Inspection on 25/05/06 for Rosewood

This inspection was carried out on 25th May 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Rosewood 02/02/06

Rosewood 16/08/05

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 Mrs Janet Marshall Unannounced Inspection 2nd May 2006 09:00 Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 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 Rosewood DS0000005392.V290760.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 Adults 18-65. 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. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Address 30 Norwood Avenue Southport Merseyside PR9 7EG 01704 509582 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) Speciality Care (Rest Homes) Limited Mr John David Little Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 14 LD Age range of service users is limited to 16 to 25 years Service type is limited to personal care 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. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2nd February 2006 5. Date of last inspection Brief Description of the Service: Rosewood provides accommodation and personal care for up to 12 young persons aged 16 - 25 years. A private company, Craegmoor Healthcare, owns the home and manages the service. The registered manager is John Little. 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. The home provides a service for 32 weeks a year during term time. The homes fees for a 32-week period start at £36,000 per person. Respite care is also provided outside of term time. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection was unannounced and took place over one day for a total of 6 hours. The Commission considers 22 standards for Care Homes for Adults (18-65) as Key Standards, which have to be inspected at least once in a 12-month period. All Key standards, which are identified within the main body of the report, were inspected during this inspection. During the site visit the requirements and recommendations from the last inspection report were discussed and checked with the Officer in Charge. All but one of them has been met. The requirement that has not been met has been raised again as part of this report and is identified in bold in the section, which sets out the action, 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. That section also includes a number of other statutory requirements identified during this inspection visit. A partial tour of the home was conducted. Care records and other required records were inspected. Records that were examined included a selection of students care plans, daily diaries, medical notes, medication and records, staff rotas and certificates of health and safety checks. 5 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 at the home and how that person’s needs are being met. A pre - inspection questionnaire, which was sent out to the home was not returned to the Commission prior to the inspection. The officer in charge, 3 staff and 5 students were interviewed during the site visit. General one to one and group discussion also took place with a number of other students and staff. Surveys from the Commission for Social Care and Inspection titled ‘Have your say about…’ were given out to 6 students they were all completed and returned. Comments made during interviews, results of surveys, observations made and records examined during the visit have been used towards measuring standards for the purpose of this report. What the service does well: There was a warm and friendly atmosphere at the home. The service is good at supporting and encouraging students to be actively involved in the routines of the home so promoting their independence. The service ensures that student’s health and personal care needs are met sensitively and in a way that individuals prefer. Students are encouraged to make choices and decisions and take responsible risks as part of an independent Lifestyle. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 6 The service is good at supporting students to be part of the community so promoting integration. The service supports students to maintain family links and friendships inside and outside the home. Students are provided with accessible information to enable them to make a complaint or raise a concern. Staff at the home showed that they have a good knowledge and understanding of the students needs. Staff were observed interacting positively with students and responding to them politely. What has improved since the last inspection? 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 DS0000005392.V290760.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 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 the following standard(s): 2 The quality in this outcome area is good. The judgement has been made using available evidence including a site visit. Prospective and existing students needs are fully assessed to ensure that the home can meet their needs. EVIDENCE: A selection of students care files that were viewed included assessment information. The actual initial assessments were not available at the home the officer in charge said that they are kept at the college. Care plans for 5 students who were cased tracked included current information, which showed that needs are regularly assessed and are being met. Students spoken with said that they were happy that there needs were being met at the home. A member of staff who was interviewed said that she thinks the home is meeting the needs of all the students who live there. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 & 9 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Students make choices and decisions and take responsible risks as part of an independent Lifestyle. EVIDENCE: Each student has a care plan which were kept in a cupboard in the office, which was kept locked when not occupied. Five students were case tracked. This process involved discussion with the students and examination of their records including care plans, risk assessments and daily records. Case tracking showed that student’s needs are being met in accordance to their plans of care. Care plans included a good level of information about all aspects of the students life i.e. education, likes and dislikes, behaviour, communication and routines with regard to health and personal care. Care plans and other care records viewed showed that they have been recently reviewed and updated. There was evidence that students were involved in the development and reviewing of their care plans. