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Inspection on 06/09/05 for Roseate House Residential Care Home

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

This inspection was carried out on 6th September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

The home provides a good standard of care to the people using the service. The staff team enjoy their work and make every effort to ensure the residents` privacy and dignity is respected. They deal with the individual needs of the residents in a competent and caring manner. The residents are encouraged and supported to pursue a wide range of activities and a vehicle is provided to transport them to venues of their choice. The staff team are offered a wide range of training courses that include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the residents` needs.

What has improved since the last inspection?

The requirements and recommendations made at the last inspection have been met. The care plans have been updated to include full details of the residents` individual needs. One resident is being reassessed to ensure their needs are fully met. An extra support worker post and enabler post have been allocated to the home. This will ensure there are sufficient staff to support the residents to access activities of their choice.

What the care home could do better:

Some areas of the home were recently damaged due to flooding. Carpets have been renewed where necessary but action should be taken to ensure this does not happen again in the future.Some communal areas would benefit from redecoration where wheelchairs have damaged the paintwork. An action plan should be produced at house meetings to ensure all issues are followed up.

CARE HOME ADULTS 18-65 Roseate House Marden Crescent Cullercoats Tyne and Wear NE26 2EE Lead Inspector Anne Brown Announced 6 September 2005 9.45 th 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 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 Stationary 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 B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Roseate House Address Marden Crescent Cullercoats Tyne & Wear NE26 2EE 0191 251 8194 0191 251 8194 communityhome@roseate.fsworld.co.uk Northgate & Prudhoe NHS Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Helen Agnew CRH 6 Category(ies) of LD - Learning Disability (6) registration, with number of places Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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. Date of last inspection 25/5/05 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 residents who have physical disabilities. There is a large bathroom with an assisted bath and a separate shower and a 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 systems. The centre of Whitley Bay and the sea front are in close proximity. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over six and a half hours. A tour of the premises took place and the care records were inspected along with the fire log book, accident book, maintenance contracts and minutes of meetings held in the home. Discussions were held with the manager and three members of staff. Five questionnaires were returned by the residents and four were returned by their relatives. What the service does well: What has improved since the last inspection? What they could do better: Some areas of the home were recently damaged due to flooding. Carpets have been renewed where necessary but action should be taken to ensure this does not happen again in the future. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 6 Some communal areas would benefit from redecoration where wheelchairs have damaged the paintwork. An action plan should be produced at house meetings to ensure all issues are followed up. 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 B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 standard(s) 2, 3, 4 and 5 A statement of purpose and service user guide have been produced. Comprehensive information is made available when a referral is made and the home carries out detailed assessment prior to agreeing to admit people into the home to ensure that the home can meet their needs. EVIDENCE: Statements of terms and conditions were available on the case files and these are signed by the resident and/or their representative. Comprehensive assessments were available and reviews are carried out on a regular basis. Prospective residents have the opportunity to visit the home as many times as they like to decide if they wish to live there. This may involve lunch and teatime visits, day and overnight stays and can be adjusted to the pace of the resident. A training programme is in place to ensure the staff team are equipped to meet the individual needs of the residents. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 There are excellent arrangements in place to ensure that residents’ health and social care needs are met. Detailed care plans ensure the staff team are fully informed. Residents are encouraged to lead fulfilling lifestyles and staff support them to take risks. Residents are encouraged to be involved in the day-to-day running of the home and to make their views known. 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 an ‘OK’ health check is carried out annually. Residents 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. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 10 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. Meetings are held on a monthly basis and the minutes are recorded. The agenda does not include matters arising from the last meeting to ensure issues are followed up. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 standard(s) 13, 14, 15 and 17 Links with the community and opportunities to participate in social and personal development activities had reduced at the last inspection. The manager has now taken steps to resolve this problem. Visitors are made welcome and residents are supported to maintain contact with family and friends as they wish. Residents are offered a healthy and varied diet. Special diets are catered for in the home. 