Inspection on 13/10/08 for Rosemount

This inspection was carried out on 13th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rosemount 24/10/06

Rosemount 28/10/05

Rosemount 17/05/05

Rosemount 11/01/05

Rosemount 24/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

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Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Rosemount Rosemount 79 Medomsley Road Consett Durham DH8 5HL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sam Doku     Date: 1 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Rosemount 79 Medomsley Road Rosemount Consett Durham DH8 5HL 01207590774 P/F rosemount@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lucy Graham Type of registration: Number of places registered: Rosemount Trust care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Rosemount is a well established care home which provides care, but not nursing care, for up to 16 older people. The home also provides an integrated day care service for up to two day care service users per day. The home was opened in 1984 and is owned by the Rosemount Trust. The home is a two storey building close to Consett town centre. There are 12 single rooms and two doubles and five of the bedrooms have a screened toilet provided in them. Downstairs there are two lounges, a dining room and a sun lounge, though this is reached by way of three steps ans also by a stair lift. The home is well maintained and decorated in a domestic style. The home was set up by local people who are Christians and has kept this character. The home charges 390.50 pounds per week. 0 Over 65 16 Care Homes for Older People Page 4 of 27 Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating of this service is 2 Star. This means the people who use the service experience good quality outcomes. The inspection was unannounced and commenced on 13 October 2008 and completed on the same day. Before the visit the inspector looked at: Information we have received since the last inspection visit on 24 October 2006. How we dealt with any complaints and concerns since the last inspection. Any changes to how the home is run. The providers view of how well they care for people, as highlighted in the details provided in the Annual Quality Assurance Assessment (AQAA). The views of the people who use the service Care Homes for Older People Page 6 of 27 through talking to them and considered the comments made in the 10 surveys that were returned. Also the 7 surveys from the relatives were considered. During the visit the inspector did the following: Talked to the people who use the service, the manager and the care staff. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff have the knowledge, skills and training to meet the needs of the people they care for. Looked around the home to make sure it is safe and secure. Checked what improvements have been made since the last inspection. The inspector told the manager what he found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations- but only when it is considered that people who use the services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: Some aspects of the care plans could to be more specific so that the staff would know exactly how to provide that support. For example, there are a number of instances where the care plans simply said that reassurance to be given. In another example, a care plan did not state what to do for one person when going through a depressive stage. The service user guide and the complaints procedure should be reviewed and amended to reflect the current address and contact details of the local CSCI office. Where a new employee has to work without enhance CRB, POVA First must be undertaken before the person commences work. The registered person must carry out a risk assessment for the residents who have been provided with metal headboard with bars in them which could potentially cause injury to them. Care Homes for Older People Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good information about the service they provide, including invitation to visit the home. This enables prospective residents to make decisions about the home. However the service user guide needs to be updated to reflect relevant information. All residents are assessed before admission and on admission, to make sure that the home has the necessary skills and facilities to look after the residents thus promoting their welfare and wellbeing. Evidence: The home provides good information to prospective residents in the form of service user guide and other relevant information. The home is particularly good at inviting people to come and view the home, and the feedback from residents and relatives is that they found the visits to the home extremely helpful. Care Homes for Older People Page 11 of 27 Evidence: The manager stated that it is the policy of the home to invite people who are wishing to go into care to visit the home and to see the place and assess it for themselves before making decisions about coming to live at Rosemount. One recently admitted resident confirmed that they were supported by the home to visit and to spend sometime there when they were making enquiries about care homes. One relative also commented on how helpful the staff were when their family visited to see the home for themselves. Prospective residents are assessed by a social worker before admission is arranged. The residents files contain evidence of social work assessment and also of the assessments carried out by the home. It is the policy of the home that assessments are carried out before admission. These assessments are used to write up care plans for each resident so that their needs can be effectively met. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents receive care that meets their personal and healthcare needs. The home has good procedures in place for the administration and safe handling of medication, further promoting their the welfare of the residents. Evidence: Care plans are available and these set out the care needs of each resident. The plans and the supporting daily report notes provide details of how personal and healthcare needs are being provided. However, some of the plans are not specific enough to guide staff on providing the specific care required. These were discussed with the manager who was advised to provide sufficient details so that the care staff know exactly what to do for the residents. For example, the plan did not specify what staff should do for one lady when she begins to experience a period of depression. Residents confirmed that they have access to healthcare facilities including GP support and other healthcare professionals including psychiatrist, speech therapist, optician, chiropodist, dentist, occupational therapist and dietician. The views of the residents Care Homes for Older People Page 13 of 27 Evidence: are supported by the details in the daily report records. The records provide details of the visits from healthcare professionals and the treatment they receive from them. The surveys that were returned by residents and relatives also confirmed that the residents receive good healthcare and personal care. The home has policies on the storage and administration of medicines. These are followed by all care staff. A random check of the medicines administration system was undertaken by the inspector. There were no discrepancies noted. All the drugs administration records were appropriately maintained. At the time of the inspection the staff were noted to relate very well to the residents and there was obvious respect between staff and the residents. The residents confirmed that the staff treat them with respect and dignity. The staff were friendly and professional in the way they interacted with the residents. The surveys that were received also confirmed that the residents and their relatives are treated with respect and their rights are upheld by the staff. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are provided with meaningful and fulfilling activities which enhances their wellbeing and sense of purpose. Furthermore, the home supports and encourages residents to maintain close relationship with their friends and relatives. The home also provides individuals with the opportunity to make decisions about their care thus promoting their choices and independence. The residents are provided good variety of wholesome and nutritious meals, which promotes their health and wellbeing. Evidence: The care plans that were viewed contained information about the social and recreational care needs through the social history section of the plans. However, although the social care needs in the care plans are not explicit in some cases, in practice peoples social and religious care needs are fully met. This is evident from the daily report book and also in the activities record. The activities record is up to date and provides good information about what each resident has been involved in. Residents and relatives talked about the arrangements for individuals to go shopping Care Homes for Older People Page 15 of 27 Evidence: and the trips to Consett and other activities. Residents spoke about the coffee mornings and said how much they enjoy these. They also spoke about the shoe boxes that they prepare which contain gifts for charities abroad. There are pictures displayed in the home showing past social and religious activities that took place in the home. Residents are able to make choices and make independent decisions about their care and the way they wish to be looked after. Residents described how they are able to do the things they like to do with the support of the staff. One residents described how a staff member took her shopping and how much she values the occasional trips out to the town. The dining room is pleasantly decorated and furnished. Dining table were appropriately set and residents had their meals in pleasant and comfortable environment. Examination of past menus show that the home provides a choice of menu for the residents. The chef talked about making suitable arrangements to ensure that the residents received a home-made and nutritious diet. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and relatives have information about how to make a complaint and are confident that any concerns raised would be acted on by the home, thus promoting their right to express their views about the service. Furthermore, staff are aware of safeguarding adults procedures and have received suitable training which safeguards the safety and welfare of the residents. Evidence: The complaints procedure is posted in the reception area and a summary of the procedure is in the service user guide. Details in the complaint book shows that the home takes complaints seriously, but there has been no complaints recieved since the last inspection. A number of residents and relatives were spoken with about the homes complaints procedure. They said they are aware of the procedure and feel confident about raising any concerns with the manager if they were unhappy about anything. The surveys that were recieved by the Commission shows that the residents and relatives have had no concerns and would know what to do if they do have concerns about the care in the home. Staff have had training in safeguarding adults and this is confrimed by the staff and the training record. Staff who were spoken with were familiar with the homes policy Care Homes for Older People Page 17 of 27 Evidence: on safeguarding vulnerable people. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, secure, clean, warm and pleasant environment for the residents to live in. However, risk assessments must be carried out for all the metal frame headboards to make sure that people who use them are safe. Evidence: The home is clean and maintained to good standard. The bedrooms that were visited were clean and personalised, reflecting individual tastes and preferences. People have been encouraged to furnish their rooms with personal items which enhanced the homeliness of their rooms. Some bedrooms have an en-suite toilet facility. The rooms are warm, homely and comfortable. All radiators have a protective covering and windows have restrictors on to ensure that they can only open so far, for afety reasons. The residents have been provided with metal frame headboards. The dangers posed by the gaps between the metals bars were highlighted to the registered manager and this was confirmed in writing to her, asking her to carry out risk assessment for each residents that has been provided with such metal headboard. The home has suitable infection control policies in place. Staff have had training in infection control and records show that the home has adhered to effective infection Care Homes for Older People Page 19 of 27 Evidence: control procedures. The kitchen was noted to be clean and maintained to good standard. There is a cleaning rota showing how the domestic staff keep up with the cleaning activities in the kitchen. Records relating to food temperatures and other food hygiene measures are maintained. The laundry was found to be well ordered, and appropriate COSSH notices are in place. The laundry machines are suitable for cleaning foul linen. The surveys response from residents and relatives provide further evidence that the home is always clean and maintained to good standard. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing numbers are satisfactory and promote the safety and welfare of the residents. In general, the home adheres to good recruitment practices, which safeguards the welfare of the residents. Evidence: The home employs sufficient numbers of staff to meet the needs of the residents. The inspector had discussions with staff and the residents about the staffing levels and there is a general view that there are always sufficient staff on duty to meet their needs. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, protection of vulnerable adults, fire safety, food hygiene and health and safety training. These were confirmed in the AQAA that the manager sent to the Commission. Three staff files were examined to check on the recruitment process by the manager. The files show that the home has been following the homes policy on recruitment. All the files contain completed job applications, copy of job description, appropriate Care Homes for Older People Page 21 of 27 Evidence: references, evidence of CRB checks and record of training. However, in one case the newly appointed staff member had not yet received her enhanced CRB check but had commenced work without POVA First check. It is noted that the staff member was under strict supervision and was always working with an experienced carer. Before the completion of this draft report, the inspector was advised that the home had received the carers CRB. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by a qualified and experienced person, and is run for the benefit of the residents. The home has procedures in place to provide supervision arrangements. This promotes the quality of the service that the residents receive. The safety and welfare of residents is protectedby the regular servicing of equipments and the safety checks arrangements that are in place. Evidence: The registered manager has long experience of managing a residential care home. Her management ability and commitment to the welfare of the residents was commented on by the residents, staff and relatives. Staff feel she is approachable and supportive of them. Staff feel able to approach her anytime if they have any concerns. Relatives also commented that she is always available and always has the best interests of the Care Homes for Older People Page 23 of 27 Evidence: residents at heart. The surveys recieved by the Commission confirm this. Examination of the personal allowance records and receipts of transaction show that there is a good system in place and that the residents monies are safe and properly accounted for. There are suitable arrangements for staff to receive one-to-one supervision from the manager. Staff records show that the manager has provided individual supervision to staff on a regular basis. Staff commented that they find the supervision sessions useful. The homes Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). Staff adhere to the policies as set by the company. Servicing records confirm that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. Regular servicing of fire equipment, passenger lift, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. All the servicing records that were examined were up to date. These included servicing of passenger lift, hoists, electrical installation and gas servicing. Fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. The manager confirmed that all staff have received up to date fire safety training. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 13 The registered manager 28/11/2008 must carry out thorough risk assessment for each of the residents who have been provided with metal frame headboards for their beds. These have metal bars in them and could potentially harm or cause injury to residents. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The service user guide and the complaints procure should be reviewed and amended to reflect the contact details of the Commission. The care plans should contain sufficient details to enable staff to support the residents with specific care needs. The registered manager must ensure that new employees who have not been in receipt of the CRB must have POVA First done before they are allowed to commence employment. 2 3 7 28 Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 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. 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!