This inspection was carried out on 1st October 2008.
CSCI found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Rosedale Care Home Ltd 4 Vicarage Street Whitwick Leicestershire LE67 5GZ The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Ruth Wood Date: 0 1 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Rosedale Care Home Ltd 4 Vicarage Street Whitwick Leicestershire LE67 5GZ 01530455350 01530455350 office@Rosedalecarehome.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Rosedale Care Home Limited Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 6 Over 65 0 Conditions of registration: No one falling within category LD may be admitted into the home where there are 6 persons of category LD already accommodated within the home. The home may only admit persons falling with category LD. Date of last inspection Brief description of the care home Rosedale is a registered care home for up to six people who have learning disabilities. It is in Whitwick, and is close to shops and other places for people to use. There are bus stops nearby, for buses to Coalville and other local towns. There are six bedrooms in the home, downstairs and upstairs. The bedrooms have toilets next to them. There are shared lounge and eating areas, and bathrooms for people to use. The basic fee for staying in the home is #900 per week. Additional one-to-one support is charged at an Care Homes for Adults (18-65 years) Page 2 of 10 hourly rate. Extra charges on top of fees are made for hairdressing, chiropody, dental and other healthcare costs, and magazines and papers. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
An unannounced visit was made to Rosedale between 11:20 and 13:50 on 1st October 2008. The visit was made because of issues raised in a safeguarding alert from Leicestershire Social Services concerning a recent admission to the home. The visit was also used to check on the services progress in meeting the one requirement and three recommendations made at the key inspection of the service on the 3rd June 2008. A social worker’s community care assessment was in place for the most recently admitted service user but there was no documentary evidence that a representative from the home had completed an assessment of the persons needs. Certain issues were highlighted in the social worker’s assessment but there were no risk assessments in place at the home or written guidance to staff on how to manage these. The acting manager said that she had not met the person before they moved in, as the responsible individual had dealt with the admission process. Other members of staff had met the person when they came to visit the home. A requirement was made at the key inspection to ensure that suitable storage was available for controlled medication. This was to ensure that the service complied with recent changes to Regulations under the Misuse of Drugs Act. A suitable cabinet has been ordered and the acting manager said that she would inform the Commission when this had been installed. The recent incident at the home reported under safeguarding, alleged that medication had been administered at the wrong time. The daily records at the home indicated that medication had been given to the person concerned 1 hour too early. Four staff have authority to administer medication and have undertaken suitable training in this area. This includes the person who administered the medication too early. None of the people currently living in the home take any prescribed medication. Staff rotas do not accurately reflect the shifts worked by members of staff. Of the four staff members who were known to be present when the safeguarding incident took place, two were not identified as having worked on that night/day. The staff rota did not accurately reflect the staff working at the home on the day of the inspection. The acting manager said that a staff meeting was scheduled for that afternoon and all staff would be reminded that shift changes must be approved by her first and then accurately recorded on the rota. We discussed the safeguarding incident (in which a person who had come to live at Rosedale left the home without staff being aware) with the staff member who had been on night duty at the time of the incident and with the acting manager. We also read statements made by all four staff that were on duty during the night/day when the incident occurred. The information given does not account for a period of time between 07:30 and 09:15 am when the incident occurred. It appears that neither of the two staff members on duty checked that the person was safe or offered them any assistance to meet their needs during this period. The acting manager said that the senior support worker on duty at the time had been Care Homes for Adults (18-65 years) Page 4 of 10 disciplined and demoted to the post of support worker. However there was no written evidence of any disciplinary action taken on the staff members file. A completed application form and two written references were in place for all staff currently working at the home as support workers. All support workers names had been checked against the vulnerable adults register and all except one staff member had an enhanced Criminal Records Bureau (CRB) check. This person does not work unsupervised in the home and their CRB has been applied for. One person employed as a maintenance worker had not completed an application form and references had not been obtained. A CRB was in place for this person and their name had been checked against the vulnerable adults register. There was no start date recorded for one support worker and the date when the acting manager started her position was also not recorded. What the care home does well: What they could do better:
The way that the home assesses new people who want to come and live at Rosedale must be reviewed to ensure that the service is able to meet the needs. Clear written guidance must be in place for staff members on how to meet the needs of people who come to live in the home, to ensure that staff know how to meet their needs. It is strongly recommended that all staff with responsibility for administering medication have their competence in this area reviewed. An application form must be completed and two written references obtained for all people who work in the home. Staff records must accurately record when a person started working in their current post. The staff rota must accurately reflect which staff work at the home on which days together with their hours of work. Care Homes for Adults (18-65 years) Page 5 of 10 Any disciplinary action taken against a staff member must be accurately recorded in their staff file. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 20 13 (2) Secure storage must be put in place for controlled drugs to meet the requirements of the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007. 31/08/2008 Care Homes for Adults (18-65 years) Page 7 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 2 14 The Registered Person must 31/12/2008 ensure that an assessment of need is completed for any person coming to live in the home. This is to ensure that the home can meet the needs of any person who comes to live in the home. 2 6 15 The registered person must ensure that a clearly written support plan is in place for each person living in the home. This is to ensure that staff are aware of how to meet each individuals needs. 31/12/2008 3 33 17 The registered person must ensure that an accurate record of when staff are working in the home is kept This is to ensure that an accurate record is kept of which staff are supporting people who live in the home, at any given time. 31/12/2008 4 34 17 The registered person must ensure that an accurate 31/12/2008 Care Homes for Adults (18-65 years) Page 8 of 10 record is kept of when staff members started work in their current post at the home This is to ensure that an accurate record is kept of people working in the home 5 34 17 The registered person must ensure that all people employed at the home have completed an application form and two written references have been obtained in support of their application. this is to ensure that only suitable people are employed within the home. 6 36 9 The registered person must ensure that any disciplinary action taken against a staff member is accurately recorded in their staff file. This is to ensure that appropriate action is taken in response to staff members poor performance, that may place the people who live in the home at risk. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 31/12/2008 31/12/2008 1 30 It is strongly recommended that all staff with responsibility for administering medication have their competence in this area reviewed Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
