Inspection on 31/08/05 for Rosewood House

This inspection was carried out on 31st August 2005.

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 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 House 24/08/06

Rosewood House 27/02/06

Rosewood House 06/02/05

Rosewood House 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Rosewood House 55 Westbury Road Westbury On Trym Bristol BS9 3AS Lead Inspector Helen Taylor Unannounced 31 August 2005 09:30 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 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 House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rosewood House Address 55 Westbury Road Westbury-On-Trym Bristol BS9 3AS 0117 9622331 0117 9691973 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) Ablecare Homes Miss Rebecca Kingston Care Home Only 17 Category(ies) of OP Old age, for 17 registration, with number of places Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 17 persons aged 65 years and over, requiring personal care. Date of last inspection 6 February 2005 Unannounced Brief Description of the Service: Rosewood residential care home is registered with the Commission for Social Care Inspection to provide accommodation and personal care for 17 service users aged 65 years and above. The home is located in a residential suburb within the city limits and is arranged over three floors. The property has been adapted to meet the needs of the residents with a chair lift providing access to rooms on the upper floor and level access to the well kept garden. Accomodation is offered in single rooms with some rooms having patio doors leading to the rear garden. Although registered for 17 persons, the home accomodates only 16 persons. There are no shared rooms in the home. The home is one of a group of four homes owned and operated by Ablecare Homes, the business is owned and operated by the Willcox family. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted over 11 hours. The purpose of the visit was to review the progress to the requirements and recommendations from the previous inspection and monitor the quality of the care provided to the individuals living at Rosewood House. There have been no additional visits during this period. The home has been keeping the Commission for Social Care Inspection informed of incidents that affect the wellbeing of the individuals living at Rosewood House and the provider has sent monthly appraisals of the service. The inspector had an opportunity to meet with many of the residents, the staff team, visitors and the manager. The inspector had an opportunity to tour the building and view a number of records including plans of care, staff records and records relating to the safety of the home. The inspector would like to take this opportunity to thank the staff and the residents for their warm welcome and assistance in the inspection process. What the service does well: What has improved since the last inspection? The appointment of a new permanent manager, who has successfully completed the registered manager process, means the residents can be confident that there is a stable management structure and staff are appropriately supervised and supported in the delivery of care. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 6 Regular fire drills being held have improved the health and safety of the individuals who live and work in the home. The residents have benefited from the installation of a new chair lift, and new furniture provided in one of the individual rooms. The garden area has been improved with the addition of new garden furniture. 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 House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4,5. Information is available to prospective residents and their representatives to enable an informed choice about moving into the home. EVIDENCE: Copies of the statement of purpose and the service user guide were available to residents, relatives and staff. The documentation complied with the requirements and the recommendations of the National Minimum Standards. One resident confirmed she had read the information and had found it very useful. In addition to the documentation there was information available on the funding arrangements for individuals living in the home and a contract of care. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 9 The home completes an assessment of need for each individual prior to the individual moving to the home and this informs the plan of care. Social Worker assessments were also used in the admission process. The admission procedure encourages trial visits to the home, and part of the assessment process is undertaken during the first months stay. A review of individual needs is then undertaken prior to the placement being made permanent. There is no restriction on visitors to the home and the Inspector observed visitors moving confidently around the building. Visitors were seen in the communal space, individual rooms and in the garden area. Positive interactions between visitors and staff were noted during the inspection process. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10. The home provides a good standard of care based on the residents needs, however the changing needs of the residents was not reflected in the detail of the care file information. EVIDENCE: Each resident has in place a care plan, mobility assessment, and risk assessments to ensure all needs are met and risks are minimised. A review of the information held provided evidence that care was being delivered which met the needs of the residents. Information contained in daily observation records, handovers to staff, risk assessments and directions to staff indicated that the staff team and the manager were aware of the needs of the residents, and able to identify any changes required in the provision of care. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 11 This was not reflected in the plan of care, and in some instances mobility assessments did not reflect deterioration in residents well being. The manager has only recently taken over full responsibility in the home, and is presently developing the role of the senior staff member, and management systems in her new role as the registered manager. The manager was aware that in some cases the care plans had not been updated, however the care provided reflected the changing needs of the residents. This is an area that requires further development, and each resident must have in place a care plan, and associated assessments that reflect their changing needs. The residents were very happy with the care being provided and conveyed to the Inspector a sense of confidence that their needs are being met. Information in the daily observation records and staff handover sheets indicated that health care needs are attended to promptly and staff members record any concerns. Observation of staff interactions with the residents were positive and the residents appeared confident to approach staff and make their views known. The storage and administration of medication was not reviewed on this occasion, however the manager sought advice in relation to the administration of medication. The Inspector suggested a visit from the Pharmacy Inspector might be useful to enable appropriate advice in relation to the medication systems in the home. The manager agreed, and this has been actioned by the Inspector. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15. Those living at the home are encouraged to participate in activities and events organised by the home, however changes in the daily functioning of the home, would encourage more choice and independence. EVIDENCE: The home has various activities that residents can attend, these include board games, bingo and exercise sessions. Garden parties and trips to local venues are organised in conjunction with three other homes owned and operated by the organisation, this provides an opportunity for residents to meet new people. Family members are encouraged to attend events held in the home. The residents confirmed a musician comes to the home regularly and they enjoy the music. On arrival at the home it was noted the dining tables were set up for lunch, some two hours before lunchtime. The Inspector discussed with the manager how this might inhibit residents from using this area other than at meal times. The manager took immediate action and the following day the tables were not set for lunch but contained puzzles and games to indicate to the residents they were available for use. This created a less formal atmosphere. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 13 The Inspector had the opportunity to have lunch with the residents, and the meal consisted of three courses and was well presented and very tasty. Serving dishes are used to present the vegetables on each table and a member of staff then serves the residents. This practice does not encourage independence, and many of the residents were able to serve themselves. This was discussed with the manager and some staff members. The manager explained this practice was in place when she took over the running of the home, and although she is aware that some residents are able to serve themselves, it was her opinion that too many changes all at once would cause distress. There had been two changes of manager recently and a settling in period was needed. The manager had intentions of consulting with the residents prior to making any further changes in the running of the home. This was in line with good practice. The Inspector recommended a review of day-today practices in the home to enable the promotion of choice and independence. The manager stated that one or two residents had asked to be involved in general tasks around the home, and sought advice in relation to this. The Inspector advised residents would have a greater sense of belonging if involved in the day to day functioning of the home, and the manager should risk assess each situation to minimise any risks to the health and welfare of the individual. Staff members spoken with demonstrated a good understanding of the residents needs, and felt that if some residents who were able served themselves, it would allow more time for staff to offer support to those residents who required it. The Inspector discussed the serving of food with three residents, who explained although they were able they would not wish to take over the duties of the staff and put them out of a job. The residents confirmed they were able to serve themselves, and were aware that some individuals might not be able. The Inspector had the opportunity to speak with the cook who confirmed successful completion of the NVQ level 3 in Care. The cook confirmed that special diets are catered for, and the likes or dislikes of the residents in relation to meals prepared are considered as part of her role. This was noted during the lunch where different meals were prepared for those who did not like the meal on the menu. One resident said she was a diabetic and the cook ensures she is able to have the puddings prepared. A review of the records held in relation to food preparation provided evidence that all were up to date and in order. The kitchen was clean and well organised. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18. The complaints process in the home is good and there was evidence that the residents views are listened to and acted upon. The risk of residents suffering any form of abuse or neglect is appropriately minimised. EVIDENCE: The statement of purpose and resident guide both contain the complaints procedure, which is comprehensive and easy to read. A review of the complaints record held in the home indicated that all complaints are taken seriously and appropriate responses are taken to resolve any issues that arise. The complaints record showed the timescales, actions, responses and involvement of family members. There was also a summary of any complaints raised. A review of the staff meeting minutes noted that a verbal complaint had been made, however this was not recorded in the complaints record. The manager was able to explain that the compliant was of an anonymous nature and sensitive. A separate record was held. The inspector advised a note of this should be held in the summary of complaints; it is not necessary to record the complainants name if that is their wish. The records indicated that complaints were taken seriously, and a sensitive, caring approach was used when trying to resolve them. The Inspector recommended that compliments to the home be held to provide a balanced view of the services provided. One compliment was seen on the notice board in the reception area. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 15 The organisation has in place a training and development programme for all staff, and this incorporates attendance on abuse awareness training provided by the Local Authority. One staff member confirmed a greater understanding of protection issues after attendance on the training, and another staff member confirmed a date for her to attend abuse training had been arranged. The staff members spoken with during the inspection process were enthusiastic, and were able to demonstrate a good understanding of their roles and responsibilities within the home. The Inspector had the opportunity to speak with residents individually in the privacy of their own rooms, and also in a group in the communal areas. Comments from the residents such as I have no problems I would tell the staff yes I know how to complain indicated the residents felt confident their views would be listened to. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26. A warm, homely environment has been created, and the quality of the furniture and fittings is good with aids and adaptations in place to meet the needs of the individuals accommodated. Arrangements are in place to ensure that areas of the home are well maintained; however this could be improved. EVIDENCE: The location and layout of the home is suitable for its stated purpose. The main building is set out over three floors, and recently a new chair lift has been installed providing access to all rooms. An extension to the rear of the property houses individual rooms on ground level with patio doors to access the garden. There is adequate toilet and bathing facilities, and en-suite facilities in many of the individual rooms. The residents spoken with were very happy with the accommodation provided, and there was lots of evidence of residents bringing personal possessions to the home. The individual rooms were well furnished and homely. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 17 The organisation has in place an ongoing maintenance programme, and reports received by the CSCI of monthly provider visits indicate continual renewal of the fabric and fittings in the home. It was noted that new furniture has been provided in one of the bedrooms. Generally the home is a pleasing environment, and the residents are comfortable with the facilities. During the environmental tour the Inspector discussed the following concerns with the manager: • A toilet seat was unsafe. There was evidence that this had been repaired recently, however replacement or repair is now required to ensure safety when it is in use. • One room had an odour. Strategies need to be implemented to remove the odour. • An alarm call with a short cord in an area of a room out of reach of the resident during waking hours if a fall occurred. This needs to be reviewed. • Two hanging baskets obstructing the door way and seating in the rear garden. The issues raised should not detract from the high standard of facilities provided at Rosewood House, and the Inspector is aware that the organisation take every care to ensure all facilities are safe and suitable to meet the needs of the individuals accommodated. Staff should be reminded when working around the home to be vigilant and report any environmental concerns or odours as they occur. The rooms to the rear of the property have patio doors providing access to the courtyard garden. Information reviewed indicated that on two occasions when a fall had occurred in one of these rooms, the staff had difficulty entering the room by the internal door, and were unable to open the patio doors. Clearly there are security issues, however the organisation should review the locking system on the patio doors if it provides greater protection and safety for the residents. Although the rooms provide access to the garden, the Inspector noted there was a step from the patio door to the garden. There are no handrails to enable frailer residents to negotiate this step, or ramps to enable level access for those who may use a walking frame. The organisation should review the access in relation to these doors. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30. A robust recruitment procedure and opportunities for training and development ensure residents receive support from competent, appropriately supervised staff. EVIDENCE: The organisation operate a robust recruitment procedure and a review of the staffing information held revealed the following documents obtained in respect of all staff prior to appointment: • Application forms and job descriptions • CRB and POVA 1st checks • Evidence of identity • Appropriate references A personnel file is in place for each staff member that also contains evidence of induction and training development. The induction programme is comprehensive and was devised to be delivered during the initial twelve weeks of employment. In conjunction with this programme attendance on external training for Manual handling, First Aid, Protection of Vulnerable Adults, and other courses focussing on specific areas of practice is planned. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 19 A review of induction training records for the two most recent employees indicated that the induction programme was not being delivered, as it should be. The induction records had been signed by the manager but not by the trainee, and each section of the record contained the same date. The manager explained she had discussed the contents of the programme with each new employee and mentoring in relation to day-to-day tasks was part of the induction. The Inspector had the opportunity to speak with one of the newly appointed staff members, who explained she had taken the induction manual home to review the contents in more detail. This indicated a high level of commitment from this staff member to understanding her role within the home and fulfilling the responsibilities of the post. The staffing levels at the home are adequate, and it was noted the manager is included in the numbers of care staff. One day per week is allocated to the manager to carry out administrative duties, including supervision of staff. A review of the time allocated to support new staff members through the induction process would ensure staff are fully conversant with the contents of the programme. The Inspector had the opportunity to discuss this issue with the provider who agreed a review of the process was needed. Through observation and discussion with residents and staff it was evident that a high standard of sensitive care was being provided. The staff spoken with were enthusiastic, and able to demonstrate a good understanding of the residents needs. One staff member was able to explain clear strategies for promoting residents choices and encouraging independence. The staff members confirmed progression on the NVQ programme, and confidence in the new manager with appropriate support and supervision being provided. Training certificates and supervision records were seen in sampled files. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,36,37,38. The home is well managed ensuring the residents best interests are promoted and protected by a well-supported staff team, within an environment that on the whole is a safe one, however this could be improved with care records being up dated, and fire safety records identifying which staff members need to attend a fire drill. EVIDENCE: The manager is Miss Rebecca Kingston who has recently successfully completed the registered manager process conducted by the Commission for Social Care Inspection. The manager has also completed the Registered Manager Award and was able to demonstrate throughout the inspection process her competence in the management of the home. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 21 Although the manager has only recently taken over, the residents told the Inspector they felt confident to approach her in relation to any issues they may have. Interactions observed between the manager and residents were positive and friendly. Staff members also confirmed good relationships with the manager. A review of minutes from staff and residents meetings indicated that residents best interests and views were listened to and action taken. Staffing records reviewed provided evidence that supervision had taken place on a regular basis. An in-depth discussion about the implementation of the supervision sessions and delegation of part of this task to senior staff members took place. The Inspector advised that the manager can delegate tasks to staff members she has assessed have the capability to carry out the task. Monitoring the implementation of the task would still be the responsibility of the manager. Senior staff should be provided with support and guidance to deliver the supervision. Advising staff about the delegation of areas of responsibility at staff meetings would generate discussion and promote feedback from the staff group. Those staff members spoken with confirmed a high level of support from the manager both formally through supervision, and informally on a day-to-day basis. A requirement from the previous inspection to ensure that fire drills are carried out in the home has been complied with, however a review of the records indicated that not all staff members had attended the fire drills held. The home must ensure that all staff attend fire drills at suitable intervals in line with guidelines from the local fire authority in relation to fire safety in care homes. Fire safety records should identify when staff members need to attend a fire drill in line with these guidelines. The records held in relation to fire safety training indicated that all staff had attended fire training and included the staff names, instruction given and introduction to the policies and procedures. Records reviewed provided evidence that all fire safety equipment was checked on a regular basis. Policies and procedures are in place to ensure the residents health; welfare and safety are promoted throughout the home. Staff members sign to acknowledge understanding of the policies and procedures during the induction process. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 2 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x 3 3 2 Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 23 NO 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 7 Regulation 15 Timescale for action A care plan and risk assessments 30th must be in place for each November resident, which are reviewed 2005 regularly and reflect changing needs. Action to improve the 30th environmental issues as noted in November this report should be taken. 2005 Take action to ensure the home 30th is odour free. November 2005 Review the implementation of 30th the Induction training November programme. 2005 Fire safety procedures to be 30th reviewed to ensure all staff November attend a fire drill at suitable 2005 intervals. Requirement 2. 3. 4. 5. 23 26 30 38 23.2a 16.2k 18.1c 23.4e 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 14 Good Practice Recommendations Day to day practices in the home should be reviewed with a view to promoting choice and independence for the residents. D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 24 Rosewood House 2. 3. 16 20 Compliments to the home should be held alongside complaints to provide a balanced view of the services provided. A review of the locking sysytem on the patio doors to allow staff to enter in the event of an emergency, and review the accessibitiy from those doors to the garden. Rosewood House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 25 Commission for Social Care Inspection 300 Aztec West Almondsbury Bristol BS32 4RG 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 House D56_D05_S26515_RosewoodHse_V246416_310805_Stage4.doc Version 1.40 Page 26 - 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. 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