This inspection was carried out on 15th 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Roseleigh Care Home Lytton Street Middlesbrough TS4 2BZ Lead Inspector
Lyn Burrell Unannounced Inspection 15th December 2005 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Roseleigh Care Home DS0000056173.V272345.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 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. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Roseleigh Care Home Address Lytton Street Middlesbrough TS4 2BZ 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) 01642 656122 01642 659700 Mimosa Healthcare (No 9) Ltd Mrs Lauren Ann Cannell Care Home 50 Category(ies) of Dementia (26), Old age, not falling within any registration, with number other category (24) of places Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. To allow one named individual under the 65 years of age to reside at the home. 20th July 2005 Date of last inspection Brief Description of the Service: Roseleigh is a 50-bedded purpose built home that provides personal care for 24 older people and 26 people suffering with dementia. All of the rooms are single with an en-suite comprising of a WC and hand basin. There are spacious bathrooms in the home with equipment suitable for immobile people or for those residents’ who need assistance. The home is situated close to Middlesbrough centre and is accessible by bus or car. It is in a built up area and overlooks a greenbelt. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection and nearly of the National Minimum Standards inspected were met. The inspection lasted four and a half hours with one inspector. The residents and their relatives were given the opportunity to talk to the inspector. The inspector talked with six residents and three relatives about life in the home and the service they received. During this inspection discussion with residents took place, the inspector walked around the home, looked at medication policies and practises, activities, the homes complaint policy, staff records and supervision records were viewed, personal allowance records and the quality assurance programme. A tour of the home showed that it was clean, tidy and well decorated throughout. What the service does well: What has improved since the last inspection?
Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 6 The environment is pleasing with new carpets in some bedrooms. There is a budget available for the furniture and decoration to be on going. The manager has requested in her budget for new armchairs, as they are showing signs of wear. Residents’ views are considered when redecoration is planned particularly in their bedrooms. 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. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 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 the following standard(s): This standard was not assessed on this occasion. EVIDENCE: Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 9,10 Medication administration procedures ensures that the resident’s health care needs are addressed. Staff at the home successfully support service users with their social, health and personal care needs in a way that treats them with respect and promotes their rights and privacy. EVIDENCE: Currently there are no resident’s that self medicate, though residents who use inhalers and sprays keep them at hand. Lloyds pharmacy collects the prescriptions from the GP surgeries and delivers each persons medication in the dispensing boxes. Some medicines are delivered weekly and others monthly. The system meets the residents needs and is safe, it also prevents over ordering and waste. There are policies and procedures in place for the safe handling, storage and administration of medication. The storage facilities are safe and suitable for medication and the staff who administer medication have received training in the safe handling of medication with Middlesbrough College.
Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 10 Following discussion with some of the resident’s they described the staff as kind and considerate. One resident said “the girls will do anything for you” another resident said “nothing is any trouble”. The staff were seen with the residents’ to be kind and considerate and they spoke to the residents kindly and with respect. Some residents who engaged in conversation said their privacy was always maintained and respected. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 12,13 A planned structured and well delivered activities programme can contribute to a more interesting and stimulating lifestyle for service users. The residents’ make positive choices about how they spend their day and friends and families are encouraged and involved too. EVIDENCE: The manager is currently advertising for an activities co-ordinator to be employed in the home. The care staff participate in activities during the afternoon, however records do not reflect the activity that takes place. Modern apprentices are employed in the home and they spend time with the residents playing bingo, dominoes and manicures. The visitors can visit at any reasonable time one relative said that she is always made welcome when she visits. As a token of appreciation to the staff a visitor brought them a tin of chocolates to share between them. Three relatives I met with spoke highly of the staff. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16 Complaints in the home are handled objectively and openly with the manager and staff encouraging service users, their friends and families to offer comment on the services that are offered. Service users are confident that any complaints made would be acted upon. EVIDENCE: Relatives confirmed that if they had any concerns they would be dealt with appropriately. The policy for handling complaints is clear and concise; it has timely responses included to inform a complainant of the process that is followed. There have been no complaints made to the home in the last 12 months. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 13 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 the following standard(s): This standard was not inspected on this occasion. EVIDENCE: Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 The deployment and number of staff on all shifts is appropriate to ensure that at all times service users are supported by an experienced group of staff. Record keeping in respect of new staff employed in the home is robust and provides relevant and sufficient information to ensure that service users are protected. EVIDENCE: The home is divided into 2 units “Cook” unit is on the first floor cares for people with dementia and the “Endeavour” unit provides personal care for older people. There are 4 carers during the day and evening and 2 night duty carers on Cook unit and 3 carers during the day and evening and 2 night duty carers on Endeavour unit. A senior carer is on duty at all times and a day duty carer starts the duty earlier to help at a busy time in the morning. The manager has a flexible staff team that will change duties to enhance the residents’ care. 55 of the care staff have achieved a National Vocational Qualification in care and the remainder of the staff are working towards this. Staff in housekeeping and catering also have National Vocational Qualifications. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 15 A robust recruitment system is in place and the records are well maintained. Each staff member has a personnel file that is kept in accordance with data protection. To ensure the residents are safe each employee completes an application form and explains any gaps in employment. Two references are requested by the manager, one of the references is from the previous employer. Photographic identification and birth certificates are copied and a criminal records check is sought at an enhanced level. All staff have a company handbook and a contract of employment. The handbook has a code of conduct in it. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 16 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,38 Residents’ financial matters are managed appropriately. The resident’s health and safety is promoted by a well managed home. EVIDENCE: Where the home handles personal allowances for the resident, each resident has his or her own balance sheet. All transactions have 2 signatures and receipts are kept. Residents’ money is appropriately stored and accurate records are in place. The manager and the administrator check the balance of the money and the records monthly. There are also secure facilities in the home for money and valuables. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 17 The rolling programme for training shows staff have had the relevant health and safety training including manual handling, fire safety and 1st Aid. The environmental health officers’ report shows they are satisfied with the standards in the kitchen. Service records for electrical systems are in place and up to date. The water is chlorinated annually to reduce the risk of Legionella bacteria growing in the water system. Hot water temperatures are thermostatically controlled and records show they are checked regularly to prevent accidental injury to the residents’. Relevant legislation relating to health & safety is adhered to. Supporting policies are in place to ensure safe working practises are adopted. Accident books are kept and are in keeping with the Data Protection Act 1998. A health and safety poster is displayed in the home and the homes induction programme is in keeping with the skills for care specifications. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X X X 3 Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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. 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 OP12 Good Practice Recommendations It is recommended that the home manager improves the recording system for activities that take place and which residents’ participate. Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Roseleigh Care Home DS0000056173.V272345.R01.S.doc Version 5.0 Page 21 - 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!
