Inspection on 06/01/06 for Rosedale Manor Care Centre

This inspection was carried out on 6th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Manor Care Centre 23/04/08

Rosedale Manor Care Centre 23/04/07

Rosedale Manor Care Centre 23/05/06

Rosedale Manor Care Centre 19/07/05

Rosedale Manor Care Centre 23/02/05

Rosedale Manor Care Centre 18/05/04

Rosedale Manor Care Centre 02/03/04

Rosedale Manor Care Centre 03/09/03

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

CARE HOMES FOR OLDER PEOPLE Rosedale Manor Care Centre Sherborne Road Crewe Cheshire CW1 4LB Lead Inspector Wendy Smith Unannounced Inspection 6th January 2006 09:00 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 Manor Care Centre DS0000018738.V272106.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 Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosedale Manor Care Centre Address Sherborne Road Crewe Cheshire CW1 4LB 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) 01270 259630 01270 259640 Four Seasons 2000 Limited Judith Barton Care Home 80 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (24), Mental disorder, excluding learning of places disability or dementia (1), Old age, not falling within any other category (56), Physical disability (10) Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 80 service users to include: * Up to 56 service users in the category OP (old age not falling within any other category) may be accommodated. * Within the 56, 10 service users in the PD (physical disability) category may be accommodated. * Within the 56, 1 named service user in the MD(E) (mental disorder over 65 years of age) category may be accommodated. * Up to 24 service users in the category DE(E) (dementia over 65 years of age) on the Woodlands Unit. * Within the 24, 1 named service user in the category DE (dementia under the age of 65 years) may be accommodated until 7th August 2008. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection. 19th July 2005 2. 3. Date of last inspection Brief Description of the Service: Rosedale Manor care centre is a detached two-storey purpose-built home set in its own grounds. The home is in a residential area approximately one mile from Crewe town centre. It is close to local shops and other facilities and is convenient for public transport. The home is divided into three discrete living units. On the ground floor, Willows unit provides accommodation and nursing care for ten younger adults with a physical disability, and Woodlands unit provides accommodation and nursing care for 24 people with dementia. Meadow Unit, on the first floor of the home, provides nursing and personal care for a maximum of 46 older people. 12 of these places are contracted with South Cheshire PCT to provide intermediate care. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors conducted this unannounced inspection on 6th January over a period of seven hours. 65 residents were living at the home and 12 residents were having a short stay at the home. 23 residents were on Woodlands unit, with one admission expected that day. Eight residents were on Willows unit, and one other had been admitted to hospital. Eight residents were receiving personal care and the others were receiving nursing care. Woodlands and Willows unit were inspected during this visit. A tour of the ground floor was conducted, including communal areas and some bedrooms. Time was spent in conversation with the home manager, the deputy manager and with other members of staff. A number of residents were also spoken with. A number of key standards were inspected at the last inspection carried out on 9th July 2005 and were found to be met in full. They were therefore not inspected again during this visit. Staff records, management records, health and safety records, and the arrangements for handling residents’ personal money were inspected. Some of the information contained in this report is taken from the pre-inspection questionnaire that was completed by the home manager. The home changed ownership in 2005 and is part of the Four Seasons Healthcare group. Two requirements remain outstanding from the last visit. What the service does well: What has improved since the last inspection? Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 6 40 bedrooms have been decorated during 2005. Work has commenced to improve the grounds. Work has commenced to provide a safe garden for residents of Woodlands Unit 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 Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 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 Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 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 the following standard(s): 1 and 6. The statement of purpose has been amended to reflect recent changes in ownership. Intermediate care facilities have improved to provide separate dining facilities. EVIDENCE: A new Statement of Purpose reflects the change in ownership of the home. The home manager said that 12 places on the Meadows Unit continue to be used to provide short term care for older people. This will be phased out over the next few months as an NHS facility is commissioned. Most of the residents admitted to these places require transitional care, however physiotherapy and occupational therapy are provided by the Primary Care Trust as required by individuals. A separate dining room has now been provided for these residents. There is no dedicated space for rehabilitation facilities. Residents are taken for home visits to practice daily living skills and other treatments are provided in their bedrooms. Residents of Woodlands Unit may move to the Meadows Unit, following reassessment, if they become physically frail. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 9 Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9 and 10. Residents’ plans do not ensure that their health and welfare needs are adequately identified and met. Medicine administration and management ensures residents receive their prescribed medicines. The servicing of portable mechanical aids and provision of bathing facilities on Willow unit needs to improve to ensure residents’ healthcare and dignity needs are provided for. EVIDENCE: Two care plans were inspected on Willows Unit and five on Woodlands Unit. Over the last six months staff have re-written all the care plans in the Four Seasons format. One of the care plans on Willows Unit was very difficult to follow; it contained a great many documents. Regular reviews had not been recorded, except for the night staff. The progress sheets were task oriented and said nothing about the person. There was a social history but no information about what the person is able to do, or enjoys doing, now. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 11 One of the care plans inspected on Woodlands Unit contained a nutritional risk assessment that had been written in August 2005 and showed a medium risk. The care plan read ‘ensure nutritional screen is reviewed monthly’ but it had not been reviewed since. On 5th November a weight loss was recorded but there have been no further entries. A general risk assessment identified a risk of strangulation and a risk of attack, but there was no rationale for either of these. The main focus of the care plan was regarding aggressive behaviour and resistance to care, however the progress notes were traced back as far as August 2005 and recorded no evidence of any episodes of aggressive behaviour during this period. There was no social assessment, and daily entries were task orientated, with no mention of any social activities or interactions, or visits from any relatives or friends. The tone of the care plan was very negative. Another care plan on Woodlands unit had a poorly completed admission assessment. The social assessment had been partly completed. A bedrail risk assessment recorded that ‘legs have been trapped’, and according to the risk assessment form being used, this should mean that bedrails are not to be used for this person. However bedrails were in use, and no reason was recorded as to why staff had made this decision. The manager said that total of 38 pairs of bedrails were in use in the home. The record of a resident due to move into Woodlands unit had a pre admission assessment completed, which was not signed or dated. The language in it was informative, though negative in its description of the resident’s continence needs as it referred to the resident as needing ‘padding up’. The section of the pre admission assessment that referred to behaviour did not identify the resident as presenting challenging behaviour. Other areas of the pre admission assessment described the resident as presenting challenging and aggressive behaviour and being resistive to care with the need to observe the resident every fifteen minutes. No risk assessment or risk management plan had been completed despite these concerns. Care plans contained risks not generally associated with individual residents. An example of this being several care plans contained a risk assessment for the call bell lead to be removed due to the risk of the resident strangling themselves. Another risk assessment in place for several residents referred to residents being at risk of fire due to their mental state. There was no evidence that any of the residents had attempted to cause a fire or become entrapped in a call bell lead. Despite the care plans being informative some had not been reviewed since November 2005. A resident had been found to have sustained a broken finger but no reason identified for this. The CSCI had not been informed about the injury. A wound care plan in place to monitor a pressure ulcer was completed but not signed or dated. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 12 Medicine administration on Woodlands unit was examined and only a few minor errors noted in the administration records. On Willows Unit the portable electric hoist was not working, and a member of staff said that it had been out of action for several weeks. The manager said that work had been carried out to the hoist, but this had not rectified the problem. There was one mechanical hoist available. A profiling bed has been provided for one resident, and another resident had their own adjustable bed. Members of staff confirmed that several other residents would benefit from having a bed that could be adjusted to reposition them. Only one resident is able to use the bath aid that is provided and there is no other specialist bathing or shower equipment. Two residents were being cared for in bed. One of these residents has pressure ulcers, and there was evidence in their care plan that these were healing. Wound care was well recorded in the care plan. Care plans record visits by the dietician, chiropodist, and other health professionals as needed. On Woodlands Unit continence products were kept more discreetly either in each resident’s en-suite toilet or in a storeroom. See requirements 1 to 4. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 13 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): 12, 14 Residents are supported in making choices in their lifestyle and in meeting their social needs, but the choice of social preferences needs to improve. EVIDENCE: A resident who had been admitted to Willows Unit in November 2005 could not speak highly enough of the staff and the care he received. Personal care is provided according to his wishes and he is assisted to get up and go to bed when he chooses. He is also given support and encouragement with artwork that he enjoys. He said that he is very satisfied with the food provided and is always offered a choice. On Woodlands Unit, half of the residents need help with meals, and one of the nurses said this takes a considerable length of time and can’t be rushed. Staff breaks are arranged so that all staff are available to help at meal times. Resident’s records contained detailed social assessments containing details of residents’ life histories. Residents’ families and the activities organiser completed these. The activities organiser takes activity sessions on Woodlands unit. This includes art, exercise and baking. The unit has a quiet room with some light and sound equipment to offer residents tactile and sensory stimulation. A staff member talked about the provision of activities on Willows unit and said ‘ I get time to sit and talk to residents, read papers with them or do a jigsaw. This is not planned but depends on how busy we are. The Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 14 activities organiser comes into the unit twice a week and takes the same two residents out. There are regular entertainers in YPD and we can join in most of them. I would say that residents are bored. If you sit in the lounge its usually to stop them falling. When the activities organiser comes in you can join in making biscuits, drawing or using dough. Nothing goes on regularly so most of the time they are bored. The residents can be funny as people we get to know them if we have time. We can talk to them or their families and get to know them. Residents have plenty of choice, they can get up and go to bed when they want and choose what they want to do. The manager Janet has made some positive changes so we don’t have to stick to a routine’. The equipment catering and cleaning services used to be contracted to an external company but are now provided by staff that are employed by the home. The home manager said this allowed a more flexible service to be provided. See recommendation 1. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 15 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 and 18 Complaints are dealt with appropriately. Staff need to read the policy on the use of physical intervention to ensure residents are protected. EVIDENCE: A copy of Four Seasons complaints procedure is displayed in the home. 19 complaints have been recorded during the last year. These have all been investigated and responded to according to complaints procedure, and records are kept in the home. Four Seasons care manual includes guidance for staff on physical intervention. Two staff on Woodlands unit discussed the training and guidance on physical intervention. One staff member said ‘ I have had training on managing challenging behaviour and know how to deal with it. We are instructed not to physically hold anyone. If a resident grabs hold of you, you call for help. I would not force a resident’s hand off me. We don’t have any problems with aggression on the unit at the moment. I have not read the new policy on dealing with aggression’. Another care assistant employed from Poland said ‘ we have had training on aggression and we are not here or allowed to hurt people. If you get to know the person you know how to talk to them better. If they pinch or scratch I explain I am hear to help you, I mean you know harm. I tell them I leave you to calm down. Residents on unit very calm, not many times when I see them like that, aggressive’. See recommendation 2. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 16 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 and 26. The interior of the home is well maintained but the exterior is in need of maintenance work. All areas visited were clean and free from offensive odours. EVIDENCE: Four Seasons acquired the home in 2005, and they have a development plan for the service. The home manager does not have copy of the development plan but was been consulted about it. Outline plans for a new build in the grounds of the home were available for inspection. Some work has been carried out to tidy up the grounds, however further improvement is needed to give a pleasant outlook for residents in the lounges and in bedrooms. A road that runs through the grounds was having major repairs carried out at the time of the inspection. At the last inspection it was identified that exterior woodwork was in need of repainting and, in some places, repair. This has not yet been addressed. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 17 At previous inspections it has been identified that the residents of Woodlands Unit did not have a safe outdoor area to walk and sit in. On the day of the inspection work had commenced to address this and a part of the garden, accessible from Woodlands lounge, was being fenced off to provide a safe area. The manager said that 40 bedrooms have either been fully decorated, or had remedial attention during 2005. Woodlands unit was well maintained, nicely decorated and carpets are in good condition. The unit manager discussed plans to introduce memory boards and better identification for toilets and bedrooms to assist residents with orientation. All parts of the home visited were clean and there were no unpleasant odours. Requirement 5. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 18 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): 27, 28, 29 and 30. Staff are usually supplied in sufficient numbers to meet the needs of residents, however on Woodlands unit sufficient staff were not on duty to meet the needs of residents. Over 50 of care staff have an NVQ qualification. Good recruitment policies are followed. Staff receive induction training and regular training updates. EVIDENCE: The home employs 18 nurses, 48 care staff and 14 ancillary staff. Catering and cleaning services used to be contracted to an external company but are now provided by staff that are employed by the home. A housekeeper has been appointed. Willows had one nurse, one senior carer, one care assistant and a student nurse on duty. Woodlands unit was short of staff on the morning of the inspection due to one member of care staff being absent and one phoning in sick. Another carer came in at short notice to cover one of these shortfalls. There are usually two nurses and three or four care staff on duty in a morning and afternoon, two nurses and three care staff in an evening, and one nurse and one carer at night. There are no registered psychiatric nurses employed for Woodlands Unit, and this needs to be taken into account in any plans for future development of dementia care services. The home is fully staffed with general nurses and ancillary staff, but a number of care staff have left since last inspection, including five with an NVQ in care. No agency staff have been used recently. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 19 At the time of the visit two qualified staff and two are assistants were on duty form 8.00am to 2.00pm and a new resident was due to move in. one carer was sick and another never arrived for duty and no explanation received. No cover had been arranged to cover the shortfall in staff. 26 care staff (54 ) have NVQ level 2, and two are working towards NVQ level 3. Recruitment records relating to the last three members of staff employed were inspected. These were found to contain all of the required information and evidence that appropriate checks had been carried out. There was evidence of induction training being provided for all new staff. There was evidence that all staff had completed abuse, moving and handling, and fire training during 2005. Some members of staff had also received training relating to health and safety, food hygiene and customer care. The home has three in-house trainers and the manager maintains a training matrix. There is identified training time each week, and the deputy manager has 16 hours a week supernumerary time, some of which is used for training. Some of the home’s nurses have completed courses to extend their clinical practice. See requirement 6. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38 Quality assurance systems are implemented. Residents’ personal money is handled appropriately. Systems are in place to protect the health and safety of staff and residents. EVIDENCE: The manager sends a weekly ‘resident at risk’ report to Four Seasons, which includes details of any accidents, pressure sore, nutritional risks, adult protection referrals, and complaints. Visits required by regulation 26 of the Care Homes Regulations are carried out monthly by the area manager. The home has two full quality audits per year, one by is carried out by the home manager and one by a person external to the home, for example a home manager from another home in the group. Four Seasons carries out customer satisfaction surveys. Staff talked about consultation at Rosedale Manor. A staff member said ‘staff meetings take place every few months. They are useful and you can say if you are not happy with things, hence Janet has changed Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 21 routines to suit the residents not staff. The matron holds regular coffee mornings to meet with relatives’. The procedures for managing residents’ personal money were examined. Records demonstrated that small amounts of personal spending money are held for some residents, and the records were well maintained. Staff do not act as appointee for any residents, but an advocacy service can be arranged for any resident who requires this. One resident handles their own finances and 18 have a power of attorney in place. There was evidence that statutory training relating to health and safety is provided for all staff. The home has nine qualified first-aid staff. Examination of records kept in the home showed that all plant and equipment had been tested and serviced as required. A weekly fire alarm test is carried out. Contracts are in place for the disposal of household and clinical waste. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 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 X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 3 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Requirement Care plans must be completed accurately and reviewed regularly to ensure that the information they contain is up to date. (Timescale 31/8/05 not met) The Commission for CSCI must be notified without delay of all events, which affect the wellbeing of residents. Portable moving and handling equipment must be maintained as required. Sufficient suitably adapted bathing facilities must be provided for physically disabled residents on Willow unit. External woodwork must be painted and repaired as needed. (Timescale 30/09/05 not met) On Woodlands unit sufficiently experienced and qualified staff and care assistants must be provided at all times to meet the needs of residents. Timescale for action 01/03/06 2. OP7OP8 37 01/03/06 3. 4. OP8 OP8 23(2)(c) 23(2)(n) 01/03/06 01/06/06 5. 6. OP19 OP27 23 18(1)(a) 01/06/06 06/01/06 Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 24 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. 2. Refer to Standard OP12 OP18 Good Practice Recommendations There should be a greater variety and choice of social activities and more oportunities for residents to engage in them. Staff must have suitable guidance on the use of physical interventions by reading the registered providers’ policy on this. Rosedale Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Manor Care Centre DS0000018738.V272106.R01.S.doc Version 5.0 Page 26 - 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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