Care Home: Rosebridge Court

What the care home does well People who use the services provided by the home (and/or their relatives or other supporters) express satisfaction of the care and support provided at the home. On Allendale the enduring mental health unit comments made included; ` the staff are pleasant and help me to do things for myself as much as I can`, `its pretty good here and it is much better than hospital`, ` I am kept informed and my opinions are regarded as important`, `the staff speak to you decently and treat me ok`, `my room is my own space`, `the staff will listen and do try to help you as much as they can`. People who were being cared for and supported on Darby unit were less able to discuss their experiences of the home (due to their health needs). However 2 regular visitors commented that they are of the view that people are treated decently and respectfully. There is a strong commitment to providing staff with appropriate training and the home is being managed in an inclusive and open way. What has improved since the last inspection? The manager and his team have sought to improve the quality of care and support provided to people using the services provided at the home. Both units have been re-decorated and refurbished (including replacement of equipment where necessary). There has also been an increase in the number Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 6of staff who hold appropriate qualifications and in the provision of training generally within and outside the home. Turnover of staff have also been reduced and the way people who use the service are cared for and supported has been reviewed and improved. What the care home could do better: In the information provided by the home before this inspection (contained within the AQAA referred to above) the home manager clearly identifies a number of areas where it is planned to develop and improve the service. Clearly this is an important aspect of their quality assurance processes. The home is also seeking to access safeguarding training for staff that relates to local safeguarding practices to consolidate existing training. CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Rosebridge Court Darby Lane Hindley Wigan Lancashire WN2 3DU Lead Inspector Mike Murphy Unannounced Inspection 29th January 2008 09:30 X10029.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 Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 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 and Care Homes for Adults 18 – 65*. 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. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosebridge Court Address Darby Lane Hindley Wigan Lancashire WN2 3DU 01942 526240 F/P 01942 526270 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) www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Mr Paul James May Care Home 46 Category(ies) of Dementia (24), Mental disorder, excluding registration, with number learning disability or dementia (22) of places Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Dementia - Code DE (maximum number of places: 24) Mental disorder, excluding learning disability or dementia - Code MD (maximum number of places: 22) The maximum number of service users who can be accommodated is: 46 Date of last inspection 18th October 2006 Brief Description of the Service: Rosebridge Court is a purpose built care home situated on the outskirts of Hindley town centre, close to shops and other amenities, and is on the main bus route. The home is built on two floors providing nursing care for 24 male and female service users with dementia on the first floor, Darby Unit, and 22 male and female younger adults with enduring mental illness on the ground floor, Allendale Unit. Personal accommodation is provided in single rooms with en suite facilities. There are large communal lounges and separate dining rooms on both units. Active Care Partnership, a subsidiary of Southern Cross Healthcare Plc, owns the home. Fees charged by the home provided in January 2008 are in the range of: £338.52 to £856.96 weekly. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This inspection which included a site visit, which the home did not know was going to happen, took place on the 29th of January 2008 over a period of seven hours. The inspection included talking to people using the service, their relatives, the manager and his staff. Records kept at the home, on how people are cared for, were looked at and a tour of the premises was undertaken Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we view the service. We felt this form was completed well and that a lot of time and effort had been given to filling it in great detail. What the service does well: What has improved since the last inspection? The manager and his team have sought to improve the quality of care and support provided to people using the services provided at the home. Both units have been re-decorated and refurbished (including replacement of equipment where necessary). There has also been an increase in the number Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 6 of staff who hold appropriate qualifications and in the provision of training generally within and outside the home. Turnover of staff have also been reduced and the way people who use the service are cared for and supported has been reviewed and improved. 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 summary of this inspection report can be made available in other formats on request. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Older people. Standard 6 does not apply to this service). 2 (Adults 18 – 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All people seeking prospective admission are appropriately assessed to ensure the home is able to meet their care and support needs effectively. EVIDENCE: All people undergo a detailed assessment prior to being admitted. The preadmission assessment conducted by the senior staff at the home (all qualified nurses) is always recorded and a copy of the assessment is kept in the care records of people using the service. The pre-admission assessments of 2 people on Darby unit and 2 on Allendale unit were inspected. These had been Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 9 completed in detail and identified the care and support needs of these people in a very individualised way. And included identifying the very specialised needs that may occur in people with dementia or enduring mental health issues. The pre-inspection assessments conducted by the senior staff of the home were supported by pre-admission assessments that were done by health and social care professionals such as social workers, psychiatrists, specialist nurses and occupational therapists. The inclusion of people using the service and their relatives (and/or other supporters) was central to the admission process. It was evident from the care files inspected and discussion with staff that the process of assessment continues after admission. The information obtained is invaluable when it comes to planning and delivering the care and support people using the service require. All admissions are formally reviewed after 6 weeks. