Inspection on 23/11/06 for Rosedale Court

This inspection was carried out on 23rd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosedale Court 21/11/07

Rosedale Court 24/11/05

Rosedale Court 20/04/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rosedale Court Hockley Road Rayleigh Essex SS6 8EP Lead Inspector Vicky Dutton Unannounced Inspection 23rd November 2006 08:00 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 Court DS0000064180.V321211.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 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 Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedale Court Address Hockley Road Rayleigh Essex SS6 8EP 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) 01268 773180 01268 774025 www.runwoodhomecare.com Runwood Homes Plc Mrs Frances Mary Mallett Care Home 73 Category(ies) of Dementia - over 65 years of age (51), Old age, registration, with number not falling within any other category (22) of places Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To provide personal care to 51 service users with dementia. (DE(E)). To provide personal care with nursing to 22 older people on the first floor. (OP). Total number not to exceed 73 service users. Date of last inspection 24th November 2005 Brief Description of the Service: Rosedale Court is a large purpose built detached building set back from the main road. The home is approximately one mile from Rayleigh town centre. Residents are accommodated on the ground and first floor. The first floor accommodation is fully accessible by lift. All bedrooms have en suite facilities and there are separate lounge, dining and bathroom areas on each floor. The home has good car parking facilities. There is a large patio area and small grades area to the rear of the building. The home is divided into four areas; Jasmine, Primrose and Honeysuckle accommodate older people with dementia care needs, whilst Lavender accommodates older people who have nursing care needs. The home has a statement of purpose and service users guide available. Information about the home and most recent inspection report are available to residents/visitors in the lobby area of the home. It was confirmed that the current weekly fees at the home are: Rates funded by the Local Authority (non nursing beds) £351.33 to £408:00. Funded nursing beds are £550.00. For privately funded people the fees are: Residential £500.00 and nursing £650:00. There are additional charges for chiropody, hairdressing, personal items, newspapers/magazines and some outings. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. The inspection was undertaken over a nine hour period. As two inspectors were present this equated to eighteen hours of input. At this inspection all the key standards, and the homes progress against their previous agenda for action were assessed. The previous full inspection of the home took place in November 2005. In May of this year a random inspection of the home took place to review progress in key areas. The report of this visit is available through the local CSCI office. The inspection visit of May found that good progress had been made in all areas looked at, apart from issues relating to the provision of adequate management cover at the home. Prior to the site visit the home had submitted a pre-inspection questionnaire, and provided additional information that assisted with the inspection process. At the site visit a partial tour of the premises took place, care, staff, and other records and documentation were selected at random and various elements of these assessed. A notice was displayed in the home advising all visitors that an inspection site visit was taking place with an open invitation to speak with an inspector. During the site visit residents, visitors and some of the homes staff were spoken with. As part of this key inspection questionnaires were sent out in the post to health and social care professionals. Staff, residents and relatives/visitors surveys were given out/left at the home to be completed by any who wished to do so. The views expressed at the site visit and survey responses have been incorporated into this report. The inspectors were assisted at the site visit by the registered manager, and other members of the staff team. Feedback on findings was given throughout the day, and summarised at the end of the day. The opportunity for discussion or clarification was given. A feedback card on the inspection process was left at the home. What the service does well: Feedback from residents, relatives and visiting professionals about the home was very positive. Comments such as ‘I can’t fault the home.’ Were made. One resident simply said ‘It is home.’ The homes lobby area and visitor’s room are welcoming and there is much useful information available to residents and visitors Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 6 When call bells at the home were tested care staff responded quickly. Team work and staff morale at the home seemed good. Staff were friendly and helpful and made positive comments about the home and training offered. Medication is managed well at the home, providing a safe system that protects residents. 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 Court DS0000064180.V321211.