Inspection on 28/04/09 for Rosebank

This inspection was carried out on 28th April 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rosebank 26/11/08

Rosebank 03/05/07

Rosebank 16/05/06

Rosebank 06/12/05

Rosebank 12/08/05

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 10/07/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rosebank 52 Leyland Road Southport Merseyside PR9 9JQ     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paul Kenyon     Date: 2 8 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 31 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 31 Information about the care home Name of care home: Address: Rosebank 52 Leyland Road Southport Merseyside PR9 9JQ 01704535548 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : info@leylandhouse.com Mr Gerard Cunningham care home 17 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 17 The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Learning disability: Code LD The maximum number of service users who can be accommodated is: 17. To include up to 3 named service users with Mental Health needs. Date of last inspection Brief description of the care home Rosebank, also known as Leyland House is situated on Leyland Rd in Southport, close to the coast road. A private individual, Mr Gerard Cunningham, owns the service. It offers care and accommodation to up to 17 residents who have a learning disability. Louise Dorman 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. Weekly fees at Care Homes for Adults (18-65 years) Page 4 of 31 Brief description of the care home present start from 325 pounds per week although this can increase dependent on the needs of residents. Care Homes for Adults (18-65 years) Page 5 of 31 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was a key inspection of Rosebank and took place during the morning and afternoon. The service did not know that the inspection was to take place. During the visit we toured the building, spoke with some people who use the service and spoke with staff. Comments from the people we spoke to are included within this summary and the main report. In addition to this we observed the way in which individuals were supported by staff. The service was required to complete an annual quality assurance assessment. We have included quotes from this within this summary. Care Homes for Adults (18-65 years) Page 6 of 31 Care Homes for Adults (18-65 years) Page 7 of 31 What the care home does well: What has improved since the last inspection? The service has now ensured that staff have access to a whistle blowing procedure which includes our role within it The service has now ensured the privacy of individuals with the removal of two interior close circuit television cameras Care Homes for Adults (18-65 years) Page 8 of 31 The services annual quality assurance assessment states that the following has improved: Management engagement and management internal processes Staff development and internal training Residents well being especially care/diet Residents activities Enhanced our reputation What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 31 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 31 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This standard is not applicable at this time. Evidence: All individual living at Rosebank have lived at the service for some time. No individuals have come to live at Rosebank since our last visit. As a result, this standard was not measured on this occasion. Care Homes for Adults (18-65 years) Page 11 of 31 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The needs of those who live at Rosebank are met by the way in which the service devises and reviews care plans. People are able to make decisions about their lives. The need to review risk assessments does not promote the health and safety of individuals. Evidence: We looked at five care plans relating to individuals who live within the home. These were noted to identify a number of needs that each person had and how the staff team should act in order to meet those needs. In two cases, the physical condition of individuals had changed following hospital operations with the result that their needs had changed. Care plans had been altered to reflect these changes in the needs of these individuals. All care plans had been reviewed frequently over the past few months. There were no signatures from either individuals or their families to confirm that they had agreed with the support they are provided with. It is recommended that this is done so that individuals are fully involved in their support. Care Homes for Adults (18-65 years) Page 12 of 31 Evidence: We talked to individuals about the extent to which they could make decisions. In all cases, people considered that they could decide what they wanted to do with their lives and that staff assisted with this. Individuals have meetings with staff on a regular basis as evidenced by minutes available during the visit. Many people have family members to assist them to make decisions but this does not apply to all. No advocacy services have been introduced into Rosebank. It is recommended that this is done so that the rights of all can be promoted independently. All individuals have their own bank account and any monies withdrawn from bank accounts can be stored by the service securely. Any transactions with these monies are accounted for by the retention of receipts, the maintaining of records of transactions and signatures by staff when money is provided. Transactions are not always signed by two people. The signing of all transactions when they occur would ensure the full safeguarding of peoples finances and this is recommended. Risk assessments were available but these had been done during 2007 or 2008. It is required that these are updated. These related to manual handling assessments. Care Homes for Adults (18-65 years) Page 13 of 31 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are able to pursue the activities they wish in the local community and are able to maintain links with their families and friends. Peoples rights are maintained by the service as well as their dietary needs. Evidence: No one has an occupation but educational opportunities are available to some people mainly through