Care Home: Rosewood Lodge

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What the care home does well People living in the home are provided with a warm, safe and comfortable place to live that is clean and odour free. Visitors are made welcome in the home. The home has a relaxed atmosphere and people living there said that they were happy with their bedrooms and were able to bring their own possessions into the home, making it feel more like home. Good access is available to professional medical staff and other external services such as dentists, opticians, physiotherapists, chiropody and dieticians, so their health needs can be met. People living in the home said that they are offered a choice of good quality meals, which they enjoyed. They are involved in the development of menus through individual discussion and through the use of `taster nights` where people have the opportunity to try new dishes and decide whether they would like them introduced to the menu or not. A variety of activities are available, both within the home and the local community. People said that they had plenty to do and they were able to choose what they preferred. The home has a quality assurance system in place, which seeks the views of people living and involved with the home and measures the outcomes of this. Where action may be required in relation to this, a plan is developed to address this. Staff are well supported and have access to extensive training. 70% of the staff team have an National Vocational Qualification at level 2 or above. What the care home could do better: An odour was identified in one of the bedrooms in the extension, this was discussed with the manager and the providers, who were keen to investigate the cause of this and take action to address it . A requirement was made in respect of this. Two bedrooms had experienced leaks during a period of heavy rainfall. The leaks had been repaired and the affected areas replastered, these now need to be redecorated. A further requirement was made in repect of this. Random inspection report Care homes for older people Name: Address: Rosewood Lodge 4 Southfield Hessle East Yorkshire HU13 0EX two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Wilma Crawford Date: 2 5 0 5 2 0 1 0 Information about the care home Name of care home: Address: Rosewood Lodge 4 Southfield Hessle East Yorkshire HU13 0EX 01482641106 01482627929 rosewoodlodge@rosewoodlodge.karoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Victoria Maria Taylor Type of registration: Number of places registered: Conditions of registration: Category(ies) : Jagata Nanda Kumar Adikaram care home 20 Number of places (if applicable): Under 65 Over 65 20 20 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 Rosewood Lodge is a large traditional property in a residential area of Hessle. The care home is privately owned and is registered to offer care and support to twenty people aged over 65 years of age, some of whom may have dementia. The home is close to the railway station and a short walk from the centre of Hessle where there are shops, cafes, banks and a library. The home has eighteen single bedrooms and one shared room. Those situated in the extension have en-suite facilities. Communal space consists of two lounges, one of which is a conservatory and is situated in the extension, and the other, a larger room, has dining facilities at one end. There is a Care Homes for Older People Page 2 of 11 Brief description of the care home further seating area in the reception. The upper floor is accessed by a chair lift and a new through floor lift. There is a patio and large garden, which are easily accessed from the conservatory and a small car park at the front of the house. Bathing facilities consist of a shower room in the extension and a bathroom with a manual hoist on the ground floor. There are four additional toilets located throughout the home. A third bathroom has been used to house the through floor lift, which is now completed. To compensate for this the proprietor has now installed a further shower room. The current scale of charges is £369.25 per week. There is an additional top-up fee per week of £15 per week for the en-suite bedrooms. Additional charges include hairdressing, chiropody, toiletries, newspapersmagazines, private installation of telephones and trips out. This information was supplied in the Annual Quality Assurance Assessment document returned to the Commission for this key inspection. Information about the home is included in the statement of purpose and service user guide, which are located in reception area of the home and distributed to potential residents upon request. Care Homes for Older People Page 3 of 11 What we found: This inspection report is based on information received by the Care Quality Commission since its last key inspection, which took place on 3rd September 2008 and includes information gathered during a visit to the home. The site visit was unannounced and took place over four and a half hours. The main method of inspection used was called case tracking involved selecting four people living in the home and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and records of three staff were inspected. Four staff and three people living in the home were also spoken with. The comments and views of people spoken with are included in this report. An AQAA document asking for information about the home was sent out before the visit and information from this was included as part of the inspection process of this service. Surveys were sent out, completed and returned by five staff and twelve people living in the home. The comments from these are also included within the report. One safeguarding of adults allegations has been made since the last key visit, this was referred to Hull and East Riding Social Services Team. Their investigation and the homes own concluded that there was no evidence of wrong doing and the issues were resolved. Four care plans were examined and found to be comprehensive and well documented, providing a variety of information about peoples care needs, support and communication with relatives and outside agencies. Each individuals care plan is developed from a detailed assessment and offer staff clear guidance on the level of support needed for each area of need. Admission sheets were found to be fully completed. Daily records give details of how each person has been supported with personal and health care needs and their personal well being. Additional information is also kept about how people have spent their day and activities they have been involved in. Risk assessments were available for lifting and handling, nutrition, tissue viability, falls, bed rails and other areas of daily living, these were all found to be completed and to have been reviewed on a regular basis, as well as when peoples needs had changed for example; due to a deterioration, in their health or hospital admission. Care plans are also evaluated on a monthly basis and any identified changes are incorporated into support plans to ensure that peoples changing needs can be met. People spoken with during the visit said that they had good access to their GPs, chiropody, dentist and optician services, with records of their visits being written into their care plans. This was further evidenced in their personal records and demonstrated that are able to be accompanied by a relative or an escort can be provided by the home to facilitate this. Similarly life histories had been completed for each individual, and their wishes, needs and life choices recorded, making care plans more person centred. Records of peoples weights are maintained on a monthly basis or in line with their individual support plan. Any concerns about individuals nutritional needs are referred to the dietician, for further advice and support. Where this had occurred, recommendations Care Homes for Older People Page 