Inspection on 17/01/07 for Rosemead

This inspection was carried out on 17th January 2007.

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

Rosemead 02/05/06

Rosemead 08/02/06

Rosemead 28/11/05

Rosemead 24/01/05

Rosemead 13/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosemead 49 School Lane Bidston Wirral CH43 7RE Lead Inspector Natalie Charnley Key Unannounced Inspection 17th January 2007 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 Rosemead DS0000018933.V328482.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. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosemead Address 49 School Lane Bidston Wirral CH43 7RE 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) 0151 652 3824 Mrs Mavis Jones Mrs Johanne Huntington-Jones Mrs Mavis Jones Care Home 14 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (14) of places Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The service may accommodate one service user under the category of Dementia (E). One named service user under the age of 65 years Date of last inspection 2nd May 2006 Brief Description of the Service: Rosemead is a home located in the Bidston area of the Wirral, within a quiet road, close to local shops and transport links. Car parking is available at the front of the building. The home can accommodate up to 14 residents and provides personal care, a recent variation has been given to the home to allow them to accommodate up to one resident who has dementia, and one resident who is under 65. Rosemead is a three story building which has a variety of communal and private areas. A lift is available to take residents between floors. There are eight bedrooms, one of which is ensuite. Three of the bedrooms are shared rooms. The homeowners, one of whom is the registered manager, have a flat on the upper floor to which residents don’t have access. It currently costs £339.40 per week to live at the home. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection site visit was carried out over a period of one day. The inspector arrived at the home at 09:30 and left at 15:00 .The inspector spoke with 4 staff, two of which were co-owners of the home and 7 residents. No visitors were available at the time of the inspection. Comment cards were left at the home for residents and visitors to complete; however none were returned. This was the second key inspection at the home during this inspection year. The home had submitted an improvement plan detailing how they were going to address the requirements made during previous inspection. Progress of these improvements was checked during the visit. The inspector completed the inspection by looking at the homes records, a tour of the building, formal and informal interviews and information from previous inspection reports. The inspector followed an inspection plan written before the start of the inspection using all information held on file at Commission for Social Care Inspection regarding the home, to ensure that all areas that needed covering were done so. Feedback was given to the person in charge during and at the end of the inspection. Discussion took place with regard to how the home deals with equality and diversity. The manager was able to give examples of how they had addressed this in the past and evidenced a variety of policies and procedures for both staff and residents. Details of these policies and procedures are within the main report. What the service does well: What has improved since the last inspection? Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 6 Training has been given a priority at the home. Staff have enjoyed the courses they have attended and feel that this has helped improve care for residents. New systems have been put in place to ensure that residents are happy living at the home. Residents can offer an opinion on how the home develops. Care plans continue to improve and provide basic information for staff on what they need to provide for individuals. Recruitment practices have been tightened to ensure all staff working at the home are suitable and competent. 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. Rosemead DS0000018933.V328482.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 Rosemead DS0000018933.V328482.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures they can meet the needs of residents by carrying out an assessment before they move to the home. EVIDENCE: Care files were checked for the 2 residents who had moved into the home since the last inspection. These records showed that a pre admission assessment had been completed by the home manager. This assessment listed residents medical problems as well as any social support they need. This allowed the home to make a decision as to if they could look after the residents and meet all of their individual needs. One resident was able to comment about meeting staff before moving to the home stating it helped him “put his mind at rest”. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel they are treated with respect and have their privacy maintained at all times. Care plans are kept up to date in order to ensure that the care given is appropriate. Medication practices maintain the safety of the residents. EVIDENCE: 4 care plans were sampled during the inspection. These records have improved and contain information needed by staff in order to care for residents. Residents are asked for their likes and dislikes in order for individual care to be given. Risk assessments are carried out and kept under regular review, along with the care plan. This ensures that any changes are clearly recorded. Staff have attended a care planning course in order to help them develop these plans further in the future. Residents spoken with at the home were aware that they had a care plan, however most had decided to have little or no input into it. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 10 A number of health professionals visit the home. GP’s (General Practitioners), District Nurses, Social Workers and Opticians assist in ensuring that residents healthcare needs are met. Records of these visits are very detailed, and clearly record why the visit has occurred and what actions have been taken. This is an example of good practice. Residents are weighed on a monthly basis and have a nutritional assessment carried out to ensure they are not at risk from ill health. Medication administration records and storage areas were checked. The home has a medication policy, which was updated in 2006. This is set of guidelines for staff to follow to protect the residents from harm. Medications were being stored and administered correctly. Staff were recording what medications come into and leave the home in order to provide a medication audit. This is another way in which the welfare of residents is protected. Residents spoken with stated that they felt respected at all times and that their privacy was always maintained. One resident commented “staff are polite and treat me like family”, another stated “staff knock on my door before they come in”. Staff were observed speaking to residents in an appropriate way and knocking on bedroom doors before entering during the site visit. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 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. 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. Activities are fulfilling the wishes and needs of residents. Residents are encouraged to make daily choices and keep control over their lives, and they have a tasty and balanced diet. EVIDENCE: The home has a daily plan of activities. This is split into afternoon and evening sessions. As the home is small, all staff assist in the organisation of activities. A record is kept on a daily basis, detailing what activities were provided and who joined in. This allows staff to ensure that all residents are given the opportunity to join in if they wish to. One of the homes residents regularly goes home to his family house, supported by staff. Another 3 residents attend local day centres. In addition to the traditional home activities such as bingo, sing a long and beauty treatments, residents are encouraged to help staff with the day to day running of the home. Residents set tables, wash up dishes and make beds. Joining in with these tasks is voluntary and was described by one resident as “ helping me keep active and independent”. The home is currently struggling to find a minister to visit the home. Plans are in place for contacting other religious groups in the surrounding areas. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 12 Residents spoken with during the visit commented, “ It’s nice here, I do what I want when I want to”, “ I have regular visitors, they can come anytime and even get a cup of tea” and “we had a nice Christmas. We had a party and someone to entertain us. It was really enjoyable”. Residents at the home were extremely complementary about the meals they ate. Daily choices are offered to residents and recorded to ensure that residents receive a balanced diet. On the day of the visit, lunch was observed as a social and unhurried occasion. Residents were served Stew or Ham, potatoes and vegetables. One resident requested soup, which he was given. Desert was fresh fruit salad or yoghurts. Residents commented, “ This is delicious” and “ can’t fault the food here”. Menus are on display in the entrance hall for residents to look at during the day. There are currently no residents who require a special diet, however the home was able to discuss examples of residents who they had provided this to in the past. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 13 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. The home has an accessible complaints policy that residents understand. Staff training and home policies help protect residents from harm. EVIDENCE: The home has had 1 complaint recorded since the last inspection. Records showed that this had been resolved in a timely way in line with the home’s complaint policy. Records from residents meetings and from care plans showed that all residents had recently been shown and given copies of the complaint policy. They had signed the policy to show they had understood it. 2 residents were asked if they knew how to make a complaint, to which they both replied “yes”. The home has obtained a copy of the local authority guidelines for adult protection. This document tells staff what to do in the event of an allegation of abuse. 10 staff from the home also attended training on this subject in September 2006. Staff interviewed were able to show that they had knowledge of the adult protection procedures as well as being able to identify signs of abuse. This helps protect the residents that live at the home. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 14 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. The home is clean, tidy and well maintained. Infection control policies protect the health and welfare of residents. EVIDENCE: A full tour of the home was undertaken. A number of bedrooms were checked with the permission of the residents. All areas of the home were found to be in a good state of repair, apart from bedroom 6, which needs a new carpet. The home was clean and tidy. Since the last inspection, the home has been double glazed, the laundry has been painted and a number of flooring covers have been replaced. The home plans to repair the front driveway in the summer to make it more accessible for residents. Resident’s bedrooms were homely and nicely decorated. Residents had been encouraged to bring in personal items of furniture from home to help them settle in. A number of residents were asked what they thought of the home environment and commented, “ It’s always kept clean”, “I like going into the conservatory, its nice and peaceful” and “ This is my home and I love it”. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 15 The home has an infection control policy that has been updated since the last inspection. Staff had all received training in this area and are aware of the contents of the policy. Staff were observed to be following this policy during the visit. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 16 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. Staff recruitment practices, staff training and staffing levels all ensure that residents are kept safe. EVIDENCE: Since the last inspection, the home has worked hard to provide comprehensive training for staff. Staff commented that they have enjoyed attending these sessions and had found them useful in caring for residents. Staff have attended all mandatory training, apart from health and safety training. This is planned to be arranged in the near future. Other courses such as dementia care and death, dying and bereavement have also been attended by staff. One member of staff is currently receiving funding to undertake a qualification in sign language. Whilst there are no residents that currently use sign language, the manager feels that this may be used by future residents at the home. 50 of care staff at the home hold a specialist NVQ (National Vocational Qualification). A number of other staff are in the process of obtaining this qualification, which will mean that 100 of staff will be trained to this national standard. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 17 Rotas at the home show that there are enough staff on duty to meet the needs of residents. Residents stated that the home was always well staffed and commented that staff were “ friendly” and “approachable”. Staff recruitment and selection has significantly improved since the last inspection. All staff have files that contain the required information about them and all staff have a Police check in place. New contracts of employment have been issued to staff, which clearly outline their terms and conditions of employment. The home has worked hard to ensure these practices now protect residents from harm. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 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. 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. Quality assurance checks ensure that residents have input to the homes development. Financial and safety records protect residents form harm. The manager has developed her skills to ensure the home is well run. EVIDENCE: The home manager is also the co-owner of the home. She has several years experience in the caring profession and holds a registered managers NVQ. Since the last inspection, the manager has attended many training courses, updated and changed the way the home is run and submitted an improvement plan to CSCI. This plan outlined the changes that had been made at the home to ensure the health and well being of residents. This plan has been completed in full and is a credit to the staff that work at the home. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 19 The home does not manage any finances directly for residents. This is done by either the resident themselves, their families or the residents solicitor. The home only has access to small amounts of money for some residents if they need to buy something such as a newspaper or toiletries. Receipts are kept for all of these small purchases. A new quality assurance policy has been devised at the home. This stated that satisfaction questionnaires would be sent to residents and visitors on a yearly basis. This is to monitor their opinion on the care given at the home. Since the last inspection, residents meetings have been set up and a questionnaires sent regarding the food offered at the home. The questionnaire was simple to use for all residents and consisted of a number of smiley faces. This was to ensure residents who have communication difficulties could point to the picture that they wanted to use. This is an example of good practice. Advice was given to the home about collecting the results together and producing information to feedback to residents and relatives at their next meeting. This is to ensure the home is using the information that they have received. All health and safety certificates were checked at the home are were up to date. This ensures that the health and safety of residents is protected. All fire drills and checks had been carried out to a good standard. The fire risk assessment is currently under review by the home manager. Accidents at the home are recorded well and stored to protect the confidentiality of residents. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 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. 1 Standard OP30 Regulation 18(1)(a) Requirement The registered person must ensure all staff receives training on health and safety. Timescale for action 01/04/07 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. 3 Refer to Standard OP19 OP26 OP33 Good Practice Recommendations The registered person may wish to look into re covering the driveway area. The registered person may wish to consider modernising the laundry area The registered person may wish to collate all the information from quality assurance surveys and provide residents and relatives with the results. Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Rosemead DS0000018933.V328482.R01.S.doc Version 5.2 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. 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