Care Home: Rosehill Rehabilitation Unit

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Annual service review Name of Service: Rosehill Rehabilitation Unit The quality rating for this care home is: The rating was made on: two star good service 2 3 0 1 2 0 0 8 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: Michelle Finniear Date of this annual service review: 1 6 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Lower Warberry Road Torquay Devon TQ1 1QY 01803291909 01803291856 rosehill@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 27 0 The home is registered for 27 younger adult service users (aged 18 - 65 years) with physical disability due to acquired brain injury or a neurological disorder, who may or may not have a mental health disorder and who require a specialist service. The Home may admit one named service user over the age of 65 years. 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 Rosehill Rehabilitation Unit provides rehabilitation nursing care for people who have traumatic brain injury. The home is part of Parkcare homes limited, which is a member of Craegmoor Group limited. Rosehill is about half a mile from Torquay. It is registered for 27 Service Users. The home chooses to provide single room accommodation, which reduces their maximum occupancy to 18 Service Users. The home employs registered nurses, physiotherapists and occupational therapists. The team includes 1st and 2nd level Registered General nurses and Health Care Assistants with a National Vocational Qualification in care. A local general practitioner with a special interest in Traumatic brain injury is available. The senior nurse is an experienced practitioner in acquired Annual Service Review Page 2 of 7 2 3 0 1 2 0 0 8 brain injury. The home has a comprehensive assessment and care planning system. Developed in conjunction with the wider multidisciplinary team. The accommodation is spread over three levels, ground, mezzanine and first floor. The home has an equipped physiotherapy gym, a specially adapted domestic kitchen for assessment purposes as well as the homes main kitchen and laundry area. Specially adapted bath shower rooms and toilets are available for disabled people, including independent wheel chair users. A shaft lift is available to all areas used by people who live at the home. The grounds are wheelchair accessible and have ramps and grab rails provided for people to use. The statement of purpose and service users guide is available in the reception area of the home. The fees charged vary, depending on the care needs of the resident and from 1350 pounds base rate. Additional charges are made for hairdressing, chiropody, toiletries, magazines and papers. 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 sent the service an Annual Quality Assurance Assessment or AQAA. This is a document for the home to complete to tell us about the way they operate, what they have improved since we visited and what they plan to do in the coming 12 months; We looked at the last Key Inspection report, Annual service review and the reports of any visits we may have done in the last year; We looked at the information we have received about the service, including any safeguarding alerts or complaints. We looked at the way the home managed these; We looked at the notifications the home has sent us. These are a legal requirement and tell us about incidents that have happened at the home, for example a serious injury to a person who lives there. We sent questionnaires to the people who use the service; and we sent questionnaires to the people who work at the home. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment when we asked for it. It gave us the information we required. Since the last Inspection the manager has become registered. This means she is legally accountable for the day to day operation of the home, along with the company who own it. The home told us that since our last visit they have produced a DVD which includes people living at the home to assist with staff training - this was as a result of suggestions from people living at the home; set up a review and development group to look at records and care planning from the perspective of people receiving care; increased the choice on menus; provided 2:1 support so that a person could go on an activity holiday; improved the relationship with purchasers, implemented individual contracts and updated the welcome pack; increased participation in meetings for people living at the home; provided lockable storage in peoples rooms and refurbished a training kitchen for people to use; equipped a computer room and will soon provide internet access; provided health action plans and self medication risk assessments; fitted new fire doors, a new sluice and new heating system in the annexe; improved staff training and implemented a new appraisal system; achieved a stable management team and the manager has been registered. They also told us that they plan to further involve people living at the home in the care planning process; refurbish the home with input from people living at the home; plan holidays for people living at the home; build on communication methods in use; reassess staffing requirements; separate the accommodation for long stay, rehabilitation and transitional needs; aim to make all rooms en-suite; ensure people have access to the homes policy on confidentiality; all staff to complete basic medication training; review the service user guide and statement of purpose; ensure people are assessed Annual Service Review Page 4 of 7 for suitability for locked doors for the rooms; undertake specialist acquired brain injury training; implement clinical supervision for trained staff and supervision for all staff every two months; restructure the multi-disciplinary team meeting and ensure that accident reviews are a standing item on the agenda. The home have told us they have received no complaints in the last year, but have made 5 safeguarding referrals, 2 of which resulted in safeguarding investigations. We contacted the home to seek clarification on these. We received 5 questionnaires from people who live at the home, 5 from staff who work there, 2 from relatives, carers and advocates and 3 from visiting health care professionals. People told us the service was good at: Maintaining patients with brain injury in a safe environment. Good success with rehabilitation The staff at Rosehill are excellent - the manager Evelyn Ralph-Brown and deputy Jackie Swann make sure that residents needs a are appropriately assessed (taking into account the views of the resident, their family members and professionals involved) and they are creative and thorough in the way they implement care and rehab plans. Activities co-ordinator Helen Bunch has made an outstanding contribution with a carefully chosen programme of activities that truly engage the residents. Promotes Independence; has a good knowledge of individuals, has an understanding of safeguarding issues The garden. It looks lovely and I like helping The centre manager is very professional, patient focused, caring and experienced. XXXXs needs are well met, and he is very well cared for. The staff are sympathetic, caring, patient and approachable. Given the disabilities of the people receiving care they are remarkable and for xxxx are doing a remarkable job Staff generally very caring and committed to residents with very complex needs and behaviours. Staff are loyal to Rosehill and the residents - many times working extra hours to cover sickness and staff shortages. Residents seem to feel at home and safe. People felt the home could do better at: Improvement of premises Whilst the staff really are exceptional unfortunately the older part of the building needs urgent refurbishment and adaptation - the narrow corridors with tight corners impede wheelchair users restricted by the structure of the building, but it could be made more wheelchair accessible inside - many of the corridors have tight corners etc Not always possible to give residents individual attention for activities/outings. Though Annual Service Review Page 5 of 7 this does happen when staffing allows. Quality of food could be improved. Lack of OTs and Psychologists does cause a dampener on those who do their absolute best. More staff - clients here need time to get washed and dressed Another vehicle to let the people go out more often What are we going to do as a result of this annual service review? We have not changed our mind about the service and will carry out a Key Inspection by 23rd January 2011. However we can inspect the service at any time if we have concerns for the people who use it. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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 non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. 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