Inspection on 26/01/06 for Rosehill House

This inspection was carried out on 26th January 2006.

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

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

Other inspections for this house

Rosehill House 08/10/08

Rosehill House 11/10/06

Rosehill House 18/07/05

Rosehill House 22/02/05

Rosehill House 21/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosehill House Moresby Whitehaven Cumbria CA28 6SF Lead Inspector Mrs Margaret Drury Unannounced Inspection 26th January 2006 10:00 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 DS0000022619.V277149.R01.S.doc Version 5.1 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 DS0000022619.V277149.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosehill House Address Moresby Whitehaven Cumbria CA28 6SF 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) 01946 695235 Mrs Pamela Hill-Eades Mrs Pamela Hill-Eades Care Home 19 Category(ies) of Dementia - over 65 years of age (2), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (1), Old age, not falling within any other category (19) Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of nineteen older people (19OP) including two people with dementia (2DE(E)). One named older person with a mental disorder (1MD(E)). When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 18th July 2005 Date of last inspection Brief Description of the Service: Rosehill House is registered to provide care and accommodation for up to 19 older people. The home is owned by Mr and Mrs Hill-Eades, with Mrs Hill-Eades responsible for the day-to-day running of the home. Rosehill House is a detached, older style property set in its own grounds approximately three miles from Whitehaven. Access to the home is by a shared driveway with the nearby Rosehill Theatre. The accommodation for residents is on the ground and first floors with a stair lift giving access to the first floor. There are thirteen single rooms and three doubles, two of which are currently shared and the remaining one used for single occupation. The home has one assisted bathroom, an assisted shower room and toilets close to communal areas. All the bedrooms have en-suite toilet and washbasin facilities. The external areas are pleasant and well maintained with seating areas and ample car parking. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home that took place over one morning. It was the second inspection of the year and those standards not assessed on this occasion were inspected and met during the last visit that took place on the 18th July 2005. Time was spent talking with the manager, deputy manager, care staff and residents. Records to do with the running of the home were examined and some parts of the home were looked at. What the service does well: What has improved since the last inspection? Installation of a new platform lift is in progress and the building of two new medical rooms is almost complete. Redecoration of the home will continue after the building work is complete. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 6 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 DS0000022619.V277149.R01.S.doc Version 5.1 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 DS0000022619.V277149.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 The home’s introduction pack is excellent, providing residents and prospective residents with details of the services the home provides. This information enables an informed decision to be made about admission to the home. EVIDENCE: When first visiting the home, prospective residents and/or their families are given a brochure illustrating, in brief, the facilities offered at Rosehill. On admission a pack containing, a full statement of purpose, resident guide and contract and terms and conditions are issued. There is a copy of the contract held on each resident’s file. The information contained in this pack gives all that is required to ensure the resident is confident that the home is able to meet all the assessed needs. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 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): 9 The healthcare of the residents are understood and well met. Medication and records are extremely well maintained to ensure the protection of the residents. EVIDENCE: During the visit the inspector was able to observe the medication being given to the residents. All medication was administered directly from the blister pack supplied by the pharmacist with the medication record signed at the same time. All medication records were checked and these were found to be well organised and correctly and neatly filled in. The registered manager or deputy checks the records regularly to ensure no errors have occurred. Controlled drug records are kept independently and an audit of these showed no inconsistencies. There is an excellent system for detailing the medication received and returned with the pharmacy signing for all those returned. All care staff have completed safe handling of medication training. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 10 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): 14 There is a sociable atmosphere in the home and the residents interviewed were happy with the daily routines and the opportunity to choose how to spend their day. EVIDENCE: Although few formal residents meetings are held, informal “chats” often take place in the lounge during morning coffee or afternoon tea times. Communications with family members are good with the manager always ensuring an informative flow of information between the home and relatives. The inspector observed residents moving freely around the home with some in the lounge and those who wished, remaining in their rooms. One resident had just come in from her daily walk and told the inspector how much she liked to go out. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 11 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): 18 Staff have good knowledge and understanding of adult protection issues, which protects residents from abuse. EVIDENCE: Discussions with the manager evidenced that all staff are aware of adult protection issues as this is discussed during staff interviews and also during the induction programme. The home has purchased a set of training videos and in-house training is organised by the manager and deputy. Those staff who have, or are completing their NVQ also discuss this subject at length during the course. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 12 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): 23 & 24 The home offers comfortable accommodation and most areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: The inspector examined a sample of residents’ rooms during the visit and found them suitable for the stated purpose with except one having en-suite toilet facilities. The rooms were warm and comfortable and personal to the residents with pictures, ornaments and photographs brought from residents’ own homes. Some residents choose to remain in their own room during the day watching their own television or just sitting quietly. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 13 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): 29 Residents are protected by the home’s in depth recruitment and selection policy and practices. EVIDENCE: There is a very low turnover of staff at Rosehill House but the home does have a full recruitment and selection procedure. No Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 14 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): 34, 35 & 37 There is clear leadership, guidance and direction to staff to ensure residents receive consistent good quality care. Residents are protected by the accounting and financial procedures operating within the home and a full set of policiea and procedures. EVIDENCE: The registered providers work with the bank and their accountants to ensure the financial viability of the home remains stable. There is no residents’ cash held on the premises and accounts for personal spending are prepared and sent to families on a monthly basis. The home has robust policies and procedures in place that are examined and updated on a regular basis. All records are up to date and the files examined Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 15 by the inspector were found to be in good order. Residents know they have access to their records should they ever wish to see them. Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X 3 3 X x STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X 3 x Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosehill House DS0000022619.V277149.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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