Inspection on 03/06/08 for Rosedale Care Home Ltd

This inspection was carried out on 3rd June 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rosedale Care Home Ltd 03/12/08

Rosedale Care Home Ltd 01/10/08

Rosedale Care Home Ltd 02/08/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Rosedale Care Home Ltd 4 Vicarage Street Whitwick Leicestershire LE67 5GZ Lead Inspector Ruth Wood Unannounced Inspection 3rd June 2008 14:30 Rosedale Care Home Ltd DS0000067242.V365766.R01.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.V365766.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 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.V365766.R01.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 office@Rosedalecarehome.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.V365766.R01.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 2nd August 2006 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 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 hourly rate. 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.V365766.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection took place on a weekday between 2:30pm and 6pm. Four people currently live at the home. We spoke to three people about what it is like to live at the home; one person was on holiday. Two people’s support plans were looked at and how people’s needs were met was discussed with the staff on duty. How people and the staff who support them get on with each other was observed. How people are supported to manage their money was discussed and records about this were looked at. All the rooms in the home that people share, such as the living room and kitchen, were looked at as well as some people’s bedrooms. Staff training and recruitment records were looked at and staff were asked about the training they had received and how they make sure people in the home are supported and protected from abuse. Records about fire safety were looked at to make sure that alarms and equipment was being tested and maintained. What the service does well: There are enough staff on duty so that people can be supported to do what they want to do it and can do different things from each other. Staff support people to go to places like shops, the leisure centre and the cinema. If people want to go out together as a group, there is a large car for staff to drive people to the places they want to go. There is a good system in place to make sure that people’s money is looked after and people can get their money when they want it. How people should be supported is written down very clearly in support plans. People have helped to put together their plans and some of them contain pictures so they are easier to understand. How people can take risks but stay safe is also written down. People can choose what they want to eat. Some people cook their own food and some people have their food cooked for them by the staff. Everybody who lives in the home can make their own drinks or snacks if they want to and staff will help them if they need support. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 6 Information about what the home is like is written in plain English and contains pictures to make it easy to understand. Information about how people can make a complaint is also easy to understand. People who live in the home seem to get on with the staff that support them. Staff and the people who own the home ask the people who live there for their opinions about how the home is run. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 7 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.V365766.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 Quality in this outcome area is good Good assessment procedures ensure people’s needs are met. Information available about the home needs updating so that people have access to accurate information before they choose to live at Rosedale. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service Users Guide is available written in plain English with pictures so that it can be easily understood. The Guide needs updating to reflect the current management of the home and give information about the kind of training that staff have received. The details about the Commission for Social Care inspection also need updating. One person came to live in the home in April. This was an emergency placement but the person who owns the home met with the person’s social worker before they came to look at the home. A copy of the social worker’s comprehensive assessment about the person’s needs and the home’s own assessment were available for the inspector to look at. The home’s assessment includes detailed risk assessments. The person who moved in said that they had looked around the home and had decided to stay that day. After a month there had been a meeting and they had decided to stay as they were very happy with the home and felt settled. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent Detailed, person-centred support plans enable people to take responsible risks and have their needs met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: How two people’s support needs are met was looked at. Both people’s support plans are very detailed. Each area of support is individually identified together with how it should be met. One person has lived at the home for two years and their plan is very person centred, contains photographs and pictures and is written in plain English. Both plans show evidence of being regularly updated to reflect people’s changing needs. Very clear and detailed risk assessments are part of each plan and give guidance to staff on how to minimise risk while still promoting a person’s independence. For example one person is not able to leave the care home unaccompanied but care staff are clear that they have to respond to requests to go out for walks or visit shops. This man asked if he could go out during the inspection and staffing levels meant he could do this straightway. This person has complex needs but the quality of risk assessment and the clear direction Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 10 given to staff means that he is able to retain control of his life and make choices and decisions. Support plans contain full communication assessments, detailing how to interact with that individual. Information about Care Planning Approach meetings is contained on plans and staff are aware of the purpose of these meetings and the role of other professionals involved in the person’s support. Each person has their own bank account and they are given appropriate levels of support in managing this. Written records are kept of every transaction and receipts are kept. If a staff member has to support a person to use their bankcard, then the time the card is taken is entered, as is the time it is returned. This is then checked against the receipt from the cash machine and the bank statement. Accounts are checked for accuracy every week. Rosedale Care Home Ltd DS0000067242.V365766.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good People are supported to live the lifestyle they choose and to take part in appropriate leisure activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person in the home has an individual, weekly activity plan. This includes things in the home like cooking, craftwork, working on the computer and activities outside the home such as swimming, shopping and going to the leisure centre. Rosedale has its own transport and people use this for day trips to places such as Drayton Manor and the local garden centre. One person said that they enjoyed these trips. People also have the opportunity to go on short breaks to Skegness – one person was staying in Skegness with the person who owns the home at the time of the inspection. Staff also support people to go out to the cinema and to cafes and restaurants. Although people go out together on day trips the senior staff member said that “most people like to do their own thing” and staffing levels allow them to do this. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 12 One person showed the inspector a collection of things that they had made as well as certificates and other prizes that they had obtained while at college and at sports days. People are supported to keep in contact with their families by making and receiving visits or by using the telephone or writing letters. People have the opportunity to be involved in shopping and can choose what they eat and the times the wish to eat. Everyone has the opportunity to make their own snacks and drinks and one person makes most of their own meals – with staff supervision. Menu records show that people’s choices may lead to some of their diets not always being nutritionally balanced and it is recommended that the provider look at how this may be addressed. The use of nutritional supplements or more information on healthy eating for the people who live and work in the home may be appropriate. Rosedale Care Home Ltd DS0000067242.V365766.