Inspection on 09/01/07 for Rosedene

This inspection was carried out on 9th January 2007.

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

The inspector 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 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 09/07/2008.

CARE HOME ADULTS 18-65 Rosedene 98 Churchfield Lane Glasshoughton Castleford West Yorks WF10 4DB Lead Inspector Tony Railton Key Unannounced Inspection 9th January 2007 16:00 Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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) office@alternativecarelimited.co.uk Alternative Care Limited David Hodgson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th December 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. 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. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection visit to the home commenced at 16.00 and ended at 18.00. During this visit there was the opportunity to speak to three service users, three support workers and the manager. There was also the opportunity to look at service users assessments, care plans, reviews, medical and daily records. Staff records were also seen and included references police and health checks, training and supervision records. Other information gathered before this visit was also considered and included the pre inspection questionnaire and service history. This was a particularly positive visit and a number of good practice issues and improvements to the environment were noted. The home continues to be a good service provider by consistently meeting all statutory requirements and minimum standards. The inspector would like to take the opportunity to thank the service users and support workers for their warm welcome, hospitality and cooperation throughout this visit to the service. What the service does well: Service users assessments and care plans are good and show support workers what they must do to meet service users personal and healthcare needs. The ‘Life skills’ programmes used in the home are good as they show what service users can do for themselves and what they need help with. These are signed and agreed by service users who also write up what they have done and any progress they make. The daily records are good and use descriptive words to show and reflect service users choices and preferences. The minutes of service user meetings, and quality assurance surveys and daily records show that service users have a say in the running of the home. And along with support workers, relatives and others they have the opportunity to comment on the quality of care provided by the service. Support workers said that they are happy in their work and that they feel supported in what they do. Staff training records show that qualified and experienced staff supports service users. Service users said that they enjoy living in the home. One said that he likes “his bedroom”. Another that the “staff are great”. Another that she can choose what clothes she wants to wear and what she wants to eat. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standard looked at is 2. Service users personal and healthcare needs are assessed before they are admitted to the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three service users records were seen to contain a comprehensive assessment of their personal and healthcare needs. One relatively new service user had assessments completed by the local authority, which are very detailed. Records show that the assessment process carries on after service users are admitted and a Life Skills Programme is introduced to help maintain independent living skills and help to learn new ones. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at are 6,7 and 9. Service users are supported to be involved with every aspect of their care including assessments, care plans and reviews. They are also consulted and participate in all aspects of life in the home. Risks are an accepted part of living an ordinary lifestyle. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users are fully involved with the assessment and care planning process and they sign their own individual plans and reviews. The person centred documentation is complemented by the ‘Life skills’ Programme which identifies what service users can already do for themselves and any new skills they need to learn to become more independent. These are signed and agreed by service users who also write what they do and review any progress they make. The new documentation and daily records show that service users are involved with every aspect of the running of the home and make decisions about how they live their lives. The daily records contain descriptive words to reflect service users choices and preferences. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at are 12,13,15,16 and 17. Service users are supported and encouraged to live as ordinary a lifestyle as possible. Service users are supported to take advantage of ordinary community based leisure services and facilities. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with service users show that they live full and active lives going to the shops, public houses, cinema, supermarkets, restaurants, horse riding and Carleton Club. The daily records and record of activities show that service users enjoy trips to the seaside and holidays abroad. Discussion with support workers found that service users are assisted and supported to us ordinary community based leisure services and live as ordinary a life as possible. Service users risk assessments show that they are expected to take risks as part of living an ordinary lifestyle. Service users said that they enjoy the meals provided and have a choice of menu. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at are 18,19 and 20. Service users receive personal care in a way they prefer and require and their healthcare needs are met. Service users are safeguarded and protected by the medicine policies and practices. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of three service users records including assessments, care plans, reviews, medical and daily records show that service users are supported to use ordinary community based healthcare services. The records also show that there is specialist advice and support available from the Community Learning Disability Team Nurses and Specialist Social Workers if required. The medicine administration systems in the home were checked and found to be appropriately managed and recorded. Support workers had a good knowledge of the healthcare needs of service users and demonstrated empathy and insight into the needs of people who have learning disabilities. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at 22 and 23. Service users views are listened to and acted upon. Service users are protected from abuse, neglect and self-harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the manager and the returned pre inspection questionnaire shows that the home has not received any complaints. The home has a complaints policy and procedure, which uses simple words and pictures. It also provides the complaints policy and procedure on audiotape, as one service user cannot see. The homes adult abuse and protection policy and procedure has been updated to reflect the local authorities ‘Safeguarding’ policy. The service history and in particular Regulation 37 ‘Reportable incidents’ show that there is currently an investigation into allegations made by a service user at Rosedene. Discussion with the manager, support workers and examination of the homes documentation including statements from the senior support worker/team leader, found that the staff and manager in response to the allegations took appropriate action. The manager said that the home policies and procedures are very clear and commended her staff team for their actions. The manager also said that the home has a good relationship with the local authority and is working closely with Social Services to investigate the recent allegations. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at are 24 and 30. Service users live in a homely, comfortable, safe and clean environment. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home found it to be decorated and maintained to a good standard. It is also homely, comfortable and safe. It was noted that the home has a new roof and new replacement doors and windows. The manager said that this was a massive undertaking but nevertheless has improved the living standard of service users. It was also noted that the lounges, kitchen and bedrooms have been decorated and two new three-piece suites and floor covering provided. Service users said that they liked the new furniture and appeared to be relaxed and comfortable. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at are 32,34 and 35. Competent and qualified staff supports Service users. Service users are safeguarded and protected by the homes staff selection and recruitment policies and practices. Appropriately trained staff meets Service users needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Examination of four staff records found them to contain appropriate documentation including application forms, references, CRB and POVA and health Checks. Staff records also included induction training, supervision notes, and training and development plan. It was also noted that all support workers with the exception of one, have National Vocational Qualifications at level 2 or above. Support workers said that they feel supported and enjoy the work that they do. Throughout this visit positive relationships were observed between service users and support workers. Service users said that they like the people caring for them. Support workers said that they like the work that they do and feel supported and confident. Three support workers spoken to had a good background knowledge and understanding bout the needs of people who have learning disabilities. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at are 37,39 and 42. Service users benefit from living in a well run home where their views underpin all self-monitoring and development. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that she has completed the Registered Managers Award and NVQ Level 4 Management and NVQ Level 4 Care. The manager is also a qualified Nurse. The home has a quality assurance system, which includes seeking the views of service users, their relatives, support workers and other stakeholders. The quality assurance report shows that everyone and in particular service users and their relatives are happy with the quality of care provided by the home. Service users said that they like living in the home. Support workers said that they like working at Rosedene and in particular liked the service users, as they are ‘Characters’. Staff training records show that support workers have undertaken Health and Safety training including First Aid and Basic Food Hygiene. Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 16 Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 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 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 3 26 3 27 3 28 3 29 3 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 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No 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 DS0000006247.V326214.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rosedene DS0000006247.V326214.R01.S.doc Version 5.2 Page 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!