Inspection on 08/08/05 for Roselands

This inspection was carried out on 8th August 2005.

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

Roselands 14/12/06

Roselands 28/11/05

Roselands 18/01/05

Roselands 15/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Roselands Perth Street Heyside Oldham OL2 5LY Lead Inspector Carol Makin Announced 8 August 2005 th 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 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. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Roselands Address Perth Street Heyside Oldham OL2 5LY 01706 881720 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dignity Care Group Mrs Jacqueline Winterburn Care Home 19 Category(ies) of DE(E) Dementia over 65 - 4 registration, with number OP Old Age - 9 of places PD(E) Physical Disability over 65 - 3 SI(E) Sensory Impairment over 65 - 3 Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users to include up to 9 OP, up to 4 DE (E), up to 3 PD (E) and up to 3 SI (E). Date of last inspection 18th January 2005 Brief Description of the Service: Roselands is a privately owned care home, registered to accommodate 19 people. The home is situated in the Heyside area of Oldham and is within easy reach of public transport and local amenities. The building is a detached property with car parking space to the front and gardens to the rear. Accommodation for service users is provided on the ground and first floors and ramped access has been provided externally. There are 13 single bedrooms, of which seven have en-suite toilet facilities, and three double bedrooms, one of which has en-suite facilities. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 8th August 2005. Most of the assessed standards were met, and the quality of care provided was good. The inspector spoke with some of the residents, a relative, care staff, the hobby therapist, the cook, the manager, and the owner, and carried out a partial inspection of the premises, and examined records. Residents who spoke with the inspector were very complimentary about the service provided at the home. The Commission for Social Care Inspection sent comment cards to 10 residents, 10 relatives and 8 visiting health professionals. At the time of writing this report, 9 residents and 8 relatives, had completed and returned the cards. The overall response was positive regarding the service provided at Roselands. Verbal feedback of the findings of the inspection was given to the manager and the owner at the end of the inspection. What the service does well: What has improved since the last inspection? A new and improved system of care planning had been implemented. A hobby therapist had been employed. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 6 Some refurbishment had taken place. 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. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 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 standard(s) 2,3,4,5 Residents have a written contract with the home Assessments of prospective residents care needs were completed before they moved into the home. Prospective residents and their relatives have an opportunity to visit and assess the suitability of the home. EVIDENCE: Contracts of residency, which had been signed by the resident or their relative, were in place on the files which were inspected. Prospective residents were visited at their home or in hospital by the manager or her deputy to carry out a pre-admission assessment their care needs. Care managers from the community had also completed care needs assessments and care plans for prospective residents, prior to admission to the home. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 9 Relatives visited the home either with, or on behalf of prospective residents, to assess its’ suitability. Prospective residents were also invited to visit Roselands, to have a meal, and meet the residents and staff. Roselands does not offer intermediate care. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 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 standard(s) 7,8,9 Residents’ health, personal and social care needs were set out in an individual plan of care, and were met in the home. Procedures for dealing with medicines were appropriate. EVIDENCE: Since the last inspection the manager had implemented a new system of care planning. The files which were inspected, contained structured care plans, and risk assessments, which had been signed by the resident, and reviewed each month. Records showed that residents were weighed within 2 days of admission, and subsequently each month, or more frequently if there were particular issues regarding a resident’s weight. This was demonstrated on the files seen, where residents who had a history of weight loss were weighed each week. Specific care plans regarding weight loss were also in place, and the residents’ food and fluid intake was monitored in the daily reports. Residents felt that they were well looked after in the home, and that their health and social care needs were met. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 11 The medicine records which were selected for inspection, were found to be in order. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The daily routine within the home was flexible, and enabled residents to make choices in various aspects of their daily life within the home. Residents were able to maintain contact with relatives and friends. Activities provided residents with enjoyment and stimulation. Residents enjoyed the food provided at the home. EVIDENCE: Routines of daily living within the home were said to be flexible. Residents gave examples such as getting up and going to bed when they wished, taking time over meals, having visitors when they liked, and joining in with activities if they wanted to do so. A ‘hobby therapist’ was appointed in April 2005 to work in the Company’s three homes. He goes into Roselands each Monday, Wednesday and Friday, and works with residents in groups and individually to meet their needs. He said that he organises activities to provide interest, enjoyment, and stimulation for residents, and that some of the activities, e.g. painting and handicrafts, had also provided exercise, which was beneficial to those residents who had restricted hand and arm movements. Residents commented favourably when Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 13 asked about the activities provided in the home, and said they got on well with the hobby therapist. A visitor who spoke with the inspector described the activities as good, and said that her relative joined in with most of them. There were also trips out, and examples were given of a local fish restaurant, and the museum and canal boat trips at Portland basin, Ashton. Visiting was able to take place at any reasonable time, and visitors were made welcome by the staff. One resident said that his relative was always offered a snack with a hot drink, because they travelled quite a long distance to visit him. Residents enjoyed the food, which they said was good, and there was “plenty of it”. There were also choices at each mealtime. Cooked breakfasts were available each day, and residents could have what they wanted, from a ‘full cooked breakfast’ to something light. One resident liked to have toasted crumpets and cheese for breakfast. Special diets were catered for, which at the time of the inspection included food supplements for residents with poor appetites, and diabetic diets. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Staff had received training to protect residents from abuse. EVIDENCE: The manager said that training in relation to abuse of vulnerable adults had been provided for all care staff and the cook, with the exception of the 4 most recently appointed staff, for whom she was arranging training with Oldham Social Services Department. Relevant policies and procedures had been provided by Oldham Social Services, and were available in the home, for staff guidance. Care staff who were interviewed were able to demonstrate an awareness of different forms of abuse, and knew what do if an incident of abuse was to occur in the home. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,23,24,25,26 The home was clean, and the owners were maintaining the property, and providing pleasant accommodation, for the people who live there. EVIDENCE: Since the last inspection, redecoration had been carried out in the lounges, the staff room, the office, and 2 bedrooms, new curtains had been fitted in the lounges and a bedroom, and new furniture had been provided in another bedroom. Residents were satisfied with their rooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. Safety guards were in place around radiators, and opening restrictors had been fitted to bedroom windows. The accommodation was clean and free from unpleasant odours, and residents confirmed that this was the normal standard of cleanliness within the home. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 The staffing levels within the home were sufficient to meet the needs of the residents, and procedures for recruiting new staff were satisfactory. The training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: The information which was provided for the inspection, indicated that staffing levels within the home met the standards. The residents, and members of staff who spoke to the inspector, felt that the home was adequately staffed. Information which was provided for inspection showed that 8 of the 16 care staff (i.e.50 ), had achieved an NVQ level 2 qualification or higher. The files of 2 members of staff were inspected, and the procedures for recruiting new staff were found to be satisfactory. Details were provided of a range of training which staff had received during the 12 month period prior to this inspection, and future training planned, which indicated that a training programme in accordance with the national minimum standards had been implemented in the home. At interview; staff also gave information about the training which they had received. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 A quality audit system was in operation, but opportunities for residents to comment on the running of the home could be improved. EVIDENCE: Since the last inspection, progress had been made regarding systems for monitoring the quality of the service provided by the home. Questionnaires were sent to relatives in January 2005, and to visiting health professionals in February 2005. An analysis of the response to the surveys was carried out, and copies were provided for inspection. The findings were overall positive, with complimentary remarks about the service provided. A small number of areas of improvement were noted in the analysis, together with the action taken by the owners to address the issues raised. A survey to find out residents views of the service had not been done since 2003, but residents had an opportunity to make comments about the home anonymously if they wished to do so, during their meetings, which were held every 2 months, and were chaired by an independent advocate. During the Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 18 inspection, discussion took place with the owner and the manager about the benefit of a further survey of residents’ views, being carried out by means of anonymous questionnaires, with an independent advocate providing assistance for residents who may have difficulty in completing their questionnaire. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 2 x x x x x Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 20 no 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 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. 1. Refer to Standard 33 Good Practice Recommendations The registered person should carry out a survey of residents views of the service provided in the home. Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 OQD 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 Roselands F54 F04 s5517 Roselands v222736 080805 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!