Inspection on 28/05/08 for Roseacres Residential Care Home

This inspection was carried out on 28th May 2008.

CSCI found this care home to be providing an Good service.

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

Roseacres Residential Care Home 18/09/09

Roseacres Residential Care Home 23/10/07

Roseacres Residential Care Home 28/02/07

Roseacres Residential Care Home 10/08/06

Roseacres Residential Care Home 28/02/06

Roseacres Residential Care Home 10/05/05

Roseacres Residential Care Home 02/12/04

Roseacres Residential Care Home 14/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Roseacres Residential Care Home 80-84 Chandos Avenue Whetstone London N20 9DZ Lead Inspector Tom McKervey Key Unannounced Inspection 28th May 2008 09:30 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.V364386.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.V364386.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 manager.roseacres@aermid.com 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.V364386.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. 23rd October 2007 Date of last inspection Brief Description of the Service: Roseacres is a care home registered to provide care for 43 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 four double bedrooms. At the time of the inspection, some internal improvement works had taken place and others were about to commence. The communal rooms, which are on the ground floor, include interconnecting lounges, a conservatory and a dining area. There is a shower room with toilet on the ground floor. 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. The company owns other care homes as well as a domiciliary care service. 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 £513 to £727 per week, depending on whether bedrooms are shared or single. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Stars. This means the people who use this service experience good quality outcomes. This unannounced inspection was conducted over one day, in a period of seven hours. The visit was part of the Commission’s inspection programme to check compliance with the key standards. The Commission for Social Care Inspection received an Annual Quality Assurance document.(AQAA) from the registered manager, which is a selfassessment of the home. The AQAA focuses on how well outcomes are being met for people who use the service. It also gives some numerical information about the service. The manager was on leave at the time of this visit, but the deputy manager offered every assistance with the inspection process. The inspector spoke to several residents about their experience of living at Roseacres and read their case files and health records. Three relatives who were visiting the home during the inspection were interviewed to seek their views about the quality of the service. Several staff were also spoken to about their work, their training and how they were recruited. The staffs’ records were also examined. All areas of the home were visited, including the bedrooms. Throughout the inspection, the inspector observed how staff interacted and communicated with the residents when providing care and support. This was informative and contributed to the judgements made by the inspector in this report. What the service does well: There is good information available about Roseacres, which is useful for people who are considering moving to the home and they can visit and spend time there before deciding to move in. There is a homely and relaxed atmosphere, with plenty of interaction between residents and staff, and residents can choose between a range of activities. People who live in the home are supported in the observance of their religion and culture. This helps to maintain important elements of peoples’ previous lifestyle. The residents and their relatives are invited to take part in drawing up care plans and the staff ensure that there is good access to healthcare professionals if anyone is ill or they are due for check-ups. Medication is administered safely and recorded appropriately, which safeguards residents’ health and well-being. Choices are offered to the residents about how they wish to spend their time and they say they like the meals. They can also choose alternatives to the menu. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 6 The manager spends time speaking and listening to residents and their families, which ensures that issues are resolved as quickly as possible and lessens the level of complaints. There are thorough staff recruitment procedures that ensure staff are properly screened before they start work in the home. This safeguards residents’ interests. The staff have ongoing training and supervision to ensure they are competent to meet the needs of the people who live in the home. There are regular health and safety checks carried out to protect the well-being of everyone in the home and visitors. What has improved since the last inspection? What they could do better: Social Services and the Commission for Social Care Inspection were not informed about an incident in the home that could have affected the well-being or safety of a resident. Such incidents must be reported to the statutory bodies without delay, so that a strategy is agreed about the appropriate action to be taken. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 7 The following environmental issues must be addressed; all bedroom curtains must be hung properly and wash basins need to be fitted with plugs so that the privacy and dignity of the residents is protected and maintained. The bathroom next to Room 24 is marked and stained and must be refurbished for the comfort of the residents. The temperature of the hot water in a specific resident’s bedroom must be monitored and maintained to ensure it does not exceed 42 degrees Centigrade to minimise the risk of scalding. It is recommended that the proprietor should investigate the reason why there is a large turnover of staff and take action to address this in order to maintain continuity of care for the people who live in the home. 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.V364386.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.V364386.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 & 5. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service and looking at residents’ case files. Potential service users and their representatives are able to assess the home’s suitability by the information provided and the opportunity to view the home before admission. People can be confident that assessments of their needs are thorough to ensure that the home is appropriate to meet their needs. People whose care is funded by local authorities as well as private-funding residents, have service contracts that provide information about what is covered by the fees. EVIDENCE: The records of four residents who were the most recent to be admitted were examined in detail. One person was in the home for respite care. In the case of residents who were self-funding, their records contained signed contracts of Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 10 the terms and conditions of the service and what is covered by the fees. Two of these residents were funded by local authorities and their records had information about families’ contributions and what the local authorities fees cover. All these documents were signed by the manager and the residents’ representatives. The files contained detailed assessments of peoples’ needs, which had been carried out by the manager before they were admitted. The assessments were comprehensive and covered areas such as mobility, mental function, social, cultural and religious needs, and their life histories were also documented. All potential service users and their representatives are invited to view the home and can spend a day there, before deciding to move in. Each resident has a “welcome pack”/Service User Guide when they are admitted, which describes what they can expect from the service. The pack includes a questionnaire so they can state their views about the home and a complaints procedure if they have any concerns. A relative who was spoken to during the inspection, said; “I have visited other homes but this one is the best”. Many of the residents have dementia. The majority of the staff have been trained to care for people with this condition, which helps them to communicate with, and understand the residents better. Roseacres Residential Care Home DS0000010509.V364386.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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including examining residents’ case files. The staff involve people who live in the home in the planning of their care by recording their wishes about aspects of their lifestyle and how they wish their needs to be met. The people who live in the home are treated with dignity and respect. The residents can be confident that their health and welfare is maintained by healthcare professionals and by the safe administration of medicines. EVIDENCE: Each resident has an individualised care plan that includes an assessment of their needs and the objectives of their care. A sample of four care plans were examined., The plans focus on the resident’s abilities and use a model called, “activities of daily living”. For example, a person’s requirements for personal care, sleep patterns, their ability to communicate and how mobile they are. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 12 The care plans also address physical conditions, e.g. skin intactness, and risk assessments are documented about nutritional needs; for example, “Mrs X does not like spicy food”. Another record stated; “Because of “X’s” difficulties with swallowing, food must be finely cut or mashed”. Residents were also assessed for the risk of falls and appropriate guidelines were documented; for example if someone needed one or two staff to support them with walking. The care plans are monitored on a monthly basis by each resident’s key worker. Residents or their representatives have signed these care plans to show that their views were included in the plan. Accidents were documented as appropriate and the actions that were taken, e.g., referral to the G.P or A&E department were recorded. The G.P attends the home once a week, and when necessary, the district nurse also attends. Residents’ health records contained information about being referred to specialists, e.g. psychiatrists and CPNs, chiropodists, dentists and opticians, and all residents are weighed regularly. One person had been referred to the dietician recently for advice because they were losing weight. At the time of the inspection, all residents were reportedly in good health and no-one was on full bed rest. There is an appropriate procedure for the safe administration of medicines. Staffs’ signatures were accurately recorded in the administration of medicines, (MAR) sheets, and the residents’, (or their representatives), consent for medication to be administered, had been obtained. In the AQAA, the manager states that she does a weekly audit of the medication records to ensure that mistakes are not made in the administration of medicines. The medication trolleys were kept locked and firmly secured to the wall in the small conservatory. The residents looked well cared for, clean and appropriately dressed, and the inspector observed the staff providing care and support in a dignified, courteous and friendly manner. Roseacres Residential Care Home DS0000010509.V364386.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): All of these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including observation and speaking to residents and relatives. People who live in the home can be confident that they will be treated with respect and their social, religious and recreational needs will be met. They are able to make choices and have control over their lives. There is a good standard of food provided with plenty of options to choose from. EVIDENCE: Since the last inspection, one of the care staff has been trained as an activities coordinator, and the inspector was informed that another person will also be trained so that there is a continuous programme of stimulating activities for residents. These activities were on display on the residents’ notice board in the dining room. An occupational therapist conducts reminiscence groups and keep-fit sessions twice a week and there are outside entertainers who come once a month. The residents said they enjoyed most of the activities but also liked to spend time on their own reading. They said they were not forced to join in sessions if they did not want to. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 14 In addition to the lounge areas for people to relax in, there is a large wellmaintained garden that residents can sit out in when the weather is good. Staff were observed communicating with a resident who did not speak English. The staff had learned phrases in this person’s language from relatives. The resident appeared happy with the limited conversation. Another resident is profoundly deaf and staff use a wipe board to communicate with this person. At the time of the inspection, there were two Jewish residents in the home who are visited by a Rabbi. The local vicar also provides religious services and a nun administers communion to Catholic residents. The visitors book showed that people who live in the home receive frequent visits from relatives and friends, three of whom were visiting during the inspection and were interviewed. They said they were always greeted warmly by the staff and there were no restrictions about visiting. One relative told the inspector that he visited his wife six days a week and said the staff were “wonderful, kind and patient” and they couldn’t do enough for the residents. There was very good interaction observed during the inspection between staff and the residents, including those people who were very confused and