Inspection on 27/02/07 for Rosna House Residential Home

This inspection was carried out on 27th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Rosna House Residential Home 27/02/09

Rosna House Residential Home 30/11/05

Rosna House Residential Home 18/06/05

Rosna House Residential Home 23/02/05

Rosna House Residential Home 30/09/04

Rosna House Residential Home 17/10/03

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

CARE HOME ADULTS 18-65 Rosna House Residential Home 339 Stone Road Stafford Staffordshire ST16 1LB Lead Inspector Mr Berwyn Babb Key Unannounced Inspection 27 February 2007 10:30 Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 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 Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 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 Adults 18-65. 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. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosna House Residential Home Address 339 Stone Road Stafford Staffordshire ST16 1LB 01785 245696 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) mickhuxley@btconnect.com Rosna House Limited Mr Michael John Huxley Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. MD - REGISTERED FOR 8 - 4 OF WHOM MAY BE OVER THE AGE OF 65 ON ADMISSION 30th November 2005 Date of last inspection Brief Description of the Service: Rosna is a large semi-detached Victorian house located approximately one mile from the town of Stafford. The town can be accessed via the local public transport route from outside the home. The gardens to the home were well maintained; the drive would display colourful baskets and flowers during the summer months. Accommodation for residents was located on two floors; the first floor can be accessed via the stairs. The home did not have a shaft or stair lift. Bedroom accommodation included one shared and six single bedrooms [3 being on the ground floor], no en-suite facilities were available; a lounge, dining room, and smoking area. Bathing and toilet facilities were located on both floors. Rosna provides accommodation and a home for up to eight people with mental health needs. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection was carried out on the morning of Tuesday the 27th of February 2007. Proprietor Mrs Huxley was on duty and the care manager Mr Michael Huxley later joined her, as did her husband. A tradesman was in the home at the time of the inspection in connection with costing improvements for the kitchen, and detailed plans were being submitted to take advantage of a local initiative being offered to care homes. Residents were going about their various daily activities, and one who has a job helping local charity shop returned home earlier than expected, as a leak in the roof there had necessitated the shop closing for urgent repairs. At lunchtime residents who were remaining in the house were enjoying a light cooked meal, which they indicated that they were very much enjoying. Most of the residents chatted with the inspector, and the only issue that arose was one of concern generated by articles in the local newspaper about closure of homes in Staffordshire, and moving of some residents into supported living. Some of the residents of this home has spent the majority of their lives in institutional care of one form or another, and the thought that at the end of their lives they may be left to fend for themselves has proved very frightening for them, with consequent adverse effects on their condition. A full tour of the environment was undertaken, and various care plans and other documents were looked at in order to complement the information gathered for the production of this report. The contract price for accommodation is currently fixed at £440 per week. What the service does well: This home continues to support eight residents with enduring mental health problems, in all aspects of their lifestyle, encouraging independence and interpersonal skills, in domestic styled accommodation situated within a local community. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A proper assessment had taken place to ensure that prospective residents could be suitably cared for in the home. EVIDENCE: The care plan of the last person to be admitted to the home was examined to determine whether a full and sufficient assessment of his needs and personal choices have been made prior to him entering the home, so that he would know that the place he was coming to have the necessary skills to assist him in living his life. There was a very full assessment on the record generated by relevant professionals, using the Care Programme Approach. This would have been sufficient for the home to be able to reassure the prospective resident and those concerned with his care that they were able to provide a suitable place for him. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Residents each had a comprehensive personal care plan, and this showed that they were being assisted to make whatever decisions they were able to do; in line with an assessment of risks this would pose to themselves, and others. EVIDENCE: The care plan of a more well established resident was also examined and this demonstrated that planning for his care and meeting his known and emerging needs was founded on the original assessment of his social, physical, and psychological state. It demonstrated the use of risk assessment to determine whether the residents needed assistance in reaching decisions about his life, and liaison with, and input from, significant and relevant outside professionals to help him to do this. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 10 This and other care plans also gave a picture of the likes and dislikes of the resident including how they like to spend their waking hours. One resident returned to the home unexpectedly at lunchtime, as the charity shop where she worked a couple of days a week had closed unexpectedly, due to water coming through the ceiling. When questioned about the time she spent there, she appeared to very much enjoy this, though she was equally appreciative of this unexpected half-holiday. Another resident talked about the time he spent at a local college, and was pleased to demonstrate various certificates recording his achievements there. The care manager impressed upon the inspector that it was very much the philosophy of this home to support and enable residents to live their life at the pace and style most convenient to them. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to enlarge their life experiences by taking part in activities that were appropriate to them including spending time in the community and establishing or maintaining relationships, having respect for and being respected by others, and enjoying a suitable diet. EVIDENCE: Each resident had a routine that included developmental elements within the home by encouraging them to participate in household tasks, either in conjunction with members of staff, or where this was assessed to be in their interest, independently. One resident was seen dusting some things in his room, but refused to take the credit for the cleanliness of the home, saying: We have some wonderful cleaners here and then pointed to a member of staff adding and heres one of them . Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 12 In each of the rooms visited there was evidence of the occupant indulging in some form of handicraft to 1 degree or another, and one lady was quick to inform the inspector: I do like my knitting . Discussion with several residents en passent revealed their individual preferences for accessing the local community, with one-man being very positive about the benefits of the bus pass that he was now in possession of, and which had opened up a whole new world of travel to him. While some of the residents only have limited or no contact with family, most of their rooms contained a least a few photos of parents and other relatives, and a couple of residents obviously obtained satisfaction from talking about them. Those residents who remained in the home were enjoying spaghetti on toast for lunch, and when questioned, one man told the inspector that the food was very good, and said he enjoyed the informality of everyone and not having to have the same thing if they didnt want, which are after a lifetime in various institutions, was a new experience for him. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents said they received personal support in the way they preferred and there was evidence of their physical and emotional health needs being met. One person self-medicates, and the health of the others is protected by the homes policies and procedures concerning the storage and administration of medication. EVIDENCE: The majority of the current residents at Rosna House are fully independent of personal care tasks, with just one person needing help to take a bath. The home has both male and female carers available to respond to any gender choice of that resident when being assisted, and residents declared themselves perfectly satisfied with the arrangements that have been made for them. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 14 Reference to the care plans demonstrated the input of both primary and tertiary health care professionals, with appointments being arranged and kept, with consultants, general practitioners, nurses, and special clinics or support groups, and with dentists, opticians, and chiropodists. It was recorded when diabetes advisers and dieticians had been referred to in pursuing the particular needs of individual residents. One person does maintain his own medication regime, and his care plans shows that are relevant risk assessment was undertaken to ensure that it was safe for him to do this. Members of staff, including the proprietor and the care manager, were assisting other residents with their medication. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. A resident had claimed that he felt intimidated, and whilst this was not substantiated, the home has taken appropriate steps to reinforce that people who use their service are neither abused, nor feel that they have been abused. EVIDENCE: CSCI has been made aware that one resident has made an unsubstantiated allegation that a member of staff intimidated him. This matter has been investigated under the Protection of Vulnerable Adults procedure, and appropriate action has now been taken by the home to ensure that people who use their service feel safe and supported. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment of the home demonstrated a commitment to improvement, and met the needs of service users. EVIDENCE: A full tour was made of the environment of the home and it was seen that areas of concern reported on after the previous inspection had been addressed. The emergency call system had been extended to each bedroom, and the care manager reported that those fire doors that had needed attention had been attended to, and now complied with the fire inspector’s recommendations. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 17 Discussion took place with the care manager about plans to convert one bathroom to provide a shower facility. Discussion took place about application being made for funding to improve the availability of the kitchen to residents, as part of their personal development, and about plans to provide further new carpets. The rooms of residents were highly personalised, displaying the interests, personal choices, and in some cases family links, of the occupants. The lounge had been redecorated, and received both a new carpet, and new UPVC double glazed windows, and new carpet tiles had been provided in the adjacent smoke room. The flooring in the dining room had been renewed since the last inspection with an easy wipe and non-slip ceramic styled cover, and residents commented favourably upon this. The laundry, (which also contains the COSHH cupboard) was appropriately fitted with both a sluicing style of Belfast sink, and a new washing machine with all the necessary programs. Odour and infection control appeared to be well managed, without any problem areas being encountered. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 18 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of the residents were being met by sufficient numbers of staff with appropriate experience, and suitable supervision and management. EVIDENCE: During the course of this inspection two separate members of staff [that were not members of the proprietors family] were working on the home, under the supervision of initially, the proprietor, and later her son the care manager. During conversation with one resident, the inspector’s attention was drawn to one of the members of staff and he was told, She does a really good job, you can trust her . Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 19 At the current time in addition to Mrs Huxley the proprietor, Mr Huxley the maintenance manager, and Mr Michael Huxley the Registered Care Manager, Rosna house employs three staff to act as daytime carers, and two staff to act as nighttime carers. Resident’s comments were extremely positive about the staff, with one man commenting on the self-respect that the carers showed them. He went on to say, I talk to the staff, and they always resolve things quite politely . Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 20 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was being run in the best interests of the residents. EVIDENCE: The registered care manager has (as stated in the last report) completed his work towards NVQ level 4, but still awaits receipt of his certificate in respect of this. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 21 Residents were confident in talking to the inspector about what they wanted to do, and how they felt the home was responding to this, and discussion with the care manager and reference to care plans, demonstrated the input of appropriate outside professionals in guiding the service to meet their needs. Records on fire safety checks were examined and found to be complete with alarms, emergency lighting, and training undertaken within the recommended timescales, and nothing was seen during the tour of the environment of the home to raise any concerns regarding the health and safety and welfare of residents. The care manager undertook to review the risk assessment concerning the radiator in the bedroom of one resident, and other appropriate risk assessments were seen to be in place on the care plans. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 23 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. 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 YA23 Good Practice Recommendations The registered person shall ensure that all staff that have access to residents shall have been trained in the protection of vulnerable adults, and will be aware of how their actions may be interpreted by anyone who is dependent upon them. Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Rosna House Residential Home DS0000004997.V327522.R01.S.doc Version 5.2 Page 25 - 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. 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