Care Home: Rosewood Court

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What the care home does well One relative said `I have looked at seven different care home and none (were) as good as Rosewood Court`. The entrance to the home is attractive, and the receptionist is friendly. All the staff are helpful. The home is clean and bright and the staff are friendly. People who live there said `I have no complaints whatsoever about the home`. Since moving into Rosewood Court everyone has been `...helpful and cheerful from day of occupation. Can only say I feel content and happy.` One person said `I have found the staff willing to respond to requests quickly and pleasantly`. Staff said they felt that senior management were approachable, and fair. When asked what people thought the home does well, people included the food, drinks, general care and well-being of residents. One relative said `I, as a visitor, am always treated with care and concern. I am always offered tea`. Most relatives said the home keeps them in touch with significant events. One person said that `Rosewood Court...always rings me to inform me of any new developments...`. Another person said they are kept in touch `Either by phone or on my visits`. The admission procedure is thorough; making sure the home can meet people`s needs before offering them a place. The staff understand the needs of the people who live at the home and know how to look after their health and well-being. This is reflected in the care plans, which are drawn up and reviewed with the person and/or their relatives. People are treated with respect and their dignity is maintained. One relative said `I have found the staff willing to respond to requests quickly and pleasantly`. People said the home deals satisfactorily with any concerns they have. Adult protection issues are handled properly and staff are aware of what to do if they have any concerns. The home`s recruitment procedures are thorough and all the necessary preemployment checks are carried out, to make sure staff are suitable to work with the people who live at the home. There is a comprehensive staff training programme; to make sure staff have the necessary skills and knowledge to help them do their job well. What has improved since the last inspection? Throughout the home the atmosphere is now calm and well ordered. This improvement was also observed at the random visit in May 2007. The medicines administration and recording systems have improved and are now safer and more accurate. The care plans are being reviewed regularly to make sure they are up to date, and the individual and/or their relatives are involved. Although there is still scope for development, the range of activities available for people has improved. The bathrooms have been cleared of unnecessary clutter and are all now available for use. A wash hand basin has now been installed in the laundry room, to promote good hygiene and support the home`s infection control measures. Some carpets have been replaced, new furniture has been provided in many bedrooms and a programme of re-decoration is ongoing. Routine maintenance throughout the home is more up to date than before. All these measures make the home a more comfortable place to live. People who prefer to eat their meals at a small table in the lounge or their bedroom are now being provided with a table that is a comfortable height for them to eat from. More than half of the care staff have now achieved a National Vocational Qualification (NVQ) in care, making a better qualified and more effective staff team. The kitchen has been awarded a five star rating for cleanliness by the Environmental Health inspector. What the care home could do better: Although the medication systems have improved, further work is needed to make sure that all records are completely accurate. The activities co-ordinator and the manager should continue with their plans to improve the range of activities available to the people who live at the home. Although some people said they enjoyed their meals others were not so satisfied. One person said that `Sometimes the meals leave a lot to be desired...when I enjoy a meal there never seems to be seconds` and someoneelse said the tea was not hot enough. The Expert also observed the same concerns about meals and the temperature of the cups of tea. The menus did not show the meal that was actually served. Improvements to the meals and accompanying drinks need to be made. CARE HOMES FOR OLDER PEOPLE Rosewood Court Shakespeare Close Butler Street East Bradford BD3 9AR Lead Inspector Liz Cuddington Key Unannounced Inspection 12th December 2007 10:25 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 Rosewood Court DS0000034033.V358974.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. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Court Address Shakespeare Close Butler Street East Bradford BD3 9AR 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) 01274 308308 01274 308307 Southern Cross Healthcare (Kent) Ltd vacant post Care Home 80 Category(ies) of Dementia (80), Old age, not falling within any registration, with number other category (80) of places Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing - Code N, 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 other category - Code OP and Dementia - Code DE. The maximum number of service users who can be accommodated is: 80 30th January 2007 2. Date of last inspection Brief Description of the Service: Rosewood Court provides care for up to eighty older people diagnosed as needing residential or nursing care, including those diagnosed with dementia. The home is purpose built. The size and layout meets current minimum standards. All bedrooms are single, with an en-suite toilet and washbasin. The home is close to Bradford city centre and is well served by public transport. There is level access into the home and two passenger lifts. The building is split into four specialist units, each catering for up to twenty people. There are two enclosed garden areas. People are provided with ample literature prior to admission, to inform them of the services and facilities available at Rosewood Court. The weekly charges are between £329.00 and £540.00. Personal expenses such as chiropody, hairdressing and newspapers are not included. Rosewood Court DS0000034033.V358974.