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good People’s health and personal care needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person’s physical health and personal care needs have changed significantly since they first moved into the home. Their support plan says how their needs should be met and their room contains appropriate equipment such as a hoist and an adapted bed to help staff do this. Additional support has been sought from a variety of health professionals such as occupational therapists, speech and language therapists and dieticians. Particular attention is paid to this person’s pressure area care and staff were receiving additional training in this area from the district nurse at the time of the inspection. The person also receives a special diet. One person, who moved into the home recently, has registered with a local GP and all the people who live in the home have regular access to opticians, dentists and chiropodists. People who live in the home have health action plans and a “My Health” booklet, which details the support that they would need if they were admitted to hospital. All staff that administer medication have received appropriate training and the senior staff members on duty were able to explain the arrangements in place Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 14 for the storage and management of medication. Medication Administration Records appear accurate. Amendments to Regulations relating to the Misuse of Drugs mean that the home must have separate storage for controlled medication. This should be a metal cupboard of specified gauge with a specified double locking mechanism. It should be fixed to a solid wall or a wall that has a steel plate mounted behind it with Rawl or Rag bolts. No controlled medication is currently stored or administered in the home. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good People are listened to and current procedures and practice in the home help to ensure their protection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints procedure is clearly displayed and is in plain English, supported by pictures making it easy to understand for the people who live at Rosedale. People appear to have an open relationship with staff, which suggests that they could say if they were unhappy with anything. One person was observed talking to staff about something they were unhappy with and staff responded in an appropriate way. Before staff work at Rosedale they have a Criminal Records Bureau check and their names are checked against the vulnerable adults register. The person who owns the home also obtains references from the places they have previously worked at to make sure that they are suitable to do the job. These checks help to make sure that unsuitable people do not work at Rosedale. Good arrangements are in place to make sure that people’s financial interests are looked after (please see Individual Needs and Choices). The senior staff member said that she and other staff members had received training in safeguarding vulnerable adults; this was confirmed by examining staff training records and certificates. The staff member was clear as to their responsibilities if they believed that abuse was taking place within the home. It may be helpful for staff and the person who owns the home to update their knowledge of current procedures in this area. They could do this by accessing the courses in safeguarding procedures run by the local authority. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good People live in a comfortable, clean home, which meets their needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: Communal areas were clean and tidy and discussion with staff and examination of training certificates showed that they had received training in infection control. The home is spacious with a large kitchen diner, a lounge and a separate activities room. This means that people do not always have to sit together or stay in their rooms if they wish to be by themselves. The kitchen cupboards and drawers have pictures of what is inside them, on their fronts; this helps people to find what they are looking for. Two people allowed the inspector to look around their rooms. These were spacious, well furnished and decorated to suit the person living there. One person’s room contained special equipment to help staff move them. All the bedrooms at Rosedale have their own toilet and sink and some also have their own shower. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good People are well supported and protected by a competent staff team This judgement has been made using available evidence including a visit to this service. EVIDENCE: How much staff support, each person requires is outlined clearly in their support plan. During the inspection, four staff members were on duty to support the three people in the home. One person was on holiday in Skegness supported by the home’s owner. Two staff members live next door to the home; this includes one of the Director’s of the company. Before staff work at Rosedale they have a Criminal Records Bureau check and their names are checked against the vulnerable adults register. The person who owns the home also obtains references from the places they have worked at before, to make sure that they are suitable to do the job. These checks help to make sure that unsuitable people do not work at Rosedale. Staff also complete an application form and have a formal interview to check that they have the right skills to do the job. All staff have completed or are undertaking National Vocational Qualifications at level 2 in Care. Some staff are taking their level 3 and one senior staff member hopes to begin level 4. Discussion with staff and examination of their training records showed that they had received training in areas relevant to Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 18 their work, including managing challenging behaviour, manual handling and protection of vulnerable adults. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good Rosedale is run in the best interests of the people that live there and is a safe place to live and work. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager for the home was recently dismissed so the home does not have a registered manager. One of the senior carers showed the inspector all the documents that they wanted to see. People are asked what they think about living in the home and how it is run. When the home first opened ‘residents meetings’ were held but the people who live in the home did not like these and now they have regular meetings with their key worker who asks them if they are happy with things or if they would like to see any changes. What is said at these meetings is written down. People also fill in ‘service user questionnaires’. These forms ask for people’s opinions on the quality of food, the attitude of staff and if they have enough privacy at Rosedale. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 20 The people who work in the home have received training in first aid, manual handling, food hygiene, infection control and fire safety. Chemicals used to clean the home are stored safely and how to work safely in the home has been looked at. There is a fire risk assessment in place and every week one of the senior staff checks the fire alarm system to see that it is working properly. All these things help to make sure that the home is a safe place to live and work. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 21 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 2 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 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 22 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 YA20 Regulation 13 (2) Requirement 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. Timescale for action 31/08/08 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 YA1 Good Practice Recommendations The service user guide should be updated to reflect; the current management arrangements in the home, the kinds of training staff have received and the new contact details for the Commission for Social Care Inspection. Some people’s diets may not always be nutritionally balanced. Because of this it is recommended that staff and the people who live in the home find out more about healthy eating and whether nutritional supplements may be appropriate for some people. The acting manager and staff would benefit from an update in their knowledge of current multi-agency procedures, which safeguard and protect people and it is recommended that they access training in these areas, DS0000067242.V365766.R01.S.doc Version 5.2 Page 23 2. YA17 3. YA23 Rosedale Care Home Ltd which is available from the local authority. Rosedale Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE National Enquiry Line: 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 © 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 Care Home Ltd DS0000067242.V365766.R01.S.doc Version 5.2 Page 25 - 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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