Inspection on 12/06/06 for Roselea Care Home

This inspection was carried out on 12th June 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Roselea Care Home 25/02/08

Roselea Care Home 08/08/07

Roselea Care Home 08/12/05

Roselea Care Home 11/11/04

Roselea Care Home 06/05/04

Roselea Care Home 01/09/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Roselea Care Home 73 Loughborough Road West Bridgford Nottingham NG2 7JX Lead Inspector Mary O`Loughlin Unannounced Inspection 12th June 2006 10:00 Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 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 Roselea Care Home DS0000008800.V294291.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 Adults 18-65. 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. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roselea Care Home Address 73 Loughborough Road West Bridgford Nottingham NG2 7JX 0115 8462251 0115 9148191 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) RoseLea Care Homes Limited Mrs Lorna Ann Keogh Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: Roselea is an adapted period property situated discreetly in a residential area. The home is registered to accept up to 9 residents who have a learning disability, several of whom may also have behaviours, which challenge. The accommodation is over two floors, but there is no lift so unless a ground floor bedroom is available any potential resident would need to have good levels of mobility. The centre of West Bridgford is around a ten to fifteen minute walk for those with good mobility. It has good access top a range of shops, cafes, restaurants, parks, the post office, banks and public houses. The home has its own minibus for the use of the residents. There is no charge for transport. The weekly fees are; £1,200.00 Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out unannounced over 5hours to assess the key standards as recorded within this report. There was a range of information used to inform this report including 8 completed and returned surveys of the resident’s views. The previous compliance with meeting the National Minimum Standards was considered and used to determine what areas required further checking at this inspection. The main method of inspection was to case track, this method requires the inspector to read the care plans of a resident and look at how the care is provided and if the person’s needs are being met. The manager and senior care staff were spoken with along with a visiting college tutor. Three residents were spoken with and their individual rooms inspected along with the facilities they access within the home. The Social Services are presently undertaking an adult protection investigation which is not concluded, one are of this concern was discussed with the manager and requirements set as a result. What the service does well: The manager has the required qualifications and experience and is competent to run the home. She is resident focused and leads and supports a stable staff team of higher than average numbers. Residents and external professional views show that the staff team are skilled and are allowed time for activities and community involvement for residents. There is a strong commitment to enabling residents to achieve their potential in all areas of their life. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 6 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 contacting your local CSCI office. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents are only admitted to the home following a comprehensive assessment of their needs to determine if the home is suitable and able to meet the needs of the person. EVIDENCE: The home has a sustained track record of meeting the standard around obtaining appropriate information and assessment of any prospective resident to the home. This ensures that the home is able to meet the needs of any prospective resident prior to admission. The homes statement of purpose was examined and the document describes the process of admission to the home. As no new admissions have taken place since the previous inspection, the judgement remains unchanged. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-7-9 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents in the home know they have their needs assessed and that their personal goals are reflected in a care plan. Residents are enabled to make decisions about their lives and assistance is given wherever necessary to manage any risks to their safety. EVIDENCE: Standard 6 The home has a sustained track record of meeting the standard during 2005/6. 2 care plans examined showed that the home provides a care plan for each area of personal and social care support that the resident requires. There are positive, planned interventions with good emphasis on assisting with communication to ensure the residents are given choice and are listened to. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 10 The plans describe any restrictions on the freedom of residents and this is only done as part of a multidisciplinary review with the consent of the resident. Through observation and discussion with the residents it was clear that they were able to and supported to make decisions about their own lives. Residents are supported to take risks as part of an independent lifestyle. Care plans contained clear evidence that any potential hazards to the person’s safety and well being were considered and strategies were in place to manage these risks. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12-13-15-16-17 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents are supported to integrate into the community and benefit from a varied and fulfilling social life. Residents are encouraged to be independent and to maintain family links and friendships. Healthy food choices are in place and residents benefit from a balanced nutritious diet that respects their individual preferences. EVIDENCE: Residents are provided with opportunities inside and outside of the home to further their education. The tutor from the local college was attending the home during this inspection to conduct various activities with the residents. