Inspection on 25/04/07 for Rosedale Residential Home

This inspection was carried out on 25th April 2007.

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 Residential Home 08/11/07

Rosedale Residential Home 25/07/07

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Rosedale Residential Home 68 Rockingham Road Kettering Northants NN16 8JU Lead Inspector Keith Williamson Key Unannounced Inspection 25th April 2007 09:30 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 Residential Home DS0000068813.V334304.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 Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedale Residential Home Address 68 Rockingham Road Kettering Northants NN16 8JU 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) 01536 512506 R & Z Jagroo Limited Vacant Care Home 19 Category(ies) of Dementia - over 65 years of age (7), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (19), Physical disability over 65 years of age (2) Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Rosedale will limit the service to the following service user categories: Older people (OP) 19. Older people with Physical Disabilities (PD (E)) 2. Older people with a Learning Disability (LD (E)) 1. Dementia over 65 years of age (DE (E)) 7. That Rosedale be registered to provide personal care to a maximum number of seven in the category of dementia (DE (E)) of whom one person (R.L.) is aged 64 years. The maximum number of service users that can be accommodated at Rosedale is 19. N/A 2. 3. Date of last inspection Brief Description of the Service: Rosedale is a privately owned care home currently registered to provide personal care and accommodation for 19 Older People including 7 people with dementia and two with a physical disability. Rosedale is a large detached house situated on the outskirts of the town centre of Kettering providing good access to local amenities. At the time of the inspection all bedrooms were being used for single occupancy and ten of the rooms have en-suite facilities. Bedrooms on the first floor may be accessed by the stairs or a shaft lift. The home has two lounge areas and a dining room, all located on the ground floor. There is also a small garden and patio area leading off from one of the lounge areas. Current fee levels at the home range from £340 - £380. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection (csci) is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. This inspection took place over one day, commencing at 9.30am and took six and one half hours to complete. One inspector conducted the inspection (or site visit). An opportunity was taken to look around the home, view records, policies and care plans and to talk to residents and staff. Information was gathered prior to the site visit from sources such as residents, their relatives and staff comment cards; the pre inspection questionnaire from the acting manager and in some cases complaint information. The majority of residents were seen and five spoken with during the inspection process, though due to the frailty of the resident group, few comments were made, some have been included in this report. What the service does well: What has improved since the last inspection? What they could do better: The new registered person must make available the updated Statement of Purpose and Service User Guide, which would provide upto date information for prospective residents. Updated contracts could be issued to new residents. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 6 Information entered in these documents must be updated and include all charges and restrictions within the home. The registered person must also update and include the complaints policy. Assessment information should be far more detailed, which would in turn lead to better informed care planning. Care plans must be more detailed and include information on health, dietary, personal and social care needs. Activities for residents with dementia, must be researched and a greater emphasis be placed on offering stimulation to this group. Exiting the building by visitors should be made easier, with the inclusion of special security locks. The complaints procedure must be brought up to date and distributed to staff within the home. Adult protection information must be expanded and also shared with staff, and form part of the ongoing training required by staff. Training plans for staff should be commenced and include detailed training. The homes’ maintenance plan should be updated and all the outstanding work required for health and safety purposes completed. Care staff recruitment must be tightened and staff commence only following receipt of the appropriate police checks and references. Finances or petty cash for the home are poor, and must be brought upto date, and where needed increased. Record keeping is poor with a number of records being incomplete. The Registered Person must record visits to the home, and provide the appropriate records required for these visits. 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 Residential Home DS0000068813.V334304.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 Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The assessment process for residents is not detailed or effective; resulting in a lack of accurate and detailed information for staff to ensure care needs shall be met. EVIDENCE: The Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was not available for inspection on this occasion. This document has not been updated to include the new Registered Person details since the new owner purchased the home. The Service User Guide has also yet to be updated. Both residents had contracts in place, and one was signed by the resident and previous Registered Person, the other resident had no contract in place. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 9 Since the recent changes of ownership have taken place, the Registered Person has yet to inform prospective residents of the entertainment charges levied by him. Details have yet to be added to the Service User Guide and or contract between the home and resident. The Inspector viewed the assessment information for two recently admitted residents. The information gathered for one resident was only partially completed, at some stage following admission to the home. No assessment could be found for the second resident. The information was not adequate in providing the amount of detail from which a plan of care could be derived. This places residents at risk of not receiving the care that they require. Standard 6, the home does not provide services for residents with Intermediate Care needs. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The lack of assessment information and detailed care plans, results in residents being placed at risk in the home. EVIDENCE: Care plans for the two case tracked residents did not include the detail for staff to enable them to undertake health, personal and social care needs, on a consistent basis. Health care issues were not adequately detailed and no information regarding individual care toward pressure area care or nutritional screening was included in any of the plans. The lack of care plans, risk assessments, and medication policies and procedures means that residents are at risk of not receiving their prescribed Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 11 medication. The medication disposal records were accurate, though the medication administration records (marr charts) had a few missing signatures and missing photos. There is currently no medication audit performed to ensure the appropriate medication has been administered. Residents’ privacy and dignity is recognised, and the toilets viewed in the home all had appropriate locks, and bathing facilities had “do not disturb” notices when in use. One resident confirmed receipt of her post, unopened. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Residents with Dementia are offered limited stimulation, due to activities not being appropriately researched. Residents are offered a balanced diet. EVIDENCE: Information on activities and pastimes is not gathered at the point of assessment, and does not form part of the current care plans in the home. The range of activities offered to residents is varied, but has not been guided by reference to specifically relate to those with Dementia. There is no specific plan for activities, staff offering activities based on circumstances at the time. Activities are recorded on individual files, and confirms activities are not undertaken regularly. An entertainment charge has been recently introduced, but this is not advertised to prospective residents, this has been fully covered in the “choice of home” section at the beginning of this report. Resident choice is curtailed by the home, with evidence of menu changes to use up stock items from the freezer and associated stock, due to the Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 13 Registered Person being on holiday, and the acting manager not having an appropriate fund of monies to undertake a full range of grocery shopping. Menus were viewed and demonstrated that meals provided a choice to residents. No residents’ nutritional assessments are currently undertaken; these would ensure residents had an appropriate diet to suit their needs whilst in the home. There was evidence of diets being provided for individual residents, and specialist food items provided for resident in the home. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Residents are not protected by updated complaints information, poor medication practices and poor storage issues. EVIDENCE: The Registered Person has not yet produced an up to date complaints policy for the home. The complaints procedure was not available to view on this occasion. There are currently no complaints in the complaints log. Staff have knowledge of protection of Vulnerable Adults issues, however do not relate these to the inconsistent and dangerous practices within medication administration, poor storage of Control of Substances Hazardous to Health (COSHH) items and poor storage of items awaiting disposal. Staff training around Adult Protection must be strengthened to ensure the ongoing safety of residents in the home. Rosedale Residential Home DS0000068813.V334304.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, 21, 25 & 26 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Residents’ safety is put at risk, by a poorly maintained home. EVIDENCE: Generally the environment is poor, and there are issues’ surrounding the need for the décor to be improved. The main door is locked with a “star” type deadlock, with no reference to this in the Service User Guide or individual resident contracts. There are broken windows to the front of the home. There are a number of items stored outside the home awaiting disposal; this causes a danger due to this area being a recognised fire escape route. The plan for routine maintenance is in place, however none of the items to have been actioned in February and March 2007, have been commenced, they cover the previous two items mentioned previously, and are the broken windows and stored items awaiting disposal. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 16 The first floor bathroom is out of order; this must be re-instated to allow residents the choice of bathing within close proximity of their bedroom. There are a number of areas in the home; the only source of light is the emergency lighting system. The corridor lights that are requiring repair must be done so swiftly to ensure adequate means for residents to mobilise round the home safely. A number of bedside lights were also noticed to be requiring to be replaced. The home is clean though not all staff are fully aware of cross infection and cross contamination issues, and this compromises residents safety in the home. For example all laundry is taken past the kitchen door which remains open when food preparation is taking place, leaving open the possibilities of cross contamination occurring. Rosedale Residential Home DS0000068813.V334304.