Inspection on 07/11/06 for Rosemount Care Home Limited

This inspection was carried out on 7th November 2006.

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 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 Care Home Limited 24/09/08

Rosemount Care Home Limited 10/10/07

Rosemount Care Home Limited 19/06/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosemount Care Home Limited 133 Cheadle Old Road Edgeley Stockport Cheshire SK3 9RH Lead Inspector Kath Oldham Unannounced Inspection 7th November 2006 09:10 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 Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 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 Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosemount Care Home Limited Address 133 Cheadle Old Road Edgeley Stockport Cheshire SK3 9RH 0161 477 1572 0161 480 3320 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) Rosemount Care Home Ltd Mr Komal Nagjee Coorjee Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 17 service users to include: *up to 17 service users in the category of OP (Old age not falling within any other category). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief Description of the Service: Rosemount Care Home is a detached residence in its own grounds, situated in Edgeley, Stockport. Rosemount is registered to provide accommodation and care for up to 17 service users. Rosemount has a large lounge, which adjoins a smaller lounge. Access to the gardens can be gained this way, down steps. The smaller section of the lounge was described as the quiet lounge. Four steps leading from the lounge access the dining room. Handrails are provided to both sides of the steps. Due to the design of the care home it is not practicable for service users to use wheelchairs in the home. There are two toilets for service users use on the ground floor and three on the first floor. There are two bathrooms, one of which had a shower attachment in the bath. One of the baths has a fixed hoist. There is a stair lift for service users to access the first floor of the home. The home is privately owned and has changed ownership in May 2006. The home has a statement of purpose and service user guide which were reported to be given to prospective service users or their families when they visit the home to look round. A copy of the service user guide was contained in service users’ bedrooms. The fees for staying at the home were reported to be between £317 and £340 per week. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place during the day on 7th November 2006. This is the first inspection of the home since the change of ownership in May 2006. Mr Coorjee of Rosemount Care Home Ltd purchased the home on 15th May 2006 and he has spent time getting to know the service users and staff and initially observing practice and routines by working alongside staff and spending time in conversation with them. Staff said that practices and routines have been changed gradually and they are getting used to the changes. Some relatives, whose cared for service users have been at the home for a while, said they were initially a bit anxious when the home was under new ownership but were happy with the way the home is now developing. Time was spent on the inspection talking with service users, observing staff interactions and routines when providing support to service users and speaking to the staff team. Comment cards were left at the home to give out to service users, their relatives or visitors and also for staff. The purpose of the comment cards was to get information about what it is like to live at Rosemount and how service users feel they are looked after. Time was also spent on the inspection examining records that need to be kept in line with the regulations. The inspector had lunch with service users and also inspected the service users’ bedrooms, the bathrooms and toilets, in addition to the public areas of the home. The registered person has identified areas where the home needs to develop to improve the quality of life and service provided to service users. It is his intention to prioritise what needs to be done and work on an action plan to assist in this development. There were 16 service users accommodated at the home on the key inspection. The registered person was at the home for the inspection and verbal feedback was provided on conclusion of the inspection. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Four bedrooms have had new carpet laid and one bedroom has had a new chest of drawers. The dining room carpet has been replaced and the room feels warm and comfortable. The registered person said the home is to have a new call bell system installed in forthcoming weeks. Previous inspections have described the rotten and rotting window frames which needed repair or replacement. During the inspection a contractor was at the home repairing those window frames. On previous inspections the recruitment and selection procedure had been identified as not being thorough enough to safeguard service users and to comply with regulation. The registered person said that since he has taken over the home he has arranged for all staff to have a Criminal Record Bureau checks undertaken. Staff appointed since May 2006 have been taken through a robust recruitment and selection procedure, which has included completing an application form, references being sent for and Criminal Record Bureau checks being undertaken. The registered person needs to make sure that when appointing staff on receipt of a POVA first, evidence of this is kept on the individual staff file. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 7 Care plans have also been lacking, in that, the actual care needs have not always been identified which, in turn, may mean that service users may not get the care they require when they need it. About nine service users now have a care plan in place which details the care and support they need. The remaining service users are to have their care plans updated. The registered person must make sure that these care plans are reviewed monthly or more frequently if needed. The registered person has undertaken a lot of work to ensure the necessary paperwork is in place to safeguard service users and to comply with the regulations. 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. The summary of this inspection report can be made available in other formats on request. