Inspection on 21/02/06 for Rosemary Lodge

This inspection was carried out on 21st February 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 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

Rosemary Lodge 10/12/08

Rosemary Lodge 12/02/07

Rosemary Lodge 23/08/05

Rosemary Lodge 25/10/04

Rosemary Lodge 05/05/04

Rosemary Lodge 27/11/03

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Rosemary Lodge 191 Walsall Road Lichfield Staffordshire WS13 8AQ Lead Inspector Kathryn Marks Unannounced Inspection 21 February 2006 10:00 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 Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosemary Lodge Address 191 Walsall Road Lichfield Staffordshire WS13 8AQ 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) 01543 415223 01543 415012 Abivue Limited T/A Rosemary Lodge Residential Home Mrs Susan Williams Susan Nelhams Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability over 65 years of age (1) of places Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd August 2005 Brief Description of the Service: Rosemary Lodge is a 32-bedded care home providing care for older people over sixty-five years of age. The home is operated by Abivue Limited and can accommodate people with varying dependency needs. Located in Lichfield, the home is a two-storey property providing twenty-eight single bedrooms and two double bedrooms. There are four separate living areas, each having a loungedining room, with adjacent bedrooms, bathroom and toilets. First floor accommodation is accessed by a passenger shaft lift. Externally there is a car park and the rear garden offers an enclosed area for residents. The location of this home ensures that there is a wide range of community facilities nearby that can be readily accessed. The home is also on a public transport route and a short taxi/bus ride from Lichfield’s two railway stations. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was carried out over half a day on the 21st February 2006. During the inspection the inspecting officer received comments from residents about the home and food that were of a positive nature. The Proposed Care Manager provided information regarding staffing, staff training, menu and dietary provision that was observed by the inspector to be in place at the home. On entering the home individuals were completing breakfast some had breakfast in their bedrooms others came to the dining room. Inspector was greeted by residents and staff in a friendly manner and invited into the home. Resident’s accommodation is located on the ground and first floor. Observations of the Inspector were that areas of the home visited were clean and maintained to a high standard. Resident’s bedrooms visited were individualised with favourite items to personalise them. Rosemary Lodge has a Statement of Purpose and Service Users guide that provides information about the services and facilities the home is able to offer. What the service does well: What has improved since the last inspection? Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 6 Quality Audits have now been introduced and will be reviewed at the next inspection. New Care Plans have been developed each member of staff now has responsibility for three residents and their care plans. Carer, resident and relative are now all involved in the care planning process. Staff records for training are in place the home are currently holding monthly training sessions. One staff is doing train the trainer course for lifting and handling. Menus have recently been updated. Complaints system updated and resident’s representative elected, this resident attended recent staff meeting and their proposal regarding menu has been actioned. 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. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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 Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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): 1,2,4,5. The homes Statement of Purpose and Service Users Guide provides prospective residents with up to date details of the services the home has to offer enabling an informed decision about admission to Rosemary Lodge to be made. EVIDENCE: The homes Statement of Purpose and Service Users Guide is given to residents and relatives clearly describing the services and facilities the home is able to offer. These documents will need to be updated when the new care manager is appointed. All residents have contracts of terms and conditions of residence at the home a copy of which is on resident’s files. NVQ trained staff meets the needs of current residents with further training in place to update knowledge. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 9 There are no residents with dementia at the home and no residents with ethnic needs. Inspector saw copy of new assessment on last resident. Trial visits are carried out with the proposed Care Manager visiting residents in their current surroundings and residents being invited to Rosemary Lodge. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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 the following standard(s): 10, 11. Observations of the Inspector were that residents were treated in a kind respectful way by staff on duty. The home has in place a policy for death and the dying to inform staff of practices to be followed. EVIDENCE: During the course of this inspection observations were made of residents being cared for and spoken to by staff in a respectful way. Positive interaction was observed between staff and residents with jovial banter being exchanged. General practitioner visits take place in resident’s bedroom; the two-shared rooms have privacy screening. A number of residents have their own private telephone lines plus there is a payphone in the hallway. The home has in place policies and procedures to inform staff of practices to be followed in the event of the death of a resident. If a resident’s family wished to remain at the home then they would be made comfortable and hospitality Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 11 offered. If other residents wished to visit the resident who was dying then this would be arranged on an individual basis. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15. Rosemary Lodge provided a relaxed and friendly atmosphere with residents moving freely around the home at the time of this unannounced visit. The meals offered in the home were traditional and wholesome the menu in place provides residents with choices at all mealtimes. EVIDENCE: On arrival at the home today the hairdresser was in the home and ladies were having their hair done. There was a social activities programme displayed this is also communicated verbally to residents. Keep fit, reminiscence, and evening entertainment with buffet, spring and summer outings all take place or are planned. All but one resident have relatives visiting on a regular basis. The one resident relative is in France and keeps in contact with the home by telephone. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 13 Residents going out with relatives and visitors to the home maintain contact with the community. Observations were made of residents being encouraged to make choices about what they wanted to do. Food provided for residents at Rosemary Lodge was nicely presented to them and portions were generous residents said they enjoyed their food and that they could have something else if they did not like what was on the menu. The chef provides a choice with fresh vegetables soups, and home baking. Lunch today was grapefruit or melon cocktail or soup followed by roast lamb, boiled and roast potatoes cauliflower and cabbage, stewed apples or choice of other desserts. There is a choice of hot and cold meals at teatime. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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 the following standard(s): 16,17,18. The home has systems and procedures in place to ensure the protection of resident’s legal rights and to protect residents from abuse. EVIDENCE: Service users legal rights are protected via discussions with individuals and their relatives. Residents if they wish go out to vote or have a postal vote. Where an individual lacks capacity solicitors or advocates are involved with the resident in the decision making process. Residents are protected from abuse by staff awareness, and observations. Policies and procedures are in place at the home any allegations or suspicions of abuse are acted upon and logged in records. The homes complaints procedure has been reviewed there is now a residents representative who also attends staff meetings to bring forward any areas residents wish to discuss. Recent issue raised was food and the residents had prepared hot and cold choices menu for teatime that has now been implemented. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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 the following standard(s): 20,21,22,23,24,25. The standard of the environment within this home is good providing service users with an attractive well-maintained homely place to live. EVIDENCE: Internally the home is well maintained and safe for residents to live. Bathrooms/toilets and specialist equipment has been provided as required to meet the needs of individuals. Externally the Proposed Care Manager has invited the police to provide her with a report on the safety/security of the outside of the building, which they did in December 2005. All areas highlighted by them have now been dealt with. Resident’s bedrooms that were sampled had been personalised with favourite items individuals had bought to the home. Overall the home was clean and free from odour. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 16 The desk that was identified in the dining area is still in place. Staff complete care plans with residents and relatives at this desk. Proposed Care Manager is to consider the provision of a small screen. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 17 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): 27,28,29,30. At the time of inspection staff on duty at Rosemary Lodge were competent and satisfactory in number to meet the observed needs of individuals in their care. There are robust procedures in place for the recruitment of staff. EVIDENCE: Observations of staff during this unannounced visit identified that staff on duty were as the rota and were sufficient in number to meet the observed needs of individuals in their care. There are robust procedures in place for the recruitment of staff Criminal Records Bureau checks are carried out along with POVA checks prior to permanent employment being offered. The proposed Care Manager is developing a staff-training programme with records being maintained. This will be reviewed at the next Inspection. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 18 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): 31,32,34,36,37. The proposed Care Manager is supported by the proprietor in providing clear leadership throughout the home with staff on duty demonstrating an awareness of their roles and responsibilities, thus ensuring the Health, Safety and Welfare of residents is observed. EVIDENCE: The home does not have a Registered Care Manager in post the proposed Care Manager who is currently running the home supported by senior staff and the proprietor has 27 years experience in the care of the elderly. She is enrolling to start the Registered Managers Award and application for Registered Manager At Rosemary Lodge is to be forwarded to CSCI. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 19 Record of training the proposed care manager has undertaken was provided for inspector to evidence updating of knowledge. There was a very relaxed open atmosphere in the home with both staff and residents approaching proposed care manager as they wished. Formal staff supervision is carried out at the home with confidential records being maintained. Administrative staffs are employed at the home five days a week appropriate financial procedures are in place. Resident’s cash that was sampled balanced with records kept. Records and files relating to the home and residents are securely stored. Daily care records on a shelf in the dining room need to be securely stored to ensure compliance with data protection. The proposed care manager has already identified this and ordered a filing drawer. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 20 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 3 3 X 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X 3 3 3 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 1 3 X 3 X 3 3 X Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 21 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 2 Refer to Standard OP37 OP1Op1 Good Practice Recommendations Care Records in dining room be stored in filing drawer as identified and being dealt with by the proposed Care Manager. Statement of Purpose and Service users Guide will need to be updated on registration of the new Care Manager. Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Rosemary Lodge DS0000004996.V278952.R01.S.doc Version 5.1 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. 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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