Inspection on 19/01/06 for Rosemount

This inspection was carried out on 19th 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

Rosemount 17/03/08

Rosemount 18/09/07

Rosemount 03/08/06

Rosemount 01/07/05

Rosemount 19/11/04

Rosemount 20/05/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosemount Sunningdale West Monkseaton Whitley Bay Tyne & Wear NE25 9YF Lead Inspector Suzanne McKean Unannounced Inspection 19th January 2006 09:30 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 Rosemount DS0000028819.V275931.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. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosemount Address Sunningdale West Monkseaton Whitley Bay Tyne & Wear NE25 9YF 0191 251 0856 0191 2510866 rosemount@fshc.co.uk 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) Cotswold Spa Retirement Hotels Limited (wholly owned subsidiary of Four Seasons Healthcare Ltd) Mrs Sylvia Huntingdon Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (59), Physical disability (1) of places Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st July 2005 Brief Description of the Service: Rosemount is a purpose built care home of traditional brick build design on one level. It has brick and railing walling around the gounds and a car park to the front of the building. The home has level access to the front of the building leading to the entrance containing the Managers and Adminitration office. The home is situated in the residential area of West Monkseaton, Whitley Bay in a queit cul-de-sac withing an estate of relatively new mixed housing. The home is easily accessed by metro, bus and car. All accommodation is provided in single, ensuite bedrooms and there is a selection of communal facilities, including lounges, dining rooms and a conservatory. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over 8 hours over two visits. It is the second unannounced inspection the home has had in this year. All of the core standards have been examined over the two inspections. It is therefore suggested that both reports are looked at to get the full picture of the home. Eight residents, and six staff were spoken to directly although more were chatted to briefly. Three relatives were spoken to and asked for their views. Four care plans, training records and the records for medication, staff files and training, health and safety records were examined. There were seven requirements identified during the last inspection all of which have been met. The two recommendations have also been addressed. Only two recommendations were identified during this inspection. What the service does well: What has improved since the last inspection? The home now has a Registered Manager and it is evident that both she and her staff have worked hard to improve the standard of the care being delivered. She is consulting with the residents, theirs families and outside agencies to ensure that she is aware of their opinions and wishes. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 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 DS0000028819.V275931.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 Rosemount DS0000028819.V275931.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): 2, Standard 3 was examined at the last inspection and was met; the home does not provide intermediate care. The company had reintroduced the statement of terms and conditions and the home has arranged for each of the current and new residents to be issued with one. EVIDENCE: Contracts are in place for the residents of the care plans examined. The Manager confirmed that all new residents are given a contract explaining the terms and conditions of the placement. A copy of the companies contract was given to the Commission for Social Care Inspection by the Manager in it becoming available. Rosemount DS0000028819.V275931.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): 7, 8, 9, 10 The residents are having their needs met and the individual care planning is identified in the care plans which are now up to date and detailed. The residents are treated with respect and their privacy is being maintained. The residents receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 10 EVIDENCE: All residents have an individual plan of care, based on an admission assessment, which is then added to during the placement. Four care plans were examined all of which contained a large amount of information regarding the care of the resident and there were relevant risk assessments available for the nutrition, wound care, moving and assisting, and continence promotion. The plans showed that they were being regularly reviewed and updated to ensure that they contain some up to date and accurate information. The care plans showed that the residents have access to all NHS services and facilities. There was a good range of pressure relieving mattresses in use for the prevention of pressure sores. The systems for managing medicines in the home were found to be appropriate, the staff record the medicines being ordered, the prescriptions are then checked on receipt from the General Practitioners and are then sent to the Chemist for dispensing. The medicines are then again checked against the records when received into the home so that any errors can be picked up. The home has a contract with a Pharmacist, which included giving advice as necessary. No residents are currently managing their own medication in the home. The General Practitioners carry out regular reviews of medication needs. Interviewing the new Deputy Manager and other care staff provided information that the staff are aware of the needs of the service users and the residents spoken too were complementary about the way the care is being delivered. Rosemount DS0000028819.V275931.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, 13, 14 Residents are satisfied with the flexibility of their routines for daily living and activities, which are appropriate to meet their cultural, social, religious and recreational interests and needs. Arrangements for residents to maintain contact with their family and friends and the local community are suited to each individual’s needs and vary accordingly Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 12 EVIDENCE: The residents described the ways they are encouraged to take control of their daily routines in simple but important ways including the time they get up, what and when they eat and how they spend their time. Staff confirmed that they encourage resident to make choices about how they spend their day. Some organised activities are available and staff said that residents are able to choose whether or not they are involved, however due to the dependency level of some of the residents a number of the activities offered are less active and provided on a more one to one basis. The home employs an activities co-ordinator who has a weekly programme of activities offering differing opportunities including physical activities, crafts, and the bringing in of outside entertainers. The records of the activities provided is not very detailed, and it is necessary that this is developed further to show the full extent going on in the home. Residents have visitors at any time and are able to use their own rooms, the small lounges or the larger, busier lounges to receive them. Relatives are given information within the residents’ guide about visiting arrangements. Residents said they were satisfied with the arrangements for visitors and that staff welcome them. Rosemount DS0000028819.V275931.