Care Home: Rose Bank Care Home

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What the care home does well People who live at Rose Bank are well cared for and are involved in making decisions about their lives. The home has a low turnover of staff and many staff have worked at the home for a number of years. This means people who live at the home get good continuity and staff get to know people well. People`s healthcare needs are well met. One person said, "The nurse visits me regularly and the girls here make sure everything is followed up properly." People live in a clean, tidy and comfortable environment. What the care home could do better: People should have their health and personal care needs met in the privacy of their own room or a room that is private. This will make sure people`s privacy and dignity is respected. People could be offered more activities and stimulation on a daily basis. This will help make sure people have a more fulfilling lifestyle.Staff should receive more training that equips them with the right knowledge, understanding and skills. This will help make sure everyone who lives and works at the home is safe. The home should have some more local procedures so staff know what to do if they have concerns about people who live at the home. Random inspection report Care homes for older people Name: Address: Rose Bank Care Home 48 Station Road Scholes Leeds West Yorkshire LS15 4BT two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Carol Haj-Najafi Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: Rose Bank Care Home 48 Station Road Scholes Leeds West Yorkshire LS15 4BT 01132650027 01132650027 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lorna Brown Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Lorna May Brown,Mr Franklin Ronald Brown care home 16 Number of places (if applicable): Under 65 Over 65 16 old age, not falling within any other category Conditions of registration: 0 The maximum number of users who can be accommodated is 16 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not faling within any other category - Code OP, maximum number of places 16 Date of last inspection Brief description of the care home The home is situated north of Leeds and is a large house with seven single and one double bedroom on the ground floor, and six single and one double room on the first Care Homes for Older People Page 2 of 11 Brief description of the care home floor. Four of the single rooms and one double room have en-suite facilities. Access to the first floor is by means of a stair lift for people unable to manage the stairs. There is a call system throughout the home. People are welcome to bring their own furniture and possessions with them if this is their choice. Nursing care is not provided by the staff at the home but they are supported by the local healthcare teams including GPs, community nurses and if required specialist services. More information about Rose Bank is available directly from the home. They have a statement of purpose, a service user guide and a copy of the latest inspection report. The service should be contacted for up to date information about the charges. Care Homes for Older People Page 3 of 11 What we found: We looked at all the information that we have received, or asked for, since the last inspection. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints or safeguarding incidents. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous inspection which was carried out on 6 September 2007 and annual service reviews. - Relevant information from other organisations and what other people have told us about the service. Surveys were sent out to people who use the service and staff but at the time of writing this report no surveys had been returned. One inspector carried out an unannounced visit to the home on 19th May 2010. We spent four hours at the home and spoke to six people who live at the home, four staff, the deputy manager and the registered manager. We looked around parts of the home, and at training records, safeguarding information and the staff rota. In the AQAA, the registered manager said, At Rose Bank we provide a homely family atmosphere with person centre care. The home is well managed and supported by a well trained and motivated team of staff. We are very open and are constantly striving to ensure that our clients are looked after to the best level possible. Not only to make sure their care needs are met but also there social and spiritual needs too. Because we have a low turnover of staff we are able to know our clients very well and their needs outside of basic care. We provide good wholesome food all prepared by our chef. Clients are free to have as many visitors as they wish and we run various activities during the week and even more during the summer months. People we spoke to during our visit told us they are happy living at Rose Bank and are well cared for. One person said, We are well looked after. Staff are wonderful. You can talk to any of them. Another person said, Staff are very good and are always there when I need them. People who live at the home said they make decisions about what they do, for example, deciding when to go to bed and when to get up on a morning. One person said. We all go at different times to bed. Another person said, I enjoy getting up early on a morning and having my breakfast. Theres always plenty to eat and drink. People also said their privacy and dignity are respected. One person said, Staff come as soon as you press your buzzer and they are always helpful. People also said they get Care Homes for Older People Page 4 of 11 good support with their health care and healthcare professionals visit the home when they need them. One person explained that the chiropodist visits on a regular basis but said they do peoples feet in the main lounge in front of other people. This is not good practice because it does not respect privacy or dignity. We discussed this with the registered manager who said generally all health professionals see people in private but they would make sure this happens with everyone in the future. In the AQAA the registered manager said, We encourage our clients on a daily basis to take part in various physical