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 (older people). 6,9,16,18,19 and 20 (Adults 18 – 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service have a plan of care and they are supported to meet their health and personal care needs. EVIDENCE: The care records of four people using the services provided by the home were inspected (two from Darby unit and two from Allendale unit). Care records were detailed, well organised and up to date. Senior staff periodically audit Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 11 care records to ensure they are appropriately maintained. Care plans clearly identified what care and support people needed and it was evident care plans were initially based on the detailed pre and post-admission assessments that had been made and recorded. And reflected the needs that resulted from dementia or enduring mental health needs as well as more general health and social needs. Where possible people using the service are involved in the planning of their care. Risk assessments that seek to protect the health and safety of people using the service were also recorded and regularly reviewed. Examples of these are risks relating to mental health, moving and handling, nutrition (including weight monitoring), and other potential areas of risk. Information in care records and discussion with some people using the service and staff indicated that people are able to access health care services. All people resident were registered with a local GP and were accessing local specialist health services such as mental health, specialist nurses, chiropody, optical, dental, and other relevant services. The arrangements for looking after medicines within the home were safe and appropriately organised. The nurses manage all aspects of medication including administration. Medicines are securely stored and documented. The pharmacy that supplies the home carry out a check of the home’s medicine arrangements on a regular basis. No people using the service were able to look after their own medicines at the time of this inspection – due to their health needs. Discussion with people using the service revealed that they are treated with respect and that their right to privacy is upheld. On Allendale, the enduring mental health unit, resident comments made included; ‘ the staff are pleasant and help me to do things for myself as much as I can’, ‘its pretty good here and It is much better than hospital’, ‘ I am kept informed and my opinions are regarded as important’, ’the staff speak to you decently and treat me ok’, ‘my room is my own space’, ‘the staff will listen and do try to help you as much as they can’. People who were being cared for and supported on Darby unit were less able to discuss their experiences of the home (due to their health needs). However 2 visitors commented that they are of the view that people are treated decently and respectfully. During the inspection staff treated service users with respect, kindly, protected their dignity and assisted them properly. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 (older people). 12,13,15 and 17 (Adults 18 – 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are actively encouraged to pursue their interests and maintain their family and social contacts during their stay at the home. EVIDENCE: At the time of inspection 2 activities co-ordinators were employed and provided a service to Darby unit. The home manager explained that a third coRosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 13 ordinator was normally employed for Allendale unit but this post had recently become vacant. The home was actively recruiting to fill this important role. However the Nursing and support staff working on Allendale unit were ensuring social and leisure activities didn’t suffer on Allendale unit. A wide range of individual and group activities is provided both within and outside the home and the home has its own minibus. People spoken to said there was a good variety and they could always find something they could join in. The home has enabled one carer to become a qualified holistic therapist who provides Indian head massage, reflexology and aromatherapy as standard for all residents (where suitable). People are encouraged to maintain contact with their family and friends as well as accessing facilities in the local community if able to. They are also able to receive visitors and meet with them in private. There are no unreasonable restrictions on visiting. People using the service expressed satisfaction with care provided and organisation of life at the home. Observation of care practice and information in care plans indicated people are encouraged to make choices as far as possible. While some people chose to sit in the lounge a number were observed to spend time in their own rooms. Menus revealed that people are provided with a varied and balanced diet. Meals are taken in the main dining rooms. The general view was that the food was good and provided reasonable choice. Lunch was observed on the day of inspection. This was a hot and substantial meal and people were served and assisted appropriately. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 (older people). 22 and 23 (Adults 8 – 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People spoken to felt comfortable enough to and knew how to make a complaint if they felt it necessary. Protection arrangements and safeguards are in place to protect the welfare of people who use the service. EVIDENCE: The complaints procedure was prominently displayed in the home and included details of how to contact the CSCI. People spoken to (and in responses in preinspection questionnaires) say concerns or worries brought to the manager’s attention are responded to quickly and in the main don’t become formal complaints. A record of complaints made is kept that reflects complaints are taken seriously, investigated appropriately and that the outcome of the investigation is communicated to the complainant. Policies and practices aimed at protecting residents from abuse are in place. Also Wigan’s inter agency safeguarding procedure is held on site. Most staff spoken to confirmed that they had received adult protection training at the home (this was also reflected in training records maintained by the home) and were aware of the whistleblowing policy operated by the home. The staff less sure about protection Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 15 issues were relatively new to the home. The issue of safeguarding training was discussed with the manager and deputy manager. It was agreed that although they report difficulty accessing safeguarding training that relates to local safeguarding practices the management team seek to resolve those difficulties. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24,26 (older people). 24,25,26,27,28,29,30 (Adults 18 – 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable and appropriate environment to accommodate, care for and support people who use the service. EVIDENCE: A tour of the premises revealed that the home was clean and free of malodour. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 17 Discussion with people who use the service, visiting relatives and responses to pre-inspection survey questions revealed that the home is regularly cleaned. The home was in a good state of repair and adequately decorated throughout – Darby and Allendale units have been redecorated since the last inspection in October 2006. Communal lounge and dining areas were clean, suitably heated, comfortably and appropriately furnished and provided a suitable environment for people who use the service to be cared for and supported properly. Appropriate provision of televisions, music centres and other leisure equipment has been made. A skills kitchen has been provided on Darby unit and it is planned to do the same on Allendale unit. People are also able – when the weather is suitable - to access the pleasant newly created sensory garden/patio area and the grounds of the home. Appropriately adapted bathing/shower areas are provided. The home has been suitably adapted to meet the needs of people in relation to specialist equipment. Individual specialist needs are met following referral of the individual to the relevant health care professional for assessment. Bedrooms that were inspected were very clean, suitably furnished and equipped. All bedrooms are provided with en-suite WC and washbasin. People spoken to were happy with their individual rooms and stated they were encouraged to bring in personal possessions to make them more homely. All bedrooms were fitted with suitable door locks and lockable storage space to ensure people’s valuables were kept safe. Suitable arrangements and equipment were in place to manage the laundry requirements of people at the home. Staff spoken with described safe infection control practice. Disposable gloves and colour-coded aprons were provided for staff use and liquid soap was available throughout. Satisfactory practice was in place with regard to disposal of clinical waste. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 (older people). 32,34 and 35 (Adults 18 – 65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are well supported by competent, appropriately trained and suitably supervised staff. EVIDENCE: Day and night staffing levels at the home are determined by the support and care needs of people using the service. Darby and Allendale units are each staffed by a team consisting of a unit manager (also a qualified nurse), nursing staff and health care support workers. In addition 2 people using the service at the time of inspection required the support of staff at all times. Appropriate arrangements had been made to ensure this need was met. The home manager, the administrator, catering, domestic, laundry and other staff also support both units. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 19 Discussion with the manager, individual staff and inspection of training records indicate staff are provided with regular and appropriate training. Discussion with individual staff indicated that they were provided with induction training on commencing employment. There was also evidence of moving and handling, fire safety, first aid, protection of vulnerable adults (please also refer to complaints and protection section of this report) other training provision for all staff at the home. The home has been working in conjunction with Wigan adult training and other training providers to ensure that the induction and ongoing training provided by the home meets the common foundation standards and other requirements of ‘Skills for Care’ (part of the Sector Skills Council). Three staff recruitment files were inspected. They contained evidence of CRB checks (including POVA first checks), 2 written references, health declarations, criminal convictions declarations, proof of identity, (including a photograph) and completed application forms. This process seeks to ensure that people using the service are cared for and supported by people who are suitable to do so. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 (older people). 37,39 and 42 (Adults 18 – 65). Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is conducted and managed in a way that ensures the needs of the people who use the service are met appropriately and safely. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home manager has been registered with the CSCI since the last inspection. This person is very experienced and suitably qualified to manage this service. The manager also undertakes regular training and development to up date his knowledge, skills and competence to manage the home. Discussions with people using the service, relatives and staff employed at the home indicate the home is being managed in a way that is inclusive, open and positive. A deputy manager, administrator and senior nursing staff support the manager in his role. The company who own and operate the home also have processes in place to support the manager and his team. The home has developed and operates a quality assurance system to measure satisfaction with the service provided. This is essential as such information will enable a quality improvement plan to be fully developed and implemented to further improve the quality of life for residents. The quality assurance system operated includes regular checks of care records and residents medicines as well as other important areas in the home such as social activities, catering, complaints/protection, the home environment, staff training and management processes generally to ensure practices in the home are of as a high a standard as possible. In the information provided by the home before this inspection the home manager clearly identifies a number of areas where it is planned to develop and improve the service provided to people who use the service. Clearly this is an important aspect of their quality assurance processes. Measures were in place to ensure that residents’ financial interests are safeguarded. Residents are encouraged to control their own money. However where they are unable (or choose not to) personal allowances are managed by the home. The arrangements for this were secure, appropriately documented and regularly audited. The health, safety and welfare of residents and others is promoted and protected. For example staff are provided with regular training and appropriate equipment to ensure resident’s moving and handling needs are met. An example of this would be for a resident who needs to be safely moved with the aid of a hoist. Fire safety training is regularly provided. Information provided by the home indicates that electrical/gas/other equipment safety inspections/servicing has been carried out. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 22 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 X 24 3 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 23 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 OP18 YA23 Regulation 13(6) Requirement That the CSCI is informed in writing what developments have been made to access safeguarding training for staff that relates to local safeguarding practices. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Rosebridge Court DS0000005696.V358246.R01.S.doc Version 5.2 Page 25 - 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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