Inspection on 05/01/06 for Roseland

This inspection was carried out on 5th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Roseland 25/02/08

Roseland 30/04/07

Roseland 14/07/05

Roseland 10/01/05

Roseland 29/07/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Roseland Roseland Garratts Lane Banstead Surrey SM7 2EB Lead Inspector Mavis Clahar Unannounced Inspection 5th January 2006 09:30 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 Roseland DS0000013772.V276634.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. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Roseland Address Roseland Garratts Lane Banstead Surrey SM7 2EB 01737 355022 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) Banstead, Carshalton & District Housing Society Limited Mrs Sandra Parr Care Home 39 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (39), of places Physical disability over 65 years of age (5) Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The age/age range of the persons to be accommodated will be: OVER 65 YEARS Of the older people accommodated up to five (5) may have a physical disability. Of the older people accommodated up to three (3) may be people who suffer from dementia These Management arrangements must be reviewed should there be any change to the registered persons - Mrs Parr as Registered Manager or Mr Stevens as These Management arrangements must be reviewed should there be any change to the registered persons - Mrs Parr as Registered Manager or Mr Stevens as the Responsible Individual. 14th July 2005 Date of last inspection Brief Description of the Service: Roseland’s was purpose built to accommodate older people in the 1950s. Since that time the home has been subjected to modernisation and development. It now provides a very good standard of accommodation. The home is sited in its own grounds with good sized and well-maintained gardens accessible to the residents and has car-parking facilities to the front. The home is well presented, providing a good standard of accommodation for up to 39 older people over 70 years of age. All rooms are for single occupancy and 9 have ensuite facilities. The home has two sitting rooms, an activity room and separate dining room. Plans are in place to extend the dining room and to add on a conservatory. Tea and coffee making facilities are available on each floor. Stairs or a passenger lift accessed the upstairs accommodation. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social care Inspection year April 2005 to March 2006. In order to obtain a full picture of the home’s performance for the year it is necessary that both reports are read. The first report was carried out on 14th July 2005. This inspection was unannounced, and was carried out on the 5th January 2006. This means that no one at the home or the management knew of the inspection. This inspection lasted four and one half hours. The first part of the inspection was spent reviewing a random sample of service users care plans, medication records, and assessment of care, whilst wasting for the manager to arrive. The second part of the inspection was spent with the managers discussing the last report and requirements there in, and discussing and agreeing the format of this inspection. This was followed by a tour of the home, talking individually to service users, and to staff during their breaks and during care giving when it was considered appropriate to do so. A number of service users were spoken to and they all expressed satisfaction in the care they received at the home. One service user told the inspector “this is a lovely home. The staff makes it a nice place to live”. The inspector observed very good interaction between care workers and service users. The care workers were being very friendly toward the service users without being disrespectful. The inspector formed the opinion that this is a happy home and all the service users spoken to on the day supported this. The final part of the inspection was spent giving feedback on the findings of the inspection to the General Manager. What the service does well: Comments from service users in discussion with the inspector were all very positive about the way the home was run, the care the care workers gave and their accommodation which is of a very high standard. Service users said they enjoyed their food and there is always a choice. There was a good supply of fresh and frozen food in the kitchen, freezer and fridge. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 6 The inspector noted that daily care plans were well documented with care offered to service users and activities service users had participated in or if they declined to participate. What has improved since the last inspection? What they could do better: The home continues to offer a high standard of care to the service users. The only short fall identified on the day of inspection was the activity programme, which could be more varied and fuller. Please contact the provider for advice of actions taken in response to this Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 8 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 Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 9 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): 6 The home demonstrated they had the capacity and ability to offer immediate care to service users. EVIDENCE: There were no service user in the home that fits this category on the day of inspection. However, in discussion with the management and with one service user who spends the week at the home and then goes to his own home for week-ends, the inspector formed the opinion that the home is equipped and able to offer this service. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 10 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 10 From discussion with a number of service users, and from observations of staff and service users interaction it was evident that the standards assessed were met. EVIDENCE: Random sample review of service users records demonstrated that each service user is assessed for care needs prior to being admitted into the home. The service users care records comply with the care needs identified, and good documentation of care was completed. Service users in discussion with the inspector confirmed that their assessed needs are being met. The inspector noted that care workers treated service users in a friendly yet respectful manner. It was also noted that service users were asked if it was possible for the inspector to enter their bedrooms. The service users made the inspector very welcome. Care workers were observed knocking on bedroom doors and asking permission to enter. All service users spoken to were happy with the care and respect shown to them by all the staff. Roseland DS0000013772.V276634.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): 13 Links with the community are good. EVIDENCE: Visiting to the home is on an open basis. Visiting during meal times is by appointment, when the visitor can have a meal with the service user. The home has its own transport, which allows service users wider access to the amenities the community offers. Some service users uses the transport for their personal shopping, banking and events they wish to attend. Roseland DS0000013772.V276634.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 18 The home has a satisfactory complaints policy and procedure with some evidence that service users views are taken seriously. EVIDENCE: One complaint was logged in the complaints folder since the last inspection, and this was resolved within the homes complaints policy timeframe. In discussion with service users, it was apparent they knew how to complaint if they had issues to discuss. One service user told the inspector “I know to whom I would complain if the need arises, but I have never had to complain. If I have a problem I speak with the manager and it is dealt with immediately”. The General Manager and two heads of care have completed the Surrey multi agency course on recognition of abuse. The rest of the care workers have not been trained. A requirement was issued on this standard. Roseland DS0000013772.V276634.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): 26. The standard of the environment in this home is good providing service users with a clean and pleasant place to live. EVIDENCE: Although there is major refurbishment and building work taking place at the home, the home was clean, tidy pleasant and free from dust and offensive odours. Bedrooms, bathrooms sluices and tea making areas were clean and tidy. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 14 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 29 Care workers demonstrated good understanding of the care needs of the service users. This is evident from the positive interaction observed between care workers and service users. All new members of staff are rigorously checked prior to being appointed. EVIDENCE: The numbers of staffing in the home has been increased inline with the requirements of the last inspection. This has resulted in a more manageable workload for the care workers, and the service users have appreciated this increase. The inspector observed care workers sitting spending quality time with service users. All new staff is POVA and CRB checked prior to being appointed. Two recent references, followed by a telephone call to the referee, and detailed work history are obtained from each prospective care worker. Each care worker undertakes an induction period followed by shadowing, and is on a set trial period. Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 15 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 The home does not become involved in service users finance. Pocket money handed to the manager is well managed. EVIDENCE: Some service users request the home’s help in safeguarding their pocket money. Receipts are obtained for any expenditure and records kept. Roseland DS0000013772.V276634.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 X X X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 17 YES 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 OP30 Regulation 18 23 Requirement Timescale for action 05/02/06 2. OP18 12 It was a requirement that the management identify all staff who have not received fire safety training in the last year and arrange for them to attend such training within the next three months. In the interim staff must be made aware of the homes internal policy and procedure in the event of fire. Timescale of 28/09/05 not met. Ensure that all staff receives 05/03/06 training on recognition and treatment of abuse. 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 It was recommended that the homes policy on self medication be revised Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Roseland DS0000013772.V276634.R01.S.doc Version 5.1 Page 19 - 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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