Care Home: Roseland Care Home

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What the care home does well `I really like my room. I`ve got my own things and it`s exactly how I want it`. (Comment from a resident). `The new manager has made many improvements recently. They offer a good personal service`. (Comment from a health care professional). The health and social care needs of new residents are well assessed and recorded before they move into the home. Residents are involved in planning the care and support they receive, wherever possible. The Manager and staff are aware of the importance of equality and diversity. People`s individual needs with regard to their culture, spirituality and sexuality are well recorded and are met in the home. Residents are cared for by staff who have access to relevant training. The home`s Manager is qualified and experienced. What has improved since the last inspection? When we last inspected the home in February 2008, we made 13 requirements to improve health and safety standards, staff recruitment practise, staffing levels, staff supervision and support and the standard of the bathroom and toilets in the home. During this visit we found that all of these requirements had been met, with the exception of the refurbishment of the bathroom, shower room and toilet. The Manager told us that this work has been arranged by the provider and would be completed by the end of August 2008. CARE HOMES FOR OLDER PEOPLE Roseland Care Home 57 Draycott Avenue Kenton Middlesex HA3 0BL Lead Inspector Tony Lawrence Key Unannounced Inspection 12th August 2008 09:15 12/08/08 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 Roseland Care Home DS0000017443.V367562.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. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roseland Care Home Address 57 Draycott Avenue Kenton Middlesex HA3 0BL 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) 020 8907 4080 020 8959 1249 roseland.home@tiscali.co.uk Mr Jerome Manuel Coral Lavinia Lake Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Roseland Care Home DS0000017443.V367562.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: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 10 25th February 2008 Date of last inspection Brief Description of the Service: Roseland Care Home is situated on a busy residential road, close to a large supermarket, local shops, and tube and bus routes. It is a detached house on two floors. On the ground floor there is a large lounge and separate dining area as well as a kitchen, laundry, shower room, toilet, two single and one shared bedroom. On the first floor there are 6 single bedrooms and a bathroom. There is a chair lift to the first floor. There is a pleasant garden laid mainly to lawn with trees and shrubs at the rear of the property. Garden furniture is provided for service users who like to sit out in the summer. There is off street parking at the front of the house for three cars. A Service Users Guide is available and fees are currently £400.00 per week. At the time of this visit, two man and seven women were living in the home and there was one vacancy. Roseland Care Home DS0000017443.V367562.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 2 stars. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place on Tuesday 12th August 2008 from 09:15 – 14:15. We spent time talking with residents, their relatives, staff on duty and the home’s Manager. We also checked two residents’ care records and other records, including staff personnel files, medication records and health and safety records. Three residents, two members of staff and two health care professionals returned confidential surveys we sent to them as part of this inspection and their comments are included in this report. What the service does well: What has improved since the last inspection? What they could do better: Following this visit we have made two requirements. The Manager must complete risk assessments for residents who smoke and where cot sides are Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 6 used on residents’ beds. The owner must provide automatic door closers on the fire doors leading to the lounge and dining room to improve fire safety standards in the home. These doors must not be wedged open at any time. 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. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 7 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 Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 8 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): 2, 3 and 6. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. New residents do not move into the home until a full assessment of their care needs has been completed. Prospective residents are given the opportunity to spend time in the home. New residents are provided with a statement of terms and conditions or a contract. EVIDENCE: ‘I settled in really quickly – like a duck to water!’ (Comment from a resident). ‘I couldn’t visit, but my daughter came and she told me it was a nice home’. (Comment from a resident). During this visit we spoke to two residents who had moved into the home since our last visit in February 2008. We also checked the care plan files for both people. We saw that both of the care plan files included a contract that had Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 9 been signed by the resident or their representative. The contract outlined the main terms and conditions of residence and included details of the home’s complaints procedure. We also saw the home’s Service User Guide and felt that residents and their representatives were given the information they needed to make an informed choice to move into the home. Both of the care plan files included copies of care needs assessments completed by health or social care professionals. The Primary Care Trust or Social Services Department provided the assessments before each person moved in to the home. We also saw that the home’s Manager had completed a pre-admission assessment for each person before they moved in. This assessment was completed together with the member of staff who would be the person’s allocated key worker after they moved in to the home. We felt that prospective residents and their representatives could be confident the home would meet their identified care needs. One resident told us that they had visited the home before deciding to move in. They said that they had visited with their social worker and had been made very welcome by staff and the Manager. They said that they had seen their room and talked to other people living in the home. They also told us this had helped them to make the decision to move into the home. Another resident told us that they had not been able to visit, but their daughter and son-in-law had visited and were happy with the home. The Manager confirmed that the home did not provide intermediate care and Standard 6 did not apply. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 10 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): 7, 8, 9, 10 and 11. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in their care plan. This gives a comprehensive overview of their health needs and acts as an indicator of change in health requirements. People are supported and helped to be independent and can take responsibility for their personal care needs. EVIDENCE: ‘If I want to see the doctor I ask the staff and they arrange for him to visit’. (Comment from a resident). ‘I saw the chiropodist yesterday and I can see the doctor when I need to’. (Comment from a resident). ‘My (relative) died recently and the family was very happy with the care she received from the Manager and staff’. (Comment from a relative). Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 11 During this visit we checked the personal and health care records for two people living in the home. Both people had moved into the home since our last visit in February 2008. We saw that care needs assessments and preadmission assessments had been completed for both people before they moved into the home. These assessments had been used to produce a care plan for one person. The care plan covered the resident’s personal and health care needs and how these would be met in the home. We saw that this person’s care plan also included consideration of their cultural and spiritual needs. We felt that the care plan included some good goals that would enable the resident to maintain their independence and contact with relatives. The second person had only moved into the home shortly before we visited and the Manager told us their care plan was being developed. We also spoke to this resident and their key worker and they told us they were working together to agree goals to be included in the care plan. We saw that both care plan files included a review of the resident’s health care needs and how these would be met. We saw that residents had regular appointments with their GP, dentist, optician and chiropodist and these were well recorded as part of the care plan. Both residents told us that they were happy with the way their personal and health care needs were met in the home. The home used a Monitored Dosage System for all residents’ prescribed medication. We saw that all medication was securely stored in the home’s office. We checked the Medication Administration Record (MAR) sheets for all nine people living in the home. These records were well completed by staff. We saw no errors or omissions and felt that residents could be confident they would receive the medication they needed. Both people also told us that they were well treated by staff and that staff always respected their privacy. One person told us they were able to spend time alone in their room whenever they chose and staff always respected this choice. One visitor told us that their relative had died in the home recently. They said that the manager and staff had provided excellent care until their relative’s death. They told us that members of the family were kept informed at all times and the Manager also arranged for a priest to visit shortly before the person died. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 12 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 living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication, and independent living skills. Residents are supported to identify their goals, and work to achieve them. People who use the service have the opportunity to develop and maintain important personal and family relationships, and are able to access information and specialist guidance about issues such as intimate relationships. EVIDENCE: ‘I see my (relative) every day. If I want to see people in private, I can see them in my room. The Manager has told me my relatives are welcome to visit at any time’. (Comment from a resident). ‘The food is very good, there is always plenty of it and there are always choices. The chef is very good’. (Comment from a resident). Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 13 ‘The chef is observant of food problems of residents i.e. preference of mashed potatoes and portion sizes and observation of liquid intake’. (Comment from a relative’s survey). During this visit we spoke to two residents and checked their care plan files and daily care notes. We felt that the Manager had made good progress since our last inspection and residents’ social care needs were well met in the home. We saw that the assessments and care plans for both people included consideration of their cultural and religious needs. One care plan also included an excellent assessment of the resident’s sexuality and the support that staff could provide, including information about relevant support organisations. The daily care notes that we saw were brief, but gave an overview of each person’s daily life in the home. We were able to see that the care and support provided in the home matched that detailed in the residents’ care plans. We recommend that staff record when residents’ relatives visit and take people out, so that an accurate record of all activities is kept in the home. We also saw that the home had regular visits from an entertainer who runs sing-along sessions for residents. The Manager also told us that she had contacted Pets as Therapy, a national charity, to arrange for a volunteer to visit the home