Latest Inspection
This is the latest available inspection report for this service, carried out on 19th March 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Rosedale House.
Annual service review
Name of Service: Rosedale House The quality rating for this care home is: The rating was made on: two star good service 1 4 0 1 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: John Clarke Date of this annual service review: 2 7 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 163 West Town Lane Brislington Bristol BS14 9EA 01179714991 01179714991 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mrs Ann Rogers Number of places (if applicable): Under 65 Over 65 0 23 May accommodate up to 23 persons aged 65 years and over, requiring personal care Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Rosedale House is a privately owned care home registered with The Commission for Social Care Inspection to provide accommodation and personal care for up to 23 people aged 65 years and over. The home is situated in a residential suburb of Bristol near to main bus routes, local shops and amenities. The home has major roads on two sides and a large sports field across one of these roads. The property is an older detached building and the accommodation is provided in single rooms with four communal rooms on the ground floor. Access to the middle and top floor bedrooms is by passenger lift and a separate chair lift. The home is surrounded by well-kept gardens and has off road parking. Fees ranged from 432.82 to 460 pounds per week. Additional charges are levied for
Annual Service Review Page 2 of 7 1 4 0 1 2 0 0 9 Hairdressing and Chiropody. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key 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 the people that use the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people who have contact with the service such as relatives and health professionals. Information we have about how the service has managed any complaints. 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 key inspection and the results of any other visits that we have to the service in the last 12 months. Relevant information from other organisations. What other people may have told us about the service. What has this told us about the service? We received a completed AQAA from the home which told us about some of the changes and improvements which have been made including: As result of comments made by individuals living in the home we have found a range of different people to come in and entertain through singing and use of musical instruments. The home is planning to introduce a rating system for meals which will be a way of getting feedback from individuals about the quality of the meal. There are monthly questionnaires completed by individuals these are evaluated and results are recorded, monitored and acted upon. It would have helped us if we had received this information so that we could have direct evidence of quality assurance undertaken by the manager of the home. Staff are undertaking NCFE level 2 training in Equality & Diversity and the manager is currently completing this training. To improve the admission process of the home the home is considering allocating a staff member to look after the perspective resident throughout the period of their visit Annual Service Review Page 4 of 7 so that they can build up a relationship and feel a little more secure and valued. This in the inspectors view would be a positive step in supporting individuals at what is and can be a distressing time for those leaving those homes. The home has introduced a format of monthly reviews of care plans completed by senior staff with new keyworker review. The home has responded to comments from the last inspection that required us to record more fully an individuals refusal to receive personal care. New improved formats have been completed regarding this and are signed by staff as well as residents. The home told us they have made a number of improvements to the environment of the home: decorated bedrooms, purchased new furniture, replaced flooring in the dining room, lounge and reception area. A new wet/shower floor has been completed so that individuals can now be offered a shower or bath. Staff training has included wound management, challenging behavior, pressure area care. Staff appraisals and supervision are undertaken by the home. A training pack for senior staff about supervision has been purchased. Fifteen of the twenty staff have NVQ level 2 or above professional qualification. No complaints have been to the home over the past year however we received a anonymous concern. We asked the home to respond and we were satisfied that the concerns had been addressed and the home was acting professionally in dealing with the matters raised. The home has installed a scanning system to be used at night where night staff scan each room this is linked to a computer which records the checks undertaken by staff. We discussed this arrangements with the manager and are satisfied that it is in the best interests of individuals and have been assured that permission for its use has been obtained and this is recorded. The manager recognised that individuals must have a choice as to whether they are checked at night and if an individual chooses not to be checked a risk assessment is completed and risks alleviated as far as possible whilst respecting the right of the individual to privacy. We received four responses from individuals living in the home and four staff members to our Have Your Say questionnaire. Individuals living in the home told us they Always receive the care and support they need and that staff are Always available when they need them. We also asked: Does the home arrange activities that you can take part in? 3 respondents said Always and 1 sometimes. Do you like the meals in the home? 2 said Always and 2 Usually. Is the home fresh and clean? All respondents said Always. We also received a number of comments including: Gives me an alternative if I dont like the meal provided home kept very clean and warm It is homely here and I am very happy my needs are taken care of. Comfortable and happy place to live Staff were asked a number of questions including:
Annual Service Review Page 5 of 7 Are you being given training that is relevant to your role, helps you understand and meet the individuals needs, keep you up to date and gives you enough knowledge about health care and medication? All of the respondents said Yes. Does you manager give you enough support and meets you to discuss how you are working? 3 said Regularly 1 Often Are there enough staff to meet the individual needs of all the people in the home? All of the respondents said Yes. We asked What does the home do well? and received the following comments: Provide a good clean, friendly home for all individuals and their family and friends. The environment has been fully redecorated inside and out. Night scan system in place where individuals are checked hourly all was discussed with all clients and agreed. I feel the home meets everyones needs greatly, all staff have up to date information concerning each and every client. It is also made to feel very homely, clean and fresh smelling. We also asked What could the home do better? and received two comments about the meals and menu weekly menu to be discussed along side all individuals for more variety of meals, alternatives, puddings, so they get more of their own choice changing menu by asking residents what sort of thing they like to eat What are we going to do as a result of this annual service review? We are satisfied from the evidence and information received that the home continues to provide a good quality of service. We do not currently plan to inspect the service however we can if at any time we have concerns about the quality or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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