Care Home: Roselands Residential Home

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What the care home does well The home has a friendly, welcoming atmosphere. A visiting professional said, "They are always very welcoming". Staff said, "Its really home from home, and "It`s got a homely feel". The management of the home is very open and positive. A resident said, "The manager and deputy are excellent". There are good methods of communication at all levels. There is a dedicated team of staff who listen and act on what the residents say, and who treat the residents with dignity. A resident commented, "The staff are very nice, very helpful". The home gives a good level of care to its residents. The home operates good medication practices and procedures. Residents receive a wholesome and nutritious diet. A visiting professional commented, "Its one of the nicest homes I visit". A resident said, "Its excellent". What has improved since the last inspection? The home has complied with the requirements made on the last report. Staffing levels have increased allowing more time for interactions between staff and residents. Some environmental improvements have been made to the `old` house. The homes quality assurance systems have improved. What the care home could do better: The service could involve the residents more in the reviews of their care plans. The purchase of a set of sit on scales would enable to staff to monitor more closely when residents weights change significantly CARE HOMES FOR OLDER PEOPLE Roselands Residential Home Cackle Street Main Street Brede Rye East Sussex TN31 6EB Lead Inspector Chris Woolf Unannounced Inspection 15th February 2008 09:00 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 Roselands Residential Home DS0000021197.V358865.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. Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Roselands Residential Home Address Cackle Street Main Street Brede Rye East Sussex TN31 6EB 01424 882338 01424 883166 pleasantly@supanet.com 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) Pleasantly Limited Miss Sylvia Wells Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of service users to be accommodated must not exceed 20 (twenty) The care home can provide personal care to older people aged 65 (sixty five) years or over on admission 19th October 2006 Date of last inspection Brief Description of the Service: Roselands is a converted Guest House that has been adapted to its present use as a care home. An extension is currently being built which will accommodate a further 16 residents. There are extensive grounds and off road parking. Roselands is located in an isolated rural, and quiet situation outside of the village of Brede near to the town of Rye in East Sussex. Residents are able to safely walk around its grounds with the long driveway a popular and safe walking route, and a new pathway around the building in the process of construction. Roseland’s is registered for 20 people who are over the age of 65. However at the time of the inspection site visit there were only 13 residents as numbers are being kept down whilst the building programme is taking place. The home is suitable for people over 65 years who are in need of 24-hour care and support. There is level access available throughout the home as it has been provided with a shaft lift and ramping. The current fees for the service at the time of the visit range from £300 to £420 per week. These fees are due to be reviewed when the new extension is complete. Information on the Home’s services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. The e-mail address of the home is robert.millen2@btinternet.com. Roselands Residential Home DS0000021197.V358865.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 star. This means the people who use this service experience good quality outcomes. The information for this report was gained from an Annual Quality Assurance Assessment (AQAA) completed by the service; comment cards received from 6 residents, and 8 members of staff; and a site visit to the home. The site visit, which lasted for 6 ¼ hours was unannounced, this means that neither the staff nor the residents knew that we (the Commission) were going to visit. During the site visit we spoke with the majority of residents, some in passing and 5 in more depth. We spoke with a visiting health care professional, the staff on duty, and with the Manager and Deputy Manager. We observed the relationship between staff and residents. We saw residents enjoying their lunchtime meal. We observed the administration of lunchtime medication. A variety of records were examined including residents care plans, staff files, medication records, menu’s and safety records. We also had a tour of the building, which included a preliminary view of the new extension. The people who live in this home like to be called residents and this is the term used to describe them throughout this report. What the service does well: The home has a friendly, welcoming atmosphere. A visiting professional said, “They are always very welcoming”. Staff said, “Its really home from home, and “It’s got a homely feel”. The management of the home is very open and positive. A resident said, “The manager and deputy are excellent”. There are good methods of communication at all levels. There is a dedicated team of staff who listen and act on what the residents say, and who treat the residents with dignity. A resident commented, “The staff are very nice, very helpful”. Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 6 The home gives a good level of care to its residents. The home operates good medication practices and procedures. Residents receive a wholesome and nutritious diet. A visiting professional commented, “Its one of the nicest homes I visit”. A resident said, “Its excellent”. What has improved since the last inspection? 