Inspection on 25/02/08 for Roseland Care Home

This inspection was carried out on 25th February 2008.

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

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 Care Home 16/07/07

Roseland Care Home 04/12/06

Roseland Care Home 11/04/06

Roseland Care Home 09/11/05

Roseland Care Home 06/07/05

Roseland Care Home 23/02/05

Roseland Care Home 12/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Roseland Care Home 57 Draycott Avenue Kenton Middlesex HA3 0BL Lead Inspector Tony Lawrence Unannounced Inspection 25th February 2008 09:15 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 Care Home DS0000017443.V358560.R01.S.doc Version 5.2 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 Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseland Care Home Address 57 Draycott Avenue Kenton Middlesex HA3 0BL 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) 020 8907 4080 020 8959 1249 roseland.home@tiscali.co.uk Mr Jerome Manuel Coral Lavinia Lake Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th July 2007 Brief Description of the Service: Roseland Care Home is situated in a busy residential road off Kenton Road. It is close to a large supermarket, local shops, and tube and bus routes. It is a detached house on two floors. There is one double and eight single bedrooms. There is a large lounge and separate dining area as well as a kitchen, laundry, shower and toilet on the ground floor. There are two single and one double room on the ground floor. Upstairs rooms are all single and there is a bathroom on the first floor. There are no en-suite facilities in the home. There is a chair lift to the first floor. There is a pleasant garden laid mainly to lawn with trees and shrubs at the rear of the property. Garden furniture is provided for service users who like to sit out in the Summer. There is off street parking at the front of the house for three cars. A Service Users Guide is available and fees are currently £370.00 - £390.00 per week. At the time of this visit, one man and seven women were living in the home and there were two vacancies. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. This unannounced key inspection took place on Monday 25th February 2008 from 09:15 – 16:00. Tony Lawrence, Regulation Inspector carried out the inspection. He spoke to residents and relatives, staff on duty and the home’s Manager. He also spoke on the phone with the home’s owner. He checked care records kept in the home and saw all communal parts of the home and residents’ bedrooms. Weekly fees for the home are currently £370.00 £390.00. What the service does well: What has improved since the last inspection? 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 Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 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 Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6. People living in the home experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home’s service user’s guide details what prospective residents can expect. The home’s Manager completes pre-admission assessments that are conducted professionally and sensitively and involve the individual and their family or representative, where appropriate. EVIDENCE: The Manager confirmed that, since the last key inspection of the home in July 2007, two residents have died, leaving one man and seven women living in the home and 2 vacancies. The Manager said that she is working with local authorities to identify people whose care needs can be met, but no people are currently being considered for admission. The last inspection report noted that the standard of pre-admission assessments completed by the Manager was good. During this visit the Inspector checked the care plan files of two people living in the home. Both files included care needs assessments completed by the home’s Manager that detailed each person’s main care needs, but no information was provided by either placing local authority. To make sure that the home has full information about each person’s care needs, the Manager must make sure that local authorities provide copies of recent care needs and risk assessments before a person is admitted to the home. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 9 Both files included a copy of the home’s own contract and a contract from the local authority responsible for funding the placement. One file also included a copy of the home’s Service User Guide that detailed the terms and conditions of residence. The Manager confirmed that the home does not provide intermediate care and Standard 6 was not assessed at this inspection. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People living in the home experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each person’s care plan. Care plans give a comprehensive overview of residents’ health needs and act as an indicator of change in health requirements. EVIDENCE: Following a requirement made at the last key inspection in July 2007, the Inspector looked at the care plans of two people living in the home during this visit. There was some good evidence that residents’ personal and health care needs are now assessed and regularly reviewed. Both care plan files included a brief life history that gave staff basic information about the person and their family. While there was clear evidence that standards of care planning have improved since the last inspection, there remains a need to make the plans more person centred and to include clear goals for each resident. The Inspector checked daily care notes completed by staff and saw that these were mainly involved with residents’ physical care – what people ate and drank, physical health, how people slept etc. While this information is important, staff should also make sure that they record more information