Care Home: Rosewood

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What the care home does well The homes procedures for assessing and admitting students aim to ensure that people choose a home which is right for them . Care plans and communication profiles provide staff with up todate information about how best to support people in a way which gives them maximum choice and control over their own lives both at home and at college. Staff support students to take part in activities to help promote their personal and social development. Students personal and healthcare is well supported, monitored and recorded to ensure they stay well and their privacy and dignity is respected by staff. The home has a complaints procedure to ensure that people are protected and their views and concerns are listened to and acted upon. Recruitment and training procedures and practices ensure the protection of students. Staff are appropriately supervised and provided with ongoing mandatory training to ensure they develop within their role and are up to date with current care practices. The home is well managed to the benefit of the students. Systems, which are in place, ensure that their health, safety and welfare is protected and promoted at all times. Quality assurance systems, which are in place, ensure the standard of the service is regularly monitored, reviewed and improved. Staff were complimentary of the Registered Manager and confirmed he is approachable and supportive. What has improved since the last inspection? Since the last inspection some parts of the home have been redecorated and carpets cleaned professionally to ensure the comfort and dignity of the students. The back garden has been tidied and the outbuilding, which was unsafe, has been removed to provide students with a safe, fully accessible and pleasant outdoor space. What the care home could do better: Students should be given the opportunity to take part in the main weekly shop for food to promote their independence. Weekend menus should be reviewed so that students have more variety of food. Bathrooms, which are out of order, must be repaired so that students have sufficient washing and toilet facilities. Sofas in the lounges should be replaced to ensure the comfort of the students. Other parts of the environment identified in the main body of the report should be improved to enhance the comfort and dignity of the students. CARE HOME ADULTS 18-65 Rosewood 30 Norwood Avenue Southport Merseyside PR9 7EG Lead Inspector Mrs Janet Marshall Key Unannounced Inspection 30th November 2007 12:30 Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 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 Rosewood DS0000005392.V343466.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 Adults 18-65. 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. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Address 30 Norwood Avenue Southport Merseyside PR9 7EG 01704 509582 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) Speciality Care (Rest Homes) Limited Mr John David Little Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 14 LD Age range of service users is limited to 16 to 25 years Service type is limited to personal care The registered providers, Specialty Care (Rest Homes) Ltd do not rent, sublet or otherwise use or permit the use of the registered accommodation other than to service users or members of staff employed to work at Rosewood. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 25th May 2006 5. Date of last inspection Brief Description of the Service: Rosewood provides accommodation and personal care for up to 12 young persons aged 16 - 25 years. A private company, Craegmoor Healthcare, owns the home and manages the service. The registered manager is John Little. The home is located on a residential Avenue, relatively close to Southport town centre and local shopping / transport facilities. Southport train station is approximately 10 minutes journey by car. The home comprises of two, three storey properties, which are linked internally. Service users accommodation is located on the upper floors. A lift is available but not used. Ample parking is available in front of the property and there is a large garden to the rear. Transport links to Lancashire & Liverpool are good. The home provides a service for 32 weeks a year during term time. The homes fees for a 32-week period start at £36,000 per person. Respite care is also provided outside of term time. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection visit (site visit) at the home this inspection year. The inspection visit was unannounced and took place over one day for a total of 7 hours. This was a key inspection. The Commission considers 22 standards for Care Homes for Adults as Key Standards, which have to be inspected during a Key Inspection. The report has been put together using information gathered from a number of sources including information that the Commission have received about the service since the last inspection and details provided in the Annual Quality Assurance Assessment (AQAA). The AQAA, which is in two parts, a selfassessment and dataset, has replaced the pre-inspection questionnaire. The document, which was sent out to, the service was completed and returned to the commission before the site visit took place. A number of surveys were sent out to people as part of the inspection four surveys from students and a relatives survey were returned, comments from them have been used in the report. The inspection also involved an unannounced visit to the home (site visit). Records that were examined, students comments and observations made during the visit have also been used as evidence for this report. A number of students were case tracked. This process involved talking to students and staff, looking at the environment and a selection of students records such as assessments, care plans and daily notes to get an idea about peoples experiences and to find out if they are receiving the care and support that they need and have agreed to. What the service does well: The homes procedures for assessing and admitting students aim to ensure that people choose a home which is right for them . Care plans and communication profiles provide staff with up todate information about how best to support people in a way which gives them maximum choice and control over their own lives both at home and at college. Staff support students to take part in activities to help promote their personal and social development. Students personal and healthcare is well supported, monitored and recorded to ensure they stay well and their privacy and dignity is respected by staff. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 6 The home has a complaints procedure to ensure that people are protected and their views and concerns are listened to and acted upon. Recruitment and training procedures and practices ensure the protection of students. Staff are appropriately supervised and provided with ongoing mandatory training to ensure they develop within their role and are up to date with current care practices. The home is well managed to the benefit of the students. Systems, which are in place, ensure that their health, safety and welfare is protected and promoted at all times. Quality assurance systems, which are in place, ensure the standard of the service is regularly monitored, reviewed and improved. Staff were complimentary of the Registered Manager and confirmed he is approachable and supportive. What has improved since the last inspection? What they could do better: Students should be given the opportunity to take part in the main weekly shop for food to promote their independence. Weekend menus should be reviewed so that students have more variety of food. Bathrooms, which are out of order, must be repaired so that students have sufficient washing and toilet facilities. Sofas in the lounges should be replaced to ensure the comfort of the students. Other parts of the environment identified in the main body of the report should be improved to enhance the comfort and dignity of the students. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 7 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. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Pre- admission assessments are carried out before a student moves into the home to ensure it is the right place for them to live. EVIDENCE: Discussion with staff and information provided in the AQAA showed that prior to any student being accepted and offered a place a full assessment is carried out. The residential assessment offered, lasts for five days Monday to Friday, to ensure that the home is able to meet the students needs. The AQAA also showed that once a student has been accepted and prior to them starting their placement, contact is made with the family and they are invited to come and see the home and discuss their needs. Detailed Care Plans which have been compiled from pre- admission assessments provided full information on students needs covering; likes & dislikes, personal care and support, educational needs, independence training, social needs and medical needs. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Students are supported to live independent and safe lives. EVIDENCE: Each student had comprehensive care plans, a selection of them were viewed during the inspection visit. They gave detailed information, on the students needs, their likes and dislikes. Those care plans which were viewed showed that they are regularly reviewed and updated with the involvement of the student and other people who are important to them such as their family, friends, staff at the home and at college. Discussion with students and results of service user surveys showed that students are supported to make everyday choices and decisions such as what time to get up, when go to bed, were to go and what to do. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 11 Regular student meetings and tutorials are held in the home where the students are encouraged to set their own house rules. Students spoken with confirmed that the meetings take place each week when they are able to make suggestions and decisions about how the home is run. They also said that weekly tutorials take place where they are encouraged to give their views on College and the home. Minutes of students meeting which were viewed showed the names of students, which were present and listed the things that they talked about including menus, outings and chores around the house. A number of students living at the home have some difficulty communicating verbally, staff help those students by supporting them to communicate choices and decisions in other ways, for example using symbols, pictures, written words and signing. A selection of communication aids including communication passports was viewed during the inspection visit. Information provided in the AQAA and discussion with staff showed since the last inspection they have received training in communication. Risk assessments were part of each students care plan. Risk assessments are important so that students can take risks as part of an independent lifestyle. Risk assessments were available for students for such things as travelling, handling money and activities both inside and outside the home. Risk assessments for four students were looked at. They detailed activities, which pose a risk to the student and information about the support that staff need to provide to enable them to take risks safely. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students are encouraged and supported to live active and healthy lifestyles. Weekend menus could be improved to offer more variety of food. EVIDENCE: All students attend Arden College Monday to Friday supported by staff. Care Plans, which were viewed, showed the level of support that individuals need with tuition, their likes and dislikes, interests and hobbies. Students confirmed that they are involved in weekly tutorials when they discuss their timetable, College and home. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 13 Individual targets for students are set as part of their life at home and college a number of these, which were viewed, showed that achievable and realistic targets are set, monitored and received by staff with the involvement of students both at home and at college. Information provided in the AQAA and discussion with staff showed that regular contact is kept with family and carers so that students are given the opportunity to continue with cultural activities or beliefs such as attending Church. Care plans and daily records showed that students are given a wide range of experiences, learning opportunities and activities, both within the home and in the community. Discussion with students during the inspection visit also showed this. Students confirmed that they are involved in the following activities : Shopping for personal items, bowling, trips to the cinema, lunch out, drinks at the pub, and evening discos. Students said they keep in regular contact with their family and friends by phone. They also said they receive visitors at home as well as visiting their friends near by. Staff said visitors are welcomed at the home a visitors book, which is kept at the home, also showed this. Students are encouraged to take part in the daily upkeep of their home to promote independence. during the inspection visit students were seen cleaning, cooking and mopping floors. Students were seen using keys to their rooms and staff were seen knocking before entering students bedrooms. The home has a dining room, which is situated, near to the kitchen. The room is furnished with a number of small dining sets which each sit four people. Together with staff students are encouraged to eat their meals in the dining room. At the time of the inspection visit students were seen setting tables ready for their evening meal. Students spoken with confirmed that they take it in turns to set the tables before each meal. On display in the dining room was information about healthy food and lifestyles. A 3-week menu was displayed on the kitchen door. The menus, which were viewed, showed a good choice of meals during the week but little choice at weekends. The menus showed the same meals on offer every weekend. Weekend menus should be reviewed with the involvement of students so that there is more variety of food available at weekends. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 14 A member of staff confirmed that the manager carries out the main weekly shop without the involvement of the students. A number of students said that they would like to take part in the weekly shop. Students should be given the opportunity to take part in the weekly shop for food as part of an independent lifestyle. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students personal and healthcare needs are well supported to ensure they stay well. EVIDENCE: Records showed that all students are registered with a local Doctor and have access to other medical and healthcare services in the local community such as dentists, opticians and chiropodists. Care plans, which were viewed, included a lot of information about students health, personal care and support needs. A Healthcare book in accessible format is put together for each student a selection of these were locked at as part of the inspection visit. They showed information about feelings, healthcare, body parts and medical information to help students to describe how they feel, or if they have pain or if they wish to see a doctor. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 16 Staff confirmed that they support students with healthcare appointments and records, which were seen, showed that all appointments and outcomes are recorded and appropriately acted upon. Information given in the AQAA and discussion with staff during the inspection visit showed that they have a good awareness of the importance of students privacy and dignity examples given to support this included: “I ensure personal care is always carried out in privacy of students own rooms or bathrooms”. “I always knock before entering students rooms” “Each of the students are given a key to their own rooms”. “Students are given choices of support for personal care e.g. male/female support”. “Students are encouraged to complete their own personal care routines but given support where needed”. “Students are encouraged to make their own choices about what clothes they wear, what time they go to bed, whether to take a bath or a shower”. “Students are encouraged to complete their own personal activities i.e. laundry, keeping their rooms tidy with support if required”. There are a number of students on medication. All medication is administered by staff. Discussion with staff and information provided in the AQAA showed that staff that give out medication have received the training to enable them to do this. All Medication and Medication Administration Record (MAR) sheets are prepared and provided by Boots the Chemist. Medication and MAR sheets, which were checked, were well kept and locked up safely. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Students have the information they need and are confident about telling somebody if they are unhappy or feel unsafe. EVIDENCE: There has been no complaints received by the Commission about the home since the last inspection. Information provided in the AQAA and discussion with the unit manager and the students showed that there have been no complaints made at the home in the last 12 months. The AQAA showed that available policies and procedures are in place at the home to protect students from abuse, harm and neglect. Pictorial policies and procedures, which were on display in the main hall way included how to complain, talk about bullying, abuse and being scared. Some of the information was displayed too high for students to see this should be repositioned making it more accessible to them. The AQAA stated that students attend weekly tutorials where they are encouraged to give their views on college, the home, staff and other students. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 18 The AQAA also showed that all students families and carers are given information on how to complain if they wish to. A relatives survey showed that they have the information and know who to complain to if they need to. All surveys completed by students showed that they know who to speak to if they are unhappy and that they would feel confident about making a complaint. A copy of the local authorities protection of vulnerable adults procedure was available at the home. The AQAA and a selection of staff training records which were looked at showed that all staff that work at the home have completed protection of vulnerable adults training. Completed surveys showed that all students feel safe at the home. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been made to the home since the last inspection however there are further improvements required to enhance the comfort and dignity of students. EVIDENCE: A requirement was raised as part of the last inspection report for improvements to be made to the environment this was because parts of the home showed signs of wear and tear. Information provided in the AQAA and a tour of the home, which took place during the inspection visit, showed that some improvements have been made to the environment since the last inspection. Improvements include the redecoration of shared parts of the home and a number of students bedrooms. A selection of students bedrooms were viewed they were decorated and furnished to a good standard and were personalised with TVs, music centres, pictures and photos belonging to students. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 20 One student who was occupying his room said, “I like my room” Carpets in the hallway, which were heavily stained, have been cleaned since the last inspection. The garden has been tidied and the brick outhouse, which was dangerous, has been removed. At the last inspection skirting boards, radiator covers, windows and general woodwork and windows around the home which were dirty and very dusty in parts, appeared a lot cleaner during this inspection visit. The kitchen, which was showing signs of wear and tear at the last inspection, has not yet been attended to. A number of kitchen cupboard doors were hanging off and the décor in the kitchen was in poor condition. The kitchen should be repaired and redecorated. The dining room had no curtains, a member of staff explained that they were taken down a number of weeks ago because the curtain rail needed repairing, the curtain rail has since been repaired. The curtains should be put back up. Both lounges were furnished with a number of sofas, several of them were broken and in poor condition, one student complained about them being uncomfortable. The broken sofas must be replaced to ensure the comfort of the students. The home has three main bathrooms which are used by students at the time of the inspection two of them were displaying signs saying ‘do not use out of order’, a member of staff said they had been out of use for sometime due to various problems which had been reported to the maintenance department. The bathrooms must be repaired and made available to students so that they have the use of sufficient bathrooms and toilets in the home. A window on the landing which overlooks students bedrooms and a bathroom was not covered a member of staff was advised that it should be fitted with a blind or net so that people who are passing outside can not see in. The AQAA showed that the required policies and procedures for control of infection and cleaning routines are in place at the home. The AQAA, discussion with staff and examination of records showed that staff have completed training in relation to infection control. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the necessary skills and qualities to meet the needs of the students. EVIDENCE: The AQAA showed that the staff team is made up of 12 full time and 10 part time support staff including the manager and two senior staff. The staffing rota which was looked at during the inspection visit showed one officer in charge and six support staff are on each day time shift to cover the support needs of the students. There are two waking staff on duty throughout each night. The AQAA showed that all new staff go through strict recruitment and selection procedures before they are allowed to start work at the home. this includes the completion of an application form, an interview, providing references and an enhanced CRB check. The AQAA and discussion with staff showed that during the first part of their employment all new staff take part in an induction programme which includes training on the principles of care, safe working practices, the organisation, worker role and the needs of the students. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 22 Staff spoken with during the inspection confirmed that they complete mandatory training which is linked to the needs of the students and the aims and objectives of the home. Information provided in the AQAA and discussion with staff showed that they receive regular “one to one” supervision from the manager and a record is kept of things discussed and regular staff meetings are held and minutes of the meetings are kept. Surveys completed by students showed that they are treated well by staff and they feel well cared for. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to the benefit of the students and staff. EVIDENCE: Mr John Little is the registered manager of the home. The AQAA showed that Mr Little is planning to commence NVQ Level 4 in care and management. Mr Little was not on duty at the time of the inspection. Staff spoken with during the inspection all agreed that the home is well managed. Staff made the following comments about the manager: “He is very fair” “He is approachable” “The manager is easy to talk to” Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 24 “He is everything a manager should be” “Could communicate a little better at times” The manager has the support of two senior support workers, a senior was on duty at the time of the inspection and assisted throughout. Mr Paul Sadler the newly appointed service manager was also present for part of the inspection. Information provided in the AQAA and examination of a selection of records showed that the manager is maintaining records required by regulation. As part of the homes quality monitoring system students, relatives and advocates are invited to complete surveys, which gives them the opportunity to put forward their views and make comments about aspects of the service for example, the manager and staff, the quality and choice of food, and the environment. Also As part of the homes quality assurance process and in accordance with Regulation 26 of the Care Homes Regulations a representative for the home visits the premises monthly. They interview students and staff, check records and inspect the environment. It is important that this is done to check the standard of care in the home. Following the visit a report detailing the visit is written. Records show that the visits and reports are being carried out each month as required. The health safety and welfare of students are well protected this was supported by a comprehensive set of policies and procedures, which were detailed in the AQAA and available at the home. Information provided in the AQAA and examination of a selection of health and safety records showed that the required health and safety checks have been carried out on the environment at the required intervals, for example fire system checks, gas and electricity checks and environmental risk assessments. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 1 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 3 X X 3 X Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 26 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 YA27 Regulation Requirement Timescale for action 15/12/07 2. YA24 23 Bathrooms, which are out of (2)(b)(c)(j) order, must be repaired so that students have sufficient washing and toilet facilities. 23 (2)( c) Broken sofas in the lounges 30/01/08 must be replaced to ensure the comfort of the students. 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. 3. Refer to Standard YA16 YA17 YA24 Good Practice Recommendations Students should be given the opportunity to take part in the main weekly shop for food to promote their independence. Weekend menus should be reviewed so that students have more variety of food. Parts of the environment should be improved to enhance the comfort and dignity of the students. Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Rosewood DS0000005392.V343466.R01.S.doc Version 5.2 Page 28 - 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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