Care Home: Rose Manor

What the care home does well The home has a new Manager that is leading and managing the home in an open, professional and competent manner. The home can now show that it is assessing and meeting the needs of the residents appropriately. The quality of the needs assessments and of the care planning process has improved. Issues to do with the blurring of personal and professional boundaries to do with staff have been addressed and there is a clear management structure with clear lines of accountabilty in place. Improved processes have been implemented for recording and dealing with incidents that occur within the home. Staffing levels during the day and at night have been improved and must be maintained. The provision of appropriate accomodation for staff working during the day and at night have been improved and must be maintained. What the care home could do better: Some repairs to the internal decoration of the home need to be carried out. They are identified specifically in this report. Ceilings in the staff ground floor toilet and in the resident`s lounge are specifically identified. The toilet needs to be replaced in one resident`s bedroom and redecoration needs to be carried out where 2 entrances have been made through to the next door property. The frequency of staff`s individual supervision needs to be improved so that staff receive this input every 6 - 8 weeks.Areas of discussion in the individual supervion sessions needs to be expanded to include working with residents as keyworkers and the monitoring of progress being made with care plan objectives. Recording of individual supervision sessions needs to be improved so that all areas of discussion are minuted and any actions that are agreed are recorded. The minutes must serve as a useful record and management tool. They should be signed and dated by both parties involved. Random inspection report Care homes for adults (18-65 years) Name: Address: Rose Manor 18 Bensham Manor Road Thornton Heath Surrey CR7 7AA 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: David Halliwell Date: 1 1 0 6 2 0 0 9 Information about the care home Name of care home: Address: Rose Manor 18 Bensham Manor Road Thornton Heath Surrey CR7 7AA 02082397518 02082397518 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rosenmanor Ltd (T/A Rose Manor) care home 5 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 5 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD (of the following age range: 18 years to 65 years) Date of last inspection Brief description of the care home Rose Manor is a large house in Thornton Heath, well situated for access to the centre of Croydon and its many community based facilities, and good transport links. The property comprises of 2 day rooms (lounge and dining area) on the ground floor, and a smoking room in the conservatory. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home There are 5 single bedrooms, all fitted with hand basins and shower facilities. There are 2 WCs including a bathroom. Some off-street parking is provided to the front of the house. The stated aim of the home is to provide rehabilitative care for people with mental health problems over a 2-year period. This may be extended as required and in agreement with the clinical teams. The acting Manager told the Inspector that the standard / basic fees of a placement are #770 per week. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This random inspection was carried out over the period of a day together with the Homes Manager and other staff members. It was part of a programmed response to a number of concerns and issues that had been raised at Rose Manor since November 2008. The London Borough of Croydon has lead on a number of these serious concerns and issues and we carried out this random inspection in order to review several of the relevant key standards. We found that since the new Manager took up her post in April 2009 there has been a renewed effort lead by the Manager and the Proprietor to meet the issues and concerns identified. The staff team have been important in helping to more successfully meet the challenges identifed. With regard to the Standards that we inspected we found good and positive progress is now being made towards meeting the conditins required. Although there are still some developments and improvements that remain to be put in place. What the care home does well: What they could do better: Some repairs to the internal decoration of the home need to be carried out. They are identified specifically in this report. Ceilings in the staff ground floor toilet and in the residents lounge are specifically identified. The toilet needs to be replaced in one residents bedroom and redecoration needs to be carried out where 2 entrances have been made through to the next door property. The frequency of staffs individual supervision needs to be improved so that staff receive this input every 6 - 8 weeks. Care Homes for Adults (18-65 years) Page 4 of 9 Areas of discussion in the individual supervion sessions needs to be expanded to include working with residents as keyworkers and the monitoring of progress being made with care plan objectives. Recording of individual supervision sessions needs to be improved so that all areas of discussion are minuted and any actions that are agreed are recorded. The minutes must serve as a useful record and management tool. They should be signed and dated by both parties involved. 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 5 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 6 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 1 24 23 Areas of the home need to 01/09/2009 be redecorated. Ceilings in the staff ground floor toilet and in the residents lounge are specifically identified. The toilet needs to be replaced in one residents bedroom and redecoration needs to be carried out where 2 entrances have been made through to the next door property. In order to meet the NMS. 2 36 18 Areas of discussion in the 01/08/2009 individual supervion sessions needs to be expanded to include working with residents as keyworkers and the monitoring of progress being made with care plan objectives In order to meet the NMS. 3 36 18 The frequncy of staff 01/08/2009 supervision needs to be improved so that staff receive this input every 6 - 8 weeks. Page 7 of 9 Care Homes for Adults (18-65 years) 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 In order to meet the NMS. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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