and mental activities. Our activity organiser is very enthusiastic and we have a company called Motivation & Co who continue to visit us. Staff and people who live at the home said the two afternoons when the activity organiser works at the home people are involved in organised activities which includes bingo, games and crafts. One person said on other days they sit in the lounge all day and they are long days. The registered manager and deputy said care staff are encouraged to spend time with people and offer social activities but agreed they could look at increasing the amount of stimulation and daily activity. At the last inspection we said they must improve some parts of the environment, which they have done. Since the last inspection the home has had an extension and increased the number of bedrooms and communal space. We looked at communal areas, including bathrooms and some bedrooms. All areas were clean and tidy and appeared to be well maintained. In the AQAA the registered manager told us what they have done to improve things at the home and said, We have improved by furthering the training of all our staff. They also told us about improvements they are planning over the next twelve months, and said, To continuing following a training programme that keeps up to with the current legislation and practice. The deputy manager has reviewed the training needs of all staff and identified that some training, such as first aid, food hygiene and infection control has not been updated within the agreed timescale. Six staff had recently completed a moving and handling course and the remaining staff were receiving the same training one week after our site visit. We looked at staff training records and found that some necessary training was not up to date. The management team have taken steps to start addressing some training needs but do not have a clear plan for how and when other training needs will be addressed. For example five staff should have had a first aid update in 2008 and had not received this, three new staff have not completed first or emergency aid training. It was identified that staff needed to receive first aid training but the training was not planned. Care staff have some responsibility for preparing and serving the evening meal and are also responsible for laundry and attending to peoples personal care needs. They have not received the necessary training in food hygiene and infection control so they will not have the knowledge or understanding of the associated risks. Most staff do not have up to date first aid qualifications so first aiders are not provided at all times. CQC has guidance for tailoring the first aid requirements to the needs of the Care Homes for Older People Page 5 of 11 people who use the service but this must be assessed through a formal process in the form of a risk assessment, otherwise first aiders must be available at all times. The home does not have a risk assessment. Five staff have not completed safeguarding training since 2006 and four staff have not received any safeguarding training. Three staff received safeguarding training in 2009. The manager and deputy have completed the train the trainer safeguarding training so they can facilitate the training. We looked at the homes safeguarding and whistle blowing policy which provided information about abuse and general information for reporting concerns. However, the home does not have a safeguarding procedure or whistle blowing procedure that provides information about how people can report any concerns or allegations. The manager agreed to introduce procedures that outline the processes for reporting concerns or allegations and include names of the relevant agencies. Staff told us people receive a good service at Rose Bank. One staff said, Its good care. Somebody is always there if anyone needs any help. Another staff said, People get good care. Its good team work. In the AQAA the registered manager said, We strive to provide good leadership, promote a good atmosphere, and always be on hand. The home is run with a person centre care in mind and all our records demonstrate this. We follow all regulations under the umbrella of the Health & Safety at work Act and have policies and procedure in place where required. People who live at the home and staff said the home is properly managed. They said they can talk to the deputy manager or manager if they have any concerns. What the care home does well: What they could do better: People should have their health and personal care needs met in the privacy of their own room or a room that is private. This will make sure peoples privacy and dignity is respected. People could be offered more activities and stimulation on a daily basis. This will help make sure people have a more fulfilling lifestyle. Care Homes for Older People Page 6 of 11 Staff should receive more training that equips them with the right knowledge, understanding and skills. This will help make sure everyone who lives and works at the home is safe. The home should have some more local procedures so staff know what to do if they have concerns about people who live at the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 11 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 18 13 The home must have a local whistle blowing and safeguarding procedure. This will make sure people know what to do if they have concerns about people who live at the home. 30/06/2010 2 38 18 Staff must receive more training that equips them with the right knowledge, understanding and skills. This will help make sure everyone who lives and works at the home is safe. 30/06/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 10 People should have their health and personal care needs met in the privacy of their own room or a room that is private. This will make sure peoples privacy and dignity is respected. People should be offered more activities and stimulation on Page 9 of 11 2 12 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations a daily basis. This will help make sure people have a more fulfilling lifestyle. Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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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