the use of day centres or through the involvement in local community groups. Others mainly pursue leisure activities by the service rather than education. Many individuals have lived at Rosebank for a number of years and are familiar with the Southport area. This was confirmed through discussions with individuals who stated that they were familiar with Southport and had maintained links with community groups such as a mens group and a church group. The service has its own Care Homes for Adults (18-65 years) Page 14 of 31 Evidence: transport and their was evidence that people have bus passes in order for them to use public transport. There was evidence that individuals have voting rights and postal voting cards have been applied for. Voting cards for upcoming elections are available to people. Many individuals confirmed that staff support them to access the local community and others confirmed that local community groups support them in the community without the need for staff from Rosebank. One person stated that they did not pursue activities and suggested that there was no much to do in Rosebank. Information in this persons care plan confirmed that this person had a health condition that had resulting in them losing interest in activities. Steps had been taken to enable this person to access medical services to enable interest in activities to be re-established. A timetable of activities and interests pursued by individuals was on display in the building and there were a number of people pursuing activities during the visit. Interviews with individuals confirmed that they were able to maintain contact with their families. This ranged form those people who went out into the community with relations to individuals actually visiting their relations homes during the week. One person returned during the visit from a stay with their parents. People are also able to maintain relationships with others within Rosebank as they wish. Interviews with individuals confirmed that they had keys to their bedrooms and kept these on their person so that they could access their room or lock it when they wished. Staff interactions with individuals was positive throughout the visit and staff interact with individuals significantly providing information to them and advice when necessary. All individuals who were interviewed considered that the staff team were helpful. Throughout the visit it was noted that some preferred to enjoy the company of others whereas some preferred their own company. The lounge areas in Rosebank are such that there is sufficient communal space for individuals to interact together or enjoy their own company. A menu is available and is on display for individuals. No one has special dietary needs and all those interviewed were happy with the food provided. One person did state that they felt that there was one meal in particular that they did not like but did not consider that there were any alternatives. It is recommended that it is reinforced to all that alternative meals are available if they want it. Other people stated that there were alternatives available. A dining room is available and this can accommodate all people. Lunch was served during the visit. One persons care plan stated that specialist equipment was needed for them to eat independently. This was observed being used and enabled the person to eat independently. The kitchen is domestic in scale and individuals are able to assist Care Homes for Adults (18-65 years) Page 15 of 31 Evidence: with preparing meals if they wish. Care Homes for Adults (18-65 years) Page 16 of 31 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Rosebank are supported as they wish and have their health promoted. Medication is not managed completely satisfactorily. Evidence: We spoke to six people who live at Rosebank.All were positive about the way staff helped them. They said staff are alright, they listen to what I say, they are lovely, they are alright, they are nice, if you are worried they will help you and they listen to me. In all cases, individuals stated that they liked staff and were happy with the way they were helped.Some stated that staff helped them directly with personal care tasks while others said that staff made sure they had attended to their personal care tasks themselves. Care plans indicated that there was an emphasis on encouraging individuals with personal care tasks as opposed to doing it for them. Individuals are able to express their own sexuality and personal appearance. Again this is outlined in care plans with an emphasis on individuals being able to choose their own clothes, hairstyle and make up as appropriate. It was noted that one person who spoke with is had limited mobility. This was a temporary condition following an Care Homes for Adults (18-65 years) Page 17 of 31 Evidence: operation. This person confirmed that they were still able to do the things they wanted and was witnessed being able to do so independently.Another person has a sensory impairment and again was witnessed being able to move around the building independently and was well orientated to the layout of the building. All individuals have keyworkers and have been able to choose these as evidenced through meetings with staff. Interviews with people confirmed that they all felt well and would receive medical help if they did not. One person has a health condition. Staff interviews confirmed their awareness of this and the impact on the persons daily life. Information was available in file about this condition. There was also evidence that health professionals had become involved when this condition altered. Other files confirmed that people receive regular visits to health professionals and are support by staff to attend these. Visit include opticians, dentists, chiropodists and Doctors.Some other people have had medication reviews, involvement for the Community Learning Disability Team and District Nurses. One person had had an operation in 2008 which had affected their mobility. There was evidence on file that this person had received the appropriate hospital support, appliances to assist with mobility , district nurse visits and outpatients appointments. Medication is stored securely and is dispensed from blister packs which makes the administration