Inspection on 13/12/05 for Rosedale

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 11/08/06

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 L Driver Announced Inspection 13th December 2005 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.V260655.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 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.V260655.R01.S.doc Version 5.0 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.V260655.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th August 2005 Brief Description of the Service: Rosedale is a family run home by Mr and Mrs Pavoni and managed on a daily basis by Mrs Pavoni. 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 en’suite facilities. The home is registered to provide care to people over the age of sixty five who are not in need of nursing care. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out over 4 hours in the presence of the Registered Manager of the home who is also the Registered Provider. Pre inspection planning included sending out service user questionnaires and relatives comment cards. 8 service user questionnaires and 7 relative comment cards returned to CSCI prior to the inspection. Comments made by both service users and relatives can be read throughout the report. The registered manager also provided a completed pre inspection questionnaire prior to the inspection date. There were no requirements, made at the last inspection, to follow up and no new concerns have been made to CSCI since the last inspection. The outcome of this inspection was very good with all standards being met or exceeded. No requirements have been made. The inspector also took a tour of the home and had a lengthy discussion with the registered Provider/Manager. The overall quality of care is very good with all residents expressing satisfaction with the care and staff. What the service does well: Service user feedback evidenced that they are very satisfied with the care and management of the home. Comments included “all my needs and wants are cared for” – “very well run home, staff are excellent and very caring” – “very friendly home, owners are always very helpful”. Resident feedback evidenced that they too are satisfied with the care provided. Comments included “ mother is very well looked after” – “owner very approachable, professional and helpful” – “relative new to the home, impressed with care and consideration she has received, staff friendly”. The registered provider is very committed to staff development with the outcome being a stable and well informed team of people providing a very good quality of care. The registered provider/manager keeps herself up to date with new legislation and sits on many care home related bodies at a local level. She is forward thinking in her practice and welcomes other professionals into her home and often assists with local studies carried out by district nurses and other professionals. She is a well respected member of the community. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The manager is forward thinking and proactive and keeps herself well informed of changing legislation within the care industry. This shows within the operation of the home. Service users continue to be the main focus of all decisions and changes. Continue to maintain the good decorative standard in the home. Continue to meet the ever changing needs of service users and ensure all necessary adaptation are in place as needed. Continue with the robust recruitment process to ensure protection for service users. Continue and develop further the homes quality assurance system. Please contact the provider for advice of actions taken in response to this Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 The home provides contracts to all service users with terms and agreement clearly laid out. Service users and their representatives are able to visit the home prior to deciding if the home can meet their needs. Written information is provided for service users and their relatives. EVIDENCE: All service users have a contract that clearly states the terms and conditions of their accommodation and needs. Individual rooms to be occupied are identified and written into the contract. Copies are kept in the home. The manager stated that prospective service users and their relatives are welcome to visit the home prior to making a decision. Two service users confirmed this to be the case. The registered manager will also visit prospective service users in their homes or other place of accommodation. All service users currently accommodated in the home are within conditions of category. Through discussion it is clear that the registered provider is well aware of her duty to ensure conditions are not breached. Rosedale DS0000014688.V260655.R01.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): 8,9, Service users health care needs are assessed and met. Medication is administered by competent and staff trained in administration. The home does offer self administration within a risk assessment. EVIDENCE: Feedback from service users and relatives indicate that health needs are met by friendly and competent staff. Records evidence that many other professionals are accessed to enable the home to meet the various needs of service users. The home is very proactive in assisting local health care services in pilots and studies, for example tissue viability, wound care and falls. The home acknowledges the importance of seeking outside advice and has excellent communication with numerous health related bodies. The manager evidenced her commitment to ensuring the needs of the service users is her main focus and that her staff are appropriately trained to carry out their roles. Training is provided if a new need arises that staff are not familiar with. The ordering, storing, administration and disposal of medication within the home is sound. All staff who administer medication have attended training to enable them to do so safely. Records are well maintained and currently two Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 11 service users self administer. They each have a locked cupboard to store their medication with risk assessments in place. Feedback from service users and relatives state they are happy with their needs being met. One resident stated that he was able “ get up and go to bed when he wished, and often went out into the community to attend local events”. He added that “ I could not wish for a better to live with nicer staff” and that during a recent health scare “the staff were excellent and did everything they could to ensure I received the correct treatment……..i am now fit and able to continue with my interests”. This is typical of the responses received from service users and relatives. Rosedale DS0000014688.V260655.R01.