Inspection on 29/01/07 for Rosedale Home

This inspection was carried out on 29th January 2007.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rosedale Home 18/11/05

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 Key Unannounced Inspection 29th January 2007 10:15 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.V328062.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 Home DS0000038046.V328062.R01.S.doc Version 5.2 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.V328062.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 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. The Willows Unit can accommodate 3 service users requiring respite care, one of which is aged 50 and above. 18th November 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 assessment / discharge support service on Oaks unit also has some therapy input. The home is set in its own grounds and is a large single storey dwelling. There is a small shopping area nearby. The manager advised that there is no minimum charge and the maximum costs to stay at the home for a week is £484.00. The home charges for extras such as hairdressing, private chiropody, personal toiletries, personal newspapers (some are provided by the home free), taxi’s or other transport and holidays and outings. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to Rosedale by the lead inspector was on a day when no one was expecting the visit. The inspection started at 10:15am and lasted six hours. The inspector spoke to a number of residents, as well as staff and the Registered Manager. The inspector also looked around the home as well as looking at records. The inspector was made to feel welcome by residents and staff. One resident stated ‘Everything you want or have a problem with, you only have to ask a member of staff’. A resident on the rehabilitation unit stated ‘I have enjoyed my stay at Rosedale. Will miss it when I go home’. What the service does well: What has improved since the last inspection? The home has done a lot of work since the last inspection. There is now a lock on the sluice room door to make sure that no one can wander in there and hurt themselves. Doors in the Poplars have now been replaced so residents can get in and out of rooms much easier. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 6 Hand basins in rooms on Poplars have also been replaced and painting and decorating has made the home look much brighter and pleasant. The home has now updated its fire record so that any risks are written down and things are put in place to make all areas of the home safe. All staff have also been involved in a fire drill and instruction. 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 Home DS0000038046.V328062.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 Home DS0000038046.V328062.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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are fully assessed prior to any admission. A dedicated team of trained and skilled staff provide intermediate care. EVIDENCE: Three files were examined and contained a full assessment of residents needs prior to their admission. One file examined was of a resident admitted to the home for intermediate care. Assessments were carried out by appropriate professionals and were detailed. The intermediate care unit comprises of a dedicated staff team, who have all undertaken training specific to the needs of residents. An occupational therapist is dedicated to this team. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 9 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents care needs are planned for and delivered as stated. Health needs are promoted and met and medication systems are robust helping to keep residents safe. Residents are treat with respect and dignity. EVIDENCE: Each resident’s file examined contained an up to date care plan that had been reviewed each month. The plans detail residents assessed needs and how these needs are to be met on a day-to-day basis. Each plan contained the signature of the resident and included a risk assessment as appropriate. Four residents returned questionnaires and all stated that they ‘Always’ receive the care and support they need. One resident stated ‘very satisfied with the care I receive’, another stated ‘The care and support has been wonderful as I have been ill whilst here and could not have got better support’. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 10 Residents who spoke to the inspector talked very positively about the home and the care they received. One resident stated ‘They look after us well. The staff are good and I’m happy’. The care plan and file clearly documented information that related to each resident’s health needs and the outcomes. Weight and nutrition are recorded and monitored and each resident has an identified general practitioner. Access to health professionals and the outcome of receiving such services is recorded on residents’ files. Four residents who returned questionnaires stated that they ‘Always’ receive the medical support they need. One resident stated ‘Staff make sure I get all the medical help I need’. The home has a clear system in place for the storage, recording, handling and administration of medications including disposal. Residents files record the assessment of how medication will be administered and staff who administered medicines are trained in their safe handling. The home has a pay phone in a private booth that residents can freely access. Files record how residents wish to be addressed and observations noted that staff carried this out. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. Rosedale provides an environment that is relaxed and flexible to suit residents needs, choices and routines. Contact is clearly relaxed and as residents wish. An appropriate menu is provided with choice and dining rooms offer a pleasant mealtime venue. EVIDENCE: Routines for each individual at Rosedale were observed and noted to be relaxed and flexible. Resident’s interests and activities are recorded in their plans and contact arrangements were appropriate. Rosedale was observed to be a busy home with relatives, friends and professionals coming and going and all catered for positively by staff. Four residents who returned questionnaires responded ‘Always’ to the question; Are there activities arranged by the home that you can take part in?’ Residents who spoke to the inspector said there were a number of activities, such as dominoes, cards and trips out to the local pub. The home was noted to have other activities such as crafts, jigsaws, bingo, videos, music, baking and a mobile library also visits the home. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 12 Resident’s individual choices and independence were recorded in their files and it was observed that people were supported and empowered to be as independent as they chose, but with support where needed or asked for. Permissions and consents from residents were recorded and signed by them on files re access to their personal information and other matters. The menu was examined and noted to be varied with choices. Mealtimes were observed as relaxed and dining rooms appropriate for purpose. Residents were able to define their own routine with one resident explaining to, and showing the inspector how he washed up and tidied up after himself, as he preferred to. Three from four residents stated in questionnaires that they ‘Always’ like the meals at the home and one stated they ‘Usually’ like the meals. Residents stated ‘Good choice of food’, ‘Very satisfied with all the meals’, ‘Meals good. Nothing a problem, they would give an alternative if the choice is not what you want’ and ‘If I don’t like what is on there is usually an alternative’. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 13 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. Complaints information is clear and concerns are handled robustly. Staff have been trained in and understand adult protection procedures. The homes adult protection procedure requires some development. EVIDENCE: Complaints were examined. Only one complaint was recorded since the last inspection. The complaint, the investigation and outcomes were recorded very clearly. The home has had numerous thank you cards and commendations from relatives of residents and professionals. Some of these were very positive indeed and commented on the professionalism of staff and appreciation of care received. The home has an accessible and appropriate complaints procedure. The home has in place an adult protection procedure. Staff interviewed were aware of the procedure to follow should they suspect an incident of abuse had occurred at the home. Staff have received training in adult protection matters. The homes’ procedure was examined and did not include the procedure for staff to follow should they suspect that a member of the management team, the Registered Manager or an external manager was suspected of an incident of abuse. The procedure must be developed further to include this guidance for staff. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 14 A number of residents who spoke to the inspector said they were happy at the home and felt safe. Three from four residents questionnaires stated that they ‘Always’ knew who to speak to if they were not happy and one stated they ‘Usually’ knew who to speak to. Residents’ stated ‘The welcome pack explained this’ and ‘I could ask the carers or any of the managers or even my sister’. All questionnaires stated that residents knew how to complain should they need to do so. Rosedale Home DS0000038046.V328062.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 excellent. This judgement has been made using available evidence including a visit to this service. Rosedale is safe, clean, comfortable, well decorated and furnished with a pleasant, relaxed atmosphere. EVIDENCE: Rosedale is well decorated, furnished and comfortable and conducive to the care of older people. The home has recently undergone some refurbishment work and some work is ongoing to ensure that standards are continually maintained and improved. Issues identified at the last inspection as requiring attention have been actioned. The home was observed to be safe and clean throughout with a pleasant, relaxed atmosphere. Resident’s room were noted to be personalised. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 16 Residents’ questionnaires stated that the home was ‘Always’ fresh and clean. Residents stated ‘Domestics do a good job. I couldn’t fault it’ and ‘The cleaner is very pleasant and has everything spotless’. Rosedale Home DS0000038046.V328062.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 good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by sufficient staff, who are trained and qualified. Recruitment information is mainly in place. EVIDENCE: Observations and examination of records demonstrated that the home has sufficient numbers of staff to care for its residents. Four residents returned questionnaires and three stated that staff are ‘Always’ available when residents need them. One did not respond to this question. One resident stated ‘They come to me every time I ring the buzzer and are always available’. Thirty five from forty nine care staff employed have attained NVQ Level 2 in Care, which is well above the required 50 . Two recruitment records were examined and in the main all required information was available. One staff members file was noted to have gaps in the employment history that were not accounted for. Examination of other files demonstrated that this appeared to be an oversight. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 18 All staff go through the council’s induction programme which is to the Skills for Care specifications. Staff files demonstrated that further training and development opportunities are available and pursued. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 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 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 excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has the relevant qualifications and experience required. The Registered Manager demonstrated competence and knowledge in her role. The home has a quality assurance process in place that gains the views of residents, their relatives and stakeholders. An external manager carries out visits regularly and reports of these visits demonstrate a thorough process that examines and tests the home’s systems. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 20 The home has a clear system for recording residents’ monies, belongings and valuables. Appropriate secure storage is provided. Personal belongings were noted to be recorded on resident’s files. Health and safety matters were examined and all information required was in place, such as maintenance of boilers, fixed wiring, fire alarms and equipment etc. Staff have been involved in regular fire drills and these were clearly recorded. The fire risk assessment had been updated as required in the last inspection of the home and the Registered Manager was in the process of updating and reviewing this document at the time of this inspection. Rosedale Home DS0000038046.V328062.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 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 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 4 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP18 Regulation 13 Requirement The Registered Person must ensure that the Adult Protection Procedure includes the procedure to be followed by staff, including contact information, should an allegation of abuse be made in relation to a manager, the Registered Manager or an external manager. Timescale for action 15/03/07 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 OP29 Good Practice Recommendations The Registered Person should ensure that a full employment history is provided by prospective employees and a satisfactory explanation of any gaps recorded. Rosedale Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Home DS0000038046.V328062.R01.S.doc Version 5.2 Page 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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