Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 02/02/07 for Rosedene Residential Home

Also see our care home review for Rosedene Residential Home for more information

This inspection was carried out on 2nd February 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.

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

A central outcome of support and care is to enable residents to remain independent. Relatives of residents and visitors met were satisfied with the support residents receive. They can visit at any reasonable time and are kept informed of important matters of resident`s health. The difficulties in gaining access to GP and dentistry services are met by taking residents to the GP surgery and to Margate and Canterbury hospitals for dentistry.

What has improved since the last inspection?

Staffing levels have been kept under review and have been increased to take account of the significant support needs of many residents. The home continues to support staff to achieve NVQ Level 2 in Care.

What the care home could do better:

Residents are well supported as far as could be ascertained during the inspection visit. Visitors said they are satisfied with the standards of care. Mr Raj and Mrs Conway are nevertheless committed to identifying how improvements can be made for the health, safety and comfort of residents.The areas they intend to review and most likely improve are written preadmission information available to prospective residents and their representatives, resident`s personal contracts and information about resident`s background and support needs. The revised Resident`s Guide should include accurate and simply stated information about how residents are supported. All potential residents should receive a copy prior to making a decision about taking up residence. The guide should include information about relevant training and qualifications achieved by staff. A list of staff, the CRB reference number, date of check and the outcome should be available. The proposed review of fire safety measures as a result of new regulations is a useful safety development.