unable to converse fully. There was lots of laughter and camaraderie between residents and the staff who always addressed people in a dignified and appropriate manner. At lunchtime, staff were observed supporting those people who needed assistance to eat, which was done in a way that was unhurried and kept the resident engaged in conversation while helping them. Most of the residents were eating in the dining room which is a pleasant environment where people can converse with each other in comfort. The tables had tablecloths and condiments and a there was a choice of orange juice or water with the meal. Some residents have their meals on chair tables in the lounges, while others choose to eat in their rooms. The weekly menu showed plenty of variety, including meat, fish and vegetables and salad. Fresh fruit was also available. At various times of the day, the tea-trolley came out and there were fresh cakes on offer. All residents who were spoken to, said they were happy with the meals available and they could have alternatives if they didn’t like the choice that day. During lunch, staff were seen offering several choices to one resident who was particularly difficult to please. Roseacres Residential Care Home DS0000010509.V364386.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 & 18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence, including speaking to residents and staff and inspecting records. People who live in the home and their representatives are satisfied with the service they receive. Residents can be confident that they are protected from abuse by the home’s procedures and staffs’ awareness and training about this subject. EVIDENCE: The deputy manager informed the inspector that no complaints have been made in the past year. The people who live in the home, and relatives who were spoken to, said they were satisfied with the service and had no concerns. People also said they were confident that any concerns would be taken seriously and would be acted on. It was noted that there was a copy of the home’s complaints procedure in the majority of the bedrooms. An incident was recorded in February 2008 in the complaints book that related to an allegation by a member of staff against another staff. It was alleged that the member of staff had assaulted a resident. The staff member was suspended while a senior manager from Aermid carried out an investigation. The investigation was thorough and found that the allegation was unfounded and the staff was reinstated. A description of the action taken was recorded in the complaints/incident book. While the action taken was appropriate, neither Social Services nor the Commission for Social Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 16 Care Inspection had been informed about this incident, which should have been done in accordance with the local authority adult protection procedure and the home’s own policy. The senior manager responsible spoke to the inspector and apologised for this oversight. However, a requirement is made to ensure that the regulatory bodies are always immediately informed about such incidents so that there is transparency and residents and their representatives can be confident that the home deals with any allegations of abuse appropriately. Staff records showed that they had been trained in adult protection, and the staff who were spoken to, were able to describe the actions they should take if abuse is suspected. Roseacres Residential Care Home DS0000010509.V364386.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, 21, 22, 23, 24, 25 & 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including visiting all areas of the home. People who live in the home can be confident that they live in a home that is clean, safe and well maintained. There are good facilities and equipment to support residents who have difficulties with mobility, and the current refurbishment of the environment will further enhance the comfort and wellbeing of all residents. EVIDENCE: At previous inspections, requirements were made for the home to address the poor environment, which related to lack of space and appropriate bathing and toilet facilities on the ground floor. This also applied to the laundry, which is too small to cope with the volume generated by the residents. At this inspection, it was evident that the proprietor has taken steps to improve the Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 18 facilities in the home and within the next few months, it is hoped that all the refurbishment work will have been completed. The old small ground floor toilet has been removed and the space will be incorporated into a new clinic room. The other ground floor toilet/bathroom has been refurbished and is now equipped as a sit-in shower room and toilet. This has made it much easier for staff to properly support people who use wheelchairs. It is planned to relocate the laundry to the basement. There is a passenger lift to the first floor The standard of décor and maintenance was good, and the conservatory had just been painted. The majority of the bedrooms were in good decorative order and it was evident that residents were able to bring personal items of furniture and other mementoes with them when they moved in. In the AQAA, the manager states that several bedrooms had new furniture recently and some have been re-carpeted. New chairs and tables have also been purchased. A new hoist has been provided to assist in the safe transfer of residents who have mobility problems. There are other hoists available as well as assisted baths for the comfort of the residents. There were records to confirm that all mechanical aids had been serviced. The extensive grounds are well maintained and attractive and they are easily accessible for people who use wheelchairs. The home employs a maintenance person and the manager carries out monthly health and safety checks to identify any potential hazards. The inspector visited many bedrooms and found that the curtains were not hanging properly in some rooms and in Room 14, the curtains were too short to meet in the middle. This does not provide adequate privacy for residents. It was also noted that in many bedrooms, plugs were missing from hand basins, which compromises residents’ dignity. The bath and toilet in the bathroom next to Room 24 were marked and stained. The water was also too hot in this hand basin, which could scald the resident. Requirements are made to address these issues. There is a team of cleaners in the home, and at the time of the inspection, the home was very clean and tidy and smelled fresh. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 19 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): All these standards were assessed. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including discussions with staff and examining their records. People who live in the home can be confident that there are sufficient numbers of staff available to meet their needs. They can also be confident that the staff are well trained and residents are protected by thorough screening procedures when new staff are recruited. EVIDENCE: At the time of this inspection, there were thirty-seven residents in the home, which is an increase since the last inspection. The inspector noted that the staffing levels had been increased accordingly. The rota showed that there were currently six care staff on the morning shift, five in the evening, and three at night. In addition to the care staff, there are cleaning and catering staff. Several staff said that they were unhappy about their salaries and the terms and conditions of employment. This was stated at previous inspections. The inspector was informed that several staff had left the home in the past year. These staff had been replaced and currently, there were no vacancies. However, in the AQAA under “What we could do better”, it states that the company should review staffs’ terms and conditions. The inspector has also recommended that the proprietor examines the reason why there is such a Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 20 turnover of staff, which could impact on the continuity of care for the people who live in the home. The staff records showed that ten people had achieved National Vocational Qualification level 2 and four others were currently on this course. This exceeds the National Minimum Standards target of a minimum of 50 of staff with this qualification. A schedule of other training was available for inspection and showed that all mandatory health and safety subjects were covered, including refresher courses. Training in the Protection of Vulnerable Adults and dementia care, was also provided. The AQAA states that training is being planned about the Mental Capacity Act and dealing with challenging behaviour. Four new staff had started working at the home since the last inspection. They all had a written induction, which included treating residents with dignity and respect, and they signed to stated that they had read the home’s policies and procedures. Their records showed that references and Criminal Records Bureau checks and references had been obtained before they started and they had been given contracts of their terms and conditions of employment. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 21 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, 34, 35, 36 & 38 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including discussion with the deputy manager and examining health and safety and financial records. The manager and her staff are strongly committed to maintaining and improving the quality of the service for people who live in the home. Residents can be confident that there are good systems in place to safeguard their financial interests. Health and safety in the home is regularly monitored to minimise risks to residents, staff and visitors. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is a qualified nurse and is very experienced in caring for older people, particularly those with dementia. She has also attained the Registered Managers Award, which is aimed at enhancing skills in managing care homes. Since the last inspection, a deputy manager has been appointed, which was a recommendation in our last report. As the manager was on leave, the deputy assisted the inspector very competently during the inspection process. The people who live in the home and relatives and staff, were very complimentary about the manager and her competence to run the home efficiently. New staff said they were welcomed into the team and quickly acclimatised to their roles. The Commission received a completed AQAA for this year, which is a selfassessment of how the home meets the National Minimum Standards. This document also identifies areas where the manager identified where improvements are needed and how she intends to implement them. The personal finances of the majority of the residents’ are managed by their relatives, but some money is held on their behalf by the home for day-to-day expenses, such as hairdressing. The manager and deputy have exclusive access to the safe where this money is held. The inspector examined a sample of four residents’ records and was satisfied that good records and receipts were being kept of how residents’ money was spent. A senior manager from Aermid visits the home each month to monitor the service. Reports of these visits are available for inspection in the home. Staffs’ records showed that they received one-to-one supervision to monitor their performance and identify further training needs. Staff told the inspector that they found this helpful and enabled them to discuss any issues with their line managers. Staff meetings are held regularly and these are recorded. The minutes of the meetings showed that the staff are consulted about how the home is managed. The manager conducts a health and safety audit of the home each month to identify potential hazards, copies of which the inspector saw. Health and safety records showed that the gas, fire and emergency lighting systems, portable electrical appliances, the electric wiring circuitry and the water systems had been tested and serviced. Fire alarms are tested weekly and regular drills take place. All cleaning and other potentially hazardous materials were stored securely. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 23 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 X 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 2 2 X 2 3 3 2 2 2 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 3 3 3 X 3 Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 24 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 OP18 Regulation 37(1)(e) Requirement Any event in the home which adversely affects the well-being or safety of any resident must be reported without delay to the Social Services and the Commission for Social Care Inspection. The bathroom next to Room 24 must be refurbished for the comfort of the residents. All bedroom curtains must be hung properly to protect the privacy of the residents. All wash basins in the home must contain plugs to maintain the dignity and well-being of the residents. The temperature of the hot water in Room 24 must be monitored and maintained at less than 42C for the safety of the resident. Timescale for action 30/06/08 2. 3. 4. OP21 OP24 OP24 23(2)(j) 16(1)(c) 16(1)(c) 31/08/08 30/06/08 30/06/08 5. OP25 13(4)(a) 30/06/08 Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 25 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 OP29 Good Practice Recommendations The proprietor should investigate the reason why there is a large turnover of staff, to minimise the impact on the continuity of care for the people who live in the home. Roseacres Residential Care Home DS0000010509.V364386.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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.V364386.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. 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