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given sufficient information before they decide to move into the home. Prospective residents have their needs assessed before moving in. EVIDENCE: The homes service users guide and statement of purpose has been recently reviewed. Prospective residents are given copies of the registered providers general brochure with inserted information that has specific details and relevant information about Rosedale Court. The registered manager said that a copy of the service users guide is also offered at the time of assessment and before admission is arranged. Copies of the homes service users guide were noted to be available in the homes lobby area and in bedrooms around the home. In a recent survey conducted by the home, and in CSCI questionnaires people indicated that they had received sufficient information about the home before moving in. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 9 The registered manager was advised of recent revisions to regulations that requires further information to be added to the homes service users guide. A senior member of staff from the home, usually the registered manager, carries out an assessment of needs before a resident moves into the home. The file of a recently admitted resident showed that this process is well managed with additional information being available from the hospital/social worker. Intermediate care is not provided at Rosedale Court. However the home do provide a number of ‘interim placement beds’. These beds offer residents a temporary placement as an extended recovery period following illness or crises. Sometimes residents in interim beds go on to take up permanent residence at the home. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In general residents health and care needs are well identified and planed for. Medication practices at the home are very well managed and ensure that residents are kept safe. EVIDENCE: Residents and visitors spoken with were very happy with the care being offered by the home. As part of this inspection several care files, selected from different units at the home, were viewed. Improvements were noted from the previous full inspection of the home. Those viewed on the residential units were of a good standard and provided a good basis for staff to deliver care to residents. Care is needed however to ensure that staff deliver the care identified. In one case the care plan indicated that staff must record what a resident was wearing each day. This had not happened. A relative confirmed that they had been involved in the care planning process, but that staff did not always follow the plan agreed. Care planning on the nursing unit needs to be reviewed. Information on residents needs was available, but it was often jumbled, repetitive, and sometimes the information provided did not reflect Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 11 resident’s current needs. Management at the home have a system in place whereby care plans are subject to regular evaluation to make sure that they adequate and up to date. Records showed that resident’s health care needs are catered for and that they can access professional services such as chiropody, optician and local and hospital based health services. Residents felt that they always received appropriate help with their healthcare needs. Feedback from visiting professionals was positive. Appropriate risk assessments were in place. On the nursing unit in particular there was a good format and process in place relating to the use of bed rails for individual residents. Nutrition records are maintained at the home but these need to be improved so that they provide a full and accurate record of resident’s dietary intake. The current format does not include space to record any supper time intake. Full nutrition records are maintained for residents new to the home or where there are some dietary concerns. On some of these records viewed it appeared that individual residents are going from tea time at 17.00 through to the next morning at 08.00 or 09.00 without any food or drink being consumed. In one case the resident concerned suffered from diabetes. This therefore has the potential to put the well being of residents at risk. Medication at the home is mainly managed through a monitored dosage system. (Blister packs). With boxed/bottled medication being in place for most residents in interim placement/respite beds. At this inspection medication systems were sampled on both Lavender, (the nursing unit,) and Jasmine/Primrose. Records sampled were well maintained, and no anomalies were noted. Storage was good. Staff on the residential unit were able to confirm that they had undertaken appropriate training. Management at the home undertake weekly medication audits to make sure that good practice and systems are maintained. Records for this showed that any errors/anomalies are identified and dealt with. During the inspection residents were treated with respect and their privacy and dignity upheld by staff. Residents and visitors confirmed that staff are always very pleasant and knock before they enter a room. Mobile pay telephones are available on each floor of the home, and some residents have their own phones installed in their rooms. During the inspection it was noted that some bedrooms flanking the front main entrance of the home were not fitted with any form of blind/net curtain that would ensure their privacy. The registered manager said that this had been discussed with families who had been invited to provide net curtains/blinds if they wished. Residents right to privacy should be provided for by the home. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Activities are available to residents at the home. Rosedale Court is welcoming to visitors. The home needs to make sure that residents are offered food/drink at reasonably spaced intervals. EVIDENCE: From discussion and survey responses most residents are generally satisfied with the level of activity/occupation offered by the home. Entertainers are brought into the home. Residents enjoy regular visits from a local PAT dog, and a ‘shop’ is taken round twice a week so that residents can purchase small items. A local church is very supportive. There is regular provision for residents to meet their various spiritual needs. Notice boards around the home are bright and cheerful and advertise up and coming events. Some residents would like to go out more, but this is limited due to staffing considerations. In one instance a family pay privately for a carer to take a relative out to meet their needs. An activity co-ordinator is provided for forty hours a week. They are currently supported by a voluntary worker. There is some concern that staffing arrangements for the provision of activity/occupation are shortly to change, and that activity provision will deteriorate at the home. The registered manager said that recruitment to Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 13 cover this is in hand. Staff interactions with residents, whilst very friendly were often purely task orientated. It is not clear that staffing levels are sufficient to support the activity co-ordinator role and promote the active involvement of care staff in providing activity/occupation for residents during evenings and weekends. It was reported that there was no set budget available for the provision of activities/entertainment and that fundraising must take place to support this. Residents social/activity/occupational needs are assessed to a degree and identified in both care planning and separate activity files. A key worker system is in place to support residents. Staff spoken with were clear that residents were offered choice in daily routines. From observations during the site visit the home needs to ensure that staffing levels do not restrict or impact on residents choices. (See also comments under standard 27.) Residents felt that they were able to follow their own routines. Visitors were noted to come and go throughout the day. Those spoken with said that the home was very welcoming. One said that they were always offered refreshment. The home has a pleasant visitor’s room that contains much useful information for visitors. Information provided about the home confirms that residents are able to bring in their own possessions. Many of the bedrooms at the home were very personalised. Information on advocacy services is available to residents and visitors. The home operates a four weekly rotating menu. Residents choose the day before what they wish to eat on the following day. The home conducted a catering survey in July this year, following on from the introduction of new menus. This sampled the views of 30 residents at the home and showed a good level of satisfaction with catering at Rosedale Court. This was confirmed in discussion with residents and relatives who, in general, had no complaints about the food and confirmed that they were offered choice. Other comments made by residents in the survey are being addressed by the home. Given the comments under standard eight, the home need to review the spacing of/recording of food/drink delivery so that residents are not going for many hours with no fluid or food. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an established complaints procedure in place and residents are happy to raise any issues. Residents are protected by staff having a good understanding of adult protection procedures. EVIDENCE: The home has a clear complaints process in place. This has recently been revised to reflect the change of emphasis relating to what agencies should investigate complaints. The homes complaints record showed that resident’s comments and concerns are recorded and managed properly. Residents/relatives reported that they were aware of how to raise concerns and would feel confident in doing so. Staff spoken with had a good understanding of adult protection and whistle blowing issues. Staff training records showed that all staff had received training in this important area. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rosedale Court provides a generally clean and comfortable environment for residents. Development is needed to make sure that all staff are aware of and maintain good infection control. EVIDENCE: Rosedale Court is a new purpose built home that provides residents with a spacious and comfortable environment. For operational purposes the home has four designated areas: ‘Jasmine’ and ‘Primrose’ on the ground floor and Honeysuckle’ on the 1st floor accommodate older people who have dementia, whilst ‘Lavender’ also on the 1st floor, accommodates older people who require nursing care. Since the previous inspection when the home was very new the home now has a more ‘lived in’ feel, and communal areas, although many are still underused, are more homely. A general hand is employed for 20 hours per week to undertake maintenance tasks and carry out safety checks. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 16 The previous inspection identified that part of the homes grounds were no longer accessible to residents, thus not providing the space agreed at the homes registration. Ways to resolve this and to provide means of access for gardening/maintenance purposes were discussed. On the day of the site visit the home was generally clean and well presented. There were some areas where odour control needed to be improved. Only a few of the homes staff have as yet undertaken training in infection control. The home needs to ensure that all staff are aware of correct procedures. Used disposable gloves were found in two residents rooms, creating a potential hazard to residents. Toilet brushes were in a poor condition in some areas. New guidance for care homes in relation to infection control procedures were discussed with the registered manager. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents thought that staff at the home were good. Staffing levels and routines need to be reviewed to make sure that they meet residents needs and expectations at all times. Staff at the home are recruited safely and given training to help them understand and meet resident’s needs. EVIDENCE: Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 18 Residents spoken with made positive comments about the staff at the home. Surveys completed showed that residents felt that staff were available when they needed them. When call bells were tested as part of the inspection, staff responded well and promptly. Rotas viewed, and discussion with staff showed that staffing levels at Rosedale Court are being maintained at: • On Lavender – the nursing unit - Four care staff and nurse during the morning and three care staff and one nurse during the afternoon/evening. • Shared between the three residential units six care staff and two care team managers (CTM’s) in the morning and five care staff and two CTM’s in the afternoon/evening. • To cover the home at night four care staff, one CTM and one trained nurse. The registered managers hours are supernumerary to this. The registered manager said that currently the home was running with about 100 hours in care vacancies. This has reduced from the previous inspection and it was noted that staff are now not working excessive hours. Dependency levels at the home are varied. The registered manager explained that an assessment of resident’s dependency level was arrived at through the use of three separate tools. Observations during the inspection and staff spoken with/feedback on questionnaires show that staffing levels in the residential units need to be reviewed, particularly for the busy morning period. The nursing unit with four staff and a nurse was running smoothly and residents had their needs catered for. On the residential units, two staff on each unit (two with 18 and one with 15 beds) were working hard, having to get residents up, and provide their breakfast. This system meant that staff had to keep switching from personal care to food provision. It also meant that staff were not necessarily providing a relaxed service where they had time to actively engage with residents and provide good personal care. Staff were noted to go into one resident to assist them. After a few minutes the resident was in a bathroom and then in the dining area. Residents were frequently left unsupervised in dining areas. Once this posed a potential risk as a resident had been left with a hot coffee pot beside them. Both CTM’s are occupied in doing the morning medication round during this period so are not available to assist or supervise care staff in their practice. Another staff issue at the home is the shortage of domestic and laundry cover. This is particularly acute at weekends when there is no laundry cover and domestic duties are coved in the morning for four hours by two staff on one day and three the other. This potentially leaves additional duties for care staff to cover. At the previous full inspection of the home it was advised that a proper review of staffing at the home during weekends was undertaken. This related to the lack of management/administrative cover at weekends when the home is very busy with visitors. This does not appear to have happened. A senior member of staff at the home is currently covering the deputy role, but this only provides Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 19 two supernumerary shifts each week, and does not assist the weekend situation. At the moment the registered manager provides an on call presence at all times, and is often in the home outside of their rotared hours. Although this arrangement is undertaken very willingly, the registered provider should provide sufficient management hours to adequately cover the home. Management arrangements should reflect the size and complexity of the home. The registered manager reported that out of 40 CTM’s/Carers 18 have completed NVQ at Level two and 2 have completed NVQ level three. This represents 50 of the current care workforce at the home. The registered manager said that funding routes for providing NVQ training for older staff at the home were being explored. The files of recently recruited staff show that recruitment practices that protect residents are in place and maintained. Files showed that staff receive an induction into the home. After an initial induction staff are now working towards Skills for Care Common Induction standards over a twelve week period. This should equip staff to assist residents in a consistent and competent manner. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. Residents and others are consulted with about the quality of the service provided. EVIDENCE: Rosedale Court benefits from having an experienced and competent registered manager in post. They hold a nursing qualification and are currently working towards achieving their Registered Managers Award. It is expected that this will be completed in approximately six months. Staff, residents and relatives at the home spoke well of the manager and felt that they were very approachable. Regular residents meetings are held at the home, and resident’s views sought on the service. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 21 The registered provider has strategies in place to monitor the quality of the service provided at Rosedale Court. An annual audit is normally undertaken. This last took place at Rosedale Court in November 2005. When next undertaken the report produced must be made available to stakeholders, and provide for an annual development plan for the home. Monthly visits are undertaken by a senior manager in the organisation as required by regulations. The home has also completed some preparatory work, including undertaking surveys with residents, in readiness for an audit by a funding authority. Other monitoring tools such as a catering survey and medication audits have been mentioned in this report. Resident’s monies were sampled and were satisfactory. In discussion with the registered manager it was agreed that a review of access arrangements for residents personal monies/property should be undertaken. The homes pre-inspection questionnaire identified that systems and services are monitored and maintained. Fire records viewed were satisfactory. Although small for the size of the home, Rosedale Court’s kitchen area was clean and organised with appropriate records maintained. It was noted that the dishwasher provided, although a ‘commercial’ model, was little bigger than a domestic size, and inadequate for the size of the home and amount of washing up produced. The inspector was told that it took until lunchtime to get through the breakfast washing up. This situation may lead staff to wash up ‘normally’ and not provide for adequate hygiene/sterilisation of crockery etc. Staff identified, and training records confirmed, that they had completed appropriate core training such as moving and handling. Accident records are maintained and audited to pick up any trends. Some potential health and safety hazards were noted during this inspection. Bathroom cupboards were left open with their contents available to residents. Disposable gloves were left on unsupervised trolleys and accessible to residents. Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 2 Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement The registered person(s) must prepare a written plan as to how the resident’s needs in respect of their health and welfare are to be met. This refers to the issues raised in the body of the report, and the need to show that care plans are carried out, and that they provide a useable and current document that is clear for staff to use. 2. OP8 16 The registered person(s) must maintain a system whereby the home can demonstrate it provides, in adequate quantities, suitable, wholesome and nutritious food (and drink) which is varied and properly prepared and available at such times as may be reasonably required by residents. This refers to the need to maintain an adequate nutrition record. 3. OP26 13, 18 The registered person(s) must DS0000064180.V321211.R01.S.doc Timescale for action 14/01/07 14/01/07 01/03/07 Page 24 Rosedale Court Version 5.2 make suitable arrangements to prevent the spread of infection at the home. This refers to the issues raised in the body of the report and also to the need for need for staff to receive training/have a good awareness of infection control/universal precautions. 4. OP27 18 The registered person(s) must ensure that suitably qualified, competent and experienced persons are on duty at all times in such numbers that are appropriate for the health and welfare of residents. This is with particular reference to: The need to review and address: Local management arrangements to show that they are adequate to provide for the size and complexity of the home. Local management and administrative cover at weekends. The provision of adequate domestic/laundry cover. Staffing levels in respect of the residential units to be reviewed. Elements of this requirement with a compliance date of 31/12/05 and 31/05/06 have not yet been met. 14/01/07 Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The registered person(s) should ensure that the homes service users guide is reviewed and provides the information required in line with updated Regulations. The registered person(s) should review the privacy arrangements for residents living at the front of the building. The registered person(s) should review the spacing of food and drink offered by the home meet residents needs and expectations. The registered person(s) should review access arrangements to a grassed area of the home that, at registration, was identified as being available for residents. The registered person(s) should review access/deposit arrangements for resident’s personal monies/property. The registered person(s) should review the adequacy of the dishwasher provided in the kitchen area of the home. The registered person(s) should review storage arrangements for items such as gloves and aprons to make sure that residents are cared for safely. 2. OP10 3. OP15 4. OP19 5. 6. 7. OP35 OP38 OP38 Rosedale Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Court DS0000064180.V321211.R01.S.doc Version 5.2 Page 27 - 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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