Inspection on 09/04/08 for Rosemeadow Residential Home

This inspection was carried out on 9th April 2008.

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 24/04/07

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 Steve Keeling Unannounced Inspection 9th April 2008 09:00 Rosemeadow Residential Home DS0000061213.V362158.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.V362158.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.V362158.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 Position Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Rosemeadow Residential Home DS0000061213.V362158.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 24th April 2007 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 per week for those requiring 1.1 care. Respite charges are £700.00 per week. 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.V362158.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views on the quality of service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting residents and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The proprietor, acting manager, one member of staff and two health care professionals were spoken with as part of this inspection. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of residents at the home. A partial tour of the building was undertaken which included the case tracked resident’s bedrooms and the communal areas they frequent to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last inspection was considered in planning this visit, which included an Annual Quality Assurance Assessment (AQAA), provided by the acting manager. The quality rating for this service is 2 star this means the people who use this service experience good quality outcomes. What the service does well: The holistic needs of the residents are identified through comprehensive assessments and their changing needs and aspirations are reflected in comprehensive support plans. Residents are supported to take risks and participate in a comprehensive range of social activities. The resident’s rights and responsibilities are upheld and they can maintain contact with their family and friends. A comprehensive well-balanced menu is provided which is based on the preferences of the residents. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 6 Medicine management promotes the resident’s safety and independence. Complaints, concerns and allegations are taken seriously and acted upon and residents feel safe in the home. A significant upgrade and refurbishments programme is currently being undertaken to ensure that resident’s benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean. Residents are supported by appropriately trained and supervised team of staff and recruitment practices are effective in promoting the safety of residents. The home is run and managed by a person who is fit to be in charge. A consultation process is performed on a frequent basis to provide residents and their relatives with the opportunity to contribute to developments within the home. The health, safety and welfare of residents is promoted through effective routine maintenance. 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.V362158.R01.S.doc Version 5.2 Page 7 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.V362158.R01.S.doc Version 5.2 Page 8 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The holistic needs of the residents are identified through comprehensive assessments thus ensuring the facilities and services at the home can need their needs. EVIDENCE: Significant time and effort is spent on making admission to the home personal and well managed. Support plans showed that residents are only admitted on the basis of a full assessment undertaken by people competent to do so. The assessment process involves the prospective residents and also utilised information from advocates such as social service department when available. Following Discussions with external professionals such as a social worker and a specialist nurse, visiting the home on the day of the inspection, it was evident that the acting manager is proactive in involving external professionals in the assessment process and care management of the resident. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 9 The assessment process focuses on positive outcomes for residents and this includes ensuring that the facilities, staffing and specialist services provided by the home meets the needs of the individual. In addition potential residents can visit the home to enable them to meet and socialise with others at the home, prior to gaining residency. A member of staff is allocated to the potential residents to provide residents with information to help them determine the suitability of the home in meeting their needs. The pre-admittance assessment documentation was very well organised and stored securely to promote the residents confidential information. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 10 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): 6,7and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are assured that their changing needs and aspirations are reflected in their support plan. Residents are supported to take risks and have an active independent lifestyle. EVIDENCE: Residents said that they are encouraged to take control of their lives and are encouraged to be as independent as possible whist being supported by a dedicated staff team. Support plans are developed in consultation with residents and are based on the holistic needs assessment. Support plans are person centred and focuses on the individual’s strengths and personal preferences, which includes their goals and aspirations, skills and abilities, and how they make choices in their life. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 11 Support plans are written and reviewed effectively and residents contribute to the development of their support plan through an ongoing three monthly review process. Support plans also address the resident’s health needs and it was evident that residents receive interventions from members of the Multi-disciplinary medical team such as general practitioners, district nurses, specialist nurses, psychiatry services, podiatrists and social workers. The support plans are individualised, extensive and exceptionally well presented to ensure that people who are not familiar with the individual could deliver a personalised and consistent person centred service. A “Key worker” system ensures that residents are provided effective support to ensure the support plans are up to date and pertinent to the needs of the residents. Support plans include comprehensive risk assessments, which are regularly reviewed to ensure risks are managed positively whilst promoting the resident’s independence and safety. Residents confirmed that they are actively involved in the support planning process and confirmed that they are able to see their support plans if they wish. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 12 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 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can participate in a comprehensive range of social activities. The resident’s rights and responsibilities are upheld and they can maintain contact with their family and friends. A well-balanced menu is provided which is based on the preferences of the residents. EVIDENCE: Residents confirmed that they are able to enjoy a full range of social activities both within the home and within the broader community and confirmed that their views are always taken into account thus ensuring their interests are identified and met. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 13 A skills navigator who is a qualified teacher in is employed over five days per week. The Skills navigator is responsible for the planning and arranging activities both in the home and the community. Records of social activities showed that imaginative and varied opportunities are made available for residents, which include Bowling, skiing, attending pubs and clubs, library service, horse riding, attending café, local walks and supported holidays, a fifteen day Caribbean cruise has been booked for three residents for later in the year. A residents support plans showed that residents can access education facilities as links to local schools and colleges have been made. In addition work has commenced on a specialist education facility within the home, it was reported that the work will completed within the next eight months. Residents said they are actively supported to be as independent as possible and are involved in daily living activities in the home which includes taking responsibility for some meal preparation and performing domestic duties, whilst being supported by the care staff. In house entertainment systems are provided, such as a recently purchased plasma screen television, music centre, DVD player and a recently installed computer system. Residents confirmed that the routines are flexible in the home and residents often stay up late to watch the television if they wish. The acting manager said that an “open door policy” is encouraged at the home. Residents confirmed the open door policy and said that that support is given to maintain relationships with their family and friends. The residents, in relation to meal planning and preparation are encouraged to plan a weekly menu. Residents take responsibility, under the guidance and supervision of staff, to purchase food products and prepare meals and snacks thus promoting their independent living skills. Residents said that the meals are very good and a choice is always made available. Residents also confirmed that drinks and snacks are readily available. Residents confirmed that their respect and dignity is always promoted and said that routines in the home are flexible and their choice is respected. We observed that interactions between the staff and residents were very respectful, unrushed and considerate to the needs and wishes of the residents. Residents are provided with keys to their bedrooms, following risk assessments, to further promote their privacy and dignity. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 14 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. Resident’s health and personal care support is of a good standard. Medicine management promotes the resident’s safety and independence. EVIDENCE: Healthcare needs, which include specialist nursing and dietary requirements, are recorded in the residents health support plan. Residents spoken with said that they are supported and helped to be independent and can take responsibility for their personal care needs. Residents stated that when support is required the staff are responsive to their needs and preferences. A resident confirmed that that staff at the home always responded quickly to requests to see general practitioners if residents are feeling unwell. The aims and objectives of the home reinforce the importance of treating individuals with respect and dignity. Residents said the staff respect their Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 15 privacy and dignity at all times. Interactions between staff and residents were observed to be respectful, caring and supportive. As mentioned earlier, support plans showed that residents have access to healthcare services and have regular interventions from members of the multidisciplinary team both within the home and the local community. Staff training records showed that staff have had training pertinent to the health needs of the residents. Medication is stored in a secure environment to promote the resiednts safety.The case tracked residnets Medication Administration Records (MAR) were examined. The records had no gaps present and medication administration was recorded effectively. Medication, which requires refrigeration, was stored within a secure fridge. The temperature within the medication fridge is recorded on a daily basis. Temperature monitoring sheets showed that the temperature was slightly outside the required 2-8 degrees centigrade. To address the issue the acting manager adjusted the thermostat accordingly. At a previous inspection it was stated, “the manager must ensure that there are appropriate safeguards in place through a thorough risk assessment, on a resident’s ability to self medicate”. Although no residents were self medicating, an effective medication administration assessment documents is now in place. Staff have completed appropriate medication course to ensure that staff are competent to handle, record and administer medication properly. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 16 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives are assured that their complaints, concerns and allegations are taken seriously and acted upon. EVIDENCE: Residents spoken with said they felt safe, secure and very well looked after. They said that should they have any concerns or complaints they would speak with the acting manager and felt confident that any issues would be addressed effectively. A complaints procedure is displayed in a prominent position in the home to enable residents or their representatives to access it. The procedure is also provided to all residents within the SUG, which clearly identifies whom the complainant should contact and specifies times scale in which the complainant will receive a response. The acting manager is currently in the process of reformatting the complaints procedure in a signs and symbol format to aid residents in highlighting concerns or making complaints. To further promote the safety of the residents the revised Nottinghamshire Safeguarding Adults policy is available in the home and staff confirmed that the policies are accessible at all times. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 17 The acting manager said that no complaints have been made since the service was registered in November 2006 to provide ten places for younger adults with a Learning Disability. CSCI has not received any complaints relating to the service provision at the home since the last unannounced inspection. Training records showed that staff have received training in Safeguarding Adults and staff spoken with were able to confirm this. Residents are encouraged to manage their own financial affairs. Secure facilities are available for residents to store small amounts of spending money and financial records showed that all transactions are recorded for expenditures thus protecting the residents from financial abuse. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A significant upgrade and refurbishment programme is currently being undertaken to ensure that resident’s benefit from a safe, well-maintained environment, which is pleasant, comfortable and clean throughout. EVIDENCE: Residents expressed satisfaction in relation to the standard of cleanliness throughout the home. Resident’s bedrooms were homely, safe and personalised with many personal possessions such as family pictures, small items of furniture, a television, radio and ornaments to meet their needs. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 19 The acting manager said that staff are provided with anti-bacterial hand wash to promote infection control within the home and all staff were observed to carrying and using the hand wash. An extensive upgrade and refurbishment programme is currently in progress. It is evident that the provider has invested significant time and expenditure on the environment and facilities. The planned refurbishment programme, which is due to be completed in November 2008, will provide residents with comprehensive education and recreational facilities. Some windows have been replaced with toughened glass to ensure residents safety, the provider said that he intends to replace all windows with toughened glass as part of the refurbishment process. The external grounds are, as a result of the ongoing refurbishment, slightly shoddy but the proprietor said that this issue would be addressed in the summer months. The boundary of the grounds has been removed and the provider has fitted a wrought iron fence to improve the external safety of the home. It is planned that the kitchen and laundry areas are to be improved as part of the refurbishment programme to further involve residents in domestic tasks and as part of their development of self-help skills. All hot water is regulated including the individual showers to ensure safety. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 20 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. Residents are supported by appropriately trained and supervised team of staff and recruitment practices are effective in promoting the safety of residents. EVIDENCE: Residents said there is always enough staff on duty and staff are always available when they need them. Residents said that all the staff are very competent and confident in performing their duties. Staff recruitment records, which are very well maintained, showed that members of staff only commence employment once satisfactory Protection of Vulnerable Adult (POVA) checks and Criminal Record Bureau (CRB) checks have been obtained, together with two satisfactory references, thus promoting the safety and wellbeing of residents. Information provided by the acting manager, within the AQAA showed that the service has achieved a target of 65 of staff trained, to National Vocational Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 21 Qualification (NVQ) level two and above to ensure a suitably qualified workforce is employed at the home. Staff records showed that a staff-training programme is also provided in relation to food and nutrition, moving and handling, basic food hygiene, safeguarding adults, infection control, health and safety and control of substances hazardous to health (COSHH), diabetes and challenging behaviour Staff was able to confirm that they have received the training and said that a great deal of importance is placed on the provision of training events. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by a person who is fit to be in charge. A resident’s consultation process is performed to provide residents and their relatives with the opportunity to contribute to developments within the home. The health, safety and welfare of residents is promoted through effective routine maintenance. EVIDENCE: The acting manager is experienced in social care, she is currently accessing a degree level qualification in care and is in the process of registering with CSCI. Staff spoken with were very confident in the acting managers leadership and managerial skills and said they felt well supported and valued. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 23 Residents also expressed a great deal of satisfaction in relation to the management structure saying that the proprietor, acting manager and care staff at the home are “great”. Members of the MDT visiting the home, paid particular praise to the acting manager and said she is very proactive in involving outside professional disciplines in the care planning and care provision at the home. A social worker said that she receives three monthly updates relating to the progress of residents in the home, which she find very useful and informative. The acting manager performs quality-auditing procedures in the form of yearly resident surveys to determine the satisfaction levels of residents at the home. Residents said that residents meetings are performed to allow residents to be involved in any development within the home; documentation was available to support this. Staff confirmed that the policies and procedures are readily accessible for guidance, and information provided within the AQAA showed that Policies and Procedures are reviewed appropriately. Information provided within the AQAA showed that resident’s health, safety and wellbeing is promoted by the provision of effective routine maintenance. As mentioned earlier in the report it was evident that the acting manger has invested a great deal of time and effort in performing her managerial duties to a very high level. The acting manger should be commended on her documentation especially in relation to the support planning process. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 24 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 4 3 x 4 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 3 x x 3 x Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 25 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. 1 Refer to Standard YA24 Good Practice Recommendations The external grounds are, as a result of the ongoing refurbishment, slightly shoddy and will require some remedial attention to provide pleasant outdoor facilities. Rosemeadow Residential Home DS0000061213.V362158.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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.V362158.R01.S.doc Version 5.2 Page 27 - 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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