Inspection on 12/08/05 for Rosebank

This inspection was carried out on 12th August 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosebank 28/04/09

Rosebank 26/11/08

Rosebank 03/05/07

Rosebank 16/05/06

Rosebank 06/12/05

Rosebank 23/02/05

Rosebank 11/08/04

Rosebank 19/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Rosebank 52 Leyland Road Southport Merseyside PR9 9JQ Lead Inspector Orla Murphy Unannounced 12 August 2005 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. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosebank Address 52 Leyland Road Southport Merseyside PR9 9JQ 01704 535548 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) Mr Gerard Cunningham Mrs Carol Hall PC - Care Home Only 17 Category(ies) of LD - Learning disability 17 registration, with number of places b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 17 LD. 2. To include up to 3 named service users with Mental Health needs. Date of last inspection 23rd February 2005 Brief Description of the Service: Rosebank, also known as Leyland House is situated on Leyland Rd in Southport, close to the coast road. The service is owned by a private individual, Mr Gerard Cunningham. It offers care and accommodation to up to 17 residents who have a learning disability.Colin Hayes is the current Acting Manager. The home is a three storey property in a residential area. The home has good access to local transport links, with buses to Southport town centre , which is approximately ten minutes journey. Transport to Lancashire & Liverpool is also accessible.The service has its own minibus as current residents have some mobility difficulties & having their own transport allows much greater freedom in travel & accessing community facilities. Parking is available at the front of the building.There is a large garden to the rear of the home. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the first in the home’s required visits, which are 2 inspection visits per year. 6 residents and two staff were spoken to at the inspection. Three residents were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, reviews, medication sheets, meeting minutes, menus, timetables, risk assessments and significant events) were examined. What the service does well: What has improved since the last inspection? What they could do better: The extensive refurbishment has gone on for a long period and must be now completed as soon as possible. All care plans need to be updated to the new format. Reviews of care plans need to be detailed. Activities external to the home need to be more frequent & varied. Where behaviour leads to sanctions (withdrawal of privileges), this must be agreed in a contract with the resident and/or their representatives and this must be reviewed regularly. Snacks, drinks or any foodstuff cannot be withdrawn as a sanction. Fire alarm tests must be carried out monthly & fire b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 6 drills be carried out at least 3 monthly. All gas & electrical servicing must be up to date. Broken equipment must be replaced. Staff identified during the visit need to be trained in the use of non-childish/ respectful language where recording events about residents lives. 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. b F53 F03 Rosebank S5359 V248243 12.08.05 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 b F53 F03 Rosebank S5359 V248243 12.08.05 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 & 4. Prospective residents are encouraged to visit & spend time in the home prior to choosing to move there. All residents’ needs are assessed and detailed. EVIDENCE: The assessments of the three residents case tracked were examined. These were all in place and were satisfactory. All had a pen picture, which was a very useful document, the resident describing themselves; their personality, wishes, likes/dislikes and how best staff can support them. The most recently admitted resident spoke to the inspector and confirmed she visited the home 3 times before deciding to move there. She said she got a chance to meet everyone, have a meal, view the bedroom & communal areas and talk to staff before she moved in. She said “ I told **** (staff member) I wanted to move here”. b F53 F03 Rosebank S5359 V248243 12.08.05 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 Care plans are being developed and changed and those seen were good but reviews were not detailed enough. Residents mostly make decisions with support but evidence showed that on at least two occasions staff were deciding on sanctions for one resident that were not agreed. EVIDENCE: The care plan systems are being updated and those seen of the resident’s case tracked were positive and relevant. Reviews were up to date but were not detailed as in the areas looked at and progress made or changes needed. Generally, residents were very positive that they made their own decisions when they spoke to the Inspector, stating they decided about activities, visitors, clothes, money and college. However, Records seen showed that one resident had unagreed sanctions imposed by staff. Any sanctions must be agreed with the resident and/or their representatives and must be reviewed regularly. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 10 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) 12, 15. Residents have improved access to appropriate activities but this should be improved upon. Families and friends are welcome and play important roles in resident’s lives. EVIDENCE: Records show that resident’s access to activities & opportunities has improved steadily. Residents are attending various day placements and have access to the home’s own transport. Residents were talking about enjoying shopping & pub trips but some wished these were more frequent. This was discussed with the Manager who was clear that activities are planned to be improved and more frequent. Family & friends were spoken to during the inspection and during all other visits to the home. All have always maintained they have been welcomes, included and well received in the home. The proprietor holds relatives meetings to discuss any issues & inform relatives of developments/changes. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 11 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) 18 & 19. Residents are supported by staff to manage their personal care. Resident’s health needs are met. EVIDENCE: Records and discussions with residents clearly show that individual residents need different levels of support with personal care. Some just need prompting/reminding, whilst others need full staff support. Care plans seen supported this and laid out what help was needed for staff information. Residents spoken to said staff were helpful and they felt comfortable when being supported by them. All residents case tracked held health care assessments on file. All also had clear details of GP, Optician, Chiropody & Dental treatment recorded and each residents pen picture also discussed specific health difficulties or treatment needed. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 12 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) 22 The Service listens positively to concerns and residents feel staff are approachable. EVIDENCE: There have been 3 complaints direct to CSCI since the last inspection, only one of which was partly upheld. The issues were addressed satisfactorily. Residents spoken to all said they would tell staff if they were worried about something. One resident said, “ The staff can tell when I’m scared and they ask me what’s wrong”. I tell them cos they can help”. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 13 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 The environment currently is below required standard due to renovation works. EVIDENCE: Renovation works have been carried out for the past 6 months. Various parts of the home have been affected on a rolling basis. Residents and relatives were all happy to undergo the inconvenience of the building works, as the end result will mark a great improvement to the accommodation. The work is over schedule now & must be addressed, as it is urgent need of completion. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 14 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) 33 The staff rota & training schedule reflect there is sufficient staff for current activities during the day but in order to increase activities, staffing will need to increase. Staffing at night does not meet levels set previously. EVIDENCE: The staff rota demonstrates there is a minimum of 2-3 staff on duty at particular points during the day. As a result, minimal external activities are met by the staffing but this will need to be increased in order to meet targets the home wishes to meet in relation to activities. Staffing at night has been reduced, by the home, from two to one, and this does not meet the staffing levels set by the previous regulating authority. This must be addressed and night staffing returned to the levels set by the previous regulating authority, that being one staff member awake & one asleep, at night. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 15 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) 42 Electrical, Gas & Fire systems are all overdue their due service which places the home and residents at risk. EVIDENCE: The electrical system has had several faults since the refurbishment began, affecting lighting & the fire alarm system. This was being investigated on the day of the inspection but must be addressed as urgency, providing a current certificate of electrical safety. Fire alarm systems must be functioning safely and correctly. An up to date Gas service certificate must be produced. Fire drills have not been held in the last 8 months and must be held regularly & recorded, including at least one drill to be held, at night. b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 16 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 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 2 x x 3 x x Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 b Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 1 x F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 17 yes Are there any outstanding requirements from the last inspection? b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 18 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 6 Regulation 15 Requirement All care plan reviews must be detailed & evidence both changes & where plan rem,ains the same. All sanctions imposed on residents must be pre-agreed with them & their representitives and reviewed regularly. Sanctions used cannot include withdrawal or limited access to food, finance, shelter, personal belongings or freedom. Activities outside the home, utilising community facilities should be developed and increased. The refurbishment works must be completed. Staffing must meet the original staffing agreement and sleep in staff must be reinstated. Electrical systems must be repaired & certificated as being satisfactory. An up to date Gas servie & certificate is required. Fire alarm tests & fiore drills must be undertaken. Timescale for action 30th October 2005. 1st October 2005. 1st October 2005. 4th January 2006. 1st October 2005. 24th September 2005. 24th September 2005. 24th September 2005. 24th September 2005. 14th September 2005. 2. 7 12 3. 7 12 4. 12 12 5. 6. 7. 8. 9. 10. 24 33 42 42 42 33 24 18 12 12 16 18 11. 37 8 Night staffing must meet previously set levels; 1 member of staff awake & one asleep on call. The current Acting Manager must 18th submit an application to CSCI to October undergo the fit person process. 2005. F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 b Page 19 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 Good Practice Recommendations b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing Crosby Road North Liverpool L22 0LG 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 b F53 F03 Rosebank S5359 V248243 12.08.05 Stage 4.doc Version 1.40 Page 21 - 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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