Inspection on 07/06/07 for Rosegarth Residential Home

This inspection was carried out on 7th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosegarth Residential Home 05/07/06

Rosegarth Residential Home 09/02/06

Rosegarth Residential Home 12/10/05

Rosegarth Residential Home 04/02/04

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

CARE HOMES FOR OLDER PEOPLE Rosegarth Residential Home 5 Clifton Road Ben Rhydding Ilkley West Yorkshire LS29 8TT Lead Inspector Karen Westhead Key Unannounced Inspection 7th June 2007 09:15a 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.V335962.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. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 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 Vacant 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.V335962.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2006 Brief Description of the Service: Rosegarth is privately owned by Mrs Carol Taylor. It is a care home, which does not provide nursing care. The building is a large detached house with an extension and has room to care for up to eighteen people. It is in a residential area of Ilkley. There is a good bus route nearby which runs into the town centre. However to walk to the home from the main road, there is a hill. The home has eighteen single bedrooms; six of these have en suite facilities. Residents can bring their own furniture if they want to. This can help them feel at home and go some way to keeping their independence. There are also communal areas, which are spacious and comfortable and provide a venue for a wide range of social activities to take place and for residents to meet up in groups. There is a stair lift to the first floor and a nurse call system is fitted in all bedrooms, toilets and bathrooms. Rosegarth is well maintained throughout and there is a routine programme of refurbishment and maintenance. The system in place for repairs and renewing means work is carried out quickly with no delays. There is a safe and accessible garden area to the front of the house, with seating and ample car parking for staff and visitors. The fee charged per week is between £385 to £550. This information was provided during the inspection. The fee includes hairdressing, chiropody treatments and toiletries. Residents buy their own newspapers and if they have a telephone in their own room, they are responsible for the bill. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was done by one inspector and had not been prearranged with the manager or owner. The inspector arrived at 9.15am and left at 3.45pm. At the end of the visit the owner was told how well the home was being run and what was needed to make sure the home meets the standards. The reason for the visit was to make sure the home was being run for the benefit and well being of the residents and in line with requirements. The home was last inspected on 5th July 2006. Before the inspection information received about the home was reviewed. This included looking at the number of reported incidents and accidents, the action plan provided following the last inspection and reports from other agencies such as the fire safety officer’s report. This information was used to plan the inspection visit. A number of records were looked at which covered all aspects of the home and the care provided. All communal areas of the home were seen and some of the residents bedrooms. Most of the day was spent talking to residents, visitors, staff and the owner, to find out what it is like to live and work at Rosegarth. The manager was not on duty. Commission for Social Care Inspection (CSCI) questionnaires and post-paid envelopes were left for residents and visitors to complete. During the course of the visit, one relative and two residents agreed to fill one out and returned these to the inspector on the day. Other visitors and residents were asked for their views and what they said to the inspector is also included in this report. What the service does well: Rosegarth is a friendly home with a relaxed atmosphere. Staff focus on resident wellbeing and the standards of the care they provide. The owner and staff team have worked hard to bring the home up to the required standard and they have a plan about what they want to do to make Rosegarth a nice place to live. All residents are assessed prior to coming to live in the home and staff have a good insight into what care they can provide. The owner and staff are proud of the care they deliver. They want residents to see Rosegarth ‘as their home’ and take their duty of care seriously. Staff took Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 6 an interest in the residents they were caring for and were knowledgeable, competent and professional in the way they did this. Residents, who were able to share their experiences, did see Rosegarth as their home and they talked positively about their surroundings and the staff looking after them. There was evidence that residents could retain their independence and a feeling of usefulness. Staff were seen to give assistance without denying the resident the right to try for themselves. The building and facilities provided are of a very good standard. Three requirements have been made; one of these is outstanding and refers to the registration of a manager. Two recommendations are about the development of risk assessments and the locks to resident’s bedroom doors. However, this should not overshadow what is a pleasant and comfortable home for residents. What has improved since the last inspection? What they could do better: The home is well maintained. One minor requirement was made to make sure the wires leading to the fire panel and nurse call system are made safe and out of reach. However, the hard wiring in the home has not been checked for several years. This is an oversight and the owner agreed to have this done as a matter of urgency. The owner was not sure if all staff have had a CRB check. This is to be confirmed. Due to changes in the appointed manager, the opportunities to register with CSCI have been delayed. Despite this the owner has continued to be involved in the home to make sure resident care has not been compromised. Recommendations have been in two areas. Risk assessments have been completed for residents but additional work is needed to give more details of how the risk level was assessed and what staff need to do to minimise this. . Bedroom doors have mortice type locks fitted, which are not currently used by residents due to health and safety reasons. The owner said that if residents wanted to lock their bedrooms, a suitable lock would be fitted. This would allow staff to enter in case of an emergency but allow the resident privacy whilst using the room. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 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 Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 (6 N/A) People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Residents and their relatives have enough information about the home to decide if it will meet their needs. EVIDENCE: The Statement of Purpose provides enough information for residents and their relatives to make an informed choice about whether they think Rosegarth might be a suitable home. Five files were looked at including the most recently admitted resident. All of the residents had had an assessment before moving in, to make sure the home could meet their care needs. Staff work with the family and friends of residents to gain as much information as they can to make sure the residents settle. This practice was used particularly where residents were unable to give their history. Admissions only take place if the manager and owner are Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 10 confident that staff have the skills, ability and qualifications to meet the needs of the resident. Prospective residents are given the opportunity to spend time at the home, before the admission. This allows them to ask questions of the staff and other residents and maybe gain an insight into life in the home. All residents have a contract, which sets out the terms and conditions of their stay. Examples were seen where representatives had signed the contract on behalf of the resident. The contract is written using plain language and is therefore clear. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Residents care needs are met. Individual care plans give staff the information they need to provide the care required. Some development work is planned to enhance the use of risk assessments. EVIDENCE: Five files were looked at in detail; including the most recently admitted resident and a resident who requires specialised care due to a medical condition. The information gives an insight into the needs of the resident but more work is needed to make sure risk assessments are properly applied and give enough detail. For example where residents are at risk of loosing weight, a nutritional assessment should be carried out which details why the risk is present and what staff should do to minimise this. Care plans are being reviewed; therefore any changes in care delivery are recorded and kept up to date. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 12 Staff record what has happened on each shift, morning, afternoon and night, for every resident. This daily record was checked against other documents, for example, accident forms and care plans and this showed that staff were being consistent and recording events accurately. The owner and staff group talked about the care provided at Rosegarth and there are clear boundaries within which the home operates. For example, when they are no longer able to give the level of care needed they know when to consult other professionals and if necessary assist the resident and their family to find an alternative home. If resident’s needs could be met in the home using other resources, for example the district nurses or specialist nursing teams this might be tried. However, on admission residents and their relatives are aware of this and are in agreement. An example of good practice was discussed. One resident, who has a medical condition and will move from the home when appropriate, is already receiving visits from staff who will be taking care of her in future and is making links with the service she is moving to. This is being done with the full knowledge of the resident and her doctor and relatives. The owner and staff understand the importance of residents being supported to take control of their own lives. Those residents spoken to said they made decisions about such things as when to get up, go to bed, if they wanted to go out, what they wished to eat. The owner is aware of current policy issues and good practice developments, and tries where possible to transfer this thinking into daily practices within the home. For example choices available to residents, routines around mealtimes and the promotion of independence. Medication is correctly administered. There are two storage areas for medication, which are kept locked. Only staff trained to give out medication do so. The drugs held were checked alongside the record sheets and were found to be accurate. Residents are seen in private when the doctor visits. Staff accompany residents to give the doctor up to date information regarding their conditions and to discuss any changes in medication or treatment. There was written and visual evidence of contact with district nurses, dentists and other health professionals. Comments from residents showed they were very satisfied and content with the care provided. It was clear during conversations with staff that they take an interest in the well being of each resident and try to provide them with a good quality of life. Some areas of good practice were seen, for example the way in which staff Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 13 approached residents who were in need of attention and the manner in which they answered resident’s questions. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Resident’s lifestyle in the home matches their expectations and they are helped to exercise choice and control over their lives. EVIDENCE: Residents said staff were very good at keeping them entertained, and that they were not made to join in with games and other activities if they didn’t want to. This was also noted on some of the care plans seen. Staff said they made good use of the local facilities and that the home was part of the local community. One carer was talked about by relatives and staff as being very good at organising events in the home, although all staff are involved in this. They said they particularly enjoyed the discussion groups where they talked about their lives, current affairs and events in the home involving themselves and the staff team. The inspector gained the view that family and friends are seen as an important part of Rosegarth life not only by the residents but the staff too. Residents said they were satisfied with the level of activity in the home and talked about trips out in the minibus and annual