Care Home: Rosewood Lodge

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well Outcomes for the residents are positive. For example five residents spoken with said, "The home is nice, the staff are kind and caring, and the food is good." A good rapport between staff and residents was observed. The home has a warm and pleasant environment with a good standard of fixtures and fittings. The staff work well as a team and ensure the well-being and comfort of the residents` and treat them with great respect and kindness. People living at the home feel valued and cared for. Staff feel well supported and enabled to provide a high standard of care. Meals are varied, healthy and nicely presented offering choice and variety. Residents` health and personal care needs are well met by knowledgeable staff in an understanding way. Residents feel that if they had something to complain about they would speak to a member of staff. All residents spoken with said they had nothing to complain about. One resident said `the home is excellent; I would recommend it to anyone".` What has improved since the last inspection? The home has reviewed the Statement of Purpose, which is displayed in the front porch. This provides prospective residents and their families with full and clear information about the home enabling them to make an informed choice. All prospective residents now receive a full needs assessment prior to entering the home to ensure their needs can be met. Care plans have been reviewed and contain current clear information about the care needs of residents to aid the provision of consistent care. Issues regarding medicines management have been addressed and a safer system for the storage and administration of medicines is now in use for the protection of residents. However these systems still need attention to ensure full protection for residents. Staff have received training in recognising and handling situations of abuse for the protection of residents. Staff demonstrated they have knowledge and understanding of infection control practices for the safety of residents. More robust recruitment practices are in place to ensure residents are protected from potential harm.All staff have been provided with training, appropriate to the work they are to do, so residents will be cared for by knowledgeable and competent staff. Regular supervision has been provided to ensure the competence of staff for the benefit and safety of residents. A fire risk assessment has been undertaken and suitable devices fitted to doors to enable them to be held open for the ease of movement of residents, but which will close on the sounding of the fire alarm for their protection. CARE HOMES FOR OLDER PEOPLE Rosewood Lodge 9 Uphill Road North Weston Super Mare North Somerset BS23 4NE Lead Inspector Patricia Hellier Key Unannounced Inspection 10:00 7th July 2008 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 Lodge DS0000067543.V363076.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 Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rosewood Lodge Address 9 Uphill Road North Weston Super Mare North Somerset BS23 4NE 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) 01934 644266 01934 644266 Scosa Ltd Mrs Tina Eileen Fillingham Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th January 2008 Brief Description of the Service: Rosewood Lodge provides personal care for up to 22 people elderly people. It is set just off the sea front, with level access to the town centre, local shops and amenities. All bedrooms have en-suite facilities. All bedrooms meet the new spatial standards and many exceed them. There is a passenger lift accessing both upper floors of the home. The home has a well maintained front garden that is accessible for residents and comfortable garden furniture. The provider makes information available through an information pack. The information pack contains the Statement of Purpose and Service User Guide and all relevant information about the home. The fees range between £400 and £470 a week with additional charges being made for hairdressing, chiropody, newspapers, and toiletries. This information was provided in July 2008. Rosewood Lodge DS0000067543.V363076.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 took place over 6 hours on one day. Manager, Mrs Fillingham, was present throughout. The Registered Before the inspection the information about the home was received from the file held in the office, surveys received from one person who uses the service, nine relatives, three members of staff and one Health Care professional. The last two inspection reports were reviewed, as there had been a Random Inspection to follow-up on issues raised at the previous Key inspection. The outcome of this inspection was satisfactory and showed the home were implementing changes to ensure the safety of residents. The completed Annual Quality Assurance Assessment (AQAA) form, from the provider was also reviewed. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We (The Commission) also reviewed all correspondence and regulatory activity since the last Key inspection. The accumulated evidence for this report comes from the above and also fieldwork that included discussions with 10 residents, two relatives, and four staff. Practices were observed and documents relating to care, recruitment and health and safety were reviewed. Of the 10 resident surveys sent one was returned. The reply indicated that their care needs are met by responsive staff, and they are provided with what they need. Comments from residents were “I am very happy and would not like to change the place for anywhere else”; “excellent service.” No areas of concern were raised. Of the 10 relatives surveys sent nine were returned and all felt that their relatives were well cared for by competent staff. Comments from relatives were “There is a warm, caring feel to the place”. “Meals are very good and staff very friendly”. “The home is always very clean and well presented”. “We would always recommend the home to anyone”. All relatives felt they were kept up to date with information regarding their relatives’ health and well being. There were no comments of concern. All residents and relatives spoken with told us that the home was good and the staff very kind. Comments received were “it is very homely and comfortable”; “my relative is happy and settled”; “it’s a good staff team”. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The home has reviewed the Statement of Purpose, which is displayed in the front porch. This provides prospective residents and their families with full and clear information about the home enabling them to make an informed choice. All prospective residents now receive a full needs assessment prior to entering the home to ensure their needs can be met. Care plans have been reviewed and contain current clear information about the care needs of residents to aid the provision of consistent care. Issues regarding medicines management have been addressed and a safer system for the storage and administration of medicines is now in use for the protection of residents. However these systems still need attention to ensure full protection for residents. Staff have received training in recognising and handling situations of abuse for the protection of residents. Staff demonstrated they have knowledge and understanding of infection control practices for the safety of residents. More robust recruitment practices are in place to ensure residents are protected from potential harm. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 7 All staff have been provided with training, appropriate to the work they are to do, so residents will be cared for by knowledgeable and competent staff. Regular supervision has been provided to ensure the competence of staff for the benefit and safety of residents. A fire risk assessment has been undertaken and suitable devices fitted to doors to enable them to be held open for the ease of movement of residents, but which will close on the sounding of the fire alarm for their protection. 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 Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 8 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 Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4,5, Standard 6 is N/A Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service User Guide is comprehensive and provides prospective residents with information to make an informed choice. The home’s assessment process is satisfactory and ensures that it is able to meet residents’ needs. EVIDENCE: Residents are provided with a comprehensive Residents’ booklet containing the Statement of Purpose, Service User Guide and all the information required to ensure they, or their relatives, have access to the relevant information at all times. The Statement of Purpose includes information regarding equality and diversity issues and the homes philosophy of care that includes meeting cultural and diversity needs. All residents spoken with had a copy of this. A copy of the Statement of Purpose and Service User Guide is available and on display in the entrance porch of the home. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 10 Other information leaflets on care home life and advocacy were on display in the home and on the notice board in the dining room All residents were aware they had a contract of residency and were happy with the provision that they receive. The contracts reviewed as part of the case tracking exercise were signed and contained information about fees and the obligations of the provider and resident. The contract terms and conditions were clear and understandable. The registered manager carries out a needs based pre-admission assessment on all prospective residents. Admissions to the home take place once the registered manager is confident the residents care needs can be met. The registered manager writes to new residents, or their relatives, to confirm the home can meet their individual needs. Two residents assessment documentation were read to find out how well the needs are assessed. The assessments were informative, and showed the residents had been consulted about their range of physical, mental and social care needs. Residents were able to recall having been visited by the manager prior to admission, and also being invited to visit the home. Thus enabling the prospective residents to meet other residents, see the facilities offered and look around the accommodation available. The residents’ when spoken to said ‘I am well looked after; they know what I need”. Social services care plans had been obtained where relevant. Care practices observed showed that staff were fully aware of the residents needs as stated in their assessments. The home does not provide intermediate care Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8.9.10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from care plans that are well formulated and give clear information to enable staff to meet residents’ health and social care needs. Personal and environmental risks are well managed. Medication administration and practices are satisfactory. Respect and dignity are well maintained by kind and caring staff. EVIDENCE: Care provision for residents at Rosewood Lodge has improved since the last inspection, with staff being aware of the individual needs of residents and how best to meet them for their health and well being. The residents and visitors with whom we spoke said that they were very satisfied with the standards of care and felt the staff were good. One relative told us that the staff are “always understanding about the residents needs and wishes. The resident told us “I can do what I like and they support me. They are very good”. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 12 Relatives felt that they are kept well informed of any significant issues, and that their involvement is welcomed. Another relative told us that assistance with personal care “is sensitively and discreetly given” for the comfort and well being of the individual. Individual records are kept for each of the residents, which include all key personal information. Three care plans were inspected and all reflected clearly current identified health and social care needs. Clear actions to met identified needs were recorded and regular evaluation noted. All of the three care plans showed resident’s involvement. In discussion with residents although they were not aware of their care plans they talked of their Key Worker and the discussions with them about their needs. Staff when interviewed were clearly able to describe the needs of the residents being case tracked and demonstrated a more person centred approach to care than previously seen. This is good practice. Health care professionals such as GP’s and district nurses visit the home as required to carry out health care checks and offer advice to staff. Evidence was seen of residents being taken to other appointments as needed. Resident’s comments supported this. All care plans contained well-formulated risk assessments for Manual Handling and falls. Other personal and environmental risk assessments were present to ensure the safety of the resident while promoting independence as able. One resident said, “It is just nice to have the reassurance of someone there to help”. Daily records were up to date and written in a respectful manner. Care practices observed showed caring interactions and good communication skills from staff. Choices and preferences were observed being discussed and offered. Detailed conversations with eight of the residents confirmed a satisfactory standard of personal care. Two residents said, “it’s homely” another resident said, “people are very kind, we are well looked after” and a third said “they are very respectful and helpful”. Another resident told us “I would recommend the home to anyone”. Medication storage, receipt and disposal have improved since the last inspection and are better managed for the safety of residents. A full audit trail of medicines entering and leaving the home is still not always correct giving rise to concern that medication is not always managed in the best interests of, or for the safety of residents. The Medication Administration Record (MAR) sheets had been well completed with no gaps. The staff who administer medication have received appropriate accredited training and a list of specimen signatures were recorded in the medicine administration record. Hand written prescriptions had not been signed for accountability purposes. Good practice guidelines recommend two signatures for hand transcribed entries on medication Administration Record (MAR) sheets. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 13 The interactions of the care staff observed demonstrated respect for individuals and their right to privacy. Residents spoken to say, “the staff are very thoughtful and kind and treat you very well”. All residents spoken with felt that kind and caring staff respected their dignity and privacy. The home has an Equality and Diversity policy that recognises the cultural and social needs and differences that are present in society. Both management and staff demonstrated clear knowledge and desire to meet cultural and diversity needs as and when they should arise. Staff interviewed said, “We are all one happy family here”. Clear information about race, age, gender and religion is given in the Statement of Purpose however staff do not feel they have the knowledge and confidence to discuss diversity issues with residents and their relatives. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from flexible routines and menus. A variety of activities is offered, and residents’ right to choice and control over their lives is well respected, and encouraged. Friendly staff always welcome relatives and visitors. EVIDENCE: Many residents commented on the atmosphere of the home. One person described it as nicely informal, and residents’ felt that their visitors are also helped to feel relaxed and at home. When asked about activities and their daily routine two residents said, “we have singing sometimes”. While another said “we go to for lunch sometimes”. A range of activities is provided with a diary of events displayed on the dining room notice board. This included hair and nails, arts and craft and music and movement sessions. Three residents told us there are things to do if you want. Two residents said they liked to just sit and read the paper. There is a quiet lounge and a lounge with a television. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 15 During the inspection some people who use the service were seen exercising choice of activity, and being encouraged to undertake the activity they chose. All people who use the service enjoy meeting in the lounge and said they have “many stimulating and enjoyable conversations”. People who use the service told us they can see their visitors at any time, helping them to feel this is their home. Relatives spoken with told us they feel “welcomed” when they come, and that “there is a warm, caring feel to the place”. The dining room is homely and tables well presented providing an atmosphere that is conducive to an enjoyable meal. All residents said they liked the meals, and felt a good and balanced diet is provided. Minutes of residents’ meetings showed that food is a topic of discussion at most meetings and residents’ suggestions are listened and acted upon as the home are able. They have suggested they would like a choice of main course at lunchtime and it is recorded the cook is looking into how this could be achieved. Since the last inspection all staff have received Food Handling and Hygiene training to ensure they have the skills and knowledge to protect residents from poor practices and potential infection. Environmental Health (Food) have also visited and approved their provision and practice by awarding the home a four staff rating. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are protected from abuse, and they can be confident that complaints are taken very seriously. EVIDENCE: The home has a comprehensive complaints procedure and all residents receive a copy on admission. There have been no complaints since the last inspection. Residents stated that if they were not happy about anything they would speak to the manager. Residents said that the manager and staff are “very approachable” and they would always raise any niggles with them. Since the last inspection the manager has introduced a ‘niggles book’. This was inspected and there were few entries, demonstrating residents are happy with the home. Staff and residents spoken to, say the manager is very approachable and understanding. One resident said ‘I’ve nothing to complain about, it’s just like home – we are one family”. A system for keeping clear records of complaints received, with actions taken, and outcomes are available should any complaints be received. The registered manager promotes the resident’s individual rights in the home. Information leaflets were available on how to contact advocacy agencies, and Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 17 resident’s can vote at political elections if they chose, with staff enabling them to go to the polling station or obtaining a postal vote for them. The home has a copy of the ‘No Secrets’ in North Somerset guide and a comprehensive local policy and procedure for responding to allegations of abuse for the protection of residents. Staff interviewed were conversant with the home’s Safeguarding policy and demonstrated good knowledge of the adult protection procedure that should be followed, if abuse is suspected for the protection of residents. The home also has a Whislteblowing policy and staff are aware of this and their duty of care in relation to whistle blowing for the safety of the residents. Since the last inspection staff have received formal training regarding Safeguarding Adults and how to whistle blow should the need arise. Staff when interviewed were aware of the policy, had an understanding of what constitutes abuse and how best to respond to any allegations or incidents, should they occur for the protection of residents. All residents said, “The staff are very kind and take time”. “I can’t fault them”. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 18 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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with homely, safe and comfortable surroundings. Outdoor space is attractive and accessible for residents to enjoy. The home has suitable equipment to maximise resident independence. Satisfactory Infection Control practices are followed. EVIDENCE: The home is nicely decorated and well maintained with a welcoming atmosphere, and made comfortable with homely communal spaces. Accommodation is provided over three floors with a shaft lift to access these. All rooms are provided with en suite facilities for the comfort and privacy of residents. The décor, fixtures and fittings are in good order. The lounges are furnished with a variety of suitable and comfortable chairs to suit residents’ needs. The home has a well maintained garden for residents to enjoy. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 19 Since the last inspection some areas of the home have been redecorated for the benefit of residents, and an ongoing maintenance and refurbishment plan was available at the inspection. The plan however did not clearly show a timeframe for the renewal of the worn stair carpet to ensure the safety of residents. Residents’ rooms are personalised and comfortable to suit their needs. All rooms have en suite facilities for residents’ comfort. There are plenty of toilets within easy access of all communal rooms, for the comfort of residents. The home has grab rails situated at relevant points and a shaft lift to all floors that is easily used to assist resident mobility, and aid independence within the home. The home has sufficient bathroom facilities with aids for the benefit of residents. Equipment was clean and well maintained to ensure protection for residents from cross infection. Hot water outlets are thermostatically controlled and temperatures measured were within the guidelines of 43ºC for the safety of residents. Thermometers were present for staff to check the water temperature before baths for the safety and protection of residents. The home was clean and free from offensive odours throughout. The laundry facilities were well organised to minimise potential cross infection. From the relatives survey responses we were told that “the returning of clean laundry could be better organised”. Staff interviewed and observed demonstrated good understanding of Infection Control procedures and practices and maintained a clean and hygienic environment. Since the last inspection dispenser soap and paper towels have been provided in communal areas, thus providing good facilities for ensuring that staff can maintain good hand washing practices, between caring for residents. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staffing levels that are adequate to meet their needs. Residents are protected by robust recruitment practices. Residents benefit from staff that are trained and competent to do their jobs. EVIDENCE: The staffing rotas for the two weeks prior to the inspection were reviewed. Staffing levels appear to provide sufficient care staff to meet residents’ needs. A good team of ancillary staff supports them. In discussion with residents they told us “the staff are very good and always there when you need them.” Other comments received were “staff know their job and do it well”. Relatives’ feedback about staffing was “the staff are sensitive, compassionate and understanding”. Staff interviewed, and surveys responses from staff, told us “we seek to provide a high standard of care to residents” and “there are good relationships between staff, residents and their families”. Feedback from the Health Care Professional told us “the home provides excellent all round care”. The home currently has 15 of staff with a National Vocational Qualification (NVQ). Since the last inspection a further eight staff have commenced the Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 21 qualification to ensure they have the skills and knowledge to care for the residents in a safe and competent manner. Since the last inspection robust recruitment practices have been implemented to ensure residents are protected form potential harm. Two recruitment files were inspected and all required documentation was present to ensure residents are protected from harm. All staff interviewed stated they had contracts of employment and job descriptions. . Evidence was seen of