4 of 11 made by them, had been clearly identified within individuals care plans. Checks of the medication records showed that these were well maintained, stored correctly and that records were accurate. All staff that are responsible for the administration of medicines have had accredited training. Evidence from observation during the visit, discussion with staff and people living in the home indicated that peoples privacy and dignity were well respected. Staff were seen to be kind, use peoples preferred form of address and knock on bedroom doors before entering. Comments from relatives and people living in the home included; I dont think they can do anything better. Im very happy with the home. The staff are always willing to help. Everything about the home is good. The staff and care are very good, I have no complaints whatsoever. The complaints file was checked appropriate action was found to have been taken for one safeguarding incident. One complaint had been received by the home since the last inspection visit. There is a robust complaints policy and procedure in place, staff are aware of the complaints procedure, safeguarding and their involvement and responsibilities within these. Surveys completed and returned indicate that people are confident about raising concerns and that these will be taken seriously. This was further confirmed in responses from people spoken with. Bedrooms were viewed with the permission of the people living there, and communal areas and some documents inspected. Identified areas of work made at the last inspection had been completed. This has included extensive redecoration, replacement of carpets and bedroom furniture. Electrical work has been completed and an electrical certificate provided for the work completed. Areas where work has been undertaken include; the lobby, landing, toilets, stairway, reception, bedrooms and the extension. During a tour of the building there were further areas identified for redecoration and refurbishment. Bedrooms 13 and 14 had experienced water leaks, during periods of heavy rainfall, these had been repaired and now need to be redecorated. An odour was identified in a bedroom in the extension (room8) the provider was asked to investigate this identify the problem and either address the odour issue through deep cleaning or replace the carpet and funishings in that room. The home is clean, hygienic and apart from one area previously identified, is free from malodour. The home is suitable for providing care and accommodation to older people, has ramps, mobility and lifting equipment available etc. and there is a new passenger lift, though this is not a shaft lift. Surveys returned by two staff members identified that they thought further equipment was required in the home. This was discussed with the manager and staff on the day of the visit and those spoken with felt that there was adequate Care Homes for Older People Page 5 of 11 equipment available in the home. There is a small garden to the front of the house, but the back of the house overlooks the railway and a main road. Car parking is on the street mainly with space for three cars on the drive to the front of the house. The manager running the home has been the registered manager for the last eight years, is qualified with NVQ level 4 Registered Managers Award, and maintains her competence by updating her training and practice regularly. There is a detailed quality assurance system in operation that is reviewed annually and used to determine shortfalls in the service against which identified action is taken. Surveying now includes GPs, visitors, dentists, opticians, district nurses and relatives, as well as people in the home. Responses from surveys were seen by the inspector and found to be very positive about the home. As part of the quality assuring there are six monthly appraisals for staff and two monthly supervisions. There are meetings for people in the home, to which relatives are invited and sometimes attend, and these cover such topics as food, activities, the staff, care received, the heating, exchanging of rooms etc. There are staff meetings, and the home holds the East Riding of Yorkshire Councils quality development scheme award, parts 1 and 2. People are encouraged to handle their own finances if able, otherwise family members take responsibility, but where the home does hold small amounts of money for people, there are accurate accounting records held. Work identified on the electrical systems has been carried out and a certificate provided. Other sample areas assessed include the fire safety systems, equipment and recording, water storage, temperatures, gas and portable appliance safety and lifting equipment. Weekly checks are made on the equipment and systems and these checks are recorded. The quarterly fire safety drills that are held now record details of who attended drills, when the drill was carried out and the length of it, as the requirement stated at the last inspection visit. Fire safety systems, equipment and extinguishers are externally maintained on contract and dates evidence they were all done within the required timescales, according to recommended fire safety legislation. There is a fire risk assessment document in place which is reviewed on an annual basis. There are current gas safety and portable appliance testing certificates available, weekly water temperature checks carried out on outlets and recorded. The home has two health and safety manuals in place for staff to consult, use and follow. The stair-lift and passenger lift are also maintained on contract and dates show they have been done within the last twelve months. What the care home does well: Care Homes for Older People Page 6 of 11 People living in the home are provided with a warm, safe and comfortable place to live that is clean and odour free. Visitors are made welcome in the home. The home has a relaxed atmosphere and people living there said that they were happy with their bedrooms and were able to bring their own possessions into the home, making it feel more like home. Good access is available to professional medical staff and other external services such as dentists, opticians, physiotherapists, chiropody and dieticians, so their health needs can be met. People living in the home said that they are offered a choice of good quality meals, which they enjoyed. They are involved in the development of menus through individual discussion and through the use of taster nights where people have the opportunity to try new dishes and decide whether they would like them introduced to the menu or not. A variety of activities are available, both within the home and the local community. People said that they had plenty to do and they were able to choose what they preferred. The home has a quality assurance system in place, which seeks the views of people living and involved with the home and measures the outcomes of this. Where action may be required in relation to this, a plan is developed to address this. Staff are well supported and have access to extensive training. 70 of the staff team have an National Vocational Qualification at level 2 or above. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 11 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 19 23 Regulation 23(2) (d) The registered provider must ensure that the water damage to rooms 13 and 14 is fully redecorated. To provide people with a well maintained,homelyand comfortable environment. 31/07/2010 2 26 23 Regulation 16 (2)(k) The 31/07/2010 registered provider must ensure that the cause of the odour in room 8 is identified and appropriate action taken to address this, through deep cleaning or replacement of carpets and furniture. To provide people with a clean and odour free environment. Care Homes for Older People Page 9 of 11 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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