Care Home: Rosewood House

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What the care home does well Pre-admission assessment processes and information available about the home ensures that placement is only offered to those people whose needs can be meet. The people who live in this home can be assured their personal and healthcare needs will be appropriately met because of their care planning processes. Medication procedures are safe. People who live at this home have the opportunity to participate in a range of activities and spend their time as they wish. They are provided with wellbalanced and nutritious meals. People who live in this home, and their relatives, can be assured that any complaints they have will be listened to and acted upon and that they will be safeguarded from harm. Rosewood House is a comfortable, well furnished and well maintained home. It is equipped to meet the needs of older people. The home is warm, well lit and is kept clean and tidy. The staff team are well trained and competent so people who live in this home can be assured that the team will have the necessary skills to meet their care needs. Rosewood House is well managed and run in their best interests of the people who live there. The home is safe and their health, safety & welfare is promoted and protected. What has improved since the last inspection? Two requirements were issued following the last inspection and both have been complied with. One requirement was in respect of replacing one identified bedroom carpet and securing the edge of the carpet on a raised step. Since the last inspection carpeting has been replaced in many areas of the home and there were no unsafe areas observed. The other requirement was in respects of the home telling us about any events (accidents or incidents), as they are required to do, within a timely manner, and to keep accident records in the home and available for inspection. CARE HOMES FOR OLDER PEOPLE Rosewood House 55 Westbury Road Westbury On Trym Bristol BS9 3AS Lead Inspector Vanessa Carter Unannounced Inspection 13th August 2008 09:30 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 House DS0000026515.V365374.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 House DS0000026515.V365374.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood House Address 55 Westbury Road Westbury On Trym Bristol BS9 3AS 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) 0117 9622331 0117 9691973 sam.hawker@blueyonder.co.uk www.AbleCare-homes.co.uk Willcox Bros Ltd t/a Ablecare Homes Mrs Jane Carol Bowman Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category - (Code OP) The maximum number of service users who can be accommodated is 17. 24th August 2006 Date of last inspection Brief Description of the Service: Rosewood residential care home is registered with the Commission for Social Care Inspection to provide accommodation and personal care for 17 service users aged 65 years and above. The home is located in a residential suburb within the city limits and the accommodation is arranged over three floors. The property has been adapted to meet the needs of the residents with a chair lift providing access to rooms on the upper floor. There is level access out into the well-kept rear courtyard. Accommodation is offered in single rooms with six of the rooms having patio doors leading out into the rear garden. Although registered for 17 persons, the home accommodates only 16 persons. The home is one of a group of five homes owned and operated by Ablecare Homes; the business is owned and operated by the Willcox family. The registered manager is Mrs Jane Bowman. The cost of placement at the home is between £435-585 per week and is dependent upon assessed need. Additional costs are made for a range of services and these are detailed in the Homes Brochure. Prospective residents are able to find about the home by requesting a copy of this from the Home Manager. Rosewood House DS0000026515.V365374.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. This key inspection was unannounced and took place over one day. A total of five hours were spent in the home. Evidence to form the report has also been gathered from a number of other sources:• Information provided by the Home Manager in the Annual Quality Assurance Assessment (AQAA) • Talking with the Home Manager and deputy manager • Talking with some of the care staff • Observations of staff practices and their interaction with the people who live in the home • A tour of the home • Case Tracking the care of a number of people • Talking with a number of the people who live in the home • Looking at some of the homes records • Information supplied in CSCI survey forms, completed by people who live in the home (12), relatives (5), and staff (3). • Information supplied by healthcare professionals. What the service does well: Pre-admission assessment processes and information available about the home ensures that placement is only offered to those people whose needs can be meet. The people who live in this home can be assured their personal and healthcare needs will be appropriately met because of their care planning processes. Medication procedures are safe. People who live at this home have the opportunity to participate in a range of activities and spend their time as they wish. They are provided with wellbalanced and nutritious meals. People who live in this home, and their relatives, can be assured that any complaints they have will be listened to and acted upon and that they will be safeguarded from harm. Rosewood House is a comfortable, well furnished and well maintained home. It is equipped to meet the needs of older people. The home is warm, well lit and is kept clean and tidy. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 6 The staff team are well trained and competent so people who live in this home can be assured that the team will have the necessary skills to meet their care needs. Rosewood House is well managed and run in their best interests of the people who live there. The home is safe and their health, safety & welfare is promoted and protected. 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. Rosewood House DS0000026515.V365374.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 Rosewood House DS0000026515.V365374.