Inspection on 18/11/05 for Rosedale Home

This inspection was carried out on 18th November 2005.

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 Home 29/01/07

Rosedale Home 25/05/05

Rosedale Home 15/12/04

Rosedale Home 22/07/04

Rosedale Home 05/02/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosedale Home 122 Marske Lane Bishopsgarth Stockton-on-Tees TS19 8UL Lead Inspector Shaun Common Unannounced Inspection 18th November 2005 11:30 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 Home DS0000038046.V264825.R01.S.doc Version 5.0 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 Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosedale Home Address 122 Marske Lane Bishopsgarth Stockton-on-Tees TS19 8UL 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) 01642 528088 01642 528091 Stockton-on-Tees Borough Council Mrs Jean Spedding Care Home 44 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (22), of places Physical disability over 65 years of age (10) Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is able to accommodate one individual under the age category who is aged 55 within the Laurels Suite Rehabilitation Unit. The Oaks Unit can accommodate a maximum number of 2 service users aged 50 and above at any one time within the 12 beds The Oaks Unit to have one named person under the age category of 50 years. 25th May 2005 Date of last inspection Brief Description of the Service: Rosedale is owned by Stockton-On-Tees Borough Council and is a residential home for elderly people. The home has four distinct units, the Oaks, Willows, Poplar and Laurel. Each unit consists of a lounge/dining room, a small kitchen with basic equipment, where residents and their visitors can make refreshments, a small television lounge, two individual lavatories and one within the bathroom. All bedrooms contain a wash hand basin. The home provides care and accommodation for older people who are physically frail, or have dementia. There is one unit, which provides intermediate care for up to six weeks during which time clients receive intensive rehabilitation. The home is set in its own grounds and is a large single storey dwelling. There is a small shopping area nearby. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to Rosedale by two inspectors. The inspection started at 11.30am on 18th November 2005 and lasted three hours. The inspectors spoke to two residents, staff and management as well as looking at records and looking around the home. A resident told an inspector ‘I’m quite happy here, staff could not do anymore for us’. What the service does well: 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. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 6 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 Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Choice of Home was not assessed at this inspection. EVIDENCE: Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Health and Personal Care was not assessed at this inspection. EVIDENCE: Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 Residents are able to exercise choice over their lives and their financial matters. EVIDENCE: Inspectors undertook a tour of the home and noted that resident’s rooms were personalised with their own belongings. Resident’s who spoke to the inspectors advised that they have choices over all matters affecting their lives. Resident’s stated they were able to manage their own money. One resident stated ‘I receive my own money from my son who gives it to me directly’. The homes records in relation to resident’s finances were examined and were appropriate. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Complaints are dealt with appropriately information are available and clear. EVIDENCE: The homes record of complaints was examined. The home has had one complaint in the last year and this was dealt with in appropriate timescales. There was good information available around the home on how to complain and Stockton Council’s procedures. It was noted that the home has received a significant amount of commendations from residents and their relatives regarding the care provided. One resident said ‘nothing to complain about, but I would know what to do if I wanted to complain’. and appropriate systems and Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 23 Safety of residents is compromised through lack of effective and appropriate safety measures. The home is generally well maintained. EVIDENCE: Inspectors undertook a tour of the home. It was noted that in general, the home was clean, well set out, furnished and decorated. The sluice room did not have a lock in place allowing access to residents (should they choose to do so) and staff. This room contained unregulated hot water. An immediate requirement notice was served to the assistant manager requiring action to be taken to make the situation safe. On speaking to kitchen and other staff, it was also noted that the kitchen is sometimes left un-staffed and during these periods is not locked. The assistant manager advised later in the inspection that a key had been located and the kitchen would be locked when not in use and all staff informed of this. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 12 All resident’s rooms in general appeared well decorated and furnished. The washbasins and surrounds in the Poplars were not yet refurbished as required by the last inspection and the doors had not yet been replaced to allow free access and egress to residents. The assistant manager advised that these tasks are planned for January 2006. Residents bedrooms in the Willow’s Unit were noted to have worn and flaking paint. These rooms required re-decoration. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Staffing was not assessed at this inspection. EVIDENCE: Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Rosedale is managed by competent staff and quality assurance systems are in place. Resident’s finances are well managed. Some Health and Safety matters require attention. EVIDENCE: The manager of the home was on leave at the time of the inspection. The manager is qualified, is experienced and competent. The assistant managers on duty at the time of inspection demonstrated a good understanding of the homes systems, procedures, residents and staff. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 15 The home has in place a quality assurance system. Examples of questionnaires provided to relatives and resident’s that had been completed and returned were in place and this had been completed in the last 6 months. The home’s external line manager visits on a regular basis carrying out duties in relation to Regulation 26 of the Care Homes Regulations 2001 and provides reports promptly to CSCI of findings, which are acted upon. Records of resident’s finances were examined and were appropriate. Daily Life and Social Activities for further evidence). (See Maintenance checks were noted to have been carried out as required e.g. fire equipment, emergency lights, hoists etc. The homes fire risk assessment document was examined and did not have a completion or review date, so it was not possible to determine whether the document was current and up to date. The accident record was examined and was appropriate. The homes records of fire drills/instruction only covered 15 staff. The home must ensure that all staff partake in a fire drill/instruction and their names are recorded to demonstrate this. Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 16 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 1 X X X 2 X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 17 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. 2. Standard 19, 38 19 Regulation 13 23 Requirement The sluice room must be made inaccessible to residents where there is assessed risk All the doors on Poplars must be replaced to allow free access and egress to residents. (the previous timescale of 01/08/05 was not met) The wash hand basins and surrounds must be replaced in rooms 1,2 & 8 on Poplars. (the previous timescale of 01/05/05 was not met) Residents rooms on the Willows Unit have worn and flaking paint. The rooms must be redecorated. The home must have in place a dated and appropriately reviewed fire risk assessment document. Evidence must be in place that the fire authority has been consulted in relation to the completed document. All staff must undertake Fire drills/instruction at appropriate intervals and their names must be recorded in the fire log to evidence this has taken place. DS0000038046.V264825.R01.S.doc Timescale for action 18/11/05 31/01/06 3. 19 23 31/01/06 4. 19 23 15/02/06 5. 38 13 01/01/06 6. 38 23 01/03/06 Rosedale Home Version 5.0 Page 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosedale Home DS0000038046.V264825.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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