Inspection on 05/08/05 for Rose Lawn

This inspection was carried out on 5th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Lawn 16/07/08

Rose Lawn 15/08/07

Rose Lawn 11/10/06

Rose Lawn 22/02/06

Rose Lawn 16/02/05

Rose Lawn 09/11/04

Rose Lawn 01/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Rose Lawn All Saints Road Sidmouth Devon EX10 8EX Lead Inspector Teresa Anderson Unannounced 5 August 2005 13:00hrs th 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 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 Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rose Lawn Address All Saints Road Sidmouth Devon EX10 8EX 01395 513876 01395 579519 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Key Change Mrs Margaret Mary Haxton Care Home 23 Category(ies) of OP Old age (23) registration, with number of places Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16 February 2005 Brief Description of the Service: Roselawn is situated a few minutes walk from Sidmouth town centre and Sidmouth sea front. The home is owned by Key Change, a not for profit organisation and has a Christian and spiritual ethos. The home currently provides personal care together and accommodation for up to 23 older people. However, building work is under way which will result in the home providing 6 new ensuite bedrooms, an extra dining room, a quiet room, a conservatory and extra staff and meeting rooms. The home is set back from the road and has level access throughout the ground floor. Bedroom accommodation is provided on the ground and first floor of the home, and floors are linked by a passenger lift. All bedrooms have en suite facilities. The kitchen is equipped to a very high standard. The gardens are level, secure and well tended. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This short unannounced inspection took place as part of the normal programme of inspection between 1.30pm and 3.30pm. Residents were just finishing lunch with coffee or tea as desired. The inspector looked around the home, spoke with seven residents, two visitors, two members of staff and with the manager. No written records were inspected. Building works continues to provide 6 new ensuite bedrooms and extended communal and office space continues. It is anticipated that this will be completed by Autumn 2005. What the service does well: Roselawn has a strong and well-developed ethos of person centred care. Each resident is treated as an individual who has rights and responsibilities and who should be supported to live the life they wish to live. Health needs are well met with evidence of good multi disciplinary working. Personal support is provided in a way that promotes privacy, dignity and independence. Residents who receive ‘bad news’ are well supported to live full and fulfilling lives. Residents’ lives are enriched by their lifestyle and the links with the local community. Residents carry on with their lives receiving the support they need to do so, for example visiting with friends, going out for walks, going to church and going shopping. Staff are described as always giving that little extra. During this inspection a carer arrived at the home on her day off to take one resident into town as it was such a nice day. What was particularly person centred about this was that the resident was asked. It was not assumed that she would be ‘taken’, that she would go or that she would be grateful. The inspector saw the resident in the town later and she was obviously really enjoying herself. Other residents had visited the local gardens that morning and some were preparing to receive visitors. The food and chef are described as ‘exceptional’. There is wide choice, extensive variety and all meals are beautifully presented as social events and occasions. Roselawn is staffed by a team who follow the ethos of the home – promoting independence and person-centred care and personhood. They are described by residents as having the ability to anticipate and meet needs. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 6 The team is managed by a manager with drive and commitment and who has a clear vision for the home which she communicates well. Residents believe they ‘are blessed’. One resident summed the home up by saying ‘they really care for us’. 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. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 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 standard(s) Not inspected on this occasion. EVIDENCE: Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 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 standard(s) 8 and 10. The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. Personal support is offered in such a way as to promote and protect residents privacy, dignity and independence. EVIDENCE: All residents spoken to said that staff are very quick to make referrals to (for example) doctors and nurses as needed. Speaking with staff demonstrated that any information given by the medical team is reinforced by staff, and that residents who receive ‘bad news’ are well supported to live full and fulfilling lives. Residents said that all their personal care needs are dealt with in private and that staff behave as (welcome) visitors in their home. Staff were observed knocking on bedroom doors and treating residents with discretion and respect. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15. Residents are enriched by the lifestyle experienced and links with the community are excellent, supporting and enhancing residents’ social opportunities. The meals in this home are excellent offering both choice and variety and catering for special dietary needs. EVIDENCE: Residents at Roselawn choose their daily routine, for example what time to get up and go to bed, what they wear and eat. One said that living at Roselawn means she can carry on with her life and not have to ‘start a new life in a home’. Many residents enjoy walking, or being escorted, into Sidmouth for coffee, shopping, walks and meeting with friends. On the day of this inspection a carer arrived at the home on her day off to take one resident into town as it was such a nice day. What was particularly person centred about this was that the resident was asked. It was not assumed that she would be ‘taken’, that she would go or that she would be grateful. The inspector saw the resident in the town later and she was obviously really enjoying herself. Other residents had visited the local gardens that morning and some were preparing to receive visitors. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 11 Visitors say they are always made welcome. One resident entertains his visitors for lunch once a week and is taken and collected by staff twice weekly to visit with his relatives. Staff were seen making time for and talking with visitors. Visitors get to know other residents creating a real ‘social’ feel. Without fail, residents at Roselawn are exceptionally complimentary about the chef and meals. They say the standard of presentation, variety and choice are excellent. Individual preferences are always taken into account. For example, when fish is on the menu – residents can choose how they would each like it cooked (for example poached, baked etc). Sweets are another favourite with residents when there is usually a choice of between five and nine deserts from the sweet trolley. The chef visits with residents in the afternoon to find out what they would like to eat for supper and according to residents there is little or no restriction on choice. Tables are always dressed and meal times are social occasions. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 12 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 standard(s) 16. The home has a satisfactory complaints procedure with evidence that residents believe their views are listened to and acted upon. EVIDENCE: Roselawn has a clear complaints policy. Residents said they had no complaints and that their suggestions are always acted upon. During the inspection one resident made a request. The manager dealt with this immediately, not just providing the item requesting but promoting choice and independence and empowering the resident by asking her to choose the item herself which the manager would then arrange to purchase. Neither the home or CSCI have received any formal complaints. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 13 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 standard(s) Not inspected on this occasion. EVIDENCE: Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27. Staff are well matched to meet residents needs, providing good standards of consistent care within the ethos of the home. EVIDENCE: All residents were extremely complimentary about staff. They said ‘they can’t do enough’, ‘they make me feel safe’ and ‘they couldn’t be better’. It is clear that staff treat residents as equals and with respect. Great care is taken to meet identified needs and to anticipate needs. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 32. The manager provides strong leadership and has a clear vision for the home which has been effectively communicated. The manager is well supported and staff demonstrate an excellent understanding of their roles and responsibilities. EVIDENCE: Many of the residents described the manager’s drive and commitment. They believe that the extensive building works would not have taken place or been so well managed without her leadership and management skills. Residents say they ‘are blessed’. Staff and management have easy, relaxed and respectful relationships with each other and with residents. The team is continually being developed and empowered through training, coaching and positive role modelling. Residents have great faith in the staff team. One resident said ‘they really care for us’. Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 x x 4 4 x x x x x x Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 17 No Are there any outstanding requirements from the last inspection? 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Rose Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Lawn D54 D06_s22020_roselawn_v240524_050805 stage 4.doc Version 1.40 Page 19 - 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!