CARE HOMES FOR OLDER PEOPLE
Rosewood Lodge 45-47 Valentines Road Ilford Essex IG1 4RZ Lead Inspector
Ms Harina Morzeria Unannounced Inspection 23rd February 2006 02:00 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 Lodge DS0000025923.V284346.R01.S.doc Version 5.1 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 Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Rosewood Lodge Address 45-47 Valentines Road Ilford Essex IG1 4RZ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8554 4343 Mr Kulwant Singh Mann Ms Permjit Mann Care Home 19 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 Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. To include two named people under 65 years 19 beds to be used flexibly between both categories. Date of last inspection 2nd August 2005 Brief Description of the Service: Rosewood Lodge is a care home providing personal care and accommodation for 19 older people. It was first registered in 1995. The home is situated in a residential area in the London Borough of Redbridge, overlooking a park. It is in within easy reach of the town centre and other local facilities, such as small shops, pubs, a post office and other amenities. All bedrooms are situated on the ground and first floors, which are served by a lift and stairs. There are three lounges and a separate dining area downstairs plus a garden, for the service users enjoyment. All the bedrooms occupied by service users are single and four have en-suite facilities. Various in-house activities are provided, such as exercise class, art and craft, animal shows, floor basket ball, bingo and outings, including cinema trips, pub lunches, walks in the park, theatre trips, shopping and weekly visits to church. The service users are able to have their meals flexibly, or in their rooms if they are unwell. A hairdresser visits the home weekly, as well as a reflexologist and a manicurist. Staff showed a caring and sensitive attitude towards the service users, which was confirmed by the service users spoken to on the day of the inspection. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second statutory inspection visit in the inspection programme for 2005/06. Over the course of the two visits, all core standards have now been assessed. During the inspection, the inspector spoke to a large number of residents, who were seated around in the lounges after lunch. The inspector also spoke to one newly recruited staff member and a senior person and observed a handover. A variety of records, including care plans for 3 new service users as well as staff files were looked at. What the service does well:
Residents feel at home and relaxed at Rosewood Lodge because the staff pay close attention to meeting their needs. Residents said that they enjoy living at Rosewood Lodge and were very happy with the quality of care they were getting. Daily records show how residents’ needs are being met. The residents said that they liked the food they were served everyday and they were consulted about the menus. They also said that they were informed about issues affecting the home through residents meetings and individual consultations. Residents said that they felt able to talk to the manager and the staff if they had any concerns or worries. All necessary health care services are accessed for the residents in order to meet their assessed and specialist needs. A weekly programme of activities is posted on the notice board and many residents were observed enjoying an art session in the afternoon, whilst others were pursing their own activities such as reading, knitting, reading or watching T.V. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 6 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 Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that when people move into the home, the manager works out what they want and need, so that the home is sure it can met these wishes and needs. This enables residents to be confident that Rosewood Lodge is an appropriate home for them. Residents and their representatives are invited to visit the home, so that they know the home they enter will have the knowledge to meet their needs. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that Residents benefit from the close attention paid by staff at Rosewood to meeting their health needs. The individual plans of care for each resident reflect the needs and wishes of the residents themselves. The medication policy and procedure is followed by staff and none of the residents are responsible for their own medication. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that social activities and meals are both well managed, creative and provide daily variation and interest for the residents living in the home. Rosewood Lodge is particularly good at being able to meet the cultural and religious needs of people from various ethnic backgrounds. Residents have nice, well-balanced meals in comfortable surrounding with their individual preferences catered for. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. The inspector spoke to several residents at the time of inspection. They confirmed that a variety of activities are arranged and they are free to choose if they wish to participate. At the time of inspection many residents were participating in an art session where as others were enjoying reading, watching TV, knitting or enjoying an afternoon nap. The atmosphere was quite relaxed and jovial.
Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 11 Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that the home works hard at sorting out problems before they become complaints and makes sure that residents and relatives feel confident that their complaints and concerns will be listened to and acted upon. Staff in the home confirmed that they have received training in Adult Protection/abuse awareness, to ensure a proper response for reporting any suspected or witnessed abuse. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. The inspector saw the complaints book and noted that the manager and staff deal with complaints as soon as they arise keeping residents/relatives etc informed of the outcome as soon as possible after investigation. On the day of inspection a review was taking place regarding one resident whose family had requested a review. This shows that residents’ and relatives wishes are complied with by the manager. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that the standard of the environment within the home is good, providing residents with a clean, attractive, safe and comfortable place in which to live. Specialist equipment is obtained for residents who require it. The home is clean, pleasant and hygienic. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not tested on this visit. However evidence from the last inspection was that residents benefit from a committed and experienced team of staff at the home, who have the skills and training to meet their needs. Residents are protected by the home’s recruitment policy and practices. Staffing levels are satisfactory and there are sufficient staff on duty to meet the individual assessed needs of the service users. EVIDENCE: The above standards were not specifically tested on this visit, as there were no outstanding requirements in relation to these standards. At the time of the last inspection, all of the outcome standards were assessed as met. At the time of inspection, the inspector spoke to one new member of staff who confirmed that she is receiving induction training, outlining the training areas covered. She also stated that she receives sufficient support from the manager as well as the staff team to enable her to carry out her duties effectively. The staff member confirmed that she has done training in essential areas such as health and safety and manual handling. The manager stated that the induction booklet is now being used in order to ensure that the member of staff under takes all the relevant training. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The registered person ensures that residents’ finances are handled appropriately and safeguarded. EVIDENCE: The inspector was informed that most of the residents finances are handled by their family members and the manager handles residents’ personal allowances. An examination of monies held in the residents’ personal tins was carried out randomly. The manager keeps a clear record of all monies received and expenditures providing receipts for all purchases. One of the tins did not accurately reflect the above, however this was rectified as an accounting error which was resolved during the inspection. The manager and staff work together to achieve high standards for the home. Feedback from residents was positive about the way in which the home is run. Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 16 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Rosewood Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 Lodge DS0000025923.V284346.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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