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): 18 Standards 16 was examined at the last inspection and was judged to have been met. The residents are protected by good recruitment and selection processes and then ensuring that the staff are given Protection of Vulnerable Adults training and whistle-blowing. EVIDENCE: The home has written guidance is in place regarding the protection of vulnerable adults through detailed policies and procedures. These are included in the induction training and ongoing in-house training, however the staff would benefit from more formal training regarding this issue to include the local authority procedures and how they would fit with company policies. Staff confirmed that they knew about the guidance and could identify the action they would take if they were made aware of or had any concerns regarding this issue. Rosemount DS0000028819.V275931.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, 26 The bedrooms are all single occupancy and are decorated and equipped in a homely and personalised way. The home is well decorated, and has recently befitted from a programme of redecoration, which is still underway. The Manager undertakes risk assessments and there were no evident problems in this area. There has been a recent improvement in the methods of reducing the risk of cross infection. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 15 EVIDENCE: A tour of the premises was conducted with the Manager and alone and it was noted that there are now a number of bedrooms, which have been redecorated, and new carpets have been purchased. The communal areas have also been improved and although there remains some areas where the manager feels further improvement should be made the home is now generally well decorated. The home was clean and odour free on both visits. The practices causing concern at the last inspection have ceased and there was no evidence of staff not complying with good control of infection practices. There is liquid soap and disposable paper in the on-suites and appropriate waste bins have been purchased so staff are able to dispose of them without leaving the room. The home is temporally using open toped bins while awaiting foot operated ones. Appropriately coloured aprons were available to allow staff to follow appropriate control of infection policies, and staff were seen to be using them appropriately. Red dissolvable laundry bags are now available and staff were therefore not handling soiled linen prior to it being washed. Rosemount DS0000028819.V275931.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): 29, 30 Standard 27 was examined at the last inspection and was met. The staff are recruited and selected using a system, which ensures that they are able to care for the residents and have not been identified as posing a risk to their welfare through Criminal Record Bureau and the Protection of Vulnerable Adults List The staff are offered a variety of training opportunities including both statutory and clinical based in their content. EVIDENCE: Two staff records were examined and were complete including two references and a completed application form, the requirement to have a CRB and POVA check in place is applied to all of the staff in the home. The interviews are recorded formally in the staff record giving the Manager a record of the full process. The manager confirmed that she has ensured that the staff are up to date with Moving and handling, first aid, and fire training. They also are offered a number of other training opportunities including pressure area care; continence training and catheter care training. The staff are encouraged to undertake National Vocational Qualifications (NVQ 2) once they have had their induction training. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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, 33, 35, 38 Mrs. Huntingdons is now the Registered Manager for the home. The company has policies and procedures in place to ensure that the home is managed effectively taking into account the needs and wishes of the residents and there is evidence that she is working in line with these. Resident’s personal allowances are being managed effectively. There is good evidence that the Manager is ensuring that the home is protecting the residents through good health and safety practices. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 18 EVIDENCE: The records of the arrangements to ensure that persons working at the care home receive suitable training in fire prevention and by means of fire drills and training in the procedures to be followed in the case of fire were examined and were adequate. There is a system in place to review health and safety in the home involving the staff for which records are available. During the tour of the premises it was noted that there were no obvious risks and the Manager confirmed that she undertakes daily tours herself to ensure that it remains so. Records were examined of the staff meetings, which take place regularly, and the contents of these suggest that there is a broad spectrum of relevant issues discussed. The Manager also facilitates meetings with the relatives and residents as appropriate, which she is using to consult the residents, relatives and other interested parties to review the service provided. The personal records kept in the home of residents who are receiving assistance to manage their finances were examined and are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place, and there is a small float available for the staff to access. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 20 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. 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. 2. Refer to Standard OP12 OP12 Good Practice Recommendations It is recommended that the home develop a more effective way of recording social activities being undertaken by the residents. It is recommended that the staff are given formal Protection of Vulnerable Adult training including how the company policy fits with the Local Authority Procedures. Rosemount DS0000028819.V275931.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000028819.V275931.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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