Inspection on 13/07/06 for Rose Lodge Care Home

This inspection was carried out on 13th July 2006.

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.

Other inspections for this house

Rose Lodge Care Home 16/03/09

Rose Lodge Care Home 08/01/06

Rose Lodge Care Home 30/07/05

Rose Lodge Care Home 08/03/05

Rose Lodge Care Home 20/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Rose Lodge Care Home 88-90 Musters Road West Bridgford Nottingham NG2 7PS Lead Inspector Susan Lewis Key Unannounced Inspection 13th July 2006 10:00 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 Lodge Care Home DS0000008797.V304826.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 Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Lodge Care Home Address 88-90 Musters Road West Bridgford Nottingham NG2 7PS 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) 0115 945 5575 0115 945 5575 Old Brompton Court Limited, c/o Mr David Wheatcroft (Shrubs) Limited Vacant Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 resident shall be aged 55 or over Date of last inspection 8th January 2006 Brief Description of the Service: The fees for 2006/07 are £1382 per month-£1695 per month. Rose Lodge Care Home is located close to West Bridgeford town centre and the main local amenities. The home offers care for up to fifteen older people in single bedrooms. All rooms have a call alarm. Communal space includes two lounges and two dining areas. There is a stair lift to the first floor and the home is well maintained throughout in terms of decoration and furnishings. There is a pleasant enclosed garden to the rear of the property with seating and shade for communal use. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. The inspection was unannounced and took place over 6 hours one Thursday in July 2006, and was conducted by one inspector as part of the annual inspection process. A tour of the building took place and a selection of residents’ bedrooms was inspected. Residents’ records were inspected and relatives, residents and staff on duty were spoken with. What the service does well: 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 Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 6 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 Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 7 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): 3 and 6 The quality in this outcome area is good. Residents are assured that their care needs can be met before moving into the home. EVIDENCE: Intermediate care is not provided in this service. Three care plans were viewed as part of this inspection, they all contained pre admission assessments either carried out by the manager or by social services. The assessment covered all aspects of daily live and looked at the residents’ personal safety and if there were any risks associated. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 8 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, 8, 9 and 10 The quality in this outcome area is good. Residents’ health, personal and social care are set out in an individual plan. Residents’ health needs are met and medication is administered according to policy and procedure. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Residents care plans are generated from the assessment, it details what care should be provided to meet their health, personal and social care needs. Plans look at minimising the risk of falls in line with relevant clinical guidelines. Plans are reviewed regularly and frequency changes if the residents needs require it ensuring the plan always reflects their needs. Not all residents could remember seeing their care plans, one resident said ‘I think I have seen it but I’m not sure when’. Some risk assessments simply stated there was a risk but not why there was a risk. It recommended that where risk assessments are carried out that the registered person ensures that more detail is available regarding why there is a risk. Residents’ health care needs are well documented showing where district nurses are involved as well as other health care professionals. Residents are weighed initially on entering the home but Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 9 their was no evidence that residents were subsequently monitored to ensure that their were not at risk from poor nutrition. Six requirements were set at the last inspection regarding medication administration; these have all been met satisfactorily. The community pharmacist is happy with the standard of administration within the home. Residents spoken with were positive about the care their received from staff and said that they felt that they were respected and staff knocked on their bedroom doors before entering to maintain privacy. Residents said that they wore their own clothes and that they could make phone calls in private if they wanted to. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 The quality in this outcome area is good. Residents find the lifestyle experienced in the home matches their expectations and preferences. Residents are supported to maintain contact with family and friends and the community as they wish. Residents exercise control over their lives and receive wholesome and balanced diet in surroundings and times that are convenient to them. EVIDENCE: Residents spoken with were happy with the amount of activities and said that they could choose how they spent their day, including what time they got up and what time they went to bed. Care plans indicated social activities that residents enjoyed and there was evidence that residents were given opportunities to participate in a variety of things. Residents said that they were able to receive visitors in private and a visitor spoken with said that they were made to feel welcome and given refreshments. One resident spoken with said that if they wanted to go for a walk outside the home they were supported to do that as well. The meal was observed and it was clearly homemade and appeared appetising, residents spoken with said that food was usually good and that they were asked what they wanted. Evidence was seen that fresh fruit and vegetables were ordered regularly and that a bowl of fruit was available for residents to Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 11 help themselves. This all ensures that residents are provided with wholesome and appealing balanced meals. The dining room is light, airy and clean. Meals are taken in an unhurried manner with staff available to provide support if they are needed. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 The quality in this outcome area is good. Residents and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: The Commission has not received any complaints regarding this service since the last inspection and has no concerns with the service. Residents spoken with said that if they had a problem they would speak to a member of staff or the manager and all felt that their concerns would be dealt with. A relative spoken with said that they felt sure that any concerns would be dealt with promptly. Since the last inspection most staff have undergone adult abuse awareness training, staff spoken with had a good understanding of what abuse and what to do about it. Residents spoken with said that they feel safe and well supported by staff. The home does not hold any money for residents. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 The quality in this outcome area is good. Residents live in a safe, wellmaintained environment that is clean, pleasant and hygienic. EVIDENCE: A tour of the building took place and it was clean well maintained, where requirements had been met regarding the carpet these are now considered met. Residents’ bedrooms were clean and well maintained. Residents spoken with said that they were happy with their rooms. The grounds are kept tidy, attractive and are safe and accessible. The laundry facilities meet the needs of the residents and are suitable for their purpose. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 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 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): 27, 28, 29 and 30 The quality in this outcome area is adequate. Residents’ needs are met by the numbers and skills mix of staff and staff are trained and competent to do their jobs. Poor recruitment practices mean that residents are not supported and protected by the home. EVIDENCE: Staff spoken with that usually they had enough staff on duty to meet the needs of residents. Staff spoken with said that everyone works as a team and there is generally a low turnover of staff thereby maintaining the continuity of care. A rota was available that showed who was on duty in what capacity. Domestic staff are available in sufficient numbers to ensure that standards relating to hygiene and food are met. Staff spoken with said that they were able to access training, including NVQ if they wanted to. Staff files were viewed and found to lack references and Criminal Records Bureau checks. The Registered Person must ensure all appropriate recruitment checks are carried out on all staff who work in the care home. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 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 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, 33, 35 and 38 The quality in this outcome area is good. Residents’ benefit from a well run home. Their financial interests are safeguarded and their health, safety and welfare are promoted and protected. EVIDENCE: The manager has now applied for registration with the Commission and it is currently being processed. Thos has been an outstanding requirement and is now met. Staff spoken with felt that the home was well managed and that a clear guide to standards expected was given. Although there is a quality questionnaire the manager reported that they have some difficulty in getting relatives and other stakeholders to reply to copies sent to them. This means the Registered Person will have difficulty in including those views in any annual development plan. Residents money is not kept in the home and family bring in what is required when requested. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 16 A requirement was made at the last inspection to ensure that appropriate fire and safety checks were made. Evidence was seen that appropriate health and safety checks are made including fire checks and water temperature tests. The requirement is met. Security in the building is in line with needs of the residents, maintaining their safety at all times. Appropriate checks are made in the kitchen to ensure that food is stored at correct the temperature. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 17 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 18 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 OP29 Regulation 19 Sch 2 Requirement The Registered Person must ensure that anyone employed in the care home has undergone appropriate recruitment checks and copies are available fro inspection. Timescale for action 01/09/06 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 OP7 Good Practice Recommendations That risk assessments state why the person is at risk. Rose Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Lodge Care Home DS0000008797.V304826.R01.S.doc Version 5.2 Page 20 - 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. 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