Inspection on 12/07/06 for Roseate House Residential Care Home

This inspection was carried out on 12th July 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roseate House Residential Care... 11/07/07

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

Similar services:

22 Sandown Road

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Dilston College Of Further Education

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Craigmore House

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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 Anne Brown Key Unannounced Inspection 12th July 2006 09:30 Roseate House Residential Care Home DS0000000338.V295430.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.V295430.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.V295430.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 communityhome@roseate.fsworld.co.uk 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 Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Roseate House Residential Care Home DS0000000338.V295430.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 6th September 2005 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 transport network systems. The centre of Whitley Bay and the sea front are nearby. The fees are £1003.05 per week. Information about the home and inspection reports are readily available. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 5 hours and two visits were made to the home. The inspection was carried out to check on the progress made towards meeting the requirements and recommendations from previous inspections and to assess the service against the National Minimum Standards. A tour of the premises was carried out and care plans, fire logbook, accident and complaints records were inspected. Three staff members and the majority of residents were spoken to. Two relatives returned questionnaires. Staff files were examined at the Trust headquarters. What the service does well: What has improved since the last inspection? One home support worker and one enabler have been employed in the home. This ensures that the staff team are able to support service users to access activities of their choice. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 7 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.V295430.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are fully assessed prior to moving into the home to ensure their needs will be met. EVIDENCE: Assessments are carried out prior to moving into the home. These are completed by care managers and senior staff in the home. Service users are visited in their own home or hospital in order to assess their needs. These are also discussed when the service user visits the home. Service users’ files were checked and each included a full needs assessment. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users are well supported by staff and the necessary levels of support are provided. Service users are consulted on all aspects of life. Service users are encouraged to lead fulfilled lives and they are well supported by staff to take calculated risks. Confidentiality is respected. EVIDENCE: Health and social care needs are clearly addressed and the staff team are fully informed. All appointments with health care professionals are recorded in the care plan and ‘OK’ health checks are carried out annually. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 10 Service users are well supported by staff and the necessary levels of support are recorded in the detailed care plans that show the level of care and support the staff need to provide. Comprehensive risk assessments are available on the case files. These assist the residents to lead fulfilling lives and they are well supported by staff to take calculated risks as necessary. All staff sign to confirm they have read and understood the confidentiality policy. There are statements on all case files reminding the reader that all information is confidential. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Staff assist and encourage service users to participate in appropriate activities. Links with the community and opportunities to participate in social and personal development activities are good. Service users are encouraged to keep in touch with family and friends. Service users’ rights are respected in all aspects of their lives. Meals are varied and healthy eating is encouraged. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 12 EVIDENCE: Discussions with the staff and examination of records showed that residents attended day centres and enjoyed various activities in the community. These included shopping, meals out and visits to local places of interest. An enabler is employed in the home and was escorting one service user to the bank during the inspection. Holidays have been arranged for four service users and the staff are assisting the other two to book a holiday. A nutritious menu plan is in place and the staff confirmed that alternatives are always available. Any changes to the menu are recorded. There are guidelines in place to ensure residents receive appropriate support at mealtimes. Two questionnaires returned by relatives confirmed they are always made welcome in the home and can see their relatives in private. Staff also support service users to visit their families in the community. Two service users have the support of an advocate. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Residents are given the personal support they require and according to their preferences. Professional medical advice is sought, and reassessments are requested when necessary. An appropriate system is in place for dealing with medications. EVIDENCE: The staff on duty were observed to be caring for the service users in such a way as to promote and protect their privacy, dignity and independence. The staff team seek advice and support from relevant professionals to meet the health care needs of the residents. All appointments are recorded. Service users are escorted to another facility to have their weight monitored. A random sample of medication records and the system for storage and handling medications were looked at and found to be appropriate. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Residents’ views are listened to and acted on. Residents are protected from abuse. EVIDENCE: A complaints procedure is in place and a complaints book is maintained. This I monitored on a monthly basis by the manager and locality manager. A whistle blowing policy is in place and training in the protection of vulnerable adults is part of the staff induction programme. All staff have been booked on a POVA course run by North Tyneside Council. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The building is comfortable and generally well maintained. Some areas require redecoration. There is a good standard of hygiene. EVIDENCE: A tour of the premises was carried out and all areas were clean and hygienic. The paintwork in communal areas was damaged by wheelchairs and there was a hole in the bathroom door. The paintwork on the front exterior door was damaged. The lock on the garden shed was broken. The staff encourage the residents to personalise their rooms and they are involved in choosing their own décor. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 16 The staff test the bath water temperature before using it and it is also routinely tested and recorded on a weekly basis. The laundry facilities were good and the staff were aware of good hygiene practices. Protective clothing is provided. All staff receive infection control training as part of their induction programme. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. The staff team are competent and well trained to meet the needs of the service users. The staff are well supported and supervised. Service users are protected by the home’s recruitment policy. EVIDENCE: Four home support workers and an enabler were on duty on the day of the inspection. They were dealing with the individual needs of the service users in a competent and sensitive manner. All members of staff have achieved NVQ Level 2 or above. Mandatory health and safety training is updated on a regular basis. The staff confirmed that training is readily available to ensure they are competent to carry out their jobs. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 18 The manager has produced a programme to ensure staff receive supervision on a regular basis. The staff on duty confirmed that they receive formal supervision sessions. The staff files examined confirmed that Criminal Records Bureau checks had been carried out and two written references obtained. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to this service. Residents are fully involved and at the heart of decision making in their own lives and involved in the running of the home. Systems and procedures are in place to ensure the well running of the home and to ensure the safety of residents and staff. EVIDENCE: Since the last inspection a new manager has been appointed in the home. She was previously registered to manage another home run by the Trust. She has applied to become registered manager at Roseate House. Service users meetings take place on a regular basis. Minutes were available for inspection. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 20 There is a system in place to ensure that the staff are trained in moving and handling skills, fire safety, first aid, infection control and food hygiene. The fire logbook indicated that tests are carried out at the correct intervals. No unsafe practices were noted during the inspection. Charts are maintained to record water temperatures, fridge and freezer temperatures and food temperatures. Cleaning rotas are also in place. An up to date test certificate was not available for the electrical installation and service users’ call system. The manager has reorganised and colour coded the policies and procedures held in the home making them easier to use. Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 21 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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 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 3 X 3 X 3 X X 2 X Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 22 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. 2. 3. 4. Standard YA24 YA24 YA24 YA42 Regulation 23(2)(d) 23(2)(b) 23(2)(o) 13(4)(c) Requirement Woodwork in communal areas and front exterior door must be repainted. Hole in bathroom door must be repaired. Lock on garden shed must be replaced. Test certificates for electrical installation and service users’ alarm system must be forwarded to Commission. Timescale for action 30/09/06 30/09/06 31/08/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Roseate House Residential Care Home DS0000000338.V295430.R01.S.doc Version 5.2 Page 24 - 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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