Inspection on 08/10/08 for Rosehill House

This inspection was carried out on 8th October 2008.

CSCI found this care home to be providing an Good service.

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 11/10/06

Rosehill House 26/01/06

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rosehill House Rosehill House Moresby Whitehaven Cumbria CA28 6SF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Margaret Drury     Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Rosehill House Rosehill House Moresby Whitehaven Cumbria CA28 6SF 01946695235 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Pamela Hill-Eades Type of registration: Number of places registered: Mrs Pamela Hill-Eades care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: A maximum of nineteen older people (19OP) including two people with dementia (2DE(E)). One named older person with a mental disorder (1MD(E)). The service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. 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. Date of last inspection Care Homes for Older People Page 4 of 25 Over 65 2 1 19 0 0 0 Brief description of the care home 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. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This site visit, which forms part of the key inspection, took place over one day in October. Information regarding this service was gathered from various sources in order to assess the key standards for care homes for older people. These included, the Annual Quality Assessment Audit (AQAA) completed by the registered manager, the annual service reveiw completed last year, returned questionnaires from people using this service and members of staff. We, The Commission for Social Care Inspection (CSCI) received 9 questionnaires from staff and 8 from those people living in the home. We visited the home, toured the building looking at the environmental standards and spoke to residents, staff and visitors. We also looked at a selection of residents files, staff files, medication records and other records relevant to the running of the home. Care Homes for Older People Page 6 of 25 The fees charged by this service are from 386.00 to 449.00 per week with extra charges for hairdressing, newspapers and pivate chirpoody. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a comprehensive admission process in place ensuring that residents needs are properly assessed and provided for. Evidence: We looked at the homes admissions procedure and found this to be thorough and up to date. We checked the care files for 4 of those people living in the home and found them to be organised and quite easy to read. Prospective residents and/or their families are invited to look around the home prior to the initial assessment taking place. This gives opportunity to meet with the manager, staff and other people living in the home. After this visit the manager or her deputy complete an initial assessment of needs and activities of daily living. During this time discussions can take place about meeting the assessed needs and the expectations of the person about to move in. In conversation with some of the residents and the comments on the questionnaires it Care Homes for Older People Page 10 of 25 Evidence: was apparent that people valued the opportunity to meet with the manager and visit the home befoe moving in. Some of the comments from residents on the surveys were, Dawn (manager) came to see us in our home and explained in detail about Rosehill, we both get the attention we need now and we are settled here and like the staff and the other people. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are treated as individuals. They have clear plans of their care needs and expectatios of how those needs will be met. Evidence: Four residents care plans were examined and we found them to be well detailed and up to date with evidence that they are reviewed by the deputy manager every month. Each plan contained relevant information and guidance for staff on providing appropriate care to meet the individual needs. The deputy was conducting some reviews with individual residents on the day of our visit and it was apparent that residents always took part in this process. All care plans are developed from the initial care needs assessment and start on the day of admission. Individual risk assessments are also in place and are reviewed along with the care plans. Healthcare needs are monitored with input from the residents doctor and district nurses. We were able to speak to one visiting GP who told us, I really enjoy visiting this home as it is one of the good ones. Residents are looked after really well. A comment from a visiting nurse was, the staff here are marvellous and the residents Care Homes for Older People Page 12 of 25 Evidence: are always so cheerful. Nutritional screening is in place for all residents and a careful watch is kept on residents weights. There is a policy in place for staff to adhere to regarding the procedures for the safe receipt, recording, storage, handling, admistration and disposal of medicines. Records were examined to ensure that all medicines, which come in a monitored dosage system, are received and administered in an appropriate manner. Regular audits and daily checks ensure that no medication errors occur and all staff handling medication have received suitable training. The deputy manager has delegated responsibility for the medication and is careful not to build up a stock of as ans when medication and so avoid waste. Members of the staff team were observed demonstrating a caring, respectful and sensitive approach, with residents responding positively. Some of the comments received from the residents were, the staff are lovely and so kind and I like it here because everyone is so friendly. The home has an end of life policy in place and staff have received training in end of life care. There are facilities for families to stay at the home should this ever be necessary. Ministers of religion are always available at this time also. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are offered a choice of activities and social entetrtainment. This means they are able to make positive choices about their lifestyle. Evidence: Rosehill employs an activitie co-ordinator 3 times a week and we were able to speak to her during our visit. She was speaking to the residents about the activity of the day. She has not worked at the home for very long but told us I really enjoy coming here and spending time with the residents, they are great fun. The comments from the residents included, I enjoy joining in but I can sit and watch the others if I want to. Routines within the home are flexible and this was evidenced by residents who told us, I can have a lie in if I want to and If I want to sit up late and watch the television I can. Church of England services are held every month and the local Methodist minister visits each week. Arrangements are also in place for those of the Roman Catholic faith to have communion whenever they wish. This gives residents the opportunity to continue to practice thier personal faith whilst living in the home. Visitors are welcome anytime and are, according to the residents, always made very welcome. We were able to speak to one gentleman who was visiting his fatherand he Care Homes for Older People Page 14 of 25 Evidence: told us how much his father had improved since his admission to Rosehill House. He visited regularly and usually brought other family members with him. Comments about the home and staff included, the staff are great and look after dad really well, it is lovely to see him eating regular meals and he just does as he pleases like he did at home although he doesnt have to look after himself. We were able to watch lunch being served during our visit and saw that it was served in a relaxed but appropriate manner. Residents told us they mostly like familiar meals and are often asked for their favourites if these are not already on the menu. The cook does come to speak to the residents and told us that she will try different meals when the residents ask for them. The kitchen area has recently been refurbished, which has given more space for preparation and serving. Special diets such as diabetic or soft meals are provided but there are currently no residents who require vegetarian meals. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents living in this home know how to raise any concerns they may have and that they will be listened to. They are safeguarded at all times. Evidence: Rosehill has an suitable complaints policy and procedure, a copy of which is given to every resident on admission as part of the residents guide. There is a complaints log in place with only one logged. This was concerning matching bed linen and was settled within 2 hours. We (CSCI) have not received any complaints about this service. Residents we talked to during the visit all said we would would talk to Dawn manager or to the deputy. We spoke to the manager and staff about protection of vulnerable adults and all confirmed that they were aware of the procedure to follow should this ever be necessary. There is a policy in place that includes whistle blowwing and the home also has a copy of Cumbrias multi-disciplinary policy for reference. Staff training in this subject has been completed and there are plans in hand for refresher courses to be completed. Staff have also attended training in awareness of the Mental Capacity Act. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Rosehill House provides a warm, pleasant comfortable and safe environment for those living there. Evidence: A tour of the building was completed and throughout it was found to be well kept and decorated. Since the last inspection the stair lift has been removed as there is now a platform lift in plce. This has meant that the staircase is much wider and safer for the residents. New stair and landing carpet has been laid and matching carpet for the hall is on order. Re-decoration is ongoing throughout the year although there are parts of the home that now need attention. This was discussed with the owners, who indicated that this was in hand. Communal space is provided by a lounge/dining room, large lounge and large, airy entrance hall that is used by resident to sit in. There is also a sitting area on the first floor landing that was being used by visitors on the day of our visit. There are very large, well kept gardens providing ideal outdoor space for use during the summer months. We inspected a sample of residents rooms and found them to be pleasant, well decorated and personal to each resident. As the building is Victorian that has been adapted, all the rooms are different shapes and sizes and while some maybe a little small they are all interesting. The residents we spoke to all agreed their rooms were just right. Residents had brought in items from home such as television sets, music Care Homes for Older People Page 17 of 25 Evidence: centres, pictures, ornaments and photogaphs. One resident who was recently admitted had brought in their computer and the owner is making enquiries about getting it hooked up to the internet. The home was clean and fresh smelling on the day of our visit and there are domestic staff to ensure this is always so. There is plenty of protective clothing for staff, which helps with infection control. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff team have been correctly recruited and have the necessary skills and experience to provide a good standard of care to vulnerable people. Evidence: We checked the staffing levels and found them to be sufficient to meet the needs of those living in Rosehill House. Observations made during our visit evidenced that staff had a good interaction with the residents and demonstrated a warm, caring, sensitiveand rspectful approach, with the residents responding accordingly. Comments made by residents on returned survey forms included, the girls are lovely and so kind, we are happy here and we like the staff and the other people, and the staff are very helpful, I can talk to them anytime. All staff take part in the training programme and over 90 of the staff are qualified to NVQ levels 2 & 3. Staff training in, dementai care, infection control, food hygiene, Mental Capacity Act awareness, manual handling and safe handling of medications has been completed with updates as and when they become due. Refresher training in adult protection is current;ly being organised by the home manager. There is a robust recruitment and selection process that ensures only suitable people are employed to care for those living in Rosehill House. No new staff start without the legal checks being completed and all staff have an enhanced Criminla Records Bureau check in place. We examined a sample of staff files and found them to contain all the Care Homes for Older People Page 19 of 25 Evidence: documentation required under the National Minimum Standards. Theses include, a completed application forms, 2 references, job description, contract of employment and documented forms of identification. We looked at the training records and these evidenced what the manager and staff had told us when speaking to them. Comments made during our visit by the residents about the staff included, I like the staff you can talk to them anytime, the girls are lovely and so kind, the cook comes to speak to me about my meals and the cleaners are lovely they do extra for you. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and organised, ensuring as much as possible that residents are safe and receive a good quality service. Evidence: The manager has owned and managed Rosehill House for a number of years and is very experienced in the care of older people. She has completed the Registered Manager Award. In discussion with the staff and residents there was a general opinion that she was fair, supportive and approachable. Comments from residents included, Dawn (manager) came to see us at home before we came in, you can speak to the manager at any time, the manager is very nice indeed and the manager is very approachable. There was documented evidence that staff receive regular supervision from the manager or deputy and also annual appraisals. There were health and safety policies and procedures in place and all environmental risk assessments were in place and up to date. All certificates in respect of gas, Care Homes for Older People Page 21 of 25 Evidence: electricity, small appliance testing and fire equipment were in place and up to date. There was sufficient evidence in place to demonstrate that the health and safety of those living and working in the home is promoted as much as possible. No personal money is held on behalf of anyone living in the home, as any expenditure incurred is payable by families on receipt of an account from the home. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!