Inspection on 16/08/05 for Rosewood

This inspection was carried out on 16th August 2005.

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

Rosewood 25/05/06

Rosewood 02/02/06

Rosewood 03/03/05

Rosewood 26/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Rosewood 30 Norwood Avenue Southport Merseyside PR9 7EG Lead Inspector Orla Murphy Unannounced 16 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosewood Address 30 Norwood Avenue Southport Merseyside PR9 7EG 01704 509582 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Speciality Care (Rest Homes) Ltd Mr Colin Richard Jolley PC - Care Homes Only 14 Category(ies) of LD - Learning disability 14 registration, with number of places Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 14 LD. 2. Age range of service users is limited to 16 to 25 years. 3. Service type is limited to personal care. 4. The registered providers, Specialty Care (Rest Homes) Ltd do not rent, sublet or otherwise use or permit the use of the registered accommodation other than to service users or members of staff employed to work at Rosewood. Date of last inspection 3rd March 2005 Brief Description of the Service: Rosewood provides accommodation and personal care for up to 12 young persons aged 16 – 25 years.A private company, Speciality Care Ltd, owns the home and manages the service. The current acting manager is John Little, who has worked for the company for a number of years. The registered Manager left in 2002.The home is located on a residential Avenue, relatively close to Southport town centre and local shopping / transport facilities.Southport train station is approximately 10 minutes journey by car.The home comprises of two, three storey properties, which are linked internally. Service users accommodation is located on the upper floors. A lift is available but not used.Ample parking is available in front of the property and there is a large garden to the rear.Transport links to Lancashire & Liverpool are good. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the first in the home’s required visits, which are 2 inspection visits per year. 2 students and two staff were spoken to at the inspection. Two students were “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more students to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, medication sheets, meeting minutes, menus, timetables, staff rotas and significant events) were examined. The bedroom of the student(s) case tracked and communal areas were also examined. What the service does well: What has improved since the last inspection? Staffing is more stable and consistent and there are fewer staff vacancies. User-friendly documents are more available such as picture explanations of rules and policies. Students are more involved with student meetings held regularly. Staff communication appears to be better and records are filled in more often. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 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. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 4. The Service carries out detailed and skilled assessments of students, which identifies their needs, and develops good plans to meet those assessed needs. Students get to spend a week at college and in a home before they move permanently to see if it will meet their needs. EVIDENCE: The assessments of the students’ case tracked were examined in detail. One of the students case tracked explained his ideas about the areas he needed help in. These were the similar in part as those written in his assessment but he was reluctant to discuss all of the needs identified. Staff spoken to knew a lot about both students and their strengths and needs. The other student case tracked was not present in the home but records & discussions reflected they were responding well and developing skills within their current care plan. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 9. The service supports students through their Individual Programme plans to develop skills and strengths in areas they need support in. The service supports students to learn educational, vocational and life skills. Risks are identified & assessed and plans are in place to address students vulnerability in relation to these. EVIDENCE: The Individual Programme plans for the student’s case tracked recorded a plan for all staff and the student to follow in the areas of education (Studies/vocational training), cooking, personal care, behaviour management, socialising, travel, assertiveness, and communicating. The student case tracked discussed his curriculum and his plans for the future. He knew that he had a file in the home & that staff wrote about his achievements, but didn’t specifically link it to the term “care plan”. However, he had a good understanding of the role of staff & his needs. Reviews of the plan were up to date and satisfactory. The student case tracked had detailed risk assessments on file & these were appropriate, covering areas the student needed extra supervision and support in. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13 & 15 The service enables students to be involved in every day experiences and opportunities. The service supports students in learning and developing toward independence at their level. Family support and contact is encouraged. EVIDENCE: The student case tracked had a weekly timetable that covered both College and home activities. This was examined and showed he has A wide range of experiences and learning opportunities such as Computers, life skills, drama, catering, horticulture, basic skills, Communication and personal care. These sessions were recorded and were Cross referenced with plans for sessions and evaluations for their personal Targets. All these documents were seen and were up to date. The student case tracked said “ I visit my family in the holidays but I like going to college”. Records seen showed that family contact is encouraged and supported by staff through telephone calls & visits. The other student case tracked has lots of calls from family and these were recorded in daily records and the feedback given to her about these. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18. The service supports students to be as independent and safe as possible, whilst realising support and supervision is needed to help them support Themselves. EVIDENCE: The student case tracked said staff remind him and support him with health & personal care. This was supported within his individual plan, recording that he needs prompts and encouragement to carry out his own personal care. He said he’d tell staff if he was ill. Daily records seen were detailed in monitoring mood and well being of those case tracked. Doctor/Health appointments/visits were recorded in their files. Discreet references to personal care given were in the daily records and were the same as those written in their assessments. Staff spoken to were very aware of the support needed by the students discussed. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23. The service enables staff to protect students from harm by providing clear training and guidance for staff, but must monitor this area to ensure recent historical issues like lack of staff checks and excessive working hours do not place students at risk. EVIDENCE: All staff has now attended POVA (Protection Of Vulnerable Adults) training. These records were seen and were satisfactory. There has been no staff referred to the register as “unsuitable” to work with vulnerable adults since the last inspection. Until recently, the service had a real problem with a high turnover of staff and inadequate staff checks upon employment. This area has improved but it is a weak spot for the service and it must be monitored regularly. Pictorial policies are displayed in the communal hall for students; telling them, in pictures, how to talk about bullying, abuse, being scared and how to complain. The student case tracked said he didn’t like bullies & would tell staff if he was upset or scared. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24. The home is generally in reasonable condition though some renewals and redecoration are needed due to wear & tear. EVIDENCE: Areas discussed were showing signs of wear & tear & some rooms & several areas of woodwork require redecoration. Some carpets are stained/worn. Those that can be professionally cleaned to an acceptable standard should be, but if no improvement, must be replaced. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 There are adequate numbers of staff on duty to meet student’s needs. EVIDENCE: The staff rota (for a 4 week period) was examined and this showed there were 3-7 staff on each shift when students were present; dependent on student numbers as many were visiting home during the summer. There were 4 students accommodated on the day of the inspection and here were 3 staff on duty including the Manager. Staff were observed allocating themselves work to do when on shift, supporting individual students. A student case tracked said he liked his key-worker. This helps staff to support students to meet their curriculum properly. No staff were recorded to be working excessively long hours, which had happened previously, and this area has improved. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 & 42. The management of the home has been unstable and operating outside of the Care Homes Regulations 2001. Staff working hours have been excessive previously. EVIDENCE: The current Registered Manager left the company in 2002. There have been 3 Acting Managers since then, none of which has undergone the fit person process to become registered with CSCI. Though the acting managers have succeeded in managing the home, they were not legally accountable for the service, students or their actions until registered. The current acting manager is undergoing the fit person process with CSCI. All fire, electrical and gas checks were seen and were up to date and satisfactory. The Manager must ensure staff continue to not work excessive hours, ensuring the safety and well being of the students. Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 3 x 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosewood Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 2 x F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 17 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 24 Regulation 24 Timescale for action Woodwork & rooms identified 1st must be redecorated and carpets November cleaned proffessionally & if not of 2005. a good standard, replaced. The current Manager must 1st continue with fit person process. November 2005. Staff working hours & patterns 25th must continue to be monitored. September 2005. Requirement 2. 3. 37 42 8 18 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 Good Practice Recommendations Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Burlington House, 2nd Floor, South Wing Crosby Road North Liverpool L22 0LG 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 Rosewood F53 F03 Rosewood S5392 V248257 16.08.05 Stage 4.doc Version 1.40 Page 19 - 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!