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 8 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 Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 3. Standard 6 is not applicable. Quality in this outcome area is good. Service users are provided with information to enable them to make a decision as to whether the home can meet their needs. Service users’ needs are assessed before they move into the home. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Service users said they received paperwork before they came into the home, which gave them enough information to make an informed choice whether Rosemount was the home for them. One service user said they had the opportunity to try the home out for a while before making a decision about the future. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 10 Inspection of the premises identified that some bedrooms contained a copy of the service user guide. One relative said the owner gave them information about the home when they came to have a look round. The service user guide indicated “there is always a qualified registered nurse on call.” Rosemount is a care home and is not registered to provide nursing care. This reference can be misleading to service users or their families, as it has an inference that they could provide nursing care when this is not part of their registration. Service users funded by the local authority had a contract with the local authority on file. Service users also had a terms and conditions of residence with Rosemount. Of those seen, none had been signed by the service user or their representative or relative. This needs to be undertaken to ensure they are aware of the terms of residency and they have their own copy for reference. Service users who commented in questionnaires said they had a contract or they thought they had. All care files inspected identified that there was an assessment on file, which was undertaken prior to service users being admitted to the home. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. The development of the care planning process needs to be concluded for all service users. Procedures for administration and recording of medication need to be developed, however there was a commitment to ensuring good health for service users. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Examination of a sample of care files identified that all had a care plan in place. The format used to record service users’ care needs has been changed and the format used detailed all areas of care and support. The registered person said that he had completed a number of these for service users and would conclude the remaining care plans in forthcoming weeks. The inspector was informed that time had been taken researching and reading past information, speaking with staff, service users and relatives to assist in the development of the care files. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 12 Inspection of the care files identified that, for those seen, there was not a record of a review having taken place since they were written. Reviews should be undertaken monthly or more frequently to ensure that the care needs are identified. Service users observed in all parts of the home were neatly presented and attention had been paid to personal grooming. Staff interacted with service users in a relaxed and pleasant manner. Staff were polite and supportive to service users and service users responded positively to staff. Staff demonstrated a good knowledge of service users’ needs, likes and dislikes. They gave examples of how the privacy and dignity of the service users are maintained through confidentially and their involvement in daily life. Observations of care practice identified that the support and interventions of staff promoted service users’ privacy and dignity. Staff write in the daily reports about the support given to service users and how they spent their day. Some of the entries were staff judgements about how a service user was feeling and, in some cases, the written entries were patronising. Staff need to receive additional guidance and support to assist in the completion of these records. Service users are registered with a GP. If their doctor is not willing to visit them at Rosemount, due to geographical boundaries, they are offered a list of visiting doctors from which they can make their choice. Examination of service user records identified appointments with chiropodists, district nurses and other health care professionals. One service user said they felt reassured that they were able to see the visiting district nurse if they had any health care problems or enquiries. Staff were observed to use a wheelchair to transfer service users which did not have footrests fitted. This compromises service users’ safety. Because of the layout of the home, one service user had to be manoeuvred backwards by staff into the lounge in the wheelchair. Examination of the medication administration records identified that, on occasions, they were not completed appropriately, as prescribed by service users’ GP’s. There were omissions in the recording of medication administration. Symbols were used in the medication records which were not defined or were not recognised symbols. Some administration instructions were detailed in Latin and may not be understood by staff. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 13 Handwritten medication instructions were in the records. These were not verified and signed by a second staff member, which may lead to incorrect medication being administered. Controlled drug medication was prescribed to one service user. The controlled drugs medication was not double signed and the home did not have a controlled drugs book where this type of medication must be recorded. The home has not provided appropriate formal medication training to all of the staff members involved in medication administration. A formal assessment of their competency is not currently undertaken. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. Service users have a flexible lifestyle in the home and maintain contact with their families and friends. The day-to-day routine of the home met service users’ needs. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A couple of service users said that the activities weren’t for them and they preferred to occupy themselves. One service user said they would like to go out more often. Others said they were happy with what was provided by the home. There are organised activities in the home with entertainers visiting. Some service users said there wasn’t enough to do and there should be more visits out for a couple of hours and exercise, as they spend a lot of time sitting. One relative/visitor comment card indicated, “I feel more activities could be in place”. Staff indicated that service users go out more than they used to and seemed to enjoy the time out. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 15 Staff undertake activities with service users; these were reported to include manicures, sing-along and dancing, skittles, jigsaws and quizzes. The day-to-day routine of the home enabled service users to spend time in their rooms or the lounge areas. Service users said they could get up and go to bed at times that suited them and that the day was theirs to spend how they choose. Inspection of service users’ bedrooms found that they had been personalised by them with the support of staff or relatives. One relative said that their cared for service user had settled at the home and they felt that this was because they had their belongings and pictures with them in their room. Service users confirmed that visitors continue to be made welcome and encouraged to continue a positive relationship with their relative or friend. The registered person said that they were developing the menus further to provide additional choices at mealtimes. Service users spoken to said they enjoyed the meals and received enough to eat. The menu is displayed on the notice board in the dining room so service users can see what is planned for the day and choose what they want. The cook said that if service users don’t fancy what is on the menu, she would make them something else. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. The complaints procedure ensured that all interested parties were aware of how to complain and the process that would be undertaken. All staff were not trained in adult protection which potentially places service users at risk of harm. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A complaints procedure is in place and those service users spoken to were aware of how they would complain and who to complain to. Most service users said they had no complaints and were happy with the care they receive. The record of complaints identified comments and concerns identified by service users, staff or visitors to the home in relation to the care they receive. The record details the action to be taken to address the complaint or comment. Although the complaints recorded were few, this evidences that the home takes comments seriously, in an attempt to improve the quality of service provided at the home. Staff had not all received training in what constitutes abuse; this should be arranged to highlight areas of potential abuse and to identify the action that must be taken on any suspicions. Staff were aware of what constitutes physical and sexual abuse. Some staff have previously had adult protection training. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, 25 & 26 Quality in this outcome area is adequate. The home provides a comfortable, clean and homely environment but needed attention to décor and maintenance. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Four bedrooms have had new carpet fitted and one room has a new chest of drawers. Inspection of service users’ bedrooms identified that a number need to be refreshed or redecorated. In addition, the furniture in some of the service users’ bedrooms is in need of replacement. Not all service users have the furniture in their bedrooms which should be in place. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 18 Staff said that for specific service users they had asked that particular furnishings were not in their room, as they wouldn’t have enough room to move around safely. A new call bell system was reported to being fitted in the weeks after the inspection, which will provide an improved system for service users to call for staff support or assistance. There is one large lounge, which leads to a smaller lounge on the ground floor. Service users were observed to sit in their chosen area. Four steps leading from the lounge access the dining room. Handrails are provided to both sides of the steps. The dining room has benefited from new carpet, which brightens the room and improves its appearance. Due to the design of the care home, it is not practicable for service users to use wheelchairs. Additionally, service users with mobility problems would find it difficult to use the stairs to the dining room. A number of service users were observed using walking frames. Staff assisted particular service users to negotiate the stairs whilst others were observed independently using the stairs with their frames. Some service users have meals in the lounge, as they are unable to get up and down the stairs or are not confident to undertake this task. All rooms are centrally heated. The radiators can be regulated by use of a thermostat in some rooms; in other rooms, the radiators can be turned on and off only. The radiators in the home are not all guarded or do not have low surface temperatures, which could put service users at risk from scalding. Some have guards fitted, especially those radiators that are next to service users’ beds. The home is clean and provides a homely feel. Service users said they were happy with their accommodation and had comfortable bedrooms. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. The recruitment procedures provide safeguards for service users. The deployment and number of staff on duty are sufficient to meet the needs of service users. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: A duty roster is in place and details the names of staff on duty. The roster needs to include the actual hours night staff are working and also ensure that staff are not on differing rotas undertaking differing roles. Examination of the two most recently appointed staff files evidenced the recruitment and selection procedure had been followed and the files were, in the most part, in order. Attention needs to be taken to ensure all necessary checks are recorded on file. This practice safeguards service users and staff. New staff have commenced induction training to Sector Skills specifications. Moving and handling, health and safety and food hygiene training have been arranged and all staff are to attend this training. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 20 Two staff have obtained NVQ level 3 and three staff were reported to have obtained NVQ level 2. Additional training and seminars are to be arranged in forthcoming months to ensure all staff have the skills and abilities to care for service users accommodated at the home. Records were not available to confirm training that the staff team have received. A training matrix is to be completed by the registered person and forwarded to the commission to evidence what training has taken place. This will also assist in planning future training events. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 36 & 38 Quality in this outcome area is adequate. The quality assurance system is not fully developed, therefore service users and others involved in the home are not given opportunity to comment on the quality of the service and facilities provided. Arrangements to provide a safe environment, particularly in respect of fire safety, are insufficient, and potentially place people at risk. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The registered person is currently studying towards obtaining the registered manager’s award. It is envisaged that this will be completed in September 2007. Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 22 Since registration, the registered person has held a group meeting for service users and relatives as a way of introducing himself. Relatives and visitors commented that they were apprehensive and anxious due to the new ownership of the home but were happy with how the home was developing. Regular service user meetings are not currently arranged. These would provide service users with an additional opportunity to influence the development of the home and contribute to any decision-making. Staff meetings would also provide the staff team with an opportunity to discuss developments and need to be re-introduced and notes taken of the content of the meetings. Staff supervision is not yet in place; this would further develop the staff team’s skills. Examination of the fire safety records identified that checks to the means of escape, the emergency lighting, fire alarms and other associated fire safety checks had not been undertaken since May 2006. The fire drill training/practice records did not record that all staff had received fire drill training. This failing puts service users and staff at risk. The registered person was informed on conclusion of the site visit that these checks must take place immediately and written confirmation made to CSCI that these had been completed. At the time of writing this report, confirmation of this fact had been received. The accident record was completed in full and the retention of the records was in keeping with data protection legislation. A written accident analysis is not undertaken by the home to identify whether there are any patterns to the accidents. It was reported that the home is not involved in managing service users’ monies or personal allowances; the service user, their family or their representative arranges this. Small amounts of money were maintained on behalf of service users for the payment of hairdressing services, podiatry treatments, some toiletry items and cigarettes purchased on service users’ behalf. Receipts were in place for some purchases, for others they were not. compromises staff and service users. This Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 23 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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 2 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 2 X 1 Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? New Service 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 OP9 Regulation 13 Requirement The registered person must ensure that the receipt, administration and disposal of controlled drugs are recorded accurately. The registered person must ensure that all staff members employed by the home, with responsibility for medication administration have received appropriate training. The registered person must provide all staff employed at the home, in whatever capacity, with fire drill training and practice at a minimum of six monthly. The registered person must arrange for the checks to be undertaken to means of escape, emergency lighting, fire alarm, etc., and at intervals prescribed by the fire authority. Timescale for action 15/12/06 2 OP9 13 31/01/07 3 OP38 23 31/01/07 4 OP38 23 30/12/06 Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The registered person should amend the service user guide in relation to having a registered nurse on call ensuring that the detail is not confusing and suggestive of nursing care being provided by the home.. The registered person should ensure that service users or their representative or family sign the terms and conditions of residency and that a copy of the signed statement is kept on file. The registered person should ensure that footrests are fitted to wheelchairs and these are used when mobilising service users within a risk management framework. The registered person should ensure that a formal system is in place to identify service users prior to medication administration. The registered person should ensure that handwritten medication is verified and signed by a second staff member in the medication administration records. The registered person should ensure that medication is signed for on administration and that recognised symbols are used that are defined in the medication records. The registered person should ensure that the competency of carers with responsibility for medication administration is assessed regularly on a formal basis. The registered person should ensure that controlled drugs are double signed on administration in the medication administration records. The registered person should make arrangements by training staff to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. The registered person should provide CSCI with a written plan of the work that is planned for the upgrade of the home and identify timescales for completion. The registered person should ensure pipe work and radiators are guarded or have guaranteed low temperature surfaces. 2 OP2 3 4 5 6 7 8 9 10 11 OP8 OP9 OP9 OP9 OP9 OP9 OP18 OP24 OP25 Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 12 13 Refer to Standard OP35 OP36 Good Practice Recommendations The registered person should ensure that individual receipts are obtained for all purchases made on behalf of service users. The registered person should provide care staff with formal supervision at least six times a year. Include in supervision all aspects of practice, the philosophy of care and staff career development. The registered person should arrange for staff to record their attendance to training by their signature in the fire training record alongside their printed name. The registered person should provide training to staff members to NVQ level 2. 14 15 OP38 OP38 Rosemount Care Home Limited DS0000067305.V318215.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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