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Inspection on 17/05/05 for Rossendale Nursing Home

Also see our care home review for Rossendale Nursing Home for more information

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home carries out a comprehensive assessment of all residents. Residents spoken to confirmed they felt well cared for and that their needs were understood. One lady said that her Social Worker had said " she hadn`t seen such a good change in someone". Staff were seen responding to the residents needs appropriately and all tasks of a personal nature were carried out in a sensitive and caring way. A social Care professional and a GP confirmed via comment cards that they felt the home communicated with them clearly and implemented any specialist advice. The majority of residents in the home felt the meals in the home provided good choice. Residents described the food as "marvellous, good and very tasty". The home has paid a company to oversee Health and Safety in the home. The home also provides staff with a good awareness of health and safety via training.

What has improved since the last inspection?

Individual care plan records have improved providing better information for staff. Training, monitoring and recording of health and safety issues in the home ensuring the health, safety and welfare of residents is promoted. Time is generally set aside each afternoon for staff to discuss issues which staff feel is ensuring a more cohesive approach.

What the care home could do better:

The Provider must ensure that staff are recruited correctly to ensure that residents are supported by fully vetted staff to ensure they are protected.

CARE HOMES FOR OLDER PEOPLE Rossendale Nursing Home 96 Woodlands Road, Ansdell, Lytham St Annes, Lancashire FY8 1DB Lead Inspector Lynne Lynch Announced 17 May 09.30 th 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 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. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rossendale Nursing Home Address 96 Woodlands Road, Ansdell, Lytham St Annes, Lancashire, FY8 1DB 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) 01253 737740 Mrs Caroline Taylforth Care Home 27 Category(ies) of Dementia (17), Old age, not falling within any registration, with number other category (10) of places Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 27 service users to include: up to 10 service users in the category of OP and up to 17 service users in the category of DE. Date of last inspection 09/11/04 Brief Description of the Service: The Rossendale Nursing Home is registered with the Commission for Social Care Inspection to provide personal and nursing care for 27 service users of either sex aged 65 years and over. Care is offered to those with physical/medical needs and those with dementia (up to 17 service users). The Rossendale Nursing Home is a detached Victorian property, which retains many of its original features. Three en-suite bedrooms were added to the home in 2004.It is situated in a residential area of Ansdell Lytham St Anne’s, overlooking Grannies Bay. The home is within easy reach of shops and local amenities. It is situated on a bus route and within five minutes walking distance of Ansdell railway station. Service users are encouraged to retain their links in the community and every effort is given to ensuring that relationships, hobbies and interests are pursued. Relatives, friends and visitors are made welcome at the home at any time. Service users accommodation is provided in nineteen single rooms and four double rooms, nine of which have en-suite facilities. Communal areas are provided in two lounges, a dining room and a conservatory. The conservatory is designated a smoking area. There are attractive gardens to the front and side of the home which are accessible to service users, and there are car parking facilities at the rear of the home. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and started at 9.30am and took place over 5 hours. The Inspector spoke to six residents, two visitors and the manager. Comment cards were received from four residents, one relative; one GP and one Social Care professional were received back. Staff and care records were also examined. An activity was observed and a partial tour of the premises was undertaken. What the service does well: What has improved since the last inspection? Individual care plan records have improved providing better information for staff. Training, monitoring and recording of health and safety issues in the home ensuring the health, safety and welfare of residents is promoted. Time is generally set aside each afternoon for staff to discuss issues which staff feel is ensuring a more cohesive approach. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 6 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. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 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 standard(s) 3 and 6 The admission procedure ensures an adequate assessment is carried out. Care needs are clearly documented and generally met. EVIDENCE: The records of three residents one of whom was recently admitted had full assessment information. Staff members confirmed they had access to this information and could describe in detail the care needs of residents. Catering staff had been informed about residents who had special dietary needs. One resident who had special dietary needs confirmed these were being met. Residents confirmed they had been involved in their assessment and were happy that their needs were being met by the home. Four residents returned comment cards and said they felt well cared for. People are not admitted to The Rossendale solely for intermediate care. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 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 standard(s) 7 and 8 Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are met. EVIDENCE: Individual care records are kept for each resident with a plan of care setting out in detail the action that needs to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded on appropriate documentation and daily entries made setting out the care given. Comment cards received from a GP and a Social Care Professional stated that they felt health care needs were being met. The care plan for one resident showed specific health care requirements and the action taken by the staff to ensure the best care was given which included a visit from a specialist nurse to treat the problem. When spoken to, the resident was very grateful to the staff at the home for the care and support they were providing. Her visitor said, “ She looks 100 better since she came in here”. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 10 Another resident had a serious health problem noted and specialist help was obtained resulting in surgery to rectify this. Evidence of the residents and family involvement was seen. Residents who were being cared for in bed had been provided with a special mattress that was suitable for the relief of pressure and prevention of pressure sores. Discussion with staff confirmed they were aware of the needs of both residents and the level of care that needed to be provided. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12,13,14 and 15 Leisure and recreational activities are provided. Contact with relatives/friends and the local community is encouraged. Meals are varied and nutritionally well balanced. EVIDENCE: Residents spoken to confirmed they enjoyed the food provided by the home. Residents who required a special diet or had preferences confirmed these were being accommodated. Meal times were served in a relaxed and unhurried manner with staff seen providing discreet assistance to residents who required help with eating. The menus were inspected and found to provide a varied and balanced diet using fresh produce and home baking. The cook was able to confirm he had information about residents with special diets and personal preferences. Residents can exercise choice over their chosen lifestyle this was evident throughout the visit. Residents took part in a game of carpet skittles during the visit .One lady spoken to said, she enjoyed this and liked to win. The home organises other indoor activities, which seem to be enjoyed by residents. Consideration to the high percentage of residents with dementia is taken into consideration when activities are planned. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 12 Outdoor activities are dependant on staffing and suitable transport. Staff try to take people out for a walk by the lake as regularly as possible. Four residents returned comment cards two felt activities were suitable, one felt activities were not suitable and one person felt they were sometimes suitable. On speaking to residents the inspector found that many of the residents like to spend time alone and liked their “own space”. The home has a visitor’s policy and encourages visitors to become involved in care in the home where possible. Clergy visit on a weekly basis to meet religious needs. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 13 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 standard(s) None of the above standards were inspected at this visit. EVIDENCE: Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 14 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 standard(s) None of the above standards were inspected at this visit. EVIDENCE: Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Recruitment policies have not been consistently followed resulting in service users receiving care from staff members who have not been properly vetted. This potentially leaves people who use the service at risk. EVIDENCE: There has been moderate staff turnover of the staff in the last 12 months. The staff files indicated that the home had not carried out all the necessary recruitment checks to ensure protection of the residents. Criminal Record Checks had not been requested for two staff members. The manager was informed that all staff including oversees staff must be referred to The Criminal Records Bureau for clearance prior to employment. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 38 The leadership from the manager is good and promotes a consistency of care. The home provides staff with a good awareness of health and safety via training which impacts on the care given to residents. EVIDENCE: The registered provider is the matron for the home and has completed her Registered Managers Award. Residents at the home made positive comments about the manager being available, approachable and willing to listen to their opinions. Staff spoken to confirmed that time is set-aside in the afternoon for staff to get together and discuss issues. Inspection of records indicated that regular fire drills take place and that fire equipment is regularly serviced. Fire training is covered within induction alongside other mandatory areas. Staff spoken to confirmed this. Information provided in the questionnaire completed by the manager stated that all safety equipment is regularly serviced. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 17 The home has employed a business services company to oversee and advise on Health and Safety in the home. Members of the management team have areas of responsibility for Health and Safety and complete monitoring documentation on a regular basis. Each employee is issued with a Health and Safety handbook. Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x x 3 Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 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. Standard OP29 Regulation 19 Requirement A criminal records bureau check must be requested for new staff employed to work at the home before they start work. Timescale for action immediate and ongoing 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 Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 Rossendale Nursing Home F57 F09 S6077 Rossendale V208345 170505 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. 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