Inspection on 04/01/06 for Rosemere

This inspection was carried out on 4th January 2006.

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 15/07/05

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 Mrs Penny McMullan Announced Inspection 4th January 2006 10:00 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 Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosemere Address 13 Grimston Gardens Folkestone Kent CT20 2PT 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) 01303 255775 01303 255775 Rosemere Care Home Ltd Mrs Marcella Frances Permall Care Home 12 Category(ies) of Learning disability over 65 years of age (1), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (11) Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) service user with Dementia whose date of birth is 28.10.1940 Date of last inspection 15th July 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 DS0000023515.V276588.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over 5.5 hours. Mrs Marcella Permall, Registered Manager was in attendance. There was one domestic, and three care staff on duty and eleven residents. There were nine resident comment cards received all of which indicated that the residents are happy with the overall care being provided. Three relatives comment cards were received with comments ‘the care has been excellent over the past seven years my relative has lived here’. Two comment cards were received from GP’s both indicating overall the care in home was satisfactory and one comment ‘my resident is comfortable and happy in the home’. Three health and social care comment cards were received comments included ‘we have a good rapport with the home’, ‘the home works closely with the community psychiatric team, promotes individual care to clients and is always welcoming and respectful’. Three comment cards were received from Care Manager/Placing Officers all of which were positive of the services being provided and overall indicates they are satisfied with the care being provided in the home. The home was appeared happy and relaxed. The Inspector spoke to three members of staff and seven service users and toured the premises. Care plans and other documentation was also inspected. All of the residents spoken to said how much they liked living in the home and that the staffs are kind and caring and support them with everything they do. What the service does well: Staff demonstrated their skills in ensuring the residents feel included in all aspects of daily living in the home. One resident said ‘the staff are really caring and have a good understating of my needs’. She went on to compliment the home on the warmth of her welcome home when she recently returned from hospital. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 6 There is a comfortable caring atmosphere in the home and residents say how much they enjoyed living there. Residents said that the staff were responsive to their needs and they had no reason to complain about anything in the home. Staff say they are supported extremely well by the Registered Manager and they all work well as a team. The training is excellent and they have the opportunity to request and access any training required to meet the needs of the residents. 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. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: None of the above standards were assessed on this inspection. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 the following standard(s): 6,7 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. EVIDENCE: Resident care plans contain detailed information covering all aspects of health and social care needs of individual residents. 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. One resident said how she felt well cared for recently on her return from hospital. Physical activity takes place in the home with ball games and exercise sessions. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 10 The home uses the Boots Monitored Dosage system for the administration of medication. Medication Administration Record sheets (Mar sheets) viewed was up to date and recoded clearly and accurately. The storage of medication was in good order and all staff administering medication has received training. Three members of staff have been trained to administer insulin in order to meet the needs of one resident. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 the following standard(s): 12,14,15 The home provides meaningful activities, promoting choice in participation. The home supports residents with financial or advocacy information to promote resident’s autonomy and choice. 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: Three residents were knitting and staff was also ensuring that other residents were included in the general conversation. Two were residents looking at books with carers and one resident confirmed that activities take place on a daily basis. Residents said how much they enjoyed the recent entertainment and although the home had arranged for several residents to visit the pantomime at the local theatre not many wished to participate on the day. Residents also said that they enjoy the music and singing especially when the staff and some residents dance. Only one service user is able to manage his finances and the home or relatives support the other residents. The home has sound financial systems in place to Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 12 ensure all residents’ monies are accounted for and some are able to sign when receiving their monies. Residents are aware of records but did not express a wish to view them. Bedrooms are personalised to individual taste with some of residents having their own pieces of furniture as well as their personal possessions. The home has a two weekly menu and residents have the choice of two main meals per day and cooked teas. Food is discussed at residents meeting and residents said they only have to say what they would like and the home provides their choice. The meal looked appetising and residents are able to take their time when eating their meals. All of the residents spoken to say the menu were varied and they enjoyed the food. Residents also say they are able to have sandwiches or biscuits should they wish to do so as a supper or snack. