Inspection on 15/01/09 for Rosedene

This inspection was carried out on 15th January 2009.

CSCI found this care home to be providing an Good service.

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

Rosedene 09/01/07

Rosedene 28/12/05

Rosedene 23/09/05

Rosedene 09/02/05

Rosedene 05/01/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Rosedene 98 Churchfield Lane Glasshoughton Castleford West Yorks WF10 4DB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tony Railton     Date: 1 5 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 20 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 20 Information about the care home Name of care home: Address: Rosedene 98 Churchfield Lane Glasshoughton Castleford West Yorks WF10 4DB 01977733802 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Gaynor@alternativecarelimited.co.uk Alternative Care Limited Name of registered manager (if applicable) David Hodgson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered person may provide the following category of serivce only: Care Home only - Code PC, To service users of the following gender: Either, Whose primary care needs on admission to the home are within the following category: Learning Disability Code LD, maximum number of places 3 Date of last inspection Brief description of the care home Rosedene continues to provide personal care and accommodation for three people who have a learning disability. Rosedene is a very large middle terrace house situated on the outskirts for Castleford at Glashoughton. There is a small garden area to the front and a larger paved area to the rear. There is a large television lounge to the front of the house and a large lounge to the middle leading to a large kitchen / dining room to the rear. All accommodation offered is single and all areas of the home are personalised, homely and comfortable. Service users have lived in the home for a Care Homes for Adults (18-65 years) Page 4 of 20 care home 3 Over 65 0 3 Brief description of the care home considerable number of years and consider the home to be theirs. The care provided is based on ordinary living principles and there is an expectation that service users do as much for themselves as possible. Service users are encouraged and supported to take advantage of ordinary community based healthcare and leisure services. On 9th January 2007 the provider said that the fees for living in the home are #340.00 per week and that there are extra charges for hairdressing (from #5.00) and holidays (charges vary depending on holiday chosen). Other information about the services provided can be obtained from the home. There are local shops nearby and Castleford town centre with all services and amenities is only a few minutes journey from the home. Rosedene is close to a main bus route and to the M62/M1/A1 link roads. Care Homes for Adults (18-65 years) Page 5 of 20 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This visit confirms the services Two Star rating which means people using the service experience good quality outcomes. This visit started at 15:40 and ended at 16:40. During the visit there was the opportunity to speak to two people living in the home, two support workers and the Care Manager. Peoples records were seen and included assessments, care plans, reviews, daily and medical records. Three support workers records were seen and included references, police and Protection of Vulnerable Adult List checks. Staff training records, the medication administration system and peoples financial records. This was a very positive visit and the inspector would like to take the opportunity to thank those living at Rosedene and their carers for their patience and hospitality throughout the visit. Care Homes for Adults (18-65 years) Page 6 of 20 Care Homes for Adults (18-65 years) Page 7 of 20 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 20 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 20 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To make sure peoples personal and health care needs can be met these are assessed before coming to live in the home. Evidence: To make sure the service can meet peoples personal and health care needs the records show that these are assessed before coming to live in the home. The reviews show that peoples personal needs are looked at regularly and changed to reflect and show their changing needs. This was confirmed by the Care Manager and two support workers. Care Homes for Adults (18-65 years) Page 10 of 20 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to make decisions about their lives and to have a say in what they do and how they live. Evidence: Peoples personal care needs are reflected in their plan of care. The reviews show these are looked at regularly and amended to reflected peoples changing needs. The daily records show people have a say in what happens to them and how they live their lives. People were observed throughout the visit being treated with dignity and having their wishes respected. Positive relationships were observed being fostered between those living in the home and those supporting them. People said they like living in the home and the people caring for them. Care Homes for Adults (18-65 years) Page 11 of 20 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a say in how they live their lives and this includes having a varied and balanced diet of their choice. Evidence: People are encouraged and supported to use ordinary community based leisure care services. The daily records show peoples choices and preferences and reflect any decisions they make about how they live their day to day lives. The daily records also show peoples choices with regard to menu. The support workers confirmed people choose their own menu. One support worker says because there is only three people living in the home they can choose what they would like to eat. The photographs in peoples records show them enjoying holidays and outings and seasonal celebrations. Care Homes for Adults (18-65 years) Page 12 of 20 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples healthcare needs are met by ordinary community based healthcare services and they are protected by the way medicines are dealt with. Evidence: Records show people are supported to use and have their health care needs met by ordinary community based health care services. Records show people are supported by local General Practitioners, Dentists, Opticians, and Chiropodist. Records also show some people also have the support of the Community Learning Disability Team and some hospital based consultants. People are protected by the way medicines are dealt with as records show staff are trained in how to administer medicines safely. The medicine administration system was checked and found to be safe. Care Homes for Adults (18-65 years) Page 13 of 20 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a say in what happens to them and know that what they say will be taken seriously and acted upon. People are also protected from any kind of abuse. Evidence: People are protected from abuse as records show support workers have Safeguarding training. The support workers confirmed this. Peoples records show they have an easy read copy of the complaints policy and procedure which belongs to them. The records show the home has not received any complaints since the previous inspection visit. The Care Manager confirmed this. Throughout the visit people were observed being treated with dignity and having their wishes respected. The daily records show what people say is taken seriously and acted upon. Care Homes for Adults (18-65 years) Page 14 of 20 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well maintained home that is homely comfortable, clean and safe with the exception of the kitchen walls that are stained and dirty. Evidence: A tour of the premises found people live in a well maintained , well decorated home that is comfortable, clean and safe. However, to make people more comfortable the kitchen walls show they are stained and need to be redecorated. Peoples bedrooms are personalized and they have their own space as they want. Care Homes for Adults (18-65 years) Page 15 of 20 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by trained and qualified staff and they are protected by the way they are selected and recruited. Evidence: Records show people are supported by trained and qualified staff. Records show over 50 of support workers have a National Vocational Qualification Level 2 or above and others are registered on NVQ courses. People are protected by the way staff are selected and recruited as records show references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. Care Homes for Adults (18-65 years) Page 16 of 20 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home, where they have a say and where their best interests are safeguarded and protected. Evidence: People live in a well managed home that is run in their best interests and where they have a say in what happens to them. The quality assurance surveys in peoples records show they have the opportunity to comment on the running of the home and the services provided. The daily records show peoples choices , preferences, likes and dislikes and any decisions they make about how they live their lives. People are protected by the way their monies are dealt with as these were checked and found to be correct. Staff training records show they have health and safety, moving and handling and first aid training. Care Homes for Adults (18-65 years) Page 17 of 20 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 18 of 20 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 24 29 For the comfort and benefit of people living in the home the kitchen walls should be re decorated. For the comfort and to promote the health and safety of people living in the home the kitchen walls should be cleaned or redecorated. Care Homes for Adults (18-65 years) Page 19 of 20 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 20 of 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!