of medications easier. There was evidence that all medication received by the service had been accounted for through records of receipt and this was the same for medication returned to the pharmacist. Staff have received medication awareness training and this was confirmed through staff training records and in interviews. Medication records were viewed. On some occasions, signatures had not bee recoded when medication had been administered so it was not clear whether individuals had received the medication they needed. This is raised as a requirement. One person manages their own medication, demonstrating that individuals are encouraged to be independent. The person was able to confirm this and staff the arrangements for their supply of medication. A risk assessment had been completed in 2007 and it is recommended that this is reviewed. Care Homes for Adults (18-65 years) Page 18 of 31 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service are able to influence the running of the service through the availability of a complaints procedure suitable for their communication needs. Individuals are protected from abuse by the policies, procedures and training provided by the service. Evidence: A complaints procedure is available for the people who use the service and this is presented to them in symbolic form. A copy is in each persons own bedroom. It contains details of who people must talk to if they have a complaint as well as our telephone number. Our contact details are now out of date and it is recommended that these are updated. Complaints records reveal that there have been no complaints received by the service for some time and we have not received any. Individuals were asked about who they would approach if they had a complaint. All stated they would speak to staff and said that they think that staff would sort it out. The service has a copy of the Local Authority procedure for the reporting of any allegations of abuse as well as its own procedure. Interviews with staff confirmed that they had receive training in the protection of vulnerable adults and understood the whistle blowing procedure. Policies barring staff involvement in the receipt of gifts and in wills are available. The service has no received no allegations of abuse since our last visit. Care Homes for Adults (18-65 years) Page 19 of 31 Evidence: All people we spoke with confirmed they felt safe living at Rosebank. Care Homes for Adults (18-65 years) Page 20 of 31 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service live in a comfortable, well maintained, well decorated and hygienic environment. Evidence: A tour of the building was undertaken. Some redecoration was being done during the visit as evidenced by redecoration to hallway and the front door. Maintenance staff are employed and are included on the rota. This person is available through the week and a repairs book is maintained. The tour of premises noted that the premises were bright and that furnishings especially in bedrooms were of a high standard and consistently equipped All rooms have been fitted with wall mounted televisions. Furnishings are of a good quality throughout the building. Individuals were asked about their rooms and the general decoration within the building. All without exception stated that they were happy with their rooms. Two people let us look at their bedrooms. Both were very happy with their rooms. They included evidence of personal possessions such as photographs in place and a notice board is in place in each room providing information on personal care routines, the complaints procedure and activities on offer. A requirement at our last visit called for Close Circuit Television cameras to be removed from interior areas. This has now been done. Any cameras still in place are Care Homes for Adults (18-65 years) Page 21 of 31 Evidence: now concentrated on the external areas. Our tour of the premises noted that no offensive odours were present. The premises are in keeping with the local community and cannot be distinguished as a registered care home. Local transport links are available and the service has its own minibus. This was used during the visit. Individuals confirmed that they are able to access local facilities and the town centre. The same tour of the premises assessed the cleanliness of the building. Te building was clean throughout. A domestic member of staff was present during the visit and was noted to be systematically cleaning all areas of the building. This staff member was able to outline her own practice and how she maintained standards in the building on a daily basis. A laundry is available is located in the basement area separate from food preparation and storage areas. This contains industrial appliances and is an organised facility. Soap and towels were provided at all hand wash basins in the building. Care Homes for Adults (18-65 years) Page 22 of 31 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Rosebank are not fully protected by the way the service recruits new staff. People are supported by staff who have received training but who have not consistently received information at the start of their employment about how to best support individuals. Evidence: We looked at five personnel files relating to staff who had come to work at Rosebank since our last visit. IN all cases, staff had received a police check confirming that they had committed no offences that would leave people living at Rosebank vulnerable. The service had also checked to see if people had been included on the protection of vulnerable adults register before a full police check was obtained. One person did not have any references and this is raised as a requirement in this report. All staff had information to confirm their identity. Staff interviews confirmed that they had received training in the past relating to mandatory health and safety topics as well as the protection of vulnerable adults. This was confirmed through training records. A training plan confirmed that future training had been scheduled for staff. Not all staff have received an induction. This is raised as a requirement in this report. Care Homes for Adults (18-65 years) Page 23 of 31 Evidence: One person has a health condition. While records are maintained