Inspection on 25/07/06 for Roseview Residential Homes

This inspection was carried out on 25th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Roseview Residential Homes 10/06/08

Roseview Residential Homes 01/06/07

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Roseview Residential Homes 91-93 Cat Hill East Barnet London EN4 8HP Lead Inspector Mr Teferi Degeneh Key Announced Inspection 25th July 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 Roseview Residential Homes DS0000065993.V303217.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. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseview Residential Homes Address 91-93 Cat Hill East Barnet London EN4 8HP 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) 020 8368 9195 Mrs Agatha Annin-Adjei Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection : N/A Brief Description of the Service: Roseview is a private residential home owned by Mrs Agatha Annin-Adjei, who also has two other care homes in North London. The home is registered to provide personal care for 10 elderly people including people who have dementia. The home is purpose built, and each person has a single bedroom with en suite facilities. The bedrooms are on three floors and are accessible via shaft lifts. The communal areas include a lounge, a dining room, a kitchen, and a large back garden. The home is located on a busy road and can be accessible by car. The Cockfosters underground station on the Piccadilly line, is a few minutes’ car drive from the home. At the front of the building there is a parking space for staff and visitors’ cars. Information about the home including service users’ guide and the CSCI inspection reports are available from the home by contacting the provider. The weekly fees of the home depend on the assessed needs of service users but currently range from £450.00 to £500.00. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the home. All of the people who live at the home were observed and three of them were spoken to individually. Discussions were also held with the care staff and the area manager and the acting manager. Health and safety documents, the rotas, the menus, visitors’ book, and the training records were examined. This key inspection is also based on the assessment of staff and service users’ files. The premises and the facilities of the home were inspected through a guided tour, facilitated by the acting manager, Ms Shinor Kawa. Ms Mercedes Adusei, the area manager, was present during most part of this inspection. What the service does well: What has improved since the last inspection? What they could do better: Eight areas that need improvement have been identified during this inspection. The food provided is generally good but in order to meet the service users’ needs fully, the home must ensure that there are varieties of fresh fruits in living areas. The registered person must ensure that there are no food items with expired use-by-dates. The fridge/freezers and the cupboards must be regularly checked to ensure that the food items are not expired and that they are safe for consumption. A copy of the local authority’s adult protection policy must be obtained and the contents reflected in the home’s own policies. The registered person must verify the authenticity of information in respect of staff before employing them. The registered person must satisfy herself that the information received from one member of staff is authentic and that the member of staff is fit to work. It is required that the registered person employs a manager who can apply to the CSCI for registration. The registered person Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 6 must take appropriate actions to prevent service users from going missing and exposed to risks. Finally, the registered person must implement a quality assurance system by, among other things, gathering feedback from the service users and the visitors. 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. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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 Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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): 3, and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New service users are confident that their admission to the home is dependent on the outcome of their needs assessment and the ability of the home to meet their needs. EVIDENCE: Five service users’ files, which were assessed, contained evidence of assessments completed by social workers or health professionals. Service users’ health, personal care, and social care have been outlined in the assessments. The responsible person stated that a new service user’s admission to the home is based on their assessment. She said that if the home believes that a new service user’s needs cannot be met with the service available at the home, the service user would not admitted. The home has its own assessment procedure for all service users. There is evidence of the home’s assessment of service users in all the files seen. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home have benefited from the home’s processes of care plans and risk assessments. Service users’ health needs are met by the system of the home which has ensured that the people who use the service have access to regular health care. EVIDENCE: Discussions with the responsible person and an assessment of five service users’ files confirmed that care plans are developed for the people who live at the home. The care plans are detailed and reflect the assessed needs of the service users. The files also contained evidence of risk assessments for service users. Areas of possible risks to the service users and how to minimize the risks are identified in the risk assessments. It is clear from the files and discussions with the responsible person that the home has consulted service users’ families and professionals regarding some actions (e.g. use of cot side). The home is situated on a road with busy traffic and the incident of people leaving the home without staff noticing them has been an issue. People who live at the home have full access to all the facilities. There is a passenger lift linking all the floors. The responsible person said that a doctor privately Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 10 commissioned by the home comes once every two weeks on Wednesdays. Service users’ relatives are aware of the days and times when the doctor visits the home. This has enabled families and relatives to see the doctor and represent service users in discussing health related issues. Dentists and opticians also come to the home to see service users. Each service user has a single bedroom with a shower, toilet and wash hand basin facilities. Three service users spoken to said they are happy with their bedrooms and the staff. The service users appeared relaxed on the day of the inspection. Two care staff, who were interviewed individually, gave a good description of how they support service users with their personal care by respecting their privacy, dignity and choice. Medication is stored in a room on the ground floor. The medicines and the medication administration record sheets were checked and found to be in order. Staff who administer medication have attended relevant training. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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, and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are engaged and their needs with regard to control over their lives, and contact with families are met. The food provided at the home is good but service users’ needs are not fully met due to lack of fresh fruits and due to the storage in the home of food items with expired use-by-dates. EVIDENCE: From the assessment of service users’ files and from the discussions with service users and with the responsible person it was noted that service users are engaged in various activities including bingo games, puzzles, colouring and drawing, and reminiscence sessions. Service users also participate in cookery and music to dance sessions. The responsible person said she is investigating how best to ensure the spiritual needs of people. She said she has spoken to the people who use the service regarding their wishes to practise their religion. She said she is in the process of linking up with locally available spiritual services that meet the needs of the people at the home. Discussions with the responsible person revealed that service users are occasionally supported to go out to shops and cafés. The home does not manage service users’ finances. However, the home receives and keeps service users’ personal allowances for spending on toiletries. A pool account has been opened for this purpose and the responsible person is currently working on how to open individual account Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 12 for service users. All transactions in relation to personal allowances are recorded and receipts are kept for auditing. The service users spoken to said their relatives and friends visit them. They said that they can talk to visitors in private in their bedrooms. The home’s visitors’ book showed that relatives visited the service users. There is a telephone point in each bedroom but only one person has chosen to have a private telephone. A pay phone, which can be used in private, is available for all service users. The home has a two weekly rotating menu. The inspection of the menu and discussions with the responsible person confirmed that service users have a choice of cooked breakfast and varieties of food for lunch. A cook is employed to prepare the meals. From records and discussions it is evident that the home caters meals that meets people’s beliefs, ethnicity and health needs. The people spoken to said the food is good. The people were supported with eating their meals on the day of the inspection. The staff were observed standing by the side of the people while helping them with the food. This was discussed with the responsible person who offered the explanation that two chairs, which would have been used by the staff, had been taken to the hairdresser’s room as she was visiting on the day. The responsible person stated that the staff are expected to provide support by ensuring dignity of service users. As earlier stated the staff gave satisfactory explanation of how they respect the privacy, dignity and choice of service users. During the tour of the premises it was observed that there were only one apple and four oranges in the kitchen. Two bananas were overripe but the responsible person said the cook kept them for baking a cake. Another item (coffee flavour), with use-by-date of 22-04-06 was seen in the cupboard in the kitchen. A similar incident has been recorded by the environmental health officer (EHO) who visited the home on 20/06/06. The report of the EHO mentioned that food with expired use-by-dates were kept in the fridge. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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): 16, and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has satisfactory systems in place to ensure that service users are protected from abuse. However, there is a need for the registered person to obtain a copy of the placing authority’s adult protection policy and include the contents in the home’s own policy. EVIDENCE: Three people who use the service said they can talk to the staff if they have concerns or complaints. The two members of staff spoken to were confident in their knowledge to deal with complaints and allegations or suspicions of adult abuse. They explained that they would follow the home’s procedures and report to the registered person or relevant authorities any allegations or incidents of abuse. The staff have attended training on the protection of vulnerable adults from abuse. The home has policies and procedures on complaints and adult protection. From discussions with the responsible person it was evident that the registered person is yet to obtain a copy of the placing authority’s policy on the protection of vulnerable adults from abuse. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have benefited from the spacious, safe and well-maintained environment in which they live. EVIDENCE: This is a new home, which has been operating since March 2006. The building, furniture and fittings are all new. There are three floors, which can be accessed via a lift. Each person has a spacious bedroom with en suite facilities. The halls and the stairs are wide and bright with natural light. All the areas were clean, tidy and free from offensive odours on the day of the inspection. Three people spoken to said they liked their bedrooms. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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 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): 27, 28, 29, and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have benefited from staff team who are trained and are provided in adequate number. The recruitment practices are not dependable as evidenced by conflicting information obtained from a member of the care staff and the responsible person. EVIDENCE: The staff rotas for weeks beginning 17th and 24th July 2006 were assessed. These showed that there are three care staff on shift every morning and most afternoon. A waking night and an on-call member of staff cover the night shifts. The responsible person’s name was not on the rota but she said she works at the home between 9:00 am and 5:00 pm. The people who live at the home spoke positively about the staff. Two staff who were spoken to demonstrated their good knowledge and understanding of supporting people in a care home. However, discussions revealed that one carer did not have experience of working with people in a care home. The information obtained through the interview of one person was also in conflict with the contents of the discussions with the responsible person. This conflicting scenario was discussed with the responsible person who agreed to investigate and inform the inspector. The staff files and the records seen at the home have evidence of the training undertaken by the staff. It was clear from the staff files that they have attended training on adult protection, dementia, first aid, fire safety, and basic Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 16 food hygiene. All the nine staff files, which were inspected, contained two written references and evidence of CRB checks. The responsible person said vacant jobs are advertised through job centres and candidates are employed by completing job application forms and undergoing interviews. All new employees attend induction programmes. The staff sign a document called A-Z to confirm that they have completed all training areas identified in the induction package. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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, and 38 Employ manager; under take risk assessment to ensure that people are safe Quality assurance EVIDENCE: The home does not have a registered manager but is run by an assistant manager, who is acting up into the manager’s post. The assistant manager is supported by the area manager. The acting manager has completed NVQ (care) level 3 and is currently preparing to embark on further training to achieve NVQ (manager) level 4. The care staff spoken to said the area manager and the acting manager are approachable and supportive. The incident/accident books and service users’ files showed that there have been five incidents and 12 accidents since the home opened last March. Two of these were related to the missing of people from the home. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 18 The home does not manage people’s finances. Records and receipts are kept in respect of the personal allowances that come to the home. The registered person is currently looking into how to open individual bank accounts for managing service users’ personal allowances. Most of the equipment and the fittings are new. The portable electrical appliances were checked on 20/07/06 and all were certified, “pass”. The fire alarm certificate was dated on 22/06/06 and the gas boiler was newly fitted on 21/02/06. The officers from the London fire safety who visited the home on 08/09/05 were satisfied with their inspection. As part of a quality assurance system, the registered person has developed questionnaires for service users and relatives. The questionnaires are developed in a simple format. The responsible person said the questionnaires would be sent out to gather information from the people who use the service and from their relatives. The responsible person is aware that the other stakeholders also need to be consulted. Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 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 X 3 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 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X 3 X X 2 Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 20 N/A 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 OP15 Regulation 16(2)(h) (i) 16(2)(h) (i) Requirement The registered person must ensure that there are fresh fruit in adequate quantities in the home for service users. The registered person must ensure that the food provided at the home is fresh. All food items, which have gone past their expiry dates, must not be kept and used in the home. The registered person must obtain a copy of the placing authority’s adult protection policy and incorporate the contents in the home’s own policies and procedures. The registered person must verify the authenticity of the information, including references, provided by a care worker recently employed and take appropriate action. The registered person must inform the CSCI inspector regarding the verification and the actions taken. The registered person must ensure that the home is run by a registered manager. An DS0000065993.V303217.R01.S.doc Timescale for action 31/08/06 2 OP15 31/08/06 3 OP18 17; 19; 18; 22 30/09/06 4 OP29 19(1)(a) (c) 31/08/06 5 OP32 9(1)(2) 30/09/06 Roseview Residential Homes Version 5.2 Page 21 6 OP33 24(1)(a)( b)(3) 7 OP38 16(1)(2); 17; 23 application for registration must be submitted to the CSCI by the acting manager. The registered person must put 30/09/06 in place effective quality assurance and quality monitoring systems, which seek the views of service users, visitors and professionals. The outcome of the surveys must be published and made available to all parties including the CSCI. The registered person must 31/08/06 ensure that all matters raised in the environmental health officer’s (EHO) report are complied with. Written evidence of satisfactory compliance of EHO’s recommendations must be forwarded to the CSCI Inspector. The registered person must, by taking appropriate actions, ensure that service users do not go missing and are not exposed to risks. 15/08/06 8 OP38 12(3); 23(2) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Roseview Residential Homes DS0000065993.V303217.R01.S.doc Version 5.2 Page 23 - 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!