Inspection on 05/08/05 for Rosedale

This inspection was carried out on 5th August 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 13/12/05

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 Unannounced 5 August 2005 V227558 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. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rosedale Address 25 Kings Road, Horsham, West Sussex, RH13 5PP 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) 01403 265236 Mrs Rosemary Adele Pavoni and iMr Adelino Pavoni Mrs Rosemary Adele Pavonii Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 18 Both of places Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: Rosedale is a family run home owned 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 ensuite 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 H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and early afternoon. The inspector had lunch with residents. The inspector walked around the home, met with three care staff, the deputy manager and spoke with residents. Records were checked to validate responses from staff and residents and the service was found to be working to a good standard. The registered owner who is also the manager was away on holiday at the time of the inspection and so this was undertaken with the deputy manager. The overall quality of care provided is very good with all residents expressing satisfaction with the care given. What the service does well: What has improved since the last inspection? The registered provider did not have any statutory requirements made at the last inspection. Relatives and residents consistently speak highly of this service. Comments from relatives and residents questionnaires are used by the provider to ensure that the service continues to meet peoples needs. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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) 1, 3 and 6, The home provides clear information to prospective residents and relatives about what the service will be able to provide and ensures it is able to meet peoples needs before they are admitted. EVIDENCE: The Statement of Purpose has been reviewed and updated in the last year and gives accurate details of what services the home can provide. One resident said she didn’t have a Service Users Guide but “Mrs P takes everybody through things about the home when you arrive”. Residents are assessed for suitability using an assessment plan called Minimal Data Set in Care. This is completed with relatives, care manager and the resident. All people move into the home for a two month trial period to allow time to decide if it is the right placement. The home does not admit people in an emergency. The home does not provide intermediate care. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 9 Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 standard(s) 7 and 10 All residents have a plan of care that assists staff to ensure that people wishes and needs are met and they are treated with dignity and respect. EVIDENCE: All service users have a care plan that contains details about health personal and social care needs and has the correct details to enable staff to provide appropriate care. The inspector asked residents about visiting medical staff and all confirmed that they saw doctors, chiropodists, opticians and were assisted to go to appointments at hospital. Staff are required to sign a code of conduct about health procedures. Care plans were seen and the inspector talked to residents about their plan of care. Some care plans need to be updated to show that risk assessments have been updated and reviewed. A resident said that staff were ‘very nice and helpful and that she could go to bed and get up when she wanted and get whatever help she needed’. This type of response is consistently received from residents in this home. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 11 Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 and 15 Residents are able to retain links with friends, family and the local community and are assisted by staff to do so. Residents enjoy a wide range of food and are involved in the choice of menus. EVIDENCE: Individual wishes of residents are detailed in the pre admission assessment and when people move into the home records are updated on the activity charts each month. Records seen showed that people enjoy a good range of activities. A resident said she had lived in the home for six months and that her visitors were made welcome at any time. The inspector spent time with a large number of residents and all confirmed that visitors were made welcome. The home employs an activities organiser and this person arranges activities that take place both in and outside the home. Residents discuss activities at the Forum they have every three months. The notice board is used to display notices about activities. A resident said that she was able to go to her local church, she had a daily paper delivered and enjoyed lots of outside contact. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 13 The inspector noted that there were no umbrellas for the protection of sun and Mrs Pavoni is advised to consider this. The inspector had lunch with residents and comments from them included ‘lovely food,’ ‘the cook is very good’ and ‘we are never hungry’. Residents said there is always an alternative on the menu and records seen showed a good choice of food was available. Residents take part in a forum to discuss food. The home has two cooks who are both qualified. The Environmental Health Department inspected the kitchens in May and did not make any requirements. Breakfast is served in residents rooms and they can chose where they have other meals. The dining room was comfortable and well decorated. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Procedures are in place to ensure action required by staff to protect residents from abuse are complied with by staff. The Complaints Procedure is understood by residents. EVIDENCE: The Complaints Procedure was on display and the record seen showed there had been one complaint since January 05 which the registered manager had satisfactorily dealt with. The Commission has received no complaints about this service. Residents told the inspector what they would do if they had a concern. The procedure is also in the Statement of Purpose and Service Users Guide. The home has a policy on ‘The Protection of Vulnerable People’ and the provider is up to date on training with regard to Adult Protection. There have been no referrals to the West Sussex Adult Protection team in the last inspection year. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 standard(s) 19,21 24 and 26, The environment provides a safe place for people to live in which remains homely and comfortable. The home provides a wide range of activities for residents to participate in if they wish to. EVIDENCE: Rosedale is an adapted property and an audit has been taken to ensure that residents are safe in all parts of the building. This includes a ramp to provide a level throughway on the ground floor. The home has a stair lift to the first floor that is maintained in good order. Work is currently being undertaken to cover all radiators to ensure that a resident could not be burned if they accidentally fell against one. The home has window restrictors in all rooms on the first floor. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 16 The home has a good range of toilets, washing and bathing facilities and specialist equipment. All water outlets have been fitted with a thermostatic mixer valve with the exception of one bathroom where it is not possible to do so. A risk assessment is in place for this bathroom. All bedrooms were furnished comfortably and people are encouraged to have their own possessions. The three double bedrooms are fitted with privacy screens. The premises were very clean and procedures in place to ensure that good hygiene and infection control measures are in place. The inspector advised the deputy manager who was on duty at the time of this inspection to ensure that the fire service were satisfied that the risk assessments with regard to fire safety were up to date as the record available showed this to have last been done in 2003 Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 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, 29 and 30 All staff are well trained and carry out their duties with commitment and a good level of knowledge of individual residents needs. EVIDENCE: Four staff records were checked and all contained the correct details to show that the home was following a recruitment procedure that ensured the safety of people living in the home. Staff and residents felt the number of staff on duty was good and that they were trained to be able to do the job well. Records seen showed that the staffing levels were sufficient. Staff talked to the inspector about their training and all were encouraged to undertake NVQ training and attend short courses and in-house training. All staff receive induction training that meets the guidelines given by the National Training Organisation. Residents who spoke to the inspector were all very satisfied with the care provided and the way staff treated them. The stability of the staff team is reflected in the satisfaction of people using the service Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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) 31,32, 33,35,36,37and 38 The leadership and management of the home is good with staff and residents feeling confident with the management. EVIDENCE: The manager who is also the registered owner has many years experience in caring for older people. She has a social care qualification and a National Vocational Qualification Level 5 in Management. Mrs Pavoni also holds an approved assessor award for NVQ. Mrs Pavoni is an active member of the Care Training Consortium, the multi agency Adult Protection Group and the NVQ Partnership and is committed to keeping up to date with training. The home does not take responsibility for residents personal finances Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 19 Staff meetings happen regularly with the last one being in June 05. Supervision is given to staff in a variety of forms including group meetings, questionnaires and individual meetings. The home has a quality assurance programme that involves relatives and the results of these questionnaires are used to develop the service. Inspectors have seen copies of these. Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 4 COMPLAINTS AND PROTECTION 3 x 3 x x 3 x 3 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 4 4 x 3 3 3 3 Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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 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. 1. Refer to Standard 24 Good Practice Recommendations The registered provider is advised to ensure with West Sussex Fire Service that the risk assessments required by them are up to date Rosedale H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 H60-H11 S14688 Rosedale V227558 120705 Stage 4.doc Version 1.30 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. 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