Inspection on 12/03/07 for Rosehill

This inspection was carried out on 12th March 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rosehill 03/03/09

Rosehill 24/01/06

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Rosehill 31 Thornholme Road Sunderland Lead Inspector Miss Andrea Goodall Key Unannounced Inspection 12 & 29th March 2007 10:00 th Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 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 Rosehill DS0000064504.V313508.R02.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 Adults 18-65. 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. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosehill Address 31 Thornholme Road Sunderland 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) 0191 5108145 Tyne and Wear Autistic Society Peter Mountain Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 Brief Description of the Service: Rosehill is a care home for 6 younger adults with Autistic Spectrum Disorder. It is owned and operated by the Tyne & Wear Autistic Society (TWAS), which operates several care and educational services for children and adults in Sunderland. The home was registered in May 2006 to replace the residential accommodation at Thornbeck College. The 6 residents moved here from their former care home at Thornbeck College, which is directly across the road from Rosehill. Rosehill provides 6 single bedrooms and 2 bathrooms over 3 floors of accommodation. On the ground floor there are also a large comfortable lounge, a good-sized dining room, and a large family kitchen. The home has a large garden to the back and a sheltered patio area to the side. The quality of furnishings and decoration are of a very good standard throughout the house. The home is a domestic dwelling, previously used as a family house. It is not intended for people with a physical or mobility needs. However the home has ramped access from the driveway into the dining room, and one bedroom is on the ground floor. There is a large toilet on the ground floor for any visitors with disabilities. The home is near to the City centre shops, pubs and sports centres. Residents also have use of a family-sized vehicle for transport to other facilities. The weekly fee is between £1231.00 and £2205.00. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Most of this inspection was carried out over one day. This was an unannounced visit so the home did not know the inspector was coming. Another short evening visit was made to talk to residents who had been out during the first visit. The inspector talked with the manager about staff, records, and how the home supports the people who live here. Most parts of the house were looked at, and some bedrooms were looked at with residents. The people who live here have Autism Spectrum Disorder. This makes it very hard for them to say what they think of the service they get at this home. Before the inspection a questionnaire was received from the home. Also 6 comment cards were received from residents. There have been no complaints or concerns about the home since the last inspection. What the service does well: Rosehill provides very good quality accommodation where residents can learn and use daily living skills in their own home. Most of the people who live here were unable to make comments about the home, but were seen to be comfortable and supported by staff. People can make choices about meals, holidays and clothes. There is a busy, friendly atmosphere in the house. Residents can use their own bedrooms whenever they wish. People have a key to their own bedroom door if they can manage this. The young people have a very active lifestyle that suits their ages and interests. Some people talked about how they make their own choices about what they like to do in the evening and at week-ends. Staff said they enjoy helping residents, and they understand their individual needs. There are plenty of staff on duty to help residents when they are at home. Staff have training to help them provide a good service. The management and organisation of the service is very good, and ensures that residents are well cared for and safe. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 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. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have good information about TWAS but not about the specific service provided at Rosehill. Comprehensive assessment and admissions procedures make sure that only those residents whose needs can be met are offered a placement at the home. EVIDENCE: The home has a Statement of Purpose that gives detailed information about TWAS services, and the aims and objectives of the home. These are given to parents of residents and to professionals involved in the residents’ care. There is also a Service Users Guide that is kept in the office, although it can be accessed by residents if supported by staff. However, this information is still only about TWAS services and does not give any specific information about Rosehill. The pack is also written in complex language that would not meet the communication needs of the people who live here. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 9 The manager confirmed that the Service Users Guide is being redeveloped to include some visual information about Rosehill for prospective residents. TWAS has clear written guidelines about Referral and Assessment to its services and before they move here residents’ needs are assessed by social and health care professionals. Relatives and TWAS staff are fully included in making a decision about whether the home could meet people’s needs. People who are new to TWAS services have at least a one week trial stay at a TWAS home as part of the assessment process. Reviews of their care are held after 3 months of moving in and then every year to make sure the home can still meet their needs. One resident was able to describe how he had a good look around the home and spent time here before deciding whether to move in. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Support plans ensure that staff work consistently in supporting residents towards long term independent living goals. However these do not demonstrate whether or how residents are involved. People are supported to make their own choices. However some limitations on lifestyle are not consistently recorded within a risk assessment to show the reasons for this. EVIDENCE: Support planning systems are in place to ensure that staff work consistently to support individual people towards a small number of long-term, independent living goals. For example, using laundry equipment, getting clothes ready for a specific activity, and making a snack. Support plans are reviewed at least 3 times a year. New goals are identified as old goals are achieved. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 11 Support plans are developed following reviews, which include parents and residents. Support plans are sent to parents for their information. However there is still no indication of how, and whether, residents are involved in their own support plans. Support plans are written in plain English but there is no use of pictures or photographs that might support some residents’ communication needs. The nature of autism means that most service users can become very anxious when presented with too many choices. However residents are supported to make their own decisions from a small number of known preferences. People are encouraged to choose their own appearance, clothes, and style. Residents can choose from menus, and choose groceries when out shopping. At the time of this inspection residents were on holiday and were clearly being offered a range of activities on this day. In discussions staff talked about how they try to offer new activities to broaden people’s experience and to give them a better range of informed choices for the future. Some residents are unable to state their preferences. It is good practice that staff use pictures and photographs for people to choose different activities and holiday destinations. There are risk assessment records in place about activities that people carry out that might incur an element of risk, such as shaving, being out in the community, and cooking. In this way staff are clear about the support people need to minimise any risk to them. It is good practice that these have been sent to parents and the relevant Social Workers. It was recently agreed between the home and the relative of one resident that a DVD depicting violence and aggression would be removed from their room as it had a significantly negative affect on the person’s behaviour. However, there is no risk assessment in place to show the justification for this removal of a residents’ property, or their involvement in this decision. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can take part in fulfilling, purposeful daytime occupations. Residents are supported to use all local community facilities, and are provided with a good range of suitable activities. Residents have good support keep in contact with family members and have many opportunities to meet others at social and leisure events. Residents have clear information about their rights and responsibilities. Residents enjoy nutritious and appropriate meals. EVIDENCE: The 6 people who live here have autism, which make its difficult for them to make sense of the world around them and can impair their social and Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 13 communication skills. The home aims to support people to learn independent daily living skills such as personal care, domestic skills, and social skills. Three people have verbal speech, the other three use noises and gestures. All have some understanding of verbal instruction. Staff support the communication skills of the residents by encouraging them to join in conversations. There are pictorial activities schedules that show the pattern of each persons day. However these are kept in the office, not in individual bedrooms. Throughout the week all the residents attend day services provided by Tyne & Wear Autistic Society (and one person has an education-funded placement at college). These include vocational courses at the nearby Thornbeck College, such as IT, arts & crafts, and sports sessions such as swimming. Residents also have opportunities to gain practical skills at the TWAS Workshop where they make garden furniture, greetings cards and jewellery, which is sold in the TWAS shop (on a not-for-profit basis). This provides residents with tangible, fulfilling outcomes to their activities. The home is a short distance from the city centre so residents have a good range of shops and leisure resources nearby. The people who live here make good use of local facilities in the community including shops, sports centres, pubs, and post office. The people who live here are young and physically fit. Every evening and at week-ends they enjoy a wide range of activities with the support of staff. These include cycling, swimming, golfing, bowling, walks, picnic, shopping and discos. The activities are based on people’s known individual preferences, and occasionally new activities are tried to see if the residents enjoy them and to broaden their social experiences. In