Inspection on 08/08/07 for Roselea Care Home

This inspection was carried out on 8th August 2007.

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 12/06/06

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 Rehana Rashid Unannounced Inspection 8 August 2007 09:50 Roselea Care Home DS0000008800.V340813.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.V340813.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.V340813.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 846 2251 0115 914 8191 john.keogh@roseleacarehomes.co.uk 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.V340813.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th June 2006 Brief Description of the Service: Roselea Care Home 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. Parking is available at the rear of the home. This can be accessed via Melton Road and can be identified by large black gates. 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. A fourteen seater mini bus is available for use by residents when required, no charges are made for its use. Information about the service is available in the service user guide and statement of purpose. The weekly fees are between £1,293.90 to £1,851.69 Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was conducted on 8 August 2007. The inspection took place over approximately five hours. The main method of inspection was case tracking, which involved selecting two residents and examining their care records. Case tracking is used to establish if the needs of the residents are being appropriately assessed by the home and their needs are being catered for. Indirect and direct observation of practice and interaction between staff and residents was also carried out as part of the inspection methodology. A partial tour of the building was carried out. Documentation including health and safety records were also examined. Two residents were spoken to about the service they receive. Two staff files were examined. Two members of staff were spoken with. Prior to the inspection the Annual Quality Assurance Assessment (AQAA) was sent out to Roselea Care Home, which asked questions around the service including staffing levels and number of service users. The AQAA, which was returned to the Commission for Social by the registered manager/provider, was used within this inspection report. Surveys were sent out to service users and their relative’s representatives and advocates to gain their views about the service received. Nine completed survey from service users were received; eight surveys were received back from service users relatives, representatives and advocates. On the day of the inspection there was nine residents in residence. The registered manager supplied much of the information provided for the inspection. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 6 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 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Roselea Care Home DS0000008800.V340813.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.V340813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are fully assessed before moving in to the home and are confident the service will meet their needs. EVIDENCE: Information about Roselea Care Home is provided in the statement of purpose and service user guide. Information in the service user guide is provided in a pictorial format. The statement of purpose describes the process if admission to the home. Prospective residents needs are assessed prior to moving into Roselea Care Home, ensuring their needs can be met. Files viewed contained extensive community care assessments from Social Services. These covered personal care, health care and social care needs of the residents. The registered manager stated resident’s needs are assessed prior to them being offered a place at Roselea Care Home. Roselea Care Home DS0000008800.V340813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are reflected in individual care plans, which are kept under review. Residents are enabled to make decisions about their lives and assistance is given where needed to manage risks. EVIDENCE: Support plans were viewed for two residents, these were very detailed and individualised. The support plans covered all aspects of personal and social care needs. The support plans and risk assessments have been reviewed at regular intervals and updated if there has been a change in the residents needs. The support plans make reference to residents’ personal preferences and how individual residents are enabled to make decisions about their lives. Support plans and risk assessments are drawn up in consultation with other professionals including Social Workers. Staff were observed communicating with residents effectively and in a respectful manner. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 10 Risk assessments were in place where a particular risk has been identified which included individual behaviour and vulnerability. The risk assessment clearly detailed action required to minimise the identified risk. Residents are supported to take risks as part of an independent lifestyle. Comments included in relatives surveys included “they always put the needs of my relative foremost and liaise with the family”, whilst another stated, “Without the care of all at Roselea my relative would have a total lack of insight to their needs.” Roselea Care Home DS0000008800.V340813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The rights and responsibilities of residents are respected and upheld including the right to maintain and form relationships. Service users are offered a healthy diet EVIDENCE: During the inspection some residents were either out at voluntary work or attending day care. Routines at the home are flexible, residents were observed carrying out individual tasks. Staff respect the rights of residents. Residents spoken with stated that staff knock on their bedroom door before entering. Staff spoken with demonstrated the importance of respecting resident’s privacy. Residents have keys to their bedrooms. Interaction between staff and residents was positive, staff involved residents in discussions speaking to them in a caring manner. Residents are supported by staff to use local facilities including going to the local pub, aqua aerobics, parks and shopping in West Bridgford and the city centre. There were photographic Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 12 displays, which evidenced that residents are involved in social activities. Roselea Care Home has a minibus for residents use. Residents spoken with confirmed that they took part in the different social activities arranged by the home, which they enjoyed. Comments in one survey from a relative stated, “Our relative has been helped to lead a far more integrated life which we are sure they enjoy.” Feedback from the resident’s surveys showed that they are able to go home and visit relatives and have visitors to the home. The menu is planned weekly with residents on a Wednesday and then assist with the shopping. Food storage and preparation areas were clean and organised. fridge and food temperatures were monitored and recorded. Residents commented that the food is nice. Roselea Care Home DS0000008800.V340813.