Inspection on 26/09/07 for Rose Lawn Residential Home

This inspection was carried out on 26th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Residential Home 26/08/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rose Lawn Residential Home 2 Eaton Road Margate Kent CT9 1XE Lead Inspector Tina Thomas Key Unannounced Inspection 26th September 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rose Lawn Residential Home DS0000023534.V343160.R01.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 Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Lawn Residential Home Address 2 Eaton Road Margate Kent CT9 1XE 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) 01843 223240 01843 231548 c.zacharia@btconnect.com 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.V343160.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager to have completed NVQ 4 in Management and Care by 2005. 6th February 2007 Date of last inspection Brief Description of the Service: 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 Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process took place over a period of time, information was gathered, and it concluded with an unannounced site visit. This means that people at the home including the staff did not know the inspection was going to take place. The inspection looked at key standards. Judgements were made by taking into account evidence from a range of documentation including the homes own Annual Quality Assurance Assessment (AQAA), a tour of the home, views of people living at the home, their relatives, the manager and the owner. Views were sought through 1; 1 discussion, and also through the distribution of surveys named ‘have your say about’ which are provided by the Commission. What the service does well: What has improved since the last inspection? The Registered Manager has completed NVQ Level 4 training in the management of care and has also obtained the Registered Managers Award. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rose Lawn Residential Home DS0000023534.V343160.R01.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 Lawn Residential Home DS0000023534.V343160.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who may be considering moving into the home receive sufficient information to make a decision about moving into the home. Their needs are assessed prior to admission to ensure that the home can meet these needs. EVIDENCE: The home has a service user guide (brochure) which gives people choosing a home a picture of what day to day life is like at Rose Lawn. One area that needs to be strengthend in the brochure is that it should clearly reflect the type of people the home caters for. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 9 Several people living at the home discussed that they were ‘very happy’ at the home. People living at the home 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 relative’s admission. They were pleased with the welcome they received. They were pleased 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 pre admission assessments to ensure that the home can meet their needs and expectations. Sometimes care managers also complete and assessment. 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. Rose Lawn Residential Home DS0000023534.V343160.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Consideration is given to people’s choices and aspirations as well as their health care needs during the planning of their care. However, plans are not always formally reviewed. People are treated with privacy and dignity. Medication practices are not robust and this could put people at risk. EVIDENCE: Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 11 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. Twenty surveys distributed by the Commission were responded to by people living in the home and their relatives. Each person and relative said that they were happy with the care they or their relative received from the home. Two care plans were viewed. One contained a comprehensive plan of care with very good information. However, it had not been formally reviewed on a monthly basis as required by the National Minimum Standards. It was clear from the manager’s knowledge that was done informally. However, the manager should ensure that he reviews the plans monthly and records the review as a matter of good practice. It is also provides evidence of the work the home undertakes with the people that live there. The second care plan was a gathering of information, which had not been formulated, into a conclusive plan of care, which should inform staff how best to meet people’s needs. Once again the manager could demonstrate that he had an in-depth knowledge of the persons history and care needs. The manager needs to ensure that each person has a plan of care in place. 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. Medication administration does not meet National Minimum Standards. The practice of potting up medication in readiness for administration continues. The Manager needs to ensure that this practice ceases as it puts people at risk. People at the home live in a ‘family type’ atmosphere. People living at the home feel they are treated with privacy and dignity. Feedback to the Commission included the comments: ‘We could not wish for greater care for mum.’ ‘They are encouraged to take care in their appearance …….’ ‘ Rose Lawn has covered all aspects of care work to an excellent standard.’ ‘We are extremely happy with the care home. My mother is very happy and well cared for. ‘I feel like my mother is looked after very well and her needs are met.’ ‘We have never had any concerns about her care. She is well looked after.’ ‘The residents are not spoken down to and are treated well and with respect.’ Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 12 Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a suitable programme of activities, which considers the preferences of the people currently living at the home. People at the home are encouraged to maintain contact with family, friends and the community. Meals are wholesome and plentiful and provide a social occasion. 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 14 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. One example of this is that a person with some cognitive impairment choose to sit outside in the sun. The risk assessment looked at the risk of sunburn, the risk of this person wandering off and addressed these matters in a way that allowed the person to sit outside safely. 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. Several of the relatives spoken with said they wouldn’t mind having a holiday at the home. Feedback to the Commission from people living at the home and their relatives included the comments: ‘They have music some days and I can join in. We have a hairdresser, and have our nails done. On nice days we sit in the sun.’ ‘Visitors are always treated well and always offered a drink. ‘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.’ ‘Visitors are made to feel extremely welcome.’ Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good outcomes in this area. People’s complaints are listened to and acted on and they are protected from abuse. EVIDENCE: People we spoke 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 a copy of it in each person’s brochure or service user guide. The home has had no 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a clean, well-maintained and safe environment. 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 17 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience adequate outcomes in this area. This judgement has been made using available evidence including a visit to this service. Staff numbers are appropriate to the needs of the people who currently live at the home. The homes practice regarding the recruitment of staff needs to extend to all members of the providers family to ensure the safety of people in the home. Staff receive suitable induction training. However the manager needs to facilitate further mandatory training for staff, including the provider’s family members. EVIDENCE: Care staffing rotas try to take into account the times of high and low activity. 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 19 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. Two staff files were viewed and found to have suitable documentation, including CRB checks. However, members of the family do not have files. The manager should ensure that he has all the information described in Schedule 2 of the Care Home Regulations for all the people working in the home, including family members. All members of the family did have CRB checks. The manager has identified in the homes AQAA that staff need to undertake some areas of mandatory training. Some members of staff have been reluctant to undertake this. 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a home that is generally well run. Some issues regarding staff training and staff records need to be more rigorously addressed. 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. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 21 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. 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 also has quality assurance checks undertaken by the Care Homes Association. Feedback is actively sought by the manager from people that live in the home and their relatives. The feedback the Commission received to the question ‘What could the service do better?’ included: ‘Nothing’. ‘I don’t think it could be improved’. ‘No improvements needed as far as I can tell’. ‘Im very happy with the home and don’t really see any need to improve anything.’ ‘As far as I am concerned the care home caters for every need of my mother and cannot see how any improvements can be made.’ ‘ I have no complaints and my family are very happy with the care I receive at the home.’ Health and safety records seen indicated that regular safety checks are undertaken by outside agencies. Fire records include regular checks and drills. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 22 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 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 23 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 OP30 Regulation 18. (1)(c)(i)(ii ) Requirement Training courses to meet the mandatory training in the National Minimum Standards is to be arranged. Regulation 18. Staffing. (1) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users— (c) ensure that the persons employed by the registered person to work at the care home receive— (i) training appropriate to the work they are to perform including structured induction training; and (ii) suitable assistance, including time off, for the purpose of obtaining further qualifications appropriate to such work. Previous timescale of 01/04/07 NOT MET Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 24 Timescale for action 30/11/07 2. OP9 13.(2) Medication Administration is to 30/11/07 meet the National Minimum Standards and the guidelines of the Royal Pharmaceutical Society of Great Britain. Care Homes Regulations: 13. Further requirements as to health and welfare. (2)The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Previous timescale of 06/02/07 NOT MET 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. 2 Refer to Standard OP7 OP7 Good Practice Recommendations All care plans should instruct care staff how to best deliver care to an individual. Care plans should be reviewed and the review evidenced on a monthly basis. Rose Lawn Residential Home DS0000023534.V343160.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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.V343160.R01.S.doc Version 5.2 Page 26 - 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. 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