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Inspection on 18/10/05 for Rose Lawn Residential Home

Also see our care home review for Rose Lawn Residential Home for more information

This inspection was carried out on 18th October 2005.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users spoke of receiving quality care from a dedicated staff team within a very homely, friendly environment. Staff spoken to commended the management of the home in maintaining a homely, informal relaxed environment for service users, and a supportive working environment. The home caters for a variety of cultures and ensures individual needs are fully met. Investment in staff training has provided the home with suitably trained and experienced staff.

What has improved since the last inspection?

Since the last inspection the Registered Manager has reviewed the homes medication procedures and accessed additional training for all staff involved in the management of service users medication. The home continues to provide all service users with a high standard of service.

What the care home could do better:

The home must ensure that new medication policies and procedures are adhered to and stock held within the home is within their expiry date.

CARE HOMES FOR OLDER PEOPLE Rose Lawn Residential Home Rose Lawn Residential Home 2 Eaton Road Margate Kent CT9 1XE Lead Inspector Elizabeth Hendry Announced Inspection 18th October 2005 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 Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rose Lawn Residential Home Address Rose Lawn Residential Home 2 Eaton Road Margate Kent CT9 1XE 01843 223240 01843 231548 c.zacharia@btconnect.com 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) Mr Kyriacos Zacharia Mrs Anna Zacharia Christopher Zacharia Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager to have completed NVQ 4 in Management and Care by 2005. 14th July 2005 Date of last inspection Brief Description of the Service: Roselawn residential home provides residential care for up to 13 older people who require varying degrees of assistance. Rose Lawn has access to specialist services within the community. The home is located within short walking distance to Margate town centre and sea front. Stafing within the home comprises of a Registered Manager, Deputy Manager, Care and ancilliary staff. The home is a family run business with the owners and their family members having a high level of input into the home. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual inspection , that took part over the course of a day. A tour of the home was undertaken and policies and procedures were examined. The owners, and registered manager were present during the inspection. Service users appeared comfortable and relaxed within their surroundings. Staff on duty had an excellent rapport and communicated well with all residents. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that new medication policies and procedures are adhered to and stock held within the home is within their expiry date. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 6 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 Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 The homes statement of purpose and service user guide are good. They provide service users and perspective service users with the information they need to make a decision about moving into the home. Service users move into the home knowing that their needs will be fully met. No intermediate care is provided at the home. EVIDENCE: Service users spoken to reported that prior to moving into the home, they were provided with a service user guide, that clearly identified what services and facilities were available. A copy of the homes statement of purpose was viewed and found to contain all the required information, evidence of recent review of this document was apparent. The registered manager confirmed that service users are provided with assistance where necessary in understanding the contents of the service user guide. A copy of the most recent inspection report is available upon request. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 9 Service users spoke of being assessed prior to being admitted into the home to ensure their needs could be fully met. No intermediate care is provided within the home. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the service users needs. Policies and procedures for the management of service users medication are adequate ensuring the safety of service users. EVIDENCE: Staff spoken to had a clear understanding of the individual needs of each service user. Care plans viewed illustrated service user and family involvement in the review process. Some service users spoken with had an awareness of the contents of their care plan and confirmed that should they wish to see the plan staff would provide assistance. Medication administration records were examined and found to be well maintained. Medication was found to be stored and labelled correctly. Excessive stock of topical dressing was found and was discussed with the registered manager who has since confirmed that all excess stock has been returned to the pharmacy and will continue to do so on a regular basis. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 11 The Registered manager added that since the last unannounced inspection additional training in the safe handling of medication had been accessed in order to ensure procedures are adhered to. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14 and 15 Service users are assisted and encouraged to maintain contact with family and friends. Personal care is provided in a manner that promotes and protects service users privacy, dignity and right to choose. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Service users spoke of staff making their family and friends feel at home whenever they visited, with nothing ever being too much trouble. Staff spoken to confirmed that assistance is provided to service users when needed in order for them to maintain contact. Individual care plans identified the level of support each service user requires, providing clear guidelines for staff to follow to ensure no intrusion of privacy or independence. Service users spoke highly of the meals provided within the home, and dietary needs and advice is catered for. Menus were displayed on each table within the dining room, and illustrated a wide range of meals and choices available to all service users. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 13 The Registered owner spoke of meeting the cultural needs for one service users through their diet. Food stores were examined and found to contain a vide variety of branded products of good quality, and in sufficient quantities. The registered manager confirmed that hot and cold drinks and snacks were always made available. During the inspection the food was sampled and found to be tasty, well presented and of good quality. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The homes complaints policy and procedure is excellent, ensuring service users receive quality care at all times. Staff have a sound understanding of adult protection issues which protects Service Users from possible abuse. EVIDENCE: The home has an open door policy, which encourages staff and service users to raise concerns with confidence that appropriate measures will be taken. Service users spoken with had a clear understanding of the homes policy, records viewed confirmed this. A copy of the homes complaints procedure was on display within the entrance hall. The Registered manager confirmed that all staff attend an in-house adult protection training course on commencement of employment which is then followed up by a certified external training course. Staff spoken to had a good understanding of the procedure in identifying and reporting possible abuse. Certificates for staff attendance in adult protection training courses were on display within the manager’s office. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The standard of the environment within the home is good providing Service Users with an attractive and homely place to live. Infection control measures are in place, which promotes the wellbeing and health of service users and staff. EVIDENCE: A tour of the home was undertaken, and all areas were found to be decorated and furnished to a high standard. The majority of fixtures and fittings were domestic in nature. To the front of the property there is a large paved seating area with water feature. It was noted that Service Users have been encouraged to personalise their bedrooms. The home has an ongoing programme of maintenance. The home was found to be clean and no offensive odours were present. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 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): 28,29 and 30 Recruitment procedures in place are thorough, assisting in the protection of all service users. Service users receive care from appropriately trained and competent staff. EVIDENCE: High levels of staff were on duty during the inspection, staff rotas examined showed good levels of staff were on duty at all times to ensure service users needs can be fully met. Staff files viewed contained CRB checks and relevant information in accordance with the homes recruitment policies and procedures. The management of the home spoke of investing in staff training and development, records evidenced confirmed that all staff working within the home have received and continue to receive appropriate training. The registered manager explained that the home is experiencing some difficulty in ensuring fifty percent of the staff team hold NVQ level 2 in care. Training files identified for those members of staff not holding this award extensive in house and external training courses are undertaken to ensure the changing needs of the service users are fully met. Throughout the inspection staff were observed communicating well and treating all residents with respect and dignity. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 and 38 Service Users benefit from a well managed home. The management of the home is open, encouraging Service Users to become involved in the day to day running of the home. Quality assurance procedures within the home ensure the home runs in the best interests of the service users. The health and safety of the service users and staff are promoted and protected. EVIDENCE: The Registered manager has a clear understanding as to the going on within the home, service users spoke of the manager and family members undertaking care and domestic duties when needed and providing an open door to discuss personal issues and worries. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 18 Staff spoken with confirmed that the manager is approachable and understanding and actively supports their personal development. Records viewed were found to be well maintained, accurate and showed evidence of regular review. The Registered Manager is currently undertaking an NVQ level 4 and Registered Managers Award. The Registered Manager confirmed that resident meetings take place, however many residents prefer to speak on a one to one basis when raising issues. Completed questionnaire returned to the Commission prior to the inspection identified all service users were very satisfied with the service that they receive. Health and safety records viewed illustrated that regular safety checks are undertaken by outside agencies. Fire safety records indicated that regular drills take place and all equipment has been maintained to a safe standard. The registered manager confirmed that the home has no involvement in the management of service users monies. Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 20 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. 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. Refer to Standard Good Practice Recommendations Rose Lawn Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Residential Home DS0000023534.V254862.R01.S.doc Version 5.0 Page 22 - 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!