Inspection on 20/05/05 for Rosecroft

This inspection was carried out on 20th May 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

Rosecroft 12/08/08

Rosecroft 01/08/07

Rosecroft 27/11/06

Rosecroft 25/04/06

Rosecroft 06/09/05

Rosecroft 25/11/04

Rosecroft 01/07/04

Similar services:

Springfield House

The Shelley

Thorndene

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Rosecroft 8 Cross Road Southwick West Sussex BN42 4HE Lead Inspector Diane Peel Unannounced 20 May 2005, 09.00am, V221487 th 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. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Rosecroft Address 8 Cross Road, Southwick, West Sussex, BN42 4HE 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) 01273 597326 Mr D R Clarke Mr D R Clarke CRH 19 Category(ies) of OP - 19, PD - 1 registration, with number of places Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 Total of 19 persons at any one time, one of whom is in the category of Physical Disability, aged 60-65. Date of last inspection 25/11/04 Brief Description of the Service: Rosecroft is a care home able to provide personal care and support for up to nineteen older people. The home can also accomadate one resident who may have a physical disability between the ages of sixty and sixty five. The home is located in Southwick, opposite the village green. Local shops and other community facilities are within walking distance. Communal areas include: a lounge/dining room and a conservatory/lounge. Private accomadation consisits of seventeen single bedrooms and one double bedroom. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours on the 20th May 2005 and was carried out by two inspectors. The inspectors arrived at the home at 2pm to meet the residents living at Rosecroft and the staff working in the home. There were 18 residents at the home being cared for by two staff. A full tour of the home took place and the majority of residents were spoken with. Staff were spoken with to find out how residents needs are being met. The manger attended the home for part of the inspection and was available to discuss matters of concern with the inspectors. The care records of five residents were inspected during the visit along with other records, which showed how care needs were being met. Prior to the inspection a complaint was received which the provider has responded to. At the time of writing this report the Commission for Social Care Inspection (CSCI) are waiting a response from the complainant. What the service does well: The home provides a flexible lifestyle for residents, some who have high dependency needs. The majority of residents feel that they are well looked after by the care staff. Care plans are clear and provide staff with the information, which they need to meet the needs of the residents. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 standard(s) 2, 4and 5 Residents have a written contract and statement of terms and conditions, which informs them about what service they can expect for the fees being paid. Prospective residents, their relatives and friends are encouraged to visit the home to look at the facilities available and assess its suitability before moving in. EVIDENCE: A resident who had recently moved to the home described how they had needed to find a care home in a hurry and so their son had visited Rosecroft and another care home on her behalf. The resident understood this to be a trail period to see if they wanted to live at the home permanently. Care records seen included statements of terms and conditions, which explained what is covered by the fee. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 9 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) 7,8,9and 10 Care planning systems give clear information about how personal, social and health care needs are met. Resident’s healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. The systems for the administration of medication do not ensure that residents medication need is met. Resident’s rights to privacy are respected so that they are able to feel that they have control over their lives. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 10 EVIDENCE: Care plans examined were clear and gave staff the information, which they need to meet the needs of the residents in all aspects of heath, personal and social care. Care plans seen had recently been reviewed showing changes to care needs. Records showed that the physical heath of residents is regularly monitored. All visits by Doctors and other heath care professionals are recorded and outcomes to visits detailed. Some residents were able to confirm that their medical needs are currently being attended to by medical professionals either visiting the home or by attending appointments at hospitals. Accident records were examined during the visit and were observed to be clear and informative. Medication records viewed were well kept and up to date. Medicines were being stored in a safe locked cupboard. Topical creams prescribed for a named resident was observed to be in other residents rooms suggesting that topical medications are being shared or being used by residents for whom they are not prescribed. Some creams observed during the visit were out of date for use. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 standard(s) 12,13, 14 The home provides a flexible service, which allows for some individuals preferences and routines, for others their social and cultural and recreational interests are confined to the service they receive in their own rooms. There is no formal social activity programme to provide stimulation and variation to daily living. Residents that are able are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. EVIDENCE: The majority of residents were spoken with during the visit to the home. Some residents were observed to use the communal lounge/dining room to watch TV and have supper. Other residents said that they liked to stay in their own rooms and that staff respect this. Residents spoke about their visitors and how they could visit whenever they wanted. The visitors book records regular visitors to the home. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 12 During the visit residents did not show concern that there is no regular organised activity programme. But they did mention that they would like staff to spend more time with them. Residents that were able to speak with the inspectors did say that they like to stay in their rooms to watch TV, read and some do go out on shopping trips and use the local facilities. The manager informed the inspectors that the home has tried to provide activities such as visiting entertainers but there has been a lack of interest resulting in cancellation of the activity. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 standard(s) 16 There is a clear complaints procedure, which enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. EVIDENCE: The complaints procedure was seen in a Service Users Guide available in a resident’s bedroom. There has been one complaint made to the CSCI since the last inspection. The provider was asked to investigate the complaint and he responded to the CSCI within the agreed timescales. No other complaints were recorded in the complaints book. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 standard(s) 19,20,23,24 and 26 The location of the home provides easy access to local community facilities. There is no programme of renewal of decoration at the home to provide residents with a comfortable, homely environment to live in. Each resident has a bedroom, which allows him or her to have their own furniture and possessions around them. There are some areas of the home, which have an unpleasant odour and should be cleaned every day to assure a more pleasant environment. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 15 EVIDENCE: Rosecroft is situated just off the village green at Southwick and easily accessible to local facilities for those residents who do go out with their relatives and friends. The lounge and corridors look dark and some bedrooms are in need of attention to decoration to make a more pleasant environment for residents to live in. At the last inspection it was seen that wallpaper was peeling from the wall in one bedroom and at this visit it had not been replaced but painted over. Since the last inspection a piece of carpet has been provided over the ceramic quarry tiles in one residents bedroom. This resident had been falling regularly and felt at further risk without a carpet to soften the fall. Whilst the resident was not totally satisfied with the partial carpeting the person is no longer able to mobilise without assistance. Most of the residents visited in their rooms commented upon the personal items, which they had been able to bring to the home and have in their bedrooms. Residents explained that their bedrooms are thoroughly cleaned once a week and then someone comes in to clean every other day. During the visit it was observed that a few rooms were still in need of a good clean, carpets had food on them and some rooms did have an unpleasant smell. The Environmental Heath Officer visited the home on the 30th March 2005 making three requirements, which included the replacement of a spindle to the 1st floor staircase and the removal of obstructions on traffic routes to the rear lounge and downstairs bathroom. The toilet seat was missing in the 1st floor WC and a requirement was made that this be replaced. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 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 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 Staffing levels in the afternoons and early evenings do not ensure that residents are supported or provide opportunities for residents to pursue their social activities. EVIDENCE: When the inspectors arrived at 2pm there was two staff on duty at the home, which included the assistant manager. A member of staff was carrying out paperwork in the dining area. Comment was made that this was so that she was available to respond to the needs of residents. One residents remarked that staff were always to busy and that they didn’t have time to spend with them. Another resident commented that they didn’t get out now because there was only two staff on duty during the afternoon. During the visit to the home staff confirmed that between 8am and 2pm there are usually four staff on duty except at weekends when there are three. Between 2pm and 8pm there are two staff on duty and between 8pm and 8am there are two staff ;one who remains awake all night. The manager stated that he was also available in the afternoon and did not believe that they needed more staff. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 17 All residents making comment about staffing levels did assure the inspectors that the staff at the home work hard and made particular reference to the dedication of staff. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 18 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) 37and 38 Records required are constructed and maintained so that up to date information is available about residents to safeguard their best interests. Some practices do not promote and safeguard the health and safety of residents living at the home. EVIDENCE: Records viewed by the inspectors at this inspection were seen to be in good order and were up to date. Whilst visiting residents in their own rooms a resident told the inspectors that they wanted the bedroom door wedged open. The self-closing device was not working and this should be repaired for the resident who wishes to have the bedroom door open. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 19 Many of the radiators at Rosecroft are now covered. The provider has risk assessed those remaining uncovered and told the inspectors that as these radiators are not used because the rooms are warmed through pipe work under the floors. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 1 2 x x 2 2 2 1 STAFFING Standard No Score 27 1 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x 3 1 Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 21 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 19 Regulation 23.2(b) Requirement The registered provider must provide the CSCI with an action plan which details a programme of renewel of decoration in the home The registered person should inform the CSCI in writing as to what steps have been taken to avoid offensive odours in private accommodation and ensure satisfactory standards of hygiene. Staffing levels in the afternoons and weekend mornings must bereviewed to meet the dependency needs of residents The self closing door guard identified to the provider must be repaired Timescale for action 1st July 2005 2. 26 16.2(k) 1st July 2005 3. 27 18 1st July 2005 1st July 2005 4. 38,19 13.4(a)(c) 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. Rosecroft Refer to Standard 9 Good Practice Recommendations Provision should be made to ensure that prescribed topical medications are only to be used by the service user to H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 22 which it was prescribed. Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Rosecroft H60-H11 S14687 Rosecroft V221487 100505 Stage 4.doc Version 1.20 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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