this way the home provides fulfilling, active and appropriate leisure interests for the people who live here. One resident said that he “liked the different things to do”. He had chosen to go to the pub this evening. Another resident was trying to choose between swimming or bowling because he “likes both”. None of the residents are from the Sunderland area so the home makes sure that there is good contact with relatives by telephone. Most people also go for short visits to the family home. Relatives are fully included in reviews and invited to complete an annual questionnaire to give their views and suggestions about the service that residents get. One resident described how staff help him to ring his family, and how they help him to buy presents for family birthdays. The people who live here have information in plain language, and some pictures, in their files that outlines their rights and responsibilities whilst living here. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 14 All the residents are fully involved in the daily household tasks within their home, with support from staff, including shopping and preparing meals. The home has a good-sized, well equipped kitchen where staff can support a couple of residents at a time with cooking. There is a large, pleasant dining room next to the kitchen where residents and staff dine together. Pictures and photographs are used to help residents choose preferred meals to make up a 4 week menu. Residents can then choose from 2 main choices at each mealtime. All are able to express their choices, sometimes by pointing or leading staff to an item. Meals are healthy, appetising and appropriate for the young people who live here. The kitchen is now kept locked at some times of the day to support the needs of 2 people who would be at risk if they entered on their own. This situation has been risk assessed, and does not limit any resident’s access to the kitchen as long as they have staff supervision or support. One person was able to describe how they make some of their own snacks, with staff support, and was also observed making their own drinks during this inspection. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures good support with personal and health care needs so that people’s care needs are well met. EVIDENCE: The people who live here are generally young and physically fit. They need verbal prompts and guidance for their personal care. Some people need handover-hand support with washing and shaving. Some people need supervision when bathing. None of the residents need physical support with intimate personal care tasks. Female members of staff provide gender-appropriate support to the one female resident at all times. The residents are registered with a local GP practice, and have access to community dental, optician and chiropody services as and when required. In this way the home ensures that residents health care needs are met by appropriate health care services. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 16 At this time none of the residents have been assessed as able to manage their own medication, although one person does manage some ointment and this is promoted. All other medication is managed by designated, trained staff. However this does not rule out the possibility of residents learning to manage this themselves in the future, if capabilities allow. Medication is securely stored in a suitable medication cabinet. Medication records were seen to be in good order. There are consent forms that have been signed by the GP and by relatives about over-the-counter medication that can be given to residents if and when they might need it, for example simple painkillers Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports people to understand the complaints procedure so that they can express their views about the service they receive. Staff are trained in safeguarding adults so that people who live here can be protected from abuse. EVIDENCE: The home has a clear Complaints Procedure that has been provided to relatives and representatives. There is also a simpler pictorial version for the residents that supports their communication needs. A copy of the pictorial complaints procedure is kept in each of the residents’ care files and they can look at these at any time. Staff also ask residents for their comments at Residents’ Meetings. There is regular contact between the home staff and relatives, and the views of relatives are requested at annual reviews and through questionnaires. In this way the complaint procedure is advertised to residents and their representatives. All of the people who live here can express their dissatisfaction with an immediate situation, either verbally or through gestures and body language. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 18 Discussions with the Manager indicated that even informal comments of concern are taken seriously. However staff have begun to record a concern without including full details of the action taken and the outcome. In this way it is not known if the concerns were resolved. Of the six records of informal concerns, two have not been completed fully. As with all care services for adults in the City of Sunderland, TWAS has adopted the MAPPVA (Multi-Agency Panel for the Protection of Vulnerable Adults) policy and procedures. These are robust procedures for dealing with suspected abuse. All staff receive training in MAPPVA procedures so they would know what to do in the event of suspected abuse. All staff (except the new staff member) are now trained in CALM (Calm Aggression-Limitation Management) and new staff will receive this training. This is a