about residents’ social care needs – did people enjoy the food they ate, did they take part in and enjoy activities, did they go out or have any visitors? This would provide a Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 11 more holistic picture of the health and social care needs of residents and how well they are met in the home. Both files included good information about the health care needs of both people and a good record of contact with healthcare professionals, including GP’s, chiropodists, district nurses, dentists and opticians. Both files also included good risk assessments that had been reviewed each month by the Manager. Risk assessments covered mobility, self-neglect, personal care, mental health and smoking. The assessments were well completed and included clear guidance for staff on how identified risks should be managed. During this visit the Inspector checked the arrangements for the administration of residents’ prescribed medication. The home uses a Monitored Dosage System managed by a local pharmacist and the Inspector saw evidence of good joint working between the home, residents’ GP’s and the pharmacist to make sure people received the medication they needed. The Inspector also checked the Medication Administration Record (MAR) sheets for all 8 people living in the home. The records were well completed, with no errors or omissions and residents are receiving the medication they need safely. All medication was stored in a padlocked wooden cupboard in the home’s office. While the cupboard was tidy and well organised, it is a recommendation of this report that medication storage arrangements are reviewed to make sure that medication is stored safely and securely. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People living in the home experience Adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Generally staff are aware of the need to support residents to develop their skills, including social, emotional, communication, and independent living skills. Some residents are consulted or listened to regarding the choice of daily activity, but this process could be improved. EVIDENCE: The Inspector found it difficult to assess Standard 12 during this visit as the daily care notes completed by staff mainly covered residents’ physical and health care needs. The two care plans and daily care notes checked did make some reference to activities and visits by relatives, but more evidence is needed to show that residents’ social, cultural and religious needs are met. During this visit, most residents spent the morning in the lounge supported by one member of staff and two students, while the Manager helped with the inspection. The Inspector saw some good interactions between staff and residents but there was little evidence of individual or group activities during the morning. The radio in the lounge was tuned to a pop music station and the Inspector felt that more age-appropriate music should have been available. During the afternoon, staff did play a game of snakes and ladders, involving some residents. Some people obviously enjoyed this activity and the atmosphere in the lounge was much more stimulating. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 13 Details of residents’ relatives, friends and other significant people were recorded as part of their care plans. Since the last inspection the home has appointed a cook. On the day of this inspection the cook prepared fresh vegetable soup and home made bread for residents’ lunch. Most people ate their lunch in the dining room. This provided a spacious and bright area for meals and the tables were laid with cloths and condiments and drinks were provided. Residents also told the Inspector they enjoyed the food. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People living in the home experience Good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The complaints procedure is supplied to everyone living at the home and is displayed in a number of areas within the service. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. The policies and procedures for safeguarding adults are available and give clear specific guidance to those using them. EVIDENCE: Following a requirement made at the last key inspection in July 2007, the Manager confirmed that four staff working in the home attended safeguarding adults training in January 2008. The Manager confirmed that four people working in the home have completed this training with other agencies. Three other staff, including the Manager, will attend the training in March 2008, leaving three staff who will need to complete the training as soon as possible. The home has copies of safeguarding adults guidance and copies of procedures from six local authorities responsible for funding placements in the home. The Manager confirmed that there have been no safeguarding adults investigations since the last inspection in July 2007. Following a requirement made at the last inspection, the Manager confirmed that the home’s complaints procedure had been sent to all relatives and other significant people. One formal complaint has been received since July 2007. The Inspector saw that this had been well recorded and appropriate actions had been taken. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24 and 26. People living in the home experience Poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The physical environment does not always meet the specialist needs of the people who use the service. A number of the fixtures and fittings need replacing and some of the décor requires upgrading. There are no en-suite facilities. Bathrooms do not contain sufficient and appropriate aids and adaptations to meet the specific needs of residents. They are bare and institutional in design. EVIDENCE: Roseland Care Home is situated in a busy residential road off Kenton Road. It is close to a large supermarket, local shops, and tube and bus routes. It is a detached house on two floors. There is one double and eight single bedrooms. There is a large lounge and separate dining area as well as a kitchen, laundry, shower and toilet on the ground floor. There are two single and one double room on the ground floor. Upstairs rooms are all single and there is a bathroom on the first floor. There are no en-suite facilities in the home. There is a chair lift to the first floor. There is a large, pleasant garden laid mainly to lawn with trees and shrubs at the rear of the property. Garden furniture is Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 16 provided for service users who like to sit out in the summer. There is off street parking at the front of the house for three cars. During this visit the Inspector saw all residents’ bedrooms, communal areas, bathrooms and toilets. Most residents’ bedrooms were well personalised and satisfactorily furnished and decorated, although all rooms looked the same and there was little evidence of individual’s choosing colour schemes for their rooms. One bedroom smelt strongly of urine and the Inspector asked the Manager to investigate the cause of this. The home had a lounge and separate dining room that were spacious and comfortably furnished. The garden was very well kept and was accessible to residents with mobility difficulties The main areas of concern from this inspection were the bathroom, shower room and toilets in the home. These areas were bare and institutional in appearance. In the first floor bathroom there was a domestic bath with high sides that some residents may find difficult to climb over. The flooring was in poor condition, the toilet seat was loose and the cistern was broken. The ground floor shower room was similarly bare and unwelcoming. More must be done to make these facilities accessible and welcoming places for residents’ use. Fire safety issues that need to be dealt with to ensure residents’ safety are dealt with under Management and Administration (Standards 31 – 38). Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People living in the home experience Adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There are enough qualified, competent and experienced staff to meet the health and welfare of people using the service, but staffing rotas need to take into account the needs and routines of the people using the service. The Manager recognises the importance of training, and tries to delivers a programme that meets any statutory requirements and the NMS. The manager is aware that there are some gaps in the training programme and plans to deal with this. EVIDENCE: When the Inspector arrived at 09:15, the home’s manager was on duty with one carer. Two students from a local adult college were also in the home as part of their placements. The rota was evidence that the Manager is the second carer on the day shift from Monday – Friday. There are two staff on the afternoon shift each day and two staff on duty at night. The use of the Manager as a second carer is not an appropriate use of her time and this has had an adverse effect on the running of the home (see Management and Administration, Standards 31 – 38). The provider must make sure that sufficient staff are available at all times to manage the home and support residents with their care. During this visit the Inspector checked the personnel files for two staff working in the home. Both files included an application form and copies of passports as proof of the person’s identity. To make sure that staff are eligible to work in the home, the Manager must make sure that staff with limited leave to remain in the UK renew this before the expiry date. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 18 Following a requirement made at the last key inspection, both files included current checks from the Criminal Records Bureau. To make sure that staff are cared for safely, the manager must also make sure that appropriate references are obtained and verified for each person working in the home. While one staff file included three satisfactory written references, the second file included two personal references and no reference from the person’s previous employer. While most staff working in the home have now completed their safeguarding adults training, the Inspector saw that there are still significant gaps in the staff training programme. Staff need to complete refresher training in key areas, including manual handling (5 staff), medication (5 staff), food hygiene (4 staff), fire safety 6 staff) and first aid (4 staff). To make sure that residents are cared for safely by appropriately trained staff, the provider and Manager must make sure that essential refresher training is completed without delay. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. People living in the home experience Poor outcomes in this area. This judgement has been made using available evidence including a visit to this service. Training, development and supervision of staff is inconsistent. The home is drifting and lacks purpose and direction. People who use the service are not adequately protected or safe in this home. EVIDENCE: The Manager told the Inspector that she has 20 years experience of working with children and adults in health and social care settings. This included 9 years as the assistant manager of a residential service for people with a physical disability. She was appointed to the Manager’s post at Roseland in May 2006 and is completing her National Vocational Qualification (NVQ) Level 4 Registered Manager’s Award. The Commission has registered the Manager as a fit person to manage the home. As already mentioned under Standard 27, the Manager is included on the rota as the second carer for the 08:00 – 15:00 day shift Monday – Friday. The Inspector was concerned that this does not allow sufficient time for the Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 20 manager to complete essential management tasks and this is having an adverse effect on the home. Although the Manager told the Inspector she is reviewing all of the home’s policies and procedures, the two staff files checked during this visit showed that both members of staff have not had formal supervision with the Manager since February 2007. The owner and Manager must make sure that each member of staff working in the home receives formal supervision at least 6 times each year. Staff meeting are infrequent and need to be held regularly to make sure that the staff team are working effectively. The home’s owner carries out monthly monitoring visits to the home, a requirement of regulation 26 of the Care Homes Regulations. During this visit the Inspector saw copies of reports written following monitoring visits carried out from October 2007 – February 2008. The reports were satisfactory and showed that the owner had asked residents, their relatives and staff for their views on services provided in the home. Following this inspection there is an urgent need to improve standards of fire safety in the home to make sure that residents and staff are safe. During this visit the Inspector saw that fire doors throughout the home are routinely wedged open. Bedroom doors are not fitted with smoke seals and door closers that are fitted are not effective, meaning that smoke would spread easily through the home in the event of a fire. Records showed that weekly tests of the home’s fire alarm system are held weekly, but the last recorded fire drill was held in August 2007. The owner and Manager must make sure that fire safety standards are improved to protect residents and staff. The owner told the Inspector that he is reviewing his involvement in the home and that he may sell the business. To make sure that residents’ welfare is protected, the owner must keep the Commission informed of plans for the future of the home. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 21 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 1 3 1 X 3 3 2 2 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 X 3 1 X 1 Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Requirement To make sure that the home has full information about each person’s care needs, the Manager must make sure that local authorities provide copies of recent care needs and risk assessments before a person is admitted to the home. While the standards of care planning in the home have improved, residents’ care plans must be more person centred to evidence that staff appreciate the diversity of individual residents. Care plans should also include agreed goals for each resident. Action must be taken to make the home’s bathroom and toilet facilities accessible and welcoming places for residents’ use. To make sure that residents are cared for safely, the provider must make sure that sufficient staff are available to manage the home and support residents with their care. To make sure that staff are DS0000017443.V358560.R01.S.doc Timescale for action 31/07/08 2. OP7 15 31/07/08 3. OP19 23 31/07/08 4. OP27 18 31/07/08 5. OP28 18 31/07/08 Page 23 Roseland Care Home Version 5.2 6. OP29 18 7. OP30 18 8. OP30 18 9. OP31 18 10. OP33 24 11. OP36 18 eligible to work in the home, the Manager must make sure that staff with limited leave to remain in the UK renew this before the expiry date. All staff working at the home must have the appropriate police/personal checks in place to help ensure resident safety. Repeat requirement. Original timescale of 14/09/07 not met. To make sure that residents are cared for safely by appropriately trained staff, training in fire safety, first aid, manual handling, medication and food hygiene must be provided to all staff. Repeat requirement. Original timescale of 30/09/07 not met. Training in additional subjects that relate to the individual care needs of residents must be provided in order to ensure that the care needs of residents can be met in full. This relates to, for example, diabetes, mental health, dementia, continence etc. Repeat requirement. Original timescale of 30/09/07 not met. To make sure that the staff team are working together effectively to meet residents’ care needs, regular staff meetings must be held. A robust quality assurance system must be in place that obtains feedback from residents, relatives and visiting professionals and is backed up by an internal audit system. Repeat requirement. Original timescale of 30/10/07 not met. The owner and Manager must make sure that each member of DS0000017443.V358560.R01.S.doc 31/05/08 01/09/08 01/09/08 31/07/08 30/09/08 31/05/08 Page 24 Roseland Care Home Version 5.2 12. OP38 23 13. OP38 39 staff working in the home receives formal supervision at least 6 times each year. The owner and Manager must make sure that fire safety standards are improved to protect residents and staff. To make sure that residents’ welfare is protected, the owner must keep the Commission informed of plans for the future of the home. 30/06/08 31/05/08 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. 2. Refer to Standard OP7 OP9 Good Practice Recommendations Staff should make sure that they record more information about residents’ social care needs and how these are met in the home. Medication storage arrangements should be reviewed to make sure that medication is stored safely and securely. Roseland Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: 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 © 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 Care Home DS0000017443.V358560.R01.S.doc Version 5.2 Page 26 - 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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