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Inspection on 12/10/05 for Rosegarth Residential Home

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

This inspection was carried out on 12th October 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is providing a high standard of accommodation with a lot of investment in the building, furnishing and fittings. The home provides meaningful activities and services users are encouraged to continue contact with family and friends. The home provides very personal service and daily living habits are valued such as individual hobbies.

What has improved since the last inspection?

The home has maintained a good standard through the changes in management. The environment continues to be invested in with the redecoration of communal areas.

What the care home could do better:

The medication storage cupboard has been strengthened with metal plating, however, the lock is not appropriate and the hinges are not appropriate and the cupboard should be replaced with one built for the purpose.

CARE HOMES FOR OLDER PEOPLE Rosegarth Residential Home 5 Clifton Road Ben Rhydding Ilkley West Yorkshire LS29 8TT Lead Inspector Ashley Fawthrop Unannounced Inspection 12th October 2005 09:30 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 Rosegarth Residential Home DS0000001300.V256243.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. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosegarth Residential Home Address 5 Clifton Road Ben Rhydding Ilkley West Yorkshire LS29 8TT 01943-609273 01943 603690 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) Mrs Carol Taylor Mrs Janet Mary Garside Care Home 18 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (14), of places Physical disability over 65 years of age (1) Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22 March 2005 Brief Description of the Service: Rosegarth is a detached property providing accommodation for 18 service users in single rooms on two floors. There is one lounge, dining room and conservatory. There are bedrooms, bathrooms and toilets on both floors. There is a garden with sitting area and parking to the front of the premises. The home is close to Ilkley town centre. The home is registered to take older people with physical disabilities. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken within one day by one inspector. The last registered manager left the home last year and there have been a number of staff managing the home since that time. The prospective manager has applied to register as the manager under the fit person process as required under the Care Standards Act 2000. Much of the inspection was undertaken with the prospective manager reading records and discussing policies. The information available to prospective service users prior to admission has been updated with all the information required. The conditions of residency has been updated to meet the standards and service users and their families have the opportunity to visit the home prior to admission. Pre admission assessments are normally undertaken, however, on a number of occasions this has not been the case. The registered provider should ensure that assessments are undertaken prior to admission. All service users have a care plan and these are updated regularly. Medications are administered appropriately, however, the storage facility needs to be improved. There are appropriate activities provided and service users receive family and friends in the home and have the opportunity to go out. The environment exceeds the standard required and provides a high standard of comfort this is good practise. The complaints system is appropriate and the one complaint received this was investigated by the registered person with a satisfactory outcome. Staff are undertaking training and the conduct of the home is good. What the service does well: The home is providing a high standard of accommodation with a lot of investment in the building, furnishing and fittings. The home provides meaningful activities and services users are encouraged to continue contact with family and friends. The home provides very personal service and daily living habits are valued such as individual hobbies. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 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. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 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 Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 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, 4, and 5 On the whole the home does manage admissions appropriately there is information available to prospective residents about the service and visits to the home are made. Mistakes have been made regarding assessments in the past but the importance of pre admission information is now appreciated. EVIDENCE: There is a Statement of Function and Purpose and a Service Users guide which is called the Brochure in this home. Both have been updated recently and include all the information required. The Statement of Purpose is available in the home for prospective service users and their families or representatives to read. The prospective manager was informed that the brochure should be given to all individuals that enquire about the services the home provides. All individuals have terms and conditions regarding their care these have been updated recently and include all the information required. There is an assessment form that is completed prior to admission into the home, the assessment is undertaken by senior staff. The home has accepted individuals in the past without assessment or relied on others to perform the Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 9 assessment and the information was inaccurate causing the service user to be moved to another service shortly after admission. The prospective manager was informed that service users must not be admitted into the home without an appropriate assessment. Service users and their families and representatives are given the opportunity to visit the home prior to admission and the first four weeks are classed as a trial period. Rosegarth Residential Home DS0000001300.V256243.