Inspection on 17/05/05 for Rosemount

This inspection was carried out on 17th May 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

Rosemount 13/10/08

Rosemount 24/10/06

Rosemount 28/10/05

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

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Rosemount 79 Medomsley Road Consett County Durham DH8 5HL Lead Inspector Belinda Parker Unannounced 17 May 2005 09:15 am th 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. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rosemount Address 79 Medomsley Road, Consett, County Durham. DH8 5HL 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) 01207 590 774 01207 590 774 Rosemount Trust Mrs Lucy Graham Care Home 17 Category(ies) of OP - Old Age - 17 places registration, with number of places Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2005 Brief Description of the Service: Rosemount is a well established registered care home providing personal care and accommodation for up to 17 older persons in the category of (OP). It is not registered to accommodate persons who require nursing care. 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 situated in its own grounds, located in the centre of Consett, close to local amenities. Personal accommodation is provided on both floors. Communal space and service areas are located on the ground floor. Throughout the home is well maintained and equipped offering a domestic style environment. Bedrooms are individual in size and layout, personalised, well equipped, furnished and decorated to a good standard. There is a range of lounges, a sun lounge and a separate dining room located on the ground floor. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 17th May 2005 over a period of five hours. Time was spent during the inspection talking to residents and staff. A number of records were examined and a tour of the building was carried out. A recommendation made at the last inspection regarding the documentation of risk management processes remains outstanding. What the service does well: What has improved since the last inspection? Since the last inspection the new care planning documentation has been implemented for all residents. The carpet in three bedrooms has been renewed. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 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. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 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 Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 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) 2, 3, 4 and 5 The home has a clear and comprehensive admission procedure in place to ensure the care needs of the prospective residents are met. EVIDENCE: Each resident on admission to the home is issued with a copy of the Terms and Conditions of Residency. This document makes clear the home’s responsibility to the resident and the responsibility of the resident while living in the home. This document was seen to be signed by the resident or their representative as to their agreement. The manager said all prospective service users have a pre- admission assessment. Care plans examined contained evidence of pre – admission assessment of need, carried out by people trained to do so. No service users are admitted to the home without a pre – admission assessment , to ensure the home has the capacity to meet their individual needs. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 9 The manager said prospective resident’s are invited with their family to visit and spend time in the home prior to admission. A resident spoken to said she had visited prior to admission with her daughter and been invited to have a meal with other residents who lived in the home. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 10 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, 10 and 11 The care plan format is good, but the risk management strategies need to be developed to ensure the protection of residents living in the home. Staff have a good understanding of residents support needs, this is evident from the positive relationships formed between staff and residents. EVIDENCE: Since the last inspection the revised care plan format has been implemented fully. Examination of three care plans showed that further development is required for documenting risk management strategies in line with identified individual needs of residents. (outstanding since the last inspection). The registered manager was able to demonstrate that the home promotes and maintains residents health and ensures access to other health care services to meet assessed needs. Staff during discussion were able to demonstrate that they respected residents’ privacy and dignity when assisting with personal care and in the event of death occuring. Residents spoke positively about the caring attitude of staff and that they were encouraged to do as much for themselves as possible. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 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 and 14 Social activities are well managed, creative and provide daily variation and interest to people living in the home. Links with the community are good enriching the residents’ opportunity for social interaction. Residents are supported by staff to make lifestyle decisions with an appropriate range of information available. EVIDENCE: Residents and staff spoke positively about the flexible routines of daily livng in the home. Social activities are made available to suit residents preferences, and capacity. A resident spoken to said she particuarly enjoys ” musical entertainment ”. The home is well established in the area. The manager said neighbours occasionally drop in for a chat and a cup of coffee with residents. A visitors policy is displayed in the main foyer providing information on visiting the home. Residents spoken to said their visitors are always made welcome by the manager and staff. Information on advocacy services is displayed in the home to give residents an alternative choice if they wish to have someone speak on their behalf to make their views known. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 12 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) 16,17 and 18 The home has a satisfactory complaints system with some evidence that residents views are listened to and their rights protected. Staff are given the skills and knowledge through training to ensure residents are protected from abuse. EVIDENCE: A clear complaints policy and procedure is in place to enable residents to raise any concerns they have about the care service delivery. A resident spoken to said she had not had any reason to complain but would speak to the manager if she felt dissatisfied in any way. Since the last inspection 1 x complaint had been received by the home from a relative with reference to a housekeeping issue. This complaint was partially upheld. At the recent general election a postal system of voting was made available to residents to enable them if they so wished to participate in the electoral process. Since the last inspection the majority of staff working in the home had attended training on “No Secrets”. Staff spoken to were able to demonstrate an awareness of POVA (Protection of Vulnerable Adults) and said they would report any incident of abuse observed in the home. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 13 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) 19,20 21,22, 23, 24, 25 and 26 The standard of the environment in this home is good providing residents with an attractive and homely place to live, as well as meeting the collective needs and changing needs of the residents who live there. EVIDENCE: The home was observed to be comfortable, traditional in style, located appropriately, well maintained, accessible and safe. Since the last inspection carpet had been renewed in several bedrooms. A resident who had recently moved into the home said “I am very satisfied with my bedroom, able to have my own things around me ”. Bathing facilities in the home were adequate in meeting the collective needs of the residents who lived there. Three bedrooms have ensuite facilities extra to the communal facilities for sole use of the resident who lives in that particular room. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 14 The registered manager said extra equipment will be obtained to meet the changing needs of individual residents. The home was viewed to be commendably clean, well ventilated and no unpleasent odours present. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 15 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) EVIDENCE: This standard area was not assessed at this inspection. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 16 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) EVIDENCE: This standard area was not assessed at this inspection. Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 17 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 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x x x x x x Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 18 NA 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 OP7 Good Practice Recommendations The registered manager should continue with the development of care plans to improve the documenting of risk management strategies where a need to maintain safety has been identified for individual residents Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Darlington Area Office No 1 Hopetown Studios Brinkburn Road Darlington. DL3 6DS 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 Rosemount B54 S7499 Rosemount V227654 170505 Stage 4.doc Version 1.30 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!