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): Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. Residents are not supported or protected by the homes recruitment and training policies. EVIDENCE: The staffing rota was viewed and on the day of the inspection three care staff were on duty, this did not include kitchen and domestic staff. Of the thirteen staff employed in the home, two have a recognised qualification, this equates to 17 , and well below the 50 expected minimum recognised number of qualified staff. Three staff files were viewed, one member of staff did not have an application form on file. Another one member of staff had no references, another one a “character” reference. A further member of staff commenced employment prior to any police or Criminal Records Bureaux checks being in place. Staff training is not well planned, with no overall training plan in place. Again referring to the three staff files sampled for inspection purposes, two had not undertaken an appropriately planned induction, on commencing employment in the home. Training is not planned in advance, and only one of the three staff Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 18 files viewed, indicated completion of the minimum annual statutory training in first aid, moving and handling and health and safety issues. There are no upto date recruitment and training policies or procedures in place. Rosedale Residential Home DS0000068813.V334304.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, 34, 35, 36 & 38. Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The management approach does not promote effective care practice in the home for residents’ care and protection. EVIDENCE: The current acting manager has a number of year’s expertise with the current elderly group, though no formal management qualification. The questionnaires sent out for quality assurance purposes, were available for the Inspector to view. These have not been collated and entered into the Service User Guide to inform future residents to the home, nor with any of the current resident group or relatives. Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 20 These issues are poor practice and do not go any way to ensuring the home is run in the best interests of the resident group. There is a current insurance certificate in place, which appropriately covers the Registered Person for loss and damage to the home. There is currently a very small “petty cash” balance, which does not allow the acting manager to adequately cover financial expenditure at times of emergencies or when the Registered Person does not visit regularly. Residents finances looked after by the acting manager were found to be correct. Staff supervision is in place along with staff appraisal and staff meetings, which shows a willingness by the acting manager to operate the staff group as an organized unit. However the appraisal system does not reflect the training needs of the staff group. Currently the management structures within the home do not support effective and safe care practices in the areas of care planning, medication, staff recruitment and Criminal Records Bureaux checks. The record keeping in the home is poorly managed, residents have individual files, though these are not up to date, with neither of the case tracked residents having had a recent review of their care plan. Resident accident reports are completed but these are not numbered, and there is no consistent correlation between the accident and the enteries in the daily records. The current Registered Person visits the home occasionally, and has not completed any records of these visits. These “regulation 26” reports, which should comment on residents, their representatives and staff opinions regarding the standard of care, record of events, complaints and include an inspection of the home. These visits must therefore commence, and copies kept in the home for future reference by visiting Inspectors. Rosedale Residential Home DS0000068813.V334304.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 1 2 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 2 1 X 2 X X X 2 2 STAFFING Standard No Score 27 3 28 2 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 2 3 2 X 1 Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 OP1 Regulation 4 Requirement A Statement of Purpose must be produced, and made available for residents and their families. This would inform prospective residents and their families about the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing. A Service User Guide must be produced, and include the appropriate details mentioned in Regulation 5 and also include any restrictions placed on residents in the home. This would give prospective and current residents and their families a guide to the home. A fully detailed contract or statement of terms and conditions, to all residents in the home. This would enable residents and their families to be aware of any restrictions placed on them whilst resident in the home. The registered manager must ensure assessment information is fully detailed, and completed DS0000068813.V334304.R01.S.doc Timescale for action 01/06/07 2 OP1 5 01/06/07 3 OP2 17 (1) a 01/06/07 4 OP3 14 01/06/07 Rosedale Residential Home Version 5.2 Page 23 5 OP7 12 (1) 6 OP8 12 (1) 7 OP9 13 (2) 8 OP9 13 (2) prior to residents taking up residence in the home. This would ensure residents could be assured the home is able to meet the their needs. All care plans must be sufficiently detailed to enable staff to fully care for individual residents personal social and emotional care. This would ensure that all staff had sufficient information to meet the residents’ personal care needs. Care plans must be sufficiently detailed giving adequate instruction for staff to provide individual health care to residents. A detailed medication policy and procedure are formed, and shared with staff periodically. This would ensure staff were given information to enable safe dispensing and administration of medication to residents in the home. There must be an accurate record of all medication