Inspection on 03/05/05 for The Rosewood

This inspection was carried out on 3rd May 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

The Rosewood 01/05/07

The Rosewood 09/12/05

The Rosewood 28/10/04

The Rosewood 22/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE The Rosewood 202a Bagnall Road Light Oaks Stoke on Trent ST2 7NE Lead Inspector Lynne Gammon Announced 3 May 2005 09:30 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. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Rosewood Address 202a Bagnall Road Light Oaks Stoke on Trent Staffordshire ST2 7NE 01782 538496 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 Molly Hill Mrs Molly Hill Care Home 3 Category(ies) of 3 OP registration, with number 1 PD(E) of places The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28 October 2004 Brief Description of the Service: The Rosewood provides a residential care service for three older people, one of whom may be physically infirm. The service is provided by the Proprietor/Care Manager, her husband, (who does not provide personal care), and another family member. Whilst the home is respectful of all religious beliefs, service users need to be sensitive to the religious traditions and beliefs of Jehovah Witnesses. The home is a detached, single storey bungalow set in its own grounds and is of domestic style and design. All three bedrooms are for single occupancy, one overlooking the garden at the rear is particularly spacious: another has a small conservatory and the third bedroom has recently been turned into a study/quiet room. There are no en-suite facilities, but the design of the bungalow means that each room is in very close proximity to the spacious and well fitted bathroom. The area in front of the bungalow provides for a small car park, whilst the rear garden is attractively block paved, with a bird table which attracts a range of species of birds for the additional enjoyment of the service users. The Rosewood is situated with attractive views of the countryside, which can be enjoyed from the spacious lounge situated at the front of the home. There is a small shop within the immediate vicinity, and there is accessible public transport to the larger village of Milton approximately two miles away. A pub and church are close by, situated within Bagnall itself. The proprietor and her husband transport the service users to health appointments, activities and outings in the family car. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced visit was made on the 3rd May 2005 at 9.30am. The inspection was carried out using the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre – questionnaire checks and fieldwork, amounted to 4 hours. Rosewood is the domestic residence of the registered manager, Mrs Hill and her husband Mr Hill. Both were at home during the inspection. Since the death of a resident with a physical disability there were only 2 residents at the home both in the older age category. Mrs Hill does not intend to fill the third place for the foreseeable future. The inspection included a tour of the home, inspection of records, observation and discussions with the 2 residents. Since the last inspection on 28th October 2004, no complaints nor any incidents or reports of abuse of any kind had been received and no requirements or recommendations, against the regulations or the minimum standards, were outstanding from the last inspection report. Residents spoke highly of the quality of care provided by Mrs Hill, her daughter and daughter-in-law who cover for holidays and other absences. They were involved in the whole process of deciding if the home was right for them, being sure that it could meet their needs and once in the home, having those needs met very well. All aspects of health, personal and social care needs were addressed to a high standard and recorded accordingly. Residents felt that they were treated with dignity and respect and both shared the same religious beliefs as Mr and Mrs Hill who were all Jehovah’s Witnesses. This contributed to the overall understanding of the needs of residents and the delivery of service. The home itself was well maintained and fit for purpose. It was a safe and homely environment for the service users and was very clean, warm and tidy. The fixtures and fittings were of a high standard and the bedrooms contained a range of resident’s personal furniture and other individual items. The dining room/lounge and the quiet room/study were also decorated to a high standard and the bathing and washing facilities were sufficient and suitable for the residents. Both Mrs Hill and her daughter had each achieved NVQ Level 4 and the Registered Manager’s Award and Mrs Hill had recently undertaken food hygiene training. Residents confirmed that the two family members knew their needs and were extremely satisfied with the standard of service provided. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 6 The home was well managed and organised, and the residents were able to contribute and make decisions about the day-to-day activities within the home. Good robust systems were in place to safeguard service user’s finances, their health, safety and welfare. What the service does well: 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 Rosewood E51-E09 S8315 The Rosewood V223972 030505 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 The Rosewood E51-E09 S8315 The Rosewood V223972 030505 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) 1, 2, 3, 4 and 5. Potential service users received clear and detailed information and were able to undertake trail visits to enable them to make an informed choice about the home. Confirmation that their needs could be met was given to them in writing. EVIDENCE: The Statement of Purpose was informative and included all of the required elements. It contained reference to the NCSC and should be updated to show the change to CSCI. Each resident had signed and received a copy of the contract of terms and conditions within the home. The provider was fully aware of the needs of the potential residents due to the fact that they attended the same Church and were well known to each other. Records showed that their needs could be met and trial visits did take place to determine the suitability of the home. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 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, 8, 10 and 11. Care planning processes included all aspects of health, personal and social care and service users were well supported in accessing a range of health professionals. Service users felt that they were well looked after and treated with dignity and respect. EVIDENCE: Individual plans of care were available for both residents and were based on the activities of daily living. They included diet, skills, communication, hobbies, mobility, health etc. Service users had access to a range of health care specialists including the GP, dentist, optician, and chiropodist. Service users confirmed that they were treated politely and that their privacy was respected. The wishes of the service users in terms of funeral arrangements were detailed on the individual care plans. