Inspection on 31/07/07 for Rosewood Care Home

This inspection was carried out on 31st July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosewood Care Home 19/07/06

Rosewood Care Home 11/10/05

Rosewood Care Home 19/04/05

Rosewood Care Home 07/12/04

Rosewood Care Home 14/09/04

Rosewood Care Home 30/01/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Rosewood Care Home 131a Swift Road Woolston Southampton Hampshire SO19 9ES Lead Inspector Annie Kentfield Unannounced Inspection 31st July 2007 11:45 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 Rosewood Care Home DS0000011616.V341447.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. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Care Home Address 131a Swift Road Woolston Southampton Hampshire SO19 9ES 023 8068 5224 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) Mycare Homes Ltd Mrs Nicole Ann Summers Care Home 20 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) and Dementia, over 65 years of age - (DE(E)) The maximum number of service users who can be accommodated is 20. 19th July 2006 2. Date of last inspection Brief Description of the Service: Rosewood is a care home for up to twenty older people and is situated in Swift Road, Woolston, almost a mile from the local shops and about the same distance from Weston Shore. Some single room accommodation for residents is provided on the ground floor that has shared WC facilities with additional new ground floor bedrooms with en-suite facilities. The home is currently undergoing major building development to increase the number of bedrooms and communal rooms; this means that the garden has temporary limited access for residents whilst the building work is in progress. The home is fully accessible with all rooms on the ground floor. Weekly fees are from £393.64 to £490.00 with additional and varying charges for hairdressing and chiropody. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is a summary of information received about Rosewood since the last inspection of 19 July 2006. An unannounced visit to the home was made on 31st July 2007, by one inspector who was in the home from 11.30am to 5pm. At the time of the visit the registered manager was on holiday but staff contacted the deputy manager who was able to come into the home to provide assistance and access to some of the home’s records. The visit included discussion with some of the residents in the privacy of their rooms and in the communal areas, discussion with two visitors, some of the staff, and the deputy manager. Prior to the visit, the manager had completed and returned the Annual Quality Assurance Assessment. This document provides additional information about the home and clearly demonstrated that the new registered manager is aware of areas where the home provides a good service and those areas that need improvement. Since the last inspection the Commission has not received any complaints or concerns about Rosewood. Comments from residents, staff and visitors demonstrate that residents are happy in the home, residents feel “well looked after” and there are opportunities for residents to express their views and make comments on any changes they would like to see in the way of activities, meals and menus. What the service does well: What has improved since the last inspection? Improvement has been made in the following areas: • A manager has been appointed and has been registered with the Commission since February 2007 • Care staff have undertaken training in dementia awareness/dementia care • New medication trolley to store residents’ medicines • New bedrooms with en-suite facilities • New dining room • Staff recruitment procedures have improved • An activities programme has been produced for residents Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 6 What they could do better: Whilst there are very positive outcomes for the residents there are some areas of practice in the home that must be addressed as regulatory requirements: The home must develop written guidance (protocols) for residents’ medicines that are given ‘as and when required’ (PRN). This was a requirement from the previous inspection. Individual protocols for each PRN medicine will ensure that residents receive their medication according to the instructions of the person who prescribes it. Written protocols give clear guidance for staff on how and when PRN medicines should be given and keep a written record that can be checked periodically. The medicine trolley must be securely fixed to a wall when not in use. This will ensure that the medication storage is safe and secure. As good practice, the home should refer to the document already in the home that is produced by the Royal Pharmaceutical Society, Great Britain, and should inform medication policy and procedure in the home. New care staff must complete a programme of induction into the basic practice and principles of care within the first six weeks of appointment. All care staff must receive training in all aspects of safe working practice, within the first six months of appointment where practicable. A comprehensive programme of staff training and development will provide evidence that staff are confident and skilled and aware of safe working practice for the benefit of both residents and staff. The quality assurance process should regularly monitor how well the home is meeting the National Minimum Care Standards and monitor compliance with the Care Homes Regulations 2001, and other relevant legislation the home is required to comply with. It is recommended that as the home has increased in size and plans to increase further – that the home appoints dedicated chefs and catering staff. This will make sure that the home is able to provide a consistent and good quality of food and menus for the residents by people who are appropriately trained and qualified in catering and nutrition. It is also recommended that the home has dedicated cleaning staff. It is recommended that the home develop the opportunities for residents to go out to places of their choice on a regular basis. This is particularly important as residents are temporarily unable to access the grounds of the home during the building work, and residents are unable to go out of the home without support from care staff. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 7 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. Rosewood Care Home DS0000011616.V341447.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 Rosewood Care Home DS0000011616.V341447.