Care Home: Roseland

Similar services:

• The Shelley
• Thorndene
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court

What the care home does well People who are considering moving into the home can be confident their needs will be fully assessed to ensure all their needs can be met. They can also be confident their health and personal care needs will be met in a way that promotes their health and wellbeing, privacy and dignity. People are protected through the safe handling of medication. One person who has lived in the home for 27 years told us she has enjoyed every moment. We received 10 responses to surveys we sent to residents and their relatives before our visit. These responses were full of praise for the service, many of their comments have been included in the report. People who live in the home have opportunities to take part in a range of activities. They are supported to maintain contact with family and friends. Choice and independence is promoted and people enjoy the beautifully presented, home cooked and nutritious meals, served in pleasant surroundings. People are listened to and know who to talk to if they are unhappy. They are protected from abuse. The quality of life for people who live in this home is enhanced by the well presented, homely, clean and safe environment. There are good facilities for people with physical disabilities. People benefit from the excellent support provided by the well trained and friendly staff team. They are protected from harm through robust recruitment policies and procedures. People who live in the home can be confident the management team run the home in their best interests. They can be confident their views will be taken into account as part of the home`s quality assurance processes. People are protected from harm through effective arrangements to manage and promote health and safety within the home. What has improved since the last inspection? People who live in the home are benefiting from the extension to the premises which has provided additional communal space and a number of en suite facilities in bedrooms. Staff have received additional training in measuring and recording residents blood pressure to ensure this aspect of peoples` health is effectively monitored. People who live in the home are benefiting from the improvement in monitoring and management of the homes kitchen and food provision. What the care home could do better: There are firm plans to review and update care planning systems in line with the person centred approach the home already takes to providing care. The home provides an excellent service for the people who live there. There are no requirements or recommendations made in this report. Key inspection report Care homes for older people Name: Address: Roseland Roseland Garratts Lane Banstead Surrey SM7 2EQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Ruth Burnham     Date: 1 5 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © 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. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Roseland Roseland Garratts Lane Banstead Surrey SM7 2EQ 01737355022 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Banstead, Carshalton & District Housing Society Limited care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 39 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Dementia (DE) Physical disability (PD) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Roselands was purpose built in the 1950s and now accommodates up to 39 older people. A sister home under the same management is situated nearby. The home is sited in its own grounds with well-maintained, level gardens which are Care Homes for Older People Page 4 of 26 Over 65 0 39 0 39 0 39 Brief description of the care home accessible to residents. Limited car-parking facilities are available to the front of the home. Accommodation is provided over 2 floors. The home has been modernised and developed over the years. The main lounge has been extended, a conservatory has been added and a number of bedrooms have been provided with ensuite toilet faciltites. A passenger lift provides access to both floors of the home. The fees at this home range from £ 466.00 to £ 533.00. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced site visit, which forms part of the homes key inspection was undertaken on 15 January 2010. We were in the home for six hours from 09:15 to 15:30. There were 32 people living in the home at the time of our visit. We talked with 3 people who live there and observed and spoke with other residents during the day. We also spke with 3 members of staff. Other staff, the registered manager and the chairman of the organisation were also spoken with throughout the day. We looked at most areas of the premises. We examined a number of records including staff employment records, daily records, incident records, risk assessments, medication records, assessments, reviews and care plans. Before the visit we sent surveys to people who live in the home; their relatives; members of staff; health and social care professionals. 18 surveys were completed and Care Homes for Older People Page 6 of 26 returned, all of these responses were very positive. The last inspection took place on 25 February 2008. There are no required actions at the end of this report. Feedback was given to the Responsible Individual, who is the Chairman of the organisation, and the registered manager at the end of the visit. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? 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 on page 4. Care Homes for Older People Page 8 of 26 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into the home can be confident their needs will be fully assessed to ensure all their needs can be met. Evidence: People who are considering moving into the home can be confident their needs will be understood and can be met. We examined three files for people who have recently moved into the home. Each person had a detailed assessment carried out by a trained person. Either the manager or the head of care, usually both, visit people before they move in to ensure their needs can be met. The home provides short term respite care in one of their rooms. This enables people to have a taster visit to help them decide if the home will be suitable for them. The information obtained at assessment includes key areas such as mobility, sensory, dietary, personal care, emotional and social needs and interests. Information is clear and detailed. People who are funded by the Local Authority also have care managers Care Homes for Older People Page 11 of 26 Evidence: assessments, and some have health care assessments if they are jointly funded with the Health Authority. One person who has recently moved told us she was very happy, she had been able to stay at the home before moving in for a short period of respite care and had decided it was time to move in permanently. Another resident also told us how pleased they were to be in the home and knew they had made the right decision to move there. One person who responded to our survey said. I have a warm, cosy room, Lovely food, nice people to chat with. I am well satisfied, I am glad I came. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home can be confident their health and personal care needs will be met in a way that promotes their health and wellbeing, privacy and dignity. People are protected through clear policies and procedures for the administration of medication. Evidence: People who live in the home can be confident their personal and healthcare needs are understood. Each person has a care plan based on their initial assessment of need. Four care plans were sampled. These are in a standard format and contain detailed information about each persons individual care needs. All the plans sampled have been reviewed regularly every month and were properly signed and dated. Care plans are drawn up in consultation with the person receiving care and are also signed by them. Staff and management spoken with and observed interacting with and providing support to people who live in the home demonstrated a sound understanding of how Care Homes for Older People Page 13 of 26 Evidence: to provide care in a person centred and individual way. Whilst there is some room for improvement in the recording of care plans to ensure records are more person centred the manager is already aware of this and plans to review and revise all care plans this year,including the format currently in use to ensure all the information and guidance is person centred. Three people who live in the home were spoken with in some depth during our visit, they confirmed they are well cared for and satisfied with the service they receive. They all praised the staff and management of the home. Staff were seen to have a good understanding of each persons needs. All interactions between staff and residents throughout our visit were supportive, friendly and respectful. Responses to surveys were very positive. Comments from people who live in the home included: Roseland does everything well, I have been here for 11 years, we are very lucky. Lovely caring staff. Good meals - especially the roast. Very friendly. A relative who we spoke to during our visit told us they are very happy with the home and very satisfied with the care provided. Another resident told us: Roseland is a great home. The atmosphere is good, the staff work very hard to create the best home possible for the residents with the best care. People who live in the home can be confident their healthcare needs will be met. There are arrangements in place for visits by local GPs and other health care professionals. Two healthcare professionals responded positively to our survey. Community health professionals come into the home to provide staff training on specific topics, for example on taking blood pressure. People who live in the home are protected through the safe handling of medication. One medication administration session was observed. There is a medication policy in place and the home uses a monitored dosage system. Records are up to date and well maintained. Medication is stored securely. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have opportunities to take part in a range of activities. They are supported to maintain contact with family and friends. Choice and independence is promoted and people enjoy the beautifully presented, home cooked and nutritious meals, served in pleasant surroundings. Evidence: People who live in the home are provided with a range of activities. There is an activities programme in place which includes painting, quizzes, reminiscence, entertainment and film shows. Outings are also arranged. The home has been extended since our last inspection and now provides additional communal space part of which has been set up as a home cinema with a large TV for film shows. The chairman also told us of plans to set up an area where residents can use the computer. People who we spoke to said they enjoyed the activities on offer. Two people who responded to our survey told us. They try hard to keep us contented, entertainment is provided regularly. there are lots of concerts, activities and special events. Staff who we spoke to know the residents well and, although currently care plans do not contain sufficient information about peoples backgrounds and social histories, Care Homes for Older People Page 15 of 26 Evidence: staff were able to tell us about individual residents. They know their likes and dislikes and individual interests. The manager told us that the planned review of care planning systems will ensure more information about individual social needs and preferences is included. People who live in the home are supported to maintain contact with friends and families. Visitors are made welcome and offered refreshment. One visitor who we spoke to confirmed they can visit at any time and are always made welcome and are kept informed about their relative. People are encouraged to exercise choice and control over their lives. Throughout the inspection we observed people being offered choices. People are able to bring personal possessions with them and all the bedrooms we saw showed evidence of this including ornaments, photos, and pictures. People who were spoken to said they enjoyed the meals provided. We were able to join residents in the dining room for lunch. There was a wide choice of food: Poached fish; vegetable curry; omelet or salad were on offer for the main meal. People were able to choose dessert from a sweet trolley with banoffee pie; lemon sponge; a variety of fresh fruit; yoghurt and ice cream. Food is well prepared, beautifully presented, tasty and hot. The service was excellent. People who responded to our survey commented positively on the food. The dining room is pleasant and attractively laid out. Independence is promoted at mealtimes, in the morning we noted that breakfast is served hotel style with residents able to choose from a variety of cereals and fruit, condiments are placed on each table for residents to serve themselves with support provided where needed. People who need assistance to eat have unhurried and uninterrupted support from staff. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home are listened to and know who to talk to if they are unhappy. They are protected from abuse. Evidence: People who live in the home are provided with a complaints procedure in the service User Guide. This is also displayed in the home where residents and visitors can see it. No concerns have been brought to the attention of the Commission about this service since the last inspection. People who live in the home are protected from abuse through clear policies and procedures and appropriate staff training. The home has a copy of the local authority procedures for safeguarding vulnerable adults. All staff have received safeguarding training and all staff are checked through the Criminal Records Bureau before they begin working in the home. