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Inspection on 30/01/07 for Rosedale Rosewood Bungalows

Also see our care home review for Rosedale Rosewood Bungalows for more information

This inspection was carried out on 30th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People had their needs assessed before making a decision to move into the home. They were encouraged to make choices, with support from staff and their lives reflected these choices. People had things to do to occupy their time and give them a lifestyle involving things they enjoyed. People had their health care needs met in a planned way with respect for their dignity. People were protected from abuse by the homes policies, recruitment and training processes. People lived in a clean and comfortable home. Staff were deployed in sufficient number, and with sufficient skill to meet people`s needs. The home was well managed in the interests of the service users. One person smiled and nodded agreement when asked if they liked the home. Another said they liked the food and their favourite was "pasta". People seemed happy and the staff knew what things people liked. One person said they liked "disco" and had music equipment in their room.

What has improved since the last inspection?

The provider had not done the things they were asked to do at the last inspection to improve safety for people and give better feedback on the quality of the service. They have been asked again to improve these areas in this report.

CARE HOME ADULTS 18-65 Rosedale/Rosewood Bungalows 5 - 7 Flaxton Street Hartlepool TS26 9JY Lead Inspector John Trainor Unannounced Inspection 30th January 2007 09:30 Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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.V327206.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 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.V327206.R01.S.doc Version 5.2 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 www.c-i-c.co.uk. Community Integrated Care Mrs. Michelle Butler Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 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. Fees at the time of inspection were £1088.00. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The provider gave information to the Commission for Social Care Inspection before a site visit, which was unannounced and lasted 4 hours. This visit included speaking to people who live in the home and watching how staff treated them. During the site visit records were inspected including care plans and health and safety records. The home manager and staff were spoken to about care in the home. There was a tour of the building. 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. The summary of this inspection report can be made available in other formats on request. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had their needs assessed before making a decision to move into the home. EVIDENCE: All files inspected had assessments, as well as evidence of review and revision as people’s needs changed. People had contracts or statements of terms and conditions. These needed some revision to make explicit how care was funded. Though contracts were clear about service user contribution the balance was said to come from “other sources.” These sources should be identified so people can be clear about how their fees are structured and paid. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People could make choices and their lifestyle reflected their preference and expectation. EVIDENCE: Care planning was good and included risk assessment and risk management. People had their likes and dislikes recorded. Plans were individualised. Staff could demonstrate what food people liked to eat. Bedrooms were personalised and reflected individual taste and preference. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had things to do to occupy their time and give them a lifestyle involving things they liked to do. EVIDENCE: Care plans included evidence that people attended day services. As well as this there were individual plans for one to one activities such as personal shopping. People also went out as a group for meals or to visit interesting places like the marina. People liked the food and the staff knew what people liked to eat One person said their favourite was “pasta,” another liked, “chips,” the best. People seemed happy and the staff knew what things people liked. One person said they liked “disco” and had music equipment in their room. All rooms had personal entertainment equipment as well as communal facilities. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had their health care needs met in a planned way with respect for their dignity. EVIDENCE: Plans included details of likes and dislikes. There was evidence of professional input from both primary and secondary health teams, dentistry, speech therapy, day care, hydrotherapy. Medication was stored and recorded safely and staff had received training in medication. Staff were seen to be courteous and polite, treating people with dignity and respect. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were protected from abuse by the homes policies, recruitment and training processes. EVIDENCE: There was a user friendly complaints procedure available for service users telling them how to complain. Policies and procedures were in place to protect people from potential abuse and staff had received training. There was evidence that staff had been checked by the criminal records bureau before starting work. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People lived in a clean and comfortable home though work was needed to improve safety in case of fire and ensure electrical hard wiring was safe. EVIDENCE: The home was clean and tidy. People’s rooms were personalised. There was a landlords gas safety certificate and electrical hard wiring certificate. However the hard wiring certificate had identified works necessary and there was no evidence this work had been completed. This was necessary for the installation to be judged satisfactory. Also the fire alarm system had previously been identified as needing upgrade and despite the Commission requiring that this work be completed it had not been done. There was a fire alarm system but it was not up to preferred fire safety standards. Communal bathrooms would benefit from liquid soap and paper towels to promote infection control. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were deployed in sufficient number, and with sufficient skill to meet people’s needs. EVIDENCE: Staff were checked against Criminal Record Bureau and Protection of Vulnerable adult lists before they were employed. 75 of staff had NVQ level 2 or above and more were training to this level. Staffing hours exceeded those recommended by the residential forum on staffing. The company was committed to training. Training in the last year including induction, foundation, moving and handling, first aid, food hygiene, challenging behaviour, no secrets, positive communications, person centred planning, aging and Learning Disability, moving and handling facilitators course, fire safety, bereavement and loss, risk assessment, stress recognition, NVQ. With much training planned for coming year including first aid 4 day course, fire train the trainer, induction bereavement and loss, risk assessment, COSHH, manual handling, health and safety, fire safety. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed in the interests of the service users. EVIDENCE: The manager had the registered Managers Award and was due to start the NVQ 4 in Care. There was a landlords gas safety certificate, adequate insurance, checks on fire safety equipment and a fire risk assessment. An upgrade to the fire alarm system had been identified as necessary. The manager said money had been allocated from the new financial year budget to complete the work. Fire alarms were tested weekly and fire training refreshers were completed 3 monthly. Procedures were in place for managing risks from legionella. Portable Appliances were tested to make sure they were safe annually. Service user finances were kept in a safe way, recorded well and Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 Page 15 audited regularly. Quality assurance checks were completed by the company, who collate this into a company report. These reports do not reflect service user views for each home but rather give an overview for CIC as a whole. Efforts are needed to do this feedback to service users for individual homes rather than for the company as a whole. Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 Page 16 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 Standard No Score 1 X 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Rosedale/Rosewood Bungalows DS0000021756.V327206.R01.S.doc Version 5.2 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 The provider must consult with the fire officer and make improvements to the fire alarm system to bring up to fire regulation standards. (Previous timescale of 31st December 2005 had not been met.) The provider must complete those matters needing attention as identified on the hard wiring certificate and retain evidence of this to confirm the electrical installation is satisfactory. Timescale for action 30/04/07 2. YA24 13(4(a)) 30/04/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA30 YA39 Good Practice Recommendations Communal bathrooms, toilets and the laundry should have liquid soap and paper towels to promote best practice in infection control. 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. DS0000021756.V327206.R01.S.doc Version 5.2 Page 18 Rosedale/Rosewood Bungalows Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. 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