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): 3 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home makes sure that the care needs of the people who live at Rosewood will be met by following a process of assessment of care need and encouraging prospective residents and their family or friends to visit the home before deciding to move in. Rosewood does not offer dedicated facilities for rehabilitation or short term intermediate care. EVIDENCE: A person who had recently moved into Rosewood said they had chosen the home on the recommendation of friends and liked it when they came to look round. This person had been able to choose the room they moved into as the home has recently been extended and there were new rooms available. The resident is very happy with their room and facilities provided. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 10 During the visit to the home another visitor arrived to look around and arrangements were made for the prospective resident to be assessed, to make sure that the home would be able to meet their care needs. The information supplied by the manager in the Annual Quality Assurance Assessment said that the home also requests relevant information from care managers or others involved in the care of prospective residents. This is to make sure that all relevant information about a resident is obtained by the home. The manager also confirmed that residents and their families are encouraged to visit and stay for a day to get to know the home and the other residents. Rosewood Care Home DS0000011616.V341447.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 and 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system of care planning that demonstrates how residents’ health and social care needs are identified and met and this includes access to healthcare services in the community when needed. Medicines prescribed for residents are dispensed appropriately, however, the medicine storage trolley must be securely fixed to make sure that the storage of medicines is safe and secure. EVIDENCE: Discussion with some of the residents demonstrated that care staff are aware of individual residents’ health care needs and residents said they were happy with the way that care is provided. The home has a comprehensive record keeping system for individual care plans and these are updated daily by the care staff providing a written record of how residents’ health care needs are met. Wherever possible care plans are discussed and agreed with residents and the deputy manager said “we try to involve families in the care to make sure that the home environment is familiar and homely for those residents who Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 12 have dementia”. Care staff are aware of the need for privacy and confidentiality and care records are locked in a cabinet, but still accessible for staff providing the care. Since the last inspection the home has purchased a medicine storage trolley. This is kept locked, however, to make sure that the medicine storage is safe and secure; the trolley must be secured or attached to a fixed object. The home has a copy of the guidance on the ‘safe administration of medicines’, produced by the Royal Pharmaceutical Society, and this guidance should be used by the home as good practice. The previous inspection required the home to develop individual records for medicines that are given ‘as and when required’ (PRN). The Royal Pharmaceutical Society guidance states that individual protocols should be written for all PRN medicine. The home still needs to develop these. This will ensure that all medicines prescribed for residents are dispensed according to the instructions of the prescriber and appropriately recorded in the medication administration records. The deputy manager confirmed that an update of training in the safe administration of medicines is planned for those staff that dispense medicines to residents. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 13 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 and 15 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally, care staff are sensitive to residents’ individual needs, preferences and choices for social activities. The home needs to have a dedicated chef to ensure that residents receive a consistently high standard of meals and menu choices. EVIDENCE: There is a planned list of daily activities on offer for residents and during the visit a small group of residents were taking part in a craft group with a dedicated outside facilitator. Residents are encouraged to attend the regular resident meetings and offer their views on what they would like to do and give feedback on the menus and meals. Some of the residents go out with family or friends and sometimes go out individually with care staff. However, some of the residents indicated that they would like to have the opportunity to go out on organised outings or individually to go to the shops, library or places of their choice. Birthdays and other special occasions are celebrated in the home and it was noted that residents’ individual wishes are respected with regard to making birthday’s communal or private occasions. At the moment residents are limited in how much of the garden they can use because of the building work to extend the home. There is a very small area where residents can sit Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 14 outside but until the building programme is completed and the garden landscaped, residents are not able to easily access the area outside of the building. Care staff are keen to support residents in promoting independence as much as possible. This was evident where one resident is able to make hot drinks in their room and the home have provided appropriate facilities having assessed and agreed that the resident is safe to do this. Discussion with some of the residents and visitors in the home during the visit confirmed that visitors are always made welcome by staff in the home. Residents are able to meet with visitors in the privacy of their own room if they wish to. There is a daily menu with two choices for the main lunchtime meal and a comprehensive choice of a cooked or cold teatime meal. Residents spoken to were generally satisfied with the quality of food provided but felt that the standard of the meals provided varied according to which member of staff was cooking, one resident said that sometimes the vegetables are “overcooked”. At the last inspection the home said there were plans to appoint a dedicated chef and these plans are still being developed. At present, meals are cooked by any one of the care staff on duty. Four of the care staff have current food and hygiene training. It is evident that residents would benefit from the home having an experienced and qualified chef who has the expertise and training to provide a consistently high quality menu, that meets residents’ individual preferences. Residents are able to take their meals in an attractive and well appointed, spacious dining room. The current building programme plans to build new kitchen facilities, as the existing kitchen is domestic in size. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 15 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 and 18 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in the home for protecting residents from the possible risk of harm or abuse are satisfactory. EVIDENCE: Discussion with the deputy manager and care staff demonstrated that the protection of residents from the risk of harm or abuse is considered at all times and staff are aware of the procedures to follow if they have any concerns about the safety and welfare of any of the residents. There have been no reported complaints or concerns about the home since the last inspection. The home has staff recruitment procedures that carry out checks on new staff before they start working in the home. This ensures that residents are protected. There is also a system of risk assessment and management of risk included in residents’ individual care plans to make sure that residents are safe in the home. Some of the staff have already undertaken dedicated training about ‘safeguarding adults’ and it is planned for this training to be ongoing and updated. The deputy manager explained that safeguarding awareness is discussed in staff meetings and during individual staff supervision as it recognised that some of the residents are unable to communicate verbally due to their dementia or physical disability and could not make a formal complaint if they had any concerns. The deputy manager is aware that some of the residents may need to have access to independent advocacy services to make Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 16 sure that their rights and interests are supported. The home would make a referral for advocacy support when appropriate, usually via a Social Services care manager. Rosewood Care Home DS0000011616.V341447.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 and 26 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Rosewood is generally accessible and well maintained and provides a clean, pleasant and comfortable home environment for the residents. However, the home is currently undergoing the second phase of major development and although committed to minimising the effect of this on the residents, the building work temporarily limits residents’ ability to access the garden and outside area of the home. EVIDENCE: Rosewood offers pleasant accommodation and communal space for residents that are all arranged on ground floor level. The current building programme is planned in several phases with the first phase completed. This has provided 8 additional bedrooms with en-suite facilities, a new bathroom, and a new dining room. The next phases of the building programme will offer additional bedrooms and bathrooms and new kitchen and communal facilities for the residents including a dedicated hairdressing room. The 8 new rooms are now Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 18 registered and residents have already moved in. Residents spoken to expressed their satisfaction with the new rooms. Since the last inspection, communal toilets and bathrooms have been fitted with hand washing facilities (liquid soap and disposable towels) that meet good practice guidance for the control of infection and reduce the risk of cross infection, however, the new bathrooms and toilets still need to have hand washing facilities fitted. The home provides level access for all residents and there is sufficient space for residents who use aids and equipment to assist their mobility such as zimmer frames and wheelchairs. The sitting room and dining room are light and airy and decorated and furnished to a good standard with consideration given to making the home environment attractive and ‘homely’ for the residents. Discussion with care staff confirmed that the home has satisfactory procedures in place to ensure that the practice in the home is safe, hygienic and minimises the risk of cross infection. A high percentage of care staff have also received training in good practice in infection control. At present, care staff, in addition to their care duties, undertake all of the cleaning and laundry tasks. The Annual Quality Assurance Assessment provided by the registered manager confirmed that the home plans to employ dedicated cleaning and laundry staff. During the unannounced visit to the home it was noted that all areas of the home were clean and tidy and there were no unpleasant odours. However, as the home continues to expand, there is a need for dedicated housekeeping staff to ensure that the home continues to provide a clean and pleasant environment for residents and that the home is not reliant on the care staff to do this. The manager of the home has communicated information about the ongoing building work via the residents meetings and it was evident that the work is being carried out with due regard for the safety of the residents. The areas under construction are fenced off with safety notices evident. However, although the home is endeavouring to minimise the disruption and inconvenience to the residents, the building work does mean that residents are unable to safely access the grounds and gardens until the building work is completed and the grounds are landscaped and made safe. Rosewood Care Home DS0000011616.V341447.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 and 30 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Generally, there are sufficient numbers of care staff to meet the needs of the residents. The staff training and development programme needs to be efficiently organised to meet the challenge of the increase in the numbers of staff as the home becomes larger. Attention must be given to ensuring that new care staff follow an agreed programme of induction to care. EVIDENCE: Since the last inspection the home has increased the number of residents living in the home from twelve to twenty and staff numbers have also increased. At the time of the visit to the home there were 18 residents and usually there are 4 care staff on duty during the morning, 3 care staff in the afternoons and two staff who are on wakeful duty at night, with the registered manager in addition during the daytime. However, the report has already highlighted that as the home grows in size, there is a need for a dedicated chef and cleaners to ensure that the service provided by the home is consistently of a high standard. There is evidence of a staff-training programme and this was confirmed in discussion with some of the care staff that were able to list all of the training they