Inspection on 01/12/05 for Rosebank Care Home

This inspection was carried out on 1st December 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.

Other inspections for this house

Rosebank Care Home 03/10/06

Rosebank Care Home 30/08/05

Rosebank Care Home 03/12/04

Rosebank Care Home 24/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Rosebank Care Home High Street Bampton Oxfordshire OX18 2JR Lead Inspector Jane Handscombe Unannounced Inspection 1st December 2005 11:00 X10015.doc Version 1.40 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 Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 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 Older People. 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. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosebank Care Home Address High Street Bampton Oxfordshire OX18 2JR 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) 01993 850308 haslampenny@hotmail.com Rosebank Nursing Homes Limited Care Home 28 Category(ies) of Dementia (13), Old age, not falling within any registration, with number other category (28) of places Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 28 30th August 2005 Date of last inspection Brief Description of the Service: Rosebank is a care home registered for 28 older people, of whom 13 may have dementia. It is situated on the high street of the attractive village of Bampton and is very much a part of the village. Accommodation is provided on two floors and the first floor can be accessed by a passenger lift. There are both single and shared rooms provided and many have en-suite facilities. There are three large, comfortable lounge areas and two dining areas. The home has large attractive and well-maintained gardens, which are accessible to the service users. There is a wide range of activities available and service users are actively encouraged to maintain their independence for as long as possible. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on the 1st December 2005. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents, visitors, staff members and the manager of the home, viewing care plans and assessments, whilst observing the general day to day operations of the home. The home presented as one that was clean and tidy throughout. Residents were going about their daily activities in a calm relaxed manner. Staff were seen to provide care and support in an unhurried manner whilst addressing their needs appropriately. Comments received from residents during the inspection included: ‘ this is a first class home’ ‘its worked very well, I am very happy here’ ‘I enjoy life here’ ‘the food is very good’ ‘we can please ourselves as to what we do’ ‘if there is ever anything we are concerned about, we go straight to the manager, she is very good’ And comments from family members/visitors included: ‘ things are usually dealt with quickly…they are on the phone straight away if there are any problems’ ‘ I can go home and not worry, I know they are looked after and if anything’s wrong they will call’ ‘….good team of staff, all seem to work well together’ The inspector would like to thank the residents, their families and staff members for their assistance during this inspection. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Whilst the home provides a good level of service, there are 3 areas, for which requirements have been made within the report, which the home needs to address and improve upon; these include gaining relevant signatures to evidence that appropriate consultation took place in the assessment of needs and care planning process. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 7 Whilst there are recruitment policies and procedures in place these need to be adhered to, likewise the procedures around the storage of hazardous substances, so as to ensure to be addressing the issues of health and safety and the protection of those in their care . 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. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 The home gives written information about the home and the services it offers to prospective residents and their families. No prospective resident moves into the home without having had their needs assessed, and both the manager and prospective service user are satisfied that they will be able to meet those needs in full. EVIDENCE: All prospective residents undergo an assessment of needs prior to moving into the home and are invited to visit the home for a day, to meet fellow residents and staff to gain a ‘feel’ of the home, which coupled with brochures and booklets about the home and the services it offers, enables them to make an informed choice when deciding upon a home to meet their needs. Written information about the home and the services it offers has been updated and is in the process of being printed. The revised information will include the size of rooms plus a description of the communal rooms and some service users’ views to allow prospective service users and their families, a fuller ‘picture’ of the home. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 The residents’ health, personal and social care needs are assessed and reviewed regularly, providing an individual plan of care to ensure their needs are identified and met. Staff treat the residents and their families in a sensitive manner, respecting their dignity and showing respect at all times. EVIDENCE: Residents’ records viewed were very comprehensive detailing the residents’ identified care and equipment needs, long term and short term goals, appointment dates, moving and handling assessments, nutritional assessments, pressure sore risk assessments, weight monitoring and monthly reviews of the care plans. Of those viewed there was no evidence to show that the residents or their advocates had been consulted with appropriately and agreed to the contents of the care plans. A requirement has been made within this report with regard to seeking the resident’s or their representative’s signature wherever possible, to evidence that they have been involved in the assessment and care planning process. Staff were observed to treat the residents and their families in a sensitive manner, respecting their dignity and showing respect at all times. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14 and 15 Residents are encouraged to maintain contact with family and friends and the local community according to their preferences. The home is committed to maximising the residents’ capacity to exercise personal autonomy and choice in their lives and assistance is given, where required, to ensure this. All residents receive a wholesome nutritious diet, which is cooked freshly on the premises. Residents are offered a programme of activities to take part in if they wish. EVIDENCE: Residents are encouraged to join fellow residents and take their meals in the dining room if they so wish, or can take their meals in their own rooms if required. The inspector was informed that the lunchtime menu offers a choice of one hot dish and one cold dish followed by a dessert, although alternative meals can be provided upon request. Supper consists of soup, sandwiches or hot light snacks and a dessert. Hot and cold drinks are provided throughout the day and prior to the residents retiring for the night. Residents were seen to be enjoying their lunch, which consisted of Lamb hot pot, mashed potatoes, peas and cauliflower, followed by a pear and ginger sponge with custard. The residents spoken to were complimentary about the meals offered at the home. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 12 Staff were observed to be offering assistance to those who required it in a sensitive manner. Liaison with the residents takes places around the issue of meals, their likes, dislikes and any changes to the menus that may be required. Residents are offered a programme of activities to take part in if they wish, which includes music to movement, board games, music recitals, a monthly church service, and a visiting hairdresser and aromatherapist who are available for those who require. The activities co-ordinator works with those unable to join in group activities on a one to one basis. Relatives and visitors are made very welcome and those spoken to enjoyed visiting the home and the relatives association meetings held twice a year. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 The home makes every effort to ensure that the residents’ legal rights are protected. EVIDENCE: There is a complaints procedure should any residents have any concerns. Residents spoken to during the inspection confirmed that they would take any concerns to the manager if they had the need and felt that their concerns would be listened to and acted upon appropriately. The home facilitates access to advocacy services and takes steps to ensure that residents are enabled to take part in the local and national elections if they wish to do so. The residents are registered on the electoral role and are assisted to take part in the local and general elections when required. One resident informed the inspector ‘I went to the polling station, I walked down with a member of staff.’ Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 and 23 Overall residents live in a comfortable, well maintained environment with their personal possessions around them, and have safe access to all parts of the home. Residents have personalised bedrooms and have the use of suitable toilet and washing facilities. EVIDENCE: Overall the home presented as clean, orderly and well maintained. Bedrooms viewed on the day were individually styled with residents’ personal possessions and were pleasantly decorated and homely, however it was noted that residents are not provided with lockable storage facilities in their rooms, to allow them privacy and personal space to store valuables if required. The inspector found the laundry facilities to be clean, tidy and well ordered, although cleaning materials were found to be stored inappropriately. A requirement has been made within the report to address this issue. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 15 Whilst touring the home, one communal bathroom was found to contain a tablet of soap; the sharing of soap could possibly lead to cross infection and therefore a recommendation that the staff should ensure to remove residents’ personal soap from communal washing and bathing facilities to avoid this has been made. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30 Staff undergo the appropriate training to meet the overall needs of all residents. EVIDENCE: All new staff undergo an induction training in order to give them the skills and knowledge necessary for caring for the residents’ needs. This is followed by further training in any areas relating to the needs of the residents who are in their care. Recent training has included Infection control, medication training and food hygiene and a further five staff members are currently undertaking the National Vocational Qualification in Care at level 2 A sample of staff files was viewed which evidenced that generally there are stringent policies and procedures in place with regard to the recruitment of staff and relevant checks and induction training are generally adhered to, thereby protecting and supporting the residents in their care. However there was one case in which there was no evidence of the required disclosures by the Criminal Records Bureau (CRB) as is required. The manager informed the inspector that the POVA 1st (Protection of Vulnerable Adults) check would be instigated immediately and the CRB check would be undertaken. An immediate requirement has been made to ensure that all staff undergo the relevant disclosures before employment commences. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 Rosebank is generally a well managed home, run in the best interests of the residents using the service, with safeguards in place to protect their health, safety and welfare; however there was one incident around the recruitment of staff that could place the residents at risk (see Staffing section) There are clear systems in place to protect the residents’ financial interests. EVIDENCE: The home undertakes annual quality assurance surveys in order to gain feedback on the services provided and the care given; these are undertaken by residents, their families and staff members so as to gain feedback from all those who are involved with and in contact with the home. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 18 The inspector discussed the management of the residents’ finances with the manager of the home and found there to be clear policies and procedures in place and systems and records in place to allow for a clear audit trial in order to safeguard the residents’ financial interests. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 X 3 X X X STAFFING Standard No Score 27 X 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 20 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 OP7 Regulation 14(1)c Requirement The manager must gain both the resident’s/representative’s signatures and that of the assessors to evidence that an appropriate consultation regarding the assessment took place. The registered manager must ensure all newly appointed staff undergo the required checks with the Criminal Records Bureau and the POVA list before employment commences. The manager must forward in writing to CSCI confirmation that this has been undertaken with regard to the identified member of staff. The registered manager must store hazardous substances safely. Timescale for action 18/01/06 2 OP29 19 Schedule 2 18/01/06 3 OP38 13(4) 18/01/06 Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 21 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 OP21 Good Practice Recommendations It is a good practice recommendation that staff should ensure to remove residents’ personal soap from communal washing and bathing facilities to avoid the possibility of cross infection. Rosebank Care Home DS0000013137.V269342.R02.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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. 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