Care Home: Rose Cottage

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What the care home does well This home provides people with a safe, clean and homely environment to live in. People`s personal and everyday care support needs are clearly identified and written up into care plans that provide step by step instructions regarding the level and type of support needed with various care needs. People have access to a full range of health care support as necessary and receive personal support in the way they prefer and according to their needs. Staff are appropriately trained and recruitment procedures offer the people living at the home protection. What the care home could do better: There were no requirements or concerns as a result of this inspection. Some areas of the physical environment would benefit from being improved such as the bathroom. The manager is however aware of this and there are plans in place to make improvements. Random inspection report Care homes for adults (18-65 years) Name: Address: Rose Cottage Grange Road Bursledon Southampton SO31 8GD three star excellent 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: Chris Johnson Date: 2 2 0 4 2 0 1 0 Information about the care home Name of care home: Address: Rose Cottage Grange Road Bursledon Southampton SO31 8GD 02380407048 02380407048 matthew.reeves-smith@wrcl.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Matthew Reeves-Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wessex Regional Care Ltd care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users to be accommodated is 4. The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning disability (LD) Date of last inspection Brief description of the care home Rose Cottage is a registered care home providing care support and accommodation for up to four adults of both sexes with learning disabilities. A registered manager manages the home on behalf of the provider Wessex Regional Care Limited. The home is a bungalow situated in Grange Road, Bursledon, near its junction with Portsmouth Road, which is the main bus route to Southampton city centre, with a bus stop Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home adjacent to the home. There are local shops within a mile of the home. Communal areas comprise a large lounge and open plan kitchen/dining room.The home has a large enclosed garden at the rear and to one side, while there is room at the front for several vehicles to park off road. Two large lodges have been constructed within the grounds providing additional space for activities. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The purpose of this inspection was to assess how well the home is doing in complying with regulations and to assess what the outcomes are for people who live at this home. The findings of this report are based on a number of different sources of evidence. These included: An unannounced visit to the home, which was carried out over a period of three and a half hours on 22 April 2010. Any regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Care Quality Commission and the predecessor organisation the Commission for Social Care Inspection. The Commission for Social Care Inspection and the Care Quality Commission had each carried out an Annual Service Review (ASR) of the home since the last inspection. These did not change the Commissions opinion of the service or raise any issues for concern. We requested that the manager complete an Annual Quality Assurance Assessment (AQAA) prior to this inspection. This was sent to us within the agreed timescale and this document forms part of the evidence for this report. During this visit we looked at the physical environment including, peoples bedrooms and all communal areas of the home. We examined records, policies and procedures. We talked to people who live at the home and some members of staff. We observed staff during their day-to-day interactions with people living at the home. We also sent surveys to staff and people living at the home. At the time of writing this report we had received completed surveys from one person who lives at the home and two members of staff. The manager was on leave the day of the visit. However he voluntarily came into the home to assist us with the inspection. The last key inspection of the home carried out on 5 September 2007 found that people were involved in decisions about their lives and played an active role in planning the care and support they received. Overall the outcome area for Individual Needs and Choices was judged to be excellent. Our findings from this inspection were similar to as the last inspection. During the visit we looked at the care plan and associated documents such as risk assessments and health support plans for one person. We found these to be as described in the annual quality assurance assessment (AQAA). The care plan looked at was written in the first-person and was person-centred. The plan had been written from the persons perspective. Sections within the care plan included the following information; All about me, What people say about me, My essential information , Things you should know about me and What is important to me. The care plan looked at provided evidence that the persons independence was being Care Homes for Adults (18-65 years) Page 4 of 9 promoted and highlighted their abilities as well as their needs. Their personal care and daily support needs were clearly identified and care plans provided clear guidance regarding the level and type of support needed with various care needs and described the preferred way and method that the person receiving the support liked it to be carried out. Staff who returned surveys to us were asked to comment on what the home did well and both stated care planning, one person commented, Good care plans, and the other said,Good care planning, set out in a person centred way. Staff spoken with during our visit were of the same opinion. Staff were also of the opinion that they were given up to date information about the people living at the home (for example, in the care plan). We saw evidence that people are supported to make their own decisions, with assistance where necessary and that identified risks posed to each person are managed appropriately. Care plans and associated documents provided us with enough information to demonstrate that health care needs are being met and that people have access to a range of health services. The manager had introduced hospital passports that people could take with them to appointments to enable health staff to understand their needs. Alongside these each person had a Health support plan. These provided us with further evidence that the home refers people to health care support services appropriately and that people are supported to attend routine appointments to the Opticians, GP, that their medication is regularly reviewed and they undergo regular health checks. Schedules were in place to inform staff of the frequency that these should be carried out. Care plans described the level of support required with medication. Medication administration records (MAR) were checked. From examination of these records it was evident that staff were following correct administration recording procedures. The home has a written medication policy and clear procedures. This included a procedure for place for checking in medicines received into the home, procedures for logging any medicines returned to the pharmacy and regular auditing of the records. The records examined during the visit had been maintained in line with the homes written procedure. The only exception being that there were gaps on the MAR when a person had stayed with their family. The manager agreed that staff would in the future use the appropriate coding to indicate why the medication had not been administered by staff. Evidence was seen to demonstrate that staff undergo training before being able to administer any medication. We looked at the staff rota for the day of the visit and this proved to be a true reflection of the actual staff on duty. Staff were asked whether there were enough staff to meet the individual needs of all the people who live at the home. One person responded, Sometimes and the other said Usually We looked at the recruitment records for two members of staff who had been recruited to work at the home since our last visit. These demonstrated to us that the home followed an appropriate recruitment process and that this included; the submission of an application form, an interview, the receipt of two written references and that both Criminal Records Bureau and Protection of Vulnerable Adults checks had all been undertaken. Evidence was seen to verify that both members of staff had been inducted into the home and that they had completed or were in the process of completing an induction programme that was linked to the Skills for care induction standards. Care Homes for Adults (18-65 years) Page 5 of 9 Staff have told us that their induction covered everything that they needed to know to do the job when they started. We know from previous inspections that staff receive training appropriate to their role. When asked whether they considered that they received relevant training all staff who responded to the questionnaire said that they did. We looked at the training records for the two newest members of staff and saw that they had undertaken appropriate training. Staff were observed to be attentive to the needs of those living at the home and staff and the people who live there appeared comfortable in each others company. The home was clean on arrival and we saw evidence that infection control systems were in place. We saw all communal areas and some bedrooms. People had been able to personalise their rooms with their own belongings. Since or last visit to the home they had built two large lodges within the grounds. One of these is used for activities and contained arts and crafts materials and musical instruments. The second lodge is used as a sensory room and contained a lot of different sensory equipment. It was reported that both of these facilities were well used and that the sensory room had proved very successful in enabling people to spend time away from the main house and relax. In brief discussion with people who live at the home they said that they enjoyed using these facilities. Some aspects of the decor within the home would benefit from being improved such as the bathroom. In discussion with the manager we were told that this was being addressed. The home had more recently changed its shower room into a functioning wet room which better suited the needs of people living at the home. What the care home does well: What they could do better: 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 Adults (18-65 years) Page 6 of 9 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 Adults (18-65 years) Page 7 of 9 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 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 Care Homes for Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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. 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