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. Roselands Residential Home DS0000021197.V358865.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 Roselands Residential Home DS0000021197.V358865.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, 4, & 5. Standard 6 is not applicable in this home Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can be sure that their needs will be assessed and that the home will be confident of meeting these needs before admission EVIDENCE: The home has sound procedures for the assessment of prospective residents. The manager is particularly keen to ensure that the home can meet the needs of the applicant and that the prospective resident will integrate easily with the existing residents. All prospective residents and, where appropriate, their relative or advocate meet with the Manager to enable an assessment to take Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 9 place. Assessments include all of the physical, mental, and social needs of the resident as well as any equality or diversity needs they may have. The manager encourages prospective residents to visit the home for this process to enable them to ‘get a feel’ for the home and meet with other residents. On occasions when a visit is not appropriate the manager will visit the prospective resident in their own home or in hospital. During the assessment process all prospective residents are issued with a copy of the homes statement of purpose, service user guide, and a brochure of the home. Comment cards received from residents confirmed that they all received enough information about the home to enable them to decide if it were the right place for them. The home is currently in the process of updating its statement of purpose. Trial periods are encouraged and the first month of any occupation is classed as a trial period. All residents are issued with and asked to sign a contract/statement of terms and conditions of residence in the home. This home does not offer the facility of intermediate care, which is a specialised service of intense rehabilitation in a dedicated unit, aimed at enabling people to return to their own homes. Roselands Residential Home DS0000021197.V358865.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are recorded in their care plan and are met by the home supported by a team of multi-disciplinary health care professionals. Residents are treated with respect and their privacy is upheld EVIDENCE: A detailed and holistic care plan, based on his or her pre-admission assessment, is produced for each resident. Care plans include personal details, physical, mental, social, and any equality or diversity needs as well as a ‘family tree’ and a variety of risk assessments. The resident’s key worker regularly reviews each care plan. Residents are consulted about reviews but Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 11 currently there is no documentary evidence of their involvement. A recommendation has been made that residents or their representatives should be encouraged to sign their care plans to verify their involvement with reviews. The home and a team of multi-disciplinary health care professionals support resident’s health care needs. Currently there are no residents suffering from pressure area sores but if needed the District Nurses attend to give treatment, advice and support. The home monitors the weight of residents, however at present there are no ‘sit on’ scales available and therefore it is difficult to properly monitor the residents who are unable to maintain balance on ordinary scales. A recommendation has been made regarding this. Where significant variations in weight are noted the G.P. is contacted for advice. A visiting professional commented, “They care about everyone”, and “If they need they always call me, they always liaise before it gets to a big problem”. A resident said, “They do everything they can for me”. Staff comment cards included we, ‘Provide the best care we can’, ‘Cater for all needs at all times’, and ‘The service looks after the clients very well and the home has an excellent standing in the local area’. One thank you letter viewed said, ‘I am writing to express my appreciation of the care xxx received during her stay at Roselands. Special thanks are sent to you and the staff for the extra care and attention to her every need in her final days’. The home has very clear policies and procedures for the receipt, storage, administration, and disposal of medication. All staff that assist with medication have received training. Medication is stored in individual locked cupboards. Risk assessments are carried out for any resident who wishes to administer their own medication. Staff encourage residents to maintain their own independence as far as they are able to help them to maintain their dignity. Residents are treated with respect and their privacy is protected. Resident said, “They encourage us to keep our independence”, “The staff treat me with dignity”, “I can do a lot for myself”, and “They always knock if my door is shut”. A staff member said, “Dignity is part of self-esteem”. Roselands Residential Home DS0000021197.V358865.