Inspection on 09/03/06 for Rosehill House Residential Home Limited

This inspection was carried out on 9th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Residential Home... 04/12/07

Rosehill House Residential Home... 06/12/06

Rosehill House Residential Home... 24/11/05

Rosehill House Residential Home... 10/01/05

Rosehill House Residential Home... 27/09/04

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

CARE HOMES FOR OLDER PEOPLE Rosehill House Residential Home Limited Rosehill House Middleway St Blazey Gate Par Cornwall PL24 2LB Lead Inspector Alan Pitts Unannounced Inspection 9th March 2006 09:00 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 Residential Home Limited DS0000060416.V273584.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 Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosehill House Residential Home Limited Address Rosehill House Middleway St Blazey Gate Par Cornwall PL24 2LB 01726812424 01726812424 rosehillres@btconnect.com 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) Rosehill House Residential Home Limited Mrs Lynn Jenkins Care Home 30 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (30) of places Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Rosehill House is a privately owned care home providing care and accommodation for older people, up to 10 of whom may have dementia. It is an older property with an extension. The home changed ownership in July 2004 but continuity for the service users has been maintained as the manager has become the registered manager and the staff have remained constant. Accommodation is offered on two floors, which are connected by a shaft lift and stairs. The majority of rooms are for single occupation and some are en suite. There is a choice of communal sitting areas and a dining room on the ground floor. Toilets are sited throughout the property. Externally the gardens are well-kept and accessible to service users. A summerhouse in the garden offers a place to sit in good weather. Adequate car parking is available to the side of the home. In addition to providing residential care Rosehill House provides a limited number of day places to local people. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 9th March 2006, over a period of approximately 5 hours. The inspector met with the registered manager, staff, service users, and a visitor to the home. The inspector toured the building, and inspected care documentation. What the service does well: What has improved since the last inspection? What they could do better: Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 6 There is one requirement and three recommendations for the registered manager to attend to, which relate to staff supervision, medicine records, service user financial records and quality assurance. 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 Residential Home Limited DS0000060416.V273584.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 Residential Home Limited DS0000060416.V273584.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): 3, 4, 5 Prospective service users are assessed fully prior to admission to the home. The registered manager and care documentation demonstrate a good understanding of the care needs of the service users. There is opportunity for prospective service users and their representatives to visit the home prior to admission. EVIDENCE: The care documents for the most recent admission show that a full care needs assessment was carried out prior to admission. The care documentation is under review, but shows a good understanding of the care needs of the service users. The registered manager advised the inspector that there is always opportunity for prospective service users and their representatives to visit the home, and that this is included in the home’s Service User Guide. Some admissions result from previous respite stays and others from word of mouth in the local community. Rosehill House Residential Home Limited DS0000060416.V273584.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): 8, 9, 10 The home and service users benefit from close liaison with health care professionals. The home operates an appropriate medicine procedure. Staff were observed to respect service user’s right to privacy. EVIDENCE: The registered manager is currently reviewing the care documentation and is making progress in this area. The staff monitor and assist with the hygiene and health care needs of service users; other help being sought from the community nurse or GP as needed. The care documentation, supported by information provided by the registered manager, shows that service users have ready access to health care professionals as necessary, and specialist equipment can be arranged via these links. A number of service users currently have Community Psychiatric Nurse’s visiting regularly. A chiropodist visits regularly. Opticians visit annually, but do not see all the service users. The registered manager should arrange for all the service users to receive an annual eye test. Medicine Administration Records were generally in order and an appropriate medicine procedure is in operation at the home. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 10 The registered manager should ensure: 1. Two initials are entered when manually transcribing prescriptions onto Medicine Administration Records 2. Medicine Administration Records should be rewritten as necessary to avoid confusing entries (one medicine was seen to have twice a day and four times a day instructions) 3. The medicine trolley is full and consideration should be given to purchasing a larger trolley in conjunction with the provision of additional storage cupboards in this area. Staff were seen to interact with service users in a manner that respected the service user’s right to privacy, and this was confirmed by the service users. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 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, 14 The home provides various activities, some organized by the staff, others by outside entertainers. Everyone is encouraged to join in although the wish not to do so is respected. EVIDENCE: Rosehill House welcomes visitors and people are able to receive visitors in private if they wish. Service users are encouraged to go out with families and friends if they wish. The home provides various activities, some organized by the staff, others by outside entertainers. Everyone is encouraged to join in although the wish not to do so is respected. All service users are encouraged to make their own arrangements for managing their financial affairs, with the assistance of families or friends if necessary. The home will hold money if asked. Weekends are kept free for service user visitors, but activities are arranged every other day of the week and are changed regularly. The forthcoming weeks activities are displayed in the entrance to the home. Some of the service users spoken with said they enjoyed the activities offered, but all confirmed that they are free to choose whether or not to join in. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 12 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, 17 The home has a comprehensive complaints procedure available to service users and relatives. The procedure for enabling service users to vote and seek advocacy help is outlined in the statement of purpose & service users guide. The registered manager said that any service users who did choose to vote usually did so by post. EVIDENCE: Neither the Commission for Social Care Inspection nor the home has received any complaints since the last inspection. The complaints policy is made available to all service users and is also displayed in the entrance to the home. Service users are registered on the electoral roll and have the opportunity to participate in the civic process. Mail is delivered unopened, though assistance is available if so desired. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 13 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): 20, 22, 23, 24, 25 The home provides appropriate sitting, recreational and dining space. Specialist equipment is arranged via liaison with health care agencies such as District Nurses. Service user rooms are clean and pleasant and personalised to varying degrees. The home is safe and comfortable throughout. EVIDENCE: Communal space is provided in one large lounge, a smaller ‘quiet’ one and a conservatory. People are free to move between the areas as they wish. The dining room is a good size with people being sat at small tables in compatible groups. Access throughout the home is assisted by the provision of handrails and grab handles at strategic points. A stair lift is currently being fitted to assist access via six steps between the 1st and 2nd floor. The home offers 1 double room and 29 single rooms (1 en-suite). Service user rooms are clean, comfortable, and personalised to varying degrees. Since the last inspection the registered manager has audited staff hand washing facilities and provided paper towels and liquid soap in all lavatories and bathrooms. The registered manager is also drawing up a cleaning schedule for the home. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 14 Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 15 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, 30 Staff numbers and skill mix, and training available reflect a commitment to service user welfare and staff development. EVIDENCE: At the time of the inspection the registered manager and 4 care staff were on duty, though one member of staff had called sick so there would normally have been 5 on duty plus the registered manager. The registered manager has obtained National Training Organisation induction programmes, which will be introduced for all new staff. There are 20 care staff (including the registered manager). Eleven staff have been enrolled on a forthcoming food safety training programme. Seven staff are undertaking NVQ Level 2 or above, and 10 staff have already achieved this qualification. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 16 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): 35, 36 Service user’s financial interests are safeguarded though improvements could be made in the recording system in operation. Staff are not appropriately supervised. EVIDENCE: Service user financial records are accurate, current, and stored securely. The registered manager should ensure that there is a receipt to support the record for all transactions. The registered manager must arrange for all staff to receive formal documented supervision at least six-times a year. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 17 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 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X X 3 X 3 3 3 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 2 1 X X Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 18 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 OP36 Regulation 18(2) Requirement The registered manager must arrange for all staff to receive formal documented supervision at least six-times a year. Timescale for action 01/06/06 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. Refer to Standard OP9 Good Practice Recommendations The registered manager should ensure: 1. Two initials are entered when manually transcribing prescriptions onto Medicine Administration Records 2. Medicine Administration Records should be rewritten as necessary to avoid confusing entries (one medicine was seen to have twice a day and four times a day instructions) 3. The medicine trolley is full and consideration should be given to purchasing a larger trolley in conjunction with the provision of additional storage cupboards in this area. The registered manager should review the quality assurance questionnaires and expand them to include visitors to the home and visiting professionals. The DS0000060416.V273584.R01.S.doc Version 5.1 Page 19 2. OP33 Rosehill House Residential Home Limited registered manager should consider how best the information obtained could be used and published (e.g. in the Service User Guide). 3. OP35 The registered manager should ensure that there is a receipt to support the record for all transactions. Rosehill House Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Residential Home Limited DS0000060416.V273584.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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