events such as the summer fair and cream teas. This event is well attended and those present are Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 15 entertained by a local brass band. Many of the residents have lived in the area a long time and keep links with the communities they have moved from. The inspector sat in the dining room whilst the main meal of the day was being served. Not all residents wish to eat in the communal dining room and this is respected. Residents are served meals in their bedrooms too. Residents said the meal served was typical of the standard at every mealtime. The menus for the week are displayed on the notice board in the hallway. The cook said she regularly speaks to residents to see if they want to make any changes to the menu. There are choices available at all meal times and alternatives are offered if residents do not want what is on the menu. The owner and inspector discussed other ways of making choice available, as some residents said they were not aware they could have something else. There are a variety of choices for the teatime meal, which is either a choice of hot or cold snack. The inspector saw records in care plans which showed residents preferences for breakfast and their likes and dislikes for main meals. The owner said she would check with the cook that she had the most up to date information. The manner in which the meal was served showed that staff were sensitive to resident’s wishes and gave them ample time to finish each course and make sure they had enough to drink. The kitchen was clean, tidy and well organised. Records of cleaning schedules, food delivery, serving temperatures and fridge temperatures are kept. The cook prepares the main meal of the day and prepares the teatime meal as far as possible to ease the burden on staff. Staff serve breakfast in residents bedrooms. Residents select what they prefer and this is taken into account when the trays are taken to each room. Some residents and relatives shared their views about the home: • They (staff and owner) are very good to me. • I do love it here. Rosegarth is my home now. • Yes, I know the staff. I talk to them and they understand me and what I like. • I’ve enjoyed every minute since coming. I should have done it years ago. • The food is very good. They make everything fresh, even the buns are home baked. • I get what I want to eat, if I don’t like something they know what I like. • I don’t have to join in if I don’t want to; I go in my room with my things. • Isn’t my room lovely, look at the view? I have all my own things here and my family bring me treats. • The home is kept spotlessly clean. • One relative said the home never smells of urine. That is so important to us. I liked the home, it is so peaceful and residents are very well looked after. • The staff are very caring and nothing is too much trouble. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 16 Some residents, who were not able to talk about their experiences, showed they recognised the staff in their responses to them and felt safe in their presence. There was an atmosphere of calmness throughout the day. Staff said they are not under pressure to meet routines by a specified time. There was an emphasis on making sure residents were comfortable. Staff did not walk past residents without acknowledging them and if residents were looking ‘lost’ or unsure staff picked up on this straight away. Residents were spoken to in a calm and professional manner and given time to make their views known. The layout of the building allows residents to walk around freely and select different areas to sit in. Residents meetings are not held in a formal way. However, this does not mean residents and relatives views are not sought in other ways. It was clear from the views of residents and relatives that they felt they had a voice in the home and were able to engage with staff and the owner if they thought things needed to be changed or had a suggestion. All accidents and incidents in the home are being recorded. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The level of staff understanding means that complaints will be taken seriously and residents will be protected from abuse. EVIDENCE: There have been no complaints since the last inspection in July 2006. Residents said they knew how to complain and who they could talk to if they felt unhappy. Staff have received training on adult protection and further training is scheduled to take place in August 2007. The home has an adult protection policy. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The standard of decoration and maintenance of the home is good. Some requirements have been made to make sure the home meets the standards. EVIDENCE: The home is well furnished and attention to detail makes the home feel comfortable to residents and the owner and staff clearly take a pride in this. The home provides an environment that is suitable for the people living there and it retains many of the original features, which residents said they like. There are bathrooms and toilets on both floors, which are used by residents. Residents and staff said there is plenty of hot water and that the temperature in the home can be altered if they need it to be. On the day of the visit the weather was hot, windows had been left open to ventilate areas and residents said they were comfortable. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 19 Resident’s bedrooms are decorated and furnished in a way, which gives the impression of individuality and ownership. Rooms seen were highly personalised and the home was clean and tidy throughout. Bedroom doors have mortice type locks fitted, which are not currently used by residents. The owner said that if residents wanted to lock their bedrooms, a suitable lock would be fitted. This would allow staff to enter in case of an emergency but allow the resident privacy whilst using the room. During the visit, all staff did knock on bedroom doors before entering. The nurse call system was heard being used on two occasions. Responses by staff were good on each occasion. The member of staff responding to the bell did so within a couple of minutes and cancelled the bell at source. This shows that staff do not leave a bell ringing for long and that they have to visit the room, where the bell is activated and cannot cancel the call at a central panel without checking the reason for the call. No comments received during the visit suggested that there were problems with the call system working effectively during the night. The home was clean, tidy and smelt fresh. There is a good infection control policy and staff work within this. The kitchen area is well organised. The cook said all the equipment was working. Work is needed to make sure the electrical cables leading from the fire panel and nurse call system are secure and out of reach of residents. The owner needs to make sure the electrical hardwiring is checked by a certified electrician who can confirm that the system is safe and fit for purpose. Apart from this, information provided by the owner confirms that equipment and services are being maintained according to health and safety laws. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. Staff are competent, experience and trained well enough to be able look after residents properly. EVIDENCE: The information provided at the inspection showed that six staff had left since the last inspection. The current manager is due to leave in July 2007 after a short overlap period with a newly appointed manager. The recruitment files of the new staff were seen and some pre employment checks had been made to make sure they were suitable to work with the vulnerable people. However, it was not clear if all newly appointed staff had had a criminal record bureau check (CRB). The homes recruitment and selection procedure includes this as essential criteria. Staff are responsible for reading policies and procedures. The owner makes sure all staff are informed of any changes. Two staff members’ work during the night, one is awake and the other sleeps in. This is altered if a resident is not well. There are two carers, including one senior member of staff at any other time. Staff hours are used creatively and this means there are staff available at busy times of the day, including mealtimes and when residents are getting up. In the eight weeks prior to this Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 21 visit, the home had used two agency workers to cover one night shift and one five hour day shift to make sure the home was adequately staffed. This means agency workers are kept to a minimum in the interests of continuity for residents. The owner is advertising for additional staff to make up the shortfall in hours created by staff leaving. In the meantime, existing staff try to work additional and flexible shifts to minimise disruption for residents and prevent agency staff having to be brought in. The manager is not included on the roster and works in addition to the staff delivering direct care to residents. There are suitable on call arrangements. Residents are confident in the abilities of staff and said many times that they felt safe and well looked after. Staff training is provided and a forthcoming programme of courses includes topics such as; moving and handling; food hygiene; first aid and adult protection. Staff said they had attended courses in the past, including principles of care, fire safety and medication administration. A large proportion of staff have completed a recognised care award, a national vocational qualification at various levels. Staff were spoken about in positive terms by all who talked with the inspector. The residents said they felt looked after and that staff were attentive and kind. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35, 36, 37 and 38 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service. The home is managed and run in the best interests of residents, despite there being a planned change of manager. EVIDENCE: The manager is due to leave next month and there will be an overlap of one week with the newly appointed manager. The owner is involved in the day-today running of the home and has the necessary skills to be able to run the home effectively. The owner has run the home for a number of years and has a strategic and financial plan, which includes a programme of refurbishment and other developments. There is a clear understanding of the key principles of care and there is a strong ethos of openness and transparency in the way the home is run. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 23 Equal opportunities are promoted and this is shown in the practices in the home and the way in residents and staff are treated. The owner has a consistent record of meeting relevant health and safety requirements. Residents’ are well cared for and attention had been given to their appearance, including their hairstyles and clothing. The home handles no cash on behalf of residents. This is dealt with either by themselves, their family or a third party. Seven residents have legal restrictions on their finances to protect their financial affairs. All records regarding residents and staff are kept in a locked filing cabinet in the office when not being used. The owner has updated all the policies and procedures relating to the home to make sure they are in line with current good practice and remain relevant to Rosegarth. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 24 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 N/A 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X 3 3 3 3 Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? YES 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 OP31 Regulation 8(1) Requirement The registered person must ensure that the person managing the home completes an application to be registered under the fit person process. This is outstanding from 30/11/06 The registered person must ensure that all equipment has a safety certificate. This must include the electrical hard wiring in the home, which must be tested by a person who is qualified to carry out this work. Timescale for action 24/11/07 2 OP19 23(4) 07/08/07 3 OP29 18 and 19 Loose wires around the fire panel and nurse call system must be secured to the wall and out of reach. The registered person must 07/07/07 confirm that all staff have had a CRB check. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 26 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 2 Refer to Standard OP8 OP24 Good Practice Recommendations The registered person should develop practices around the recording of risk assessments for residents. The registered person should provide a suitable lock to bedroom doors if residents wish to lock their rooms. This needs to replace the existing mortice locks, which must not be used for health and safety reasons. Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rosegarth Residential Home DS0000001300.V335962.R01.S.doc Version 5.2 Page 28 - 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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