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, & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to continue leading a life that meets their needs and choices. Residents are provided with a varied and nutritious diet. EVIDENCE: The homes activities programme reflects the wishes of the current residents. Visiting entertainers include ‘music for health’, and ‘music from the shows’. In addition to having regular visiting entertainers the staff try to encourage residents to join in such things as quizzes, reminiscence, and jigsaws. However, the majority of residents tend to prefer to sit and talk to each other Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 13 with coffee and lunch being the most sociable times. Some residents prefer their own company and often watch television or listen to music in their own rooms. A hairdresser visits the home weekly and one resident said, “I have my hair done every fortnight”. Residents also said, “Activities are not my thing”, “I prefer my own company”, and “Sometimes we have a singer visits”. A member of staff said, “They are offered entertainment but mostly they don’t want it” At present all of the residents come from Christian backgrounds and communion is held once a month and a church service is also held once a month for those who wish to join in. A resident said, “I attend the service”. Should any resident with different ethnic or cultural needs wish to live in the home the manager would ensure, during the pre-assessment, that the home was capable of meeting their needs. Leaders of other faiths would be contacted and visits arranged if requested. The manager confirmed that activities would be reassessed and increased if so indicated, when the new extension is opened. The home has an open house policy for visitors. Residents are able to see their visitors at any time they wish. They also go out to visit friends and family. Residents said, “My family come to visit, either here, or downstairs”, “My niece visits me regularly, she does my shopping for me”, “My family come to visit when they can, they get a cup of tea”, and “I go out for lunch quite often, I use dial a ride”. Residents have choices in all aspects of their daily lives and were witnessed to be making their own choices on the day of the inspection site visit. The home provides residents with a varied menu of home cooked, nutritious and wholesome meals. The main meal is normally taken at lunchtime with hot and cold choices at suppertime. If a resident is out for the day a cooked meal is provided for them in the evening. Choices are available at each meal. Residents said, “The food is very good”, “The meals are very good, I don’t eat meat but there is always something for me”, “I do enjoy fish and chips”, and “The food is very nice, they puree it so that I can eat it, I always get plenty to eat”. Staff commented, “The food is lovely”, “The food is well prepared. Always a choice and other alternatives if wanted”, and “Food is very good, a varied menu” Roselands Residential Home DS0000021197.V358865.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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their concerns and complaints will be listened to and acted upon and that they will be protected from abuse. EVIDENCE: The home has a clear and accessible complaints procedure, a copy of which is clearly displayed in the hallway. There have been no complaints made to the home or to us since the last inspection. Resident comment cards received all confirmed that they know how to make a complaint; and that staff always listen and act upon what they say. One resident commented, “I have no complaints at all”. As well as a complaints register the home keeps copies of thank you letters, one viewed stated, ‘This letter is to thank you all so much for looking after xxx so caringly’. The homes AQAA states, ‘We cannot recall ever having had a formal complaint from a resident or a supporter’. Residents are protected from abuse. All staff are checked against the Protection of Vulnerable Adults Register prior to commencing employment in Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 15 the home. The home has policies on Adult Protection and Whistleblowing. There have been no adult protection alerts raised since the last inspection. All staff are given instruction on how to recognise abuse and the actions to take if they should suspect a resident was vulnerable to abuse. Roselands Residential Home DS0000021197.V358865.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. 24. & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is comfortable, homely, and clean with bedrooms that are personalised to meet their needs. EVIDENCE: The home is located in a quiet rural location. There are extensive grounds, a long driveway, and adequate parking facilities. Currently the garden area does not look at its best because of the ongoing works on the extension. However once these works are completed a new path around the home will be provided. Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 17 This will make it easier for the less mobile residents to enjoy going out for a walk without having to negotiate the slope of the driveway. Within the home there is lift and ramps to ensure easy access for all residents to all areas. The requirements on the last report with regard to the environment have either been met or are on the homes schedule of works for completion. A variety of improvements have taken place to the existing building during the past 12 months. The conservatory area has been refurbished with a new roof provided and double-glazing fitted. The remainder of the single glazed windows are gradually being replaced by double-glazing. The kitchen is in the process of being upgraded and new equipment has been provided. The boiler has been replaced which should provide a more reliable heating system. The new extension which the manager hopes will be open March/April 2008 will provide a further 16 single bedrooms all with en-suite facilities and under floor heating. There will be a lounge/dining area on the ground floor and a further small lounge upstairs. In addition there will be a further 3 assisted bathrooms. A visiting professional said, “The new extension will be super for them”. Current shared facilities consist of a main lounge, a conservatory, and a dining room. All communal rooms are homely and comfortable. Resident’s bedrooms are comfortable and personalised to their own taste. They are welcome to bring in their own ‘bits and pieces’ to make their rooms more homely. Residents said, “The rooms are nice”, and “Those are all photos of my children, grandchildren and great grandchildren”. Many of the rooms have panoramic views over the adjoining countryside. Residents commented, “I can nearly see where I used to live”, and “I have a nice view”. The home is kept clean and odour free throughout. A resident said, “It’s kept quite clean”. Resident comment cards confirmed that it is always kept fresh and clean. A visiting professional said, “It’s clean, homely, and no smells”. The home has the appropriate personal protective equipment, and sufficient hand washing facilities available to aid good infection control procedures. Roselands Residential Home DS0000021197.V358865.