received, administered and disposed of by the service including: Defined codes for any nonadministration • Quantity administered where a variable dose is prescribed • Quantity and date of any medication given to residents for self administration • Quantities received and balances carried forward from the previous month All staff responsible for administering medication must have received appropriate training, be competent and DS0000068813.V334304.R01.S.doc 15/06/07 15/06/07 15/06/07 01/06/07 • 9 OP9 18 (1) (c) 02/07/07 Rosedale Residential Home Version 5.2 Page 24 10 OP9 11 OP12 12 OP16 13 OP18 14 OP19 15 OP19 16 OP19 follow written policy and procedure. This is to ensure residents safety in the home. 13(2) Where medication is prescribed as required or when necessary there must be sufficient information on the medication administration record or in care plans to ensure that staff know how much to give, when to give and why it is to be given. 12 (1 & 3) Information for residents’ pastimes must be researched and offered to residents in an appropriate manor. This shall ensure residents are offered activities at an appropriate level for their intellect. 22 A complaints procedure, which is appropriate to the needs of residents, must be put in place. This would ensure anyone wishing to complain, has the correct information to do so. 18 (1) c Staff training on vulnerable adult issues must be full and encompassing. This would ensure staff have a full knowledge of adult protection issues, and so be able to protect residents in the home. 23 (1) a Residents and visitors must have 23 (2) a the appropriate means to leave 13 (7) the home without restriction. This would ensure adult protection issues are fully recognised, and people are free to leave the home. 23 (2) a A programme of routine 23 (2) d maintenance should be produced that accurately reflects the renewal and replacement of equipment in the home. This would ensure residents lived in a well maintained home. 23 (2) b Any issue that is deemed as health and safety issue, must be DS0000068813.V334304.R01.S.doc 01/06/07 02/07/07 15/06/07 02/07/07 08/06/07 01/06/07 01/06/07 Page 25 Rosedale Residential Home Version 5.2 17 OP19 23 (2) b 23 (2) o 18 OP21 23 (2) a 23 (2) c 19 OP25 23 (2) b 23 (2) c 20 OP26 12 (1) a 21 OP28 18 (1) a 22 OP29 19 dealt with promptly, and not added to the plan of routine maintenance. This would ensure residents live in a safe environment. All items in store, awaiting disposal, must be disposed off promptly. This would ensure that the escape route through the area at the back of the home was uncluttered and would allow residents safe passage away form the home in an emergency. Bathing facilities to the first floor of the home must be brought back into use. This would ensure residents had a choice of bathing facilities available, and in close proximity to their bedroom. All lights must be working appropriately, and all areas are well lit in the home. This would ensure residents and staff were placed in a safe environment. Laundry must be appropriately transported to guard against cross infection with other areas of the home. This is to ensure residents and staff in the home are safe. A balance of qualified staff must be available to work in the home. This is to ensure resident safety in the home. Staff must not be employed unless the required checks have been carried out. These include PovaFirst/CRB checks References Full employment history Suitability to work with vulnerable adults This is to provide a safe environment for vulnerable DS0000068813.V334304.R01.S.doc 01/06/07 01/06/07 01/06/07 01/06/07 01/06/07 01/06/07 Rosedale Residential Home Version 5.2 Page 26 23 OP30 18 (1) a 24 OP30 18 (1) a 25 26 OP31 OP33 8 16 (2) n adults. All staff must have proper induction training prior to working with residents in the home. This is to ensure staff are fully aware of residents needs, and are familiar with the layout of the home. A training plan and individual staff training and development profile must be compiled for all staff in the home, to cover legal requirements and specialist care. This would ensure that all staff have an appropriate working knowledge of care practices in the home, and have the knowledge to work safely with individual residents. A registered manager must be appointed. Quality assurance must be undertaken, and the findings collated, and used to inform current and prospective residents and their relatives. This would ensure information is available to current and prospective residents, on how the service is run in their best interests. Adequate finances (or petty cash) must be made available to the current management at the home. This would ensure staff had the means to cover small purchases, and emergency payments. The Registered Person must record visits to the home and prepare a written report on such visits, making them available to the Commission for Social Care Inspection. This is to ensure the residents can be assured a good service is DS0000068813.V334304.R01.S.doc 01/06/07 02/07/07 01/09/07 02/07/07 27 OP34 25 (1) 01/06/07 28 OP36 26 08/06/07 Rosedale Residential Home Version 5.2 Page 27 29 OP38 12 (1) a 17 (1) a 30 OP38 12 (1) a 18 (1) a 31 OP38 12 (1) a provided for them. Accident reports must be completed appropriately, and in such a way that allows monitoring to take place for patterns evolving in the home. This is to ensure the safety of residents and staff. Suitable policies and procedures must be put in place, and made available to the staff, and inform training within the home. This is to ensure safe working practices for residents in the home. Suitable locked cupboards must be provided for dangerous chemicals held in the home. This is to ensure that residents are kept safe in the home. 01/06/07 01/06/07 01/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosedale Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Residential Home DS0000068813.V334304.R01.S.doc Version 5.2 Page 29 - 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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