Inspection on 09/01/06 for Roshni

This inspection was carried out on 9th January 2006.

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

Roshni 26/02/09

Roshni 12/07/06

Roshni 02/12/04

Roshni 29/04/04

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

CARE HOMES FOR OLDER PEOPLE Roshni 19 Reigate Road Worthing West Sussex BN11 5NF Lead Inspector Mrs H Church Unannounced Inspection 9th January 2006 10:00 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 Roshni DS0000014693.V275693.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. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Roshni Address 19 Reigate Road Worthing West Sussex BN11 5NF 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) 01903 505793 Mrs Naimabi Oderuth Mrs Naimabi Oderuth Care Home 16 Category(ies) of Dementia - over 65 years of age (16) registration, with number of places Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Roshni is a privately owned care establishment providing personal care to 16 residents with dementia in the category of Older Persons. Roshni is a detached three-storey Victorian establishment in Goring, Worthing and is situated approximately a mile from the centre of Worthing with all its amenities and a mile from the sea front. Local shops and public transport is within walking distance. Accommodation is provided in 10 single rooms and three double rooms. Two of the single rooms have en-suite facilities. The rooms are arranged on two floors with a lift giving access to all rooms. A lounge and lounge/diner provide the communal space. Mrs Oderuth is the registered provider and manager responsible for the day-to-day management of establishment. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to observe the activities of the residents in the daytime. The manager was present and the inspector observed that most of the residents were seated in the lounge, either watching television, chatting or talking to visitors. To prepare for this inspection, previous reports and letters were examined. The Statement of Purpose and Service Users Guide form a contract of service and how changes can be made to improve their lives there. These documents were most informative. During the inspection, fifteen residents were being cared for. All residents were spoken with in the lounge and four of these residents’ records examined to see if the care needed matched the care provided. Although residents are confused, they clearly enjoyed their life at Roshni and were enthusiastic at being there. One resident “To anyone in my position, I would recommend it”. One visitor said, “It’s a place I wouldn’t mind coming to myself”. It was clear that residents are encouraged to say what they like or don’t like about the home. The residents were cheerful and dressed in clean appropriate clothing and it were clearly relaxed and happy there. The staff were unanimous in their support of the proprietor/manager and her leadership skills. The care plans showed that the appropriate amount of support is provided. There were no requirements or recommendations made at this inspection. What the service does well: Roshni provides good information about the home in their Statement of Purpose and Service Users Guide. Staff are clearly committed to providing a home by listening to residents comments and providing very individual care in a secure environment. Staff treat residents with respect and dignity and ensure that they are fully informed about their personal or collective activities planned for that day. Residents and their families are encouraged to make suggestions or propose any changes they feel would improve their home or individual lives. Roshni DS0000014693.V275693.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. Roshni DS0000014693.V275693.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 Roshni DS0000014693.V275693.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): 1-5 All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The proprietor/manager has provided the Statement of Purpose and Service Users Guide for all their residents and representatives. Four care plans were examined and it was clear residents had been pre-assessed to ensure the home would be able to meet their needs. Relevant risk assessments were in place and although they could be more explicit and take into account other aspects of risk, they did provide a good overview of the risk to each resident. Care plans were regularly updated and did meet individual need and inform staff accordingly. Roshni DS0000014693.V275693.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): 7-10 All residents had an individual care plan set out for staff to follow. No resident is self-medicating their own medication. Staff members are meeting the health care needs of the residents in a respectful manner. EVIDENCE: Four care plans gave good, clear information of care needed with risk assessments giving staff information about the risks and how to minimise these. Medication sheets were completed accurately and staff are referring to and following up any care directed by the primary health care team. Staff were observed speaking to and caring for the residents and treating them with respect. A number of the residents spoke in glowing terms about the home and these included “We all get on so well”, “Quite happy here” and staff are “kind”, “jolly” and “friendly”. One of the comments from a relative was “I have no worries about Mum being here, they treat them like family”. Roshni DS0000014693.V275693.