Inspection on 11/07/07 for Roseate House Residential Care Home

This inspection was carried out on 11th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roseate House Residential Care... 12/07/06

Roseate House Residential Care... 06/09/05

Roseate House Residential Care... 25/05/05

Roseate House Residential Care... 18/10/04

Roseate House Residential Care... 20/05/04

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

CARE HOME ADULTS 18-65 Roseate House Residential Care Home Marden Crescent Cullercoats Tyne And Wear NE26 2EE Lead Inspector Hilary Stewart Unannounced Inspection 11th & 25th July 2007 10:30 Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 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 Roseate House Residential Care Home DS0000000338.V343476.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 Adults 18-65. 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. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseate House Residential Care Home Address Marden Crescent Cullercoats Tyne And Wear NE26 2EE 0191 2518194 0191 2518194 susan.keeney@nhs.net 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) Northumberland, Tyne & Wear NHS Trust Ms Susan Keeney Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons for whom residential accommodation with board and care is provided at any one time shall not exceed 6 men or women 12th July 2006 Date of last inspection Brief Description of the Service: Roseate House is a purpose built bungalow providing residential care for six people with severe learning disabilities. The home does not provide nursing care. The accommodation consists of six single bedrooms, two lounges and a dining room. The home has a variety of aids and adaptations to meet the individual needs of the service users who have physical disabilities. There is a large bathroom with an assisted bath and a separate large shower and w.c. There is a large garden to the rear of the premises and ample car parking facilities. The home is situated in Cullercoats and is close to local shops, pubs and metro stations. Whitley Bay and the sea front are nearby. The fees are from £966.80p to £1065.40p per week. Information about the home and inspection reports are readily available. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 12th July 2006. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 11th & 25th July 2007. During the visit we: • • • • • • Talked with people who use the service, staff and the manager. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the assistant manager what we found. What the service does well: The staff team on duty at the time of the inspection were approachable and helpful. The needs of the people who live at the home are assessed before and after admission to ensure that they can be properly met. Information is available to help people make choices about the service before moving in. Healthcare needs are well met by using a multi-agency approach. This helps the people to stay healthy. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 6 The people who live at the home have good opportunities to take part in a variety of leisure pursuits and interests, which help them maintain links with the local community and keep and develop social skills. Mealtimes are flexible to suit individual preferences and lifestyles. People are given plenty of choice and sensitively supported to eat meals where they have specific needs. The staff team at the home value the differing needs of the people who live there and make sure that they are aware of each person’s preferences. They treat the people as individuals and support them to live the life they choose as much as possible. This means they will have new experiences and that they know that their opinions are valued. The staff team make sure that the home is clean, warm and pleasantly furnished so the people who live at the home have a comfortable place to live. Clear protection procedures are in place to protect the people from risk of harm. Staff have had training so they know what to do to keep people safe. The staff are supervised and trained so they know how to provide the people who live at the home with good care. All of the people who live at the home have plans of care and risk assessments. This is so staff have the information they need to support each person and keep them safe. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home are not put at risk. Sufficient numbers of staff are in post to meet the diverse needs of residents. What has improved since the last inspection? What they could do better: Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 7 If all medication administered to the people who live at the home at the home was recorded this would help staff make sure they had had the correct medication each day and so keep them safe. If copies of all of the reports from monitoring visits were sent to the home the manager would know if any issues had been found and they would be able to act upon them, which would improve the service to the people who live there. If the flooring was changed in some of the bedrooms to something more comfortable this could make the bedrooms more pleasant for the people at 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. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Assessments are carried out before and after admission to make sure that people’s needs can be planned and properly met. EVIDENCE: The people who live at the home have individual files. They show that they have had their needs assessed and describe the actions the staff need to take to meet their needs. The assistant manager and staff said that a person could only move into the home if they are certain that their needs can be met there. No one has moved into the home since the last visit. The home has a statement of purpose and a guide for people so they can decide if the home is where they want to move. Staff said that if someone did want to move into the home they could try it out first before they made a decision. The assistant manager said that the statement of purpose is available in an easy to read format. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who live at the home get personal support and at the same time staff make sure that their privacy, dignity and independence are respected. The people who live at the home are involved in writing their own care plan. They are supported to become more independent at the same time staff try to reduce the risks so they are kept as safe as possible. EVIDENCE: The assistant manager said and records showed that the people who live at the home have individual files, which show that their needs have been assessed. The home takes a person centred approach and the people are involved in writing their own care plan as much as possible. The assistant manager and staff said that the people who live at the home are supported to be as independent as they can be safely. Risk is assessed by Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 11 staff, which then shows how they can reduce risk as much as possible for people. Any limits set on person’s outings or activities and the reasons why are recorded in their file. The people are encouraged to make choices and decisions about what they want to do. One person who lives at the home said, “ I like living here” Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People at the home can take part in various social activities so they can have new experiences and find new interests. They are treated with respect by the staff so they know they are valued and learn how to treat other people with respect. Mealtimes are flexible to suit individual preferences and lifestyles. The people who live at the home are given a choice and are supported to eat meals if they have specific needs. EVIDENCE: The manager and staff said that the people who live at the home have the same rights as everyone else to make choices but they have to look at the risks at the same time. Sometimes for instance some people are not able to go on an activity on their own, as they may not be able to keep themselves safe. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 13 The staff said that they constantly look into the options open to the people who live at the home such as work, leisure and social activities. At the same time they have to be realistic about the choices. Some people attend college and take part in cooking, sewing and drama classes. Others go line dancing and have music sessions. The assistant manager and staff said that the people who live at the home speak to the neighbours and go to the local café. They go to the pub and to the coast. Staff support the people to use the local fruit shop and people in the area talk to them when they see them in the street. They can go to disco every week and some go swimming. One person had gone to a wildfowl park and another had gone shopping on the day of the visit. Each year the people who live at the home can choose a holiday. The staff said that the people all have individual holidays and they support them to make decisions about where they want to go as much as they can. One person said “I’ve stayed in a caravan”. Staff said that people who live at the home could have their own keys to their rooms if they want and their privacy is respected. They were observed and said that they always ask before they enter one of the people’s bedrooms. Staff said that they work with the people who live at the home around enabling them to have appropriate relationships and behave in ways that will help them get on with people. They support them to have contact with their friends and family. One person said “ I am waiting to go out” and went out with their family on the day of the visit. The home’s menus are based on the known likes and dislikes of the people who live at the home. Staff said that they are always trying to find new menus and to provide interesting things for the people to try. They talk about the meals in the house meetings. Picture of different meals and foods are used to enable people to choose. The manager said that the meals served to the people are varied and nutritious. One person said, “the food is nice”. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who live at the home have personal support when they need it so they can be as independent as possible. The staff monitor and promote the health of the people who live in the home to maintain their well being. Medication records had not been completed on occasions. EVIDENCE: All of the people who live at the home have individual health care plans. The assistant manager and staff said that the health plans had been reviewed however some of them had not been signed by staff to confirm the date that they had been. Staff said that the health and welfare of the people who live at the home is constantly being monitored. Records showed that their health and well-being is discussed. If there are concerns about a person’s health appropriate action is taken. Details of health checks, visits to their GP and hospital appointments are recorded in each individuals file. The assistant manager and staff could describe and records showed how people are provided with personal support Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 15 when they need it. Records showed that staff have had training in how to care for people with specific needs. One member of staff is a moving and handling facilitator. The people who were at the home looked smart and well groomed. The medication records were up to date. One occasion’s staff had not recorded that medication had been given. The assistant manager said that any discrepancies are taken very seriously and the staff have a procedure to follow to make sure medication is given correctly. The staff said and records showed that they have had training in how to administer medication. If it is thought to be safe following a risk assessment the people who live at the home can control their medication. Records showed that staff return unused medication to the pharmacist. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Complaints are dealt with through the homes procedures, which ensure that any problems are taken care of quickly which in turn helps good relationships to be maintained. Staff know about adult protection procedures, so the people who live at the home are kept safe. EVIDENCE: The home has a procedure for responding to allegations of abuse. Staff said and records showed that they have had training in how to protect vulnerable people from abuse. They could describe the procedure to be followed if an allegation of abuse was made. As some people do not use the spoken word staff said that they observe gesture and facial expressions as a method of communication. The manager said and records showed that the home has not had any complaints since the last visit. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Safety checks have been carried out in the home so the people who live there are safeguarded. The home is comfortable and clean so the people have a pleasant place to live in. However some of the bedroom floor covering in more suited to a bathroom. EVIDENCE: There are enough bathrooms and showers for the people who live at the home. The bedrooms looked comfortable and the people who live at the home had personalised them. They had been made very individual. One person when asked about their bedroom said that they liked their room. In two of the bedrooms the floor is the same as the bathroom flooring and does not look comfortable or pleasant although it may be practical Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a recruitment procedure to make sure that only suitable people are employed to work at the home. This means that the people who live there are kept safe. Staff are supervised and get training. Training for staff helps to make sure they know how to give the people who live at the home good care and meet their needs. This is confirmed by their care practices. EVIDENCE: Records showed that 12 staff have vocational qualifications. Staff said that they are supported to do their job and receive relevant training. Records showed that they are supervised and have regular staff meetings. Records show that staff have been vetted before they start to work at the home. The assistant manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. Records showed that written references had been Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 19 obtained. One record did not have enough detail about the persons work history. Sufficient staff were on duty during the inspection and the manager and staff said that enough staff work at the home although there are staff vacancies. Records showed that enough staff had been on shift on previous days. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37.39 and 42. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager has the experience and vocational qualifications to run the home well so the people who live there are well cared for. This means the people who live there get the care they need and their health, safety and welfare is always promoted. The home has a quality assurance system so the service the people who live at the there get is looked at and improved. Resident’s views are sought about how the home is run as much as possible, so they know they are listened too. EVIDENCE: The manager has the relevant experience to run the home and has a recognised vocational qualification. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 21 Staff said that they felt supported by the manager and that they organise things well in the home. Records showed that checks had been carried out on the equipment in the home; such as testing electrical equipment and the servicing the central heating boiler. Fire safety risk assessments had been completed. The fire logbook showed that regular fire drills and fire instruction take place. Staff said that they have fire drills. Records showed that regular training is provided for staff in fire safety, food hygiene and first aid. The assistant manager said that the home has regular monitoring visits although at the time of the visit some of the reports were not at the home. The assistant manager said that the people are asked their views about the running of the home as much as possible and they are used to see how they can improve the service. The people who live at the home were seen to approach the staff in a confident manner. Routines in the home are flexible and organised to suit the needs of the people who live at the home. Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 2 X X 3 x Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 23 no Are there any outstanding requirements from the last inspection? 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 YA20 Regulation 13 Requirement Records must be kept of all medication administered to the people who live at the home at the home. The registered person must make sure that all copies of the reports from the monitoring visits are lodged at the home. Timescale for action 01/09/07 2. YA39 26 01/10/07 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 YA34 Good Practice Recommendations The registered person should consider asking for more detail about the previous employment of staff when they are being recruited. For example staff should supply the month as well as the year when listing their work history. Consider the flooring in some of the bedrooms to make them more comfortable. 2 YA24 Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Roseate House Residential Care Home DS0000000338.V343476.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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