Inspection on 24/04/07 for Rosemeadow Residential Home

This inspection was carried out on 24th April 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

Rosemeadow Residential Home 09/04/08

Rosemeadow Residential Home 26/04/06

Rosemeadow Residential Home 10/01/06

Rosemeadow Residential Home 02/09/05

Rosemeadow Residential Home 01/03/05

Rosemeadow Residential Home 19/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Rosemeadow Residential Home 119 Station Road Misterton Doncaster South Yorkshire DN10 4DG Lead Inspector Mary O`Loughlin Key Unannounced Inspection 24th April 2007 10:00 Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 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 Rosemeadow Residential Home DS0000061213.V337092.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 Adults 18-65. 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. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosemeadow Residential Home Address 119 Station Road Misterton Doncaster South Yorkshire DN10 4DG 01427 891190 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) Joseph Clayton Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Joseph Clayton is registered to provide accommodation and personal care at The Rosemeadow Centre, 119 Station Road, Misterton, Doncaster, for people whose primary needs fall within the following categories and numbers: 1. Learning disabilities - (LD) - 10 26th April 2006 Date of last inspection Brief Description of the Service: Rosemeadow Care Home is an adapted family home set within large enclosed gardens. The house retains many of its original features making residents rooms very individual. Situated within a rural area, there is access by public transport to local towns. The range of fees is from £1.195.00 or £1780.00 for those requiring 1.1 care. Respite charges are £700.00. These are weekly fees and include 3hrs Education at 1.1 each week, activities, days out weekly and a 7day annual holiday. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Ms. M. O’Loughlin conducted the unannounced inspection on the 24th April 2007. This is the first key inspection since the home’s major variation in registration in November 2006, Rosemeadow was first registered on 1st September 1986 as Springfield Residential Home for 13 older people. Joseph Clayton became the provider on 5th May 2004. Mr Clayton has subsequently decided that the accommodation is better suited to the needs of younger adults and, as he has experience of working with people with Autistic Spectrum Disorder. The home was granted registration in November 2006 to provide ten places for younger adults with a Learning Disability. The usual method of inspection is case tracking, this is a method of randomly selecting residents within the home and discussing with them their expectations and experiences within the home together with the care practices utilised within the home environment. The case tracking method examines the records of the resident to ascertain if the resident’s identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion resident’s were case tracked. Currently two residents are accommodated in the home, one resident was out undertaking activities in the community and the second resident was unable to give an account of the care they were receiving. To aid the inspection the relative and social worker of a resident were contacted by telephone to discuss the care provided. Also as part of the inspection process the manager, and provider were interviewed. A range of additional information, which included the previous judgments and findings from the registration in November 2006 were also used to determine the outcome of this inspection and the report. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 6 What the service does well: Prospective residents and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. Residents are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. The health and personal care that residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Residents are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. The home is well managed and there are suitable methods of quality assurance in place. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 7 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. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs assessed before coming into the home. EVIDENCE: The care plan of a recent admission to the home showed that significant time and effort is spent making admission to the home personal and well managed. The manager said that prospective residents and their families are treated as individuals and with dignity and respect for the life changing decisions they need to make. Discussion with relatives identified that there is a high value on responding to individual needs for information, reassurance and support. Discussion with external professionals involved in the care management of the resident identified that the assessment focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the ethnicity and diversity needs of the individual. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 10 Before agreeing admission the manager said they carefully consider the needs assessment for each individual prospective person and the capacity of the home to meet their needs. This was verified within the admission assessment records seen. Prospective residents who use services are given the opportunity to spend time in the home. An individual member of staff is chosen by the prospective person to give them information, special attention, help them to feel comfortable in their surroundings, and enable them to ask any questions about life in the home. One prospective resident was visiting the home during the inspection, over many weeks this person has visited the home, developed relationships with the staff, arranged their private room as they wish, bringing belongings gradually. This has allowed the person time to feel safe and be comfortable with the decision to come and stay at the home permanently. The friends and family have also visited and joined in social activities at the home. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6-7-9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Two residents were accommodated at this time. Both residents had a comprehensive care plan that had been generated from external care management assessments and the homes own assessment, which covered all aspects of personal and social support along with health care needs and how these are supported. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 12 A social worker was contacted by us to give confirmation regarding the care plan of a resident, he confirmed that a recovery plan devised and implemented through educational and social inclusion at the home was excellent and the resident had benefited from an individual care package which was supported by key workers. A relative was contacted who said they were happy with the care being provided at the home and felt staff kept them fully informed about any changes affecting their relative. Staff are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible. There was evidence of a varied and fulfilling lifestyle. People using the service make their own informed decisions and have the right to take risks in their daily lives. Residents are involved in planning their care and attend monthly meetings to review life skills targets. The care plans are accessible and in a format to suit the residents understanding, they include pictures and photos and are written in plain English. The residents are able to choose their key worker that enables them to feel as comfortable as possible with care giving. Plans contained evidence of individualised procedures for dealing with any aggression or self harm, there was no restraint in use at this time but the home has suitable policies on the use of restraint. Evidence was seen of creative methods to enable the residents to manage their own finances, tuition and support was in place for the resident to develop this skill. Written risk assessments had been developed with the residents to enable them to take responsible risks, giving them as much personal choice as possible to have their own individual lifestyle and reach their full potential both within the home and wider community. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12-13-15-16-17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are enabled to make choices about their lifestyle and are supported to develop their life skills. Social, recreational and educational activities meet the residents needs. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 14 EVIDENCE: Central to the home’s aims and objectives is the promotion of the individual’s right to live an ordinary and meaningful life, both in the home and in the community appropriate to their peer group, and to enjoy all the rights and responsibilities of citizenship. The policy and practices of the home show the importance of enabling younger adults to achieve their goals, follow their interests and be integrated into community life and leisure activities in a way that is directed by the person using the service. An activities coordinator is employed who is a trained teacher with experience of working with people with a learning disability. Records seen show that emphasis is placed upon ‘skills for life’ training and links have been made with the local community to ensure social inclusion and appropriate social and medical support. Staff have developed close links with the local church to ensure that residents have opportunities to follow their faith. The vicar was visiting during this inspection. Evidence was seen of residents educational files held securely within the activities room. These files contained all records of literacy, mathematical, physical and religious educational participation. The social worker and relatives spoken with confirmed that the resident had been encouraged and supported by the staff at the home to develop their life skills, the residents participated in varied activities including horse riding and swimming. Through the quality assurance policy the manager has sought the views of the residents and considered their varied interests when planning the routines of daily living and arranging activities both in the home and the community. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focused, regularly Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 15 reviewed, and can be quickly changed to meet individuals changing needs, choices and wishes. Meals are very well balanced and highly nutritional and cater for varying dietary needs of the people who use services. Residents are able to continue appropriate contact with family and friends; there are no visiting restrictions unless the resident chooses this. The manager spoke of the proposed evening for a prospective resident to come to the home with her friends and family for a social night as part of the preadmission arrangements. Residents are assessed for the provision of a door key to their private room, have their mail delivered unopened and have unrestricted access in the home and grounds subject to risk assessment. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18-19-20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health and personal care that resident’s receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents receive effective personal and healthcare support using a person centred approach. The Statement of Purpose sets out the competencies and specialisms, the home offers and delivers this effectively through a skilled, trained and knowledgeable staff group that work in a person centred way. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 17 Staff are aware that the way in which support is given is a key issue for younger adults. Resident’s individual plans clearly record their personal and healthcare needs and detail how they will be delivered. There was only one resident in the home during the inspection and staff were observed to support this person with sensitivity whilst safeguarding their dignity. It was identified that residents can choose who supports them with personal hygiene and can choose the gender of the staff member. The staff group was balanced to enable choice of male, female and age related preferences when delivering personal care. There is a written personal support policy provided to all residents, which describes how the residents receive personal support in the way they individually prefer and require. It was identified through training records that all staff receive training on the personal care and support for residents. Care plans described the individual’s routines, preferred likes and dislikes with specific regard to communication difficulties. Care plans record how the health needs of the resident are met. Residents are registered with a local GP and the district nursing team provides any nursing care, records of this were held at the home. Staff at the home arrange for health professionals to visit residents when necessary. Records at the home identified compliance with the receipt, administration, safekeeping, and disposal of Drugs. Staff have completed and passed an appropriate medication course. An assessment has been carried out to ensure each member of staff is competent to handle, record and administer medication properly. There were shortfalls in the present system in place for assessing the ability of residents to self medicate, the resident had signed a disclaimer but no evidence of appropriate risk assessment or review of the practice was completed. The manager agreed to implement this immediately. The present supplying pharmacist does not print the medication administration sheets; the manager was advised to ensure that any hand written medicine is signed and witnessed, the manager agreed to do this immediately. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 18 Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 19 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22-23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: There have been no complaints against the service since its registration in November 2006. The ethos of the home is that it welcomes complaints and suggestions about the service. People who use the service are supplied with a complaints procedure that they can understand. This procedure is available in a variety of formats and copies are displayed within the home and available within the service user guide. The main entrance has a desk with a visitor’s book and a suggestion book to encourage visitors to comment or make suggestions to improve the service. There have been no safeguarding adults issues since registration. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 20 Staff training records confirm that all staff working within the home are fully trained in Safeguarding Adults and know how to respond in the event of an alert. Knowledge and understanding in this area is checked during supervision sessions. Individual staff are also trained to respond appropriately to physical and verbal aggression. The financial records of one resident show that the person has full access to their financial records and signs on receipt of monies. All money and valuables are held securely. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 21 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The Rosemeadow Centre is an Edwardian detached, adapted family house. There are 10 single bedrooms three of which have en-suite facilities. The provider plans, over time, to improve the home further. Since registration the provider has addressed areas of improvement according to risk and priority Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 22 The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable and well maintained. The service finds creative solutions to issues with the environment in ways that are not necessarily dependent upon cost. The service goes that ‘extra mile’ to provide an environment that fully meets the needs of all people using the service and plans for the diverse needs of people that might use the service in the future. The provider spends money on the environment in the best possible way so that outcomes are improved as much as possible for the people using the service. The provider is continuously researching best practice for environmental standards. This was confirmed through discussion with external agencies involved in the care management of residents. The large expanses of window in one residents room has been replaced with toughened glass to ensure their safety. The provider said that he now intends to replace all windows with toughened glass. The large stained glass windows are now also protected to ensure the safety of residents. A first floor bedroom has been converted to provide a ‘snoozelum’, a separate room with peaceful, subdued colours and mood lighting to help relax and comfort the residents. All windows are fitted with restrictors for the resident’s safety. The external grounds are improved with better safety within the greenhouse. The gardens have separate areas for residents to manage, there are chickens and the provider intends to purchase 2 pot-bellied pigs. The staircase has been fitted with high visibility tabs to suit the needs of the residents. The boundary of the grounds has been removed and the provider is awaiting the delivery and fitting of wrought iron fencing to improve the external safety of the home. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 23 The kitchen and laundry are being improved to enable and promote the involvement of people who use services in domestic tasks and as part of developing or maintaining self-help skills. All hot water is regulated including the individual showers to ensure safety. The home was clean and well maintained. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 24 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32-34-35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, and to support the smooth running of the service. EVIDENCE: Some of the staff that were responsible for the care of older people have remained at the home and have received training (Learning Disabilities Award Framework - LDAF) to assist them to adapt to their new role. The management team are supernumerary, there is a team leader on each shift who is be trained to administer medicines. The staffing levels are decided according to the number and needs of the service users. There is waking night staff and one management staff member sleeping in on call at all times. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 25 Staff records demonstrated the service has a good recruitment procedure that clearly defines the process to be followed. This procedure is followed in practice with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individuals. People who use the service are involved in the recruitment process. All staff receive a two-week intensive induction before embarking on the LDAF induction and foundation course, this is Learning Disability Framework accredited training. Training and development records indicate that any identified needs of the resident’s are considered and specific training is provided. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 26 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37-39-42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There is a manager in post who promotes the health safety and welfare of the residents through home’s policies and practices in all areas of health and safety. EVIDENCE: The manager confirmed that she has applied to register with us and is awaiting a fit person interview. She has experience working with people who have a learning disability and is presently working towards completion of a manager’s award. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 27 The provider is developing the quality assurance system and has actively sought the opinion of residents, families and external professionals about the services provided. The questionnaires were seen on file and the social worker spoken with also confirmed that he had received one. There are written policies and procedures for the health, safety and welfare of the residents and staff. Staff receive training in safe moving and handling techniques. During the inspection the weekly fire alarm test was undertaken and staff were observed supporting the resident during this procedure, explaining what was happening. All staff receive training on induction and at regular intervals on safe working practices. Fire risk assessments were seen to have been completed. Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 28 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 x Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 29 NO Are there any outstanding requirements from the last inspection? 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 Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Rosemeadow Residential Home DS0000061213.V337092.R01.S.doc Version 5.2 Page 31 - 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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