Inspection on 26/08/08 for Rose Lawn Residential Home

This inspection was carried out on 26th August 2008.

CSCI found this care home to be providing an Excellent 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 Lawn Residential Home 26/09/07

Rose Lawn Residential Home 06/02/07

Rose Lawn Residential Home 18/10/05

Rose Lawn Residential Home 25/10/04

Rose Lawn Residential Home 19/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rose Lawn Residential Home 2 Eaton Road Margate Kent CT9 1XE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sandra Crosby     Date: 2 6 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care 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): Name of registered manager (if applicable): Type of registration: Number of places registered: Mr Kyriacos Zacharia,Mrs Anna Zacharia Christopher Zacharia care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The Manager to have completed NVQ 4 in Management and Care by 2005. 0 Over 65 13 Date of last inspection Brief description of the care home Roselawn residential home provides care for up to 13 older people who require varying degrees of assistance. Rose Lawn has access to specialist services within the community. Staffing within the home comprises of a Registered Manager, care and ancillary staff. The home is a family run business with the owners and their family members having a high level of input into the home. There are two double bedrooms in the home. All but one bedroom has en-suite facilities. The home is located within short walking distance to Margate town centre and sea front. There is a small parking area to the front of the property. Fees are in the range of #290-00p - #350.00p Care Homes for Older People Page 4 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means that people who use this service experience excellent, quality outcomes. This report contains the findings of the home’s key inspection and takes account of information obtained from various sources since the last inspection of 26 August 2007. The key inspection visit was unannounced and carried out on Tuesday 26 August 2008 between 10.30 and 15.30. During the inspection the inspector spoke with several residents, two relatives, the registered manager, and staff on duty. Various records were seen and an accompanied tour of some areas of the home was made. Care Homes for Older People Page 5 of 23 Information contained in the completed Annual Quality Assurance Assessment (AQAA), was comprehensive and information and observations made at the time of the inspection visit has been used when completing this report. Two of five service user surveys were returned, together with seven completed surveys viewed as part of the quality assurance system for the home. All provided positive comments about life at the home and the care afforded to people by the staff for example we are more than happy with every aspect of care given, all her needs are met, we have never had any concerns about her care she is well looked after, staff are friendly and polite, Mum is part of the family there, visitors are made to feel extremely welcome. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. The findings of this inspection, together with additional information received indicates that this home provides good outcomes and sustained quality of provision for the residents, and in line with CSCI ratings agenda this service has achieved an excellent 3 star rating. The registered manager confirmed that issues raised in relation to the completing of written review documentation required by regulation and staff training issues would be addressed. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line – 0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes Statement of Purpose and Service User Guide provide prospective residents/relatives with the information they need to make a decision about moving into the home. The assessment process is thorough and prospective residents move into the home knowing that their needs can be met and that their independence will be maximised and promoted. It is not the general policy of the home to admit residents on a short-term basis, and this standard was judged as not applicable at this inspection visit. Evidence: The homes Statement of Purpose and Service User Guide were seen and provides prospective residents/relatives with comprehensive information to enable them to Care Homes for Older People Page 9 of 23 make a decision about moving into the home. People living at the home said that they had visited the home to see if they liked it before making a decision to move there. Relatives also discussed how they had visited the home prior to their relatives admission. They were pleased with the welcome they received, and with the amount of information given by the providers and manager in regard to the home and the level of care they could expect for their relatives. Before anyone moves to the home the manager carries out comprehensive preadmission assessment to ensure that the home can meet their needs and expectations of the prospective resident. It was seen that care managers also complete an assessment when appropriate. These assessments form the basis of the service users plan of care. The home, like many others, does not provide intermediate care as described in Standard 6 of the National Minimum Standards. This is a specific service, which is designed for people who may be able to move back home. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from care plans that show that person centred care is promoted, and that health needs are being met, however reviews need to be formally recorded. Personal care is offered in a way to protect resident’s privacy and dignity. The systems for medication administration are robust; and there are clear and comprehensive policies and procedures in place to ensure residents medication needs are met. Evidence: Discussion with the manager and providers showed that they had an in depth knowledge of each individual person living in the home and their individual needs, likes and dislikes. Five surveys were sent to the home and two were returned providing positive comments about the care they received. Residents and relatives at the time of the inspection also confirmed that they were happy with the care they or their relative received. Care Homes for Older People Page 11 of 23 Two care plans were seen and contained all required components as required by regulation for example care plan, risk assessments and daily records. They contained comprehensive information about the resident. It was clear from the managers knowledge that the reviews were undertaken informally, and following discussion the manager agreed to carry out written monthly reviews in accordance with regulation. The home has good supportive links with the local GP and district nurse team. Health records show that people have regular access to health care professionals. People’s psychological health is monitored regularly and preventative and restorative care provided. The medication recording sheets were seen and indicated that these were all appropriately signed and up to date. Stored medications were seen and discussion took place in relation to one medication that was prescribed for three people and the way in which it was being dispensed by the manager. He agreed to address this issue. People at the home live in a ‘family type’ atmosphere. Residents living at the home feel they are treated with privacy and dignity. Feedback to the Commission and at the time of the visit included the comments: ‘We are more than happy with every aspect of care given, all her needs are met, never left on their own for very long, ‘we have never had any concerns about her care, she is well looked after and the residents are not spoken down to and are treated well and with respect.’ Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident they will have satisfactory opportunities regarding lifestyle choices. Residents are supported to maintain contacts with families and friends and enjoy a balanced and healthy diet. Evidence: The home is small and family run. People at the home and their relatives were very clear that the service they received exceeded that which they expected from a care home. People are offered the autonomy to live their lives as they choose, although sometimes this is within the boundaries of risk assessments. Good quality risk assessments are in place when appropriate, which enable people to fulfil their choices rather than restrict them. Care Homes for Older People Page 13 of 23 People living at the home and their relatives agreed that the food at the home is good and plentiful and there is always a choice. Food records were seen, together with the meal provided on the day of the inspection visit. Feedback to the Commission and at the time of the visit from people living at the home and their relatives included the comments: ‘Visitors are always treated well and always offered a drink, always welcomed warmly when visiting, Mum is part of the family there, staff friendly and polite and they are all so kind and friendly, ‘when I visit there is always a coffee when I arrive. I sit down with my sister and have lunch with coffee after. There is coffee or tea with biscuits before I leave and visitors are made to feel extremely welcome.’ People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and visitors know their complaints will be listened to and acted upon. Management and staff have good knowledge and understanding of adult protection issues, which protects the residents from abuse. Evidence: People spoken to said that if they had any concerns they would feel happy to approach any of the staff, the manager or the providers. If people want to complain formally there is a complaints procedure that is on display in the reception area of the home. There is also information in each person’s brochure or service user guide. The manager confirmed that the home has had no formal complaints in the past 12 months. Staff have undertaken prevention of abuse training, which covered how to recognise abuse and how to report perceived incidents. This helps to keep people in the home safe. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and comfortable home that is continually improved by an ongoing programme of refurbishment and redecoration. Evidence: The service provides a homely environment. Furniture and furnishings are domestic in nature. The location and layout of the home are suitable for those who live there. The building complies with the requirements of the local fire service and environmental health department. There are a number of communal areas in the home, which people can use and enjoy. Good use is made of the sun terrace at the front of the home. Peoples own bedrooms were personalised with their own belongings, some people bought with them some of their own furnishings. People discussed how they enjoyed the privacy of their own room. The home is always clean and free from odours. People living in the home and their relatives fed this back to the Commission. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s benefit from a mainly well-trained, enthusiastic and supportive staff team. Staff training needs to be further developed to ensure that all staff have the skills and knowledge needed to meet the needs of the residents. The homes practice regarding the recruitment of new staff ensures residents are protected. Evidence: The staff rota was seen and takes into account the times of high and low activity. It was observed that there were sufficient staff on duty at the time of the inspection visit to meet the needs of the current group of residents. As the family live on site extra staff are always available should the need arise. The family are proud that this allows them to offer 1:1 care and support in times of need, for example when people are close to death. The family are very caring, but the manager needs to ensure that they are all trained in line with national minimum standards. The manager has recognised this himself and has addressed it in the homes Annual Quality Assurance Assessment (AQAA). All staff receive a suitable induction. Care Homes for Older People Page 17 of 23 A staff members file was viewed and seen to contain all documents required by regulation for example application form, CRB, references and contract of employment. The manager is working towards creating staff files for family members that have worked at the home for many years prior to the current regulation. All members of the family did have CRB checks. The manager has identified that staff need to undertake NVQs in line with regulation but has currently been updating mandatory training for example Moving and Handling, and Administration of Medication. First Aid training is booked for 30 September 2008. Further training needs to be actioned to ensure the safety of people in the home. It also needs to be in place to comply with the Care Home Regulations and possibly the commissioning councils contract and the homes insurance. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Resident’s benefit from a well run home and the health, safety and welfare of service users and staff are promoted and protected. Evidence: The manager has completed the NVQ Level 4 in the management of care and the Registered Managers Award. People in the home and their relatives feel that the home is well managed. People living in the home, or their representatives, deal with their own financial affairs and the home only on rare occasions hold any monies for people living there. Care Homes for Older People Page 19 of 23 The manager has provided the Commission with an AQAA that has looked honestly at the homes strengths and weaknesses and the manager has looked at ways of improving in the next year. The home also has a development plan. The home has undertaken quality assurance surveys in May of this year. The completed surveys seen provided comments for example I have nothing but praise for the staff, family run home that does care and everything is perfect. Feedback is actively sought by the manager from people that live in the home and their relatives. Relatives spoken to at the time of the inspection visit praised the care provided at the home. Information provided in the AQAA documentation indicates that all regular safety checks are undertaken. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 13 14 7 21 Ensure that care plans are formally reviewed regularly. To incorporate the updating of the bathrooms at the home in the ongoing re-decoration programme Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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!