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 12 The tutor spoke of the excellent participation by the home in supporting residents with activities and showing commitment to improving their lives. Three residents discussed their daily lives and the range of things on offer, which they found very enjoyable and fulfilling. The manager and staff have developed many links within the community to support the residents and make use of local facilities such as the pubs, restaurants and swimming pool. Residents spoke of being able to go home and visit their relatives and friends and that staff were able to take them if required. One resident spoke of not wishing to participate in group activities but was being supported to plan and work in the gardens at the home that was a great source of enjoyment for her. Residents spoke of how they plan the menu for the week on Wednesday’s and then assist with the shopping if they wish. Mealtimes were flexible and residents were happy with the food provided. The manager spoke of healthy eating options that are made available. Residents have keys to their rooms and staff do not enter without invitation. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-19-20 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. The personal and healthcare support the residents receive is based on their individual needs. Residents are protected by the homes policies and practice in the management of medicines. EVIDENCE: Each resident has a care plan that describes in detail the wishes of the resident and their preferences in how they wish to be supported by staff. Residents were dressed nicely and had individual appropriate appearance that they chose and that reflected their personality. Care plans demonstrated that there was good support from external professionals. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 14 There was recorded evidence of the involvement of physio, dieticians, speech therapists, Doctors and district nurses. Care plans required more assessment of the residents sexual health and the required precautions necessary to safeguard them and to ensure they were supported with their consent to have relationships as they choose. A trained staff team manage medicines safely and within the requirements of the Medicines Act. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Resident’s views are listened to and acted upon, robust procedures are in place to safeguard the residents. EVIDENCE: There are robust procedures in place to ensure staff know how to deal with any suspicion or allegation of abuse. Staff receive training in adult protection and physical and verbal aggression to ensure these are dealt with appropriately. There is one adult protection investigation ongoing at present. This investigation is almost concluded and will determine any action that needs to be taken to safeguard the residents at the home. The complaints procedure is in a suitable format for the residents. There is a sustained track record of meeting the minimum standard. Responses received from residents show they know who to speak to if they have any concerns. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment EVIDENCE: Standard 24 has a sustained track record of compliance with the minimum standards. The premises are safe, comfortable, bright, airy and clean. The home is not suitable for people with mobility problems as there is no lift to the first floor bedrooms. The last Environmental Health and Fire Inspection reports show the home is compliant with the requirements of both departments. The laundry facilities have been upgraded since the last inspection with new equipment and the replacement of the old flooring with a non-permeable flooring to ensure infection control standards are met. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32-33-34-35 Quality in this outcome area is excellent. This Judgement is made using available evidence including a visit to this service. Residents are protected by the homes recruitment practice and needs are met by a trained staff team in sufficient numbers to meet the individual needs. EVIDENCE: The recruitment of staff is appropriately managed with a track record of ensuring residents are protected from people who may be unsuitable to work with vulnerable adults. The records of individual staff training show the manager has an appropriate development programme in place, which ensures staff are trained to undertake their role. Staff receive any training needed to address specific problems and needs of the residents. The majority of staff are qualified in NVQ or working towards certification and this is linked with Learning Disability Award Framework, which is accredited training. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 18 The numbers of staff on duty exceed the required minimum and are based on the determination of the needs of the residents. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37-39-42 Quality in this outcome area is good. This Judgement is made using available evidence including a visit to this service. The management of the home is based on openness and respect, has an effective quality assurance system in place. The health safety and wellbeing of the residents is protected. EVIDENCE: The manager of the home is competent and experienced. She is registered with the Commission for Social Care Inspection and regularly updates her knowledge and skills to ensure best practice. There is a quality assurance monitoring system in place and residents, relatives and external providers are asked for their views on the service provided. Feedback on questionnaires is provided. Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 20 Any actions required following inspections have been swiftly dealt with within appropriate timescales. The manager ensures that staff are trained in all areas of health and safety and that they receive appropriate updates as required. There was excellent attention to the provision of suitable fire safety procedures with regular fire drills and training. All staff are trained in first aid and food hygiene. Training and procedures are in place to ensure staff are able to move people safely to avoid any injury. Evidence was seen of Hot water safety and compliance with Legionella precautions. Electrical equipment is checked annually. Present refurbishment and replacement of windows is being undertaken safely. Any accident or incident is recorded. Roselea Care Home DS0000008800.V294291.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 Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 12 Requirement The registered person must ensure that each resident has a care plan in place to address the sexual health of the person. Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Roselea Care Home DS0000008800.V294291.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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