Inspection on 09/01/06 for Roseacre

This inspection was carried out on 9th January 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

Roseacre 15/05/07

Roseacre 20/01/05

Roseacre 12/09/04

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

CARE HOMES FOR OLDER PEOPLE Roseacre Roseacre Holly Hill Drive Banstead Surrey SM7 2BD Lead Inspector Mavis Clahar Unannounced Inspection 9th January 2006 10:15a 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 Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 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. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Roseacre Address Roseacre Holly Hill Drive Banstead Surrey SM7 2BD 01737356685 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) Banstead, Carshalton & District Housing Society Limited Mrs Sandra Parr Care Home 40 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (40), Physical disability over 65 years of age (5) Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Of the 40 residents accommodated up to 3 may fall within the category MD(E) or DE(E) The age range for those accommodated will be 65 Years and over. Of the 40 residents accommodated up to 5 may fall within the category PD(E) 5th September 2005 Date of last inspection Brief Description of the Service: Roseacre was purpose built to accommodate older people in the early 1960s. Since that time the home has been subjected to modernisation and development, now providing a good standard of accommodation. The home is sited in its own grounds with good sized and well-maintained gardens accessible to service users. There are car-parking facilities to the front of the home. The home is well presented providing accommodation for up to 40 older people. The home has one bedroom, which can be used as a double, for occupancy by a couple if required. All the other bedrooms are for single occupancy; eleven of which have en-suit facilities, two with full bathrooms. The home has four-day rooms and a separate dining room with a private alcove, which service users can use when they entertain their visitors to a meal. Stairs or a passenger lift accesses the upstairs accommodation. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to take place in the Commission for Social Care Inspection year April 2005 to March 2006. The home received an Announced inspection on the 5th September 2005. In order to obtain a full understanding of the way in which the home meets the National Minimum Standards for Older People it is necessary to read both reports. This inspection was unannounced and was carried out on 9th January 2006. This means that no one at the home had prior knowledge of the intended inspection. The first part of the inspection was spent discussing the requirements of the last inspection, followed by a tour of the home and discussion with service users and staff as they went about their duties. This was followed by review of service users care files and random selection of homes policies. Good interaction was observed between service users and care workers. The inspector noted that service users were free to wander around the home. On arrival at the home the inspector was met by one service user at the front of the home who gave direction to the inspector after informing the inspector this is the best home to stay. The final part of the inspection was spent giving feedback to the manager on the findings of the inspection. What the service does well: The home is now settling down after the recent changes in management structure. The head of care appears confident in her new role, and service users spoken to said they have not experienced any great change in the rearrangement of the management structure. The home continues to provide a high standard of care, and accommodation. Service users spoken to all said they were happy with the services offered, and that they felt they were in control of their lives. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 6 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. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 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 Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 Service users care needs are assessed prior to being admitted into the home. The home has the capacity to care for service users on an intermediate basis. EVIDENCE: On the day of inspection, two service users were due for admission into the home having had their care needs assessed before admission. Service users spoken to said they were assessed before admission and that they are continually being consulted about their care. At the time of inspection no service user was receiving intermediate care, but from observation of other service users files, and in discussion with service users and manager and review of the home’s policies it was apparent the home is equipped to offer intermediate care. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 9 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): For information on these standards please refer to the report of 5th September 2005. EVIDENCE: Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 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): For information on these standards please refer to the report of 5th September 2005. EVIDENCE: Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 11 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 18 The home has a satisfactory complaints system with some evidence that service users feel their views are listened to and acted upon. The care workers need to have an update in recognition and reporting of abuse. EVIDENCE: Service users spoken to on the day of inspection said they knew how to complain if they needed to do so. However this is very rare as issues are discussed with the manager as soon as they arise and they are dealt with immediately. The home has no complaints logged since the last inspection. The homes complaints policy is up to date. The General manager and heads of care have attended the Surrey Multiagency course on adult abuse, but to date the care workers have not attended the course on adult abuse. A requirement was issued on this standard. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 12 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): 26 The standard of maintenance and décor in this home is good. EVIDENCE: The home is clean and tidy. There were no offensive odours detected on the day of inspection. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 13 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): 29 The home could not produce their recruitment policy EVIDENCE: In discussion with care workers and management it was evident the home followed a good recruitment policy incorporating the homes equal opportunity policy. A requirement was issued on this standard. Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 14 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): 35 38 The home does not become involved with service users finance. The General manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: Service users are responsible for the management of their finance. Some service user requests the home’s help in keeping their weekly pocket money and this is well documented. Receipts are obtained for service rendered such as hairdressing. In discussion with the Chef, kitchen assistant, head of care, care workers, service users and random review of care records it was apparent that service users health, safety and welfare are promoted and protected. This observation was further supported in discussion with senior management Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 15 Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 16 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 x X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 17 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 2 Standard OP18 OP29 Regulation 13 12 Requirement All care workers to attend a course on recognising and handling adult abuse Produce the home’s employment policy. Timescale for action 09/03/06 09/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Roseacre DS0000013771.V276642.R01.S.doc Version 5.1 Page 19 - 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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