Inspection on 03/07/07 for Rose Meadow

This inspection was carried out on 3rd July 2007.

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 Meadow 02/08/06

Rose Meadow 23/02/06

Rose Meadow 25/07/05

Rose Meadow 11/03/05

Rose Meadow 05/10/04

Rose Meadow 02/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Rose Meadow Yarmouth Road North Walsham Norfolk NR28 9AU Lead Inspector Ann Catterick Unannounced Inspection 3rd July 2007 09:15 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 Meadow DS0000034927.V345072.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 Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rose Meadow Address Yarmouth Road North Walsham Norfolk NR28 9AU 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) 01692 402345 01692 402345 liz.lockwood@norfolk.gov.uk www.norfolk.gov.uk Norfolk County Council-Community Care Mrs Elizabeth Ann Lockwood Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. From time to time the home may accommodate one service user over the age of 65 years who has dementia and is named in the Commission’s records. Total number not to exceed thirty (30). People who need wheelchairs to assist with independent mobility at the point of admission can only be accommodated in rooms numbered 34, 41, 66 and 68 2nd August 2006 Date of last inspection Brief Description of the Service: Rose Meadow is a care home providing personal care and accommodation for up to 30 older people. The cost of a placement as given to the CSCI is £376.09. This does not include hairdressing, chiropody, toiletries, newspapers or magazines. The home has 29 permanent placements and 1 respite care placement. There is a day centre attached to the home and managed by the care home. This offers up to 12 day care places on Wednesdays, Thursdays and Fridays. The home is owned by Norfolk County Council and is located on the outskirts of North Walsham, being quite close to shops, pubs and other local amenities. The home was purpose built and accommodates service users on two floors. Norfolk County Council has completed some refurbishment and redecoration and has plans for further improvements to the home. All service users have their own bedroom but several of these are rather small. The communal areas are plentiful and offer a variety of seating areas including a quiet room and large dining room. There is a shaft lift that offers access to the first floor. The lift is, however, very small and does not comfortably accommodate a wheelchair. There is a large garden that service users benefit from in the summer months. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was a key unannounced inspection and took place on the 3rd July 2007 and was over a period of eight hours. During the inspection all key standards were inspected. Prior to the inspection the Annual Quality Assurance Assessment (AQAA) was completed and returned to this office. This document gave information about what the home does well and has achieved in the last year and areas that the manager feels could be improved and what plans they have for the next 12 months. Some of the information and evidence from the AQAA has been included in this report. No comments cards were received back by relatives; however feedback from relatives was seen at the home when looking at the Homes own quality assurance questionnaires. The inspector was able to speak with the manager, residents and staff, make a tour of the building and inspect care plans, staff files and other relevant documents. All residents spoken to on the day of inspection spoke very positively about the home and the care they received. All staff observed and spoken with were competent and caring, enjoying their roles and responsibilities. The home is well managed and the quality of care provided is good. There have been improvements in staffing numbers and the environment since the last inspection. There is still some opportunity for further improvement with the environment. All requirements made at the last inspection have been met. Overall this is a well managed good quality service with all residents spoken to being very satisfied with the care that they receive. An example of comments by residents “Staff are not in our way but they’re there when we want them.” “Food is excellent.” “Bedroom is quite big enough.” Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 6 “Staff are great” “Would recommend it.” “Staff are kind, help the others.” “Would be nice to have a bit bigger bedroom.” “Treat me in a respectful way.” “Couldn’t be better.” What the service does well: What has improved since the last inspection? Staff have had further training with regard medication and medication audits are carried out on a regular basis. The care and administration of medication in the home is now carried out according to good practice guidelines. Several areas of the home have been redecorated. A new bath and shower have been installed. Staff numbers have improved and appear adequate to meet the residents’ needs. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 7 Review forms have been amended to make reading them easier. More comprehensive social histories are now on care plans. Pictures have been bought for the upstairs corridor. Residents’ keys are no longer kept on a hook outside their bedroom doors. 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 Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 8 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 Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 9 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, 2, 3, 4, 5 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to live in the home can be assured that a comprehensive assessment will take place prior to admission to ensure that the home can meet their needs. They will receive information about the home and receive a detailed contract regarding the terms and condition of the placement. This means a prospective service user can be assured that if they are offered a place at Rose Meadow the home should be able to meet their needs. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 10 EVIDENCE: Prior to admission the manager receives an assessment about a prospective resident from the placing social worker and the manager also completes her own assessment. Evidence of these was seen on the day of the site visit. Prospective residents and/or their families are encouraged to visit the home prior to admission. Evidence of reviews of placement and statements of terms and conditions were seen in care plans. Those residents seen on the day of inspection were having their needs met within the home. One resident, whose care needs were changing, was to be reassessed to ensure the home was the most appropriate placement for them. All residents have an information folder about the home, including the Service User Guide, in their bedrooms. The home does not offer intermediate care but has one respite care bed. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 11 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 and 10 People who use the 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 health, personal and social care needs of service users are met in a way that promotes their privacy and protects their dignity. This enables residents to be cared for in the way that best meets their individual needs and preferences. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 12 EVIDENCE: A selection of care plans was made and these were looked at in detail. Care plans are comprehensive, easy to read and include all information needed to inform carers of the needs of the individual residents. This includes information with regard their personal, health and social care needs with individual preferences identified. A new part of the care plan includes the individual objectives for each resident. Since the last inspection the social history and recent history leading to admission has improved significantly. When appropriate, risk assessments had been undertaken and were seen on file. Evidence was seen that residents had been involved in the creation of the care plans and resident signatures were seen in the care plans. The relationship between the home and the local health services is good. Those residents spoke very positively about the home saying that their needs were being met. Since the last inspection further training has taken place with regard the administration of medication within the home. There is a new training pathway for medication. At a recent unannounced visit by the monitoring officer for social services medication was audited and found to be in good order. On the day of the site visit the member of staff who was administering medication at lunchtime was doing so in a competent and safe way. Examples of good practice observed included, locking the medication trolley between administrations, asking residents if they were ready to have their lunchtime medication and when needing to inform residents what the medication was to do this in a way that respected privacy and dignity. Staff were seen to work with residents in a way that promoted privacy and respected dignity. When speaking with staff they were able to say how they could do this when working with residents. Examples giving were: always to knock on a door, when speaking to a resident in a communal area about any particular care the need to do this in a discreet way to promote dignity. When speaking to residents about the way staff cared for them they said this was done in a way that promoted choice, dignity and privacy. Rose Meadow DS0000034927.V345072.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 and 15 People who use the 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 are able to engage in a range of activities that are offered both within and outside of the home as well as being encouraged to continue with any specific interest they may have. Residents enjoy good food that is well presented and offered a pleasing environment. This enables residents to follow any interest they may have had prior to admission and develop new interests if they choose to do so. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 14 EVIDENCE: Since the last inspection there has been a significant improvement in the opportunities residents have to become involved in social activities in and outside of the home. On entering the home there was a notice on the front door giving details of regular trips out throughout the summer. These included trips to Blakeney, Lowestoft, Hickling Broad and Gressenham. There was also information about activities taking place within the home. The home has increased its staffing hours by twenty- five and the manager has used these hours to give staff additional time to spend on arranging and organising activities. The home is also aiming to identify individual preferences and to try and include these in the activities. Staff are encouraged to spend one to one time with residents as much as they are able, engaging in conversation, sharing a newspaper or anything else that the resident may like to do. Several residents were enjoying a memory quiz on the afternoon of the site visit. Visitors are always made welcome and a resident said that whenever her visitors came they were made welcome and offered a cup of tea or coffee. The home has resurrected the newsletter and residents clearly enjoyed having this. Those residents with sight difficulties would benefit from having the newsletter transferred to audio. A recommendation has been made in this area. Residents are encouraged to take responsibility for their own financial affairs for as long a possible and if there are no friends or relatives to offer support information regarding independent advocates would be provided. Residents can bring small personal possessions from home but the limited size of many of the bedrooms means few larger items can be accommodated. The inspector was able to observe the lunchtime meal. The dining area is bright and airy and an attractive place to eat meals. It does get rather hot in the summer and there are plans to get new blinds for the windows. The meals on the day of the site visit looked nutritious and appetising and a good choice was offered. At least three different meals were seen and there were further choices available. All comments from residents about the food provided in the home were positive. Rose Meadow DS0000034927.V345072.