Inspection on 03/08/05 for Rosemont

This inspection was carried out on 3rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosemont 22/04/09

Rosemont 06/12/08

Rosemont 22/04/08

Rosemont 06/06/07

Rosemont 20/07/06

Rosemont 07/03/06

Rosemont 23/02/05

Rosemont 28/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosemont Yealm Road Newton Ferrers Plymouth PL8 1BX Lead Inspector Margaret Crowley Announced 3 August 2005 rd 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. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosemont Address Yealm Road, Newton Ferrers, Plymouth, Devon, PL8 1BX 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) 01752 872445 Mr D M Beckhurst Mr D M Beckhurst Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23/02/05 Brief Description of the Service: Rosemont is a care home registered to provide care for 19 people in the category of old age only. It is owned and managed by Mr Beckhurst, who is assisted by Mrs Coleman the matron. It currently accommodates 14 older people in single rooms. Two rooms are en suite. The premises comprise a large, older property which stands in its own grounds, overlooking the picturesque creek of Newton Ferrers. There is a dining room, two lounges and a conservatory. The home has a stair lift and ramps.Adjoining the property are two privately owned flats which are not connected to the care home. The proprietor and his family live in one flat and the second is used as staff accommodation. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over one day on 3rd August 2005. A tour of the premises took place, and records were inspected. Eight service users were spoken with. No completed questionnaires were received from service users or relatives. Staff on duty were observed in the course of their daily duties. Mr Beckhurst, the proprietor and registered manager was not available at the inspection. Discussions took place with Mrs Elizabeth Coleman, the Matron. What the service does well: 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. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 6 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 Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 7 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) 1,3 Prospective service users are provided with information to assist them in choosing to live at Rosemont. The admission procedure now ensures that service users needs are assessed prior to admission. EVIDENCE: Rosemont has a statement of purpose and a service user guide, which has been reviewed. Evidence was seen of the assessments undertaken with new service users. The management should inform service users or their representative in writing that their assessed needs can be met. The matron said that no new service users have been admitted outside of the category of older people only, for which the home is registered. However, two service users with mental health problems who were admitted prior to the last inspection, and about whose care concerns were raised, continue to be resident in the home. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 8 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 Service users have care plans to enable their needs to be met. There are procedures for the administration of medication, but record systems do not ensure that their medication needs are met. EVIDENCE: All service users have care plans, but those care plans inspected had not been signed by the service user or their representative. Daily records are maintained. There was evidence of a review system. Service users spoken with said that the care provided was good and that the staff are helpful and polite. There are policies and procedures for the administration and storage of medicines. Those staff who administer medicines have received training since the last inspection. It is recommended that the medication records are held in a ring binder, a copy of the prescription kept, and a photograph of the service user to ensure that medication is administered to the appropriate person. No record of the community pharmacist’s inspection was available. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 9 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 Rosemont provides a resource for local older people who require care. A varied selection of food is available that meets service users tastes. EVIDENCE: Routines within the home are flexible to ensure that residents can choose how they spend their time. Many service users spend time in their own rooms, but like informal time spent talking with staff. Several have contacts within the local village. There are limited activities organised in the home. Some service users said they would like outings to be provided. There is an open visiting policy and it was confirmed that visitors are made welcome. There is a varied rotating menu and the day’s choice of menu was seen displayed on a board in the dining room. All service users spoken with said that the meals were of good quality. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 10 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 Satisfactory procedures are in place to enable service users to complain and to protect them from abuse EVIDENCE: There is a complaints procedure and the service users are aware of how to make a complaint. No complaints have been received since the last inspection. There is an adult protection policy and procedure which is accessible to staff. The proprietor and matron have received training in the protection of vulnerable adults, but this training has not yet been provided for staff. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 11 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) 19,21,24,26 Service users are provided with accommodation that is homely, comfortable, and clean. The proprietor does not ensure that routine maintenance tasks are undertaken for the safety and well being of the service users. EVIDENCE: Rosemont has a good range of communal space including a lounge/dining room, a separate lounge and a conservatory with views of the estuary. The lounge has been redecorated and some new chairs purchased. Most bedrooms have been personalised, although some service users rooms identified would benefit from redecoration. There is no written programme of maintenance and renewal. Two toilets doors on the first floor were not capable of being locked. One was the subject of a previous requirement. The renovation of the ground floor bathroom, identified in four previous inspection reports, has not been satisfactorily completed. The shower is unfinished and is being used for the storage of various items including tools. The bath on the first floor has cracked tiles surrounding it. The premises have not yet been assessed by an occupational therapist. The home was found to be clean on the day of the inspection. A new washing machine capable of a disinfecting cycle has been installed. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 12 Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 13 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) 27,30 An adequate number of staff are employed to meet the care needs of the current service users. There is a lack of a co-ordinated approach to staff training to ensure that the workforce is adequately trained to meet the safety and changing needs of service users. EVIDENCE: The matron said that there are sufficient staff employed to meet service users needs by day and by night. There is one waking night staff and a member of the staff who live in the flat next door is contactable by telephone. Staffing levels have been reviewed since the last inspection and now include a two care staff plus the matron in the afternoon. Staff rotas were seen and evidenced minimal, but adequate staff on duty to meet the care needs of the current service users. Only three of the eleven care staff hold NVQ level 2 or above, including the matron who has NVQ3. There is still no systematic staff-training plan, including mandatory training in safe working practices. Staff meetings are not held regularly. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 14 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) 31,33,38 Service users live in an environment where insufficient attention is given to health and safety matters placing service users at risk. EVIDENCE: Mr Beckhurst the proprietor and manager has now commenced the Registered Managers Award. He must obtain this qualification and NVQ 4 in Care by September 30th 2007. Rosemont does not yet have a quality assurance system and an annual development plan. Four service users rooms on the first floor do not have window restrictors in place. The office, which is situated on the first floor, has a floor length window with a broken catch and no window restrictor. Hot water provided to service users’ washbasins is not regulated to a safe temperature. The fire logbook showing the record of tests and drills had not been completed for 2 months. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 15 All staff do not receive regular and adequate training in fire prevention. This was a requirement at previous inspections. No staff have received training in infection control and only one staff member has an in date food hygiene certificate. No care staff have received training in manual handling in the last year, including 3 new staff recruited by from the Phillipines, other than induction given by the matron. Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 16 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 3 x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 2 x x 2 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x 2 x x x x 1 Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 17 yes 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 OP3 Regulation 14 Requirement Timescale for action 03/10/05 2. OP38 13 3. OP18 30 4. OP 38 23 New service users or their representative should be informed in writing that their assessed needs can be met. The Registered Provider must 03/12/05 ensure that all water outlets that service users have access to deliver water at safe temperatures.Timescale of 23/04/05 not met The Registered Provider must 03/10/05 ensure that a staff training and development plan, which meets NTO workforce training targets is developed. It must also include mandatory training for staff in safe working practices. A copy must be sent to the Commission for Social Care Inspection.Timescale of 23/04/05 not met All staff must receive regular, 03/10/05 suitable training in fire prevention. This should be a minimum of twice yearly for staff on duty by day and four times per year for night duty staff. This should be recorded. It is recommended that face to face training delivery is used by a trainer with expertise in fire D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Rosemont Page 18 prevention who can also answer any questions and give practical demonstrations. Timescale of 23/04/05 not met 5. OP21 23 The renovation of the downstairs bathroom must be completed.Timescale of 23/04/05 not met Suitable locks must be fitted to the bathroom door and toilet doors. Windows above ground floor level must be risk asessed and fitted with restrictors where necessary. Immediate requirement given The record of fire safety tests and drills must be maintained. Immediate requirement given Staff must receive training in adult protection 03/10/05 6. 7. OP21 OP38 23 13 03/10/05 17/08/05 8. 9. 10. OP38 OP18 23 13 04/08/05 03/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP22 OP36 OP33 OP24 Good Practice Recommendations The premises and facilities should be assessed by an occupational therapist Staff meetings should be held regularly and minuted The home should have a quality assurance system and an annual development plan Service users rooms identified should be redecorated Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Rosemont D54-D07 S3798 Rosemont V231762 030805 Stage 4.doc Version 1.40 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!