had completed since working in the home. Staff were confident that the company has “a positive approach to training” and there is recognition of the importance of having a staff team who are confident and skilled to meet the needs of the residents. However, records show that some of the newest care Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 20 staff that have worked in the home for more than six months have not yet completed their ‘induction’ and have not completed all of the basic and necessary training in all aspects of safe working practice. Although the home has acquired induction programmes that meet a set of nationally agreed care standards, these have yet to be completed by new care staff. Now that the first phase of the building programme has been completed and the home has a new registered manager; there is a need to address the staff training programme and make sure that the needs of the residents are met by staff who routinely follow a planned programme of induction and ongoing training and development. This will demonstrate the home’s commitment to providing good quality care that meets the home’s stated purpose and values. An organised training programme will also demonstrate that staff are aware of how to work safely with the residents and must include training in safe moving and handling, food hygiene, infection control, fire safety, health and safety and safeguarding adults. Induction training for care staff should be completed within the first 6 weeks of appointment and basic or foundation training should be completed within the first six months of appointment. Care staff say they feel supported and have the opportunity for individual supervision and appraisal, there are also regular staff meetings. Communication within the staff team is good and there is a system for making sure that all staff are aware of changes in care needs of the residents when they start a new shift. The home has a procedure for recruiting new staff that carries out checks on new staff and includes requesting two satisfactory written references. This protects the residents in the home. Generally the recruitment procedures are satisfactory although it is recommended that the application form for new staff should collect information on a full work history and that when references are supplied with an application, these should be verified. Records confirm that new staff only start working in the home when satisfactory criminal record checks have been received. Rosewood Care Home DS0000011616.V341447.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 and 38 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home had been without a registered manager for two years but a manager has now been appointed and is registered with the Commission. The manager is improving and developing systems that monitor the practice in the home and compliance with Care Homes Regulations and other relevant legislation, however, more work is needed in this area. EVIDENCE: The home has a manager and deputy manager who are both experienced and qualified and they are committed to updating their professional qualifications and training. Both the manager and deputy manager plan to enrol to achieve the National Vocational Qualification in Care – level 4 from September 2007. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 22 Comments from residents, staff and visitors demonstrated that the management approach of the home is friendly, caring and flexible. The manager has identified areas for improvement in the Annual Quality Assurance Assessment and needs to develop a plan of how improvements will be made. The home needs to develop their quality assurance systems that are already operating in part through care plan reviews, residents meetings and the use of satisfaction questionnaires. More effective ways of monitoring practice in the home need to be developed to ensure that the home is meeting their regulatory requirements and also provide evidence of how well the service is meeting the needs of the residents. Work is needed to ensure that the staff training and development programme is organised and efficient and this will demonstrate the home’s commitment to safe working practice for the safety and welfare of residents and staff. Information supplied by the manager in the Annual Quality Assurance Assessment confirms that the home is meeting some of it’s legal requirements with regard to health and safety, however, the home has not supplied evidence of an up to date electrical inspection certificate (as recommended at the previous inspection) and has not provided evidence of regular servicing or maintenance checks on the emergency call system. Records in the home demonstrate that the fire safety log is up to date and the home has current public liability insurance. The previous inspection required the home to consult with the fire safety officer regarding doors in the home being held open only with approved mechanisms, however, during the visit to the home, the deputy manager was unable to find records that confirm this requirement has been met. Where gaps in the home’s records have been identified, the manager must ensure that action is taken to improve the home’s systems for recording and demonstrate that the home is meeting all of the health and safety legal requirements. Previous inspections have stated the policy of the home is that the manager and staff do not manage residents’ finances – residents do this independently or with family or formal support. The deputy manager confirmed that this is still the case. Rosewood Care Home DS0000011616.V341447.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 To produce protocols for the administration of PRN medication. (This is a repeat requirement and the previous timescale of 18/08/06 has not been met) The medication trolley must be securely fixed to a wall when not in use. New care staff must receive training in food hygiene, infection control, health and safety, fire safety, safe moving and handling, to ensure the safety and welfare of residents and staff. Timescale for action 14/09/07 2. OP9 13 14/09/07 3. OP30 18 30/09/07 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 Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 25 1. OP9 ‘The administration and control of medicines in care homes and children’s’ services’ document, 2003, produced by the Royal Pharmaceutical Society Great Britain. The home has a copy of this document and it should be used to inform the policy and practice for the home to safely dispense medicines for residents. Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI Rosewood Care Home DS0000011616.V341447.R01.S.doc Version 5.2 Page 27 - 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!