Random inspection report
Care homes for adults (18-65 years)
Name: Address: Roslin 1 The Chesters Low Fell Gateshead Tyne & Wear NE9 5PB one star adequate service 06/04/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Elaine Malloy Date: 2 8 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Roslin 1 The Chesters Low Fell Gateshead Tyne & Wear NE9 5PB 01914873191 01914873191 ntawnt.roslin@nhs.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Northumberland, Tyne & Wear NHS Trust care home 5 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability mental disorder, excluding learning disability or dementia physical disability Conditions of registration: 5 2 1 The maximum number of service users who can be accommodated is 5 The registered peson may provide the following categories of service only: To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD, maximum number of places 5 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 2 Physical Disability - Code PD, maximum number of places 1 Date of last inspection 0 6 0 4 2 0 0 9 Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home Roslin is a detached house in a quiet area of Low Fell in Gateshead. It is close to local amenities including a shopping area, GP surgeries and local public transport. The local college is within walking distance of the home. Roslin provides personal care for five people with a learning disability. Nursing care is not provided. There are four bedrooms on the first floor and one on the ground floor that is suitable for people with physical disabilities. The home comprises a large entrance hall, a sitting room, conservatory and a combined kitchen/breakfast room. Assisted bathing facilities are also provided. There are gardens to all sides of the house. Roslin has its own transport. Charges range from 400 to 500 pounds and an extra charge is made for personal toiletries. Copies of the homes inspection reports are available on request from the office. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This inspection was carried out to check how the home has complied with the requirements of a warning letter the Commission sent to the provider on 3rd June 2009. This was about improvements needed to the environment and staff training. The provider sent us a plan to show how the improvements would be actioned. Requirements and recommendations made following the previous inspection of 6th April 2009 were also checked to see if they had been addressed. An inspector visited the home unannounced on 28th July 2009, and spent time with the manager and a locality manager, looked around the home and examined relevant records. People living at the home and other staff were out at the time of the inspection. We found that the service has either complied, or is in the process of complying with the majority of the improvements that needed to be made. What the care home does well:
Each person living at the home is having their needs reassessed by care managers with a view to services being transferred to other care providers in the near future. Staff are updating all care records including assessments of needs and risks, and support plans. Photographs and pictures are being used to aid peoples communication. An assessment tool is being introduced to identify individual nutritional needs. Advice has been sought from a dietitian and a speech and language therapist. Menus are being discussed each week with people living at the home and more detailed records are kept of the meals provided. New health action plans are being completed for each person. Staff are now using appropriate documentation to assess and manage risks associated with epilepsy, and they have had training on epilepsy and sudden death. The medication system has been improved. Records are properly signed to verify medication has been given. New staff have their competency to give medication assessed, and existing staff complete questionnaires every three months to check their understanding of procedures. The provider has also agreed that a pharmacist will do an annual audit of the homes medication policy, procedures and practices. There is a stable staff team and the manager is applying to the Commission to become registered. A support worker post has been advertised and the vacancy is being covered by regular bank workers. All staff have had training on safeguarding vulnerable adults in recent months. Training on the Mental Capacity Act and mental health and depression has been arranged and staff are also updating safe working practices training. A suitable recording format is being used for individual staff supervision. Significant progress has been made with the upgrade of the home. External ramps are
Care Homes for Adults (18-65 years) Page 4 of 9 now in place to improve access for a person who uses a wheelchair. The living room, hallway and staircase, and three bedrooms are redecorated. The other two bedrooms were being painted. Bedroom furnishings are being replaced and repaired, and each person now has a small safe to keep cash/personal items. All areas are getting new carpets, blinds and curtains. The kitchen and bathroom were in the process of being refurbished. People living at the home are being kept safe while the work is going on. They are spending more time outside the home on activities and outings and are having most meals out. More staffing hours are available to accommodate these extra activities. People are also receiving support from staff to keep their bedrooms clean. The system for monitoring and improving the quality of the service includes satisfaction surveys so people can give their views and influence the service they receive. Fire safety checks and tests are now being carried out at the correct times, and hot water temperatures are checked weekly. The manager is completing the Department of Health Essential Steps to Safe, Clean Care assessment to make sure all necessary infection control measures are identified and put in place. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 17 Ensure that: Each staff 01/06/2009 members file contains a recent photograph; Staffs identities have been verified and there is documentary evidence of this in their personnel records; Two written references are obtained for each member of staff. This will help to ensure that only suitable staff are employed at the service. 2 39 26 The provider must ensure that it carries out monthly unannounced monitoring visits. This will help to provide the Trust with an overview of how well the service is operating. 01/06/2009 Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 6 All staff should receive training in preparing and implementing Person Centred Plans. Outstanding Recommendation. The medication storage cupboard should be relocated. Staff should be provided with appropriate access to hand washing facilities when administering medication. Outstanding Recommendation. All radiators should be guarded to protect people at risk of falling and injuring themselves. Outstanding Recommendation. All staff should be provided with training on Equality and Diversity. Outstanding Recommendation. The homes rotas should include the full names of staff. Outstanding Recommendation. The quality assurance system should provide an overview of how well the home is meeting the National Minimum Standards and complying with the Care Homes Regulations. Outstanding Recommendation.
Page 7 of 9 2 20 3 30 4 32 5 6 33 39 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 7 42 The homes workplace and COSHH risk assessments should be reviewed and updated every 12 months. Emergency evacuation plans should be prepared for people living at the home. Outstanding Recommendation Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
