Latest Inspection
This is the latest available inspection report for this service, carried out on 30th April 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Rosedale.
What the care home does well Comments from people who live there about the staff were all very positive. A number of staff have worked at the home for a number of years and know some of the people who live there very well. There were some very positive interactions between the people who live there during our visit. Medication is managed well by the service. We saw that people were receiving the right medicines at the right time. What the care home could do better: The AQAA told us that `care plans are individualised and based on a comprehensive assessment which is secured in the pre-admission assessment visit`. This was not observed during our inspection visit. The three care plans looked at were basic and did not fully address individual needs. One person`s plan dated back to 2003 with the same original needs being addressed and monthly reviews stating `no changes`. All the care plans looked at did not fully address each person`s needs and were not person centred in the way information was presented. Clear strategies need to be documented for staff about how to respond to particular needs or regular situations that may arise- if the person becomes angry or distressed. We have also recommended that more detail be given about the person`s background and life history along with their aspirations or goals for the future. The environment is homely but generally comes across as `tired` and in need of updating in a number of areas. We saw that the blinds in one persons bedroom were not working properly and a net curtain in a bathroom was missing. Hot water took a long time to come when we tried outlets in some rooms and the carpet in one bedroom smelt of urine strongly. We have made Requirements around these issues. More activity, engagement and occupation needs to be provided for the people livng there. Staff should seek to involve people in the daily life of the home and create opportunities for people to be meaningfully occupied. More things for people to do and to interact with need to be provided in the communal areas. Accessible menus need to be put into use with people being given more choice and control over what they have to eat. The registered provided must ensure that the day to day management arrangements are in place to provide the leadership and support for care staff. It is clear that more proactive development work needs to go on in order to move the service forward. Random inspection report
Care homes for older people
Name: Address: Rosedale 1 Wide Way Mitcham Surrey CR4 1BP 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: Jon Fry Date: 3 0 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Rosedale 1 Wide Way Mitcham Surrey CR4 1BP 02086790752 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Kanagasabai Wignarajah Kailasananthan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Kanagasabai Wignarajah Kailasananthan care home 12 Number of places (if applicable): Under 65 Over 65 3 3 12 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 3 0 Rosedale is an extended domestic property which provides accommodation and care for up to twelve older people three of whom may have dementia or suffer from mental illness. The home is owned and managed by Mr Kailasananthan. The property is in keeping with neighbouring houses and is not identifiable as a care home. The home is
Care Homes for Older People Page 2 of 10 Brief description of the care home close to public transport, leisure facilities, a group of local shops and places of worship. Accommodation is provided on two floors. The shared areas of the home are on the ground floor. A garden is available to the rear of the building. The home is staffed twenty four hours a day. Care Homes for Older People Page 3 of 10 What we found:
The current quality rating was made following the July 2008 key inspection visit. This may be reviewed once further inspections have been made to ensure that the home has complied with Requirements made by the Care Quality Commission in this report. One regulatory inspector made an unannounced visit to the home on the 30th April 2010 and spoke with five people who live there and two members of staff. The registered provider was not present during our visit. Completed surveys were received from six people who live at Rosedale and two members of staff. The registered provider completed an Annual Quality Assurance Assessment (AQAA) that gives us information about the service provided and how it ensures positive outcomes for the people living there. This document was not well completed and gave only very limited information about the service. There were nine people at home on the day of our visit with two members of staff on duty. Seven individuals were sitting in the lounge area talking with each other, listening to music or playing dominos. Two people were spending time in their bedrooms. Comments from people who live there included its alright - the staff are nice, they are lovely people - very very kind, I get along well, Ive got no complaints - Ive been here a long time and the staff are very very good. We saw staff spending time with people in the lounge and there was some good interaction between the people who live there. One person who lives there was getting quite distressed at times during our visit and the daily notes we looked at confirmed this had been going on for some time. This was impacting on other people who live there both due to the small size of the home and also that staff members were spending lots of time trying to reassure this person. Activities as logged in the daily notes kept were mainly watching television, going out into the garden and playing dominoes. The activities schedule displayed in the hallway of the service included reality orientation, art and drawing, reminiscence, discussions and card games. We could not see evidence that these were taking place although a member of staff reported that they did have quizzes regularly. Two people told us that they were able to go out on their own to access local shops and facilities. The lunch served on the day we visited was fish and chips. One person said my fish was terrible whilst another said they enjoyed the meal. A Record of the meals provided is kept in a diary but we were unable to see the menu in use. The staff on duty said that they cooked the food that was in stock as provided by the registered provider. One person who lives there said that the home had listened to their individual preferences and made sure that they got the things they liked each week. Other comments received about the food provided included not a great variety, I eat anything and you get what you are given. What the care home does well:
Care Homes for Older People Page 4 of 10 Comments from people who live there about the staff were all very positive. A number of staff have worked at the home for a number of years and know some of the people who live there very well. There were some very positive interactions between the people who live there during our visit. Medication is managed well by the service. We saw that people were receiving the right medicines at the right time. 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 Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 13(4) To ensure that people who 01/11/2008 use the service are supported to take informed risks staff need to review and up date risk assessments on a regular basis. Care Homes for Older People Page 6 of 10 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 7 12 Each person living at the home must have an up to date care plan in place. The care plan must address each persons individual needs and ensure their welfare and safety. 18/06/2010 To make proper provision for the care and welfare of people living at the home. 2 12 16 The home must make 18/06/2010 arrangements for the people living at the home to enable them to take part in local, social and community activities. Full records must be kept to evidence this.. To ensure that the social needs of people living there are met. 3 15 16 Full records must be kept of the food provided to individuals living at the 18/06/2010 Care Homes for Older People Page 7 of 10 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 home. These must record all meals provided throughout the day. To ensure that people are provided with adequate quantities of suitable wholesome and nutritious food. 4 19 23 Hot water must be available at all outlets at all times within the home. To ensure that the facilities are appropriate for the needs of the people living there and staff members. 5 19 12 Suitable working curtains or 18/06/2010 blinds must be provided in all bedrooms and bathrooms. To ensure the privacy and dignity of the people living there. 6 19 23 Carpets throughout the home 18/06/2010 must be kept in a good state of repair and clean and hygienic. To ensure that people live in a home that is clean and hygienic. 7 31 8 A full time manager must be 18/06/2010 in day to day charge of the home. To ensure that people live in a home that is well managed.
Care Homes for Older People Page 8 of 10 18/06/2010 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 7 Care plans should person centred and include information about the persons background, life history and their aspirations / goals for the future. We recommend that the home should review the service being provided for one person at the home with the Placing Authority. This is to ensure that their individual needs are being met. More focus needs to be put on providing people with opportunities for engagement and occupation in their day to day life. Quality of life and wellbeing should be addressed within each care plan. Staff should seek to involve people in the daily life of the home and provide meaningful activity. more interactive items and things to do should be provuided in the lounge area. 2 7 3 12 4 15 Accessible menus should be in place that allow people to make choices about their meals. Individual dietary preferences should be reflected within the individual plan of care and the menus in place. A programme of maintenance and renewal should be put in place for the home. The management arrangements should ensure that a clear sense of direction and leadership is communicated to the staff and people who live there. 5 6 18 31 Care Homes for Older People Page 9 of 10 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 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
