Inspection on 22/01/07 for Rose Farm Care Home

This inspection was carried out on 22nd January 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rose Farm Care Home 07/11/07

Rose Farm Care Home 16/01/06

Rose Farm Care Home 15/09/05

Rose Farm Care Home 30/03/05

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rose Farm Care Home Main Street Styrrup Doncaster South Yorkshire DN11 8NB Lead Inspector Ken Hague Key Unannounced Inspection 08:30 22nd January 2007 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 Farm Care Home DS0000061468.V309601.R02.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 Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Farm Care Home Address Main Street Styrrup Doncaster South Yorkshire DN11 8NB 01302 744664 01302 746900 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) R S Care Homes Ltd Mrs Lorraine Ball Care Home 54 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (35), Old age, not falling within any other of places category (19) Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Within the total number of beds, a maximum of 35 may be used for the category DE(E) Within the total number of beds, a maximum of 19 may be used for the category OP Within the total number of beds, a maximum of 2 may be used for the category DE 16th January 2006 Date of last inspection Brief Description of the Service: The home is situated in the quiet village of Styrrup. There is good access to nearby towns of Retford, Doncaster, Rotherham and Worksop. The home comprises of three units. The Cottage which caters for 8 service users with low dependency needs, The Barns for 17 service users with varying dependency needs and the Garden Wing offers a safe and a secure environment for other service users with dementia. The Cottage is an adapted building more suited to service users with low dependency needs due to its sizes and layout. The Barns and The Garden Wing are purpose built. The gardens are pleasant and safe. There is ample car parking space at the front of the building. The home appears to be sufficiently adapted to cater for the needs of people with a disability. There is a passenger lift. A call bell is fitted throughout the building. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6.0 hours. A tour of the premises was undertaken. The registered manager was provided with feedback at the end of the inspection. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents and related care practices. A sample of care records was inspected. Two members of staff were interviewed and the opinions of three residents were sought. A Pre-inspection questionnaire was supplied by the care home to the Commission for Social Care Inspection prior to the site visit being made. The registered manager makes available to all potential new residents a copy of the statement of purpose of the care home when they visit the home for the first time. A copy is displayed in the care home reception area. A copy of the last Commission for Social Care Inspection report is included in the statement of purpose. What the service does well: What has improved since the last inspection? What they could do better: The care home offers services to residents who have been diagnosed as having dementia. Residents identified with this condition require a high level of care. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 6 The care home provided written evidence that sufficient staff, are on duty to meet the needs of the residents. There are however times during the day when it is essential staff are deployed effectively to assist residents for example at meal times. On the day of the site visit staff the inspector was not satisfied that staff were deployed effectively during the lunch period. 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 Farm Care Home DS0000061468.V309601.R02.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 Farm Care Home DS0000061468.V309601.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 & 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are satisfactory procedures for the introduction and assessment of people to the service, ensuring that all of their personal care needs, health care and social needs can be met. The home does not offer at this time a dedicated intermediate care service. EVIDENCE: Three individual residents files were examined as part of the case tracking process. They all contained a full assessment including a risk assessment for each individual resident. The assessment set out care needs social needs and health needs. Residents stated that they have been involved in the initial assessment with their families. The registered manager confirmed this statement to be correct. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 9 The registered manager stated that the home does not offer a dedicated intermediate care service. Rose Farm Care Home DS0000061468.V309601.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10 & 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a clear medication policy which is being followed by the staff. Staff treat the service users with respect and dignity and maintain their privacy. EVIDENCE: The care plans of three residents were studied in detail. They all contained the health care needs, personal needs and social needs of each resident. Care plans included details of how the health care needs of each resident were to be met and detailed involvement of community health care services. The details of visits by GPs, chiropodist and district nurses were recorded in care records. Residents confirmed that their individual health care needs were being met. Staff were found to be following the medication procedure of the care home. They have been trained by outside agencies in the administration and storage Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 11 of medication. Medication records had been completed in accordance with the national guidelines. Drugs are being stored correctly. Staff and the registered manager stated that residents could self medicate if they requested to do so and a risk assessment confirmed that this would be safe practice. Discussions with residents, staff, the registered manager and observations during the site visit provided evidence that the privacy and dignity of the resident is respected. Staff were seen to knock on doors to speak courteously to residents and to give help in a sensitive and respectful way. In the formal interviews staff referred to the rights of residents and stated it was important to take into account their wishes choices and maintain their dignity and privacy. The care home is registered for 35 people with dementia. The resident’s with this diagnosis will require a higher level of staffing support. The home’s person centred approach needs to be to be developed further to reflect more appropriately how staff allocation is reflected into the staffing rota to consistently meet the needs of residents at all times. Evidence was recorded on file of resident’s wishes in relation to the action to be taken when they have passed away. Rose Farm Care Home DS0000061468.V309601.