Inspection on 11/11/05 for Rosebank Residential Home Limited

This inspection was carried out on 11th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Residential Home Limited 21/09/06

Rosebank Residential Home Limited 14/07/05

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rosebank Residential Home Limited Rosebank 56 Pelham Road Gravesend Kent DA11 0HZ Lead Inspector Helen Martin Unannounced Inspection 11th November 2005 1:20 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 Residential Home Limited DS0000063433.V261458.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 Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosebank Residential Home Limited Address Rosebank 56 Pelham Road Gravesend Kent DA11 0HZ 01474 537428 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) Rosebank Residential Home Limited Mrs Aujla Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Mrs Aujla completes the Registered Managers Award within two years from September 2005. Up to date fire safety audit and water installations reports to be obtained. 14th July 2005 Date of last inspection Brief Description of the Service: Rosebank is a care home providing personal care and accommodation for twelve older people. Mrs. Aujla owns the home, which is located close to the town centre, with the usual town amenities. Bus and train services are nearby. All residents have single en-suite bedrooms, which are located on the ground and first floors. There is a parking facility for a few cars to the front of the premises. The garden to the rear of the home has a ramp to enable access for residents using wheelchairs. Rosebank employs care staff, working a roster, which gives 24-hour cover. Currently no staff are employed for catering and domestic duties. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken on 11th November 2005 between 13.20 and 16.45. The visit included talking with residents and staff. The owner was not present on this occasion. Some judgements about the quality of life within the home were taken from observations and conversation. Some records were looked at. In addition, a tour of the home and garden was undertaken. The home currently has ten residents and two vacancies. What the service does well: What has improved since the last inspection? Since the home was registered, many improvements have been made and these are continuing. The senior carer said that the whole home was in the process of refurbishment and re-decoration. Since the last inspection, a concrete ramp has been completed, which enables better access to the rear garden by wheelchair users. Two vacant bedrooms are currently in the process of renovation. It was mentioned that the home has recently ordered a new washing machine and fridge, which are due to be delivered within the next few days. Since the last inspection a new staff training programme has been implemented. Staff have completed courses in first aid, moving and handling and health and safety. Fire safety and water installation audits have been undertaken. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 6 What they could do better: 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 Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 7 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 Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 8 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): 2, 4, 5, 6 Residents benefit from an opportunity to ensure that the home is suitable to meet their needs prior to admission. EVIDENCE: Previous inspection identified that all residents receive a contract regarding the terms and conditions of their accommodation and care; this could be improved by amendment to information regarding the rights and responsibilities of residents and the home. Residents’ contracts were not available at the time of this inspection. Residents and their representatives have the opportunity to look around the home before they decide to move in. Prior to a new admission to the home, the owner undertakes an assessment of care needs. After a resident moves in they are offered a ‘trial period’ to ensure that the home is suitable to meet their needs. The senior carer demonstrated a clear understanding regarding the category and needs of residents that the home could meet. It was mentioned that no Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 9 residents have been assessed as needing twenty-four hour nursing care. The home does not currently provide any respite or intermediate care. Rosebank Residential Home Limited DS0000063433.V261458.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, 8, 9, 10, 11 Residents are treated with respect. They would be better protected by improvements to the systems for care planning and medication. EVIDENCE: The owner continues to be in the process of creating a new individual care plan for each service user. The format is very clear, precise and easy to follow. Although there is facility to record individuals’ personal and healthcare needs, the care plans inspected contained some significant gaps in information recorded. One resident’s care file contained no specific care plans or recorded review information, whilst another contained care plans but no other recorded information. No risk assessments seen contained the action to be taken by staff for the reduction of the risk. One resident’s care file was locked in an office and not available to staff. Whilst it is appreciated that care plans are in the process of review, detailed information and guidance for staff was not provided at the time of inspection. The promotion of residents’ health care needs is maintained. District nurses visit the home on a regular basis. No residents are currently assessed as needing twenty-four hour nursing care. It was unclear at the time of inspection Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 11 how often residents are weighed; their weights are not recorded regularly. It was evident that one resident had