Inspection on 06/08/08 for Rosemary Mount Residential Home

This inspection was carried out on 6th August 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 09/08/06

Rosemary Mount Residential Home 16/11/05

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 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Rosemary Mount Residential Home 147 Chesswood Road Worthing West Sussex BN11 2AE Lead Inspector Annette Campbell-Currie Unannounced Inspection 09:45 6 August 2008 th 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.V369301.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 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.V369301.R01.S.doc Version 5.2 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 01903 235770 julieveck.wshs@gmail.com West Sussex Housing Ltd 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.V369301.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2006 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 older people. The establishment is situated in a residential area of Worthing approximately two miles from the centre of the town and all its amenities and half a 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 floor 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 that owns the service. Mrs Denise Waller is the registered manager responsible for the day-to-day running of the home. The current fees are from £387 to £518 per week. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is Three Star. This means that the people who use this service experience excellent outcomes. Annette Campbell-Currie carried out the site visit for this key unannounced inspection over five and quarter hours. The manager and the assistant manager were available during the site visit and Mr Matthews also visited the home to offer his assistance. All the information and paperwork we (the Commission) needed was available. There were twenty-one people staying in the home at the time. The manager returned an annual quality assurance assessment form (AQAA) that provided information about the service and the care provided to help in the planning of the inspection. Surveys about the service were received from six people living in the home, five relatives and four staff. The response was very positive and the information has been used in making an assessment of the service. There is a programme of major refurbishment and a tour of the home included the areas of the home where the refurbishment has been completed and the communal areas where the work is not yet finished. Other areas of the home that were seen included the bathrooms, kitchen, laundry facilities and some bedrooms. The following documents were read: the case records for three service users, recruitment records for three staff, training records, staff rotas, the complaints and compliments records, Regulation 26 reports, quality assurance feedback and other relevant information. The administration of medication at lunchtime was observed also the handover session between the morning and afternoon shifts. During the day five people staying in the home were spoken with and five members of staff including the deputy manager and catering manager. The outcomes for people living in the home were assessed in relation to twenty-one of the thirty-eight National Minimum Standards for the care of older people, including those considered to be key standards to ensure the welfare of people living in the home. What the service does well: The manager and staff showed a commitment to providing a high quality of care in a warm and open atmosphere. The care plans are detailed and provide clear guidance for staff. There is an emphasis on quality assurance and listening to the people who use the service. The refurbishment programme is extensive and is being well managed to minimise the inconvenience to people Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 6 living in the home. Nine of the newly refurbished rooms have ensuite toilet facilities with wash hand basins. The recruitment process if thorough and the induction and training programme is very good so that staff have the knowledge and skills they need to do their job well. All the residents spoken with said that staff are friendly and cheerful. The staff spoken with said that Rosemary Mount is a good place to work and the manager and senior staff are very supportive. Comments made about the home include: “My Nan is very happy at Rosemary Mount and feels cared for and secure. Many thanks to the staff for that”, “The staff I have met are very efficient and caring”, “The jovial friendliness of staff and residents is very good”, “Very happy and satisfied with the home” and “Generally very pleased with the environment and happy atmosphere”. 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. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 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.V369301.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Rosemary Mount does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment of need is carried out before a decision is made about someone moving to the home. EVIDENCE: The manager or a senior member of staff carries out an assessment with everyone who is interested in staying at Rosemary Mount to make sure that the home could meet the person’s needs. Relatives are involved in this process where appropriate so that the home has as much knowledge as possible about the person’s needs and a judgement can be made about whether or not the staff team could provide for their needs. Case records seen showed that in some cases relatives had been involved in the pre-assessment. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 9 Short-term care is provided and sometimes people decide that they wish to stay on a more permanent basis. There are separate forms to be completed with people who wish to come to the home for a short stay. An example was given about an emergency placement being arranged in a short space of time at a weekend. The occupational therapist employed by the organisation had also been involved in the person’s assessment. People are welcome to visit the home before they make a decision about moving and during the morning two people visited the home with their relatives and were given a tour of the building and information about the service. All the staff spoken with said that they understand people’s needs and are given the support they require to provide a good standard of care. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People’s health and personal care needs are set out in detail in a plan of care. People’s personal and health care needs are well provided for. The medication policies and procedures protect people living in the home and they feel they are treated with dignity and respect. EVIDENCE: There is a standard format for care planning, review and risk assessment. The case records of three people were read and showed that all aspects of the care they needed had been identified and guidance provided for staff. An individual and person-centred approach had been taken to care planning. Each person has their photograph at the front of the care plan so staff can easily identify them. Care plans are reviewed monthly and a more thorough re-assessment is carried out every three months. People are involved in drawing up their care plans and either the person or their advocate had signed to say that they agreed with what had been written about them. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 11 Relatives also provide information to make sure that the person’s needs are noted and understood. The three people were seen and spoken with and were very satisfied that staff understand their needs and that they receive care in the way they prefer. The care plans seen included some information about people’s interests and hobbies and also their spiritual wishes. The care-planning format includes risk assessment forms for all aspects of personal care; these had been completed where necessary and reviewed on a regular basis. In addition the manager keeps a record of all other aspects of daily life for people where risk assessments have been carried out to make sure that risks can be minimised and monitored. Examples of additional risk assessments were seen and included monitoring the safety of two people who like to have a pot of tea with their breakfast rather than just being given cups of tea. This example also showed that people are encouraged to maintain their independence within a risk assessment framework. Healthcare needs were documented and records kept of visits made by a general practitioner (GP). Appointments with nurses and other healthcare professionals were also noted. The manager said that the home has a good relationship with two of the local primary care teams. The organisation employs an occupational therapist who also provides support to people in the two sister homes. This is a valuable service as people have their mobility needs assessed and monitored on a regular basis. The occupational therapist was available in the home during the day and providing guidance to people living in the home and for staff. People are provided with specialist equipment when it is needed. Nutritional assessments are carried out when a concern is noted and everyone has a monthly weight check to make sure their health is monitored. A specialist nurse is involved in monitoring the health of people who have diabetes. Staff are provided with training and an information pack about the care of people who have diabetes so that they understand the nature of the condition and are aware of the signs to look for should people become unwell. People also have appointments with the optician and chiropodist when needed. One person with a visual impairment said that the staff are very helpful and aware of her difficulties and that she has the additional help she needs to help her to remain as independent as possible. There was clear guidance to staff on this person’s care plans about ways to support her and still maintain her independence. The home has been in contact with the Royal National Institute for the Blind for advice and guidance. A talking clock has been obtained also talking discs and a newsletter. Staff who returned surveys indicated that they are provided with the information they need to provide for people’s care needs. Staff spoken with also said that communication in the home is good and they understand Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 12 people’s needs. The handover session for the afternoon shift was clear and detailed with any changes in condition or need discussed and noted by staff. People were given clear responsibilities for the afternoon shift. The deputy manager has responsibility for medication in the home. No one holds their own medication at the moment but there is a risk assessment available if the need should arise. The deputy said that only staff who have attended medication training administer medication and this is usually senior staff however all care staff are supported to attend training so that they understand the implications for people’s health and can more easily observe and identify any problems. People in the home have regular medication reviews and the deputy said that the amount of medication people are prescribed has been reduced through this process. The administration of medication was observed at lunchtime and the records were in order. Staff said they received good induction that includes guidance about providing personal care and shadowing senior staff until they fully understand people’s needs and the way they like their care to be provided. People spoken with and those who returned surveys said that staff understand their needs and listen and act on what they say. One person said: “Staff are very kind and gentle; they are patient and take their time”. People feel that their privacy and dignity is respected. Staff were observed providing care in a respectful, unhurried and sensitive manner. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People usually find the lifestyle experience in the home matches their preferences. People are supported to maintain contact with their relatives and friends and to make choices in their daily lives. People are provided with a healthy and nutritious diet. EVIDENCE: There is a programme of activities and people’s interests were noted on their care plans. An activities coordinator comes to the home on Monday and Thursday afternoons to arrange group activities. The weekly programme is written on a large notice board in the hallway. Music and movement is provided once a week and sometimes art and craft activities are available. Musical entertainers visit the home twice a month. Occasionally minibus trips are arranged to local places of interest. A fundraising committee has been set up to help raise funds for additional outings and two people who live in the home are on the committee to Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 14 represent residents and bring their ideas. An Easter Fayre was arranged earlier this year to help raise funds. Some of the care plans showed that people had attended various activities. The need to provide more person centred activity programmes was discussed with the manager so that more one to one time could be arranged for people as part of their daily routine. Some people spoken with said that they prefer to spend time in their rooms and are content with their own company. When the refurbishment is complete there will be more space available for small and large group activities in communal areas. It is clear from feedback through surveys and people spoken with that people are encouraged and supported to maintain contact with their relatives and friends. People said that their guests are always made welcome in the home. Relatives who returned surveys said that the home keeps them informed of any key events or changes in the wellbeing of their family member. People are supported to make some choices in their daily lives. People who returned surveys said that staff listen to them and act on what they say. One person said she had been supported to maintain contact with her preferred hairdresser who now comes to the home to do her hair. There is a catering manager responsible for the provision of meals and managing staff who work in the kitchen. Each day there is a choice of two hot meals and a salad; vegetarian options are provided. Fresh produce is used as often as possible with one fresh and one frozen vegetable available for the main meal. Fresh fruit is also made available and included in the menu. People choose their meal on the previous day and the catering manager said that a daily menu card system is due to be introduced so that people are very clear about the choice of food. People spoken with said they like the food and have plenty. Surveys are circulated regularly to find out people’s views about the food and any requests or complaints would be followed up by the catering manager. Sherry or other drinks are served before lunch and at the moment meals are taken in the two communal lounges. When the new dining room is finished this will provide a spacious and pleasant room for people to enjoy their meals. Lunchtime was relaxed and people were being assisted in a quiet and unhurried manner. One person was being assisted to eat and the member of staff was explaining to her the food that was on her plate. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can be confident that their complaints will be listened to and acted upon. There are policies and systems in place to protect people from harm and abuse. EVIDENCE: There is a complaints policy that is provided with the information given to people when they move to the home. There is a system for recording complaints. Two complaints have been received by the home in the past twelve months; both were recorded and investigated appropriately. People spoken with said they know who to talk to if they had a concern or complaint and they feel they would be listened to. There are policies available regarding safeguarding vulnerable people and the home follows the West Sussex multi disciplinary policy and procedure for dealing with abuse. All staff have attended training on safeguarding people and those spoken with were clear about their responsibilities. The home does not employ people until a POVAfirst or Criminal Records Bureau check has been carried out to ensure that people are kept safe. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe and well-maintained environment that is clean and hygienic. EVIDENCE: Rosemary Mount is going through a major refurbishment programme and the first phase will be completed by the end of October. A number of rooms are being altered to improve the space and facilities; several completed rooms were seen and now provide accommodation of a high standard. The communal areas in the main part of the house are also being upgraded to provide better lounge and dining room facilities. The hallway carpets and lighting is due to be improved. The radiators in two of the bathrooms are due to have radiator covers fitted to protect people from burns. A new shower room has been built and other bathrooms and toilets are being upgraded. There is a call bell Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 17 system; in the new rooms with ensuite facilities there will be a call bell in the bedroom and the toilet area for additional safety. People said they did not have to wait long if they needed to use the call bell. There are handrails in all corridors to help people get around safely. There is plenty of communal space and a covered area by the front door that is a popular place for people to sit, is to be extended and covered in. There are gardens to the front of the building that can be used in good weather. The grounds are well maintained and provide a pleasant space for people. The refurbishment programme has been managed well so as to cause as little disruption to people as possible and those spoken with said they had been kept informed about what would be happening. Six people were due to move back to their rooms during the day and additional staff were on duty to assist. Care was being taken to make sure that everything they needed would be there for them including all their personal items. It was also clear that people had been involved in this process. The laundry facilities are suitable and there is a dedicated member of staff responsible for laundry duties. There are three staff in the housekeeping team and the home was clean and welcoming during the site visit. Feedback from people through surveys shows that the home is clean and hygienic. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s needs are met by the numbers and skill mix of staff. The recruitment policy and process protects people living in the home. Staff are qualified, trained and competent to do their jobs. EVIDENCE: Samples of staffing rotas were seen and showed that there are sufficient numbers of staff on duty; there were four care assistants and a senior carer on duty in the morning and three carers and a senior carer in the afternoon. The manager and deputy were also available for support. There are three care staff on at night and there is always a senior member of staff is always on call. The home has not needed to use agency staff for over two years which means that people receive care from staff they know and who understand their needs. The management team supports and encourages all staff to further their care qualifications. Eleven of the twenty-six staff have achieved the National Vocational Qualification (NVQ) at level two; eight have achieved level two and three and one person has achieved the NVQ at level four. This exceeds the target that 50 of care should have achieved the NVQ at level two or above. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 19 The home has recruitment and an equal opportunities policies. The recruitment records for three staff were seen and showed that all the necessary checks are carried out before people begin work. The manager explained that she and the deputy normally interview prospective staff. An application form is completed and a full employment history included. During the interview any gaps in employment would be checked and an interview checklist of questions is completed. The records that were seen showed that POVAfirst checks are carried out so there is no delay in people starting work when they have been successful at the interview. A full Criminal Records Bureau (CRB) check is carried out and measures are put in place to ensure people’s safety until the full CRB check is received. Two written references are requested including one from the previous employer. There is an induction and training programme. The induction programme is a pathway to an NVQ award and provides a good foundation knowledge for staff. In addition to the workbook, newly appointed staff shadow more experienced staff for three to four weeks so that their developing skills can be observed. The person providing the supervision then gives feedback and goes through the book with them. Records that were seen showed that all staff have attended mandatory training sessions and their skills have been updated when necessary, training certificates were also seen on staff files. The care of people who have dementia has been added to the list of topics that all staff are required to attend and ten staff now have achieved a qualification at level two in dementia awareness. The manager said that the management team meet in the autumn to put together a training programme for the year. Attendance at required training days is paid for and sessions take place away from the home so that it easier for staff to concentrate. The manager is a key trainer in moving and handling and wants to develop her training skills. The feedback from staff through surveys and discussion indicated that people are provided with a good standard of training. One person said the training programme had attracted her to the job and that the training opportunities are ‘excellent’. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Rosemary Mount benefit from a very well run home and their views and opinions about the service are sought and listened to. There are systems to ensure that people’s finances are protected. The health, safety and welfare of people living in the home and staff are promoted and protected. EVIDENCE: The registered manager has many years of experience in a care setting; she has achieved the NVQ level four award in care and the Registered Manager’s Award. Mrs Waller is committed to developing her own knowledge and skills and has a strong commitment to training for staff. The manager and assistant manager have recently attended training on the implications of the Mental Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 21 Capacity Act. The management team work well together and provide cover for each other and leadership for staff; this was evidenced through observation and feedback from staff and people living in the home. There is a quality assurance system for monitoring care in the home. A system for monitoring the quality of care provision is used by the organisation and this has recently been reviewed and improved. Mrs Waller said that this system would be revisited when the refurbishment has been completed. Satisfaction surveys are given out to people living in the home and to their relatives every October. Surveys are also sent to the medical teams, visiting healthcare professionals, entertainers who come to the home and a maintenance company the home uses, as the manager feels that anyone who has contact with the home has a view on how it is run. The results are collated and published and any issues raised would be followed up. Some of the comments people had made on the surveys included: “Everybody is always very helpful and the care to the residents is excellent”, “Rosemary Mount takes a lot of beating” and “We think you run a very caring home, no complaints at all”. The provider carries out Regulation 26 visits every month and the outcome is discussed with the manager so that any issues arising can be dealt with. Copies of the reports of these visits were seen. There is a robust system for supporting people with their day-to-day finances. The system was explained and the records were seen and showed that measures are taken to make sure people’s money is protected. The Annual Quality Assurance (AQAA) form showed that all equipment is checked and serviced as required. Staff have all attended mandatory training and updates including fire training. There is guidance for staff about evacuating the building in the event of a fire and practice sessions are held periodically. Risk assessments for the building are carried out and incidents and accidents recorded and monitored for trends so that unnecessary hazards are removed. Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Rosemary Mount Residential Home DS0000014691.V369301.R01.S.doc Version 5.2 Page 25 - 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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