Inspection on 12/07/05 for Rosedene Residential Home

This inspection was carried out on 12th July 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 Residential Home 12/12/08

Rosedene Residential Home 02/02/07

Rosedene Residential Home 06/01/06

Rosedene Residential Home 10/02/05

Rosedene Residential Home 02/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rosedene Residential Home 29/31 Westonville Avenue Westbrook Margate Kent. CT9 5DY Lead Inspector Brenda Pears Announced 12 July 2005 09:30 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 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 Older People. 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 Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rosedene Residential Home Address 29/31 Westonville Avenue, Westbrook, Margate, Kent. CT9 5DY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 220087 richardraj@rosedenech.freeserve.co.uk Richard Anthony Raj Care Home 21 Category(ies) of Older persons registration, with number of places Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Rosedene Residentil Home is a bright, clean and welcoming environment that provides support for 21 older people and the owner is also the Registered Manager. The Home is situated in the quiet residential area of Westbrook and is overlooking the esplanade providing some sea views. The Home is adjacent to the seaside town of Margate, within walking distance of all local amenities and has ample on road parking to the front of the premises. The Home provides 24 hour staff cover, including waking night staff. There is always an identified senior member of staff on duty and /or on call. The Manager is available on call when not on duty in the Home. The health care needs of service users are met by the local primary health care team. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection undertaken with a focus on the well being, safety and quality of life of service users living in the home. The methods of inspecting the home included speaking to service users, management and staff, checking records, tracking service user care plans, examining staff files, observations and a tour of the building. The inspection focussed on the requirements from the last inspection and key standards. As part of the pre-inspection process, residents and relatives were consulted for their views of the home. The service users returned their comment cards, providing valuable feedback about the home, which helped in the planning of this inspection. The home was found to be clean and bright with a warm and welcoming environment. Service users spoken to at this time expressed that their needs are met and that they are happy and comfortable living in the home. Some service users stated that the proprietor often takes them out for a car ride or trips to the local shops and some service users attend local clubs and groups. Service users were seen to be enjoying a music session with much singing and laughter during this inspection. There is a varied menu with special diets and individual needs are catered for. Service users stated they enjoy the food and some eat in their rooms if they choose to do so. Independence and mobility are encouraged and some service users have been supported to begin to walk without assistance and one couple are now going to a dance group, which they have wanted to do for some time. Staff undertake continued training and were seen to be undertaking their duties in a relaxed and appropriate manner. The home continues to provide support and care in a safe, relaxed and well maintained environment. What the service does well: The home ensures service users are taken out whenever possible. When staff go shopping or use the car, service users are invited to go along. Enabling Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 6 integration into the local community and giving opportunities to enjoy a change of environment. Independence is encouraged through continued support to become mobile and also to achieve personal goals. 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. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 4 All new admissions are undertaken following a pre admission assessment. All new service users, families or advocates know needs will be met when a person is admitted to the home. EVIDENCE: Service user files have thorough pre admission assessments in place. Full needs are assessed including religious needs, how a person likes to be addressed, how tea/coffee is taken and how personal care should be given. Risk assessments and dependency assessments are all on file to ensure the home is able to meet all the needs of the individual in a safe and appropriate way. Life history and details of family/carer involvement is also clearly recorded to ensure staff have this additional information to enable full contact where necessary. The registered person and deputy manager showed a good knowledge of individual needs and recognise that each new admission must also fit in with the current occupants of the home. This is assessed with any new admission to ensure the continued well being of all those living in the home. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 9 Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 Care plans clearly set out the health needs of service users and these are being met through contact with health care teams. Personal and social care needs are set out in care plans and fully supported by the home. EVIDENCE: Visits by healthcare professionals are recorded on each care plan and contain full information of care given. All incidents in the home are recorded, appropriately reported and assessed on a regular basis by the registered provider. This ensures that any regular incidents are detected and appropriate action is taken to minimise any risks. Specialist organisations are contacted to support service users such as Kent Association for the Blind who provide talking books for those unable to read print. Reviews are recorded on care plans and undertaken on a regular basis. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 11 One person whose needs changed and could not be met by the home has been assessed and an appropriate alternative placement has been found. This is correct action for the individual and also for other service users in the home who were beginning to be affected by this change in personality. One couple who used to dance a great deal have been encouraged by staff and are now fit and confident enough to be enjoying dance classes again. Two people still drive their cars locally, this provides independence as well as a sense of achievement. One service user was proud to be walking with a frame at the time of this inspection. This has been achieved through continued encouragement and support from staff and by the determination of the service user who was in a wheelchair and can now walk for short distances unaided. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 & 15 All aspects of service user needs are met by the home and family, friends or advocates are encouraged to maintain contact. Choice and autonomy are supported and encouraged. A variety of meals are offered at all times and special choices, needs or diets are catered for. EVIDENCE: Care plans, discussions with service users and comments made on the questionnaires received all confirm that the wishes and needs of service users are met in all areas. Visitors were observed being welcomed into the home during this inspection and service users stated that family and friends are always welcomed. This supports independence, integration and ensures a good quality of life is enjoyed by service users. Choices are encouraged and supported by the staff in the home and service users confirmed this. The lunch time meals looked and smelt appetising. Service users stated they enjoyed the food and that they are always offered alternatives. Individual choices for sandwich fillings are accommodated and specific requests dealt with as soon as possible. One statement was ‘couldn’t be treated better anywhere’. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 13 Service users stated that if they wish to go out at any time, the proprietor is always willing to take them out in his car. Shopping trips and short rides locally are also enjoyed by service users on a regular basis. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Service users know their complaints will be listened to and acted on. Staff are made fully aware of the different types of abuse. EVIDENCE: There is a clear complaint procedure in place. Service users stated they are able to take any concerns to the staff in the home and have always been satisfied with the responses and action undertaken. There is an abuse policy in the home and staff undertake regular training and meetings that include discussions regarding different types of abuse. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 24, 25 & 26 The standard of the environment within the home is very good, providing service users with an attractive, comfortable and homely place to live. EVIDENCE: The environment in the home is relaxed, with comfortable furnishings in service user rooms and in the communal areas. Specific attention is paid to the individual person and the need to feel they are in their own home. This is enforced through the use of personally allocated bed linen and towels. All bed linen is washed and returned to each person, ensuring no linen or towels are shared or used by anyone else. This supports individuality and the recognition that the home is there to meet needs in a manner that recognises dignity, privacy and respect for each person. The frequency of falls and incidents in the home are recorded on care plans and on the computer. These are regularly reviewed by the proprietor to ensure the complete safety and well being of service users. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 16 Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30 The recruitment and induction processes are thorough with staff demonstrating a clear understanding of their roles and service user needs. There is a training matrix in place to ensure refresher and core training is up to date at all times. EVIDENCE: Staff files show that the appropriate selection and recruitment processes are in place. These maintain standards and support the protection of service users. Discussions with staff and service users confirmed that service user needs are met regularly and consistently. Staff stated they are supported by the management processes in the home and expressed a clear understanding of service users needs. Training is monitored throughout the year and all training is approved and appropriate. Some training videos have been purchased and these support staff both through providing information and by providing a forum for staff discussion. Videos are also used as part of the induction process. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33 & 38 Management is supported by the senior staff in providing clear leadership throughout the home with staff demonstrating an awareness of their roles and responsibilities. Service users benefit from a safe and well run home and the systems of consultation are good. EVIDENCE: Service users confirmed that consultation is undertaken regularly. The staff group and service users were observed to be relaxed and confident when dealing with management at this inspection. The home provides a safe environment with radiators being covered in communal areas, restrictors on hot water, COSHH items secured appropriately, Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 19 risk assessments are in place on care plans and a new emergency call system was installed last year. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 3 x x x 4 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 3 x x x x 3 Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 21 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 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. 1. Refer to Standard 37.3 Good Practice Recommendations That all records in the Daily Report Book are maintained in good order to support good practice and the easy access of information. Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent. TN23 1HU 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. Extracts may not be used or reproduced without the express permission of CSCI Rosedene Residential Home H56-H05 S23524 Rosedene R H V229418 120705 Stage 4.doc Version 1.30 Page 23 - 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!