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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission assessment processes and information available about the home ensures that placement is only offered to those people whose needs can be meet. EVIDENCE: The statement of purpose, service users guide and homes brochure are up to date, are kept under regular review and each contain the necessary information as detailed in the National Minimum Standards. This means that people who want to find out about what Rosewood House has to offer, will be provided with enough information to make an informed choice. These documents are available in the home, along with the previous inspection reports. Each resident is provided with a statement of terms and conditions upon admission - “Residents Contract”. Of the 12 people who completed CSCI survey forms, all stated that they had been provided with a statement of terms and conditions (a contract), and information about the home. During the Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 9 inspection one person spoken said “my son deals with everything, I have to rely upon him now”. The home manager will visit any prospective person who wishes to live at Rosewood House, so that an assessment of their needs can be made. Placement at the home is not offered to any person whose needs cannot be meet. The home currently has a number of vacancies, and the manager explained how people who are due to move into the home soon, have visited the home, viewed the room they will occupy and have met the others who live there. Evidence was available to show that one person who had recently moved to the home, had a pre-admission visit, where a “prospective service user needs assessment” completed, eight days prior to their admission. “My family found Rosewood for me and we are all very pleased with the service provided”. Placements are arranged on a month’s trial basis with a review meeting, taking place at the end of this period with all necessary parties. Prospective residents are invited to visit the home prior to taking up residence. The home do not offer intermediate care however will offer short stay “respite” care when rooms are available. Rosewood House DS0000026515.V365374.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in this home can be assured their personal and healthcare needs will be appropriately met because of their care planning processes. Medication procedures are safe. EVIDENCE: Care planning documentation for two people were looked at - one being the file for the person who had recently moved to live in Rosewood. The sample showed that each persons care needs are looked on an individual basis, and details are recorded of how these needs were to be met. It is evident that these arrangements are in agreement with the person as either they or their representative are asked to sign the plans. The care plans are based upon a comprehensive assessment of needs, record preferred preferences in respects of meal times, getting up and retiring to bed times, and are individually prepared The home records an overall objective of the care plan, the options explored, and the views of the service user and carers. People spoke with during the course of the inspection confirmed that they were involved in the care planning process and that they were looked after in the way that had Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 11 been agreed. One person wrote in a CSCI survey form “Sometimes I need help with dressing but otherwise I am independent. Staff willingly help me”. The home maintains a record of all visits by GP’s and other healthcare professionals. The district nursing services are regular visitors to the home to assist with dressing and blood tests. Other healthcare visitors include chiropody services, dentists and opticians. Where possible people are supported to retain the services of existing services, if this is what they choose, alternatively the home will make arrangements for providers they use to be available. GP’s will be contacted to visit people whenever there is a need rather than on a planned basis. People who were spoken with during the inspection confirmed they were able to see their GP whenever they needed to “The girls know when I am not feeling well and they ask my doctor to visit me”. Comments made on a number of CSCI surveys were made about the impact one persons deteriorating health had previously had upon the running of the home. The manager discussed the difficulties in obtaining “out-of hours” support from healthcare services, the interim increase in staffing numbers and the eventual outcome. This type of event is always likely to happen when caring for older people and from what we have been told, appears to have been managed well. A look at the homes procedure for ordering, receipt, storage, administration and disposal of medications, evidenced good and safe working practice. People are cared for with respect to their dignity and their privacy. Personal care is provided in private and care staff were observed to knock on bedroom doors before entering. People were nicely dressed and their clothes were well cared for. During the course of the inspection, all the staff were observed interacting well with the people they were looking after, being friendly and attentive – there was a respectful level of friendly banter. “The staff are always nice and polite” and “I am very happy and content living at Rosewood” were two comments made on CSCI survey forms. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at this home have the opportunity to participate in a range of activities and spend their time as they wish. They are provided with wellbalanced and nutritious meals. EVIDENCE: The home arranges a variety of different activities for the residents, and they are able to choose whether to participate or not. Examples include quizzes, music sessions, and painting. One person wrote on a CSCI survey form “the staff do film afternoons, quizzes and different activities”. The hairdresser visits two afternoons a week and during the inspection several of the ladies had their hair done – “I like to keep my hair looking nice and she is so good”. External entertainers are booked each month and photographs were on display in the main hallway of a recent barbeque and garden party. Several people have “small jobs” that they like to do to help out with the running of the home - one person said that they liked to keep busy. People are supported and encouraged to go out for trips with their relatives and to go out independently, if they are able. Some people go out to local clubs to maintain contacts with old friends and to continue with favourite pastimes. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 13 People were observed moving around the home independently within the limits of their individual abilities. Some people spent large periods of their time in the lounge area, whilst others were in the dining room or in their bedrooms. One person said “I have my favourite chair. I like to sit here and watch the happenings”. Another person wrote in a CSCI survey form “I came here for peace and quiet and that’s what we get. We all seek peace and quiet”. It is evident that people are able to choose how they spend their time and are content in their surroundings. The home has an open visiting policy and visitors are able to visit at any reasonable time of day. They are asked to sign in at the visitor’s book. One person had requested that the home have a cat and because this suggestion was not thought appropriate in view of the opinions of others, Pets for Therapy now visit the home on a regular basis. On the day of inspection the lunchtime meal was chicken with vegetables and potatoes. Some people had an alternative meal “there are some meals I don’t like so I am offered an alternative” was one persons comment. Others said that the meals were always good and that they were very well catered for – “the meals are very good”, “Mum really enjoys the food” and “I particularly like the puddings” were comments made on CSCI survey forms. There is a choice or several snack meals in the evening. The choices for the day are displayed in the dining room and several people were observed referring to it before lunch. Family or friends are able to join their relatives for the midday meal, upon arrangement. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in this home, and their relatives, can be assured that any complaints they have will be listened to and acted upon and that they will be safeguarded from harm. EVIDENCE: The complaints procedure is included in the statement of purpose and service user guide and is displayed in the main hallway. People spoken with during the course of the inspection said they would talk to the staff if they were not happy about anything – “I have no grumbles but if I did, staff would do their best to sort things out”. All the CSCI survey forms that were completed indicated that people and relatives were aware of the procedures to follow if they had any complaints. Since the beginning of 2008, the home has only received two complaints and records evidenced how the two issues had been resolved. CSCI have received no complaints about this service. The home has policies and procedures in place to ensure that the people who live there are safeguarded from any form of abuse. Staff have attended Safeguarding Adult training delivered by Bristol Council. A copy of the homes policy about the protection of vulnerable adults (POVA) is kept with all other policies and procedures and is displayed on the staff notice board. The manager is fully aware of the local protocols to follow should any concerns be raised and will be attending specific training in November. Staff spoken with during the inspection demonstrated a good awareness of adult abuse issues and of their responsibility in reporting any bad practice. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rosewood House is a comfortable, well furnished and well maintained home. It is equipped to meet the needs of older people. The home is warm, well lit and is kept clean and tidy. EVIDENCE: Rosewood House is located in a suburban area of Bristol adjacent to the wellknown Durdham Downs. It over looks the playing fields of the Badminton School and is round the corner from local shops and other amenities. The living accommodation is arranged over three floors, and a central stair lift enables those people with impaired mobility, to access the whole home. The home is well maintained throughout, comfortably furnished and tastefully decorated. Communal areas and some of the bedrooms have been redecorated and re-carpeted since the last inspection and everywhere looked smart and fresh. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 16 The communal areas are all located on the ground floor. There is one large lounge at the front of the home, and one dining room at the back of the house. The kitchen leads off from the dining room, and also the corridor leading to the manager’s office, a bathroom and the five courtyard bedrooms. There is a very pleasant courtyard garden to the rear of the property and this is easily accessibly. At the centre of the yard is a large fishpond and this is covered with netting. Areas of the garden provide shaded areas for people to sit in, and colourful hanging baskets surround the edges. There are toilet and bathing facilities located throughout the home, in sufficient numbers to meet people’s needs. The main bathroom has been refurbished with a new bath and swivel bather and has been tastefully redecorated. The home has a stair lift that accesses all floors and grab rails are fitted in bathrooms. A risk assessment will be completed to ensure that each person is able to use the stair lift independently, or determine the level of assistance required. Disabled access in to the home is via the rear garden only. Each of the individual bedrooms have en-suite facilities – some have just a toilet and wash hand basin, whilst others have a full bathroom. There are 16 bedroom’s, one is registered as a shared room however is only used by one person. Only a small number of the bedrooms were seen during this inspection, but have previously been inspected and were found to well furnished and homely. Carpets in a number of rooms have been replaced and there is an ongoing rolling programme of replacement. The home was warm, well lit, clean and tidy, and free from any malodour. The CSCI survey forms completed by people who live at the home and relatives indicate that the home is always “fresh and clean”. This was so on the day of the inspection. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team are well trained and competent so people who live in this home can be assured that the team will have the necessary skills to meet their care needs. EVIDENCE: The staffing levels are arranged according to the dependency levels of the people who live in the home. The staff rota’s show that each morning there are two care staff, two in the afternoon and evening, and over night one waking member of staff and one sleeping night staff. Staffing levels would be adjusted as and when necessary and examples of this were discussed with the home manager. The home has designated staff for catering and domestic duties, and Ablecare homes have a maintenance team who cover the five homes. The home manager works a certain number of ‘supernumerary hours’ to complete administrative duties, including the supervision of staff, but also provides “hands on care” with the rest of the care staff team. Staff spoken with, were enthusiastic about their role and able to demonstrate a good awareness of each person’s specific care needs. There has been a significant increase in the numbers of care staff who have achieved at least an NVQ level 2. Of the 10 care staff, four have achieved level 3 and three have achieved level 2. In addition 1 staff member is working towards Level 3, and another has equivalent qualifications. This means that Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 18 80 of the staff team are trained members of staff so people can be assured they will be well looked after. The staff files for two new staff members were looked at to determine the procedures followed. Recruitment procedures include the completion of an application form, attendance for an interview, two satisfactory written references, and CRB and POVA1st clearance, prior to employment. These measures will ensure that the right people are employed for the home. The induction - training programme for new care staff meets Skills for Care specifications and the completed programmes for the two new people were seen. It is expected that the new recruit will have completed the programme within the first 12 weeks of employment. As part of this programme they will be assessed as competent in Manual handling, Health & Safety (including fire awareness), First Aid, Safeguarding Adults and Food Hygiene skills. The Ablecare homes training plan for 2008 includes all the mandatory training courses plus others such as mental capacity act training, safe administration of medications and challenging behaviour management. The training files contained copies of certificates of attendance on courses. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 19 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, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rosewood House is well managed and run in the best interests of the people who live there. The home is safe and their health, safety & welfare is promoted and protected. EVIDENCE: Since the last inspection a new home manager has been recruited and registered with the Commission for Social Care Inspection. Jane Bowman has been in post for approximately 18 months, and has already completed the NVQ 4 in Management and the Registered Managers Award. She has many years experience in the care of older people and has previously been a manager in another care home. The home manager was fully cooperative during the inspection process, produced all the necessary information and records and demonstrated a good awareness of the each person’s needs. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 20 Observations of the working practices, and the interactions between the manager, people who live in the home and the staff on duty, evidenced that the home is run in a friendly and homely manner with the best interests of the people who live there at the heart of all decision- making. Staff meetings are held on a regular basis and staff are encouraged to have a say in things. A suggestion box has been installed in the hallway at the request of the people in the home. It is evident that their views and opinions are important, that they are listened to and any concerns are acted upon. Ablecare Homes completed a ‘customer service satisfaction’ questionnaire survey in February 2008 and the results showed that in general the residents were happy with the service received. This survey covered care arrangements, meals and mealtimes, activities, the surroundings and equipment and information giving. The director completes monthly reports for CSCI, visiting the home on a regular basis and monitoring the standards of care and staff satisfaction and dealing with any other issues. The home holds monies for a number of residents. An examination of the accounts for a sample of residents were checked and tallied with amounts held. Records of transactions in and out of each of the accounts are maintained. Staff supervision records indicate that staff receive 1:1formal supervision with the home manager on a regular basis and at least six times per year. In addition there is a high level of daily support from either the home manager or the deputy. All records required during the inspection process were readily available, and were well maintained. The home’s records are kept securely in the manager’s office. Notifications (known as reg 37’s) to CSCI are made of significant events that occur within a timely manner. Policies and procedures are in place to ensure that the health, welfare & safety of both staff and the people who live in the home, are promoted. Staff will receive health and safety training and are expected to have an understanding of the relevant policies and procedures. There are established systems in place for staff to report any maintenance and repairs that are required. The home was well maintained throughout by the Ablecare Homes maintenance team. All the necessary environmental checks are completed on a regular basis – these include checks on the fire alarm system, water temperatures and the emergency lighting. The fire risk assessment was last updated in September 2007. There was evidence that staff had been instructed in the homes fire safety procedures and the fire alarm system. All the health and safety testing of electrical equipment, stair lifts and hoisting equipment were up to date. The fire log showed that regular fire drills have been performed at various times of the day, and that all the staff have been included at some time or another. Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 21 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Rosewood House DS0000026515.V365374.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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