Inspection on 09/12/05 for The Rosewood

This inspection was carried out on 9th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 03/05/05

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 Staffordshire ST2 7NE Lead Inspector Lynne Gammon Unannounced Inspection 9th December 2005 09:30 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 The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 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) Mrs Molly Hill Mr Hill Mrs Molly Hill Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability over 65 years of age (1) of places The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2005 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, with a new conservatory at the rear of the property and is of domestic style and design. All three bedrooms are for single occupancy and although there are no en-suite facilities, 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 DS0000008315.V259776.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the 9th December 2005 at 9.30am using the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 5 hours. The inspection included a tour of the home, inspection of records, observation and discussions with service users and the provider. Since the last inspection on 3rd May 2005, 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. What the service does well: What has improved since the last inspection? A new conservatory had been built at the rear of the home. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 the following standard(s): 1. Potential service users received detailed information about the home and the service it provided to enable them to make an informed choice prior to moving into the home. EVIDENCE: The Statement of Purpose and Service User Guide were examined by the inspector and found to contain all of the required elements to provide service users with a clear understanding of the aims and objectives of the service provided at the Rosewood. There were 2 service users living in the home at the time of the inspection and the care manager confirmed that she did not intend to fill the 3rd place for the foreseeable future. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 the following standard(s): 8 and 9. All health care needs were met and service users had access to a range of health professionals. Administration and storage of medication was managed safely and recorded appropriately. EVIDENCE: Records and comments from service users and the care manager evidenced that service users received visits from other health professionals and that health care needs were assessed and met very well. One service user had accidentally dropped a small object onto her leg, which was seen recorded in the Accident Book, and this was dressed each week by the District Nurse. One service user self medicated and a medication risk assessment for her was in place and seen as reviewed regularly. Her medication was stored in a lockable container in her room. The Medication Record Book was examined and evidenced the type and amount of medication received and returned to the pharmacy. All records were dated accordingly and signed and stamped by the pharmacy. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 the following standard(s): 12 and 15. All of the key standards were reported upon satisfactorily in the report of the previous inspection of 03/05/05 and the home continued to meet the requirements of the service users for social and religious needs. Service users received a varied and balanced diet in a homely, pleasant environment. EVIDENCE: The care manager and the service users confirmed that they had not been able to go out together as much this year as in previous years due to the fact that one of the service users had not been well and didn’t want to go out. The service user told the inspector about how much she enjoyed feeding the birds in the garden and watching their antics. The other service user had been out visiting friends and attending Church meetings, and regularly received visits from her family. The home was very much run as a family environment and the service users confirmed that they could choose what they wanted to eat and when. The care manager confirmed that one of the service users was particularly interested in following a very healthy diet and this was accommodated. The care manager also visited a local herbal shop to purchase specific items on request of the service user. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. A satisfactory complaints procedure was in place and service users felt that they were listened to and their wishes taken into account. Service users were protected from abuse by the home’s Abuse Policy and training on abuse awareness. EVIDENCE: The home had a comprehensive complaints procedure, and each service user had an individual copy. It was easy to understand and clearly showed service users and relatives how to complain directly to the Commission if required. However, it is recommended that reference to the NCSC should be updated to Commission for Social Care Inspection (CSCI). Both the Commission and the home had not received any formal complaints and service users confirmed that they did not have any complaints and were very happy living in the home. There had been no incidents or allegations of abuse received by the home or the Commission for Social Care Inspection. The home had an Abuse Policy seen on file and Mrs Hill confirmed that she had received abuse awareness training as part of the Registered Manager’s Award and NVQ Level 4. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 the following standard(s): 22, 25 and 26. Specialist equipment was provided to the service users to make the most of their independence as required. Service users lived in a safe, comfortable and well maintained home which was very clean. EVIDENCE: The care manager confirmed that during the time when one of the service users was unwell earlier in the year, a pressure mattress was obtained for her. She also had a walking frame. The other service user had a walking stick to use when outdoors. A bath lift was in place for both service users to aid bathing. The home was very well maintained, clutter free and safe for the benefit of the service users. The Rosewood was a family home that was very clean, comfortable and with domestic lighting, heating and ventilation. The inspector was shown the new conservatory that had been added to the rear of the property, which once furnished, would provide a beautiful room for the service users to enjoy. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 Page 13 Both service users told the inspector how much they liked the conservatory and were looking forward to spending time in there when completed. The care manager informed the inspector that one of the service users had asked the care manager if a door from her bedroom to the conservatory could be put in, in addition to the main door, when the conservatory was being built, and this request was met. The other service user told the inspector ‘I love living here, I don’t want to go anywhere else’. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29. Recruitment practices were robust to protect the service users. EVIDENCE: As stated previously, the Rosewood was the family home of the proprietors, Mr and Mrs Hill, who were supported in the delivery of the care service by their two daughters, one of which had gained NVQ Level 2 in care and the other had completed the Registered Manager’s Award and NVQ Level 4 in care. The inspector checked the CRB clearances for the family members, which evidenced that service users were safe and protected. The inspector noted that there was excellent interaction between the service users and Mr and Mrs Hill. One service user told the inspector ‘they are very good here, marvellous really’. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35 and 38. The registered care manager was fit to be in charge, responsible and of good character and service users benefited from the family environment of the home. The health, safety and welfare of the service users was protected and maintained. EVIDENCE: The registered care manager for the home, Mrs Hill had been a delivering care service since 1994 and was very experienced in managing her responsibilities to meet the needs of the service users in the home. She had completed the Registered Managers Award and NVQ Level 4 in care and had recently completed a moving and handling training course at Leek College in October 2005. The service users benefited from the ‘home from home’ approach and appeared to be part of the family. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 Page 16 The inspector examined the service user’s personal cash register, which was well documented and signed by each service user on receipt of their personal allowance. The Rosewood was a small, 3 bedded home and no formal ‘staff’ were employed and therefore, Standard 36 did not apply. Fire safety was discussed with the registered care manager and the inspector was informed that she spoke to the service users each month to remind them about the fire drill. A record of this was shown to the inspector who noted that the service users had also signed it on each occasion as having received the fire safety instructions. The inspector also witnessed a record of a service on the home’s fire extinguisher, which took place on December 7th 2005 and a fire blanket was located in the kitchen. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 Page 17 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 3 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X 3 X X 4 4 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 X X 3 X X 3 The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO 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 OP16 Good Practice Recommendations To update the complaints procedure to show change of name from NCSC to CSCI. The Rosewood DS0000008315.V259776.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Stafford Office 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 DS0000008315.V259776.R01.S.doc Version 5.0 Page 20 - 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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