire NG18 5ET 0207 723 7071 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) European Care (GB) Ltd Mrs Mavis McLaughlin Care Home 110 Category(ies) of Old age, not falling within any other category registration, with number (110) of places Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users shall be within category OP Date of last inspection 16/06/05 Brief Description of the Service: Rose 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. 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 Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was the second of two unannounced inspections carried out between April 2005 and March 2006. The inspection lasted for 3 hours and the inspection focussed on key standards not inspected at the last visit. The main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty, relatives and care practices were observed. 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: What has improved since the last inspection?
There has been some development to the care plan process to ensure that care plans are kept under review and updated in light of any changes noted and that all entires made in any record are acurate. There has been a review of the duties that work experience students can take part in to ensure that the privacy and dignity of residents is not compromised. Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 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 Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 9 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): None EVIDENCE: Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 10 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): None EVIDENCE: Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 11 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): 18 Staff should be more familiar with the adult protection procedures. EVIDENCE: The home has a copy of the adult protection procedures in each unit and training in the use of the procedures has been provided. The manager said that there has not been any allegation or incident of abuse. The training provided was from some time ago and staff asked were uncertain of the correct procedures to follow. Further training should be provided to ensure new staff have been trained and to refresh other staff. Residents said that they were treated very well by staff and had never seen anyone treated badly. This was a view also expressed by relatives who said they found staff very caring. Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 12 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): None EVIDENCE: Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 13 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): 28 Staff are appropriately trained to carry out their duties. EVIDENCE: Staff are encouraged to undertake NVQ training and a high percentage of staff are either in the process of doing or have achieved one. The home has a good relationship with their assessors who frequently attend the building to assess staff. Residents felt that staff were competent in their duties. Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 14 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, 35 and 38 The home is managed by someone competent to fulfil the role. Improvements are needed to the management of residents finances and some health and safety checks. EVIDENCE: The registered manager has been in post since the home first opened in 1988 where she was the manager for one of the two homes, which were separately registered. The homes registration was combined in 2005 where the manager became the registered manager for the whole site. A deputy manager then manages each unit. The manager is fully aware of the responsibilities of hr role and is enrolled on NVQ level 4, which she would have expected to have finished by now had it not been for problems with the college. The manager also intends to undertake the registered manager award. Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 15 There is a system in place to manage residents personal allowances where wanted. Small sums of money are normally given to the home to manage by relatives. Records are kept of all monies paid in and any expenditure made which include 2 signatures for each transaction. Money is held in a communal tin rather than for each individual resident. Money should be held separately for each resident. There are contracts in place for carrying out the required safety and maintenance checks on equipment. The maintenance man carries out the weekly fire alarm test, however there is no system in place for these to be done when he is not there. Also the required monthly checks are not carried out on the emergency lighting. Residents and relatives confirmed that they have heard the fire alarm being tested. There has not been an assessment undertaken of the water storage system to identify if there are any practices needed to prevent the risk of Legionella. Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 2 X X 2 Rose Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 17 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 2 3 4 Standard OP18 OP35 OP38 OP38 Regulation 12 20 23 13 Requirement Provide staff with training on the adult protection procedures Ensure each residents personal allowance is kept individually Ensure weekly fire alarm and monthly emergency lighting tests are carried out. Carry out a risk assessment on the water storage system Timescale for action 01/04/06 01/02/06 01/02/06 01/04/06 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 Court Lodge Care Homes DS0000063714.V277242.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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