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 10 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 and 14. Service users shared the same religious beliefs of the provider and this ensured that their social, cultural and religious needs were met within the home. Visitors were welcomed and service users were supported to fulfill their individual wishes and choices. EVIDENCE: Both service users and the provider were Jehovah’s Witnesses, which enabled a greater understanding of social, cultural and religious needs and preferences. Service users regularly attended the services at the new Kingdom Hall with the provider and her husband. Visitors are invited to call whenever they wish to and are seen in private by the service users either in their own bedrooms or the study. This includes relatives and friends, some from the Church. Both service users had a variety of their own personal possessions in their rooms. One service user handles her own financial affairs; the other has a relative as a Power of Attorney. Each service user is able to deal with their own finances and each have a personal allowance. At the start of the inspection, the service users were in bed and one rang a bell to show that she was up and ready for her cup of tea. This was a good example that she had control and choice within her life. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 11 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) 17. Service users could participate in the civic process by voting in the General Election if they so wished. The registered person facilitated access to available legal services for the service users and thereby protected their legal rights. EVIDENCE: None of the service users wanted to vote in the forthcoming general election, which was due in a few days time. Discussion with a solicitor had recently taken place on behalf of one of the service users about updating her will following the sad loss of a dear friend who had been a beneficiary. The provider was taking the service user to the funeral in a few days time. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 12 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) 19, 20, 21, 23 and 24. The overall quality of furnishings and fittings is of a very high standard creating a comfortable, safe and pleasant environment for those living in and visiting the home. EVIDENCE: All areas of the home were bright, clean and very well maintained. The furnishings and decoration were of a high standard and the home was welcoming and homely. The back garden was block paved and provided a safe environment for the residents when going into the garden. It also had a bird table which was regularly topped up with bird food and attracted a wide range of birds bringing pleasure to the residents. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 13 The home was a non-smoking home and the family home of the proprietors. It had a kitchen, utility room with a cloakroom/toilet, bathroom, lounge/diner and a study/quiet room. The provider had decided to retain the occupancy level of the home to two residents only for the time being and the third bedroom had been turned into a study/quiet room for residents to use and for them to take visitors if they did not wish to see them in their rooms. There were adequate washing and bathing facilities with the option of using either a bath or a shower. One bedroom was exceptionally large and overlooked the rear garden. The other bedroom, although a lot smaller, had a conservatory added to it and provided a separate lounge area for the resident. Both residents had a variety of personal items in their rooms including their own large pieces of furniture. Each room was attractively decorated and well maintained. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 14 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) 27, 28 and 30. Staffing at the home was satisfactory to meet the needs of the residents. Both the registered manager and the covering staff were competent to do their jobs to ensure a high quality service was provided to the residents at all times. EVIDENCE: Rosewood was also the family home of the proprietors. Mrs Hill carried out the personal care for the residents and Mr Hill provided support in terms of transport, maintenance etc. Mr and Mrs Hill’s daughter and daughter-in-law covered for Mr and Mrs Hill when they went on holiday and other absences. Both Mrs Hill and her daughter had completed the NVQ and Registered Managers Award and Mrs Hill had recently attended a course, Foundation Certificate in Food Hygiene. Mr Hill, the daughter and daughter–in-law had undergone enhanced Criminal Records Bureau Checks. Residents were very happy with the arrangements for cover when the proprietors went on holiday and they confirmed that a high standard of care is provided at all times. One resident stated ‘She (Mrs Hill) can’t do enough for us, she’s wonderful’ and both residents were also very complimentary about Mr and Mrs Hill and other members of the family. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 15 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) 33, 34 and 37. The views of residents were surveyed regularly to establish the success of the service provided. Records, policies and procedures for the protection of the residents were up-to-date and in good order. EVIDENCE: Residents confirmed that the home was run in their best interests and that they were able to make their own choices and were actively involved in decisions about their lives. This was substantiated by the quality of care observed within the home and inspection of the records. A quality assurance system was in place and regular surveys were undertaken to identify resident satisfaction of the service provided. A resident gave the inspector a completed survey at the time of the inspection. The accounting and financial procedures within the home were satisfactory and there was an extensive range of policy and procedure documents for the protection of residents which were reviewed regularly. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 16 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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x 3 x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 x x x 4 3 x x 3 x The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 17 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 Regulation None 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 1, 16 Good Practice Recommendations To update the Statement of Purpose and the Complaints procedure to show change of name from NCSC to Commission for Social Care Inspection. The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 The Rosewood E51-E09 S8315 The Rosewood V223972 030505 Stage 4.doc Version 1.30 Page 19 - 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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