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 and 18 People who use the 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 living in the home can be assured that any concerns or compliments they make will be taken seriously and that staff are trained to encourage good practice and promote safety and well being for residents. This enables residents to feel confident that any concerns they have will be taken seriously and that staff are trained to care for them in a positive way, promoting their wellbeing and safety. EVIDENCE: The manager had received three complaints since the last inspection. The documentation regarding these complaints was inspected and correct procedures were followed. Records showed that complaints are taken seriously, looked into and the outcomes and lessons learnt are shared with the complainant. Information on how to make a complaint is in the Service User Guide and displayed in the home. The home had received several compliments and thank you cards and these were also seen. All staff receive training with regard the safeguarding of vulnerable adults and all staff spoken to said that they would always report poor practice. None had ever observed any poor practice within the home. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 16 A member of staff made the comment that the standards in the home were so high that poor practice would be very easy to identify if it took place. In the office the information staff may need if an incident takes place is clear and includes numbers to telephone for support and advice if the manager was off duty or not available. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 17 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, 21, 22, 23, 25 and 26 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents living in the home have benefited from recent improvements to the environment. There is still opportunity for further improvement that would enhance the environment and offer further independence for residents. Residents living in the home can expect to be living in an environment that mostly meets needs and is continuing to improve. EVIDENCE: The local authority is to publish a five year improvement plan but this was not available in the home at the time of the site visit. More immediate plans for the future have been highlighted within the annual development plan for the home. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 18 Since the last inspection there have been improvements in the environment at Rose Meadow. Two lounges have been decorated and residents chose the new curtains for these rooms. From money from the amenity fund the manager has purchased pictures and other ornaments and items to enhance the environment and give a homely feel. The home now has two bathrooms and one shower room offering bathing facilities on both floors. There are two small, old fashioned toilets at the end of one of the upstairs corridors and these are to be made into one large modern toilet to meet the needs of the residents. The downstairs toilet near the front lounge is also to be refurbished. All residents’ doors now have automatic closures and fire doors have been upgraded. Ramps have now been built at the two rear fire exits. The home has been allocated some money to improve the outside area. The manager plans to provide a greenhouse, new patio and sensory garden with raised beds and other facilities that will improve the garden for residents. This work is due to start in September. Many of the bedrooms in the home are small but when speaking to residents this did not seem to be an issue. One resident said that she would prefer a larger room but did not really mind. Staff said that they received good moving and handling training and because of good practice could manage to care for residents mobility needs in the smaller rooms without this being an issue for staff or residents. There are still some areas of the environment that could be improved. The old metal windows look unsightly and when repairs are needed, for example a handle replaced, it is difficult to find the parts. A recommendation has been made in this area. The lift is small and does not meet the needs of some residents. A resident in a wheelchair can only be accommodated in the lift if the footplates are turned back. A resident who could not bend their legs would not be able to fit into the lift. If a resident’s health needs change and they could not use the lift they would have to move to a downstairs room and this should not have to be the case. The issue with regard easy access to and from the first floor of the building needs to be addressed. A requirement has been made in this area. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 19 Residents are not able to control the heating in their own rooms. One resident who feels the cold has her own additional heater in their room to enable the right temperature for her to be met. People who live in the home should be able to control the temperature of their own rooms. A requirement has been made in this area. On the day of inspection the home was clean and tidy being free from any offensive odour. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 20 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 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient numbers of staff on duty at any one time to meet the needs of residents. The home has safe recruitment and selection processes and once appointed staff receive the appropriate training and supervision to meet the needs of their role. Residents can be assured that the staff working in the home will be in sufficient numbers and have the skills and training needed to meet their needs. EVIDENCE: Since the last inspection the home has been allocated another 45 care hours. They have lost 20 laundry assistant hours but still have 25 additional staff hours. The manager has used these hours to lengthen the shifts of senior carers and to lengthen some of the shorter shifts on the rota. The rota was seen and there are sufficient staff on duty at any one time. Staff spoken to felt that the amounts of staff of duty at any one time could meet the needs of residents. The practice of the care coordinator having the phone whilst administering medication has now stopped. On the day of the site visit there were sufficient staff on duty to meet the needs of the service users. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 21 The home is now able to offer guaranteed working hours to two relief staff and this has meant that the home does not often have to use agency staff. Over fifty percent of staff have the NVQ level 2 certificate or above. Evidence of this was seen on staff files. Three staff files were inspected and evidence of good recruitment practice was seen on file. Application forms, references, police checks and all other relevant information is collated prior to new staff commencing work. Statements of terms and conditions were seen on file. Within staff training files there was clear evidence of the training that staff receive. Staff receive induction training and this is completed within a 12 week period. Foundation training and other additional training is offered depending on the training needs and interests of individual staff. Staff spoken to were very positive about the training they received at the home and felt it was very good. One member of staff said that all training was supported. For example if a resident had a particular health need that staff had not met before specific training would be sought to ensure this knowledge could be gained. An example of this was that several staff were to complete a training session with regard sensory needs. Staff have regular staff meeting and the home has introduced a well-being programme for staff. Staff working in the home are experienced and well trained they receive good management support and supervision and their individual training needs are met. Since the last inspection there have been improvements to the staff rota with more care hours being provided to ensure that there are staff on duty in sufficient numbers to meet need. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35, 36 and 38 People who use the 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 home is well managed and all aspects of the service provided are reviewed and quality assured on a regular basis. The home has good training for staff and safe systems of working to promote wellbeing and safety for residents and staff. Residents in the home can be assured that the home is well managed and the quality of the service provided is good. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager for the home is experienced and qualified providing good management to the home. She works in an open and transparent way having a good relationship with staff and residents. The home has an annual development plan. The home completed the AQAA and this showed that the manager is able to acknowledge what the home does well, what improvements they have made and what they could do better. Resident, relative and staff questionnaires were sent out to people and the findings of these have been published and made available to residents and other interested parties. Some residents’ money is looked after in the home. Three of these were audited and found to be correct with safe systems in place. Staff receive formal supervision and this is recorded. Evidence of this was seen on file and staff confirmed that they received supervision on a regular basis. Staff also said that they received practical supervision and support on a regular basis. The home has good systems to ensure the health, safety and welfare of residents. Fire procedures were seen at the entrance of the building. Risk assessments are completed for individuals as well as general risk assessment. Policies and procedures are reviewed regularly and kept up to date. The AQAA completed by the manager identified that there were some areas were new policies could be developed. This was seen as something the manager would address in the following twelve months. The incident and accident book was seen and records were detailed and kept up to date. All staff receive mandatory training in aspects of health and safety. Staff receive moving and handling training and refresher courses are completed on a regular basis. When talking to staff about moving and handling residents in the smaller rooms they proved that they were competent in this area saying that prior to any moving and handling taking place the whole procedure is discussed and planned out with full consideration made as to how to ensure the environment is safe for the resident and the staff. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 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 2 3 2 x 3 x 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 x 3 Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 25 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 OP22 Regulation 23.2a Requirement All residents should have easy access between the first and the ground floor. The present lift makes this difficult for some residents. All residents should be able to control the temperature of their own rooms. Timescale for action 01/04/08 2 OP25 23.2p 01/04/08 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 OP12 OP19 Good Practice Recommendations It would benefit residents with sight difficulties if the newsletter were also in audio format. The home would benefit by having the old windows replaced. Rose Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Meadow DS0000034927.V345072.R01.S.doc Version 5.2 Page 27 - 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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