Inspection on 16/11/05 for Rosemary Mount Residential Home

This inspection was carried out on 16th November 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.

Other inspections for this house

Rosemary Mount Residential Home 06/08/08

Rosemary Mount Residential Home 09/08/06

Rosemary Mount Residential Home 12/01/05

Rosemary Mount Residential Home 14/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Rosemary Mount Residential Home 147 Chesswood Road Worthing West Sussex BN11 2AE Lead Inspector Mrs H Church Unannounced Inspection 16th November 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 Rosemary Mount Residential Home DS0000014691.V263927.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. Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosemary Mount Residential Home Address 147 Chesswood Road Worthing West Sussex BN11 2AE 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) 01903 205762 West Sussex Housing Society Limited Mrs Denise Waller Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2005 Brief Description of the Service: Rosemary Mount is registered with the Commission for Social Care Inspection to provide personal care for up to thirty-three persons over the age of sixtyfive years. The establishment is situated in a residential area of Worthing approximately two miles from the centre of the town and all its amenities and ½ mile from the sea front. Local transport provides access to the town and main line railway station. Accommodation is provided in thirty-three single rooms. The rooms are arranged over two main and one mezzanine floors with a lift giving access to all rooms. A lounge, quiet lounge and separate dining room provide the main communal space. The responsible person is Mr Tony Matthews who represents West Sussex Housing Society Limited, a voluntary organisation who owns the service. The newly appointed registered manager is Mrs Denise Waller. Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to observe the morning activities and lunch provided for the residents. The newly appointed manager was present and a number of care and ancillary members of staff. The manager was also providing support to a volunteer from a day centre. A visiting professional told the inspector of the good support he had received when visiting. On arrival some residents were being supported to go out whilst a number of residents were in the two lounges socialising with each other having just finished breakfast in the dining room. The residents seemed generally happy and relaxed and provided very positive comments about the care and services provided. All residents were able to give a clear account of their life at Rosemary Mount and all comments were clearly freely given and enthusiastic. The Statement of Purpose and Service Users Guide have been reviewed and have been distributed to all interested parties. These documents include information on how the home is run and how changes can be made to improve residents lives there. During the inspection, six residents were spoken with in the main lounge following a musical event and seven residents spoken with privately in their rooms. Four residents’ records were examined to see if the assessed care needs were provided and two staff records examined to ensure a consistent and high recruitment was maintained. The transition of the deputy to manager has been very smooth and it was clear that the support and leadership always present has continued. From the resident’s comments and from observing the staff at work, it was clear that there is a high commitment to treating residents with respect and dignity and that outcomes for residents are the main focus of care and services. What the service does well: Rosemary Mount continues to provide a warm, homely environment that is central to resident’s collective and individual needs. Residents are encouraged to own and propose any changes that would improve their lives there. From resident’s comments and observing staff at work, it was clear that the outcomes for residents are high with staff committed to treat residents with respect and dignity. Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 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. Rosemary Mount Residential Home DS0000014691.V263927.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 Rosemary Mount Residential Home DS0000014691.V263927.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): 1,2,3,4,5. All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The Statement of Purpose and Service Users Guide has been updated and provided to all residents, representatives and the Commission for Social Care Inspection for their records. Four care plans, newly presented to provide clarity of assessed needs, were examined and it was clear residents are being assessed prior to admittance to ensure the home would be able to meet their needs. Relevant risk assessments had been reviewed and staff are well informed about the care required for each resident. Records were being updated accordingly. Rosemary Mount Residential Home DS0000014691.V263927.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): 7,8,9,10 All residents had an individual care plan set out for staff to follow and staff members are meeting the health care needs of the residents in an appropriate and respectful manner. EVIDENCE: Four care plans gave clear information of the care needed with good risk assessments to inform staff how to minimise risks. The Accident Forms showed comprehensive information and outcomes were being monitored according the “Slips, Trips and Falls” guidelines. The inspector observed that this is providing good factual information for prevention or awareness. Medication sheets were not fully completed and a recent incident involving medication has prompted the inspector to arrange for the pharmacy inspector to examined training and related records more fully and provide advice. A visiting professional confirmed that full support had been given to assist him to provide a good service. Referrals to the Primary Health Care Team appeared appropriate with good care being provided under their direction. Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 10 Staff were observed speaking to and caring for the residents and treating them with respect by knocking on doors before entering and speaking to residents in a caring manner. Residents comments included “staff are wonderful”, “kind”, “good” and “we couldn’t do better”. Rosemary Mount Residential Home DS0000014691.V263927.