Inspection on 30/08/05 for Rosebank Care Home

This inspection was carried out on 30th August 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 01/12/05

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 Jan Walsh Announced 30 August 2005 09:30 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 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 H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosebank Care Home Address High Street, Bampton, Oxfordshire, OX18 2JR 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) 01993 850308 01993 850308 Rosebank Nursing Homes Limited - Penny Haslam Provider/Manager 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 H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Old age, not falling within any other category. 2. Dementia. 3. The total number of persons that may be accommodated at any one time must not exceed 28. Date of last inspection 03 December 2004 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 H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector made an announced visit to the home at 9.30 lasting 6 hours. During this time a tour of the building was made including the kitchen, the laundry and the grounds. The home was seen to be clean and well maintained, and though there was a smell in part of the home due to the incontinence of a resident that morning, staff were seen dealing with this. The water temperatures were taken in two bathrooms and several rooms. In one room and one bathroom the water temperature was too low for the resident to wash comfortably. A visiting district nurse, the administrator and the activities co-ordinator were spoken with. The manager, a senior carer, the housekeeper and two carers were interviewed. Seven residents and two visitors were also spoken with. Four residents’ records were seen and four staff records were seen. Issues raised by the inspection were discussed with the manager. Very positive feedback was received from residents, relatives and health care professionals such as the doctors and community nurses. One resident said ‘it is a beautiful place to be in.’ Staff also spoke favourably of the home and the management. What the service does well: The home is bright and clean and several areas have been redecorated and refurbished in the last year. The garden is very attractive and well maintained and the residents confirmed how much they enjoyed it. The home gives good well-planned care for the residents. The residents and the district nurse interviewed spoke highly of this. Positive feedback was also received from the GPs. The staff receive regular supervision and very good training, which supports the staff in their roles as carers. This leads to well trained and competent staff giving good care to the residents. The home has well-organised and safe procedures in place to store and to administer medication safely. There is a well-developed activities programme that enables all the residents to benefit from individual sessions for the more dependent residents to group activities such as exercises and sing-a-longs with the piano. The activities organiser is an asset to the home working enthusiastically with people of different abilities. The meals are well planned, nutritious and enjoyed by the residents. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: During the inspection in two of the rooms and a bathroom the hot water tested was very cool. The manager must make sure that the hot water to the bedrooms and to the bathrooms is about 43oC so that the residents can wash in comfort. To enable prospective residents and their families to make an informed choice regarding the home it is recommended that a list of the rooms and their sizes, plus a description of the communal rooms and some residents’ views, is added to the admission information pack. Pre-admission assessments need to be signed and dated to keep an accurate record. A photograph should be added to the residents’ care plans so that all staff can recognise the resident they are to care for. The towel rail in room 3 should be made secure, as it has come loose. There was a slight smell due to incontinence in the older part of the building; . this was treated by staff during the inspection. However it is recommended that the older part of the building is monitored for offensive smells and further professional advice sought if this is an ongoing problem. Staff records should be improved by keeping a copy of a current photograph and making sure all files contain copies of proof of identity of the staff member to help maintain the safety of the residents. Staff training records need to be organised so that the training completed by a member of staff can easily be identified. Records of individual staff supervision need to be developed to record any problems the member of staff may be encountering, plus work role development and future training needs. During the inspection a resident had moved two fire extinguishers, which could be dangerous in the case of fire. These were replaced by members of staff. It Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 7 is therefore recommended that the manager seeks advice from the fire service regarding ways to deter residents from moving the fire extinguishers. 