Inspection on 11/08/06 for Rosedale

This inspection was carried out on 11th August 2006.

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

Rosedale 17/12/07

Rosedale 13/12/05

Rosedale 05/08/05

Rosedale 03/08/04

Rosedale 20/04/04

Similar services:

The Shelley

Springfield House

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 Rosedale 25 Kings Road Horsham West Sussex RH13 5PP Lead Inspector Mrs K Allen Key Unannounced Inspection 11th August 2006 09:30 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 Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 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. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedale Address 25 Kings Road Horsham West Sussex RH13 5PP 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) 01403 265236 Mrs Rosemary Adele Pavoni Mr Adelindo Pavoni Mrs Rosemary Adele Pavoni Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Rosedale is a care home registered to provide personal care and accommodation for up to eighteen people over the age of sixty-five who are not in need of nursing care. It is a Victorian house situated in a residential area near to Horsham town centre. It has fourteen bedrooms of which three are double and four have ensuite facilities. There is a large rear garden and good size frontage both of which are well maintained. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The manager was unable to complete the pre-inspection questionnaire prior to the inspection as she was away on holiday. The inspection took place from 9.30am over seven hours. During the inspection all of the residents were spoken to except one who was out and another who was in hospital. The majority were seen in the communal lounge although four were seen in the privacy of their own room. In addition, a visiting friend, relative and GP were spoken to. A discussion was held with manager and cook and two care staff were interviewed. A tour of the premises was made and a number of records were seen. Residents said that everything was “excellent”, that staff were “helpful and friendly” and the food was “good”. Two requirements and one recommendation have been made following this inspection. What the service does well: What has improved since the last inspection? No requirements or recommendations were made at the last inspection. The proprietors continue to maintain standards at the home. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 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. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 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 Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 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): 3&6 The outcome for residents was good. No-one moves into the home without first having their needs assessed. Intermediate care is not provided. EVIDENCE: All residents have a written assessment, which is carried out prior to their admission to the home. It gives all of the necessary information such as their care needs, social interests, religion and family circumstances. All of the residents were living at the home on a permanent basis unless they were on a trial stay. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10 & 11 The outcome for residents was adequate. Resident’s health, personal and social care needs were not always set out in an individual care plan. They are able to make decisions about their lives with assistance as needed. They are protected by the homes medication procedures and their privacy and dignity are respected. EVIDENCE: A sample of care plans showed that whilst an assessment was carried out on each resident prior to them entering the home this was not used to develop a comprehensive care plan, nor was this information routinely kept up to date. For example, it was stated in the care plan for one person that she had burns from a hot radiator. This was discussed with the manager who confirmed that this was the case when the resident came into the home but that she had made a full recovery. The information had not been update. Residents said that staff help them when they needed it - “I only have to call them and they come straight away”. Precautions were taken to ensure that people did not develop pressure areas including the provision of special equipment. This was particularly important for two people who were cared for in bed. In these cases, close monitoring of their condition was undertaken and recorded, along with action taken by staff to ensure that they had sufficient Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 10 fluids and were moved at regular intervals. The visiting GP confirmed that the services of community nurses were engaged as necessary and referral to GP’s made promptly. One person who had moved into the home recently was pleased that the home had arranged various appointments for her resulting in new spectacles and the services of a chiropodist. Some residents manage their own medication and are provided with safe storage facilities in their rooms. Staff who dispense medication only do so after they have received training. The procedure ensures that residents receive what is prescribed for them and good records are kept. There is, however a large surplus of medicines kept in a locked cupboard, some of which was dispensed in 2005. The manager assured the inspector that this stock was needed and current however she was advised to review it to ensure that this was still the case. Residents said that staff were “friendly”, “kind” and “helpful”. In turn, the staff confirmed that they maintained residents dignity by, for example ensuring doors were closed when giving personal care and that they used their preferred name. There are three double rooms, none of which are provided with screens. One person who was currently sharing said she was happy with the current arrangements. A resident had recently passed away at the home and a visiting relative confirmed that the staff had been very caring throughout. Following the death, other resident had been informed on an individual basis and the persons belongings had been secured. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The outcome for residents was good. The lifestyle offered at the home matches residents expectations. They maintain contact with family and friends. They are helped to exercise choice and control over their lives and receive a wholesome and appealing, balanced diet. EVIDENCE: Residents knew and understood the homes daily routines. This enabled them to make choices about how they spent their time. For example, one gentleman went out most days, three people attend church and there is an activity session held at the home four days a week. The care plan for residents should give details of their interests and how these are to be met. Two visitors to the home confirmed that they were always made welcome with one saying she had become “part of the place”. They could come at any time and were always given information about their relative as necessary. Residents handle their own money often with help from family, friends or solicitors. Some deposit small sums with the home for safe-keeping and this is looked after by the manager. The money is stored safely but the record of money kept did not tally with what was actually in place. This was discussed with the manager who agreed that the accounts need to be reviewed in order to give an accurate account of money administered on behalf of residents. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 12 All of the residents said that they enjoyed the food and the menu showed that a varied and wholesome diet was provided. Special diets are catered for and the cook knew residents’ likes and dislikes. They are offered a choice of main meal and receive three meals a day. Some people have difficulty eating and their meal is therefore liquidised. All meals are presented well, in comfortable surroundings. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The outcome for residents is good. They are confident that their complaints will be listened to and taken seriously. They are protected from abuse. EVIDENCE: There is a clear written complaints procedure, which is made available to each resident when they come to live at the home. Everyone who spoke to the inspector knew who was in charge and said that they could take any concerns to her. There is a written adult protection procedure and those staff who have undertaken National Vocational Qualifications (NVQ) have received training in this area of their work. Some other staff have done a course with West Sussex County Council. There have been no complaints or allegations made against the home. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 The outcome for residents was good. They live in a safe and well-maintained environment, which is clean and hygienic. EVIDENCE: The home is located near to the local town. It offers a varied environment, with a choice of large or small lounges. The large lounge is open plan and is carpeted throughout. The seams of the carpet are beginning to deteriorate and lift and this was discussed with the manager. She stated that at present they were not a hazard but agreed to monitor this and ensure prompt action if further deterioration occurs. There is a good size garden, which is accessible to residents and well kept. The home complies with the requirements of the fire service and environmental health department. The premises were clean throughout. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 15 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 The outcome for residents was good. Their needs were met by the number and skills of the staff. They are in safe hands at all times and protected by the homes recruitment procedure. Staff are trained to do their jobs. EVIDENCE: There is a recorded rota showing which staff are on duty at any time. Staff and residents said that there were enough staff to meet residents needs. When asked, one resident said staff come “immediately” if she uses her call bell. Others confirmed that they did not have to wait if they needed assistance with personal care. 50 of care staff have a NVQ and others are in the process of undertaking the training. Good procedures are followed when recruiting staff including obtaining two references and a Criminal Records Bureau (CRB) check. There is an ongoing training programme for staff, all of whom receive induction training, which is recorded. Areas covered in their training include food hygiene, fire safety, safe lifting and first aid and some staff have received training in dementia and Parkinson’s disease. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 16 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): 31, 33, 35 & 38 The outcome for residents is good. They live in a well run home which is managed by a competent person. It is run in the best interests of residents. The accounting of residents money could be improved. The health, safety and welfare of residents and staff is safeguarded. EVIDENCE: The manager has run the home for a number of years and therefore has considerable experience. She is also suitably qualified. Residents, staff and visitors know who is responsible for the home and the lines of accountability are clear. Quality assurance measures are in place. They include a resident’s forum whereby two resident representatives meet with the manager quarterly and an annual questionnaire is sent to families. A newsletter is issued each month to staff advising them of events in the home and they meet together monthly to discuss issues with regard to resident’s care and any developments. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 17 An annual Development Plan is produced although this needs to be updated. The manager agreed that the outcome of the questionnaires should be published and used to inform the annual development plan. As previously stated, a small number of residents deposit money at the home for safe-keeping. The manager administers this and keeps written records. She also issues receipts for any money received. However, the amount of money held was different to that given in the records, for some residents. The manager said this was because she had been on holiday and had not had chance to update the records. (See requirement 2) The manager ensures safe working practices by providing training in areas such as lifting and handling, fire safety, first aid, infection control and food hygiene. Hot radiators are covered. A good record of accidents is kept and these are monitored by the manager. Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 18 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 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No 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 1 Standard OP7 Regulation 15 16 Requirement All residents must have an up to date, written care plan which is regularly reviewed. The accounting of money administered on residents behalf must be accurate Timescale for action 01/09/06 30/12/06 OP14 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 OP9 Good Practice Recommendations The stock of medicines should be reviewed Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, 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 Rosedale DS0000014688.V306982.R01.S.doc Version 5.2 Page 21 - 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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