Inspection on 08/08/05 for Roslin

This inspection was carried out on 8th 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

Roslin 28/07/09

Roslin 06/04/09

Roslin 12/04/07

Roslin 14/02/06

Roslin 16/12/04

Roslin 24/06/04

Roslin 04/03/04

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

CARE HOME ADULTS 18-65 Roslin 1 The Chesters Low Fell Gateshead NE9 5PB Lead Inspector Eileen Hulse Unannounced 8 August 2005 2:30pm 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Roslin Address 1 The Chesters Low Fell Gateshead NE9 5PB 0191 487 3191 0191 487 3191 None Northgate & Prudhoe NHS Trust 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) Mrs Denise Simpson Care home only 5 Category(ies) of LD Learning disability (5) registration, with number MD Mental Disorder (2) of places PD Physical disability (1) Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16/12/04 Brief Description of the Service: Roslin can provide personal care for five people with a learning disability. The home cannot provide nursing care.Roslin is a detached house in a quiet area of Low Fell in Gateshead, close to local amenities including a shopping area, Doctors surgeries and local public transport. The local college is within walking distance of the home.The home provides 4 bedrooms on the first floor and 1 bedroom on the ground floor suitable for a service user unable to use the stairs. The home comprises of a large entrance hall, a sitting room, a conservatory and a combined kitchen/breakfast room.There are gardens to all sides of the house, which service users can reach easily. Facilities are suitable for those people who live there and the home has it’s own transport. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 8th August 2005 by one inspector (Eileen Hulse), it was un-announced and was carried out as part of the annual inspection programme. It took 5hrs 30mins to complete that included 1hr to prepare for the inspection. The focus of the inspection was to gain insight into the quality of life and services received by service users who live in the home. Time was spent chatting to service users, talking with the Assistant Home Leader and staff who were on duty, inspecting some records including care plans, risk assessments, medication, complaints and POVA policies and procedures and a tour was made of the house. What the service does well: What has improved since the last inspection? What they could do better: This home has little to improve upon as it offers a good standard of accommodation and good supporting networks are in place for service users to live ordinary and meaningful lives and to be able to make decisions about themselves. However, the window seals, the kitchen carpet and the kitchen décor need to be addressed. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 6 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. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Good assessments are in place for all service users that form the basis of their care plan. This ensures that all the care needs are met on a day-to-day basis. EVIDENCE: Prior to admission to the home, each service user has a comprehensive initial assessment carried out by a Care Manager that is based based on their personal needs. Further assessments are carried out on an annual basis or as their personal needs change. From the assessments in place, the care plans can then be formulated, this ensures that guidance for staff is recorded and enables the care needs of service users to be met. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 The plans of care for individual service users are impressive, comprehensive, detailed and give specific information about service users as individuals and help to support a good quality of care. Service users are able to take everyday risks and good risk assessments are in place to support this. EVIDENCE: Personal planning books are also used as part of the care planning process and stay in the service users bedrooms. They are written in a format that can be understood by service users, and at the time of the inspection, service users were familiar with their care plans and they were able to discuss aspects of their records with the inspector. The care plans cover a wide range of needs/wishes, goals to be achieved and descriptive guidance is given to staff on the action to be taken, which ensures that the needs of service users are adequately identified and met at all times. The care planning systems in place are reviewed at care worker meetings and during annual meetings where every aspect of the care plans are evaluated. Some service users in the home can go out independently and risk assessments were found to be in place to guide staff in this field. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 16 Service users have become part of the local community and regularly access a range of facilities within their local area that enable them to lead active and fulfilling lives. EVIDENCE: Care plans show that service users are involved in a range of activities. Two of the service users attend a day centre four days a week, another service user attends an ATC centre four days a week and one service user is employed two mornings a week in a care home. Service users were noted to spend their time freely in the home doing as they pleased. During the time of the inspection, some service users were observed to participate in household tasks such as cleaning their bedrooms and ironing their laundry, attending to their own personal care needs or watching the television. Service users appeared to be comfortable and relaxed and during discussions with the service users comments included: Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 11 • • • • ‘I go to visit my relative every week’ ‘I am looking forward to my holidays, I am going to Torquay’ ‘I do my own food shopping and cook my own meals’ ‘I have been to Newcastle Airport to see the Red Arrows and had my photo taken with the Flight Lieutenant’ All service users living in the home have life history files. These files clearly follow the pattern of their lifestyle, they are detailed with clear information and include photographs of family and friends and events that are of great importance to them. During the inspection, service users returning home from work and day centres all used their front door keys to gain entry into the home that evidenced the house is treat as their home. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 Service users receive consistent support from staff to ensure that all aspects of their individual personal and health care needs are met and their individual preferences are taken into account. Medication arrangements are appropriate for the needs of service users and are managed in a safe manner. EVIDENCE: It is evident in service users personal records that any general health advice or specialist treatment is sought and the outcomes recorded in their personal files. Well documented records show that some service users are currently in receipt of specialist medical intervention. The home has a policy to guide staff on procedures to be adhered to regarding the safe management of medication held within the home. A monitored dosage system is used and is overseen by the local pharmacist, an agreement with the pharmacy has been made for the pharmacist to carry out a drugs audit annually. All medicines were found to be correct and Medicine Administration Records are well maintained and up to date and medicines are stored safely and securely. No controlled drugs are held within the home. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a detailed complaints policy and procedure that is written in a format that can be understood by the service users. Robust procedures are also in place that ensure the service users are protected from abuse. EVIDENCE: The complaints procedure details how to make a complaint and the timescales for doing so. It also includes information should a complaint be referred to the Commission for Social Care Inspection. Service users are aware of the complaints procedure and know how to make a complaint should they wish to do so. No complaints have been made to the home in the last twelve months. The home has a file detailing the procedures to be followed should an incidence of abuse be suspected or take place in the home. All of the staff has now received POVA (protection of vulnerable adults) training provided by Gateshead Council and to date, there have been no incidents of abuse reported in the home. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 The home is comfortable and clean, however, decoration in the kitchen area is becoming worn and tired looking and needs replacing to ensure that service users are provided with comfortable surroundings in which to live. EVIDENCE: The wallpaper in the kitchen has areas where it is beginning to peel off the wall and needs to be replaced. The carpet in the kitchen is rucked and a tripping hazard and needs to be re-laid or replaced and two windows in the lounge need the seals replacing. The home is clean and has no unpleasant odours and the staff are currently undertaking infection control training. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 The Trust has a detailed recruitment and selection procedure that is followed when recruiting prospective staff for the home that ensures that service users are protected by a competent staff team. The home currently has 80 of the staff team with an NVQ qualification. EVIDENCE: Service users are involved with staff selection and are able to voice their opinions when prospective staff attends for interview. The Assistant Team Leader was able to explain to the inspector how the interview process takes place. The following information is requested, two references one must be a former employer, a criminal records bureau check is carried out, any gaps in the employment history are investigated and a medical questionnaire is completed. This information is acquired prior to the offer of employment being made to the prospective member of staff. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The home has a quality monitoring system in place that is able to assess that the home is achieving the aims as set out in the statement of purpose. Staff practices observed confirmed that staff promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Service users are very vocal and able to contribute effectively and freely in their monthly meetings and key worker meetings and the minutes taken at the meetings evidenced this. A questionnaire from the Trust is sent out to service users and their families on an annual basis and the information gained is collated and sent out as a report to the home for action to be taken. Service users and their families comments are recorded within the six monthly reviews and are acted upon. Fire inspection records are well maintained and up to date and service users have recently received fire training. A DVD has been implemented that instructs service users what to do in the case of a fire or if they discover a fire Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 17 in the home. A good evacuation plan is in place that is known by all service users and staff. Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Roslin Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 19 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. 2. 3. Standard 24 24 24 Regulation 23 23 23 Requirement Two lounge windows must have the seals replaced. The kitchen carpet must be relaid or replaced The kitchen must be redecorated Timescale for action 1 Nov 05 Immediatel y 1 Nov 05 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 Good Practice Recommendations Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Baltic House Port of Tyne, Tyne Dock South Shields NE34 9PT 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 Roslin B52-B02 S7405 Roslin V219710 240605 Stage 4.doc Version 1.30 Page 21 - 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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