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 H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 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 standard(s) 1, 3, 4 and 5 Prospective residents and their families are given most of the information required to enable them to decide if this home will suit the person’s needs. However, it is recommended that the size of the rooms is included, plus a description of the communal rooms and some residents’ views of the home. Prospective residents and their relatives are encouraged to visit the home before making their choice. Prospective residents are seen before admission by the manager to assess their needs and the home’s suitability as a placement for them. It is recommended that the assessment is signed and dated as well as having the resident’s planned admission date to make it a legal record of the resident’s needs. EVIDENCE: The manager explained the procedures for admitting a resident to the home. She explained how and what information was given to them. An example of the information given was seen. This included a brochure and booklets giving good information regarding the purpose/philosophy of the home and the facilities the home offers, plus the conditions for admission. However it is recommended that to enable prospective residents and/or their families to Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 10 make an informed choice of placement, the size of the rooms is included, plus a description of the communal rooms and some residents’ views of the home. The manager confirmed that all residents are assessed prior to their admission. Written evidence was seen of comprehensive assessments but these should be dated and signed as well as giving the resident’s planned admission date. The manager confirmed she usually did this assessment but she also obtained assessments from the hospital, social services or GP as appropriate. Evidence was seen of these assessments. The manager ensures that the home meets the needs of the residents by using specialist health care services as necessary. Evidence was seen of community psychiatric team advice and hospital consultant referral in the resident records viewed. Written evidence was seen of staff training in dementia care and staff interviewed confirmed this. The activities co-ordinator confirmed that he engages with people on a one to one basis if they are unable to join in, in a group activity. The manager said residents are treated as individuals and their care needs are met in individual ways. This was confirmed by a relative spoken to on the day of inspection The brochure gives details of pre-admission visits and of trial periods. The manager confirmed that all residents or their representative visit the home to assess its suitability before the resident is admitted, she also added she would refuse to take a resident until the home had been viewed. The manager confirmed residents come in for a trial period of four weeks, after which time the resident and/or their families can make an informed decision about their future stay at the home and they know that the home will meet their needs. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 7, 8, and 9 The residents’ health and welfare needs are assessed and a plan of care is written enabling staff to give good care. Photographs are kept of the residents but it is recommended a copy is kept with the care records to ensure all staff identify the right resident to whom they are to administer care. The home ensures the health care needs of the residents are carefully met. The home stores and administers medication safely. EVIDENCE: Four residents’ records were viewed; they contained plans of care for each resident with the resident’s needs identified from a comprehensive needs assessment and the action to be taken by care staff to meet these needs. The manager confirmed that the resident or their family had an input into the plan of care and they would also receive a copy. Evidence was seen of monthly reviews, daily records/evaluations. Evidence was also seen of nutritional assessments, pressure sore risk assessments, falls risk assessment, plus plans of action for these. Evidence was seen of monthly weights and the action taken for the change in the resident’s weight. A senior carer confirmed the care staff used the plans but it was usually the senior staff that wrote in them at the end of a shift. Resident photographs are attached to their activity records. It is recommended that a copy of the photograph is kept with the Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 12 care records to enable all staff to easily identify the resident to whom they are administering care. Positive feedback was received from the doctors regarding the ability of the home to care for the residents. A district nurse spoken to at the time of inspection confirmed she visits the home twice a week or as needed. She confirmed the home gives good care and asks for advice and for assessments as necessary. One resident confirmed that she could see the doctor or nurse when she wanted, she only had to ask. Medication is kept in the locked clinical room in cupboards and medication trolley. Resident medication is in individual Nomad boxes. All medication checked was in date. The morning medication had been given and correctly signed for. The senior carer who demonstrated the system confirmed she and other designated staff had received training in safe administration of medication and that she had nearly finished a further accredited medication course consisting of 6 units. She confirmed that no residents are selfmedicating, or that any controlled medication is being used at the moment. A book was seen of daily temperature recordings of the medicine fridge temperature. Written evidence was seen of the homely remedies policy and procedure with an accompanying letter from the GPs. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 12, 13 and 15 Residents enjoy a lifestyle that meets their various needs. They are encouraged to keep contacts with their families and friends and the community. Meals are appetising and nutritious and are served in the dinning rooms or in the resident’s room as requested. EVIDENCE: Residents were seen on the day of inspection sitting in the day rooms or enjoying the nice weather in the garden. Several of the residents were seen to have visitors through the day. One visitor said she came two or three times a week. Now her mother is more dependent she often comes in to help her with her meals. She cannot join in activities now but there is always something going on in the home. A regular visitor from the local community said she comes in once a week and plays the piano for the residents. She said she has been coming for fifteen years. There is a good activities programme explained by the manager. Residents with memory loss have a book of memories to which families are encouraged to contribute. The home employs an activities co-ordinator who comes in most days of the week. He is also organising activities and people from the community to come in when he is not there. On the day of inspection he had been working with a number of residents making cards. He also keeps an activity file for each of the residents to record what they have been doing. These were seen at the inspection and give details of how the resident interacts with others as well as details of activities. He said Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 14 he interacts with residents, who are not able to join in a group activity, on a one to one basis, which he said they really enjoy. Every day the residents have different activities. He confirmed the activities, including exercises with a physical trainer, singsongs with the piano, a regular entertainer, a hairdresser and an aromatherapist. He also said he takes one lady to the local library and as well as religious services being held in the home people from the local community take some residents to church. Some of the residents confirmed they joined in various activities and how much they enjoyed them. In the afternoon of the inspection residents were singing with care staff and a pianist from the local community. Everyone involved seemed to really enjoy this. Residents were very positive about the activities, though one resident thought she would like more trips out, to the theatre, or to the pub for example. Residents spoken with confirmed they could have visitors any time. One visitor said she was always made welcome. Meals are produced in the kitchen. The manager confirmed special diets are catered for and that residents can have their meals in their rooms if they want to. One plan of care seen showed that the resident had weight loss and she was therefore having extra snacks to try to remedy this. The manager confirmed that both cooks have their food hygiene certificate. On the day of inspection the kitchen was clean and tidy. Residents were seen in the two dining rooms enjoying their lunch. Residents spoken to confirmed they had good food. One lady said ‘we have plenty of good meals and different meals every day.’ She added ‘if you do not like the meal of the day they will always find something else. For breakfast there is lots of choice.’ Menus seen showed a good selection of different foodstuffs encouraging a good and varied diet. One member of staff said she would sit and help the resident to have their meal if necessary. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 16 and 18 Residents and their families know how to complain if necessary. The home makes sure the residents are protected from abuse. EVIDENCE: The manager said all new residents and their families get a copy of the complaints procedure and written evidence was seen in the admission pack. Residents confirmed they know who to complain to. Several residents and a visitor said that the manager was very approachable. Several residents were seen at the inspection speaking to her about their problems/worries and receiving advice/reassurance. The home had received one complaint from a member of staff since the last inspection. Records were seen of the investigation and the action taken by the home. The matter had been satisfactorily resolved. The manager confirmed that all staff have had alert to abuse training and that the staff have a copy of the whistle blowing policy. Staff interviewed confirmed this and were able to say what they would do if they had concerns. Written evidence of alert to abuse courses was seen in staff records. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 16 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 standard(s) 19, 20, 25 and 26 Residents live in a clean, comfortable, home with their possessions around them. However a towel rail in one room was coming off the wall, the water temperatures in two bedrooms and one bathroom were too low for the comfort of the residents and part of the older building had a slight smell which the staff dealt with during the inspection. EVIDENCE: A tour of the building showed that the home was clean, well decorated and basically well maintained. However one room had a towel rail coming off the wall and this needs replacing. Hot water temperatures were taken in three bathrooms and seven bedrooms. Two bedrooms and two bathrooms were found to have low water temperatures and varied between 23 – 37oC. It is required that these water temperatures are raised to 43oC. Radiators were seen to be safely covered to prevent accidental burns. Window openings in the rooms viewed had restrictors for safety. The furniture and fittings of the home are tasteful and of a domestic type. There are several different communal areas where the residents can sit plus Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 17 two dining rooms. The garden is very attractive and well maintained. Residents and their visitors were making good use of it on the day of inspection. One resident said now a ramp has been made from one lounge into the garden she can now access it on her own. The laundry was seen on inspection of the home and was clean and tidy. The housekeeper confirmed the procedures for maintaining the cleanliness of the home. She also confirmed the management of clinical waste and soiled laundry. The home has large industrial machines; the housekeeper confirmed the washing machine has a sluice facility. The home is kept very clean and hygienic in most areas. However two rooms and the outside corridor in part of the older building had a slight offensive smell. The senior carer confirmed it was due to some earlier incontinence. Staff were seen addressing the problem of the smell later by carpet cleaning. It is recommended that this situation is monitored and professional advice sought if this continues to be a problem. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, and 30 Residents are cared for by adequate numbers of trained and competent staff. The residents are protected by good recruitment procedures. However all staff records must contain a current photograph and a copy of their birth certificate. EVIDENCE: On the day of inspection there were three care staff and a senior carer, plus the housekeeper and cook. Also on duty was the manager, the administrator and the activities co-ordinator. The manager confirmed there were three waking staff at night. Four staff records were looked at in detail. These contained evidence of robust procedures for recruitment. However one record did not have a copy of the member of staff’s birth certificate and no record had a current photograph of the member of staff. It is recommended that the home retains a current photograph plus a copy of the staff member’s birth certificate in all staff files. If a birth certificate cannot be obtained it is recommended that the manger informs the Commission for Social Care Inspection and a note is also made in the staff member’s record. The home has a very comprehensive training programme. Written evidence was seen of induction and training in the records seen. Evidence was seen that the home sends people on study days, uses in-house training, outside trainers, distance learning and that all mandatory training is given. The members of staff interviewed also confirmed they had lots of training and the training they had received, including all mandatory training and specialist Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 19 training such as dementia, abuse training. However it is recommended that training records are improved by keeping the records together for each individual member of staff so what training they have completed can be instantly seen. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 and 38 Staff have regular supervision and appraisals but individual records are not kept of supervision. The home promotes the health, safety and welfare of its residents and staff. However on the day of inspection two fire extinguishers had been moved by a resident and were replaced by a member of staff. This could be a risk to resident safety in the case of fire. EVIDENCE: The manager confirmed 6 monthly appraisals and regular two monthly supervision. Written evidence of appraisal was seen in the staff records. Records were seen of group ‘supervision’; however it is recommended that records are kept of individual sessions with details of any problems they may be encountering, staff development and future training needs. Staff interviewed confirmed regular supervision by either a senior carer or the manager. Written evidence was seen of mandatory training in fire safety, moving and handling, first aid, food hygiene, infection control and health and safety. Staff Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 21 also confirmed this. Evidence was seen of service and maintenance of hoists, the lift and electrical equipment. Stored water has been tested for Legionella bacteria. Risk assessments and health and safety records were seen. However on the day of inspection two fire extinguishers had been moved by a resident and were replaced by a member of staff. These need to be in the correct place in case of fire. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 x x x 3 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 3 x 3 Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 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 25.8 Regulation 23(2)j Requirement All hot water to bathrooms and hand basins must be approximately 43 degrees centigrade. Timescale for action 1 month completed 5/9/05 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 1.(1)(2) Good Practice Recommendations It is recommended that the size of the rooms (see Schedule 1) is included in the Statement of Purpose/ Service User Guide, plus a desciption of the communal rooms and some service users views. Pre-admission assessments should be signed and dated. It is recommended that a photograph should be kept in the residents care records as well as the activity records. It is recommended that the towel rail in room 3 is secured to the wall. It is recommended that the older part of the building is monitored for offensive smells and further professional advice sought if this is an ongoing problem. It is recommended that a copy of the birth certificate is kept in all staff files with a current photograph as evidence of identity. It is recommended that staff have an individual training record. H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 24 2. 3. 4. 5. 6. 7. 3.3 7 [17(1)a 19.1 26.1 29.1 30.4 Rosebank Care Home 8. 9. 36.3 38.2 It is recommended that individual staff records are kept of supervision with details of any problems they may be encountering, staff development and future training needs. It is recommended that the manager seeks advice from the fire service regarding ways to deter residents from moving the fire extinguishers. Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Rosebank Care Home H57-H08 S13137 Rosebank V237011 300805 Stage 4.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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