This inspection was carried out on 8th December 2005.
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.
CARE HOME ADULTS 18-65
Roselea Care Home 73 Loughborough Road West Bridgford Nottingham NG2 7JX Lead Inspector
Dee Shelvey Unannounced Inspection 8th December 2005 10:15 Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 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.V269845.R01.S.doc Version 5.0 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.V269845.R01.S.doc Version 5.0 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.V269845.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15th June 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 accomodation is over two floors, but there is no lift so unless a ground floor bedroom is available potential residents 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 residents. There is no charge for transport. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over three hours and the majority of the information was obtained by speaking with three service users and three members of staff. A tour of the building took place and a variety of documents and records were examined. What the service does well: What has improved since the last inspection?
All staff have now been checked against the Protection of Vulnerable Adults First (POVA First) list before they start work to make sure that the residents are properly protected. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 6 In July 2005 the whole staff team had training from the community nurse for learning disability on giving rectal medication. They were issued with certificates that are good for two years. 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.V269845.R01.S.doc Version 5.0 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.V269845.R01.S.doc Version 5.0 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): 3 and 4 Prospective service users have opportunities to visit the home prior to admission and will know that their needs will be met. EVIDENCE: The service users spoken with described being involved in their assessments and in all decisions relating to admission. This included visits to the home to meet other residents and staff and to see the accommodation on offer. Documents seen contained good information about the home and what services were included in the costs. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 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): 6,8 and 10. Service users were well aware of their care plans and knew they could have access to them. They are very involved in the running of the home. All records are stored in a manner to protect confidentiality. EVIDENCE: The service users spoken with confirmed that they were consulted on issues affecting the running of the home. On the day of inspection many of them were going to a local supermarket to do the weekly shopping. The shopping list is drawn up as they agree menus for the following week. One service user described her goals contained in the care plan and said the staff were helping her to achieve them. She spoke of monitoring meetings that involved her family and social worker. The records seen confirmed the evidence provided by service users.
Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 10 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): 16 and 17 Service users rights are respected and they receive a well balanced diet. EVIDENCE: Service users rights are protected at the home and they are positively encouraged to be responsible for the home. Some residents become involved with household chores and one person said he kept his own room clean and tidy. Residents spoken with said they liked the meals at the home and examination of records showed a variety of well-balanced foods was served. A dietician had been consulted to ensure that service users were getting sufficient and healthy nutrition. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 11 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): 20 The handling, storage and administration of medication arrangements are safe and residents get their medication as prescribed. EVIDENCE: The arrangements for storage, administration and recording medication were safe and ensured residents receive their medication as prescribed. One resident occasionally requires a rectal administration of medication. The staff have been trained by the community nurse for learning disability and she is available for consultation should the need arise. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 12 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 and 23 Service users are listened to and well protected at the home. EVIDENCE: Service users spoken with confirmed that their views were taken seriously. They could describe how to make a complaint and had received a copy of the complaints procedure in a simple to understand format upon admission. The home had satisfactory policies on the protection of vulnerable adults and the staff spoken with understood the varying forms abuse could take. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 13 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): 24,25 and 30. The home offers a good standard of accommodation; it was well maintained, tidy and clean. The laundry area needed some attention to ensure an infection free environment. EVIDENCE: During the tour of the building no potential health and safety hazards were seen. Roselea was well maintained and decorated and furnished in a homely manner. The service users spoken with conducted the inspection of their rooms. Each person had a key to their door and confirmed that the rooms were decorated and furnished to suit their tastes. The home had satisfactory infection control policies and staff received training on the subject. All the required safety checks on fire safety equipment, refrigerator temperatures and water temperatures were made and the results recorded. The laundry was sited in what had been a garage and not attached to the house. The floor of this area is of brick and was rather worn with the mortar between bricks breaking down. The floor and walls of a laundry need to be impervious and easy to clean in order to maintain an infection free
Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 14 environment. The bricks had also become very smooth with wear and could present a slipping hazard. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 15 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): 34 and 35 The home had a satisfactory recruitment policy and provided appropriate training for staff. EVIDENCE: The homes recruitment policy was seen and the manager confirmed that all the staff identified at the last inspection as requiring POVA first checks had now received them. The staff files contained all required information. The homes training and development programme was examined. This showed that all “core training” i.e. first aid, food hygiene and health and safety was up to date. Training specific to the client group is arranged according to staff need. All staff are registered to undertake an NVQ level2 or above. The manager always monitors training needs during staff appraisals. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 16 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): 39 and 41 Service users spoken with confirmed that they are consulted about how the home is run and were satisfied with the result. The homes records are well kept and properly stored to protect confidentiality. EVIDENCE: The opinions of service users, families and visiting professionals are sought using questionnaires. The results are analysed and discussed with service users before any changes are made to the way the home operates. The records for handling service users monies in safekeeping were immaculate, easy to follow and with receipts for all expenditure. All these records were kept on the same sheet and this presents problems of confidentiality. Should a resident wish to view their account they would also see private information regarding another’s finances. It is essential therefore to keep all records separately. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Roselea Care Home Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 X X DS0000008800.V269845.R01.S.doc Version 5.0 Page 18 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 YA30 Regulation 2(b) Requirement The laundry floor must be rendered impervious and slip free. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA41 Good Practice Recommendations Records for service users monies in safekeeping should be kept on separate sheets to protect confidentiality. Roselea Care Home DS0000008800.V269845.R01.S.doc Version 5.0 Page 19 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
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