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare support the residents receive is based on their individual needs. Medication management ensures that residents are protected. EVIDENCE: Two support plans viewed contained details of the resident’s personal, emotional and health care needs. These also provided details of resident’s preferences. The plans detailed how individual residents are supported with washing and dressing. The care files also showed that residents receive support from relevant healthcare professionals. This included involvement from Dentist, Chiropody, and GP. Following the last inspection care plans also include details of the residents sexual health and the required precautions necessary to safeguard them. Medication was observed to be stored securely in a lockable trolley. The home has policies and procedures in place with regard to administration and storage of medication. Certificates viewed showed that staff had received training in medication management. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are safeguarded by the homes complaints and adult protection procedures. EVIDENCE: There is a satisfactory complaints procedure, which is included in the service user guide and available in a suitable format for residents. Complaints records looked at are well maintained and showed that there have been no complaints made since the last inspection. The Commission For Social Care Inspection has received no complaints since the last inspection. Residents spoken with stated if they were unhappy they with raised this with the managers if they felt the need to. The homes policies and procedures for responding to suspicion or evidence of abuse, or neglect, are satisfactory. Since the last inspection there has been one adult protection investigation, which has been concluded. Staff spoken with demonstrated an understanding of their responsibility to alert the manager of any disclosure or suspicion of abuse. A relevant policy with regards to the safe keeping of resident’s personal allowances is in place and followed. Records for two resident’s finances were viewed, they were found to be accurate. Resident’s monies are held individually and records are kept of all transactions made. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely and comfortable environment, which is clean. EVIDENCE: Roselea Care Home provides its residents with a homely and comfortable environment. Since the last inspection there has been further improvements to the environment, the dining room has had a new carpet fitted and new dinning chairs. The home is not suitable for people with mobility problems as there is no lift to the first floor. The laundry facilities are appropriate for the needs of the current residents they include a washer and industrial dryer. During a partial tour of the premises the communal areas of the premises viewed were very clean and tidy. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Roselea Care Homes recruitment practices protect residents. Resident’s needs are met by well trained and competent staff. EVIDENCE: Members of staff spoken with reported that staffing levels are adequate to meet the needs of the current nine residents. One staff member stated that if a member of staff is unable to cover a shift due to sickness, the managers would ensure the shift is covered. When asked in surveys to relatives, carers and advocates if care staff have the right skills and experience to look after residents, the responses stated yes. One comment included “if a problem occurs with a resident, it is dealt with quickly and with the minimum of fuss.” 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 people. Two staff files seen at this inspection contained all the necessary pre employment checks including two references and satisfactory criminal records bureau (CRB) checks. Two staff files viewed contained evidence of training in a number of health and safety subjects, medication administration, National Vocational Qualification Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 17 level 2 (NVQ) and Learning Disability Award Framework (LDAF), which is accredited training. Staff members spoken with demonstrated a sound understanding of their roles and responsibilities and insight into the needs of the residents. They confirmed that they had attended numerous training courses, which are relevant to their roles. There was evidence that staff receive supervision on a regular basis and staff members did confirm this during discussions. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,40 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well managed home, that benefits from formal quality assurance and quality monitoring systems. The health safety and wellbeing of the residents is generally protected. EVIDENCE: The registered manager was present throughout the inspection and demonstrated good management knowledge. Staff spoken with stated that the management team are very supportive and approachable. Files were kept in good order and easily accessible for inspection. Records relating to residents and staff were kept securely in lockable cabinets A quality assurance monitoring system is in place to obtain the views and opinions of the residents, relatives and external providers about the service. A sample of the surveys were viewed comments from professionals included “Very happy with support, Roselea deal with complex needs in an effective and Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 19 sensitive manner.” Relative’s comments included “level of care provided to my relative is of a high standard,” and “always made to feel welcome.” A sample of records relating to health and safety were examined. Records relating to fire testing were observed and found to be carried out at the required intervals. Portable appliances testing (PAT) and gas servicing certificates were viewed which confirmed these are carried out annually. Staff files showed that they have undertaken training in mandatory health and safety subjects including food hygiene and first aid. A window in one first floor bedroom was not fitted with a window restrictor. The registered person must ensure the health and safety of residents through the provision and maintenance of window restrictors based on assessment of vulnerability of and risk to residents. Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 20 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 3 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 3 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 4 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 3 3 X 3 X 3 X X 2 X Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 21 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 YA42 Regulation 13 (4) Requirement The registered person must ensure the health and safety of residents through the provision and maintenance of window restrictors based on assessment of vulnerability of and risk to residents. This will ensure residents are safe. Timescale for action 08/09/07 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.V340813.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Roselea Care Home DS0000008800.V340813.R01.S.doc Version 5.2 Page 23 - 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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