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 10 Students spoken with knew where their records were kept and said that they have access to them if they wish. During discussion a students said, “ I know about my care plan and were it is kept”. Target sheets are kept for each individual. They recorded student’s progress in identified areas, which included living skills, communication skills, community presence and behaviour. Records showed that these documents are regularly monitored and evaluated each term. Each student also has an individual learning plan, which focus on particular areas of learning for example, promoting independence and behaviour. Records showed that this information is regularly reviewed and updated. The officer in charger explained that target sheets and learning plans are developed with the involvement of the students, the college and staff at the home, usually the student’s key worker. Staff were seen interacting well with students. They offered choices and appropriately supported decisions that students made. Information about student’s ability and assistance required to make decisions was recorded in their care plans. Students who have communication difficulties are provided with the appropriate assistance and support that they need. Information was available in picture format and large clear print. Support programmes were in place for a number of students who are currently receiving speech and language therapy. The officer in charge explained that staff both at home and at college work in partnership to ensure that support for students is consistent. The officer in charge said that regular meetings involving students are now taking place. This was supported by records and during discussion with students and staff. Some students manage their own personal money, senior staff manage the personal money for a number of other students. Records of this are kept at the home. The records and money for two students was checked they were in good order. Individual daily records are kept for each student. Five of which were these were examined showed that they were up to date. Care plans that were examined included risk assessments. These showed that students are supported to take responsible risks in their every life as part as an independent lifestyle. Risk assessments viewed were detailed and evidenced that they have been reviewed and updated regularly. Students who were case tracked made the following comments, which supported that they make decisions and take risks in accordance to their individual plans of care: Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 11 “I “I “I “I “I choose what to do” make choices and decisions about what to do each day” choose what to wear” decide what I want to eat” know about my care plan and were it is kept” Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 15, 16 & 17 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Students are encouraged and supported to maintain appropriate and fulfilling lifestyles inside and outside of the home. EVIDENCE: Students attend College during the week. Records showed that students have a structured timetable. Case tracking showed that timetables have been developed in accordance to the students assessed needs wishes and preferences. During discussion a number of students, two, who were case tracked, spoke about and confirmed their weekly timetables. Students are involved in the following activities: IT, sports, cooking, independent living skills and leisure. During discussion a number of students said that they were happy with activities at home and at college. One student had college timetable in a pictorial format, which was displayed in her bedroom. The student described the contents and said “I really enjoy my programme at college”. On the day of the site visit a student who was unable to attend college was supported at home by staff on a one to one basis, the staff encouraged and Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 13 supported the student in variety of activities such as cooking, general household tasks and art. Care plans that were viewed included a good level of information about students preferred activities. Daily records showed that they are appropriately encouraged and supported to take part in the activities that they prefer. Discussion with a number of students also confirmed this. Students confirmed that they make use of services, facilities and activities in the local community, For example shops, cinema, pubs and leisure centres. Discussion with students and examination of records showed that staff support them to maintain family links and relationships both at home and in the community. Students confirmed that they keep in contact with family members either by telephone or by letter. Students said that they have special friendships with other students both in and outside the home. One student said, “I have friends at home and visit my friends outside of the home”. Students were seen being encouraged and supported to take part in daily routines at the home. They were seen preparing the evening meal, laying tables for the meal, laundering clothes, vacuuming and cleaning bathrooms and toilets. Staff were seen supporting students with these tasks. Student’s bedrooms were fitted with locks, during the visit a number of students were seen using keys to their bedrooms. None of the students have a key to the front door. Some students were seen sitting alone relaxing whilst others were interacting as part of a group. Staff were seen talking, laughing and sitting with students throughout the visit. The home consists of several communal lounges and sitting areas, which were all being occupied, by students and staff at various times during the visit. Students have access to all parts of the home other than each other’s bedrooms unless invited. For safety reasons some students need to be accompanied by staff in the kitchen, laundry and bathrooms. This information is recorded in the individual’s plans of care. The officer in