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 are provided with many activities and social events both in house and in the local community. Their social, cultural, religious and recreational needs are met. Residents are provided with a wide range of wholesome, freshly cooked meals with a choice and are assisted in a sensitive manner if needed. EVIDENCE: The home was looking very festive during the inspection as it was close to Xmas. The service users were looking forward to many events organised over the Xmas period. Individual wishes and dislikes are recorded in care plans. There is clear information about forthcoming events and a newsletter stating events. The home runs a service user forum where two service users meet with the manager on a regular basis to voice any issues raised by fellow service users. Minutes are taken and were seen by the inspector. One of the forum members was spoken with and he was very positive about its importance and was committed to ensuring all service users voices were heard. It was the forum member, the service users representative who helped service users complete the questionnaires provided by CSCI prior to the inspection. He was able to assist service users who needed help and forwarded responses onto CSCI without the manager seeing them. He is a service user Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 13 himself. This is another example of how the manager puts maximum importance on service users having a say in the running of the home. Families and friends are welcomed at the home and relative feedback forms confirmed they were happy and confident with the home and its staff. Comments included “Very friendly home, owners always helpful” and “very well run home, staff are excellent and always welcome my friends and family”. The inspector heard of many examples where service users have choice and control over their lives. These include what time they wish to get up and go to bed, to food choices, and being encouraged to maintain contacts with friends, family and clubs outside the home. The manager is very focused on service users maintaining choice and control and will has signed up to an Advocacy care scheme for service users to access. The home employs an activities organiser who arranges activities in house and outside of the home. Activities are discussed at the service users forum. The food provision is good with all staff trained in food and hygiene handling. Service users were very complimentary about the food and appeared to be enjoying the lunch on the day of the inspection. Staff were seen to be assisting service users who required help in a sensitive and gentle manner. The cook was very well informed as to individual wishes. The dining room was comfortable and well decorated. It had a very festive feel to it. Rosedale DS0000014688.V260655.R01.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): 16,18 Procedures are in place to ensure action required by staff to protect residents from abuse are complied with. The home has a complaints procedure on display in the home that service users are well informed of. EVIDENCE: The inspector was informed that there have been no complaints to the manager since the last inspection. Areas such as meal likes and dislikes are discussed at the forum meetings and are not looked at as complaints, they are classed as concerns. There is a complaints procedure on display in the home and service users were well informed of how and who to complain to. CSCI has not received any complaints since the last inspection. All staff are trained in Adult Abuse procedures. The manager sits on the local “adult protection serious case review panel” and is very aware of local protocol and the importance in staff training. There have been no adult protection referrals at the home over the last year. The home has a policy on “The Protection of Vulnerable People”. The manager is very well informed of the importance of a robust recruitment process and recruits to a robust standard. Rosedale DS0000014688.V260655.R01.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. The environments provided a safe place for people to live in which remains homely and comfortable. Residents are able to personalise their rooms. EVIDENCE: A tour of the home resulted in no health and safety concerns. It was clean and tidy with a very homely feel. Service users have personalised their rooms and appeared very comfortable. Service user feedback stated they were happy with the home and the environment and raised no concerns. There are adaptations around the home to assist service users. The home has a stair lift to the first floor that was seen working. All radiators are now covered and windows that are high risk have restrictors in place. The manager is reminded to risk assess all other windows and record according to the service user accommodating each room at the time of assessment. The home has a good range of toilets and bathing facilities and the manager stated she is looking at ways to develop what is on offer. The three double rooms have privacy screens in place. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 16 The manager stated she is to update the homes fire risk assessment in early 2006 following training around the new standards coming into effect. She is in possession of a comprehensive risk format that she will complete. This is a home that is very well cared, and continues to be invested in financially in the fabric and furnishings. Rosedale DS0000014688.V260655.R01.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 All staff are recruited via a robust recruitment procedure and are trained to carry out their roles with commitment and a good level of knowledge of individual needs. EVIDENCE: The inspector viewed records of a newly appointed member of staff and found the recruitment process to be sound. Staff training is high profile in the home with much on offer to all staff. Records are kept of all staff training. The number and skill mix of staff on duty during the inspection was good and met the needs of the current service users. Service users and relative feedback identified some times when staffing levels could be short. This was discussed with the manager who felt this was when an emergency occurred or when a member of staff went off ill. There were no negative comments from service users about staffing levels during the inspection. The manager stated she would be aware of this and monitor. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 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 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): 31,32,33,38 The leadership and management of the home is very good with both staff and service users feeling confident with the management. The managers main focus is on the service users well being. Her management skills are commendable. EVIDENCE: The home is well run and managed by a very competent Provider/Manager. She is committed to her role and does not underestimate the importance of good quality care being the main focus of the home. She is not afraid to question decisions made by placing authorities if it is in the best interests of the service user. Both service users and relatives expressed their satisfaction with the management of the home. Mrs Pavoni is very hands on and puts the service users first at all times. Through discussion it was clear that she was committed in providing a home that service users could call their home. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 19 Service user contribution is a priority for the manager and she has many avenues in place for them to contribute to the running of the home. Mrs Pavoni has a social care qualification and a National Vocational Qualification Level 5 in Management. Mrs Pavoni also holds an approved assessor award for NVQ as well as sitting on many boards for health related bodies, for example, Care Consortium Training, Multi Agency Adult Protection Serious Case Review, and NVQ Partnership. She clearly stated her committed in ensuring she is up to date with new and changing legislation for the care industry. The home has a quality assurance system in place and is developing it further to meet the changing needs of regulation in the future. Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 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. 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 3 x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 x x x x 3 Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosedale DS0000014688.V260655.R01.S.doc Version 5.0 Page 22 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.V260655.R01.S.doc Version 5.0 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!