Inspection on 15/07/05 for Rosemere

This inspection was carried out on 15th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rosemere 16/01/07

Rosemere 04/01/06

Rosemere 24/02/05

Rosemere 28/06/04

Rosemere 23/05/02

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

CARE HOMES FOR OLDER PEOPLE Rosemere 13 Grimston Gardens Folkestone Kent CT20 2PT Lead Inspector Penny McMullan Unannounced 15/07/05 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 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. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosemere Address 13 Grimston Gardens, Folkestone, Kent Ct20 2PT Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01303 255775 01303 255775 Rosemere Care Home Limited Mrs Marcella Permall Registered Care Home 12 Category(ies) of Old Age registration, with number of places Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: One (1) Service User with Dementia whose date of birth is 28.10.1940 One (1) Service User with Dementia whose date of birth is 04.04.1940 Date of last inspection 24 February 2005 Brief Description of the Service: Rosemere is a tall narrow semi-detached property, located in a pleasant residential road of Folkestone, within easy walking distance of the town centre, shops and leisure facilities. Access to public buses, is within walking distance. Street parking is available. The home is comprised of six single bedrooms and three shared rooms, provided on three floors. Service users and visitors have access to all parts of the home except the basement via a shaft lift. All bedrooms have call bells, and television aerial points. There is an open paved area to the front of the property. A small enclosed courtyard area to the back of the property is available for service users to access if they wish, although there are well kept communal gardens a short distance from the house which can be used by service users weather permitting. The home is not suitable for full time wheelchair users. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5.5 hours. Mrs Marcella Permall, Registered Manager was in attendance. There was one domestic, and two care staff on duty and ten residents. Seven residents were spoken to at three members of staff. The atmosphere in the home was calm and relaxed. Overall feedback from residents was very complimentary with regard to the Manager, care staff and services provided. What the service does well: What has improved since the last inspection? The home continues to provide a good standard of quality care to the residents. The dining room has been redecorated and new curtains are in place. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 6 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. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,6 Arrangements are in place to ensure that a through assessment of prospective residents needs is carried out prior to admission to the home. EVIDENCE: The home has a detailed needs assessment for prospective residents. All details were completed for the last resident admitted to the home. There was a care plan from the placing authority and a detailed care needs assessment carried out by the Registered Manager. Standard 6 is not applicable to this home. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 There is a consistent care planning system in place to ensure that the health and social care needs of the service users are met. The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure resident medication needs are met. Personal care is offered in a way to protect resident privacy and dignity and promote independence. EVIDENCE: Resident care plans contain detailed information covering all aspects of health and social care needs of individual service users. Risk assessments are in place and plans were up to date and reviewed. All health needs are monitored in the residents care plan, detailing all other agency support for each service user. The Community Psychiatric Nurse, Continence Nurse and the District Nurse are accessed via the GP when required. All residents are registered with their own GP and supported by staff to attend all health appointments. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 10 The home uses the Boots Monitored Dosage system for the administration of medication. Medication Administration Record sheets (Mar sheets) viewed was in good order and all staff have received medication raining. The Registered Manager is in the process of reviewing the system of administering medication when a resident is away from the home. Staff were observed knocking on doors to residents rooms and one resident said how much she enjoyed her bath and was treated with respect and sensitivity. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 The home provides meaningful activities, promoting choice in participation. Arrangements are place to ensure residents are able to choose whom they see and visitors are welcomed by the home and family contact is encouraged Dietary needs of the residents are well catered for with a balanced and varied selection of food available that meets their tastes and choices. EVIDENCE: Residents confirmed that activities take place on a daily basis and they are given the choice as to participate. One resident said they enjoy the singing and dancing and records are kept of all activities taking place. Entertainment is also arranged and one resident said that an entertainer had been booked on her birthday. Visitors are welcome in the home and residents can choose to see their relatives in their room or in the small quiet room. One resident said that she had a birthday party in her room with all of her relatives. Another resident was having tea and biscuits with her visitor in the small quiet room. Any restrictions on visitors are recorded in the individual care plans and monitored by staff. A lay preacher visits the home monthly. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 12 The home has a four weekly menu and residents have the choice of two main meals per day. Residents confirmed their choice and stated that the food was good and snacks were available. All of the residents spoken to say the menu were varied and they enjoyed the food. Mealtimes are unhurried and service users can eat in the small dining rooms or lounge in a relaxed atmosphere. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted on. Staff have a sound knowledge and understanding of Adult protection issues which protects residents from abuse. EVIDENCE: The complaints procedure was on display in the home and residents spoken to say they had no reasons to complaint about the home and the care being provided. One resident said that the Manager and staff listen to what she has to say and she has never had to complain about anything. The home has an Adult Protection Policy and Whistle blowing Policy. All staff has received training. The Registered Manager is a trainer for trainer and provides in house training as well as accessing other training outside of the home. Staff have also received training in challenging behaviour. CRB and POVA checks are in place and the home is currently updating the list of personal possessions for all residents. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 The Registered Manager has a good understanding of the areas in which the home needs refurbishment and the refurbishment plan needs to continue until all areas of the home are completed. Arrangements are in place to provide a safe environment for residents to live in. EVIDENCE: There is a programme of refurbishment, and the dining room has been redecorated and new curtains have been fitted. The home needs to ensure that the refurbishment of the home is carried out and a recommendation will be made to ensure that this process is ongoing. This was a recommendation from the last inspection and whilst it is acknowledge that the home is working towards this aim, progress has been slow therefore this has been brought forward in this inspection report. The Registered Manager said that she has ordered new carpets for the stairs and room 5. The home has been risk assessed for fire safety and there are no outstanding issues from the last Environmental Health Officer visit. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 15 The home was clean and tidy and free from odours. Laundry facilities are sited in the basement area via the dining room and hand washing facilities are in place. Cleaning materials are stored in a locked cupboard and policies and procedures are in place for control of infection. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30 The staff have a good understating of residents needs. This is evident from the positive relationships, which have been formed between the staff and residents. The arrangements for the induction of staff are good with the staff demonstrating a clear understanding of their roles. The staff group is well trained, experienced and committed team. EVIDENCE: The Registered Manager, and two carers are on duty in the morning and afternoon. There is one waking night staff and one sleeping night staff. The home also employs a domestic assistant. The Registered Manager stated that additional staff would be provided should the needs of the resident change. Residents said staff was very good, kind, helpful and responsive to their needs. Over 50 of the staff is qualified to NVQ 2 or above and the home has an experienced committed trained staff group. The home has induction training in place and continues to update their skills. Training in care planning, updates in dementia, health and safety and loss and bereavement have also been arranged. Staff spoken to say that any training requested is considered and provided by the home to ensure staff can meet the needs of the residents. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36,38 Staff supervision is in place ensuring that staff are valued and supported. Arrangements are in place to ensure that health and safety of residents and staff and to ensure residents live in a safe environment. EVIDENCE: Staff confirmed supervision was taking place and they felt supported by their Manager. A record of supervision is also on file. All staff have received mandatory training and the relevant updates. Chemicals are secure in line with COSH requirements and a legionella test has been carried out. Safety certificates have been carried out covering the lift, hoists, servicing the boiler, central heating system, gas appliances and electrical installation. Environmental risk assessments are in place and accident recording was tracked through to resident care plan, monitored and Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 18 actioned accordingly. The fire book was viewed and in good order. Safety posters were on display and the induction programme is linked to TOPPS. Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 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 x 15 3 COMPLAINTS AND PROTECTION 2 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 Standard No 16 17 18 Score 3 x 3 x x x x x 3 x 3 Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 20 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. 1. 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 19 Good Practice Recommendations The home needs to contine to carry out the plan of refurbishment and decoration of the home Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rosemere H56-H05 S23515 Rosemere V236711 180705 Stage 4.doc Version 1.40 Page 22 - 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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