CARE HOME ADULTS 18-65
Rosedene 98 Churchfield Lane Glasshoughton Castleford West Yorks WF10 4DB Lead Inspector
Tony Railton Unannounced Inspection 28th December 2005 12:30 Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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.V265677.R01.S.doc Version 5.1 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.V265677.R01.S.doc Version 5.1 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.V265677.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: 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 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. 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. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector arrived at 12.30 for this unannounced inspection and there was the opportunity to sit and speak with two service users and their support worker. This was a very relaxed, positive and enjoyable inspection where it was noted that the home continues to meet all statutory requirements and nearly all minimum standards. This was a short visit to the home as most of the core standards were inspected on the previous unannounced inspection. The inspector would like to take the opportunity to thank both service users and their support worker for their warm welcome, hospitality and co-operation throughout the inspection. What the service does well:
The home continues to offer a relaxed, homely and comfortable environment. All areas of the home are decorated and maintained to a good standard and service users are surrounded by their own possessions. The home uses a person centred approach to caring which includes assessment, care planning and reviewing of service users individual personal and healthcare needs. Service users are encouraged and supported to take community based healthcare and leisure services. provided with a weekly diary of activities based on Service users also attend sessions at local authority services. advantage of ordinary All service users are their individual needs. and privately run day Service users are encouraged to maintain positive links and relationships with family and friends and on the day of the inspection one service user was spending time at home over the holiday period. Service users continue to be supported by experienced and qualified staff. Records indicate that service users personal and healthcare needs continue to be met. They also show that there is specialist advice available from the Community Learning Disability Team and specialist Social Workers if required. What has improved since the last inspection?
The inspector took the opportunity to sit with and speak to two service users who appeared to be relaxed and comfortable. Both service users said that they had a good Christmas and were pleased when showing the inspector their presents. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 Page 6 Both service users said that they were happy and enjoyed living in “their house”. Both said that they had everything that they needed and that they liked the people looking after them. Service users informed the inspector that they are looking forward to going to see the Pantomime and celebrating the new year. The senior support worker said that service users continue to enjoy a full active lifestyle and appear to be happy and comfortable. 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.V265677.R01.S.doc Version 5.1 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.V265677.R01.S.doc Version 5.1 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 Service users benefit from having a comprehensive assessment of their personal and healthcare needs undertaken before they were admitted. EVIDENCE: Records show that service users have lived in the home for some considerable time and consider it to be theirs. Service users Person Centred Plans include assessments, care plans, risk assessments and reviews. Service users case files including assessments show that they also have an Integrated Care Management Programme Assessment completed by the local authority. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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 Service users do make decisions about their lives and are consulted on and participate in every aspect of life in the home. EVIDENCE: Discussion with service users, support worker and examination of their person centred plans show that service users are involved with every aspect of their lives. Service users were observed making decisions about their lives and expressing choices and preferences. However, the daily records do not contain descriptive words to indicate and reflect that service users make choices and express preferences on a day to day basis. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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. Service users enjoy living full active lives and being part of their community. EVIDENCE: Discussion with service users shows that they enjoy going out for meals, to the local public houses and clubs. They also said that they enjoy going to the shops and to Cambridge Street, (day services). One service user said that she still enjoys her voluntary work in a local charity shop. Another said that she still attends the Centre at Pontefract and that she has a friend who goes that she likes and calls him her ‘boyfriend’. Examination of service users case files including assessments, care plans and reviews show that service users live full and active lives. Daily records show that service users are supported and encouraged to take full advantage of all ordinary community based leisure services. Positive links with service users relatives are openly encouraged and on the day of the inspection one service user was spending some time at home with his relatives. Service users said that they are looking forward to going to the Pantomime and celebrating the new year.
Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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 Service users are supported and encouraged to take full advantage of ordinary community based healthcare services. EVIDENCE: Service users said that they are keeping well and their case files including medical records show that they use ordinary community based healthcare services. Service users records also indicate that there is specialist advice and support provided by the Community Learning Disability Teams and Social Workers if required. Examination of the medicine ordering, storage, administration and recording system show that service users are protected and safeguarded by the homes medicine polices and practices. Service users reviews show that other stakeholders such as relatives, social workers and day services are also happy with the care and support offered to those living in the home. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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 Service users know that their views will be listened to and acted upon and that they are protected from abuse, neglect and self harm. EVIDENCE: Service users said that they enjoy living in the problems they would tell someone. The support users have any problems they are usually dealt said that the home has not received any unannounced inspection. home and if they had any worker said that if service with immediately. She also complaints since the last The inspector was pleased to note that the home continues to provide the complaints procedure on alternative formats including audio tape. The inspector was also pleased to note that the home has a copy of the Wakefield Social Services and Health Multidisciplinary Adult Abuse and Protection Policy and Procedure which forms part of the training for new staff. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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 & 30 Service users live in a homely, comfortable and safe environment. EVIDENCE: Discussion with service users indicates that they consider the home to be theirs. Service users said that they liked their own bedrooms and that they have everything they need. One service user said that she still has her desk and computer and would like to be a ‘secretary’. All areas of the home were observed to be decorated and maintained to a good standard. Service users bedrooms are personalised that they are surrounded by their own possessions. On the day of the inspection all areas of the home were clean and free from any unpleasant odours. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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 Service users benefit from clarity of staff roles and responsibilities and are supported by competent and qualified staff. EVIDENCE: Discussion with the senior support worker indicates that all support staff have a National Vocational Qualification Level 2 or above. The senior support worker said that no staff have been employed since the last inspection. Staff records seen previously indicate that all staff have appropriate checks undertaken before they are employed including CRB and POVA (Protection of Vulnerable Adults List). The senior support worker said that all staff are up to date with their First Aid, Moving and Handling, Food Hygiene and Health and safety training. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 Page 15 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 Service users benefit from living in a well run home and where they are fully involved in the decision making processes. Service users and staff are protected by the health and safety policies and practices. EVIDENCE: On the day of the inspection service users were observed making decisions and been offered alternatives and options. This process is continuous and support staff are continually consulting with service users regarding the daily routines and running of the home. Service users reviews show that service users, their relatives and other stakeholders have the opportunity to comment on the running of the home and the quality of the support provided. Examination of the homes policies and procedures show that they have received an annual review by the registered manager. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 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 X 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 3 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 2 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 3 X X 3 x Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement On the day of the inspection there was no failure to meet statutory requirements noted. Timescale for action 28/12/05 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 YA7 Good Practice Recommendations The daily records would benefit from the use of descriptive words to describe and reflect service users choices and preferences and any decisions they make regarding how they live their daily lives. Rosedene DS0000006247.V265677.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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