Inspection on 09/02/06 for Rosehill Residential Home

This inspection was carried out on 9th February 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 Residential Home 23/04/07

Rosehill Residential Home 08/08/05

Rosehill Residential Home 20/09/04

Rosehill Residential Home 19/04/04

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

CARE HOMES FOR OLDER PEOPLE Rosehill Residential Home Rosehill Carlisle Cumbria CA4 8AA Lead Inspector Mrs Margaret Drury Unannounced Inspection 9th February 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 Residential Home DS0000022604.V281012.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 Residential Home DS0000022604.V281012.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosehill Residential Home Address Rosehill Carlisle Cumbria CA4 8AA 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) 01228 513660 The Henry Lonsdale Trust Mrs Anne Bell Care Home 40 Category(ies) of Dementia - over 65 years of age (40) registration, with number of places Rosehill Residential Home DS0000022604.V281012.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Rosehill Residential Home is registered to provide accommodation for up to 40 older people with varying forms of dementia. The home is owned by The Henry Lonsdale Charitable Trust with Mrs Mary Styth being the responsible individual. The registered manager is Mrs Anne bell. The home is situated in a residential area not far from the city of Carlisle and all its amenities. Rosehill is an older property that has been adapted, extended and renovated for its present use as a care home. Accommodation for the residents is all on the ground floor, which is divided in to four units, with ten bedrooms and a lounge/dining room in each. There are small sitting areas around the home that enable residents to have private visits if they wish. All rooms are for single occupancy, with ten of them having en-suite toilet facilities. The communal toilets and bathrooms are equipped for people with a disability and there are handrails on the corridors to assist with movement around the home. There are large, well kept gardens and car parking is available at the front of the building. Rosehill Residential Home DS0000022604.V281012.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 annual cycle and those standards not assessed on this occasion were inspected and met during the previous visit that took place in June 2005. Time was spent talking with the manager, care officers, residents and visitors to the home. 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? The 10-bedroom redecoration programme has been completed and one of the lounges has also been completely refurbished. One new hoist has been purchased due to the increasing dependency of the residents. Plans are in place to provide 3 new assisted baths over a phased refurbishment programme. Rosehill Residential Home DS0000022604.V281012.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 Residential Home DS0000022604.V281012.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 Residential Home DS0000022604.V281012.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 Residents and their families are provided with excellent information about the home enabling them to make an informed choice about whether or not to move in. EVIDENCE: The home has a statement of purpose in place, which is given to all prospective residents and/ their families. This is currently being updated to include the latest information about staff training and qualifications. This is included in the information pack given when people visit the home to view the facilities on offer. There is sufficient information available to enable an informed choice to be made about moving into the home. Rosehill Residential Home DS0000022604.V281012.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): 11 Residents feel they are treated with respect and that their dignity will be upheld and respected at all times. EVIDENCE: The home has a comprehensive policy in place to deal with the death of a resident that is easy to understand and gives the staff advice on maintaining residents’ dignity and privacy at all times. The wishes of the residents and/or their families are, as far as possible, noted on the care plans. The manager is planning to introduce a training programme that will enable staff to care for residents and their families. Rosehill Residential Home DS0000022604.V281012.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 warm, relaxed atmosphere in the home and residents are able to choose how they wish to spend their time. EVIDENCE: The inspector was able to speak with some residents and observe others during the visit. All residents are free to move around the their units and lots of friendships have been made. There are some organised activities but many residents were observed chatting to the care staff on a one to one basis. Residents who are able, are taken out to the nearby supermarket or into Carlisle to do personal shopping. Residents are given as much choice as possible about what they want to do, what they would like to wear and also what they would like to eat. Communication with residents is discussed at staff interviews and the staff who spoke with the inspector all said that they were able to communicate with all the residents in the home. Rosehill Residential Home DS0000022604.V281012.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): 16 There is a comprehensive complaints system in place with evidence that family members feel their views are listened to and acted upon. EVIDENCE: There are details of the complaints procedure incorporated in the statement of purpose and resident guide. There are also copies on display in the home. There is a complaints book in place but there have been none to document. Discussions with the manager evidenced that any concerns raised are dealt with immediately. Rosehill Residential Home DS0000022604.V281012.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 extremely comfortable accommodation and all areas are very well maintained. This contributes to a good quality of life for the residents. EVIDENCE: The environmental standards within this home are extremely high and provide excellent living accommodation for the residents. Whilst all the bedrooms do not have en-suite facilities there are sufficient communal bathing and toilet facilities in each unit. The bedrooms are all well appointed and nicely decorated with matching bedding and curtains. The ongoing maintenance programme ensures that a total of ten bedrooms are refurbished each year. All the rooms are personal to each resident with lots of pictures, ornaments and photographs. Rosehill Residential Home DS0000022604.V281012.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): 28 Residents benefit from an experienced and qualified staff team who are trained to care for older people with varying degrees of need. EVIDENCE: The staffing arrangements in this home are excellent and ensure that all the assessed needs can be met. Rosehill has an in-depth training programme with all mandatory training up to date. All new staff must complete the induction programme and, with the amount of training organised, staff receive at least the minimum of three days training per year in order to meet the National Minimum Standards. Many of the care staff are already qualified whilst others are currently working towards NVQ levels 2 and 3. Rosehill Residential Home DS0000022604.V281012.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 & 38 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. EVIDENCE: The Henry Lonsdale Trust owns the home, with the financial viability in the hands of the board of trustees with the trust manager based at Rosehill. As the home is run by a voluntary/charitable organisation it is subject to The Charity Commissioners scrutiny. The home has robust policies and procedures in place that are examined and updated on a regular basis. Health and safety policies and procedures are in place and ensure the residents and staff have a safe place to live and work in. The manager completes regular audits of the building and all risk assessments are in place. Rosehill Residential Home DS0000022604.V281012.R01.S.doc Version 5.1 Page 15 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X 4 4 X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X X X 3 Rosehill Residential Home DS0000022604.V281012.R01.S.doc Version 5.1 Page 16 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. 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 Residential Home DS0000022604.V281012.R01.S.doc Version 5.1 Page 17 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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