Inspection on 16/06/05 for Rosedale Rosewood Bungalows

This inspection was carried out on 16th June 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosedale Rosewood Bungalows 20/11/07

Rosedale Rosewood Bungalows 30/01/07

Rosedale Rosewood Bungalows 25/10/05

Rosedale Rosewood Bungalows 20/09/04

Rosedale Rosewood Bungalows 09/06/04

Rosedale Rosewood Bungalows 19/02/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Rosedale/Rosewood Bungalows 5-7 Flaxton Street Hartlepool TS26 9JY Lead Inspector Bill Drumm Unannounced 16 June 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rosedale/Rosewood Bungalows Address 5 - 7 Flaxton Street Hartlepool TS26 9JY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01429 269249 Community Integrated Care Ms Ada Mary Ali CRH 6 Category(ies) of LD Learning disability (6) registration, with number of places Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20 September 2005 Brief Description of the Service: Rosedale / Rosewood is owned and operated by Community Integrated Care (CIC) and is registered to provide care and accomodation for upto 6 people under the age of 65 with learning disabilities. It is a modern purpose built bugalow which provides single rooms for all residents, each bedroom has its own wash handbasin. The home is divided into two units, each with three bedrooms, kitchen, lounge, dining room and toilet with bathing facilities. The home has a good sized garden to the rear and is situated close to bus routes which allow easy access to the town centre of Hartlepool. There are also a range of shops near to the home which sell more convenience items. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This un-announced inspection took place on Monday 20th June 2005 and was carried out as part of the annual inspection programme. The inspection lasted for approximately 4.5 hours during which, time was spent talking with four of the residents, three members of staff and the manager. The communal areas of the building were looked at in addition to four of the residents’ bedrooms. A number of records were also examined. No visitors were spoken with at the time of this inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 5. Residents are only admitted to the home on the basis of having received a full assessment of their needs and aspirations carried out by a person trained to do so. This helps to identify needs prior to taking up residence within the home. Each resident has an up to date individual contract / statement of terms and conditions, which clearly states the roles and responsibilities of both the resident and the provider. This helps ensure that residents have clear information about the home and the costs of living there. EVIDENCE: The manager reported that the last admission to the home took place a number of years ago and she believed comprehensive assessments of need had been undertaken prior to any admissions taking place. However, individual service user files examined did not contain evidence of these assessments having been undertaken. The manager did however describe the process which would now be followed should a vacancy arise within the home. This process was appropriate considering the needs of this client group. Residents spoken to at the time of the inspection were unable to give any insight into the admission process followed due to their level of understanding and learning disability. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 8 An examination of individual residents’ files indicated that statements for the terms and conditions of residence had all been completed. All documentation seen included cost of the placement and the residents contribution in addition to the room occupied and the responsibilities of all parties. There was evidence of resident involvement in this process or that of their next of kin / family members. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9. Residents’ care plans are detailed, up to date and clearly state how their needs are to be met and their independence promoted this enables staff to meet the individual care needs of all residents. Residents are supported and enabled by staff to make decisions about their lives in order to have greater control over their lifestyles. Residents’ risk assessments are both detailed and regularly reviewed. Risk assessments are therefore appropriate to individual residents’ circumstances. EVIDENCE: Residents’ files examined contained detailed care plans indicating how best to meet the needs of individuals and how to promote their independence. The information present contained comprehensive information about each resident’s long-term plans and goals as well as the shorter-term aims and action plans to meet needs. There was evidence to suggest that the plans were subject to regular review and update and are used as a working tool for staff members. The manager indicated that family members of residents are consulted about the content of care plans wherever possible and that as far as their abilities allow residents are also involved in this process. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 10 Discussion with the manager and staff indicated that residents are enabled and encouraged to be as independent as possible. Care plans and daily routines are based on individual needs and preferences and where appropriate risk assessments have been carried out. Residents’ files examined contained comprehensive risk assessments, which had a direct link to individual care plans. Risk assessments were signed and dated and there was evidence of periodic review having been undertaken. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17. Residents’ are encouraged and supported participate in activities, which are age, peer and culturally appropriate. Residents of the home utilise community resources with the support of staff members, which helps to promote their community presence. Residents have maintained close contact with friends, relatives and other family members who support them in their placements. Residents are encouraged to participate in activities of daily living within the home. This helps them to maintain their own independence. The meals in the home are good offering both choice and variety and promote a healthier balanced diet. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 12 EVIDENCE: Discussions with staff members and an examination of individual case files indicated that residents are enabled to participate in a range of community activities on a daily basis. On the day of inspection four of the six residents were present as two were attending local day services. One of the residents was “timetabled” to go ten-pin bowling and was observed to use the local paper shop another was encourage to become involved in household activities whilst another was listening to music in his room. The manager and staff all showed an awareness of the needs of residents and the need for them to access community resources in order to promote their community presence. Residents themselves were unable to give any examples of the way they participate in community resources due to their level of learning disability. The manager reported that all residents retain some contact with friends, family and relatives. There were a number of photographs present within the building to indicate that family contact is both promoted and maintained. A good rapport was observed between staff members and residents and routines within the home, were described as flexible by both the manager and staff members. Menus and meals within the home are regularly reviewed and changed in partnership with residents and their individual choices. An examination of the menus indicated that a balanced diet is offered. The manager and staff also indicated that on occasion take away meals are also eaten usually at weekends. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. Personal support is offered in the home in such a way as to promote and protect residents’ privacy, dignity and independence. The physical and emotional health needs of residents are well met with evidence of good multi-disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. EVIDENCE: Staff members were able to demonstrate their knowledge and understanding of residents and how the home provides care to them. Some of the residents are able to attend to their personal care needs with only the minimum of support whilst others need more assistance and help. Care plans examined contained detailed information about the needs of individuals and the manner in which these needs are to be met. A positive rapport was observed to exist between residents, staff and the homes’ manager. Residents are registered with a local GP and Dentist. The level of learning disability, which the residents have, precludes them from safely managing their own medication. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 14 Training records examined indicate the all staff members receive training in the safe handling and administration of medication. Prescribed medication is retained within the home in the “Boots” blister pack system. The manager reported that she re-assesses staff members at least every six months to ensure they still follow the agreed procedures. All medication is retained within a locked cabinet within a locked cupboard. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The systems for residents’ consultation in the home are good with a variety of evidence that indicates residents’ views are both sought and acted upon. The home has comprehensive policies and procedures for dealing with any issues of adult abuse of exploitation in order to help safeguard residents. EVIDENCE: Regular key worker meetings are held with residents, during which their views and opinions are sought. Regular Regulation 26 visits are also undertaken which also include the views of residents. Residents were unable to confirm whether they felt their views and opinions were acted upon due to the level of their learning disability. The home has good policies and procedures for dealing with any issues relating to the protection of vulnerable adults (POVA). Training records examined confirm that staff members receive appropriate training in relation to this. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. The standard of the environment within this home is very good providing residents with an attractive and homely place to live. Cleanliness within the home is of a high standard and provides residents with a clean and hygienic place to live. EVIDENCE: The home is decorated and furnished in a domestic style and appears well maintained. Both bungalows have recently had their kitchen areas updated with the installation of a range of new units and appliances. Residents’ bedrooms have been highly personalised with individual paint schemes and furnishings based on their personal interests. The decoration has, been undertaken by staff members. The attention paid to creating an environment that meets the residents’ needs and which is personal is worth commending. The home was found to be clean and hygienic and free from any offensive odours. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 and 35. Staff within the home are competent and posses a range of suitable qualifications. Residents within the home are therefore well supported. Staffing levels within the home are sufficient to meet the individual needs of all residents. The home has comprehensive policies and procedures for the recruitment of staff, which helps to maintain the safety and well being of residents. Staff within the home, receive regular and appropriate training, which helps them to meet the individual needs of residents. EVIDENCE: It was obvious from direct observation that staff members relate well to the residents of the home and work well to meet their individual needs. Staff members spoken to had a good knowledge of the needs of adults with a learning disability and specifically the needs of residents. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 18 The waking day at the home is between the hours of 7.00am and 11.00pm. Rosters examined indicated that three staff members are on duty at key times during the day (mornings) with four staff members on duty at other times (afternoon’s). During the evening two members of staff are on duty, one waking night the other sleeps in. The home has no specific domestic, catering or laundry staff. Care staff, are required to undertake some ancillary duties out of their allocated care hours. There is no suggestion that direct resident care is compromised as a result of this arrangement. The home has comprehensive policies and procedures for the selection and recruitment of staff, which includes the involvement of the residents themselves. Staff members’ files examined contained copies of their job descriptions and staff members spoken to were clear about their individual roles and responsibilities. All staff members follow a thorough induction process and have the opportunity to participate in on-going training. Seven staff members have achieved NVQ level 2, three are currently undertaking the course and one has yet to start this training. Staff members all have personal development plans in place and a new training matrix has recently been introduced. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42. The homes’ manager is committed to self-development, staff training and also has the experience necessary to ensure that the home is well run for the benefit residents. Residents’ views are sought through regular key worker meetings and where possible their views are borne in mind by the manager when considering how to improve the running of the home. Records in general including Health and Safety were up to date. The Health and Safety of visitors, residents and staff are maintained. EVIDENCE: The manager has a number of years of appropriate experience working within the care sector and has also held management positions. The manager has commenced the Registered Manager’s award and is also undertaking the NVQ level 4. It is anticipated that this course of study will be completed in the Spring of 2006. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 20 Records examined confirmed that regular key worker meetings are taking place with residents. It was not possible due to the level of learning disability of residents to determine whether they were confident that their views and opinions were used to develop the home. Community Integrated Care have a quality monitoring system which reports on the organisations overall care provision however, this does not provide information specific to this home. Monthly visits and reports by the responsible individual for the home are being carried out. Records examined confirmed that as far as is reasonably practicable the health and safety of visitors, residents and staff is maintained. On the day of inspection a number of doors within the home were propped or wedged open, in particular the bedroom doors of some of the residents. The day of inspection was particularly hot and the opening of doors in this manner did assist in creating a cooling draft throughout the building for the benefit of both residents and staff members, in addition it was noted that residents themselves preferred their bedroom doors to be retained rather that swinging shut as this enabled them to observe what was happening within the home and to have interaction with staff members. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosedale/Rosewood Bungalows Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 3 x DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 22 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 39 Regulation 24 Requirement The organisations quality assurance and quality monitoring process must produce information specifically relating to the home. This is an outstanding requirement from the previous inspection. Timescale for action 16/09/05 2. 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 YA 37 YA 42 Good Practice Recommendations It is recommended that the homes owners support the manager to achieve Registered Managers Award and NVQ level 4 at the earliest opportunity It is recommended that the manager of the home seeks the advice/opinion of the responsible fire authority with regard to the practice of propping/wedging doors open within the building and where required cundertakes any risk assessments. Rosedale/Rosewood Bungalows DB54 S21756 Rosedale Rosewood V227077 160605 Stage 2.doc Version 1.30 Page 23 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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