Inspection on 23/09/05 for Rosedene

This inspection was carried out on 23rd September 2005.

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 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 15/01/09

Rosedene 09/01/07

Rosedene 28/12/05

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 09/07/2008.

CARE HOME ADULTS 18-65 Rosedene 98 Churchfield Lane Glasshoughton Castleford West Yorks WF10 4DB Lead Inspector Tony Railton Unannounced Inspection 23rd September 2005 08:30 Rosedene DS0000006247.V250690.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 Rosedene DS0000006247.V250690.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. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosedene Address 98 Churchfield Lane Glasshoughton Castleford West Yorks WF10 4DB 01977 733802 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) Alternative Care Limited David Hodgson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2005 Brief Description of the Service: Rosedene continues to provide accommodation and personal care for three people who have a learning disability. All three tenants have lived at Rosedene for over ten years and consider the home to be theirs. Rosedene is a very large middle terrace house situated in the residential area of Glasshoughton on the outskirts of Castleford. All tenants are provided with single accommodation which is personalised and there are two large lounges, a large kitchen/ dining area. The home is close to a main bus route and only a few minutes away from the Freeport shopping complex, there are shops nearby, including a post office. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 16.00 when the tenants and their support workers arrived home from their day time occupations. This was a particularly short visit as the tenants had made plans to go out so only the core standards were looked at. Although this was a very short inspection there were a number of improvements noted both to the physical environment and more importantly the to the care management systems. This was a very positive and enjoyable unannounced inspection and the inspector would like to take the opportunity to thank the tenants and support workers for their hospitality, patience and cooperation. What the service does well: What has improved since the last inspection? There have been tremendous improvements to the physical environment since the last inspection. It was noted that new replacement windows have been provided throughout, along with a new front and back door. New garden furniture has also been provided including table , chairs and parasol. All bedrooms and lounges have been decorated, are personalised and homely. One tenant said that she continues to enjoy living in her home and likes the people caring for her. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 6 The inspector was impressed with the response from one male tenant which was very positive indeed and not seen before by the inspector. The manager and support workers are to be commended for their efforts in developing and maintaining care management systems which are obviously meeting tenants needs. It was also noted that since the last inspection the service users guide and complaint procedure has been made available on audio cassette for one tenant who is blind. This practice is to be commended. The inspector was impressed with the positive attitude of the support works towards tenants and the positive relationships fostered. 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. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 7 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 Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 8 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): 2 All tenants have their personal and healthcare needs assessed and plans put in place to make sure that their care and support needs are met. EVIDENCE: Tenants records’ showed that their care and support needs are continually assessed and reviewed. Discussion with the support workers indicate that they are constantly observing and recording the tenants behaviour. They also said that there are care plans and risk assessments for them to follow and be aware of. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 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 the following standard(s): 6,7 & 9 Tenants are assisted an supported to make decisions about how they live their daily lives. EVIDENCE: Support workers were observed asking tenants what they would like to do, were given options and offered alternatives. The assessments , including risk assessments,, care plans and reviews showed that tenants personal and changing care needs are reflected in their care plans and daily records. Discussion with support workers showed that they are fully aware of tenants risk assessments, however, these do not prevent tenants from playing an active part in their local community. The daily records show that action is taken to minimise any identified risks and hazards to tenants. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 10 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): 12,13,15,16 & 17 Tenants are provided with opportunities for personal development, are able to take part in age, peer and culturally appropriate activities and are part of their local community. EVIDENCE: Tenants records including assessments, care plans, reviews and daily records show that tenants are encouraged and assisted to take full advantage of ordinary community based leisure services. Records also show that daily routines are set by tenants who are given the opportunity to choose what they do. On the evening of the inspection one tenant had arranged to go swimming and another to go to a local club. The support workers said that tenants have very busy and full lives, enjoy meeting other people and have their own circle of friends. One tenant said that she is going to Spain on holiday in October this ear. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 11 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): 18,19 & 20 Tenants receive personal support in a way they prefer and require and their physical and emotional healthcare needs are met. EVIDENCE: Tenants case files including assessments, care plans, medical and daily records show that tenants healthcare needs are met. Records also show that tenants are encouraged and supported to use ordinary community based healthcare services. However, there was evidence that specialist advice is available from Community Learning Disability Team and specialist Social Workers if required. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 12 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): 22 & 23 Tenants are protected from abuse, neglect and self harm. EVIDENCE: It was noted that the home has a copy of the new Wakefield Social Services and Health Multidisciplinary Adult Abuse and Protection Policy and Procedure. Support workers said that adult abuse, what it s and how to prevent it also form part of their induction training. It was noted that the home has not received any complaints since the last inspection. It was also noted that the complaint policy and procedure has been made available on audio cassette for one tenant who is visually impaired. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 13 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): 24,25,26,27,28,29 & 30 Tenants live in a homely, comfortable and safe environment which is personalised and as they like it. EVIDENCE: It was noted that since the last inspection the home has had new windows and doors fitted. All the bedrooms and lounges have been decorated and new garden furniture provided. One tenant said that she likes her home very much and enjoys living here. On the day of the inspection all arts of the home were clean, tidy and free from any unpleasant odours. All parts of the home are personalised and tenants said that they have their home how they like it. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 14 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): 32,34 & 35 Tenants are supported by competent and qualified staff and are protected by the homes recruitment policy and practices. EVIDENCE: It was noted that one support worker was recently employed already having a National Vocational Qualification Level 2. This practice is to be commended. Support workers said that they have had induction training and are well supported by the manager who supervises them on a regular basis. The inspector was pleased to note that support workers have a copy of the Codes of Conduct and Practice issued by the General Social Care Council. It was also noted that support workers are only employed following a police and a protection of vulnerable adults list check. The inspector was impressed with the positive attitude of the support workers and the good relationship they appeared to have with tenants. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 15 One tenants response to the inspector was very positive, saying hello, smiling and shaking hands. This improvement to this particular tenants behaviour must be noted. This positive outcome/ observation demonstrates that the way care is provided for him is good and works. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 16 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 & 42 Tenants benefit from living in a well run home where they have a say in what they do and what happens to them on a day to day basis. EVIDENCE: Tenants records show that they are given opportunities to comment on where and how they live their lives. Support workers ask tenants for their comments all the time and these are reflected in the daily records. One support worker said that regular meetings are held for tenants to discuss issues relating to their home including where to go on holiday. Support workers said that they have had training in relation to health and safety, including, First Aid, Moving and Handling and Basic Food Hygiene. Tenants are protected by the homes policies, procedures and practices regarding finances and record keeping. Rosedene DS0000006247.V250690.R01.S.doc Version 5.0 Page 17 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 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosedene Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 x DS0000006247.V250690.R01.S.doc Version 5.0 Page 18 N/A 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 Regulation Requirement On the day of the inspection there was no failure to meet statutory requirements noted. Timescale for action 26/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations On the day of the inspection there was failure to meet minimum standards noted. 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