Inspection on 06/01/06 for Rosedene Residential Home

This inspection was carried out on 6th January 2006.

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 12/07/05

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 Rosedene Residential Home 29/31 Westonville Avenue Westbrook Margate Kent CT9 5DY Lead Inspector Brenda Pears Unannounced Inspection 10:30 6 January 2006 th 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.V271694.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 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.V271694.R01.S.doc Version 5.0 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(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) richardraj@rosedenerch.freeserve.co.uk Richard Anthony John Raj Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Rosedene Residential Home is a bright, clean and welcoming environment that provides support for 21 older people. 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 DS0000023524.V271694.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced 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, a sampling of records and a tour of the building. The first part of this inspection was conducted with the senior member of staff on duty, who displayed a thorough knowledge of service user needs and health care developments. The manager later arrived on duty and participated in this inspection. The home was found to be clean and bright with a warm and welcoming environment. Service users spoken to at this time stated their needs are met and the staff are very caring. One new service user expressed her delight at the environment and the care being delivered and explained that any needs, particularly being taken to church when required, are fully met. There is a varied menu with special diets, such as diabetes and high cholesterol, being catered for. Service users stated they enjoy the food and some eat in their rooms if they choose to do so. While staff were dealing with service users with due consideration for personal needs and in an appropriate manner, attention must be paid to ensure staffing levels are sufficient to meet needs, particularly at busy times of the day. It is noted that the proprietor would usually be in the home, but was on annual leave at this time and the manager is on call and was due on duty later in the morning. Independence and mobility are encouraged and hobbies or activities that are enjoyed are fully supported. The home continues to provide support and care in a safe, relaxed and well maintained environment. What the service does well: The home continues to ensure service users are taken out whenever possible. When staff go shopping or use the car, service users are invited to go along. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 6 Enabling 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. Service users spoken to at this time, all confirmed they are supported and well cared for by the staff group. Health care needs of the individual and relevant assessments of any changing needs are reviewed and adjusted as required. What has improved since the last inspection? What they could do better: While any incidents are notified regularly, this information needs to be fuller to support both service users and staff. Details of pre incident events and the support that is delivered post incident must be completed with notification of who has been informed of the incident, such as family, care manager or the Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 7 Commission for Social Care Inspection. Full details should also contain information of what time the incident occurred. Staffing must be appropriate at all times of the day to fully support the needs of service user. 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.V271694.R01.S.doc Version 5.0 Page 8 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.V271694.R01.S.doc Version 5.0 Page 9 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): 3, 4 & 5 All new admissions are undertaken following a pre admission assessment to ensure the placement is appropriate and visits are encouraged and supported prior to admission into the home. EVIDENCE: Files for new admissions contain clear assessments of needs and how staff are to ensure full needs are met by the home. Visits to the home are encouraged prior to admission and this was confirmed through discussions with service users at this time. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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): 8, 9 & 10 All healthcare needs are met and the senior member of staff expressed a good knowledge of current health matters. There is a policy in place for the dispensing of medication and medication is stored appropriately. Service users are treated appropriately with due consideration for privacy and respect. EVIDENCE: Visits by healthcare professionals are clearly recorded and specialist organisations are contacted to support service users. The senior carer on duty at this time expressed a thorough knowledge of health needs and current matters concerning individual service users. Service users are treated with respect and the right to privacy is upheld. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 11 Personal and social care needs are set out in care plans and fully supported by the home. This was confirmed through observations and discussions with service users at this time. One service user explained that a low cholesterol diet has been advised and the staff were ensuring the appropriate diet is being served. Staff were also taking time to explain the reasoning behind specific foods being served and the way the low cholesterol diet works. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14 Choice and autonomy are supported and encouraged, with choices being undertaken with support if required, providing a good quality of life. All aspects of service user needs are met by the home and family, friends or advocates are encouraged to maintain contact. Any food request is met for individuals at any mealtime. EVIDENCE: Choice and autonomy is supported and encouraged through regular meetings with service users and also through informal discussions each day. Minutes of all formal meetings are recorded. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 13 All aspects of religious, social and leisure activities are fully supported in the home. One person who has moved to the home since the last inspection stated she has been welcomed into the home and supported with all aspects of her move. Visits to church have been supported with suitable travel arrangements being made when needed. Other activities that are regularly undertaken include trips to the shops, theatre, the sea front and walks. Keep fit is offered as are bingo sessions, manicure and therapy plus car rides out if anyone would like to have a trip out. One service user explained that she enjoys typing the minutes of the service user meetings, providing valuable information and continuing to use skills that are very important to maintain. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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 the following standard(s): 16, 17 Service users know their complaints will be listened to and acted on. EVIDENCE: There is a complaint policy and procedure in place in the home. Service users spoken to at this time stated they are confident and comfortable to discuss any matters with care staff, management or the proprietor. They were also confident that any matter would be addressed and that appropriate action would be undertaken. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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 the following standard(s): 19, 23,26 The home is well maintained, clean and hygienic. EVIDENCE: The home continues to offer comfortable, well-furnished and bright rooms. Service users confirmed they are able to bring person items with them and rooms are colour co-ordinated and comfortable. Hand wash dispensers with antiseptic liquid have been installed along corridors to encourage service users to clean their hands and to ensure the control of infection. While no structural alterations have been undertaken since the last inspection, a new conservatory is planned and corridors are to be redecorated and recarpeted. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 16 Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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 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, 28 Staff are caring and consider the dignity of service users but staffing levels must be appropriate, particularly at busier times of the day. Training is monitored throughout the year and all training is approved and appropriate. EVIDENCE: Discussions with service users confirm that service user needs are met in an appropriate way and the inspector was told that staff are very caring. While staff were dealing with service users with due consideration for personal needs and in an appropriate manner, attention must be paid to ensure staffing levels are sufficient to meet needs, particularly at busy times of the day. There was 1 senior carer, 1 carer and a cook on duty at the time of this inspection and the manager later joined the inspection. The manager explained that the cook would answer any phone calls if the staff were busy, but there were a few service users who needed to use the bathroom and with only 2 carers on duty, it would obviously mean that some service users would have to wait for support at this time. Discussions were undertaken with the senior carer and later with the manager about staffing numbers. While staffing Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 18 is always increased when activities are planned or appointments are undertaken, any busy periods in the home must also be covered with appropriate staffing levels. The proprietor was on annual leave at the time of this inspection and would normally be in the home during the daytime and the manager was due on duty at 11am. Staff stated they feel they do manage and while this may be the case, staffing levels must be sufficient to meet all needs. Training is monitored and refreshed as required, some training that is currently booked for this year includes Adult Protection, Challenging Behaviour, First Aid, Health & Safety, Loss & Bereavement and Infection Control. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 19 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): 31,32,33,38 The registered manager is a suitable person and service users benefit from a safe and well run home. While incidents are reported, the information contained on forms must be fully complete at all times. EVIDENCE: While any incidents are notified regularly, this information needs to be fuller to support both service users and staff. Details of pre incident events and the support that is delivered post incident must be completed with notification of who has been informed of the incident, such as family, care manager and the Commission for Social Care Inspection. Full details should also contain information of what date and time the incident occurred. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x 3 X X X 4 X x 3 STAFFING Standard No Score 27 2 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 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 OP27 Regulation 18 Requirement Staffing levels must be appropriate to the assessed needs of service users at all times. Timescale for action 31/01/06 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 OP38 Good Practice Recommendations That all incident reports contain full and appropriate information. Rosedene Residential Home DS0000023524.V271694.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 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 DS0000023524.V271694.R01.S.doc Version 5.0 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. 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