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The quality of life for people who live in this home is enhanced by the well presented, homely, clean and safe environment. There are good facilities for people with physical disabilities. Evidence: This home is very nicely furnished and decorated throughout and people who were spoken to were pleased with their rooms and other facilities. Communal areas are comfortable and spacious. A recent extension has provided additional space with a large conservatory and home cinema area. The gardens are well looked after, including the front gardens and the car park. There is a programme of ongoing maintenance and repair. Further improvements are planned to upgrade and equip a room with computer facilities for residents. Bathrooms are well equipped and improvements are in progress to increase the size of one of the toilets and provide a treatment room. A number of bedrooms have en suite facilities. People are protected from risk of infection through good hygiene policies and practice. There are good hand washing facilities, with each basin having individually dispensed soap and paper towels available. The home employs domestic and laundry staff, all Care Homes for Older People Page 18 of 26 Evidence: areas of the home seen during our visit were fresh and clean with no unpleasant odours. The laundry is tidy and well-organised, with separate containers for each persons clean laundry. Machines are the commercial type, with sluicing facilities on the washing machines. The coloured bag system is used to separate the various items of soiled laundry to ensure protection from risk of infection. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from the excellent support provided by the well trained and friendly staff team. They are protected from harm through robust recruitment policies and procedures. Evidence: People who live in the home can be confident there are sufficient numbers of suitably qualified and competent staff to meet their needs. There is a recorded staff rota in place. In addition to care staff there is a chef, a handyman, kitchen, laundry and domestic staff employed at the home. People benefit from the support of the stable staff team, with only one new member of staff since our last inspection people can be confident staff know them well and understand their needs and expectations. The high regard in which staff are held is evidenced in the responses to our survey: Lovely caring staff. Very friendly. A very caring home. I have found Roseland to be always helpful and friendly,giving my Auntie excellent care. staff are caring and friendly. They try hard to treat each resident as an individual and meet their needs. They do their best to keep the home looking nice, lay on events and things to brighten up the days. The staff are cheerful, kind and very patient with the residents. Everyone is treated with respect and as an individual. All the staff are excellent. A warm and friendly atmosphere is provided. Carers do really care. People who live in the home are protected through robust recruitment arrangements. Care Homes for Older People Page 20 of 26 Evidence: Three staff files were examined. These contained all the necessary recruitment checks and include an application form, photographic identification, two references, and Criminal Record Bureau clearance. People can be confident staff are well trained to understand their needs and provide appropriate care. There is a programme in place to ensure all new staff go through an induction course. Training records showed a range of training is provided including Moving and Handling, First Aid, infection control, medication administration, adult protection, Fire Safety, dementia awareness, Food Hygiene and Nutrition. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home can be confident the management team run the home in their best interests. People can be confident their views will be taken into account as part of the homes quality assurance processes. People are protected from harm through effective arrangements to manage and promote health and safety within the home. Evidence: People who live in the home can be confident the manager is qualified and competent. The Home also employs a full time head of care, who takes charge of the day-to-day care provision and deputises for the manager in her absence. The Responsible Individual for the service is the chairman of the organisation, he also spends time in the home most days and works closely with the manager to oversee the service. Feedback from people who live in the home, their relatives and staff who work in the home was very positive. It is clear the management team promote promote a caring Care Homes for Older People Page 22 of 26 Evidence: ethos and work hard to ensure ongoing improvements to the quality of the service. This is reflected in the following responses to our survey: Roseland has a very good reputation locally and is known to be one of the best homes here. A wonderfully caring home - we are most fortunate! Friendly welcoming ambiance and visitors can call at any time. Very efficiently run and also very caring. All the staff are excellent and the chairman is the most hard working caring person you could wish to find and yet he always has time for people. They genuinely care and love the residents and are always welcoming to the families. People can be confident their views will be taken into account as part of the homes quality assurance processes. Effective arrangements are in place to measure the quality of the service. These include annual questionnaires for residents. Whilst there are no formal residents meetings, both the chairman and the registered manager maintain regular day to day contact with people who live in their home and know each resident well. Three people who we spoke with, who live in the home, said they would not be interested in having residents meetings. Information provided in the Annual Quality Assurance Assessment and discussion throughout our visit shows the management know where improvements can be made and develop plans to continually improve the service. People are protected from harm through effective arrangements to manage and promote health and safety within the home. Staff are trained in safe working practices. Regular health and safety checks are carried out including checks on all equipment and installations with safety certificates in place. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 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 Care Homes for Older People Page 25 of 26 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!