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. Problems have been experienced in assisting one resident to go out due to the amount of support they required from the staff. However interviews are currently taking place to employ one full time home support worker and one Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 12 enabler. The staff agreed this would enable all the residents to access activities of their choice. 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. The records showed that visitors are made welcome in the home and are invited to events that are taking place. Staff also support residents to visit their families in the community. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 standard(s) 19 and 20. 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 residents in such a way 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. Since the last inspection the care plans have been reorganised to ensure the health needs are clear and all appointments are recorded. Residents 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. Photographs of the residents have been placed on their medication administration records as an additional security measure. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 14 Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 15 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 standard(s) 23 Policies and procedures ensure that the residents are protected from different forms of abuse. EVIDENCE: A whistle blowing policy is in place and training in the protection of vulnerable adults is part of the staff induction programme. The manager and one staff member have been offered places on a formal POVA course with North Tyneside Council. The manager has applied for all staff to receive this training. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 16 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 standard(s) 24, 26 and 30. The standards of the facilities and décor within the home are good, providing residents with an attractive and homely place to live. Some carpets have suffered flood damage. Bedrooms are personalised and provide the residents with the necessary facilities. All areas of the home were clean and hygienic. EVIDENCE: A tour of the premises was carried out and all areas were pleasantly decorated and well maintained. The staff encourage the residents to personalise their rooms and they are involved in choosing their own décor. One the day of the inspection the carpets in the corridor, lounge and one bedroom had been damaged by a flood. This has occurred twice during the last few months. The manager has reported this problem to the Estates Department of the Trust who are taking steps to address the problem. A new carpet has been provided in the resident’s bedroom and the communal areas have been dried and refitted by a carpet fitter. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 17 Some communal areas were showing signs of wear and tear due to damage caused by wheelchairs and would benefit from redecoration. The hot water supplied to one bath was tested and found to be safe. The staff test the water temperature before using it and it is also routinely tested on a weekly basis and recorded. The laundry facilities were good and the staff were aware of good hygiene practices. Protective clothing is provided. The manager confirmed that all staff receive infection control training as part of their induction programme. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 35. Minimum staffing levels are met, however the support required by one resident has led to the other residents having fewer opportunities to enjoy activities outside of the home. The staff team are well trained to meet the needs of the residents. EVIDENCE: The manager and three home support workers were on duty on the day of the inspection. An additional home support worker and enabler have recently been allocated to the home and will commence employment as soon as satisfactory references and CRB checks have been received. The staff were seen to be kind and caring towards the residents and confirmed they enjoyed working in the home. Questionnaires received from four relatives confirmed that the staff were very caring and made them welcome in the home. One relative commented that they had never seen their relative so happy and another stated the care offered by the manager and the staff team was of the highest standard. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 19 The staff confirmed that they receive a good level of training and training needs are discussed at supervision sessions. Training programmes were available for inspection and covered all aspects of the needs of the residents. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 and 42. The manager has a clear development plan for the home. Policies and procedures are in place to ensure the residents’ rights are safeguarded. There are systems in place to promote health and safety. EVIDENCE: The manager has experience is managing homes for adults with learning disabilities and has achieved a National Vocational Qualification, Level 4, in care and management. Since taking over the home she has addressed issues concerning staffing levels and ensured that residents all have access to fulfilling activities. The staff confirmed that the manager is also available to provide support and guidance. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 21 Regular meetings are held in the home for the residents and staff. The minutes are recorded and were available for inspection. 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. All staff receive regular training updates for health and safety issues. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Roseate House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 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 Regulation Requirement Timescale for action 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. 2. 3. Refer to Standard 8 24 Good Practice Recommendations Action plan should be produced to ensure issues are followed up at house meetings. Corridors should be redecorated where damage has been caused by wheelchairs. Roseate House B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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 B53-BO3 S338 RoseateHouse V235874 060905 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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