Care Home: Rosegarland Care Home Ltd

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What the care home does well The home concentrates on the needs, wishes and views of the people who use the service. There have been many positive comments made by people about Rosegarland and the service it provides, examples of these are: `The main thing is they are wonderful at looking after my relative, the home is clean and welcoming and we can visit at anytime and are always made welcome. My relative is happy, clean and well fed and I feel much better that I found Rosegarland as a home for my relative and we know they are content.` `It is the nearest thing to home.` `The staff treat everyone with so much respect and they are all very kind and they care.` `In my opinion it is the best.` A health professional commented: `It is very rare that Rosegarland have any vacancies as residents love it there. If family members are looking for a small, homely, residence in a good locality, then Rosegarland is the ideal place.` The manager from the home visits people before they move in, she finds out about the kind of support the person might need. This helps the home decide whether they have the right knowledge and experience to be able to care for the person properly and safely. There are enough staff on duty and they get the support they need to be able to provide proper care to people. Staff have completed extra training and there are plans to do more. This means staff will have better skills and understanding about how to care for people, particularly people with dementia. Rosegarland is very clean and provides people with a comfortable place to live. What has improved since the last inspection? This is Rosegarland first inspection following becoming a limited company. CARE HOMES FOR OLDER PEOPLE Rosegarland Care Home Ltd 846 Thornton Road Fairweather Green Bradford West Yorkshire BD8 0JN Lead Inspector Caroline Long Key Unannounced Inspection 4th June 2008 09:30 X10015.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 Rosegarland Care Home Ltd DS0000071451.V365904.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. 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. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosegarland Care Home Ltd Address 846 Thornton Road Fairweather Green Bradford West Yorkshire BD8 0JN 01274 543054 01274 548520 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) Rosegarland Residential Home Ltd Mrs Hanna Gumeniuk Care Home 18 Category(ies) of Dementia (18), Old age, not falling within any registration, with number other category (18) of places Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following categories: `Old age, not falling within any other category - Code OP`, `Dementia - Code DE`. The maximum number of service users who can be accommodated is: 18. N/A 2. Date of last inspection Brief Description of the Service: Rosegarland is a large semi detached property, on the main Thornton road approximately three miles from Bradford City centre. The establishment is registered as a care home and accommodates eighteen older people in both single and twin accommodation on two levels. Communal accommodation includes two lounges with dining areas. It has parking for approximately ten cars, and is fronted by well-tended gardens. There is an area to the front of the home furnished with garden furniture where people can sit out weather permitting. There are a number of shops in the area and the home is situated on a main bus route. In June 2008 the weekly fees ranged from £341 to £377. Extra charges are made for hairdressing, chiropody, trips out and annual holidays. These charges are variable and details are available in the home. Copies of inspection reports are available in the home. Rosegarland Care Home Ltd DS0000071451.V365904.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. The home was first registered in 2001 and changed registration to become a limited Company in January 2008. This registration change has not affected the way the home is managed or run, but it means the service is seen as “new” and therefore this is the first inspection since the change in registration. Rosegarland is owned and managed by Hanna Gumeniuk, who is a registered nurse with thirty-five years experience; she lives next door and works in the home most days until late. There is a small dedicated and well-trained staff team, who have worked at Rosegarland for many years. We found this makes Rosegarland have a homely atmosphere, where the interests of people living there are put first. Everyone said the home was a good place to live. This is what we used to write this report: • • • We looked at information we have received about the home since the last key inspection. We asked for information to be sent to us before the inspection, this is called an annual quality assessment questionnaire (AQAA). We sent surveys to people living in the home and to their relatives and health professionals. Four health professionals, four relatives and four people who live in the home returned their surveys. One inspector visited the home unannounced. This visit lasted over six hours and included talking to the staff and the registered manager about their work and the training they have completed, and checking some of the records, policies and procedures the home has to keep. We spent time talking with people who live in the home and two relatives who were visiting. We looked at three people’s care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. • • • Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 6 • We focused on the key standards and what the outcomes are for people living in the home, as well as matters, which were raised at the last inspection. What the service does well: What has improved since the last inspection? This is Rosegarland first inspection following becoming a limited company. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 7 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. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1, 3 and 4. People who use the service experience excellent quality outcomes in this area. People are provided with information about the home and their personal needs are identified and planned for before moving in, this make sure Rosegarland is the right place for them to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information is made available to anyone interested in moving into the home. Usually the registered manager will visit them at their home and complete an assessment to make sure Rosegarland will be able to provide a service that will meet the person’s needs. As part of this process she will also gather information form any other agencies involved. Where possible the person is then encouraged to visits the home, for a day or overnight providing them with the opportunity to meet everyone and to get a feel for the home. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 10 The registered manager explained significant time and effort is made to make sure admissions to Rosegarland are personal and well managed. She described how the rooms are redecorated before a new person moves in and how she makes sure peoples personal possessions are in place before their arrival day. Two peoples files who had recently moved into the home were looked at in detail both confirmed good practice. Both assessments were carried out before people moved into the home and both contained details of every aspect of people’s daily life and health needs. Examples of the information included were religion, daily living, social interests, and nutrition. Two relatives said that staff had taken great care to make sure their relatives were made welcome and helped to settle in. Comments made were: ‘Wanted something my relative had been used to at home and this is it.’ ‘Subsequent to my visit to Rosegarland the owner (Hannah) and the Senior Care Worker visited my relative in Airedale to assess her for suitability for Rosegarland. Since being in the home my relative has been treated with great kindness and consideration and I have been very impressed by the staff. They all appear very professional but caring and patient and the whole atmosphere is supportive and vigilant, but relaxed and happy.’ The staff records showed and staff confirmed they had the necessary training; to enable them to look after people properly. Most staff had also recently competed a training course on dementia care. The two files examined contained a contract, which had been signed and agreed. The statement of purpose is available and for some of the people who first language is not English, the registered manager speaks Ukrainian fluently so is able to translate the information. The home does not provide intermediate care. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. People who use this service experience good quality outcomes in this area. Peoples’ health and personal care needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We have received many positive comments about Rosegarland. Examples are: ‘Can’t fault it wonderful, everyone is treated with the utmost respect ‘. ‘’Staff always keep me informed and I have always been delighted with the care my relative receives from the staff’. ‘I am very happy here.’ ‘I found everything excellent food is nice. No one tells us what to do and it warm and I have a lovely bedroom.’ Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 12 When we visited people were content and looked well presented and care for. care staff explained how they had the time to make sure everyone received the care they needed in the way they preferred. Three peoples care records were looked at in order to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. They all contained plans that were comprehensive, and identified the individual personal needs. The plans covered aspects such as daily living, catering, spiritual, religious needs, social activities and medication. These were supported by risk assessments, which described the possible risks to people, and the actions the staff needed to take to minimise these risks. Both the care plans and the risk assessments had been reviewed regularly. The registered manager explained how peoples’ changing needs were being constantly reviewed and responded to and how staff constantly assessed any possible risk. Whilst staff were helping people with lunch and the day’s activities it was clear that staff knew individuals’ needs and they were able to reassure and assist people in a kind and supportive manner. Relatives said that staff were very helpful, friendly and respectful and that there were always enough staff around. Where a person’s first language was not English the registered manager was able to speak with them in their own language and explained staff were attempting to learn their language. A relative explained how the patience and kindness of the staff had improved a persons mobility and this had enabled them to visit their daughters home. However although staff were meeting the needs of people in the way in which they preferred some of the plans contained general terms such as assist, and lacked peoples personal preferences. Also where staff had followed the district nursing care plan there was no reference to this in the homes file. The registered manager agreed this would be discussed at the staff meeting and staff encouraged to write fully the actions they take and to make sure a reference was made to the use of the District Nurses plan. Daily records provided a picture of the daily lives of people and essential information to track any changes the people may experience, with ill health or involvement in social activities for instance. For two people the daily records were very brief and would have benefited from more detail. People’s health care needs are promoted and maintained. The records showed people were accessing health care professionals, such as General Practitioners, Chiropodists, and District Nurses. The relatives also said people receive the medical support they need. Surveys returned by a district nurse and a general practitioner commented upon the ‘homely atmosphere’ and how people were ‘treated with respect’. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 13 However, when we visited the chiropodist was present and attending to peoples’ needs in the communal rooms, and we discussed how this did not promote peoples dignity. The registered manager said now it had been brought to her attention she would make sure it no longer happened. There is a medication procedure to guide the staffs practice and training is provided on safe storage, administration and disposal of medicines. There is a lockable trolley which is kept in the bathroom. A monitored dosage system is used and the staff were able to explain the system for administering the medication fully. A sample of medication was checked and was correct. However where the home has admitted a person for a temporary stay and they have hand written the prescription this had only been checked by one person, to prevent any mistakes this should be checked by another member of staff. The registered manager said she would make sure this happened. Also the keeping of the medicine trolley in a bathroom is not ideal and another venue should be sought. Keeping of the trolley in the bathroom restricts its use. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good quality outcomes in this area. People can choose how they spend their day and have the opportunity to pursue their own interests. Meals provided are nutritious, are of good quality and freshly prepared. This judgement has been made using available evidence including a visit to this service EVIDENCE: The registered manager and staff promote Rosegarland as peoples’ own home, this enables them to follow a daily routine of their choice, which resembles the one they would have had previously in their own homes. This focus encourages people to remain independent and have as much control over their lives as is possible. The atmosphere at the home was very calm and relaxed. Visitors told us how they were made very welcome by the staff and were kept well informed. One explained how their relative had been helped to visit them at home. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 15 People can sit in communal lounges or spend time in their rooms and can rise and retire as they wish. Activities are arranged for festive occasions e.g. carol concert at Christmas, firework display on Bonfire night. For Easter people were involved in making Easter bonnets with the assistance of care staff. Families and friends are invited and notices are displayed of dates of events. A library service is available and two people take advantage of this service. Staff and the registered manager told us because of peoples’ mental health needs they carry out activities on a one to one basis, and help people with their nails or chair exercises or talk to people. A person also comes in every two weeks to carry out-group exercises. We were told good examples of how the staff had promoted peoples’ independence and encouraged them to take part in their own local communities and how this had improved their quality of life. One relative commented: ‘In my opinion the care home treats every person in the home as an individual, as everyone has different needs. They provide different programmes for the residents to feel motivated. Nothing is ever too much trouble. Peoples ethnicity is definitely met.’ The gardens are looked after by the registered manager and have many interesting features for people to look at. We were told how peoples’ relatives had contributed to them and how people enjoyed using them in the summer. The registered manager explained the cook talks with people weekly and monitors their weight and body mass index to make sure they are receiving food they need and prefer. On the day we visited people were eating corn beef hash and vegetables, followed by fruit and cream, they all said it was very good, where a person did not like this the staff offered a alternative. Relatives said the food was mainly fresh and home cooked and very good. Although there is a lack of dining space the registered manager described how she is currently looking at ways of improving this. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. People who use the service experience good quality outcomes in this area. People have access to an effective complaints procedure and are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This is a small home where the owner is the registered manager and she lives next door to the home and is easily accessible to people. She is constantly asking if the service they provide is ‘alright’. She welcomes complaints and suggestions about the service, view them positively, and respond to them within the set timescales. We saw that the registered manager is very aware of what may cause concern for people and will do everything possible to prevent them from any unnecessary upset or harm. She listens intently to any complaints made and responds immediately. She is able to also listen to some peoples concerns in the language of their choice. Everyone said they would tell the registered manager and all felt comfortable in making their views know. The complaints procedure was on the notice board in reception, the registered manager explained they have not received any complaints but was able to show how they would record them if they had. We have also not received any complaints about the home. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 17 The home has a copy of the Bradford multi agency procedure “No Secrets” and a policy is in place for reporting suspected abuse. Staff have attended a training day on POVA (Protection of Vulnerable Adults). A ‘Whistle Blowing’ policy is in place and all staff are aware of its content. People have the right to see a solicitor of their choice. People have recently seen solicitors to hand over power of attorney. Where people lack capacity the registered manager facilitates access to an advocacy service. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience good quality outcomes in this area. People live in a very clean, safe, well-maintained and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The original Victorian building was built in 1857 and a purpose built extension added in 1991. The home provides fourteen single and two double bedrooms. There are two lounges with a dining area in each and a conservatory, which looks over the gardens. There is full ramp access to the building, and a lift to accommodate people with limited mobility. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 19 There is a patio area with tables and seating where people can sit out in the summer. The registered manager looks after the main garden. Several relatives of people who used to live in the home use the garden as one of remembrance of loved ones bringing plants and flowers. One family bought a bench in remembrance of their mother and spend time sitting on it. There is a continual programme of redecoration and the registered manager tries to redecorate rooms as they become vacant. She decorates all the rooms herself and all are different and colourful, they are wallpapered and contain many different features, the quilt covers are colour co-ordinated. People have their own personal items such as photographs, and ornaments to help maintain their personal identity. There is a dedicated cleaner and a person who makes the beds and looks after the laundry. We noticed how peoples’ clothes were very clean. Two relatives also commented upon how good the laundry was. The home is very clean, tidy and follows the colour code system set out in the “Essential steps to safe, clean care”. Staff receive appropriate guidance and training in response to infection control and the home employs dedicated domestic and laundry staff. Hand wash solution, gloves and aprons are available throughout the home so as to minimise the risk of cross infection from one person to another. CCTV cameras are restricted to entrance areas and grounds for security. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. People who use the service experience excellent quality outcomes in this area. Staff in the home are trained, skilled and sufficient in numbers to meet peoples needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were many positive comments made by people about the staff at Rosegarland for instance: ‘Staff have all the patience in the world’. ‘Everyone is treated with the utmost respect’. ‘Showed patience and kindness’. The home has a family atmosphere with a very experienced and enthusiastic staff team, the registered manager is the owner and she explained she generally works in the home every day. The staff team have worked at Rosegarland for a number of years and the registered manager explained she does not use agency staff. . This provides people with continuity and means the staff are always aware of peoples individual preferences. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 21 The rota is compiled by looking at staff skill mix, there are two working care staff on duty during the day and at night and the manager who resides next door is on call twenty-four hours a day. They are supported by a cook, a cleaner and laundry staff and the staff said how much they appreciate this as this enables them to ‘just provide care for people’. Staff confirmed they have received induction training following the skills for care programme common induction standards and where they had worked at the home for a number of years their training had been up dated. The registered manager explained all staff receive the same training, this means they can help out with the care if necessary. All members of care and domestic staff hold a certificate in Dementia care. During the last twelve months three staff members have attended Fist Aid Training, five will be attending a seminar on the Role of the Funeral director with others to follow and four on continence care. One member is attending study days on mental health issues including challenging behaviour. A senior care assistant and the manager have attended training on Supervisory skills that should help achieve completion of staff supervision in the required time scales. The manager has attended a seminar on The Mental Capacity Act. The records and talking with the manager and two staff confirmed this. Most staff have successfully completed their national vocational qualification in care level two or above. Four staff files were examined all contained an application form, two written references, and a completed criminal record bureau checks and protection of vulnerable adult check. Staff confirmed the home had followed a recruitment procedure. This all makes sure the staff have the necessary skills and attitude to work at the home. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31, 33, 35 and 38. People who use this service experience excellent outcomes in this area. The home is managed in such a way that promotes peoples best interests. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a family business and is managed and owned by the provider. She works in the home every day, and often until late at night to make sure people’s needs are met. She is experienced in management and is a registered nurse of thirty-five years. She has successfully completed the Registered Managers Award (RMA). She has recently attended a conference about the Mental Capacity Act, this shows us that she is keeping up to date with her own training and is knowledgeable about the current ways of working. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 23 When we talked to the registered manager she was able to demonstrate a high level of understanding of people’s needs in respect of equality and diversity. The annual quality assurance questionnaire provided us with the information we needed. Quality assurance surveys are sent annually to everyone, families/friend members and visiting health care professionals. These are audited and people are asked if they would like to attend meetings but so far have declined. Most people conduct their own finances with the help of their relatives except in one case where the registered manager has the control until power of attorney is obtained by a solicitor, however records of transactions are recorded. Three staff files and staff spoken to confirm staff receive regular supervision and annual appraisals. The fire procedure is displayed throughout the home and fire detection and fire-fighting equipment is tested and maintained regularly. A sample of records were seen which confirmed that other equipment in the home is maintained and serviced appropriately. Staff are trained and able to administer first aid should anyone get injured or require immediate treatment for a minor injury. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 24 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 4 4 2 2 X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X X 4 Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 OP7 Regulation 15 Requirement Everyone living in the home must have an up to date written plan that includes all his or her personal and health care needs and their goals and aspirations. • The plan must be kept under regular review and people living in the home or their representative made aware of any revisions. This is to make sure people are provided with a consistently good standard of care in the way they prefer. Timescale for action 01/08/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP10 OP20 Good Practice Recommendations The chiropodist should always attend to people in the privacy of their bedroom. More space should be made for people to eat together. DS0000071451.V365904.R01.S.doc Version 5.2 Page 26 Rosegarland Care Home Ltd 3 OP21 The medicine trolley could be moved so that people have full use of the upstairs bathroom. Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Rosegarland Care Home Ltd DS0000071451.V365904.R01.S.doc Version 5.2 Page 28 - 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!