with their dog or cat. The home’s application had been accepted and the Manager was waiting for the charity to identify a local volunteer. One resident also told us that they went to local day services four times each week. This person told us that they travelled independently, but staff from the home had supported them to learn the public transport routes until they were confident enough to travel on their own. We saw that both residents’ care plan files included clear information about the person’s next of kin, other relatives, friends and other significant people. During our visit one relative told us that they could visit at any time and staff were always welcoming. Residents also told us that their relatives could visit at any time and staff also helped people to keep in touch with relatives by phone or letter. We saw that the home’s weekly menu included a good variety of nutritious meals. Residents told us that they enjoyed the food and there was always a choice of things to eat. One person also told us that snacks and drinks were readily available on request between meals. The home had an attractive dining room overlooking the garden. When we visited, the dining room was comfortably furnished and tables were laid with tablecloths and place mats. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 14 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): 16 and 18. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents and others involved with the service say that they are happy with the service provided, feel safe and well supported. The complaints procedure is supplied to everyone living at the home and is displayed in a number of areas within the service. Residents and others involved with the home understand how to make a complaint and are clear about what will happen if a complaint is made. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. EVIDENCE: ‘I’d talk to my (relative) or staff if I wasn’t happy about anything’. (Comment from a resident). ‘I haven’t needed to complain about anything, but I’d talk to staff if I had to’. (Comment from a resident). ‘We were given a copy of the complaints policy but have never needed to use it’. (Comment from a relative). During this visit we saw that the home’s complaints procedure was included in the Service User Guide and residents’ contract. We also saw the procedure was displayed on notice boards around the home. Residents and relatives who Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 15 returned confidential surveys we sent to them told us that they knew about the home’s complaints procedure, but none had ever had to make a formal complaint. We saw that there had been no safeguarding adults referrals or investigations since we last visited the home in February 2008. The Manager confirmed that she had a copy of the local authority’s safeguarding adults policy and procedures for staff reference. During this visit we checked the finance records for all nine people living in the home. We found that the records were well organised and residents could be confident their personal finances were protected by the home’s procedures. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 16 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): 19, 20, 21 and 26. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The home is a pleasant, safe place to live and the bedrooms and communal rooms meet these Standards or larger. Work to improve the bathrooms and toilets in the home is planned, but needs to be completed. EVIDENCE: ‘I really like my room. I’ve got my own things and it’s exactly how I want it’. (Comment from a resident). ‘Bathrooms and toilets are in need of some tender loving care, but I believe this is now commencing to be addressed’. (Comment from a relative’s survey). Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 17 Roseland Care Home is situated on a busy residential road, close to a large supermarket, local shops, and tube and bus routes. It is a detached house on two floors. On the ground floor there is a large lounge and separate dining area as well as a kitchen, laundry, shower room, toilet, two single and one shared bedroom. On the first floor there are 6 single bedrooms and a bathroom. There is a chair lift to the first floor. There is a pleasant garden laid mainly to lawn with trees and shrubs at the rear of the property. Garden furniture is provided for service users who like to sit out in the summer. There is off street parking at the front of the house for three cars. During this visit we saw all communal parts of the home, including the bathrooms and toilets. We saw all of the residents’ bedrooms when we last visited in February 2008 and felt that these provided a good standard of private space for people living in the home. Both of the residents we spoke to during this visit were very happy with their bedrooms. One person told us that their key worker had spent time with them, arranging the furniture and sorting out personal items, including DVDs and CDs. The communal areas we saw during this visit were well decorated and comfortably furnished. Residents told us that they enjoyed spending time in the lounge and two people told us the dining room was a pleasant room in which to eat meals. When we last inspected the home in February 2008 we made a requirement to refurbish the bathroom, shower room and toilet in the home to make them more welcoming areas for residents’ use. During this visit the Manager told us that the provider had arranged for all three areas to be refurbished and this work would be completed by the end of August 2008. The completion of this work would make all parts of the home attractive and comfortable for residents’ use. During this visit, all parts of the home that we saw were clean, tidy and hygienic. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have confidence in the staff who care for them. People who use the service report that staff working with them are very skilled in their role and are consistently able to meet their needs. All staff receive relevant training that is focussed on delivering improved outcomes for residents. EVIDENCE: ‘The staff are very, very good. They will do anything for you’. (Comment from a resident). ‘Staff respect the wishes of residents and their privacy and keeps them clean and well fed’. (Comment from a health professional). ‘On occasion there appears to be not enough staff. However, staff on duty are always caring and respectful, even under pressure’. (Comment from a relative). ‘This is a nice place to work, where residents are happy’. (Comment from a member of staff). Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 19 When we arrived for this unannounced inspection, the home’s Manager was on duty with two care staff and the home’s chef. We saw from the home’s rota that staffing levels during the morning / lunchtime had been increased, following a requirement we made after our last inspection. We felt that this level of staffing was sufficient to meet the care needs. During the day the manager and care staff worked well together to make sure that residents’ individual needs were met promptly. We saw that staff treated residents with respect at all times. Following our last inspection we made two requirements to improve the training of staff working in the home. During this visit we saw that both requirements had been met. We checked the staff files for two people working in the home and saw that both people had completed their induction and basic skills training, including first aid, moving and handling and fire safety training. One person had completed their National Vocational Qualification (NVQ) Level 2 training and the other person told us they were currently completing this training. Two staff who returned confidential surveys we sent to them as part of this inspection told us that they had access to relevant training. Both staff files also showed that staff were receiving regular supervision sessions from the home’s Manager, another requirement made following our last inspection. Records also showed us that the Manager had started to hold regular staff meetings, a requirement of the last inspection report. The Manager also told us that if a member of staff were unable to attend a meeting, she would go through the minutes of the meeting with them. The staff records we checked during this visit showed that the provider took up all employment checks before new staff started working in the home. These included employment references, proof of identity and Criminal Records Bureau (CRB) checks. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35 and 38. People living in the home experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The manager has the required qualifications and experience and is competent to run the home. The service has sound policies and procedures, which the manager effectively reviews and updates, in line with current thinking and practice. The home works to a clear health and safety policy. All staff are fully aware of the policy and are trained to put theory into practice. EVIDENCE: ‘The new manager has made many improvements recently. They offer a good personal service’. (Comment from a health care professional). Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 21 The home’s Manager told us that she had completed her National Vocational Qualification (NVQ) Level 4 Registered Manager’s Award. We have also registered the Manager as a ‘fit person’ to manage the home. Following our last inspection we made a requirement that the Manager must make arrangements to consult residents, their relatives and other people about the services provided in the home. As part of this inspection, the Manager distributed confidential surveys to residents, their relatives and other people connected with the home. We have included comments from these surveys in this report. The Manager also told us that she planned to distribute the home’s own ‘customer satisfaction surveys’ in September and use the results to write and annual quality assurance report. The Manager should make sure that she provides us with a copy of this report. We saw that the home’s contract included clear information about the support that the home could provide with the management of residents’ finances. Following our last inspection, we made requirements to improve fire safety standards in the home. The London Fire and Emergency Planning Authority’s (LFEPA) Fire Officer also visited the home and made a number of recommendations. We saw that the provider had developed an action plan to meet the LFEPA’s recommendations and some work had been completed. The Manager had completed a fire safety risk assessment for the home and had also completed accredited training to qualify as a Fire Warden. We also saw that the home’s records of fire alarm tests, fire drills and fire equipment servicing were up to date. During this visit we saw that the fire doors leading to the lounge and the dining room were wedged open. This would allow smoke and fire to spread through the home, endangering resident, staff and other people. To reduce risks to people living and working in the home, the owner must provide automatic door closers on the fire doors leading to the lounge and dining room. These doors must not be wedged open at any time. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 22 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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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 OP38 Regulation 23 (4) Requirement To improve fire safety standards in the home and make sure residents and other people are safe, the owner must provide automatic door closers on the fire doors leading to the lounge and dining room. These doors must not be wedged open at any time. Timescale for action 30/09/08 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 OP12 OP33 Good Practice Recommendations Staff should record when residents’ relatives visit and take people out, so that an accurate record of all activities is kept in the home. The Manager should send us a copy of the home’s quality assurance report when it is completed. Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Roseland Care Home DS0000017443.V367562.R01.S.doc Version 5.2 Page 25 - 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. 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