CARE HOME ADULTS 18-65
Rosedale Care Home Ltd 4 Vicarage Street Whitwick Leicestershire LE67 5GZ Lead Inspector
Unannounced Inspection 2nd August 2006 9:30 Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 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 Care Home Ltd DS0000067242.V304872.R02.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 Adults 18-65. 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 Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Rosedale Care Home Ltd Address 4 Vicarage Street Whitwick Leicestershire LE67 5GZ 01530 455350 01530 455350 kferrie34uk@aol.com 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) Rosedale Care Home Limited Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 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 This is the first inspection for this home. Brief Description of the Service: 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 residents 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 residents to use. There is only one resident living in the home at the moment, so information about fees is not included for confidentiality. Extra charges on top of fees are made for hairdressing, chiropody, dental and other healthcare costs, and magazines and papers. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This is the first inspection of Rosedale. This key inspection included a visit to the service. The inspector visited the home on 2nd August 2006. The visit started at 9.30am and lasted for three and a half hours. The ‘Responsible Individual’ of the company which owns the home, Carole Porter, assisted the inspector during the visit. One resident lives in the home. The resident chose to talk to the inspector during the visit. Things the resident said are included in the report. The main method of inspection used was ‘case tracking’. This means looking at the care given to the resident in different ways. The ways this was done are: • talking to the resident • talking to staff and the manager • watching how the resident is given support • looking at written records. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Although the views of the resident living in the home are included, individual detail has been kept out of the report, to make sure it is kept confidential. What the service does well:
An assessment is done before someone moves into the home, to make sure staff know about their needs, and that the home is right for them. The resident living in the home said they were told about the home before they moved in, and was able to come and see the home. Staff help the resident to make choices in daily living. Staff understand the different needs of the resident. The person living in the home is able to choose to do different things, like go out shopping or go for walks. In the home the resident is able to do things they like to do, like listen to music. They are able to be involved with their family. The staff prepare meals and try to make sure the resident eats healthy food. Staff help the resident to look after their health. Help is given with personal care if it is needed. Staff have helped the resident join a local GP’s surgery. They have helped to make sure the resident is taking the right kinds of medication.
Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 6 There is a complaints procedure in the home, which tells people about how to make a complaint. The resident said that they feel able to talk to the person in charge or to staff if they have a problem. Staff know about how to keep residents safe from harm. The home is clean and tidy. The resident has been able to have their own things in their bedroom. The resident likes their bedroom. There are staff working in the home at all times of the day and night. Staff have had training in previous jobs to help them do their work well. Staff help the resident and give them support. The resident feels comfortable with staff. The home is mostly well run. There are procedures, which tell staff how to work safely. Staff check equipment to make sure it is safe. What has improved since the last inspection? What they could do better:
To make sure that all staff know about the right way to give medicines in the home, it would be good if the person running the home talks through with all staff again about the way to give medication out. The complaints procedure is not written in plain English or with pictures, and it would be good if the person running the home could put it in a way to make sure more people could learn about it. The person who runs the home has not collected information about people who come to work in the home to make sure they are safe. This must be done. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 7 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 Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed and they are given choices about coming to live in the home. EVIDENCE: One person living in the home said that someone came to talk to them about the home before they came to live there. The resident said they were able to come and see the home and choose if they liked it. Assessments have been done, which give information about what someone needs before they come to live in the home. This helps the manager decide if the home is right for the person, and if staff can give the right support. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual needs and choices are met in the home. EVIDENCE: The person who has come to live in the home has only been in the home for a short time. Staff in the home are learning about what they like and do not like, so that they can find out the best way to support them. There is not a written care plan yet, which gives information about the resident’s needs and wishes. This will be written as staff get to know the resident more. Staff showed that they are getting to understand the sorts of things that the resident needs, and to help them to do things they want to do. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to have a good lifestyle. EVIDENCE: One resident who lives in the home has only recently moved there, so they are getting to know the local community. The resident and staff talked about plans to go to college when they have settled in. The resident is able to do what they choose to, and take part in daily life in the home. The resident told the inspector: ‘I help out. I set the table with knives and forks’. The resident is supported to go out to do things they wants to do, like shopping and going for walks. The resident’s family comes to see them: ‘My family came to see me… It was my birthday.’ Staff make sure that the resident eats well and are helping them to stay healthy. The resident told the inspector: ‘I like the food here. My favourite is toast and cornflakes.’
Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 12 Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents mostly have good personal and healthcare support in the home. EVIDENCE: Staff help the resident living in the home to look after their own health and personal needs. Staff have helped the resident to go shopping to choose new clothes. The resident has got a new local doctor. Staff help the resident to take medicine they need to help them stay well. Staff make sure the resident does not have medication they do not need, and have asked the doctor for help with this. There were some small problems with some of the way the medication was stored and records kept, but all these were sorted out by staff contacting the doctor and pharmacist during the inspection. To make sure that all staff know about the right way to give medicines in the home, it would be good if the person running the home talks through with all staff again about the way to give medication out. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to in the home, and are mostly kept safe from harm. EVIDENCE: The resident who lives in the home was able to spend time talking with the inspector. The resident said ‘I like it here… If I have a problem I can talk to [director].’ There have been no complaints about the home since it opened. There is a complaints procedure, which tells you how you can make a complaint. It is not written in plain English or with pictures, and it would be good if the person running the home could put it in a way to make sure more people could learn about it. Staff know about how to keep residents safe from harm. One problem is that check have not been carried out for all people working in the home to make sure that they are safe. This is looked at more under ‘Staffing’, later in the report. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 15 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good living environment. EVIDENCE: The home is kept generally clean and tidy. The laundry area is clean. The person living in the home said that staff help them by doing their washing. The resident has their own bedroom with all their own things in. The person living in the home said that they had slid in the bath. The resident did not hurt themselves, but staff are going to buy equipment to help them be safe in the bath. Staff have made sure that all parts of the home are safe. One way this is done is to make sure all fire safety equipment works – checks are done to make sure it does. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 16 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from supportive staff, but there are potential risks because proper checks and processes for recruitment have not been carried out. EVIDENCE: The resident living in the home is comfortable with staff. Staff treat them with respect, and they are given choices about their daily life. There are staff working in the home at all times of the day and night, looking after the resident. The directors of the home stay in the home to make sure they see how new staff are working. The home is new and has not been open for very long. Staff who work in the home have done training in other jobs, which helps them to do their work well. The people who run the home have not collected all the information about people coming to work in the home, to make sure they are safe and able to work well. This is very important, to make sure that people who live in the home are kept safe from harm. The people who run the home must make sure that they don’t let anyone work in the home before they have checked that they are safe to work there.
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The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from good management of the home. EVIDENCE: The new manager of the home has now not come to work in the home, so one director is managing the home at the moment. The people who run the home need to sort out who will manage the home. The care for the resident is still good, even though there have been problems with getting a manager. After the home has been open for a while, the people who run the home have plans about how to find out what is good about the home and if there is anything that could be done better. They will have residents meetings to get ideas from people who live in the home. There are checks done in the home to make sure that equipment is safe to use, and that people are kept safe. The fridge and freezer were checked to make sure that they were kept cold enough to keep food fresh or frozen. Staff
Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 18 contacted the person who put in the fire extinguishers to make sure they come out to do a check. The resident has been shown what to do if there is a fire. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 1 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 20 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 Standard YA34 Regulation 19 and Schedule 2 Requirement The registered person must ensure that all required checks are carried out and documentation obtained prior to employment of any persons coming to work in the home. Timescale for action 31/08/06 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 YA20 Good Practice Recommendations It is recommended that the registered person ensures that all staff are reminded of the procedures and processes for administering medication, to ensure consistency and safety. Rosedale Care Home Ltd DS0000067242.V304872.R02.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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