CARE HOMES FOR OLDER PEOPLE Rosedene Residential Home Rosedene Residential Home 29/31 Westonville Avenue Westbrook Margate Kent CT9 5DY Lead Inspector Eamonn Kelly Key Unannounced Inspection 2 February 2007 09:45 X10015.doc Version 1.40 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 Residential Home DS0000023524.V315000.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 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 DS0000023524.V315000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosedene Residential Home Address Rosedene Residential Home 29/31 Westonville Avenue Westbrook Margate Kent CT9 5DY 01843 220087 Telephone number Fax number Email address Provider Web address Name of registered provider Name of registered manager Type of registration No. of places registered (if applicable) richardraj@rosedenerch.freeserve.co.uk Mr Richard Raj Mrs Vivienne Conway Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2006 Brief Description of the Service: The home provides accommodation and personal support for up to 21 older people. Bedrooms are situated on the ground and first floors. A curved stair lift connects the floors. There are 17 single and two shared bedrooms. The premises are close to the beach. Car parking is available at the front of the building and on the street. Weekly fees are: 1. Kent County Council: £303 (single Bedroom) & £292 (shared bedroom). 2. Privately funded residents: £320-£400. (£265 shared bedroom). In some cases, residents pay “top-up” fees each week. Additional charges are made for hairdressing, chiropody, newspapers, contribution towards some costs of outings, private telephones, private medical costs including dentistry, Sky TV costs. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection on 2nd February 2007 (9.45am-5.45pm) consisted of meeting with the owner (Mr R Raj), the manager (Mrs V Conway), residents, visitors and members of staff on duty. Bedrooms and communal areas were visited and a number of records associated with resident care were assessed. The inspection visit concentrated on the care and support in place for residents. Meetings with members of staff and residents served to give a broad understanding of how resident’s current and changing needs are addressed. The outcome indicated that residents are well cared for by a hardworking group of staff. Visitors met were satisfied with the support their relatives received. The report refers below to quality assurance measures that Mrs Conway is progressing. What the service does well: What has improved since the last inspection? What they could do better: Residents are well supported as far as could be ascertained during the inspection visit. Visitors said they are satisfied with the standards of care. Mr Raj and Mrs Conway are nevertheless committed to identifying how improvements can be made for the health, safety and comfort of residents. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 6 The areas they intend to review and most likely improve are written preadmission information available to prospective residents and their representatives, resident’s personal contracts and information about resident’s background and support needs. The revised Resident’s Guide should include accurate and simply stated information about how residents are supported. All potential residents should receive a copy prior to making a decision about taking up residence. The guide should include information about relevant training and qualifications achieved by staff. A list of staff, the CRB reference number, date of check and the outcome should be available. The proposed review of fire safety measures as a result of new regulations is a useful safety development. 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 DS0000023524.V315000.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 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 the following standard(s): 1, 2, 3, 5, 6. Quality in this outcome area is good. This judgement was made using available evidence including a visit to the service. Prospective residents and their representatives receive good support at the time they are looking for residential accommodation. They would benefit from improved written pre-admission information and a comprehensive personal contract. EVIDENCE: The manager carries out a pre-admission assessment before all admissions. A checklist and associated notes are taken at this stage that form part of subsequent care plan records. The effectiveness of written pre-admission information is being reviewed and the manager intends to produce a new Resident’s Guide (combining aspects of the current service user’s guide and statement of purpose). This is likely to be in place from mid-April 2007. New residents receive a personal contract. This document is being reviewed with the intention of replacing it with a more comprehensive contract that fully outlines the rights and responsibilities of both parties (the home and the Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 9 resident). The revised contract would refer specifically to the support needs of the resident and how these were to be met. Mrs Conway outlined the criteria for admitting new residents. A case tracking exercise indicated that several residents have significant physical, sensory, mental handicap and mental health difficulties. A number of residents also at admission stage have very severe health problems or levels of self-neglect. Care plan records, discussion with members of staff and meetings with residents indicated that very good progress was subsequently made in addressing their support requirements. The manager said she was confident that the skills of staff and the numbers of staff on duty were sufficient to meet the high support needs of residents. Potential residents may not always visit the home prior to taking up residence. However they (and their representatives) are invited to do so. The home occasionally admits residents for respite (but not recuperative) care. Facilities and staffing arrangements would not enable adequate recuperative support for hospital patients. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. Residents receive good healthcare and personal support. EVIDENCE: Care-plan records seen as part of a case tracking exercise contained good information about resident’s support needs and how these are being met. In some the personal profile was relatively scant or missing: the manager said that these would be improved and probably typed for the benefit of staff knowledge. The manager and senior carer initially had concerns about producing accurate profiles of residents because the detail could offend residents (who have general access to information contained in their files). It was agreed that the profiles are for the benefit of staff to enable them to understand the full health challenges faced by residents and how best to address these. Where information in care plan records might cause worry to residents, they should not see these and staff should know the reasons as part of their support Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 11 interventions. Examples were discussed that suggested this type of accurate profile would assist staff in providing appropriate support that complements current approaches. The senior carer completed daily records in respect of important aspects of resident’s health and changes in health or disposition. These issues are also discussed during staff changeover to enable in-coming staff to be aware of changes in resident temperament