staff induction in the files of two new members of staff to ensure they have the skills and knowledge to care for residents appropriately. Moving and Handling training is not included in the induction. It is recommended that this is provided for the safety and protection of residents and staff. When interviewed we were told that the induction “was helpful and covered all the things I needed to know”. We were also shown the files containing the Common Induction Standards that new staff are working through to ensure they are provided with the relevant knowledge and assessed as competent for the benefit of residents. Since the last inspection staff have been provided with some of the Mandatory training required. Evidence of this was seen in the training records inspected. Staff when spoken to confirmed they had undertaken the training and demonstrated good knowledge and understanding in the areas of food hygiene, fire precautions, infection control and safeguarding adults, thus ensuring that residents are cared for by competent and knowledgeable staff. Evidence was seen that other mandatory training sessions have been booked to ensure that staff have all the skills and competencies to care for residents, in a safe and competent manner. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 22 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): 31.32.33.35.36.38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run, and residents interests are at the heart of decisionmaking. Quality assurance processes in the home are formal demonstrating that the home consults with residents, families and visiting professionals. Resident’s monies in the home are well managed for their safety and protection. Health and safety issues are monitored in the home to ensure that issues are identified and addressed where they arise for the safety of residents. EVIDENCE: The manager is qualified and has a number of years experience in this area. She is supported by a deputy manager. Since the last inspection the manager has developed her management style and appointed a deputy manager to Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 23 ensure the smooth running of the home for the benefit and comfort of residents. The manger seeks to give leadership, guidance and direction to staff to ensure that staff are knowledgeable and competent to meet the needs of people who use the service. People who use the service and relatives feel she is approachable, available and seeks to ensure all their needs are met. One resident said she ‘can’t do enough’, ‘she is always helping”. Staff interviewed stated that they felt supported by an approachable manager. Since the last inspection policies have been reviewed and best practice guidance included in them, for the benefit of residents. Staff are aware of the policy folder and can access it as needed. A formal quality assurance tool was available for inspection in order to demonstrate that the home consults with residents and relatives. A summary report of the most recent survey was not available at present as it is currently being prepared. The manager told us that she would feedback the results at a residents meeting. and the outcome issues discussed. Minutes of residents meetings held since the last inspection show how residents can have their say, and their suggestions incorporated into the running of the home. Pocket monies, for people who use the service, held by the home, were inspected and found to be accurate and to have clear records for the protection of residents. Not all entries were supported by two signatures for any transactions made for the safeguarding of all concerned. It is recommended that two signatures are present to safeguard resident money, staff. Since the last inspection records inspected showed staff have received regular supervision to ensure they have the skills and knowledge to meet resident needs. Staff spoke of receiving this and it’s helpfulness in identifying areas of training they would like, and would benefit their care provision to residents. Records were available to show regular safety and fire checks are carried out, to maintain the safety of systems for the protection of residents. Certificates of safety checks, servicing of equipment and other required safety inspections were seen and showed that all equipment was maintained and safe, for the protection of residents. Staff spoken to said they had received fire instruction regularly and records supported this, demonstrating staff would have the expertise to safeguard residents in the event of a fire. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 24 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 2 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 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 25 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 OP9 Regulation 13.2 Requirement The registered person must ensure that a clear audit trail of medicines through the home is available for the safety and protection of residents. Timescale for action 07/07/08 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 OP9 Good Practice Recommendations To ensure that all hand transcribed medicines have two signatures for the safety of residents and accountability and responsibility purposes. To ensure that consent is obtained and recorded for the use of bedrails, in line with the Mental Capacity Act 2005. The registered person should ensure the refurbishment of identified areas of the home for the benefit of residents. All new staff to be provided with Manual Handling training DS0000067543.V363076.R01.S.doc Version 5.2 Page 26 2. 3. OP18 OP19 4. OP30 Rosewood Lodge as part of their induction for the safety and benefit of residents and themselves. 5. OP35 The registered person to ensure that all transactions of resident monies are undertaken by two staff, and signed to evidence this, for the protection of the resident. Rosewood Lodge DS0000067543.V363076.R01.S.doc Version 5.2 Page 27 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. Extracts may not be used or reproduced without the express permission of CSCI Rosewood Lodge DS0000067543.V363076.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!