Random inspection report
Care homes for older people
Name: Address: Rose Lodge 2 Isca Road Exmouth Devon EX8 2EZ one star adequate service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Louise Delacroix Date: 1 6 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Rose Lodge 2 Isca Road Exmouth Devon EX8 2EZ 01395227071 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Eminence Care Ltd care home 25 Number of places (if applicable): Under 65 Over 65 25 25 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 25 25 The maximum number of service users who can be accommodated is 25. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: DementiaCode DE- maximum 25 places Dementia, over 65 years of age- Code DE(E)- maximum 25 places Mental disorder, excluding learning disability or dementia- Code MDmaximum 25 places Mental Disorder, excluding learning disability or dementia - over 65 years of age -Code MD(E)- maximum 25 places Date of last inspection Brief description of the care home Rose Lodge formerly The Mulberry is registered to provide accommodation and personal care for up to 25 older people with a dementia type illness. They may also
Care Homes for Older People Page 2 of 8 Brief description of the care home care for older persons with mental health problems. The property is a large detached and extended house in a secluded residential area of Exmouth. The home is approached by a private driveway, has pleasant secure gardens and parking on site. The accommodation is arranged over the first and ground floors, with a passenger lift to the first floor. The lounge and dining areas are designed in an open plan arrangement and are situated on the ground floor. The current weekly charges range from GBP380- GBP480. Items not included in the fee include chiropody, hairdressing and clothing. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at httpwww.oft.gov.uk CSCI Inspection reports are available on request from the manager. Care Homes for Older People Page 3 of 8 What we found:
CQC were contacted by someone who wished to remain anonymous. They expressed concern that an area of the home contained bedrooms, which were hard to keep warm. They also expressed concern about care staffing levels at the weekends. We carried out an unannounced weekend inspection to check on these concerns. We visited all the rooms in the area of the home that the person had expressed concern about. Apart from one room which was being decorated, the remaining five rooms were all very warm. We saw that they all had radiators, which had individual controls so that the heat could be adjusted to reflect peoples preferences. All the radiators were working and we saw that on the back of the door there was a thermometer to measure the temperature in each room. The rooms ranged in temperature from 25 degrees to 28 degrees, and one vacant room was 23 degrees. We were told us that the home has sought advice regarding room temperatures from charities involved in the care of older people. We saw that the home has a policy to inform the staff group about maintaining a comfortable temperature for the people living at the home. This includes how to manage the heating system, a guide for room temperature and who to contact if the heating system fails. Incident forms confirm that staff have made an alert when the heating system failed twice in December 2009. We saw records of room temperatures taken at 4am, which show bedrooms are generally between 21 degrees to 25 degrees. These records would benefit from being signed by the staff member recording the temperature. We were told that there were 21 people living at the home. We met the staff who were working on the day of our inspection, and checked with them what time they were scheduled to work, which confirmed the information on the staff rota. There were four care staff members on duty between 8am - 8pm, plus a new staff member who was working supernumerary between 8am - 2pm. The atmosphere felt calm and staff appeared well organised. What the care home does well: 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 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15 (2)(b) Each person should have a plan of care that is accurate and sets out in detail how that person health, welfare and social needs are to be met. This will help to ensure that each person receives the appropriate care in a consistent and person centred way. 30/10/2009 2 8 12 (1) (a) Each person must have their 30/10/2009 health and welfare needs met. This includes people who have diabetes and swallowing difficulties receive appropriate care to help prevent complications. This will help to keep people healthy for as long as possible. People must receive the medicines they are prescribed and must receive these in a way that is safe. This will help to ensure that people stay healthy and are kept safe. 01/10/2009 3 9 13 (2) 4 9 13 (2) Records relating to medicines 01/10/2009 must be kept up to date and be accurate. This will ensure
Page 5 of 8 Care Homes for Older People 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action that people receive the medicines they are prescribed to keep them healthy. 5 29 17 Schedule 2 Staff recruitment files must 01/10/2009 contain dated and appropriate written references, gaps in employment history must be explained, and contain completed application forms. This is to ensure that staff are suitable to work with vulnerable adults. 18 1(c)(i) You must ensure all staff receive a structured induction to skills for Care standards.(Previous date of 1/12/08 not met) There must be a system in place to ensure that the risk to service users from very hot bathing water is controlled. This will help to ensure that people are kept safe. 30/10/2009 6 30 7 38 13 (4) (c) 01/10/2009 Care Homes for Older People Page 6 of 8 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, 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 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