method of physical intervention that requires minimal restraint, and is used only to prevent harm to the resident or to others if a resident needs support to manage their behaviour. This method is approved by BILD (British Institute of Learning Disabilities) and ensures that all staff can present a safe, consistent approach when supporting a resident in this way. Residents are supported to manage their personal allowances in their own individual bank accounts. Smaller amounts of money can be stored at the home for access by residents whenever they want. The sample of records relating to two residents financial records were in good order, up to date and cross-referenced with bank statements. People are encouraged to pay for their own items when out on activities or shopping as part of their support towards their optimum independent living skills. It is also good practice that the home now sends a photocopy of monthly income/expenditure records to parents. In this way the home has open and transparent processes for supporting residents with their monies. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People here live in good quality, safe, comfortable, clean accommodation so that their needs and independent lifestyle are met. EVIDENCE: Rosehill is a large family house that provides spacious accommodation over three floors for six young people. There are six good sized single bedrooms, a large lounge and large dining room, 2 bathrooms and a separate toilet, large kitchen, staff office and a staff sleep-in room. The house also has a rear garden and sheltered patio areas for use by the residents in better weather. All areas of the home are decorated and furnished to a very good standard, in keeping with the age and interests of the residents. The six bedrooms can be Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 20 used by residents for privacy whenever they wish. Some people can manage their own bedroom key, and this is not ruled out for other residents in the future. During this visit three residents showed the inspector their bedrooms. These were spacious, warm and comfortable. Bedrooms were very individual in style and colour scheme. Some residents had lots of their own possessions in their bedrooms. There are a small number of areas of minor wear and tear in the house. For example, one bath has some cracks to the wall; the sealant to the bath is perished; the kitchen cupboards above the cooker are cracked and unsightly; and some paintwork to stairway rails is patchy. TWAS has its own maintenance team that visits the home on a weekly basis to carry out fire tests and to address any minor repairs. In this way these items can be addressed quickly. There are also plans to provide new kitchen cupboard doors in the near future. Most staff have had training in Infection Control and new staff receive this as part of their induction training. The home was very clean throughout. Residents are supported by staff to carry out their daily household tasks, and there is also part-time domestic staff input to manage heavy domestic duties in this large house. Residents are supported to wash their clothes in a separate laundry area. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who live here receive an excellent service from competent, supportive, well-trained staff team that values and responds to their individual needs. EVIDENCE: The care staff team consist of the manager, deputy manager, 2 seniors and 8 support workers. A domestic staff also works at this home for one day a week. There is a good mix of age and experience amongst the staff team. There are now 4 male staff (including the manager) which is beneficial as five of the residents are male. TWAS promotes a clear equal opportunities policy for residents and for staff. Staffing levels are usually 4 staff on duty at those times that the residents are at home, for example evenings and weekends. This allows for some periods of one-to-one support as well as activities in small groups. There are 2 staff in the house during the night, that is one on waking duty and one sleeping in. This continues to be sufficient to meet the need of the residents at this time. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 22 It was clear from observations and discussions with staff that they are very knowledgeable about residents’ individual needs, and treat each person as a valued member of the home. Staff were very calm, respectful and appropriate in their support of the people who live here. Two staff are on long term sick leave. Their hours are being covered by existing staff and college staff who know the residents well. This supports the continuity of care of the people who live here. There have been three changes to the staff since the last inspection, but only one new staff (as the other two staff transferred here form similar TWAS homes.) In discussions staff stated that they were very pleased with the new accommodation for the people who live here. Staff felt that the home offered people much more room to move around, including garden areas, and a more homely, comfortable house to live in than their previous accommodation. TWAS operates a robust recruitment and selection process that ensures all necessary checks and clearances are received before a new member of staff starts to work at the home. The manager receives information from TWAS HR department that let him know when clearances have been received. Residents have the chance to meet applicant staff during a ‘trial’ visit (usually in the evening) to see if they have suitable personalities and values to support young people with Autistic Spectrum Disorder. The manager stated that it would be helpful if he had the chance to have sight of the person’s application form before the trial visit takes place so that he has some understanding of their background. All staff receive Autism Focus training, which is specific training to support them to understand the needs of the people with autism. All new staff undertake induction/foundation before starting NVQ training. There is an individual learning plan for each member of staff that identifies any training that they need and all training courses attended by each staff. It is evident that TWAS is committed to staff training so that residents receive support from a well-trained, competent staff group. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run so that best interests and welfare of the residents are safeguarded. EVIDENCE: Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 24 The Registered Manager has several years experience of working in care settings with younger adults with autism, and has been registered as a manager for the past couple of years. He has attained NVQ level 4 and the Registered Managers Award, which are suitable qualifications for a manager of a care home. He is also currently undertaking a certificate in Autism Spectrum Disorder, which demonstrates his commitment to updating his skills and competence in this specialised area of care. The manager is also now responsible for the day to day management of a similar small home that is opposite Rosehill. He is supported in the management of both services by a deputy manager and senior support staff. His hours are supernumerary to the staff rota to allow him the time to deal with the many managerial, supervisory and administrative tasks involved in running the two homes. There are clear lines of accountability and management support within the TWAS organisation. In this way the residents, and staff, benefit from a well managed service. TWAS operates a comprehensive quality assurance process. This includes monthly visits on behalf of the Provider by an external consultant who seeks the views of residents and staff, and reports back to the organisation and CSCI on their findings. Most residents find it very difficult to express their views about the service. However residents are invited to comment at Residents’ Meetings. They are also invited to their annual review meetings along with their relatives and representatives. TWAS also use an annual questionnaire to seek the views of relatives and occasionally use a questionnaire for residents. The CSCI sent easy-read, pictorial questionnaires to the six people who live here for their views about the service they receive. However all had been supported by staff to complete the questionnaires, which may have influenced the responses that they gave, for example “do the staff treat you well?” Staff records demonstrate that all staff receive statutory training in all health & safety matters, and there are records of health & safety checks. There were no health and safety matters identified during this visit. Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 2 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 26 YES 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 YA1 Regulation 4, 5 Requirement The Statement of Purpose and Service Users Guide must continue to be redesigned to include details of the facilities and services that are specifically provided at Rosehill. (Previous timescale of 01/04/06 not met) It must be written in a format that meets the communication needs of current and prospective residents. This is to ensure that people have clear information about what they can expect of the service. Support plans must include details of how each resident is involved and included in their care planning, or record the reasons why this is not possible. (Previous timescale of 01/05/06 not met.) There must be a risk assessment for identified risks that have resulted in the removal of a resident’s property. This is to demonstrate how residents’ rights, as well as their welfare, are safeguarded. DS0000064504.V313508.R02.S.doc Timescale for action 01/07/07 2. YA6 15(1) & (2) 01/07/07 3. YA9 12(2) & 13(4)(b) 01/07/07 Rosehill Version 5.2 Page 27 3. YA22 22 4. YA24 23(2) Complaint records must include full details of the action taken and the outcome. (Previous timescale of 01/04/06 not met.) The minor premises issues must be addressed, including cracked bathroom wall; perished sealant to bath; cracked, unsightly kitchen cupboard doors; and patchy paintwork to stairway handrails. This is to ensure that the residents live in well maintained accommodation. 01/07/07 01/09/07 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. 3. Refer to Standard YA6 YA22 YA34 Good Practice Recommendations Support plan objectives should include a pictorial or photographic clue to help residents understand this record. Staff may need some training in customer services to support them to deal with complaints or concerns and how to record these. Consideration should be given to providing the manager with sight a prospective staff’s application form so that he has some background information before that person attends at ‘trial’ visit to this home. Consideration could be given to accessing advocacy services or to using independent personnel to support residents to complete any questionnaires about the service they receive as independently as possible. 4. YA39 Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South of Tyne Area Office St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Rosehill DS0000064504.V313508.R02.S.doc Version 5.2 Page 29 - 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!