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Inspection on 13/12/07 for Rossetti Lodge Residential Home

Also see our care home review for Rossetti Lodge Residential Home for more information

This inspection was carried out on 13th December 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 location of this home, within walking distance of Minnis Bay sea front views and to the community facilities of Birchington shopping centre and other seaside towns, is likely to be attractive to potential service users. The property has retained a number of original, characterful features. The manager has the requisite qualifications and experience and has an opendoor policy, which is inclusive of residents, relatives and staff. Team working and flexibility have been identified as key strengths of this staff team, and interactions between individual staff and residents appeared kindly and caring. This home meets the needs of those who use the service, and it can demonstrate adequate outcomes for all users. There are sufficient management and staffing resources in place to keep people safe. This home is generally viewed positively by those using its services. Users are consulted and are afforded choices on a day-to-day basis. The manager is aware of necessary improvements and accepts what action is required.

What has improved since the last inspection?

The introduction of better quality bedroom furniture, mattresses and carpet in many bedrooms has markedly improved this aspect of provision. The increase in the maintenance officer`s hours (from part time to full time status) is also evident throughout this home. The lack of investment in staff training reported at the last inspection is to some extent being addressed by a number of staff accessing Kent County Council`s own "Training 4 Care" initiative, though this investment will need to be extended to all relevant staff and sustained. The manager is able to provide documented evidence of formal supervision sessions to comply with the National Minimum Standard so as to underpin expected practice standards and prevent practice becoming variable.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Rossetti Lodge Residential Home Rossetti Lodge Residential Home 3 Sea View Road Birchington Kent CT7 9LB Lead Inspector Jenny McGookin Unannounced Inspection 10:00 13 December 2007 th 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 Rossetti Lodge Residential Home DS0000023514.V350811.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 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. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rossetti Lodge Residential Home Address Rossetti Lodge Residential Home 3 Sea View Road Birchington Kent CT7 9LB 01843 841571 01843 848180 g.fielder@rossetticare.co.uk 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) Ms Kiki Clementina Cole Lisa Abdullah Care Home 24 Category(ies) of Past or present alcohol dependence (1), Old registration, with number age, not falling within any other category (23) of places Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one (1) Service User with past or present alcohol dependence, whose date of birth is 19/09/40 . 11th July 2007 Date of last inspection Brief Description of the Service: Rossetti Lodge is a detached two-storey building in a quiet residential setting, situated on the corner of Sea View Road and St Mildred’s Avenue. It has 15 ground floor bedrooms and 4 bedrooms on the first floor. There are 5 double bedrooms, currently used for single occupancy, and the remainder are all registered as single rooms. As this home pre-existed the National Minimum standards, an exemption has applied in respect of its spatial dimensions, most notably in respect of its bedroom space. Nine are below 10 sq.metres (the standard now is 12 sq.m) and only one double room meets the standard that now applies (16 sq.m). All the bedrooms have a call bell point and a number have television points. There is a stair lift to the first floor. There are 3 lounge areas and 2 dining areas, on the ground floor, all interlinked. There is a small front garden (the entrance to the property opens straight onto pavement) but the lounge and all the ground floor bedrooms have their own patio door onto a rear garden, enclosed on all sides, with areas put to lawn and flowerbeds. In terms of access and community links, the home is within walking distance of a bus top and the local railway station (which includes a regular London service), seafront and Birchington town centre, with all the community facilities and transport links that implies. There is no on-site parking but there is unrestricted kerb-side parking on Sea View Road and St Mildred’s Avenue. Care staff work a rota that includes two waking carers on duty at night. The current fees for the service at the time of the visit range from £300 - £450 per week. Additional charges payable include: clothing, toilet requisites, stationery, dry cleaning, hairdressing, chiropody, physiotherapy, newspapers, special beverages / meals, medical requisites (other than by prescription), spectacles, hearing aids, batteries, incontinence products and items of a luxury or personal nature, any other treatment or care requested by or necessitated by a resident’s worsening state or health not provided by the NHS, and certain Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 5 forms of entertainment and outings Information on the Home’s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose and Service User Guide. The e-mail address for this home is: rossetti@rossetticare.co.uk Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on a second unannounced key inspection site visit, which was used to check progress with matters raised from the last inspection (July 2007,) given all the timeframes had run their course and to review findings on the day-to day running of the home. This report should, therefore, be read in conjunction with the report of July 2007 to obtain the complete picture. The inspection process took seven and a half hours. It involved meetings with the manager, an attempted conversation with one resident (over lunch), and two care assistants (one of who is also a part time cook at this home. Account was also taken of the home’s own quality assurance feedback exercise which occurred in November 2007. The inspection also involved an examination