Inspection on 08/12/05 for Rosebery House

This inspection was carried out on 8th 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rosebery House 21/06/07

Rosebery House 29/06/05

Rosebery House 09/03/05

Rosebery House 13/10/04

Rosebery House 10/02/04

Rosebery House 08/01/04

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

CARE HOME ADULTS 18-65 Rosebery House 2-4 Rosebery Terrace Barnsley South Yorkshire S70 1JE Lead Inspector Christine Rolt Unannounced Inspection 8th December 2005 09:30 Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 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 Rosebery House DS0000018219.V271139.R01.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 Adults 18-65. 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. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosebery House Address 2-4 Rosebery Terrace Barnsley South Yorkshire S70 1JE 01226 249470 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) Mrs Janet Barlow Mrs Janet Barlow Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration includes 3 beds at 2 Rosebery Terrace and 3 beds at 4 Rosebery Terrace. 29th June 2005 Date of last inspection Brief Description of the Service: Rosebery House comprises two domestic properties at 2 and 4 Rosebery Terrace. The home is one of several owned by Mrs Janet Barlow. The houses are in a cul-de-sac within walking distance of Barnsley town centre. Rosebery House is registered for a maximum of six persons with mental health needs. Each property can accommodate three persons and each has three single bedrooms. Rosebery House DS0000018219.V271139.R01.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 carried out from 09.30 am to 11.30 am. Five of the six residents, three members of staff and the registered manager/owner were spoken with. A sample of records was examined and an inspection of the property was carried out. Throughout the inspection positive and professional relationships were observed between the staff and the residents. The home was clean, bright and welcoming. What the service does well: The home had a good system for introducing prospective residents into the home by visits and stays to ensure that they were satisfied with the home before making any commitments. Needs were assessed and records maintained to ensure that the home could meet residents’ needs. Care plans contained a good range of information that covered all aspects of residents’ daily lives and risk assessments had been completed. Residents had opportunities and were encouraged to maintain and develop social and independent living skills. Physical and emotional health needs were met and records were maintained. Residents were encouraged and supported to maintain positive relationships with their families and friends. The complaints procedure was easy to understand and staff had undertaken adult protection training. The home was warm and welcoming. It was clean, well maintained and hygienic and provided a comfortable and relaxing environment for residents. Residents were protected by the home’s thorough recruitment practices, and staff had undertaken training relevant to their roles. Staff were supported by an experienced owner/manager. Records were clear, well maintained and up to date. The home provided a relaxed pleasant environment and there was good rapport between residents and staff. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5 Residents had good opportunities, via assessments and visits, regarding the choice of home. EVIDENCE: Residents’ files contained copies of individual assessments and the home’s own contracts with terms and conditions of residency. During the inspection, the manager made reference to prospective residents and the home’s programme of gradual introduction into the home by means of visits and stays. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 Residents’ assessed and changing needs and personal goals were reflected in their care plans. They made decisions about their lives, were supported to take risks and assistance was offered as needed. EVIDENCE: Care plans that were checked contained comprehensive information covering all aspects of residents’ lives. The plans of care had been completed with the involvement of the residents who had signed each aspect of care relevant to their individual needs. Individual risk assessments had been completed. During the inspection it was observed that residents carried on with their normal routines which included shopping, laundry, going out for a walk, writing Christmas cards, making drinks, chatting and watching television. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 and 16 Residents had the opportunity and were encouraged to maintain and develop social and independent living skills. They participated in activities within the home and the community, and were encouraged to maintain contact with family and friends. They had a certain amount of privacy but could not lock their bedroom doors. EVIDENCE: Residents were observed to participate in the daily routines of the home, which included shopping, washing laundry and making drinks. One resident spoke about the day centre she attended and another resident spoke about his preference for shopping in town each Friday. Reference was made to a Christmas party that was being arranged. The manager was encouraging and supporting a resident who was writing out Christmas cards to his family and friends. Privacy locks were fitted to bathroom doors but there were no locks fitted to bedroom doors. The owner/manager said that she has decided not to fit them for health and safety reasons. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 21 Residents physical and emotional health needs were met. EVIDENCE: Care plans provided a record of residents’ needs and actions taken to meet those needs. The plans also contained information of medical professionals, dates of appointments and reasons for appointments. One resident controlled his own medication. Staff controlled other residents’ medications and residents’ permissions were recorded on their files. Staff had received medication training. Care plans contained details of resident’s preferred funeral arrangements. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The homes complaints procedure was clear and accessible. Residents were confident that their views would be listened to. The adult protection procedure needed amendment. EVIDENCE: The home had two complaints policies and procedures. One was aimed at staff and provided detailed information whilst a simpler, easier to read version was available for residents. The complaints record was checked and there were no recent complaints. Residents said that they were satisfied and had no complaints. Staff files showed that they had received adult protection training. The adult protection policy contained detailed information of the definitions of abuse but the adult protection procedure did not provide step-by-step information on the action to be taken and the agencies that needed to be informed to ensure that the correct procedure was followed. Staff had received adult protection training. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, and 30 The home was clean, comfortable, well maintained and hygienic. liked their home. EVIDENCE: The home had a cosy feel about it. Residents said that they liked living at the home and were settled. The environmental check of the home showed that bedrooms had been personalised with residents’ personal possessions. Remarks by the manager showed that the residents’ choices were considered when renovating bedrooms. Bathrooms were clean, tidy and hygienic and bathroom doors were fitted with privacy locks. Throughout the home the furniture was in good condition and the home was pleasantly decorated. Residents Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 34 Residents knew the manager and that she was in overall charge. An effective competent staff team supported residents but not all of the staff were qualified. The homes recruitment practices supported and protected residents. EVIDENCE: The manager was a regular visitor to the home and was easily contactable. The home had four members of staff who usually worked independently but if the need arose, they worked in pairs. Two staff worked in each of the two houses. One member of staff had attained NVQ Level 2 in care and another member of staff was in the process of completing this qualification. All staff were mature and had the experience of life skills and the care profession. Staff recruitment procedures had been followed and staff files contained the full range of documentation as required by the Care Home Regulations. Staff supervisions and meetings were recorded and staff had undertaken a range of training relevant to their roles and this was recorded in their staff files. Staff were confident that they could meet residents’ needs and knew that any queries or problems could be discussed with the manager. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 42 and 43 Residents’ health safety and welfare were promoted and protected and they benefited from a well run home. The ethos, leadership and management approach of the home benefited staff and residents. The manager had the skills and experience to provide a good service. EVIDENCE: The registered manager/owner had many years experience within the caring profession and provided a clear sense of leadership to staff. She had put her name forward to undertake the Managers Award but had not received a start date. There was a relaxed and friendly atmosphere within the home and positive relationships were observed between the manager and residents. She visited the home regularly and was knowledgeable about residents and supportive to staff. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 16 Records were clear, well maintained and up to date. Risk assessments were complete. There were no health and safety issues and no hazards were observed during the inspection. Staff had undertaken training to promote the health, safety and welfare of residents. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 x 3 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score 3 2 3 3 X x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosebery House Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score 2 3 X X x 3 3 DS0000018219.V271139.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES 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 YA16 Regulation 12,16 Timescale for action The registered person must 02/02/06 provide locks on bedroom doors and residents must be offered a key to their bedroom (subject to their risk assessment). (Outstanding requirement from inspection on or before 28th August 2002) The adult protection procedure 02/02/06 must be amended to ensure that all staff have the correct information in the event of an allegation of abuse. Requirement 2. YA23 13 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. 2. Refer to Standard YA37 YA32 Good Practice Recommendations The registered manager/owner should attain the Managers Award by 2005. A minimum of 50 of care staff should attain NVQ Level 2 in care by 2005. Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Rosebery House DS0000018219.V271139.R01.S.doc Version 5.0 Page 20 - 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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