Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 28/02/07 for Roseacres Residential Care Home

Also see our care home review for Roseacres Residential Care Home for more information

This inspection was carried out on 28th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents and their relatives speak highly of the staff in how they provide care and support. Medication is administered safely and recorded appropriately. The residents enjoy the range of activities provided and their relatives are warmly welcomed by the staff when they visit. The residents say they like their meals and they can choose alternatives to the menu.There is a low level of complaints, but any complaints are dealt with promptly. There are good recruitment procedures in place to ensure that staff are properly screened. This safeguards the residents` welfare. A large number of staff have worked at the home for many years. This provides continuity of care for residents, and helps to maintain a good team spirit.

What has improved since the last inspection?

The inspector was shown plans to comply with requirements made at previous inspections, relating to living space and access to the ground floor toilet and bathrooms. These works are expected to be completed within the next few months. Old chair tables have been removed and the seating in the lounge areas have been rearranged so that there is an impression of more spaciousness. This has also enabled residents to move around more and socialise with each other. Care plans are being reviewed at least monthly and many care plans have been signed by residents or their representatives as evidence of their involvement in the plans. New sit-on weighing scales have been purchased, which allows all residents` weights to be monitored. A referral has been made to an occupational therapist on behalf of a resident with specific needs. Written consent has been administration of medicines. obtained from residents` relatives for theSeveral repair and maintenance issues identified at the last inspection have been complied with. A double bedroom that was too small to accommodate hoists has been converted to a single bedroom. There is an improvement to the cleanliness of the kitchen.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Roseacres Residential Care Home 80-84 Chandos Avenue Whetstone London N20 9DZ Lead Inspector Tom McKer Key Unannounced Inspection 28th February 2007 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 Roseacres Residential Care Home DS0000010509.V331595.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. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseacres Residential Care Home Address 80-84 Chandos Avenue Whetstone London N20 9DZ 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) 020 8445 5554 020 8445 5589 www.aermid.com Aermid Health Care Limited Mrs Nena Adams Care Home 43 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One specified service user who is under 65 years of age may remain accommodated in the home. The home must advise the registering authority at such times as the specified service user either attains 65 years of age or vacates the home. 10th August 2006 Date of last inspection Brief Description of the Service: Roseacres is a care home registered to provide care for 41 older people, some of whom may have dementia. Residents’ bedrooms are located on both the ground and first floors with a passenger lift and chair lift providing access to the first floor. There are 27 single and six double bedrooms. Communal rooms, which are on the ground floor, include interconnecting lounges, a conservatory and a dining area. There is a large, attractive garden to the rear of the property that is accessible to wheelchair users. Roseacres is owned by a company called Aermid Healthcare. owns other care homes as well as a domiciliary care service. The company The care home is situated in a pleasant residential area close to shops and other amenities in the area of Whetstone in North London. The fees for the service range from £450 to £650 per week, depending on whether bedrooms are shared or single with en-suite facilities. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted in a period of five hours and twenty minutes. After the last inspection, a meeting was held with the proprietor, several representatives from Aermid, and the inspector and regulation manager from the Commission, to discuss the last inspection report, which contained several areas of concern, particularly about environment issues in the home. As a result of this meeting, it was decided to carry out another key inspection to monitor compliance with the requirements made. Daniel Lim, an inspector colleague, assisted the lead inspector. The registered manager was present throughout the inspection and fully cooperated in the process. The inspection process included a tour of the premises, reading residents’ case files, and discussing with them about their experiences of living and in the home. Visitors to the home were also spoken to during the inspection. Several staff were also interviewed and their records were examined. The lead inspector also had a discussion with the new head of care and the finance manager from Aermid during this inspection. The staff were observed interacting with the residents and providing care and support. What the service does well: Residents and their relatives speak highly of the staff in how they provide care and support. Medication is administered safely and recorded appropriately. The residents enjoy the range of activities provided and their relatives are warmly welcomed by the staff when they visit. The residents say they like their meals and they can choose alternatives to the menu. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 6 There is a low level of complaints, but any complaints are dealt with promptly. There are good recruitment procedures in place to ensure that staff are properly screened. This safeguards the residents’ welfare. A large number of staff have worked at the home for many years. This provides continuity of care for residents, and helps to maintain a good team spirit. What has improved since the last inspection? The inspector was shown plans to comply with requirements made at previous inspections, relating to living space and access to the ground floor toilet and bathrooms. These works are expected to be completed within the next few months. Old chair tables have been removed and the seating in the lounge areas have been rearranged so that there is an impression of more spaciousness. This has also enabled residents to move around more and socialise with each other. Care plans are being reviewed at least monthly and many care plans have been signed by residents or their representatives as evidence of their involvement in the plans. New sit-on weighing scales have been purchased, which allows all residents’ weights to be monitored. A referral has been made to an occupational therapist on behalf of a resident with specific needs. Written consent has been administration of medicines. obtained from residents’ relatives for the Several repair and maintenance issues identified at the last inspection have been complied with. A double bedroom that was too small to accommodate hoists has been converted to a single bedroom. There is an improvement to the cleanliness of the kitchen. What they could do better: Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 7 All care staff need to be trained in the care of people with dementia so that their needs can be better understood and met. There must be improved access to the downstairs toilet and bathroom facilities; (it is acknowledged that building works are about to commence to comply with this requirement). These further requirements relating to the environment of the home have been made in this report: • • • • • • The entry phone on the kitchen must be properly secured, or re-sited to prevent kitchen staff from being distracted from their duties. Wires that are trailing across the entrance to the kitchen must be properly secured to prevent accidents. A proper holder must be provided for the kitchen roll. Proper hand-drying equipment must be provided in the kitchen. The dishwasher must be repaired or replaced. Room 24 and the corridor outside this room needs redecorating. The staffing levels at night need to be increased to ensure that residents’ needs are being met. An annual business plan should be available for the home to demonstrate continuous improvement to the fabric of the building and replacement of furniture and equipment. 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. Roseacres Residential Care Home DS0000010509.V331595.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 Roseacres Residential Care Home DS0000010509.V331595.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): 2 & 3. (Standard 6 does not apply). The quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Comprehensive assessments of service users’ needs are undertaken prior to admission. Contracts of the terms and conditions of the service are issued to residents and their representatives when they are admitted to the home. Residents’ relatives say the home meets their expectations. EVIDENCE: Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 10 One new resident had been admitted since the last inspection. This person’s and three others’ records, contained signed contracts of the terms and conditions of the service and what is covered by the fees. There was evidence that thorough assessments of residents’ needs had been carried out by the referring care managers and the manager of the home before admission. Several relatives who were visiting the home during the inspection were spoken to. They all stated that they were very happy with the care provided by the staff and had no concerns about the home. Roseacres Residential Care Home DS0000010509.V331595.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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There has been an overall improvement in meeting this group of standards. Care plans are being reviewed regularly and several residents or their relatives have been involved in the process. The residents’ healthcare needs are better supported with appropriate equipment and referrals to specialists for advice. There are good systems in place to ensure that residents’ medication is being administered safely. The residents and their representatives say that the staff treat the residents with courtesy and respect. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 12 EVIDENCE: The inspectors were informed that a new care plan format was being introduced since the last inspection. However, there have been some teething problems and staff are finding them quite complex. The new Head of Care from Aermid is reviewing the format with the senior carers to provide a system to meet standards and be as simple as possible for staff to use. Four care plans were examined. There has been an improvement in reviewing care plans on a monthly basis. There were appropriate goals set and there were risk assessments documented about the residents’ mobility and the risk of pressure ulcers. There were several instances where residents or their representatives had signed the care plan to show their agreement. The manager stated her intention to have all residents’ care plans signed eventually. At the time of the inspection, there were no incidents of pressure ulcers. The manager had recently attended training in the prevention and management of falls, and there are charts available for monitoring falls if they occur. Accidents were well documented and appropriate actions were taken, e.g., referral to the G.P or A&E department. There was evidence of residents being referred to specialists, e.g. the occupational therapist for advice about appropriate seating. Since the last inspection, a sit-on weighing machine was purchased and all residents were being weighed regularly. The medication standards were examined. There is an appropriate procedure for the safe administration of medicines. Staffs’ signatures were recorded in the administration of medicines, (MAR) sheets, and the residents’, (or their representatives), consent for medication to be administered, has been obtained. The residents looked well cared for, clean and appropriately dressed, and the inspectors observed the staff providing care and support for the residents in a dignified, courteous and friendly manner. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 13 Since the last inspection, the manager has re-emphasised at staff meetings that only female staff support should support female residents in their personal care, unless in exceptional circumstances, when male staff can provide this. Those who were able to express an opinion and relatives, who were visiting, were very satisfied with the service. One relative said, “I often find a member of staff sitting with Mum talking to her. The staff don’t know when I might turn up”. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 14 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): 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good range of activities provided and the new layout in the lounge enables residents more freedom of movement and opportunities to socialise. Visitors to the home say they are welcome at any time and are kept informed about the residents’ welfare. There is a good variety of nutritious food provided and the residents are able to choose alternatives to the menu. EVIDENCE: There are regular activities provided during the week, which include two art and crafts sessions, and reminiscence sessions provided by an occupational Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 15 therapist. A reminiscence session was taking place during the inspection. Entertainment sessions are also provided two or three times a month by outside musicians. The visitors’ book recorded that there were frequent visits by relatives at various times during the day and evening. Visitors who were spoken to during the inspection, said that the staff were always very welcoming and kept them informed about any issues concerning the residents. There is a large communal garden and decked area, accessible by wheelchair users, where residents can go when the weather is good. Since the last inspection, old chair tables have been removed and the armchairs have been placed in a manner that gives a much more spacious appearance and enables the residents to get up and walk around more easily. This has the effect of giving the residents more choice and freedom of movement and the opportunity to socialise with each other more. More use has also been made of the conservatory, where residents can sit in a quieter environment. The manager stated that most residents like to go to bed early in the evening and some like to stay up late and watch television. Many residents have breakfast in bed, which is provided by the night staff. The menus showed that a good variety of food was provided and a record was kept of the food actually eaten by the residents that showed they sometimes chose an alternative to the planned menu. The inspectors noted that the lunchtime meal was sufficiently hot and well presented. Staff were observed supporting some residents to eat in a caring manner and at a comfortable pace. Two residents stated that they liked the food and they could ask for an alternative choice if necessary. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an appropriate complaints procedure in place and complaints are promptly responded to. The majority of staff have been trained in adult protection procedures. However, to further protect residents from possible risk of abuse, new staff need to be made aware of the “Whistle-blowing” procedure. EVIDENCE: The residents and their relatives who were spoken to during the inspection, said they were satisfied with the service and had no complaints. The complaints log showed that one complaint had been made since the last inspection, which was responded to promptly and satisfactorily. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 17 There are Adult Protection and “Whistle-blowing” procedures in place. One new staff who was spoken to, was very knowledgeable about abuse issues and their responsibilities. However, they were unaware of the whistle-blowing procedure and a requirement is made for this procedure to be re-issued to all staff. Staff records showed that the majority of staff had attended training in adult protection. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 18 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, 23 & 26 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the last inspection, several requirements were made about the poor environment in the home relating to lack of space and appropriate bathing and toilet facilities on the ground floor. These issues had been raised by the inspector at several previous inspections but there had been a poor response. However, during this inspection, the inspector saw architects’ plans and other documents as evidence that the proprietor has taken action to improve the standard of the environment within the next few months. This relates to improving access to the downstairs toilet and bathroom and increasing the Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 19 laundry space. Until these works are completed, these requirements are being restated. Better ventilation has been installed in the kitchen, making it safer and more comfortable for the staff. A requirement was made to seek advice from an occupational therapist about a double bedroom, which the inspector felt was too small. This matter was resolved by converting this room to a single bedroom. However there is another double bedroom in the home, which also appears too small if used by two residents with mobility problems and where hoists may be necessary. This room is currently only occupied by one resident. A recommendation is made that this room continues to be used for single occupancy or if necessary, for two residents who do not require hoists for transferring. There are several environmental and maintenance issues in the kitchen. • • • • • The entry phone which was taped to the wall, must be properly secured, or preferably re-sited, as answering this phone can distract kitchen staff and present a health and safety risk. There were wires trailing across the entrance to the kitchen, which must be properly secured. There was no kitchen roll in the holder. There was no proper hand-drying equipment. The dishwasher was not working. The décor in Room 24 is poor and the paint on the corridor outside this room is flaking. Requirements are made to address these issues. At the time of the inspection, the home was clean and tidy and there were no offensive odours. Roseacres Residential Care Home DS0000010509.V331595.