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, & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A team of properly recruited and well-trained staff care for the residents EVIDENCE: The home employs staff in sufficient numbers to meet the needs of the residents. Currently the home is recruiting additional staff to ensure that they have sufficient numbers available when the new extension is opened. 60 of the current care staff are trained to NVQ level 2 or above with a further person currently undertaking this training. New staff will start their NVQ once they have completed their induction. In addition 1 member of staff has achieved level 3 and 3 others are starting this. The deputy manager also has Level 3 and is currently doing Level 4. Staff said, “I have NVQ 2 and am starting Level 3”, and I have Level 3 and am working on Level 4”. Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 19 The home has robust recruitment procedures in place. No member of staff is employed until an enhanced Criminal Records Bureau check has been submitted, and a satisfactory check of the Protection of Vulnerable Adults Register and 2 satisfactory references have been received. All new staff are given induction training to Skills for Care specification. A staff member said, “Going through the induction has made me focus, and shown me more about resident care”. Staff training in the mandatory subjects is either up to date or organised. Additional training that has taken place includes Death, Dying and Bereavement, Medication, and Risk Assessment. Staff said, “I am learning about risk assessment”, “There has been more staff training over the years”, and “I am doing a fire awareness course”. General comments about the staff included residents who said, “The staff are very nice indeed, not a nasty one amongst them”, “the staff are good to you”, and “the staff are very good”. A visiting professional said, “”The staff always communicate well”. Staff comments included, “I like working here, there is always someone to help, we get lots of support”, “I have been here over 15 years and have seen some big changes. I enjoy it”, and “Staff stay here long term”. Roselands Residential Home DS0000021197.V358865.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, 32, 33, 35, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents. The health, safety and welfare of residents and staff is protected EVIDENCE: The registered manager has worked in the home for twenty-five years, fifteen of these in her current role. She has achieved her NVQ 4 in care and is half Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 21 way through the Registered Managers Award. A competent deputy manager supports her. The management style of the home is open and approachable. Residents said, “Sylvia is lovely, very nice indeed”, and “Sylvia works very hard”. When asked if they got support from the management staff said, “Yes, very good”, “Yes we do”, and “Yes, there is always one of them here”. The home has developed its quality assurance systems during the past year. They have a Quality Audit System in place. Quality questionnaires are circulated to residents 6 monthly, and families annually and an analysis is produced of the results. The manager talks to the residents on a daily basis and resolves any of their concerns quickly and efficiently. Staff meetings are held 3 monthly for all staff. The provider makes regular Regulation 26 visits and these are documented. The home also has a contingency plan in place in case of unforeseen emergencies. The home does not hold any monies for Resident. Residents finances are dealt with by the resident themselves or by their representative. The home protects the health, safety and welfare of service users and staff. All staff are trained in the mandatory health and safety related subjects. The home recently had a visit from the Fire officer and his recommendations have been actioned. Accident recording meets with current good practice. All equipment testing is up to date and valid. Appropriate risk assessments are in place Roselands Residential Home DS0000021197.V358865.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 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 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 3 3 3 X X X 3 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 3 3 X 3 X X 3 Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action 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 OP7 OP8 Good Practice Recommendations Residents should be encouraged to sign their care plans to verify their involvement with reviews The home should consider the purchase of sit-on scales to ensure that residents weight loss/gain can be properly monitored. Roselands Residential Home DS0000021197.V358865.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Roselands Residential Home DS0000021197.V358865.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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