Inspection on 25/05/05 for Rosedale Home

This inspection was carried out on 25th May 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 18/11/05

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 Penni Hughf Unannounced 25 May 2005 09:30am 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 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 B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rosedale Home Address 122 Marske Lane, Bishopsgarth, Stockton-onTees, TS19 8UL Telephone number Fax number Email 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 CRH 44 Category(ies) of PD(E) Physical dis - over 65 (10) registration, with number OP Old age (22) of places DE(E) Dementia - over 65 (12) Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 December 2004 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 televidsion lounge, two inidividual 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 B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took five and three quarter hours and was carried out as one of the two statutory annual inspections required by the Care Standards Act 2000. A partial tour of the premises took place and staff records and care records were inspected. Two staff on duty were interviewed, together with four of the residents, four visitors and a social worker. What the service does well: What has improved since the last inspection? The home has made big improvements to eight bedrooms (four on one unit and four on another) since the last inspection, and has plans to continue this programme in Poplars unit through August and September this year. The service users guide has been improved and now includes comments on life in the home, from current residents. The home now provides a respite bed on the Willows unit, which offers support for those carers who are looking after relatives with Dementia and Alzheimer’s Disease in the community. The home’s Statement of Purpose has been updated and now includes this information. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 6 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 B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 & 6 The home is good at making sure that prospective residents are able to make an informed choice about where to live and that their needs can be met by the home after admission. The home is also good at providing contracts and agreements about what the residents can expect whilst living at the home. The home makes sure that residents admitted for intermediate care receive the support they need to enable them to gain their maximum independence. EVIDENCE: The home had a comprehensive Statement of Purpose and a Service Users Guide, which had been updated since the last inspection, and now contained the views on the home of existing residents. Residents said that they had information about the home prior to admission and underwent a pre-admission assessment. (One resident interviewed could not recall the admission process, but had been admitted several years ago.) Pre-admission assessment was included in care plans examined. All three residents’ files examined contained a contract, which was signed and dated by the resident and included all required information. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 9 The intermediate care unit comprised of a dedicated staff team, who have all undertaken training courses specific to the needs of people using the unit. The unit team was headed by an occupational therapist and a physiotherapist and had fortnightly visits from a consultant physician. Willows unit, which used to provide care to twelve permanent residents with Alzheimer’s and Dementia, now provided care to eleven permanent residents, and the remaining room offered a respite facility that could be accessed by sufferers living in the community and supported by their own families/carers. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 & 10 The home is good at ensuring that the changing personal goals and health care needs of residents are identified and met. They make sure that medication procedures are kept safe. Residents and their relatives are treated with dignity and respect. EVIDENCE: The residents’ care plans examined included a pen picture of the resident, factual details and contacts such as GP and next of kin, personal care, risk assessments and preferred activities and reviews. Care plans for residents on the intermediate care (rehabilitation) unit, also included occupational therapy assessment and a community dependency index score. The occupational therapist said that the whole team worked with the residents to identify aims and objectives, which were then followed by weekly goal planning meetings. Multi-disciplinary meetings were held fortnightly. On the rehabilitation unit, some of the residents self-medicated, as this was what they did at home, and the unit’s philosophy was to promote independence wherever possible. Risk assessments were in place to support this. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 11 Residents said, “I do my own tablets” “I do my own medication. I have a list of my morning, noon and evening tablets. I keep them in my top drawer, which is lockable.” “The staff treat me with respect. They’re like an extended family.” A visitor to one of the residents suffering with dementia said, “I think the staff are very sensitive to her needs, which is difficult, because she is so confused”. Another visitor said, “Staff are good, her needs are catered for. I have peace of mind when she’s here, I can’t fault it.” Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12.13 & 15 The home is good at supporting residents to take part in a variety of activities with their wishes and needs being central to all choices. Dietary needs are well catered for, with a well balanced and varied selection of food available which residents enjoy. EVIDENCE: Residents files examined held details of the type of activities they enjoyed and these were signed and dated by the residents. On the rehabilitation unit, there was a three weekly programme of activities, which included bingo and dominoes, to which residents of the other units were invited. One of the residents said that she joined in all the activities, and mentioned bingo, morning paper reviews, painting, watering the plants, baking biscuits and dominoes. During the inspection a number of relatives and friends visited the four units, and comments by them included: “The home has a nice friendly feel to it, the staff keep you informed on how Mum is doing”. “I have peace of mind when she’s here. We’re very satisfied with the home.” “I had my family all here yesterday.” “It’s like an extended family here.” Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 13 Residents all said that the food was good, comments included: “Can’t complain about the food, it’s appetising and there’s plenty.” “I have bacon, eggs tomatoes and black pudding every morning.” “The food is lovely and you get plenty. You get choices, a cooked meal and dessert. We have mince and dumplings, toad in the hole, braised steak, mushrooms and veg, fish and chips and mushy peas. And you can have porridge for breakfast.” Menus for the day were shown on a board in each unit. The manager said that there had been a recent provisional change to meals, with the main meal being moved from midday to teatime. She and the staff felt that residents were having a big cooked breakfast, any time up to around 10am, followed by a three course lunch at 12.30ish and then a light tea and supper. They felt that it would be more beneficial for residents to have the two large meals of the day further apart to benefit digestion, hence the change of the main meal to tea time. Residents mentioned this to the inspector, but comments were positive, with one person saying that they had always been too full after breakfast to fully enjoy lunch. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The home is good at providing a robust procedure about protecting residents from abuse and staff showed a knowledge and understanding of adult protection issues, which protects the residents from abuse. . EVIDENCE: The homes adult protection made reference to the Department of Health’s guidance “No Secrets”, and contained contact numbers for the Adult Protection Co-ordinator, the Commission for Social Care Inspection, the police and the social services emergency duty team. A whistle blowing policy and procedure were also in place. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21& 26 The home had made a number of improvements to Oaks and Laurels units, and this provided those residents with a safe and well maintained home. New doors and wash hand basins are required on Poplars unit to ensure standards throughout the home are maintained. EVIDENCE: Since the last inspection, the entrance to the shower room and the shower room itself on Poplars unit had been repainted. Four bedrooms on the assessment unit (Oaks) and four bedrooms on the rehabilitation unit (Laurels) had been redecorated and refurbished, with new wash hand basins and vanity units with a lockable cupboard, new carpets, armchairs, wardrobes, chests of drawers, bedside tables, bedding and curtains. Tenders had gone out for the refurbishment of all 10 bedrooms on Poplars unit, which would also include the replacement of all the doors. The manager said that the work was scheduled to begin in August and be finished by the end of October 2005. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 16 All units provide the same number of baths, showers and wc’s that they did at 31 March 2002. On the day of the inspection, the home was clean and hygienic, with no unpleasant odours. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 & 30 The home is good at making sure that recruitment practices protect the residents and ensuring that staff receive the training they need to do their jobs. EVIDENCE: The home met the standard for 50 of staff to have successfully completed their National Vocational Qualification Level 2 in care, with 24 of the 44 care staff having done so. Four other staff members were currently doing the course. Ten staff who had completed their level 2 were now working towards their level three, and two night staff who had not done their level two had gone straight onto their level three. Three staff files were examined and held all the information required by schedule 2, regulation 7, 9, & 10 of the Care Homes Regulations 2001. Training undertaken since the last inspection by these staff included first aid, moving and handling, oral hygiene, epilepsy awareness, freedom of information and fire training. Staff interviewed were able to show both knowledge about and understanding of the residents needs and how they liked to be cared for. When asked about whether they felt their needs were met, some of the comments from residents included: “There are enough staff and they are well trained. They give good advice about using this thing (zimmer frame). They always talk to you.” “They do treat you with respect.” However, one resident spoken to said, “I get a little despondent at times with some of the carers – it’s probably me. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 18 They don’t always do things straight away. But they do look after me in the way I want.” Staff should make sure that if they have been busy helping someone else, and unable to respond straight away, they tell the resident why. This was the only negative comment received about staff’s ability to meet resident’s needs. Good recruitment practices took place, supported by a clear policy. Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion. EVIDENCE: Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x 2 x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x x Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 21 yes 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. 2. Standard 23.2 23.2 Regulation OP19 OP24 Requirement All the doors on Poplars must be replaced to allow free access and egress to residents. The wash hand basins and surrounds must be replaced in Rooms 1,2 & 8 on Poplars. Previous timescale of 01/05/05 not met. Timescale for action 01/08/05 01/05/05. 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 Good Practice Recommendations Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit B, 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. Extracts may not be used or reproduced without the express permission of CSCI Rosedale Home B51-B01 S38046 Rosedale Home V229311 250505 Stage 4.doc Version 1.30 Page 23 - 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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