Care Home: Roseneath

What the care home does well The outcome of the audits of each staff file had been documented in the front of each staff record making it easier at a glance to establish what records had been obtained. The regulations state that for staff who have limited contact with people at the home, then CRB checks can be done at the standard level. It was good that for staff who were in positions such as domestic and maintenance workers criminal record bureau checks had been obtained at an enhanced level. This is good practice as it is a fuller check than the standard disclosure. What the care home could do better: The audit sheet for each staff file had a space to record when the staff had first started working in the home. This had not been completed and so the reader of the file would have to search through the file to find out when the staff had started. Whilst information looked at indicates all staff have had a CRB check some of these were over five years ago. It is considered good practice to re do these checks every three years to make sure that staff have not had any new convictions that they have not told the home about. The home has a format in place for completing risk assessments where staff have a criminal conviction. For one staff who had a conviction records showed that the manager had now had a meeting with them to discuss the circumstances of this. The manager told us she intended to document the outcome of this. A risk assessment had been completed that was adequate in content . It could however have been more detailed to include all of the factors that had been considered in making the decision that the staff was suitable to work in the home. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Roseneath 163-165 Hamstead Road Handsworth Wood Birmingham West Midlands B20 2RL zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kerry Coulter Date: 0 9 0 2 2 0 0 9 Information about the care home Name of care home: Address: Roseneath 163-165 Hamstead Road Handsworth Wood Birmingham West Midlands B20 2RL 01215238280 01215515740 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr M Mughal care home 30 Number of places (if applicable): Under 65 Over 65 0 30 dementia old age, not falling within any other category Conditions of registration: 20 0 The tregistered person may provide the following category of service only: Care Home Only (Code PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories Old age not falling within any othercategory (OP) 30 Dementia (DE) 20 The maximum number of service users to be accommodated is 30 Date of last inspection Brief description of the care home The home was formerly two large houses that have been converted into one large care home providing accommodation for up to 30 elderly people some of whom may have dementia. The properties are linked on the ground and first floors and at the front of the home. Bedrooms are located on all three floors of the home, although the majority Care Homes for Older People Page 2 of 9 Brief description of the care home are on the first and second floors. There are two shaft lifts, one in each property giving people easy access to all floors. People all have their own room and some have ensuite facilities. There are two bathrooms on each floor of the home; with the majority equipped with hoists for those people requiring assistance, the bathroom on the first floor has a fully assisted shower. There are also numerous toilets throughout the home. On the ground floor there are four lounges, a conservatory, two dining rooms, a large well-equipped kitchen, a laundry, staff facilities and an office. The home has easy access to public transport and the popular shopping area of Handsworth and community facilities are within five minutes travelling distance from the home. There is ramped access to the front of the home and some parking spaces. To the rear is a pleasant garden with a patio area, shrubs and lawns. For up to date fee information about the home it is advised that the Home Manager is contacted. Non NHS chiropody, hairdressing and newspapers are not included in the fee but are available within the home at an additional charge if required. Our reports are available in the home for people to read on request. Care Homes for Older People Page 3 of 9 What we found: We visited the home to check compliance with a statutory requirement notice with regard to recruitment practice. Evidence at this visit indicated that the home had complied with the notice, however we could not make a full assessment as no new staff had been employed. The staff rota and discussions with the manager showed that no new staff had been recruited since our last visit to the home in December. This meant that we could not assess the homes practice in recruiting new staff, we will do this at our next visit to the home. The rota showed that the home has twenty staff including the manager. We looked in detail at the recruitment files for thirteen staff and sampled files for the other seven staff. At our last inspection to the home we found that staff recruitment practice was poor. Some staff files did not have all the required recruitment records to show that the procedure followed had been robust. We found that since our last visit the manager of the home has completed an audit of each staff file to ensure there is a criminal records bureau check (CRB), references, application form and proof of identity for each staff. Where documents were previously missing, for example proof of identity and references the manager has taken steps to ensure these are obtained. What the care home does well: What they could do better: The audit sheet for each staff file had a space to record when the staff had first started working in the home. This had not been completed and so the reader of the file would have to search through the file to find out when the staff had started. Whilst information looked at indicates all staff have had a CRB check some of these were over five years ago. It is considered good practice to re do these checks every three years to make sure that staff have not had any new convictions that they have not told the home about. The home has a format in place for completing risk assessments where staff have a criminal conviction. For one staff who had a conviction records showed that the manager had now had a meeting with them to discuss the circumstances of this. The Care Homes for Older People Page 4 of 9 manager told us she intended to document the outcome of this. A risk assessment had been completed that was adequate in content . It could however have been more detailed to include all of the factors that had been considered in making the decision that the staff was suitable to work in the home. 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 set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 7 15 People who live at the home 05/03/2008 must have a comprehensive plan of their care that identifies all their needs, choices and capabilities to ensure that staff are aware of their needs and actions that are` required to address them. People who live at the home must have a comprehensive plan of their care that identifies all their needs and choices. To ensure that staff are aware of their needs and the actions that are required to meet them. 30/01/2009 2 7 15 3 8 12 The service must make proper provision for the health and welfare of people who live at Roseneath. This will help ensure that they receive the care and monitoring that their conditions require. 30/01/2009 4 9 13 Medication administration charts must accurately record the medication prescribed to people. This will help to ensure 30/01/2009 Care Homes for Older People Page 6 of 9 people get the medication they are prescribed in a safe manner. 5 19 13 Ensure repairs are carried out to damaged areas of flooring in the lounge and conservatory. This will ensure flooring is in good condition and does not pose a tripping hazard to people. 6 29 19 Recruitment and selection 05/03/2008 procedures must be robust to ensure that residents are protected from people who are unsuitable to work with vulnerable people. Put in place a process to ensure that people do not work in the care home until formal and satisfactory application and appointment processes have been completed. To ensure that people are protected from staff who are unsuitable to work with vulnerable people. 8 38 13 The home must ensure that 02/02/2009 requirements made by the Environmental Health Officer are actioned and that the home is free from hazards to people who live there. To ensure the health and safety of people is promoted and protected. 28/01/2009 30/01/2009 7 29 19 Care Homes for Older People Page 7 of 9 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: 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 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. 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