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): 7, 8, 9 and 10 The care plans are documented appropriately and service users are cared for with respect maintaining individual dignity. The medication system is unsafe due to the storage facility. EVIDENCE: All the service users have an individual care plan. There is an initial plan that is undertaken on admission using information from the assessment covering basic needs. The plan is then developed to include the physical, social and emotional needs. Once the service user has settled into the home at the first review the personal daily activities are added that may include a specific activity someone likes to do at a specific time or day this personalises the plan. Service users or their representatives sign the plan and agree it’s content reviews are undertaken six monthly. The care plans cover the health needs of individuals and there is evidence that other health care professionals are involved where appropriate. During the inspection I observed service users and staff interaction service users were addressed with courtesy and respect service users are very happy with the care they receive and privacy was respected. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 11 The medication policy is appropriate and the administration is satisfactory. I would recommend that the medication cupboard be replaced, as the existing one is a wooden cabinet that has been re enforced with metal, however, the hinges are not to the correct standard for cabinets for storing medication and the locks are not appropriate. Rosegarth Residential Home DS0000001300.V256243.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): 13, 14 and 15 Relatives of service users usually live locally to the home and visit regularly. Activities are offered and are aimed at the ability of the service users. The food is nutritionally balanced and the atmosphere at mealtimes is relaxed. EVIDENCE: Many of the service users are mobile and are able to organise their own days. There are a number that choose to stay in their own rooms and some who go out with their family. Risk assessments are undertaking relating to going out and though some individuals may be at risk from going out the risk assessment shows action that is taken by staff to reduce the risk to an acceptable level. There are organised activities throughout the week and a mini bus is available every other week for trips and shopping. Service users eat either in the dining room or in their own rooms. The dining room is pleasantly decorated with appropriate dining furniture. There is a choice at breakfast and tea but the lunch menu is set. Fresh vegetables and fruit are delivered to the home throughout the week. The menu is changed on a weekly basis and service users are able to add their personal choice. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 13 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 Complaints are taken seriously and investigated appropriately. EVIDENCE: There is a complaints procedure available in the home a copy is written in the Statement of Purpose and a copy is on display in the home. The procedure has been followed as a complaint has been investigated this year. The investigation was undertaken by the registered person the Commission and the complainant was kept informed of the investigation and the complaint came to a satisfactory conclusion. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 14 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, 22, 23, 24, 25 and 26. There has been a lot of investment in the environment and exceeds the standard required. EVIDENCE: The building is maintained to a good standard both externally and internally. The gardens are well maintained with sitting areas. There is one lounge this has recently been redecorated and including new carpet. There is a conservatory with access to the garden and dining room that is furnished with appropriate dining furniture. There are bathrooms and toilets on each floor and hoists and grab rails are fitted. Bedrooms are decorated and furnished individually and the home is comfortable and clean. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 15 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, 29 and 30 Staff do receive the appropriate training and service users are protected by the recruitment procedure. EVIDENCE: The staff team is consistent and turnover is low NVQ training to level two is being undertaken or has been achieved by the care staff. Other training includes Basic food Hygiene, Fire, Moving and Handling and Dementia Awareness. There is a recruitment and selection process that includes an application form, references and criminal checks. Where overseas workers require permits copies of these are available. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 16 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 and 37 EVIDENCE: The prospective manager has many years experience in the care industry she has undertaken training and updated her skills on a regular basis. She is at present applying to be registered as manager under the fit person process. The service users are very happy with the way the home is run and the care they receive. The homes records and policies and procedures are being updated as required by the prospective manager using the Minimum Standards for Older People as a guide. Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 17 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 4 4 4 4 4 4 4 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 3 X X X 3 x Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 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. 1 Standard OP9 Regulation 13 (2) Requirement The registered person must ensure that the medications stored on behalf of service users are kept in an appropriate metal cabinet. Timescale for action 01/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Rosegarth Residential Home DS0000001300.V256243.R01.S.doc Version 5.0 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. 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