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 the following standard(s): 16,18 The complaints procedure is in place with and 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. There have been no complaints since the last two inspections and residents say they discuss any issues with staff or the Manager. 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. Personal possessions of the residents are recorded in the care plan. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 the following standard(s): 19,25,26 The home is making progress towards the redecoration of the home, which will enhance the environment for residents. Arrangements are in place to provide a safe environment for residents to live however it is recommended that the fitting of radiator guards be completed. The laundry area requires new flooring and redecoration to minimise the risk of infection. EVIDENCE: There is a programme of refurbishment, and the small quiet room, hall way and part of the stair well has been redecorated. Residents confirmed that they were asked to choose the colours. There is also a new stair carpet. There are still areas in the home, which require attention and the home needs to ensure that the refurbishment continues. A recommendation has been made in this report. One bedroom has also been redecorated, with new furniture and carpet. The plan for this year includes all bathrooms to be redecorated and a Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 15 new suite fitted in the bathroom on the top floor. The home has been risk assessed for fire safety and there are no outstanding issues from the last Environmental Health Officer visit. There are two radiators in the lounge and the chairs are placed in front of them to minimise the risk to residents. A recommendation has been made in this report to ensure that the pipe work and radiators are guarded. Water temperature is controlled and the home has emergency lighting in place. 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. The walls and floor of the laundry area require attention to ensure that the floor is impermeable and the walls are easily cleaned. A requirement has been made in this report. Cleaning materials are stored in a locked cupboard and policies and procedures are in place for control of infection. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. Recruitment polices have been consistently followed resulting in Service Users receiving care from staff that have been appropriately vetted. The home is providing good training ensuring an experienced committed staff team have the skills to meet the needs of the residents. EVIDENCE: The Registered Manager, and three 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 home is fully staffed with an experienced qualified staff team. Residents said staff and Manager of the home are 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. Induction training is in place and the home continues to update their skills. Staff confirmed that the home provides excellent training and that any training is considered by the Manager in order to meet the needs of the residents. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 17 There is a training matrix outlining training achieved and what is booked for this year. All of the required documentation is place with regard to the recruitment of staff including CRB and POVA checks. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,38 The Manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Residents and staff benefit from a well run inclusive atmosphere in the home. Arrangements are in place to ensure that health and safety of residents and staff and to ensure residents live in a safe environment. EVIDENCE: The Registered Manager is a qualified RMN, has a Diploma in Care Home Practice Management, and a Diploma in European Business. She is an Adult Protection Trainer, Moving and Handling and Risk Assessor Trainer, Health and Safety and Infection Control Trainer and Food Hygiene Trainer. She is also completing the Registered Manager Award. She is a well qualified experienced Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 19 Manager and the home benefits from her vast experience and knowledge in caring for older people with mental health needs. Residents and staff say that the home is well run and the Registered Manager is approachable and supportive. The Manager demonstrated her skills in leadership and the inclusive management of the home. There is an equal opportunity policy in place and the General Social Care Council Code of Practice is provided to all staff. Staff confirmed that the home provides good training and all have received the required mandatory training. Chemicals are secure in line with COSH requirements and all the necessary safety checks have been carried out. Environmental risk assessments are in place and accident recording was tracked through to resident care plan, monitored and actioned accordingly. The fire book was viewed and in good order. Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 x x x x x 2 2 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 3 x x x x x 3 Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 21 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 OP26 Regulation 13,16 Requirement To ensure that the floor finishes are impermeable and wall finishes are readily and easily cleaned in the laundry Timescale for action 31/03/06 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 Refer to Standard OP19 OP25 Good Practice Recommendations The home needs to continue to carry out the plan of refurbishment and decoration of the home To guard the pipe work and radiators or have guaranteed low temperature surfaces in the lounge Rosemere DS0000023515.V276588.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 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 DS0000023515.V276588.R01.S.doc Version 5.1 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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