charge said that regular meeting involving students take place. This was confirmed during discussion with a number of students who said that they enjoy taking part in discussions and putting forward ideas. Records of the meetings were viewed. At the time of the visit staff were seen involving students in the preparation of their evening meal. The dining room was bright and cheery and the tables were attractively set. A group of students were seen laying the dining tables before their meal. Mealtime was observed. Students were offered a choice of main meal and a dessert. Meals were well presented and generous in portion. All students spoken with said that they enjoyed the meal. Staff sat and ate with students at teatime. The mealtime was seen as an enjoyable social experience for Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 14 students who interacted with each other and staff throughout. Menus for the week were clearly displayed on the kitchen door. Food stores that were examined were well stocked with fresh, frozen and dried goods. Information about healthily eating was displayed in the dining area. Students spoken with said that they are always offered a choice of food. The following comments made by students supported that they are encouraged and supported to live fulfilling lifestyles: “I help with cleaning the home and cooking our meals” “I go to the shops for own things as well as things for the home” “We go on coach trips” “I sometimes go to the cinema, watch TV and listen to music” “I go out a lot, to shops, sports centre and for pub lunches” “I like going to college” “The food is good” Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 18, 19 & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The health and personal care needs of students are met and safeguarded by procedures carried out at the home. EVIDENCE: Care plans included information about student’s routines regarding managing and supporting their personal and health care needs. The level of support and guidance regarding personal care is clearly set out in individual plans of care. Records showed that students are offered and supported to attend general health care checks. During interview a student said that, “If I am not well staff are very good”. Students said that staff respect their dignity and privacy for example they knock before entering their bedrooms and speak to them in a polite and sensitive way, this was observed throughout the visit. One student said, “I choose what to wear each day”. Other students said that they could get up and go to bed when they choose. None of the students self medicate. Medication is administered and recorded by staff that are trained in this area. During discussion one student said, “I always get my medication on time” Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 16 The blister pack system was being used at the home. Medication and records were stored in a lockable cupboard in the office. A selection of medication and records were examined, they were in good order. A policy on the handling storing and recording of medication was viewed at the home. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 22 & 23 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The home has appropriate procedures in place for responding to concerns and complaints and for ensuring that students are safe from abuse or neglect. EVIDENCE: There have been no complaints made about the service since the last inspection. A complaints procedure was available at the home A pictorial version was available and was both were on display in the home and in the service user guide. A number of students spoken with said they knew what to do if they were worried or upset. They all said they would talk to staff, talk to their parents or discuss it at a students meeting. Students made the following comments “If I was unhappy I would talk to staff” “I know who to speak to if I’m unhappy” “Yes I know how to make a complaint” A requirement was raised as part of the last inspection report because student meetings were not being held at the required intervals limiting their opportunity to be consulted, express concerns and make group decisions. Discussion with the officer in charge and with students confirmed that they are now taking place regularly. Students said that they would raise issues of worry and concerns at the meetings. The complaints record was examined and showed there were no complaints made in the home since the last inspection. The Commission for Social Care Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 18 and Inspection has received no complaints regarding the service since the last inspection. Staff said that they have received Protection of Vulnerable Adults training although there were no records of this. During discussion staff showed a good awareness of what to do if they suspected abuse was taking place or if it was reported to them. A Protection of Vulnerable Adults procedure was available at the home. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 19 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 the following standard(s): 24, 28 & 30 The quality outcome in this area is adequate. This judgement has been made using available evidence including a site visit. Parts of the environment need improving to enhance the comfort and dignity of the students. EVIDENCE: A requirement was raised as part of the last inspection report for improvements to be made to the environment this was because parts of the home showed signs of wear and tear. Policies and procedures relating to the environment were available at the home. A partial tour of the home took place. The home was comfortable and generally well maintained. Carpets in the hall way and main corridors were worn and stained in parts. The curtains one of the TV lounges was hanging off the track so need repairing. A number of student’s bedrooms were viewed. One resident’s bedroom floor was badly damaged in parts and needs replacing. This was discussed with the officer in charge who said that the student who occupies the room caused the damage and that plans have been made to replace it. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 20 Another student’s bedroom had a large hole in the ceiling, which needs repairing. Other student’s bedrooms that were viewed were furnished and decorated to a good standard. Bedrooms that were viewed had TVs, music centres, pictures and photos belonging to students. During discussion a student said “I am very happy with my room, I chose the colours and furniture” Skirting boards, radiator covers, windows and general woodwork and windows around the home were dirty and very dusty in parts. Some doors on the kitchen cupboards were in poor state of repair. At least two of them were ill fitted. The inside of the kitchen cupboards were examined, most of them were heavily stained from spillages. The general standard of cleanliness in the main kitchen and other communal parts of the home was less than satisfactory letting the overall appearance of the house down. Students are encouraged to help with cleaning tasks although it was felt by the officer in charge and the staff spoken with that students are unable to take full responsibility of the cleaning of the home. It was the general opinion of most people that the home requires domestic staff so that a satisfactory standard of hygiene and cleanliness can be maintained at the home. The back garden was viewed. It was not maintained to a good standard. Grass and borders were overgrown. A brick outhouse that is located in the back garden near to the house was in a poor state of repair, it had loose bricks and is currently out of use because it is dangerous. The building must be restored or demolished. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 21 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. Students are supported by an effective staff team. EVIDENCE: The staff rota was examined for the last 4 weeks. The rota showed that staff are no longer working excessive hours. This was also supported during discussion with the officer in charge and members of the staff team The officer in charge said that new staff have been appointed to the home since the last inspection. Two members of staff said that they are no longer required to work as many additional hours because of the recruitment of new staff. One member of staff said, “I occasionally work over my contracted hours”. The recruitment policy & procedure were examined and found to be satisfactory. Staff files were not examined during this site visit. During interview two members of staff described the process that they followed before starting work at the home. They said that they were interviewed, police checked and provided details of suitable references. Members of staff also said that they were involved in an induction programme during their first part of their employment. Staff training records, of courses attended and planned training were not examined during this site visit. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 22 During interview two staff confirmed that they have undertaken training that is required of them. Students made the following comments about staff: “The staff are very nice and helpful” “Staff are fun and helpful” “All the staff are respectful” “Staff are good, they help me when I ask” “The staff are kind and polite” “Staff are good at their jobs” “There is always a lot of staff here to help” Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 23 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The quality outcome in this area is good. This judgement has been made using available evidence including a site visit. The management of the home has improved to the benefit of the students. EVIDENCE: The manager was not on duty on the day of the site visit. The inspection was conducted with the officer in charge. The officer in charge was seen managing in an open and positive way she interacted well with both students and staff. She was seen responding to situations in a sensitive and polite manner. Students and staff made positive comments about the management team in the home for example: “I like the manager, he listens to things I say” “Those in charge are great, they talk to us all the time” “I think the home is run well” Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 24 The officer in charge said that students meetings are now taking place at regular intervals this was supported by records seen and during discussions with students and staff who said that students are now given more opportunity through the meetings to put forward their views about the running of the home. Students & families fill out satisfaction questionnaires annually. The results of a selection of these were seen. There was evidence that serious incidents are being reported to the Commission for Social Care and Inspection. The accident book was viewed which supported this. Policies relating to the health and safety of students and staff were available at the home. Records showed that testing of equipment and systems are carried out at the required intervals. Including Fire alarms and equipment and gas and electricity. Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 2 29 X 30 1 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 26 Yes 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. 2. 3. 4. Standard YA24 YA28 YA28 YA30 Regulation 23(2)(b) 23(2)(b) 23(2)(b) 23(2)(d) Requirement The floor in a student’s bedroom must be replaced. The ceiling in a students bedroom must be repaired The kitchen cupboards must be repaired. The inside of kitchen cupboards and other parts of the kitchen must be cleaned to a high standard. Communal areas of the home must be cleaned to a high standard. The back garden must be maintained to a good standard. The outbuilding in the back garden must be made safe or demolished. Staff training schedules, planned & attended must be available in the home for inspection. Staff files including recruitment records must be kept at the home. Timescale for action 25/07/06 25/07/06 25/07/06 25/06/06 5. 6. 7. 8. YA30 YA28 YA28 YA35 23(2)(d) 23(2)(b) 23(2)(b) 18(1) 25/08/06 25/07/06 25/08/06 25/07/06 9. YA34 18(1) 25/07/06 Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 27 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 Rosewood DS0000005392.V290760.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House 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 DS0000005392.V290760.R01.S.doc Version 5.2 Page 29 - 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!