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): 12,13,14,15. Activities are suited to the conditions and dependency levels of each of the current residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising and these were highly praised. EVIDENCE: Activities are based on ability with staff assisting with these. The number and choice of activities is high and was well complimented on by the residents. The inspector observed a well attended musical event being provided in the morning. Although Rosemary Mount accommodates up to thirty-three residents, staff still seemed able to spend individual time with them. It was clear from the visitor’s book that visitors come every day at all times of the day and evening. The residents told the inspector that they really enjoyed their food. The new cook has recently had a new catering assistant and from resident’s comments, meals continue to be of a high standard. The breakfast ranges from cooked to continental and residents can choose from a hot supper dish or a variety of cold options. The inspector noted the lunch provided an excellent choice and was well presented to residents on tables for four to six persons to maintain a homely atmosphere. The food is all home cooked with fresh vegetables. Rosemary Mount Residential Home DS0000014691.V263927.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): 16,17,18 Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Staff training in adult protection procedures is up-to-date so staff are equipped to protect residents from abuse. EVIDENCE: The home has a complaints procedure displayed and included in the Statement of Purpose and Service Users Guide. One resident said she knew who to complain to, but had no occasion to do so. The West Sussex Multi Agency guideline was available in the home and updated training has been provided to ensure staff members are aware of how to protect residents from abuse. Rosemary Mount Residential Home DS0000014691.V263927.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): 19,20,21,22,23,24,25,26. The indoor areas used by residents are clean, safe and homely with good access to the front, rear and side gardens. The resident’s rooms are suitable for their needs and are homely. EVIDENCE: Residents are encouraged to move around the home as they wish and have access to the all the communal areas which are comfortably furnished. The dining room tables accommodate a maximum of six residents giving it a homely atmosphere. There is a passenger lift for those residents whose rooms are upstairs. The garden areas have been designed to assist residents to walk independently or use a wheelchair and are furnished with occasional garden furniture. There are enough toilets and assisted baths to meet the needs of residents and thermostatic valves protect residents from scalding water temperatures. Radiators are guarded and the home was clean and hygienic. Resident’s rooms were visited and were homely and comfortably furnished with their own Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 14 possessions around them. Training records showed that staff members have received training in fire safety procedures and fire risk assessments were in place. One empty resident’s room was being redecorated at the time of the inspection and all individual and communal areas rooms were clean and smelt fresh. However, in particular, the first floor corridor floor covering required attention. It is badly stained and was raised in the previous report. A recommendation has been made for this to be attended to. Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 15 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): 27,28,30. The duty rotas did indicate that enough staff are on duty over the 24 hours period to meet needs and that recruitment processes are robust and ensure residents are protected. EVIDENCE: The inspector observed day staff as they assisted residents during the morning and before lunch. The rota confirmed the staffing arrangements for the home. The numbers and skill mix of staff was appropriate to meet their needs. Three staff spoken with said they were happy working at the home and felt well supported by the manager. From the two staffing records seen, recruitment records were consistent and staff received good induction, supervision and training. Staff have access to all job descriptions giving good information about the structure of working roles throughout the home. Rosemary Mount Residential Home DS0000014691.V263927.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): 31,32,33,36,38. The newly appointed registered manager is well qualified and experienced to manage the home. EVIDENCE: Since the previous inspection, Mrs Denise Waller has been appointed as manager. Mrs Waller is well qualified having obtained the Registered Managers Award and has been employed at Rosemary Mount for a number of years, the latter years as deputy. As such, Mrs Waller is well experienced to manage the home. Staff are clearly delighted at her appointment and were unanimous in their praise of her leadership style. They said that they felt supported to carry out their roles. Recruitment, induction and supervision records confirm that the resident’s best interests were safeguarded. All communal rooms and rooms meet the National Minimum Standards giving resident’s sufficient space for them to have personal possessions or necessary equipment to support their care needs and move around their rooms safely. Rosemary Mount Residential Home DS0000014691.V263927.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 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 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 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 3 3 3 3 3 3 3 3 Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP9 Regulation 13(2) Requirement The registered person ensures that the recording and handling of the disposal of medication meets standards Timescale for action 01/12/05 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 OP19 Good Practice Recommendations The home is well maintained, safe and suitable for individual and collective needs in all areas. Rosemary Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Mount Residential Home DS0000014691.V263927.R01.S.doc Version 5.0 Page 20 - 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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