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. The purpose of the inspection was to assess the quality of the care and support received by the people who live at Rosewood Court. The inspection was carried out over two days. On the first day an ‘Expert by Experience’ accompanied the inspector. This is someone who has experience of using care services and is there to look at the care and support from the perspective of someone who has used similar services. Information from the Expert’s report is included in this report. The last key inspection was in January 2007. One random inspection visit was made in May 2007 to look at medicines administration and staffing levels. The findings of the random inspection are available on a separate inspection report. Since the last key inspection three complaints have been made to the Commission about staffing, medicines administration and care of the people who live at the home. These have been investigated and appropriate action taken, where necessary. During this period, two adult protection incidents have also been referred to Bradford Social Services safeguarding staff. These have been dealt with by the home’s management and Social Services. The methods used to gather information during the visits to the home, included conversations with the people living at the home, their relatives and the staff, as well as looking at care plans and examining other records. We sent questionnaires to the people who live at Rosewood Court and their relatives. We received eight completed questionnaires back from people who live at the home and six from relatives. We also received the home’s self-assessment questionnaire. These questionnaires provide a lot of valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at the home, their relatives and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 6 What the service does well: One relative said ‘I have looked at seven different care home and none (were) as good as Rosewood Court’. The entrance to the home is attractive, and the receptionist is friendly. All the staff are helpful. The home is clean and bright and the staff are friendly. People who live there said ‘I have no complaints whatsoever about the home’. Since moving into Rosewood Court everyone has been ‘…helpful and cheerful from day of occupation. Can only say I feel content and happy.’ One person said ‘I have found the staff willing to respond to requests quickly and pleasantly’. Staff said they felt that senior management were approachable, and fair. When asked what people thought the home does well, people included the food, drinks, general care and well-being of residents. One relative said ‘I, as a visitor, am always treated with care and concern. I am always offered tea’. Most relatives said the home keeps them in touch with significant events. One person said that ‘Rosewood Court…always rings me to inform me of any new developments…’. Another person said they are kept in touch ‘Either by phone or on my visits’. The admission procedure is thorough; making sure the home can meet people’s needs before offering them a place. The staff understand the needs of the people who live at the home and know how to look after their health and well-being. This is reflected in the care plans, which are drawn up and reviewed with the person and/or their relatives. People are treated with respect and their dignity is maintained. One relative said ‘I have found the staff willing to respond to requests quickly and pleasantly’. People said the home deals satisfactorily with any concerns they have. Adult protection issues are handled properly and staff are aware of what to do if they have any concerns. The home’s recruitment procedures are thorough and all the necessary preemployment checks are carried out, to make sure staff are suitable to work with the people who live at the home. There is a comprehensive staff training programme; to make sure staff have the necessary skills and knowledge to help them do their job well. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Although the medication systems have improved, further work is needed to make sure that all records are completely accurate. The activities co-ordinator and the manager should continue with their plans to improve the range of activities available to the people who live at the home. Although some people said they enjoyed their meals others were not so satisfied. One person said that ‘Sometimes the meals leave a lot to be desired…when I enjoy a meal there never seems to be seconds’ and someone Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 8 else said the tea was not hot enough. The Expert also observed the same concerns about meals and the temperature of the cups of tea. The menus did not show the meal that was actually served. Improvements to the meals and accompanying drinks need to be made. 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 Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 9 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 Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 10 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): 3 Standard 6 does not apply People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before they are admitted to the home to make sure their needs can be met. EVIDENCE: People said that they were given enough information about the home before deciding to move in, and they had also received a contract. The care plans had pre-admission assessments completed by the home. The manager said that, wherever possible, they prefer to speak with everyone involved in order to gain a full picture of the individual’s needs. A senior member of staff will visit the person at home or in hospital to talk to them and make sure that Rosewood Court can meet their needs. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 11 The home invites people to come and spend time at the home, share a meal and maybe take part in the day’s activities. This means that the home can get to know the person’s needs and the individual has the information he or she needs to make a decision. People said they had received enough information before moving in. one person commented that ‘They were very good taking us round and telling us all about it’. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 12 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s personal and healthcare needs are met. People are protected by the medication systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: Five care plans were looked at, to make sure that people’s health and personal care needs are being met in the way the person prefers. The plans cover each area of the individual’s health and care needs. They all contained enough information to guide staff in how to care for and support each individual. From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each person’s needs and preferences. The staff make sure they provide the help people need in the way they prefer. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 13 People said that they always or usually receive the medical and healthcare support they need. One person wrote in their questionnaire that the home is ‘‘Very good with this’. Another relative said ‘My (relative) is extremely well cared for, I am completely happy with (the) care’. Three people said their relative always gets the care agreed, and three said they usually do. One relative said staff ‘Show genuine love and affection to (relative) supporting her very well during her illness’. People who need assistance with their mobility have a moving and handling plan. Where they are needed, pressure relieving cushions and mattresses are used. This makes sure that when people’s skin is delicate, any risk of soreness is minimised. Everyone also has an assessment of their nutritional needs, their ability to maintain their independence, and any continence issues they may have, as well as assessments of other health and care needs. Records are kept of visits by GPs and other healthcare professionals. In one plan there were very detailed notes, following the person’s re-admission to the home after a period in hospital. The care plans are reviewed regularly and showed that, where possible, the individuals and their families are involved in developing and reviewing the plans. One visitor said that six monthly reviews of care plans take place with family members, or they could be three monthly if it was necessary. Throughout the year the home sends detailed information to us about any serious issues, including information about significant changes in people’s healthcare. This helps to confirm that the home looks after people’s healthcare and always involves other professionals when needed. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. For security, the medicine cabinet was locked during the time between giving each person their medication. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is kept in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The records of amounts received, administered and left in stock of some medicines supplied in their original packaging, did not always agree. For example, three records showed different numbers of tablets in stock than there were in the packages. In all these instances the discrepancies were small. However, it is important that all medicines records are completely accurate so that staff can account for all the medicines received and administered and people are confident they are receiving their medicine exactly as prescribed. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 14 When medicines were being given out the carer, who wore an identifying bright jacket, was particularly gentle when offering medicines to people who were not keen to take their medication. During the visit, all the staff were seen to treat people with respect and maintain their dignity. The people who commented said that they receive the care they need and are supported to maintain their independence for as long as they are able. One person said about their relative that ‘She is given respect and dignity’. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 15 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in a range of activities. People are offered a good choice of meals to make sure their dietary needs and preferences are met. EVIDENCE: The atmosphere at the home is calm and friendly and families and friends are always welcome to visit. People are treated as individuals, and their choices and wishes are respected. People’s social and leisure preferences are recorded in their care plan, so that staff know what people prefer to do and, where needed, can offer people support to follow their chosen activities. Each of the four houses has an activities programme. One person said she was bored, although her visitor said she had played bingo. The activities book, which is the same on each unit, lists baking, bingo, visits, board games, table Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 16 laying and drinks at the bar but people living in Aspen said they were not taken out and had not taken part in any activities. The activities co-ordinator was not on duty on the first day of the inspection, which meant that there were very few activities taking place. On our second visit the co-ordinator explained her plans for improving the activities available. This includes making more use of one of the organisation’s minibuses so people can go on outings. It would also be helpful if care staff could spend more time with people, especially on one to one activities. These can be as simple as looking at people’s photo albums, tidying drawers or reading a magazine together. We did see some of this during the visit, but often people were sitting in the lounges with nothing to do except watch television. Rosewood Court is a large and diverse home and the co-ordinator is very enthusiastic, but she cannot provide sufficient stimulating activities for all eighty people on her own. The manager is aware of this and there are plans for making improvements. The dining room is clean, but crowded, making it difficult to move around, particularly for people who use wheelchairs. The place settings had a knife, fork and paper napkin, but the tablecloths were marked. The dining tables had flower arrangements and menu stands holding well printed menus, but the menu was different to the meal served from the hot trolley. It was meat, not meat pie, and quiche instead of omelette, with mashed potatoes and vegetables. Dessert should have been sponge pudding and custard. Instead it was rice pudding, which was hot and very tasty. Three people said they always like the meals ‘They are always very good’ and five people said they sometimes like the meals. One person said that ‘Sometimes the meals leave a lot to be desired…when I enjoy a meal there never seems to be seconds’. This was confirmed by the ‘Expert by Experience’, who spent time with people while they were having their lunch and also noticed that there were no second helpings available for them. One person commented that sometimes meals are cold and you have to wait a long time ‘…especially at breakfast’. Also ‘…the cups of tea are only just warm…’ and by the time the meal comes the tea is cold. In her report the Expert also noted that there was no juice on the tables, but a cup of tea served before the meal was cold by the end of the meal when most people drank it, or left it. Some people prefer to eat their meals in the lounge or their own room. Tables of the right height are now being used. Some people need assistance to eat. We saw staff offering help quietly and at the person’s own pace. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 17 During the time we spent at Rosewood Court, lots of visitors arrived. They were all welcomed and offered refreshments or invited to share the meal. One person told us how nice the staff are and said she is able to follow her own wishes and staff support her to do this. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. Most staff have received suitable training and understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Any complaints or concerns are recorded in a complaints file. The actions taken and the outcomes are recorded. Staff said they know what to do if anyone has concerns. The relatives said the home always responded appropriately to any concerns. People who live at the home said they know what to do if they have a concern or complaint. One relative said that any concerns they have are dealt with and said that the home has improved over the past year. One person said she would go to see the manager if she had any concerns. Newly employed staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. The majority of care and nursing staff have had adult protection Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 19 training, and further training is planned. All the appropriate policies and procedures are in place to guide staff. Since the last key inspection there have been two adult protection referrals. These have been dealt with by the home, and Bradford Social Services’ adult protection staff. In both cases we had been informed and are satisfied that the issues have been handled correctly and any action needed has been taken. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 20 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, 21, & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe, comfortable and well-maintained environment. EVIDENCE: New carpets have been fitted in various parts of the home, as part of the ongoing refurbishment programme. This has included re-decorating the upstairs dining rooms and putting new furniture in twenty of the eighty bedrooms. The home is kept clean and is free of any unpleasant odours. On the first visit one of the lounge carpets was being cleaned. A wash hand basin has now been fitted in the laundry room, as part of the home’s infection control measures. The home has been without maintenance staff for three months. Someone has now been employed to that full-time post and was starting to catch up with the Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 21 outstanding work, particularly those jobs relating to health and safety and fire safety. The home also employs a part-time gardener and the gardens have improved since the last key inspection. Some of the toilet and bathroom washbasins were without soap and in one toilet there was no light and a tap could not be turned off. However, there was an overall improvement in general maintenance since the last inspection visit. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 22 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with people who live at the home. Suitable training is provided to make sure staff have the skills and knowledge they require to meet people’s needs. EVIDENCE: The staff rotas confirmed our observations that there are enough staff on duty to meet people’s care, social and leisure needs. Staff confirmed that staffing levels are adjusted to meet people’s needs. All staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Staff have a copy of the terms and conditions of their employment. The staff files are very well organised and all the information needed was clear and easily available. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 23 Staff confirmed that they have plenty of training opportunities to support them in their roles. Staff said their training was relevant, helped them understand their role and kept them up to date. The majority of the care staff have completed a suitable National Vocational Qualification (NVQ) in care at level 2 or above. All new staff take induction and foundation training which meets the Skills for Care criteria. This gives them good training to help them do their job effectively, and provides a sound basis for taking and NVQ course. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 24 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and well managed. EVIDENCE: Since the last key inspection the manager has moved to another post and an new manager has been appointed. The new manager is well qualified and has the experience necessary to mange the home effectively. The continued improvements to the quality of care and support demonstrate that the manager and staff are building on the work started by the previous management. The deputy manager has now been allocated 18 hours supernumerary time to fulfil her role, while still taking overall responsibility for managing one of the four houses. The home’s manager said that this time is Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 25 flexible and can be increased if required. A ‘bank’ nurse has been recruited to support this, as well as to take on other duties when needed. Staff confirmed that they have regular staff meetings and meetings are also arranged for the people who live at the home and their relatives. The manager has an ‘open door’ policy and is available to see people whenever they wish, or by appointment if people prefer. People’s personal information is securely stored at all times in an office, which is locked when it is not being used. The home’s policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home’s kitchen has recently had an Environmental Health Officer’s inspection. The kitchen was awarded five stars and, when we looked, the kitchen was clean and hygienic. When a significant incident occurs, such as an admission to hospital or the death or of someone who lives at the home, we are always notified. This gives us information about how the home manages such events and confirms that they are being handled correctly, in order to safeguard and promote the wellbeing of the people who live at the home. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 26 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 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 3 3 X 3 X X 3 Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? YES 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 OP9 Regulation 13(2) Requirement Medication records must be completed accurately, so that people can be sure that they are receiving their medication as prescribed. (This requirement remains outstanding since: 17/10/06.) Timescale for action 31/03/08 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. Refer to Standard OP12 Good Practice Recommendations To make sure people have access to a stimulating and varied range of activities, the home needs to develop ways of providing this. Rosewood Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Court DS0000034033.V358974.R01.S.doc Version 5.2 Page 29 - 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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