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Inspection on 04/10/05 for Rosedene

Also see our care home review for Rosedene for more information

This inspection was carried out on 4th October 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.

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

Service users are not admitted into the home unless they have been assessed to ensure that their needs can be properly met there. Assessments are comprehensive and take into account their health, personal and social care needs, including their cultural backgrounds. Service users` assessments form the basis of their written care plans, which set out clearly how their needs will be met. Service users said that they are aware of their care plans during interviews held in the course of the inspection. They are encouraged to develop them and attend reviews every six months. They are invited to sign them as evidence of their agreement with them. Their care plans take into account their likes, dislikes and preferences with particular reference to their daily activities and food provided to them. The registered provider ensures that risks are individually assessed and managed effectively so that they can safely develop their skills, independence and confidence. All of the service users enjoy active lives in and out of the home. They have a choice of lounges and a large garden. One service user keeps a pet rabbit and takes responsibility for its care. They have televisions in the lounges and their own rooms and music systems. During the week they all attend local day care centres or work placements. The registered providers have a mini bus and take them out to social clubs on two evenings a week and local places of interest at weekends. Service users are provided with an annual holiday. This year they went camping in Cornwall. All of the service users said that they are satisfied with the activities provided to them. Service users are encouraged and enabled to maintain contact with their families and friends. They can go out and visit friends in the community if they wish, depending on their skills and confidence levels. Where necessary, the registered providers assist them to access social activities. Service users have clear information on their rights and responsibilities in the form of written placement contracts and the home`s service users` guide. They were particularly complementary of the food provided to them. They are able to help with the shopping and choosing of menus and can have alternatives to the main meal if they wish. Their care plans take into account their nutritional needs and food preferences. The service users currently in the home are able to take care of their personal care needs with appropriate assistance from the registered providers, in private. The home`s statement of purpose states that the home is not suitable for people with extensive personal care needs. Their health care needs are met and they are helped to access a range of local NHS healthcare services to maintain good health. Systems for managing service users` medicines are safe and ensure that they are adequately protected from medication errors. Both the registered providers have undertaken training in the safe handling of medicines. The home has a formal written complaints procedure, which service users are aware of. All of them expressed satisfaction with the care and services provided to them at the home. The registered providers have undertaken training to protect service users from harm and abuse and all of them said that they feel safe in the home. They are all in contact with people outside of the home that they can turn to for assistance or advice if they wish. The home is comfortably furnished and well decorated. Service users have a choice of communal spaces inside and outside and all have individual bedrooms with lockable doors. Service users benefit from care provided in a domestic, family-style home, which is kept safe and secure for them. The home was clean and tidy throughout at the home and there are suitable systems in place to protect service users from risks of infectious diseases. The registered providers undertake most of the direct care of service users themselves. A part-time staff member assists them. The service users knew them before they started working at the home. There are records to demonstrate that they are suitable to work with the service users. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 7The registered providers and the part-time staff member have undertaken appropriate training to enable them to work safely and effectively with the service users. The registered providers are very experienced in managing the home and familiar with the service users needs. One of them is qualified to do this and they both undertake regular training to update their knowledge and skills. Service users are encouraged to assist in the development of the home through formal meetings, with records kept, during which they are invited to make comments on the quality of the services provided to them and suggest improvements. This is in addition to their individual care planning meetings. The registered providers ensure that the home`s environment is kept safe for service users there, by undertaking regular risk assessments and ensuring that there are suitable measures in place to protect service users from the risk of fire.

What has improved since the last inspection?

Service users` care plans now have clear goals attached to them to encourage them to develop their skills and independence. These are reviewed formally, at least every six months. Service users now have the benefit of an additional lounge so their choice of communal space has increased. The home`s front entrance and the front garden have been improved and look very attractive. The registered provider has plans to recruit more staff in the future and has drawn up recruitment policies to ensure that recruitment will be fair, safe and effective in the future and ensure that staff are selected on the basis of equal opportunities. The registered provider has undertaken health and safety training since the last inspection.

What the care home could do better:

The national minimum standards are currently fully met and service users stated that they could not think of any changes they would like. One said that they would like to access individual tuition to improve their literacy skills and the registered providers said that they would look into it.