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): 12,13,14,15. Activities are suited to the conditions and dependency levels of each of the current residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising. EVIDENCE: Activities are listed on the notice board in the main lounge and are based on abilities with staff assisting residents when necessary. They range from individual to group activities provided by staff, trips to local places of interest and formal activities from musical entertainers. One previous comment from a relative was “Mrs Oderuth provides a supportive and stimulating atmosphere”. There are currently fifteen residents living at Roshni but staff still spent individual time with them. According to the visitor, she is always made welcome and the visitor’s book showed that it is open visiting. The resident’s comments included praise for the home cooked food. These included “lovely”, “very good” and “delicious”. The inspector noted the high quality of the home-cooked lunch prepared from fresh ingredients. The menus are changed regularly and the care plans included residents preferences for dishes. Where residents prefer an alternative, this is provided. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 11 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): 16,17,18. Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Staff are trained in adult protection procedures so are equipped to protect residents from abuse. EVIDENCE: The home has a complaints procedure contained in the Statement of Purpose and Service Users Guide in each resident’s room. Residents appeared to be encouraged to voice their opinions and relatives know who to complain to, but there were no records of any complaints. The West Sussex Multi Agency guideline in protecting vulnerable adults was available. The proprietor has provided updated Adult Protection Procedures training although some training on this subject is included in the induction programme. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 12 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): 19 - 26. The indoor and outdoor areas used by residents are clean, safe and homely with good access to the rear garden. The resident’s rooms are suitable for their needs and are homely. EVIDENCE: The inspector observed that residents are encouraged to move around the home as they wish with access to the comfortably furnished dining room and lounges. The dining tables accommodate six residents to retain a family atmosphere. The rear garden has occasional garden furniture and been designed to assist residents to walk independently or use a wheelchair. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 13 There are enough toilets and assisted baths to meet the needs of residents with radiators and hot water guarded to prevent residents from scalds. The home was clean and hygienic. Resident’s rooms were homely and comfortably furnished with individual possessions. Some aspects of provision was discussed but this is being addressed during the redecoration and refurbishment planned. Training in fire safety procedures and fire risk assessments were in place. Roshni DS0000014693.V275693.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): 27,28,30. The duty rota indicated that sufficient care staff are on duty over the 24 hours period to meet needs and that recruitment processes are robust and ensure residents are protected. EVIDENCE: The inspector joined the staff and proprietor as they assisted residents during the morning and before and during lunch. The rota confirmed the arrangements for the home with the proprietor providing sleeping duties. The numbers and skill mix of staff was appropriate to meet their needs. Staff said they were happy working at the home and felt well supported by the manager. From the two records seen, recruitment records were consistent and staff received induction, supervision and training which meets the National Training Organisation workforce training targets. Care staff have information about the structure of working roles throughout the home. The number of care staff with National Vocational Qualifications level 2 exceeds the standards. Roshni DS0000014693.V275693.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): 31,32,33,36,38. The proprietor/manager is Mrs Naimabi Oderuth who owns the property. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. EVIDENCE: Both Mrs Oderuth and her daughter, who is the deputy manager, are undertaking the Registered Managers Award. Mrs Oderuth has many years of experience in managing the home and is actively involved in the care of residents on a daily basis. The resident’s needs are well met and their health, safety and welfare promoted and protected. The care staff praised Mrs Oderuth’s leadership style that supports them to carry out their roles and provides a good clear sense of direction that puts residents at the centre of all activities. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 16 The survey provided by residents and their relatives provides good information about the home and its presentation is excellent, exceeding the standard. Recruitment and induction records confirmed that the resident’s best interests were safeguarded. Supervision has lapsed during the new paperwork being revamped although the inspector observed that the new procedures do clarify the process for staff. A recommendation was made for this to be recommenced. All rooms meet the National Minimum Standards in useable space giving residents sufficient space for personal possessions or any necessary equipment to support their care needs and move around their rooms safely. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 17 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 3 3 2 3 3 Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 18 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. 1 Refer to Standard OP36 Good Practice Recommendations The registered person must provide supervision for staff according to the standard. Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Roshni DS0000014693.V275693.R01.S.doc Version 5.1 Page 20 - 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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