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are enabled to keep in contact with their family and friends. All visitors are made welcome by staff at the care home. Catering arrangements for the home reflects the residents choices, preferences and personal dietary needs. EVIDENCE: The registered manager listed, in the Pre inspection questionnaire, a number of activities offered to residents including opportunities to take part in events in the community. Staff and residents confirm these activities do take place during the site visit. The home provides religious services for residents who wish to take part and pursue their individual religious beliefs Staff stated that the care home has a visiting policy, which is flexible to meet the choices and wishes of the residents. Residents confirm that family and friends are made welcome when they visit the care home. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 13 The choices and wishes of individual residents were recorded on their care plans. Staff discussed in the formal interviews the choices and wishes of the individual residents being case tracked. Residents stated that they felt their wishes and opinions are considered by the home. One resident stated “staff are very good here they do make our families welcome when they visit”. The registered manager sent a copy of the menu prior to the site visit this demonstrated that choice was being offered. The inspector observed staff asking residents at lunchtime what choice of the meal they required. The dietary needs of individual residents, was found recorded on their care plan. Rose Farm Care Home DS0000061468.V309601.R02.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home listens to resident’s views and wishes and acts on them. There are procedures in place to protect residents from any possible abuse. Staff have received appropriate training to protect residents from being harmed EVIDENCE: The registered manager stated that all staff have received training in the management and recognition of abuse. Staff confirmed in formal discussions that this statement was correct. The care home has an abuse policy in place, which, staff were able to discuss in the formal interviews. There is a copy of the Nottingham county council vulnerable abuse procedures in the care home. Staff interviewed confirmed that they had read both documents. Rose Farm Care Home DS0000061468.V309601.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, homely, clean environment with a choice of communal areas and personalised bedrooms. The up-to-date infection control policy is followed and maintains a safe environment. EVIDENCE: A tour was made of the care home. All areas were clean and smelt fresh. Ongoing maintenance has been carried out in the care home since the last inspection. Residents stated their satisfaction with the environment of the care home. There were no health and safety issues identified at this inspection in relation to the environment. Staff stated that they felt safe working in the care home. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 16 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): Standards 27,28,29 & 30 Quality in this outcome area is Adequate This judgement has been made using available evidence including a visit to this service. The deployment of staff during lunchtime was not effective to ensure that the needs of service users were met. The recruitment policy of the care home is being followed. Staff have received training to enable them to meet the needs of residents. EVIDENCE: The registered manager stated, “I follow the home’s robust recruitment policy which ensures staff details are obtained prior to employment being offered. This ensuring staff recruited, present no risk to residents safety. A sampled number of staff files confirmed this statement to be correct. There was evidence found in staff discussions and care records that induction, appraisals and supervisions are being provided to staff. Staff confirmed that one-to-one supervisions are carried out and staff meetings take place. There was evidence of a formal quality assurance system found in care records and described by members of staff. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 17 There were conflicting views and information about the numbers of staff who should be on duty over the lunchtime period. It was established on the day of the site visit that one dementia unit has seven residents who required one-to-one supervision at mealtimes. At the lunch period four members of staff were on duty in the first unit where lunch was being served. Kitchen staff and the deputy manager provided additional time. One resident was unsettled and as a result of difficult behaviour left the dining room with the registered manager and a member of staff. The inspector observed residents having to wait to be helped with their meal. Care staff worked hard to meet the needs of residents moving from table to table as residents demands changed. One resident who had received one-to-one help was observed not to be eating their food but spilling food out of their mouth. The staff member had moved to give help to another resident. Residents were seen to be getting impatient waiting for their food to be served. Staff stated that the second dining room containing another group of the residents who would have to wait until the first set of residents have been served. The inspector found residents were inpatient in the second dining room and did not see two members of staff on duty in the unit. Subsequent information has been made available to the Commission for Social care Inspection which shows, that the home managers have already addressed the staffing issue. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 18 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): Standards 31,33,35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is good leadership and guidance for staff. The home’s health and safety policy and infection control policy is being followed which ensure a safe environment is maintained. EVIDENCE: There is a registered manager in post. Staff state she is supportive, approachable and committed to providing good-quality care. Residents state that they are satisfied with the services they are receiving. Staff are managed and supported in their personal development. The registered manager stated that she is committed to running a home in the best interest of residents. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 19 No members of staff were observed in a unit during a part of the lunchtime period, which left service users unattended. Quality assurance systems are in place to obtain feedback from residents on families in respect of the services being provided by the home. There are financial procedures in place to ensure that residents financial interested are safeguarded and protected. No health and safety issues were identified. The care home was found to be clean and tidy. Rose Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 20 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 3 10 3 11 3 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 2 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 Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 21 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 OP27 Regulation 18 (1) (a) Requirement There should be sufficient staff on duty to meet residents needs at all times Timescale for action 20/03/07 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 Farm Care Home DS0000061468.V309601.R02.S.doc Version 5.2 Page 22 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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