on any progress with this condition, records tended to contain terms to describe the condition which are outdated. Staff interviews confirmed that no training had been received on this condition. It is recommended that training is provided on this. Care Homes for Adults (18-65 years) Page 24 of 31 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at Rosebank receive a service by individuals who are familiar with their needs but have not had their suitability to manage the service fully endorsed by the Care Quality Commission. The views of individuals are taken into account by the service so that they are able to influence its running. The health and safety of individuals is not fully promoted by the services practices. Evidence: The ownership of the service has changed within the past few months. The individuals concerned have had involvement in the service for many years but are now in the position of having full responsibility for the service. The owners have approached us to become registered although their application has not been completed by them. It is required that this is done to ensure that the outcomes we seek for those who live at Rosebank are fully upheld. Questionnaires are completed by people almost monthly and the results are included in each personal file. The questionnaires ask the views about the standard of the Care Homes for Adults (18-65 years) Page 25 of 31 Evidence: service. Opinions are recorded and then signed by each person. Five of these were looked at and confirmed that people had signed the questionnaires. We were able to Inspector able to view all records relating to the support provided during our visit, tour the premises and interview individuals and staff in private. Requirements from last inspection have been mainly responded to especially in relation to the whistle blowing procedure and the removal of some close circuit television cameras. Training records confirmed that staff have received mandatory training in health and safety topics and that training continues. The service needs to provide more evidence that it is promoting the health and safety of individuals. This relates in particular to the testing of fire detection systems and fire evacuation drills. This visit found that fire alarms have not been tested since December 2008 and that emergency lighting has not been tested since June 2008. In addition to this, no fire drill had taken place since January 2008. The Acting Manager is looking into the possibility of installing a new fire alarm system within the building. The service has information about substances used that could be hazardous to health. This information should be updated to ensure that staff have the right information. Accidents are recorded and the service takes the security of those who live at Rosebank into account as well as their physical safety through the use of window restrictor in the upper floors of the building. Care Homes for Adults (18-65 years) Page 26 of 31 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 34 18 The service must utilise the induction process for staff who are new to the service So that those who use the benefit receive support form those who are familiar with their roles within the service 01/12/2008 2 43 7 The owner of the service must register with the Care Quality Commission to register as the Registered Provider So that those who use the service benefit form receiving an accountable service 01/12/2008 Care Homes for Adults (18-65 years) Page 27 of 31 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 20 13 Signatures must be recorded 22/05/2009 on medication records once a person has been given medication so that it is certain that their health is being promoted 2 34 19 Two references must be obtained before new staff come to work at Rosebank so that the recruitment process fully protects the people who live there 20/06/2009 3 35 18 New staff must receive a formal induction so that they are fully aware of the values of care practice adopted by the home which in turn promotes the rights of the people who live there 20/06/2009 4 37 7 The provider must apply to register with us and forward a candidate to become the registered manager 25/05/2009 Care Homes for Adults (18-65 years) Page 28 of 31 so that the service can be managed in a way which promotes the rights of the people who live at Rosebank 5 42 23 Wwater temperatures must be checked periodically so that the health and safety of the people who live at Rosebank is promoted 6 42 23 Fire detection systems must be tested so that the health and safety of all connected with Rosebank is promoted 7 42 23 Drills in fire evacuation must 25/05/2009 take place every six months to ensure that the health and safety of all relating to Rosebank is promoted 25/05/2009 25/05/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 6 Care plans should have their content confirmed by either the person or their representative so that individuals are fully involved in the support they are provided with. Two staff signatures should be used on financial records relating to the finances of the people who use the service so that their financial interests are fully safeguarded. Advocacy services should be introduced to the people who use the service so that their rights can be fully promoted The availability of alternative meals should be made known to the people who use the service so that their food preferences can be provided for The risk assessment relating to the individual who manages their own medication should be reviewed and updated so Page 29 of 31 2 7 3 4 7 17 5 20 Care Homes for Adults (18-65 years) that it is certain that they are able to manage this safely. 6 22 The details provided on the complaints procedure for the people who live at Rosebank should have the details of the Care Quality Commission updated. Staff should receive training in epilepsy awareness so that the needs of the person identified at the inspection can be fully met. Assessments relating to substances which are hazardous to health should be updated in order to promote the health and safety of those relating to Rosebank. 7 35 8 42 Care Homes for Adults (18-65 years) Page 30 of 31 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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