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, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of staff available during the daytime, but staff numbers need to be increased at night time to meet the residents’ needs, There are thorough procedures for the recruitment of staff to ensure that residents’ best interests are protected. Not all care staff have been trained in dementia care. This could result in a lack of understanding of the needs of some residents. Staff are knowledgeable about specific cultural needs of the residents. EVIDENCE: At the time of the inspection, there were thirty-nine residents in the home. The staff rota showed that there were seven care staff on the morning shift, five in the evening, and three at night. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 21 The night staff have to provide breakfast in bed for many of the residents, in addition to supporting them to wash and dress before the morning shift starts. Given the level of dependency of many of the residents, a requirement is made for another member of staff to be employed at night. The records of two new staff were examined. The records showed that references and Criminal Records Bureau checks had been obtained before they started working at the home. Training records indicated that several care staff had attended training in dementia, however, not all care staff had done so and a requirement is made to address this issue. The staff who were spoken to, were knowledgeable about equality and diversity needs of residents, two of whom were from ethnic minority communities. Some staff had learned Greek phrases in order to communicate with a resident from that community. Roseacres Residential Care Home DS0000010509.V331595.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): 32, 34, 37 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is good leadership provided for staff, but their morale could be improved by more sensitive implementation of service changes by senior management. An annual business and financial plan must be provided, detailing the planned maintenance of the building and replacing of furniture and equipment. Records and other important documents are well structured and up to date. The welfare of residents, staff and visitors to the home is safeguarded by adherence to health and safety issues. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 23 EVIDENCE: There is a large group of staff who have worked in this home for many years. This enables continuity of care and the forming good relationships among the staff and a good understanding of the residents’ needs. Some staff said that although there was still a good team spirit, their morale had suffered a setback recently, and they expressed concern about the frequency of change of “Heads of Care”, (three in the past year). This person has organisational responsibility for several Aermid care homes. The inspector had a discussion with the new head of care, particularly about the need for implementing changes in a way that secures senior staffs’ commitment and maintains their morale. The inspector also met the finance manager from Aermid, who outlined the planned improvements for the coming months. However, in addition to the immediate environmental issues as noted elsewhere in this report, a requirement is made for an annual works programme to be prepared for the ongoing maintenance and repairs of the fabric of the building, and the renewal of furniture and equipment. The finance manager agreed to make this available by the end of May 2007. Case files, staff records, policies and procedures were well constructed and easy to read. All important documents were stored securely. There were current certificates of safety for fire, electrical, gas and water systems and lifts and hoists had been serviced. COSHH materials were stored securely and the fire log showed that the alarms had been tested weekly and drills were carried out. There was an up to date fire risk assessment and a recent report by the fire safety officer was satisfactory. There were no gaps in the record of the temperatures of fridge and freezers, and all food was dated and labelled. Roseacres Residential Care Home DS0000010509.V331595.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 X 3 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 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 3 1 X 3 X X 3 STAFFING Standard No Score 27 2 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X 2 X X 3 3 Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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. 1. Standard OP18 OP21 Regulation 21(1) 23(2) Timescale for action The registered person must 31/03/07 ensure that all staff are aware of the “Whistle-blowing” procedure. The registered person must 30/06/07 improve the access to the downstairs toilet and the bathroom for residents who have mobility problems. This requirement is restated from the previous inspection. The previous timescale was 31/12/06. The registered person must ensure that: • The entry phone on the kitchen is properly secured or re-sited to prevent kitchen staff from being distracted from their duties. Wires that are trailing across the entrance to the kitchen are properly secured to prevent accidents. A proper holder is provided for the kitchen roll. There is appropriate handVersion 5.2 Page 26 Requirement 2. OP19 23(2)(b) 30/04/07 • • • Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc 3. OP27 18(1) 4. 5. OP30 OP34 19(5)(b) 23 drying equipment in the kitchen. • The dishwasher is repaired or replaced. Room 24 and the corridor outside this room are redecorated. The registered person must 30/04/07 increase the staffing level at night to ensure that residents’ needs are being met. The registered person must 30/06/07 ensure that all care staff been trained in dementia care. The registered person must 31/05/07 provide an annual business plan for the home. 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 OP23 Good Practice Recommendations The registered person should only use Room 24 as a double bedroom for residents who do not require the assistance of hoists for transferring. Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Roseacres Residential Care Home DS0000010509.V331595.R01.S.doc Version 5.2 Page 28 - 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!