Inspection on 13/09/05 for Rosehill House

This inspection was carried out on 13th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosehill House 21/04/09

Rosehill House 28/04/08

Rosehill House 01/05/07

Rosehill House 02/05/06

Rosehill House 09/06/05

Rosehill House 24/02/05

Rosehill House 02/06/04

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Snydale Care Home

Larchfield Manor

Hawkhills

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosehill House Keresforth Road Dodworth Barnsley South Yorkshire S75 3EB Lead Inspector Jayne Barnett-Middleton Unannounced Inspection 13th September 2005 09:40 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 Rosehill House DS0000018266.V249943.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. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosehill House Address Keresforth Road Dodworth Barnsley South Yorkshire S75 3EB 01226 243 921 01226 297 978 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) Mr Azad Choudhry Mr Aurang Zeb Mrs Diane Kitchin Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2005. Brief Description of the Service: Rosehill House is situated on the outskirts of Dodworth Village. It is approximately three mile from Barnsley town centre and ten minutes drive from the M1 motorway. The home is a detached property within its own grounds, providing personal care for 27 elderly people. There is car parking space to the front, side and rear of the property. To the front of the property is a large patio/terrace with garden furniture. Ramps are provided to the main entrance at the side of the building and to the patio. Access to the patio can also be gained via the patio doors from the lounges. The accommodation is on two floors. A passenger lift is provided. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 9.40 a.m to 2.45 p.m. Most of the service users were seen during the inspection. Six service users, five staff, two visitors and the area manager were spoken to. A sample of records was examined and a partial inspection of the building was carried out. Throughout the inspection positive and professional relationships were observed between staff and service users. The inspector wishes to thank the area manager, staff and service users for their time and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? The manger and owner had worked towards ensuring that the majority of previous requirements had been met. All staff had undertaken or were in the process of undertaking Adult Protection training. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 6 A previous requirement to securely store dressings and treatments used by the visiting community nurses had been met. The kitchen had been redecorated and the floor covering in the ground floor shower room had been replaced to a good standard. One lounge had recently been redecorated and new furniture had been provided, which presented a homely and pleasant environment. 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 House DS0000018266.V249943.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 Rosehill House DS0000018266.V249943.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): 3 and 5. Service users were not admitted to the home without their needs being assessed. Service users were given the opportunity to visit the home prior to their admission. EVIDENCE: A full needs assessment was carried out for all service users prior to their admission. Staff from the home also visited prospective service users prior to their admission and a comprehensive assessment of need was completed. This confirmed that the service was appropriate for the service user, and provided staff with the information to formulate an individual plan of care. Service users said that they had been invited to visit the home prior to their admission, to assess the quality, facilities and suitability of the home. One relative confirmed that they had visited Rosehill and that they had chosen the home for their relative as it was “small and friendly”. The home does not provide an intermediate care service. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 9 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. Service users individual needs were assessed and their changing needs were reflected in their plan of care. Service users had good access to health care services, which met their assessed needs. A policy and procedure to ensure that staff adhered to the safe administration of medication was in place. Service users privacy and dignity was respected. EVIDENCE: Two Care plans set out in detail the action that was required by staff to ensure that all aspects of service users care needs were met. Care plans had been reviewed on a regular basis to reflect the changing care needs of the service user. The care plan format was very good and comprehensive assessments had been carried out, which identified the specific physical and emotional needs of service users. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 10 Records of healthcare visits were maintained and these evidenced that healthcare professionals, e.g. general practitioner, chiropodist and optician were visiting service users on a regular basis. Service users said that their healthcare needs were met and described the care that they received as “very good”. There was a policy and procedure to ensure that staff adhered to safe practices regarding medication and the protection of service users. The recording and storage of medication was checked on a sample basis. Medication had been administered appropriately. Staff had received medication training, which promoted the safe administration of medication. A previous requirement to securely store dressings and treatments used by the visiting community nurses had been met. Service users were observed to be receiving personal care in a manner that respected their privacy and dignity. It was very evident that service users who required help to wash and dress had been offered this to a standard that maintained their dignity. Throughout the day care staff were observed to be spending time talking with service users and ensuring that any individual requests were met. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. The daily routines within the home were flexible and promoted service user choice. Service users were encouraged to maintain contact with their family, friends and the local community as they wished. Service users were encouraged to make informed decisions with regards to their daily lives. A good choice of menu was offered and special dietary needs were catered for. EVIDENCE: There was a relaxed and friendly atmosphere within the home. Service users were observed to be spending time in the lounges either reading or socialising with other service users. Service users said that the routines within the home were flexible and confirmed, “I can do what I want, when I want”. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 12 A good programme of activities was provided. Service users said that they enjoyed activities including bingo, lotto and crafts. One service user confirmed they particularly enjoyed movement to music and that “I do the exercises every day”. The home also had a monthly events programme, which included outside entertainers’ visiting the home. Service users said that daily newspapers were provided for them to read if they wished. There was a pleasant enclosed garden. Service users said that they enjoyed spending time in the garden when the weather was warm. Service users said that their friends and relatives were welcome to visit them at any reasonable time. Two relatives confirmed that they visited the home regularly and that they were always made welcome and refreshments offered. A good choice of menu was offered and special dietary needs were catered for. The cook consulted with service users on a regular basis to ensure that they were satisfied with the quality and choice of food provided. Service users said that they enjoyed their meals and described the food as “smashing”,“a good choice” and “we always get what we want”. Rosehill House DS0000018266.V249943.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 and 18. The complaints procedure was clear and accessible. Complaints made by service users and their relatives were listened to and action was taken to deal with complaints promptly. There was an adult protection procedure and all staff had received adult protection training. EVIDENCE: The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. Service users stated that they were satisfied with the care provided and had “no grumbles”. All service users spoke positively about the registered manager and described her as “approachable” and “she will always take the time to listen”. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. The staff confirmed that they had received adult protection training. Rosehill House DS0000018266.V249943.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): 19,20,21,23,24 and 26. The home was clean, comfortable and generally well maintained. Service users were provided with an environment that was safe, accessible and homely. EVIDENCE: The home was clean and generally well maintained. Service users had access to three lounges, two of which were bright and pleasantly decorated. One lounge had recently been redecorated and new furniture had been provided, which presented a homely and pleasant environment. The décor in one lounge was looking worn and was in need of redecoration. The carpet was worn and stained in places and was in need of replacement. Previous requirements to redecorate the kitchen ceiling and to replace the floor covering in the ground floor shower room had been completed to a good standard. The dining room carpet had been cleaned, however it was worn in places and was due for replacement. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 15 The garden was very well maintained and garden furniture had been provided. Several service users were taking advantage of the warm weather and were relaxing in the garden area. Several bedrooms were checked and all were very clean, attractively decorated and individually furnished. All bedrooms seen had been personalised by the service user with small items of furniture, photographs and mementoes, which encouraged service users to retain their own identity. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 16 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. A training and development programme was in place. Staff received regular training, which enabled them to meet the needs of service users. The home operated a recruitment procedure, which needed some amendments to promote the protection of service users. EVIDENCE: All service users and relatives spoke positively about the staff team and described them as “good”, “very helpful” and “you couldn’t wish to meet nicer people”. The Staff were friendly, approachable and relaxed to talk about the care that they provided. All staff spoken to confirmed that they enjoyed working at the home and that there was “good team work”. A training and induction programme for staff was in place to enable them to meet the assessed and changing needs of service users. Staff confirmed that they had attended various training courses that included food hygiene, fire, moving and handling, infection control and first aid. A training matrix was in place, which clearly demonstrated the training that staff had attended and identified any individual training requirements. Staff confirmed, “There is plenty of training available”. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 17 Over 50 of the staff team held a level 2 or 3 National Vocational Qualification in Care, which developed the skills and competence of staff, to enable them to meet the changing needs of residents. A recruitment policy and procedure was in place that promoted the protection of service users. Staff files checked did not contain the full employment history or a recent photograph of the employee. Staff employed had undertaken a Criminal Records Bureau Check at the enhanced level. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 18 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): 31,32,33,36 and 38. The home was managed in the best interests of service users; positive comments were made about the service and the care that service users received. The health, safety and welfare of service users were promoted. EVIDENCE: All staff and service users spoke positively about the registered manager and described her as “approachable”, “supportive”, and “a good listener”. All were confident in her abilities to manage the home and stated “she will resolve any problems that we may have”. The manager was in the process of undertaking a NVQ level four management qualification. There was a relaxed and friendly atmosphere within the home. Service users were comfortable to talk about the care that they received. All service users spoke positively about the care provided and described living at the home as “very nice, we like the way it works”. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 19 A handyman was employed at the home and a routine programme of maintenance was in place. Areas throughout the home were on the whole well maintained which promoted a safe environment. Staff received regular supervision that gave them the opportunity to focus on care practices and to identify any training and development needs. The staff had received regular training, which promoted safe working practices and the health, safety and welfare of service users and their colleagues. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 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 X 18 3 2 3 3 X 3 3 x 2 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 3 3 3 X X 3 X 3 Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 21 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 2 3 Standard OP19 OP19 OP26 Regulation 16 16 16 Requirement The identified lounge must be redecorated. The lounge carpet must be replaced. Sluicing facilities must be provided for the emptying and cleaning of commodes. (Previous timescale of 1st September 2005 not met.) Staff files must contain a record of the employee’s full employment history and a recent photograph. (Timescale of 4th August 2005 not met). Timescale for action 31/12/05 31/12/05 01/12/05 4 OP29 19 01/11/05 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 OP19 OP31 Good Practice Recommendations The dining room carpet should be replaced. The registered manager should achieve the manager’s award by 2005. Rosehill House DS0000018266.V249943.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 House DS0000018266.V249943.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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