CARE HOME ADULTS 18-65 Rosedene 22 Rosewarne Road Camborne Cornwall TR14 8BE Lead Inspector Lowenna Harty Announced Inspection 4th October 2005 09:30 Rosedene DS0000009087.V256703.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 DS0000009087.V256703.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 DS0000009087.V256703.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosedene Address 22 Rosewarne Road Camborne Cornwall TR14 8BE 01209 714238 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) Mr Alcwyn Samuel Henry Parker-Price Mrs Gwyneth Helen Parker-Price Care Home 4 Category(ies) of Learning disability over 65 years of age (4) registration, with number of places Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users must be aged 50 years or over upon admission to the home. 19th April 2005 Date of last inspection Brief Description of the Service: Rosedene is a registered home providing accommodation and personal care for up to 4 adults with a learning disability who must be aged 50 years or over when they are admitted. It is owned and managed by the registered providers, who live in the home and provide most of the necessary care and support to the service users themselves. A part-time carer assists them. The home is close to the centre of the town of Camborne and within easy reach of local shops and services. The home is able to provide transport for service users should they need it. The home is a detached, two-storey, family dwelling with a spacious front garden and a patio. Service users private accommodation is situated across both floors. The upper floor is reached via a staircase. All of the service users are provided with single, furnished bedrooms. Two of the bedrooms have wash hand basins. The home has three bathrooms, two on the ground floor and one on the first floor. Service users have their own lounge and the use of the family dining room. Service users have some access to the kitchen, but this is limited because it is quite small. They have tea and coffee making facilities near to their lounge. The aim is to provide service users with care in a comfortable and homely setting and to encourage them to be involved in a wide range of activities in the local community. All the service users attend day care and/or college placements during weekdays; they are helped to get to social clubs and resources in the local community during evenings and weekends. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place on 4 October 2005 and lasted for approximately four hours. The purpose of the inspection was to ensure that service users’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that service users’ placements in the home result in good outcomes for them. Because the service users were out at their various day placements, the inspection focused on inspection of the premises, examination of care, safety and employment records and discussion with the registered providers during the day. Each of the service users was interviewed in private, after they returned from work in the evening. Because of the small size and nature of the home it was possible to review each of the service users’ records in detail and follow this up with interviews held in private with them. Three service users relatives returned comment cards to the commission, all expressing satisfaction with the care and services provided to them at the home. The registered provider returned a preinspection questionnaire to the Commission, which provided information to assist the inspection process. The home provides excellent care to the service users placed there, which they confirmed during the interviews. They were particularly complementary of the food and activities provided to them. What the service does well: Service users are not admitted into the home unless they have been assessed to ensure that their needs can be properly met there. Assessments are comprehensive and take into account their health, personal and social care needs, including their cultural backgrounds. Service users’ assessments form the basis of their written care plans, which set out clearly how their needs will be met. Service users said that they are aware of their care plans during interviews held in the course of the inspection. They are encouraged to develop them and attend reviews every six months. They are invited to sign them as evidence of their agreement with them. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 6 Their care plans take into account their likes, dislikes and preferences with particular reference to their daily activities and food provided to them. The registered provider ensures that risks are individually assessed and managed effectively so that they can safely develop their skills, independence and confidence. All of the service users enjoy active lives in and out of the home. They have a choice of lounges and a large garden. One service user keeps a pet rabbit and takes responsibility for its care. They have televisions in the lounges and their own rooms and music systems. During the week they all attend local day care centres or work placements. The registered providers have a mini bus and take them out to social clubs on two evenings a week and local places of interest at weekends. Service users are provided with an annual holiday. This year they went camping in Cornwall. All of the service users said that they are satisfied with the activities provided to them. Service users are encouraged and enabled to maintain contact with their families and friends. They can go out and visit friends in the community if they wish, depending on their skills and confidence levels. Where necessary, the registered providers assist them to access social activities. Service users have clear information on their rights and responsibilities in the form of written placement contracts and the home’s service users’ guide. They were particularly complementary of the food provided to them. They are able to help with the shopping and choosing of menus and can have alternatives to the main meal if they wish. Their care plans take into account their nutritional needs and food preferences. The service users currently in the home are able to take care of their personal care needs with appropriate assistance from the registered providers, in private. The home’s statement of purpose states that the home is not suitable for people with extensive personal care needs. Their health care needs are met and they are helped to access a range of local NHS healthcare services to maintain good health. Systems for managing service users’ medicines are safe and ensure that they are adequately protected from medication errors. Both the registered providers have undertaken training in the safe handling of medicines. The home has a formal written complaints procedure, which service users are aware of. All of them expressed satisfaction with the care and services provided to them at the home. The registered providers have undertaken training to protect service users from harm and abuse and all of them said that they feel safe in the home. They are all in contact with people outside of the home that they can turn to for assistance or advice if they wish. The home is comfortably furnished and well decorated. Service users have a choice of communal spaces inside and outside and all have individual bedrooms with lockable doors. Service users benefit from care provided in a domestic, family-style home, which is kept safe and secure for them. The home was clean and tidy throughout at the home and there are suitable systems in place to protect service users from risks of infectious diseases. The registered providers undertake most of the direct care of service users themselves. A part-time staff member assists them. The service users knew them before they started working at the home. There are records to demonstrate that they are suitable to work with the service users. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 7 The registered providers and the part-time staff member have undertaken appropriate training to enable them to work safely and effectively with the service users. The registered providers are very experienced in managing the home and familiar with the service users needs. One of them is qualified to do this and they both undertake regular training to update their knowledge and skills. Service users are encouraged to assist in the development of the home through formal meetings, with records kept, during which they are invited to make comments on the quality of the services provided to them and suggest improvements. This is in addition to their individual care planning meetings. The registered providers ensure that the home’s environment is kept safe for service users there, by undertaking regular risk assessments and ensuring that there are suitable measures in place to protect service users from the risk of fire. What has improved since the last inspection? What they could do better: The national minimum standards are currently fully met and service users stated that they could not think of any changes they would like. One said that they would like to access individual tuition to improve their literacy skills and the registered providers said that they would look into it. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 8 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 DS0000009087.V256703.R01.S.doc Version 5.0 Page 9 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 DS0000009087.V256703.R01.S.doc Version 5.0 Page 10 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’ needs are assessed before they are admitted to the home so that they can be appropriately met. EVIDENCE: There have been no new admissions to the home since the previous inspection. Current service users have comprehensive written assessments on their personal files, which address all their health, social and personal care needs, including needs relating to their cultural backgrounds. The home’s statement of purpose contains information on the admission procedures to the home and confirms that admission is on the basis of assessment of prospective service users’ needs. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 11 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 have written care plans, which fully address their needs. They are assisted to make decisions about their lives and to safely develop their skills and independence. EVIDENCE: Service users have comprehensive written care plans, based on their assessed needs, which address their health, personal and social care needs, including needs relating to their cultural backgrounds. There are clear goals included in their care plans, which are reviewed every six months. Service users sign their agreement to their care plans, are fully involved in reviews and demonstrated their awareness of them during interviews at the time of the inspection. Service users’ care plans consider their preferences, are shared with them and regularly reviewed. They sign up to their goal plans to agree the activities they expect to carry out between formal reviews. Service users indicated that they are satisfied with the degree to which they are able to make choices during interviews in the course of the inspection. Household menu planning takes account of their food preferences and dietary needs and alternatives are available should they not wish to have the main menu option. There are daily care records to demonstrate the choices they have made. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 12 Service users’ individual care plans take account of risks. Their goal plans encourage them to develop their skills and independence in safe ways. They are able to access the community independently, based on their individual risks and confidence levels. The registered provider is currently working with some of them to develop their confidence in crossing roads independently. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 13 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 active lives in and out of the home. They are assisted to maintain appropriate relationships with their families and friends. They have clear information about their rights and responsibilities. They are well fed, in accordance with their individual needs. EVIDENCE: All of the service users attend local day centres or places of work during the week. They were all attending their various centres at the time of the inspection. During interviews they all expressed satisfaction with the activities provided for them. In the home they have a choice of lounges, televisions and music centres. One service user keeps a pet rabbit, which he values. The registered provider takes them away on holiday each year. This year they went camping at a campsite in Cornwall. All of the service users are very much part of the local community. Some go out independently and the registered providers have a mini bus to take them out. They go to evening social clubs together on two evenings a week, which they enjoy. They regularly go out for meals and shopping with the registered providers and to local places of interest at weekends. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 14 Service users are assisted to maintain contact with their families. They go to social clubs on two nights per week to meet people and socialise. One service user goes out independently to meet a friend who lives nearby on a regular basis. Service users have clear information on their rights and responsibilities through their individual contracts and the home’s service users’ guide. They are actively involved in planning and reviewing their care. They are encouraged to develop their skills and independence through the care planning process. Service users are provided with a choice of breakfast cereals during the week and home prepared evening meals. They have lunches at their various centres during the week. They are encouraged to assist with the household shopping. Their care plans take account of their dietary needs and food preferences. All of them said that they like the food provided to them. There are clear records of food provided to service users. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 15 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’ personal and health care needs are fully met. There are safe systems to help them to manage their medication and protect them from medication errors. EVIDENCE: The home’s statement of purpose clearly states that the home is not suitable for people with extensive personal care needs. The registered providers appropriately assist service users to maintain their personal hygiene and personal grooming and this was observed at the time of the inspection. There are sufficient bathrooms, which are all lockable, to ensure service users can attend to their personal care needs in privacy. Service users’ care plans fully consider their physical and emotional healthcare needs. The registered provider assists them to access a range of NHS healthcare providers locally. There are records of their visits to GP surgeries, hospitals, chiropodists, dentists and opticians. Only one service user currently takes medication on a regular basis. Full and accurate records are maintained of this. The home has adequate storage facilities. There is a written procedure covering all aspects of medicines management, which is dated, signed and reviewed. This provides for service users to retain and administer their own medication, based on their individual Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 16 risk assessments. Only the registered providers handle service users’ medication currently, and both have undergone safe handling of medicines training at a local college. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 17 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’ views are listened to and acted on they are well protected from abuse, neglect and self-harm. EVIDENCE: There is a clear, written complaints procedure, which has been provided to all the service users in written or verbal form. Service users are encouraged to play an active part in the development of their individual care plans and to state their preferences, likes and dislikes formally, at regular reviews. There are formal house meetings held every six months, during which service users are consulted about their views on the quality of the services provided to them and are encouraged to make suggestions for improvements. There are records of these meetings. All of the service users and relatives who returned their comments via post expressed satisfaction with the care and services provided at the home. Service users stated that they feel safe during interviews held in private with them at the time of the inspection. They all have contacts with people outside of the home, to whom they can turn should they feel unable to approach the registered providers directly, about any issue. Both of the registered providers have attended multi-agency training on the prevention of abuse of vulnerable adults, run by the local county council. There are clear written procedures to guide staff on the actions they should take should they suspect a service user has been abused, including policies on whistle blowing. Staff are employed on the basis of safe and effective recruitment practices. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 18 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 are cared for in a homely, comfortable and safe environment, which meets their individual needs. The home is clean and hygienic so that they are protected from infection risks. EVIDENCE: The home’s environment is well decorated and comfortably furnished throughout. Service users are provided with adequate personal and communal space, including individual, lockable bathrooms. The home is domestic in style and well maintained. The registered provider has made improvements to the home’s entrance and front garden since the previous inspection. The registered provider has undertaken health and safety training and has undertaken a full risk assessment of the home, which he regularly reviews. There are satisfactory arrangements to protect service users from the risk of fire. The home was clean and tidy throughout at the time of the inspection. The registered providers have consulted with the environmental health officer, who was satisfied that there are appropriate measures in place to protect service users from cross-infection risks. There is a separate utility room for laundry and equipment is suitable to meet the needs of residents currently placed at the home. Both registered providers have undertaken training in basic food hygiene and there is clear written guidance on infection control. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 19 Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 20 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’ needs are fully met by the registered providers and a part-time member of staff. The home’s recruitment policies and practices ensure fair, safe and effective recruitment and selection of staff, based on service users’ needs. The registered providers and staff member have appropriate training to meet service users needs effectively. EVIDENCE: Because of the small scale and nature of the business, the registered providers undertake most of the direct care work themselves, with the assistance of a part-time staff member. The registered providers are experienced and competent in direct care provision as well as the management of the home. The registered provider has drawn up a staff job description and person specification. There is a clear recruitment policy, which ensures staff are employed on the basis of equal opportunities. There are standard interview questions, which test applicants’ experience, qualifications and aptitude to ensure that staff are recruited on the basis of their suitability to work in a caring role. There are records to demonstrate that the part-time staff member currently employed has undergone necessary checks with the Criminal Records Bureau and supplied two satisfactory references. The registered providers and part-time staff member have undertaken training to enable them to work effectively with the service users. One of the registered providers is qualified to NVQ level 4 in management and care and has Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 21 undertaken health and safety training since the previous inspection. Both registered providers are trained in the provision of first aid, basic food hygiene, the protection of vulnerable adults from abuse and safe handling of medicines. The part-time staff member underwent induction training, with records kept. They are qualified in basic food hygiene, the protection of vulnerable adults from abuse and the provision of first aid. The registered provider has arranged further training for them to work towards achieving qualifications in working with people with learning disabilities equivalent to NVQ level 2. The registered providers and part-time staff member are familiar with the home’s fire safety procedures and emergency procedures so that they can adequately protect service users and meet their needs. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 22 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 The home is well managed, for the benefit of the service users. Service users are appropriately consulted about the ongoing improvement and development of the home. They are provided with support and care in a safe environment. EVIDENCE: The registered providers undertake most of the direct care provision and management of the home. They are very experienced in running the care home and familiar with the needs of the service users. One is trained to NVQ level 4 in management and care and both undertake regular training to update their knowledge and skills. Service users confirmed that they satisfied with the degree to which they are consulted on the development of the service, during interviews held with them in the course of the inspection. There are records of meetings held with service users when they are given an opportunity to make comments on the quality of the services provided to them and suggestions for improvement. They are actively involved in the development of their individual care plans and appropriately consulted during reviews. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 23 The registered provider has undergone training in health and safety and regularly reviews the home’s environmental risk assessment. There are adequate systems in place to protect service users from the risks of fire and cross infection. The registered providers are qualified in the provision of basic first aid and basic food hygiene. There are safe storage facilities for medicines and hazardous systems. The home is secure and service users confirmed that they feel safe there. Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 24 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 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 4 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 DS0000009087.V256703.R01.S.doc Version 5.0 Page 25 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. Standard Regulation Requirement Timescale for action 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 Rosedene DS0000009087.V256703.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 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. 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