recently developed a pressure sore; the senior carer contacted district nurses. Specialist equipment can be accessed. Daily records included the monitoring of nutrition and pressure sores. Residents are not fully protected by the procedures in place for the storage and administration of medication within the home. Medication is stored in a kitchen cupboard and exposed to heat when cooking is taking place. Other items and documents are also stored within the cupboard. Controlled drugs are not stored appropriately. Medication administration records are kept with photographs and details of residents. They are completed appropriately with the exception of some hand written entries, which are not counter signed. There is no signature list for staff administering medication. Staff were observed to speak with residents in a respectful and appropriate manner. Arrangements are in place to maintain residents’ privacy and dignity. The senior carer demonstrated sensitivity about issues surrounding the death of a resident. It was mentioned relatives could visit and stay as often and for as long as they wished and specialist nurses are accessed if required. The home’s policy for death and dying has been reviewed; documentation was not available at the time of inspection. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 12 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, 15 Residents benefit from a range of leisure activities. Their choice of meals could be better reflected in the written menus. EVIDENCE: The routines of daily living and activities made available are flexible. One resident has recently celebrated their ninety-ninth birthday. It was mentioned that individuals enjoyed the party and the Karaoke provided. One resident receives visitors from their church on a regular basis. Another goes out on their own daily, to pursue their individual interests. One resident attends a day centre once a week. Currently residents can participate in games, listening to music, manicures, hand massage, group discussions and one-to-one chats. One resident particularly enjoys the prizes given at weekly bingo sessions. The senior carer explained that an activities co-ordinator has been used to organise events. It was stated that it is planned to use an activities co-ordinator more frequently, including the provision of reminiscing and art and crafts. Residents can be supported attend religious services if they wish. A hairdresser comes to the home on a regular basis. Plans are underway for the celebration of Christmas. Residents are encouraged to keep contact with their relatives and friends if they wish. Some individuals go out or stay with their families. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 13 The senior carer explained that residents are offered a choice of meals and that hot alternatives are always available. It was said that high tea was provided on a daily basis. Written menus were seen that contained variety, although these did not reflect the range of choices offered to residents. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 14 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, 17, 18 Residents’ views are listened to and receive proper consideration, although they would benefit from additional written information about making a complaint. Procedures are in place, which protect residents from abuse. EVIDENCE: Residents are at ease talking with staff who listen to their views and concerns. It was indicated that, should a complaint be received, this would be handled and recorded appropriately. The senior carer explained that the written complaints procedure is available to all residents. Documentation seen did not include the option of the referral of a complaint to the CSCI at any stage. All permanent residents are on the electoral role and are able to vote if they wish. The senior carer demonstrated an understanding of the procedures in place within the home for the protection of residents from potential abuse. Since the last inspection, appropriate action has been taken regarding one situation, improving the safety of residents. The policies for Whistle Blowing and the Protection of Vulnerable Adults have been reviewed, although these were not available on this occasion. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 15 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, 22, 23, 24, 25, 26 Residents benefit from living in a clean and pleasant environment. Residents would be better protected by additional suitable specialist equipment, locks and water temperature checks. EVIDENCE: Since the home was registered, many improvements have been made and these are continuing. The senior carer said that the whole home was in the process of refurbishment and re-decoration. It was stated that residents had been consulted and were able to choose colour schemes. Significant office facilities have been added to the second floor. Currently the conservatory at ground floor level is used as a staff room. It was stated that this was planned to change together with additional dining facilities. Since the last inspection, a concrete ramp has been completed, which enables better access to the rear garden by wheelchair users. Two vacant bedrooms are currently in the process of renovation and re-decoration. It was stated that the home has recently ordered a new washing machine and fridge, which are due to be delivered within the next few days. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 16 Adequate lounge and dining facilities are provided. All bedrooms are ensuite and for single use. Six en-suite facilities include a bath/shower. In addition there is a communal toilet, bathroom and shower facility. Residents’ rooms seen were pleasant, well furnished and personalised. All residents are provided with a lockable facility, although not all bedrooms have a lock on the door. Bedrooms and communal areas are homely and comfortable. Residents’ accommodation is on the ground and first floors. Stairs only access the first floor. Previous inspection identified that no stair or passenger lift is provided. It was observed at the time of this inspection, that one resident needed two carers to assist them to mobilise and that they were unsteady on their feet. It was stated that this resident would be provided with a ground floor room when renovation is complete. Currently they are accommodated on the first floor. It was evident that mobilising this resident on the stairs with two carers could pose some potential risk, both for the individual concerned and members of staff. The senior carer said that there were plans to install a stair lift. The senior carer stated that staff had been trained to use the equipment provided by the home, such as slide sheets and lifting belts. The inspector was assured that currently there was no need for a mobile hoist within the home. The senior carer stated that the water installations have been checked, although documentation was not available at the time of inspection. Bath and shower water temperatures are tested to safeguard residents, although records are not kept. The premises are kept clean, hygienic and free from offensive odours throughout. The laundry is housed in an outbuilding in the garden. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 17 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): 27, 28, 29, 30 Residents benefit from being in the care of a sufficient number of staff. Staff training and recruitment could not be fully inspected, as records were unavailable. EVIDENCE: The senior carer stated that currently there were ten residents accommodated. At the time of inspection one senior carer and two carers were on duty. It was stated that two carers are usually on duty during the day in addition to the owner or senior carer, with one waking and one sleeping-in member of staff at night. Staff rosters are kept, although these did not show when the owner and/or senior carer were on duty. The home does not currently employ any staff for catering and domestic duties, although it was indicated that this was planned for the future. The recruitment procedure in place within the home aims to ensure that suitable staff are appointed to meet the needs of residents. The senior carer explained the system for pre-employment checks to include an application form, proof of identity, references and criminal records bureau checks. The relevant documents are kept within the home, although these were not available at the time of inspection. The owner liaises with a training consultant to enable members of staff to update their levels of competence and gain new skills and insights into the care needs of frail older people. Previous inspection identified that a new staff Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 18 training programme was in the process of introduction. Since the last inspection, staff have undertaken training in ‘appointed persons’ first aid, moving and handling and health and safety. It was said that all staff had undertaken these courses, which included both theory and practical and were competency tested. The senior carer mentioned that the health and safety course included infection control, the control of substances hazardous to health and accident reporting. It was stated that all staff are undertaking fire training shortly, some are currently in the process of a basic food hygiene course and that training for the administration of medication was planned. It was mentioned that some staff are in the process of undertaking NVQ level 2 qualifications. Training records and certificates were not available at the time of inspection. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 19 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): 32, 33, 34, 35, 36, 37, 38 Residents benefit from appropriately supervised staff within a relaxed and inclusive atmosphere. Residents’ welfare would be better safeguarded by improvements to the systems for written policies and procedures, fire prevention, food hygiene, confidentiality and record keeping. EVIDENCE: The home is welcoming and has a relaxed and inclusive atmosphere. Residents are able to approach the staff with ease. A procedure is in place for on-call cover in the owner’s absence. The owner is currently in the process of reviewing all the home’s policies and procedures. Whilst this is appreciated, it was unclear where some written guidance for staff could be found in the absence of the owner. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 20 An up to date insurance certificate is displayed within the home. Business accounts were not inspected on this occasion. The home holds small amounts of cash on behalf of one resident. The monies held tallied with those in transaction records. The resident does not sign for cash received. A system is in place for the home to receive cash for the individual concerned, although these records and receipts were not available at the time of inspection. Personal property and valuables records seen were not completed. A staff supervision and appraisal system has been implemented. The senior carer said that this consisted of both informal and recorded formal one-to-one sessions. It was mentioned that the system was supportive and included competency testing and the identification of training needs. Many records were unavailable for inspection and some were unavailable to staff. Care plans were kept in the conservatory and were not stored in a manner that preserved confidentiality. Some records were not completed with sufficient detail. Since the last inspection, a fire safety inspection has taken place. The senior carer said that there are no outstanding issues relating to this. The report was not available at the time of inspection. The home’s fire logbook was seen, the last entries being in July 2005. It was unknown at the time of inspection whether any new records or fire risk assessment were available. Residents are not fully protected by the arrangements for food hygiene within the kitchen. Although food was stored appropriately within the fridge, records of fridge and freezer temperature records could not be found. The home does not have a food probe or check hot food temperatures. The programme of training includes relevant aspects associated with health and safety and general aspects of care provision. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 21 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 X 2 X 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 3 3 3 3 2 3 2 2 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 2 3 2 3 2 2 Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 OP7OP37 Regulation 15 Timescale for action The registered person shall, after 01/02/06 consultation with the service user or their representative, prepare a written care plan as to how their health and welfare needs are to be met. In that, care plans must be provided for each resident and be completed with adequate detail. 2 OP7OP25O 17(3)(b) P28OP29OP 3, 4 30OP35OP3 7OP38 The registered person shall 23/12/05 ensure that the records referred to in Schedules 3 and 4 are at all times available for inspection in the home by any person authorised by the Commission to enter and inspect the care home. In that, many records were unavailable for inspection, including the fire safety report, the home’s fire risk assessment, the water installation report, care planning information and records concerning cash held by the home on behalf of a resident, staff training and recruitment. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 23 Requirement 3 OP9 13(2) The registered person shall make 01/02/06 arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the home. In that, all medication, including controlled drugs, must be stored appropriately and at the correct temperature. 4 OP22 23(n) The registered person shall ensure that suitable adaptations are made, and such support, equipment and facilities, including passenger lifts, as may be required are provided, for service users who are old, infirm or physically disabled. In that, one resident, unsteady on their feet, needing two carers for mobilisation, is currently accommodated on the first floor, accessed only by stairs. This issue has been discussed during previous inspection dated 14th July 2005. 01/02/06 5 OP25OP38 13(4) (a)(b)(c) The registered person shall ensure that avoidable and unnecessary risks to the health and safety of service users are identified and as far as possible eliminated. In that, fridge, freezer, hot food and hot water temperatures must be monitored, checked and recorded. 23/12/05 6 OP27 17(2) 4.7 The registered person shall maintain in the home, the records specified in Schedule 4: 23/12/05 Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 24 A copy of the duty roster of persons working at the home, and a record of whether the roster was actually worked. In that, the staff roster must include all staff on duty within the home. 7 OP38 23(4) (c)(v) The registered person shall, after 23/12/05 consultation with the fire authority, make adequate arrangements for reviewing fire precautions and testing fire equipment at suitable intervals. In that, the fire prevention systems must be checked regularly and recorded within the fire logbook. 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 OP2 Good Practice Recommendations The personal contract for all service users would benefit from improvement in that the rights and responsibilities of the home and service user could be more accurately described. Residents’ contracts were not available at the time of this inspection. This recommendation is repeated from inspection dated 14th July 2005. 2 OP7OP33O P38 Whilst it is appreciated that documentation is in the process of review, it is strongly recommended that written guidance should be easily accessible by staff, especially in the absence of the owner. DS0000063433.V261458.R02.S.doc Version 5.0 Page 25 Rosebank Residential Home Limited In that, some written guidelines were not readily available, including, a resident’s care plan, policies and procedures for the protection of vulnerable adults, whistle blowing and death and dying and the home’s fire risk assessment. 3 OP8 It is strongly recommended that the method for the nutritional monitoring should be reviewed to include the regular recorded weight of residents. It is strongly recommended that, with regard to medication: • • 5 6 OP15 OP16 Hand written entries in medication administration records should be counter signed. A signature list for staff who administer medication should be maintained. 4 OP9 It is recommended that written menus reflect the range of choices available for residents. It is recommended that the written complaints procedure should include the option of the referral of a complaint to the CSCI at any stage. It is recommended that a review be undertaken to ensure that all residents who wish it, should be provided with a lock on their bedroom door. It is strongly recommended that the manager forward to the CSCI copies of the fire safety and water installation reports. It is recommended that, with regard to residents’ financial interests: • • Residents should sign transaction records for receipt of cash held on their behalf by the home. Personal property and valuables records should be completed appropriately. 7 OP24 8 OP25OP38 9 OP35 10 OP37 It is strongly recommended that, with regards to records: • Care plans should be stored in a manner that preserves confidentiality. DS0000063433.V261458.R02.S.doc Version 5.0 Page 26 Rosebank Residential Home Limited • The owner should put in place a system for accessing written documentation in their absence. Rosebank Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Residential Home Limited DS0000063433.V261458.R02.S.doc Version 5.0 Page 28 - 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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