of records, and the selection of two residents’ case files, to track their care. Interactions between the staff and residents were observed throughout the day. Fifteen bedrooms were checked for compliance with the National Minimum Standards on this occasion, along with some communal areas. What the service does well: What has improved since the last inspection? The introduction of better quality bedroom furniture, mattresses and carpet in many bedrooms has markedly improved this aspect of provision. The increase Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 7 in the maintenance officer’s hours (from part time to full time status) is also evident throughout this home. The lack of investment in staff training reported at the last inspection is to some extent being addressed by a number of staff accessing Kent County Council’s own “Training 4 Care” initiative, though this investment will need to be extended to all relevant staff and sustained. The manager is able to provide documented evidence of formal supervision sessions to comply with the National Minimum Standard so as to underpin expected practice standards and prevent practice becoming variable. 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. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 8 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 Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 1, 3, 4, 5 The home cannot robustly evidence that prospective residents and their representatives have the information needed to choose a home, which will meet their needs. Residents can feel that they will have their needs assessed. This home does not have the facilities or expertise to offer Intermediate care. EVIDENCE: As part of the last inspection, the home’s Statement of Purpose and Service User Guide were assessed against the provisions of the National Minimum Standards and attendant regulations. Shortfalls and recommendations to improve the documents were reported back to the manager in detail. Since Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 10 that inspection, a few amendments have been made to these documents, but not enough to change the quality rating for this section. Most notably, both documents still include intermediate treatment in their description of services provided by this home, which it has neither the facilities nor expertise to do. Both documents make extensive reference to an inspection report, which was no longer current. Information on the providers’ qualifications and experience was still missing from both. Regulations have for some time required the Service User Guide to give a detailed breakdown of fees payable – this was missing. These documents have generated repeat requirements at each inspection, so this matter will now be subject to a Statutory Enforcement Notice. The Service User Guide advises the reader to ask a member of staff if s/he requires assistance with understanding it, but the inspector was still reliant on anecdotal information on the extent to which other formats (e.g. large print) have been made available. A recommendation to evidence special provision in admission checklist has not been pursued. No other languages are currently warranted. The admission process is as was described at the last inspection. That is to say, assessments carried out by care managers are used by the manager to inform her own – though this was missing in one of the two files selected for case tracking. These are underpinned by key risk & dependency assessments. Prospective residents or representatives are encouraged to visit the home and each resident is offered a trial stay of four weeks before their admission is confirmed by contract. See section on “Environment” for a description of equipment and adaptations, and section on “Health and Personal Care” for a description of services provided. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 7, 8, 9, 10 The health and personal care, which a resident receives, is based on an assessment of their individual needs. Residents can feel confident that the principles of respect, dignity and privacy are generally put into practice. EVIDENCE: See last inspection report for detailed findings in respect of the format of the care plans being used by this home. Two residents’ files were selected for case tracking on this occasion and showed good evidence of personal and health care needs being addressed. These care plans were properly underpinned by a range of monitoring systems (daily reports, weight and BMI charts, risk assessments and personal care charts). The home operates a key worker system to ensure a rapport and continuity of care can be sustained. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 12 As was reported at the last inspection, there was evidence of care needs and assessments being reviewed in-house monthly but often with little change. Less clear, moreover, was compliance with the National Minimum Standard in respect of formal reviews involving all the likely stakeholders to reflect changing needs, except those led by funding authorities. This was the finding at the last inspection. The home’s arrangements for the storage and administration of medication appeared satisfactory. There were no gaps or anomalies in the records seen. Since the last inspection, the manager has ensured that a copy of The Royal Pharmaceutical Society Guidance is available for reference, but one of the home’s copies of the British Formulary (directory of drugs) was significantly out of date. The manager said that periodic inspections of the home’s medication arrangements had been carried out but reports were not available. This was the case at the last inspection. There was some evidence of medication training for four staff over May and June 2007 plus evidence that a training need identified at the last inspection (on diabetes management) had been scheduled for five staff for January 2008. The overall quality rating, therefore, remains unchanged. See also section on “Environment” for details on facilities, equipment and adaptations. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 12, 13, 14 Residents benefit from being offered some activities and are supported to keep in contact with family and friends. EVIDENCE: Each care plan is prefaced by documents detailing key information about the resident, their life at different stages and favourite things. This information has been compiled in each case by the home’s key workers meeting with residents or their families and followed through with agreed routines and activities for every day of the week. There is an Activities Timetable on display around the home, but it is applied flexibly. Examples include interactive pursuits such as Bingo, board games, puzzles and quizzes; jokes and poem sessions; sing-song sessions, cards and puzzles; and story telling. There are more active pursuits like Keep Fit sessions, arts and crafts, playing with a ball. Some residents like to read magazines, books or papers. At the last inspection one resident’s interest in gardening was identified, and the manager said this was followed up with Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 14 activities such as potting sessions. One or two residents go out of their own accord. Although there is said to be something happening every day, the inspector has judged that staffing levels would severely restrict the home’s scope for meeting any diversity of activities or for one-to-one attention particularly where there are not relatives or other visitors (the home has open visiting arrangements). It is accepted that the level of motivation among residents can be variable. However, a feedback exercise carried out in November 2007 has identified activities and outings as matters requiring further attention. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 16, 18 There is a process for resolving complaints, which is available to residents in a range of forms to facilitate their access. The home needs to better evidence that residents are protected from abuse so as to ensure the safety and welfare of them. EVIDENCE: See last inspection report for detailed findings in respect of the homes’ complaints procedure and investments in staff training in safeguarding adults, which still stand. The Statement of Purpose and Service User Guide still direct the reader to the version on display, which the inspector judged could draw attention to them unnecessarily. The proprietors have, however, reported that a complaints leaflet was sent out to family members and that a guide to making complaints is also available as a download from the Rossetti web site. Since the last inspection, the manager has acquired a copy of the Kent and Medway multi agency protocols, to ensure a timely and co-ordinated response, should any instances occur. In meetings with staff, they confirmed their commitment to report any instances, though they each said that this had not been warranted at this home. Records indicate that training has been booked for staff, but not until January 2008. The home is otherwise reliant on training available as part of NVQ accreditation. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 16 Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 19, 20, 21, 22, 23, 24, 25, 26 The physical design and layout of the home requires reconfiguring, to encourage choice and independence, but it is reasonably comfortable and safe. Residents’ best interests are being promoted by a better level of investment in the property and its maintenance. EVIDENCE: All areas of the home inspected were found to be comfortable and reasonably clean and there were homely touches throughout. Comfortable temperatures were maintained throughout the inspection visit. Some matters were raised at the last inspection for attention in respect of the home’s bath and shower provision, sluice facilities and laundry. These matters had not been addressed, though it is accepted that an inspection by a Health Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 18 Protection Specialist Nurse was arranged in November 2007 to assess provision and to identify action required to obtain an acceptable standard. These will require major re-provision (the target date for completion is April 2008). Stringent infection control practice standards will be required in the interim. The furniture tends to be domestic in style and the last inspection found that much of it was shabby, basic or that items required by the National Minimum Standards were missing, particularly in the residents’ bedrooms. Since that inspection, however, better quality furniture, soft furnishing and carpets have been introduced, with more in prospect, to good effect. This level of investment will need to be sustained. A number of obvious institutional commodes have been replaced with more discreet models to accord the residents with more dignity. There is a limited range of equipment and adaptation available in this home. Overall periodic audits by specialists such as Occupational Therapists have been strongly recommended to ensure the home maintains its capacity to meet the needs of its residents. This recommendation still stands. One or two residents, for example, still do not look comfortable at the dining tables (matter raised at the last inspection) and some shower, bath and WC facilities are not being used. The back garden is not readily accessible to bedrooms. The call bell system the system is not fully accessible and can be switched off centrally rather than at the point of activation (which is preferred practice). It will require attention and updating or replacing altogether. It is accepted that quotes for a new call bell system have been sought. The maintenance officer’s hours have been increased to full time status and there was good evidence of the systematic auditing of rooms, reporting of maintenance issues and of painting and decorative work being undertaken. At the last inspection, most maintenance checks seen were up to date but the absence of a current gas safety certificate and electrical installation certificate was of concern as this is judged likely to compromise the safety of the residents. Both matters have been followed up, and certificates produced, though it was unclear whether all the matters raised by a gas inspection for attention had been addressed. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 27, 28, 29, 30 Despite investments in staff training this year, the level of investment and staffing levels are only adequate, and will need extension and sustaining to properly address the aims of the home and to meet the changing needs of residents. EVIDENCE: See previous report for detailed findings on the day-to-day staffing levels. The staffing arrangements at this home are reported to be in excess of the standard provided by an application of the Residential Forum’s formula. However, they are not judged appropriate to the assessed needs of the service users given the size, and layout of the home. It is difficult to see how individual residents could be properly stimulated or supported with the maintenance or development of living skills, or even with freedom of movement on or off site. This matter has been raised for attention by the Commission before, and is likely to be tested by some residents’ request for more outings in the latest feedback exercise carried out by the home. In discussions staff continue to confirm a systematic recruitment process, which was subject in each case to satisfactory references, identification checks and CRB checks. An audit of four personnel files, selected at random, also Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 20 confirmed a generally systematic approach. At the last inspection, the inspector found a very poor level of investment in staff training. There was also poor evidence of staff supervision to meet the provisions of the National Minimum Standard, all of which was judged likely to combine to produce variability of practice standards if not ultimately compromise the safety and well being of residents. Since then, some work has been done to address this shortfall. Records indicate that eight of the fifteen care staff have NVQ Level 2 accreditation or above, with four more registered for NVQ training. A number of staff have been benefiting by access to Kent County Council’s own “Training 4 Care” initiative over 2007, with more in prospect in January 2008. This is enough to raise the quality rating for this section to “adequate”. But training investments will need to be extended to all relevant staff and other key aspects of provision, and sustained year on year to retain or raise this quality rating. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. 31, 32, 33, 36, 38 The care of residents is enhanced because the manager is suitably qualified and competent and her management and administration of the home is based on openness and respect. The care of residents is enhanced because there is a quality assurance system in place, which places the views of residents and their relatives at the centre. The proprietors have demonstrated more awareness of their responsibilities regarding Standards, Regulations and Requirements, which means residents’ best interests are now being better safeguarded and promoted. EVIDENCE: Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 22 As reported at the last inspection, Mrs Abdullah has been the registered manager for this home since 2003 and has worked in the care sector for several years. She has NVQ Level 4 accreditation as well as the Registered Managers’ Award and is an NVQ Assessor. Following her return from maternity leave earlier in the year, the last inspection reported that there was better evidence of formal documented staff supervision sessions to meet the provisions of the National Minimum Standard, and this has been sustained. The most recent consultation event was in November 2007, which indicated satisfaction with the quality of care given by staff at this home. However, this exercise also indicated there needed to be amendments to the menu and, (despite programmes drawn up with residents and their families reported on earlier in this report), to the range of activities available to the residents. There was better evidence of property maintenance (see section on “Environment” for detail) and many aspect of the building had benefited by painting and redecoration as well as better quality furniture. At the last inspection, and with two exceptions (gas and electricity safety certificates) all the property maintenance records seen were up to date and adequately maintained. A gas safety certificate was produced for inspection but the electrical installation certificate was still outstanding, though the proprietors have undertaken to supply this as part of work being undertaken on lighting. There were only two reports available to evidence the proprietors’ regulatory duty to carry out their own inspection visits at least monthly. This matter has generated repeat requirements at each inspection, so will now be subject to a Statutory Enforcement Notice. Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 23 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 2 X 2 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 2 2 1 2 3 3 2 2 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 3 X 2 Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP21 Regulation 23(2)(j) Requirement The toilets, baths and showers provided must be sufficient to meet residents’ needs and fit for purpose. Action plan to be submitted. The sluice and laundry facilities must be fit for purpose. Staff must continue to be provided with training appropriate to the work they are to perform. This is to be interpreted as a rolling programme of mandatory training Timescale for action 30/04/08 2 3 OP26 OP30 13(3) 16(2) 18 30/04/08 30/04/08 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 OP1 Good Practice Recommendations The home could usefully include in its admission procedure DS0000023514.V350811.R01.S.doc Version 5.2 Page 25 Rossetti Lodge Residential Home a checklist to certify the issue of a Statement of Purpose, Service User Guide; and whether other languages or formats were warranted. 2 OP4 The home should look for opportunities to introduce periodic assessments of the premises by an OT, so that the home can maintain its capacity to meet the needs of the residents. Each lounge should have a loop system for use with hearing aids, subject to specialist advice on this matter There should be input from a dietician or dementia specialist in the home’s catering arrangements and periodic top up training. The suitability of the call bell system in the home should be reassessed, to meet residents’ needs. The proprietor has undertaken to submit evidence of up to date electrical certificate for the home by 31/03/08 3 4 OP4 OP15 5 6 OP22 OP38 Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Rossetti Lodge Residential Home DS0000023514.V350811.R01.S.doc Version 5.2 Page 27 - 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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