This inspection was carried out on 25th October 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 no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Rosedale/Rosewood Bungalows 5 - 7 Flaxton Street Hartlepool TS26 9JY Lead Inspector
John Trainor Unannounced Inspection 25th October 2005 09:30 Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 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/Rosewood Bungalows DS0000021756.V259674.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 Adults 18-65. 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/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Rosedale/Rosewood Bungalows Address 5 - 7 Flaxton Street Hartlepool TS26 9JY 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) 01429 269249 Community Integrated Care Ms Ada Mary Ali Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16th June 2005 Brief Description of the Service: Rosedale / Rosewood is owned and operated by Community Integrated Care (CIC) and is registered to provide care and accommodation for up to 6 people under the age of 65 with learning disabilities. It is a modern purpose built bungalow, which provides single rooms for all residents, each bedroom has its own wash hand basin . 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 DS0000021756.V259674.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took 2.5 hours. The homes representative on the day was Ms. Ada Mary Ali the registered manager. The care of three people was looked into in detail including inspection of care plans and meeting the people. Health and safety documents were inspected and outstanding requirements were inspected again. 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 DS0000021756.V259674.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 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 the following standard(s): 3 People could be confident their needs were clearly recorded and would be met. EVIDENCE: Though people had lived at the home for a long time the information recorded in files with regard to assessment was comprehensive and personalised. Transition documents which came with people when they moved in were clear and gave a picture of how people would like their needs to be met. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 7, 9 and 10. Peoples independence is promoted and they can be sure their information is treated confidentially. EVIDENCE: Care plans were detailed and personalised. Care plans inspected had risk assessment and risk management strategies. People’s information and care plan were stored in a lockable office. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 12 and 13. People’s lifestyle reflects what they like. EVIDENCE: People participate in a whole range of activities depending on preference. On the day of inspection a person was having a birthday party. People went out to McDonalds for lunch as this was something they enjoyed. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 18 People’s healthcare needs are met in a way which reflects their preference. EVIDENCE: Care plans accounted for individual likes and dislikes. People had input from relevant health and social care services at primary and secondary level dependent on need. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 23 People are protected from Abuse. EVIDENCE: Local Authority multi agency strategy is followed in the home, a copy was available and staff were trained in this. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 30 The environment met people’s needs and was clean and hygienic. EVIDENCE: The home was clean and tidy with bedrooms personalised to individual taste. The kitchen was clean and staff were seen to keep areas of the home clean and hygienic. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 13 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 People could be confident there were enough staff with the skills to meet their needs. EVIDENCE: There were sufficient staff on duty at the time of the inspection who were observed to work well with the people living at the home. The staff have a rolling programme of training and a record was kept of what training staff needed. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 14 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 and 42 Though people could be assured the home was well run in the interests of the people who lived there, some enhancements to fire safety equipment and practices would ensure things were safer for people. EVIDENCE: The manager has commenced the NVQ 4 and hopes to complete by December. A recent fire inspection from a contractor recommended improvements to the fire alarm system were necessary and safe door holding devices are necessary in the home to meet the needs of the people living there and their expectations. Though the home has a quality assurance tool in place to check they are providing a good service this information is not reported on for each individual home but rather is presented as a performance measure of the whole company. In order to make this performance information available to stakeholders in the home as a representation of the home’s performance this information needs to be collated and presented on an individual home basis.
Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 15 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 X 3 X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 3 Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Rosedale/Rosewood Bungalows Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 1 x DS0000021756.V259674.R01.S.doc Version 5.0 Page 16 No 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 YA42 Regulation 23 (4) Requirement Improvements to the fire alarm system must be made to bring up to fire regulation standards. Doors must not be wedged open unless by devices approved by the fire authority for this purpose. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The home should collate the information gained from quality assurance on an individual home basis so they can feed back to interested stakeholders how the home performs. Rosedale/Rosewood Bungalows DS0000021756.V259674.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Darlington Area Office 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
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