or health. GP’s visit in emergencies but staff generally bring residents to GP surgeries. The services of district nurses are obtained without particular difficulty. The home experiences difficulties in obtaining access to dentistry for residents. They are taken to the QEQM hospital in Margate or, as in an example discussed, taken to Canterbury hospital at 7am for treatment. Residents receive good chiropody assistance. A hairdresser visited during the inspection and many residents said they felt better after hairdressing. The hairdressing area has been thoughtfully designed: it is situated in the dining room area and the water supply/ washbasin converts to a table when not in use. Hairdressing is an important part of resident’s care. The senior carer explained how medications are administered and how unwanted medicines are recorded and disposed of. MAR sheets are completed at the time of administration. A photograph of resident’s accompanies their MAR sheet. In the case of residents receiving respite care, a MAR sheet is completed manually to control and supervise their medication administration. Emphasis was placed on meeting residents and visitors during this inspection. Staff met had a good knowledge of resident’s support needs and how these are addressed. Residents felt that staff supported them well and visitor’s views corresponded with this. Residents in shared bedrooms have the benefit of accommodation they said suits them. An important part of support at Rosedean is helping residents to remain as independent as possible. This involves enabling residents to move around on their own (albeit with staff observation) with the possibility of falls occurring as a result. No residents currently have their own wheelchairs. The home has acquired some wheelchairs to assist residents when they go out. They do not use wheelchairs within the premises. Some residents with hearing aids have partly given up on using them. This issue was not shown on care plans. Staff need to be able to deal effectively with keeping hearing aids clean, in good repair, accessible to residents and always fitted with a battery. They need also to be able to encourage residents to use hearing aids as residents tend to grow weary of using and maintaining them. Since the inspection visit, the commission was advised of the Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 12 arrangements in place for assisting residents with maintaining their hearing aids and with supporting them through GP and audiology intervention. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement was made using available evidence including a visit to this service. Residents receive good support on a day-to-day basis to remain mentally and physically active and alert. The objective of the home is to help residents gain and retain their independence. EVIDENCE: Residents may receive their visitors at any reasonable time. Several visitors said that their relative was looked after well. An outline of resident’s interests, expectations and capabilities is kept in their care plan records. In the preceding section of this report, reference was made to the intention to prepare an accurate personal profile of each resident and to update the profile at intervals. Updating will be based on changes to the resident’s temperament or health that staff should be aware of. There was agreement during the inspection that the new Resident’s Guide would contain accurate information about services and facilities. An important part of the guide will comprise a description of how residents are encouraged to remain as mentally and physically fit as possible. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 14 The home does well to help so many residents remain mobile, to spend time in lounge areas meeting staff and other residents and to have meals in the dining area. Residents and visitors gave examples of how residents are involved in life at the home and how they are helped and encouraged to make decisions about how they use their time. There are a number of activities each day. Some were observed on this occasion. The record of activities displayed closely matched the actual programme. Residents gave examples of outings arranged for them during 2006. Residents are helped to attend church if they express a wish for this. Some residents spoke of the importance of this help and understanding. Detailed nutritional assessments are made. The cook keeps written information about resident’s food intake. Weights are recorded at least once a month. In several cases discussed, residents made very good recoveries after they took up residence when their health, including abilities to eat well, was failing rapidly. Evening and lunchtime meals were observed during the inspection. A number of residents received assistance with feeding. During both meals, tables were fully laid and there were linen tablecloths and serviettes. Individual meals are transported to residents who are unable to leave their bedrooms (or had expressed a real wish to remain in their room). In the examples seen, there were no delays as the system is efficient and meals were served hot. There is a hot/cooked component at most evening meals and residents indicated they were content with the arrangements. The home provides 3 main meals, drinks at regular intervals and a suppertime drink/snack. Cold drinks are served to residents in lounge areas and bedrooms at regular intervals. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 16, 18. Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. Residents are well supported at the home and their views are listened to and acted upon. EVIDENCE: Members of staff receive training and support to enable them identify if abuse of residents was occurring. Those met stated that they know how to report any suspicious events to the owner, manager or directly to social services. The home has a copy of Social Services’ adult protection procedures. These procedures are, according to the induction checklist, included in staff training. There is supervision of all activities by the manager and senior carer. The manager is confident that any unacceptable practices would be identified. Residents and visitors are encouraged to make their views known about all aspects of life at the home. Residents were seen during the inspection to make their views known and they are encouraged to do so. The commission is advised of notifiable incidents. There were no complaints notified to the commission since the previous inspection. Residents are encouraged to comment to staff about all aspects of their care and support including raising any issues that worry or concern them. Examples of how this benefits both staff and residents were discussed during the inspection. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 16 Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 19, 20, 21, 23, 24, 26. Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. Residents have the benefit of living in safe and comfortable premises. EVIDENCE: The premises are safe and comfortable. Indoor and outdoor facilities are suitable for residents. Single bedrooms are comfortable and well furnished. Shared bedrooms are likewise well furnished and are suitable for use by 2 residents. The policy of the home is to offer shared bedrooms to couples only, sisters, brothers or good friends who have asked to share a bedroom. A curved stair lift assists residents to the first floor. The layout of the home makes it less suitable for use by people with physical disabilities. However, conversely residents retain their independence and gain exercise in returning to bedrooms particularly those on the 1st floor because of the effort involved. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 18 There were no unacceptable odours that were not dealt with. There is a high level of attention given to maintaining all areas of the premises. Several WC’s do not have washbasins because of their size. Hand-sanitizers are in place and good hygiene practices were observed. The home has a sluicing room (previously a bathroom) on the first floor. Conversion of the bathroom benefited cleaning procedures but resulted in fewer than the recommended number of bathrooms available to residents. However, the manager said that residents enjoy the use of the main communal bathroom with its Parker bath/jacuzzi. A sling hoist (operated by 2 people) is no longer used. Some televisions have poor reception. Since the inspection visit, the commission has been advised that this problem is being addressed. A number of residents have obtained Sky TV at their own expense. Residents are provided with a call bell handset for use in their bedrooms. There are sufficient handsets for use in each bedroom and in each communal area. The home has a smoking area that is appreciated by those residents who smoke. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 19 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30. Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. Residents have the benefit of being supported by an effective staff group. EVIDENCE: Staff files seen indicated that all new members of staff complete an application form, 2 written references are taken up, CRB checks are completed and induction/supervision/training follows. The manager intends to have an up-todate list of staff available at all times showing names of staff, the CRB reference number, date of check and a reference to the outcome. Twenty-four hour care is provided. Two members of staff are on duty at night. A senior carer, two care assistants, cook, domestic worker and maintenance person were at the home during the inspection visit. The manager was also present. Members of staff felt that there were sufficient staff on duty to meet the support needs of residents. The level of support for residents is significant. Some were unable to leave their bedroom and required high levels of support. Some have dementia. At times staff were under great pressure in providing personal care and carrying out household work. The support needs of residents are met by the efforts of skilled and hard working staff. In the past the ratio of staff to residents (excluding manager’s hours) was low (approximately 2:20) but this has been improved to approximately 3:20 when trainee presence is taken into account. With a cook Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 20 working full-time during the day including weekends, the presence of an operational manager and support from domestic staff, the manager said that care staff are sufficiently supported. Case tracking exercises indicated that residents are assessed in detail before admission, arrangements are made to meet each resident’s support needs and every effort is made to meet their health and social care needs including when needs become critical. There are great pressures on staff in meeting such critical and diverse needs. It was not fully clear from staff files if all staff either completed or will soon complete “mandatory” training. The manager is checking that all members of staff complete this training during 2007. This would include manual handling and updates as necessary, use of hoists (if the hoist is to be retained and used), fire safety, protection of vulnerable adults, food hygiene for all staff serving or cooking food. All staff administering medication are trained and supervised by the manager and senior carer. As part of the new Resident’s Guide, a training matrix for all staff will be produced and updated as members of staff complete relevant training (ie. recognised/certificated training, rather than staff being requested to watch recommended videos or video extracts). Mrs Conway is reviewing the induction procedure and record maintained by each new member of staff over the first 3 months to ensure that it complies with current standards set by the appropriate organisation in the care sector (“Skills for Care”). All staff met during the inspection had a good knowledge of resident’s support needs. They were enthusiastic and hard working. Care staff are encouraged to obtain NVQ Level 2 in Care and most staff have achieved the qualification or are undertaking it. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 21 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 38. Quality in this outcome area is good. This judgement was made using available evidence including a visit to this service. Residents live in a home that is well managed and that acts in their best interests. EVIDENCE: Mrs Vivienne Conway was the de facto manager during the past 6 months while the owner/manager concentrated on other business interests and she was registered with the commission in February 2007. Mrs Conway is undertaking the registered manager’s award (RMA). During the inspection, there were indications that the home was well managed. Residents with high dependency needs are supported well. They receive good healthcare support although GP services and dental assistance has been difficult to access or obtain. Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 22 As referred to earlier in this report, the objective is to help residents to remain independent even when their physical and mental capabilities are failing. Some residents look after their legal and financial affairs. In other cases, a trusted relative or solicitor carries out this responsibility. Where residents are judged to be no longer able to carry out these functions, the home has strict procedures for assisting residents and relatives in identifying independent representation. Where additional charges are levied, invoices are presented and receipts for all services are maintained. The manager and senior carer undertakes formal staff supervision (approximately 6 weekly) of which a record signed by both parties is kept. A file was seen during the inspection that indicated all relevant safety checks and associated records are maintained by the manager. The examples seen were PAT (portable appliance tests), hoist tests (although hoists are to be disposed of as residents must not need this type of assistance), fire alarms and equipment, gas appliance tests and stair lift maintenance. The senior carried out essential fire safety checks during the inspection. A fire safety report was prepared during 2006 by consultants: the manager said that, as a result of new requirements under recent fire safety regulations, she would commission a new fire safety assessment carried out by a person qualified to do so (with information about this qualification sought from the Kent chief fire safety officer). Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 4 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 2 x 3 3 x 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 x 3 3 x 3 Rosedene Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 24 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 Residential Home DS0000023524.V315000.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 DS0000023524.V315000.R01.S.doc Version 5.2 Page 26 - 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!