Care Home: Rossendale Hall

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What the care home does well The home has good links with health professionals so that people in the home receive the best possible healthcare. The people who live at the home are supported by staff to help them to keep in touch with families and friends. What has improved since the last inspection? Risk assessments have been developed and simplified to include daily living activities so that these become tools in supporting people achieve their goals and aspirations. Staff have received moving and handling training and refresher training so that they can provide care/support in line with current best practice and people who live at the home are safeguarded. Staff have received fire safety training and refresher training so that they know what to do to protect people who live in the home if fire breaks out. Staff have received adult protection training and refresher training so that they know what they must do to protect people who live at the home from possible abuse and harm, in line with current best practice and local safeguarding procedures. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Staff have received food hygiene training and refresher training to make sure that they are aware of current best practice and people who live at the home are safeguarded. Staff have started to receive formal supervision, so that they are provided with consistent guidance and have the opportunity to air their views and discuss their development needs. What the care home could do better: The support plans need to be agreed and implemented so that people get support the way they want and staff become familiar with one recording system. Two written references must be obtained before the person commences employment to help make sure they are suitable to work with the people who live at Rossendale Hall. Key inspection report CARE HOME ADULTS 18-65 Rossendale Hall Hollin Lane Sutton Macclesfield Cheshire SK11 0HR Lead Inspector Julie Porter Key Unannounced Inspection 08 June 2009 11:00 Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rossendale Hall Address Hollin Lane Sutton Macclesfield Cheshire SK11 0HR 01260 252500/ 252216 01260 252571 ac@rossendaletrust.org 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) Rossendale Trust Manager post vacant Care Home 30 Category(ies) of Learning disability (30), Physical disability (10) registration, with number of places Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD - maximum number of service users 30 Physical disability - Code PD - maximum number of service users 10 The maximum number of service users who can be accommodated is: 30 Date of last inspection 9 January 2009 Brief Description of the Service: The Rossendale Trust provides residential and day care for adults with learning disabilities. Rossendale Hall, registered to provide care for 30 people with learning disabilities, is a detached hall built in the 1930s, situated in its own grounds in a rural location on the outskirts of Macclesfield. The home has been adapted and extended over the years and currently consists of three units: the Hall, Riverside and Hillside. Accommodation is in single and shared bedrooms situated on the ground and first floors. The rooms are smaller than the sizes identified in the national minimum standards (Standard 25 of the National Minimum Standards for Care Homes for Younger Adults). However, as the home was registered and in use before 31 March 2002, it does not have to meet this standard. Local amenities, in the village of Sutton and at other Rossendale Trust services, are a short drive away. Information regarding the cost of living in the home is available from the manager as this depends on the level of support needed. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people that use the service experience good quality outcomes. This unannounced visit took place on 08 June 2009 and the findings were discussed with representatives of the Trust. The visit lasted 6 hours in total and was carried out by two inspectors. The visit was just one part of the inspection. Before then and within the last nine months the Care Quality Commission (formerly CSCI) had been provided with information about the services offered by the home. CSCI questionnaires were made available for people using the service to find out their views. Other information received since the service was last visited was also reviewed. During our visit to the home we looked at various records and the premises. What the service does well: What has improved since the last inspection? Risk assessments have been developed and simplified to include daily living activities so that these become tools in supporting people achieve their goals and aspirations. Staff have received moving and handling training and refresher training so that they can provide care/support in line with current best practice and people who live at the home are safeguarded. Staff have received fire safety training and refresher training so that they know what to do to protect people who live in the home if fire breaks out. Staff have received adult protection training and refresher training so that they know what they must do to protect people who live at the home from possible abuse and harm, in line with current best practice and local safeguarding procedures. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 6 Staff have received food hygiene training and refresher training to make sure that they are aware of current best practice and people who live at the home are safeguarded. Staff have started to receive formal supervision, so that they are provided with consistent guidance and have the opportunity to air their views and discuss their development needs. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs are assessed before they move into the home so that they know their needs can be met there. EVIDENCE: Nobody has come to live in the home since our last visit there. However processes are in place to assess people’s needs before they move in. People are referred from their local authority after the person’s social worker identifies the need for residential care. The home has developed their own assessment documents and told us that they would meet the person and look at their needs before they were offered a place at Rossendale Hall. Assessments include the needs of the person, family information, their likes and dislikes and details of healthcare professional involved with their support. This would help to make sure that the person’s needs could be met at the home and that it was the right place for them. Rossendale Trust is working towards major changes in the way it provides support for the people using its services so the organisation should now be Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 9 considering what processes and documents will be needed when people move into new houses and receive their support from the organisation in a different way to that being provided now. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New support plans have been introduced which should ensure that people get the care and support in accordance with their current assessed need. EVIDENCE: We have been told that the local authority continues to offer training, guidance and support to Rossendale Trust to develop person centred plans for the people living at Rossendale Hall. We were told that authority is satisfied with the quality and standard of the documents now being used by staff at the home to record people’s care plans. We looked at three care plans of three people living at Rossendale Hall to check what care and support they were receiving. The new style support plan folders showed improvements in the quantity and quality of information being Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 11 recorded. Information being kept about each person has been sorted out and only recorded once so that a clearer picture of the person, their needs and how they were to be met was available. Records and plans were not always signed or dated, but had been written using more positive language about the person for example, “what people like about me”. One plan told us the person had been screened for dementia in July 2007 but did not have the condition. Later information told us that a review had happened in respect of the person’s dementia but there was no information in the care plan as to who had made the diagnosis of dementia or when it had happened. We saw from the files we looked at that the checks about risks or dangers people living at the home might face each day had been simplified. These documents had been simplified and gave clear guidance about what steps needed to be taken so people were safe, for example when going out, but that their daily activities were not unduly restricted. The quality of these checks and guidance varied in the files we found; for example, risks had been identified for one person, information on how to manage those risks to make sure the person was safe had not been completed. The new style support plans need to be introduced in a timely manner for everyone living in the home so that people get the care/support they need. Advocates and supporters from East Cheshire Advocacy service have been heavily involved with people living in the home and a social work student told us that she had been working with people who had limited verbal communication. She saw her role was to support them in finding out what they wanted when they moved, things like who they would share with and what colour they wanted their bedrooms to be decorated. This showed us that the people who live at Rossendale Hall are being consulted about the changes planned and the moves they will be making into new homes. People who live at Rossendale Hal told us they are getting ready to move into the new houses and sometimes they go out shopping to get used to doing this when they move to live in their own flats. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Rossendale Hall are encouraged to make decisions about the way they live their lives so they can become more independent. EVIDENCE: People living in the home take part in various activities and depending on their needs they either do these alone or with staff support. Some people living at Rossendale Hall go out to work, others attend local colleges, some attend the day centre either at Rossendale or in Sutton village and some people have simply “retired.” We were told that since our last visit to Rossendale Hall, an activities coordinator has been employed there. We saw information around the home Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 13 telling people of forthcoming events. We were told about some of the things people had already done included going to shows, the zoo and a theme park. Many of the trips and activities are helping people understand the changes that are happening at Rossendale and preparing for the move into more independent living. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good links with community based healthcare professionals and staff have appropriate training to ensure that people’s needs are met safely. EVIDENCE: Staff have now attended training in moving and handling so that they can support, guide and move people with causing harm or distress, and people are supported in line with good practice. We saw that personal information in respect of individual’s health needs is no longer on display in public areas. This helps to make sure that people’s privacy and dignity is maintained. The person we identified at our last visit as needing medication administration training had completed this in March 2009. During our visit, we saw that all medicines in the three houses were stored securely. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 15 Everybody living in the home is registered with the local doctor, dentist and optician. The new support plans give the staff opportunity to record on the file so that all the person’s information is kept together. In one of the files we looked at the information about the person’s medicines did not correspond to the information on that person’s medication administration record. This could cause confusion to staff. We saw from the care files we looked at and other records that people living at Rossendale Hall receive treatment, advice and support from healthcare professionals such as district nurses, occupational health, dietician, physiotherapists and speech and language therapists. This helps to make sure that their needs are being met and that they continue to be as healthy as possible. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have received training about safeguarding adults so they know what to do to make sure that the people living at Rossendale Hall are protected from abuse and harm. EVIDENCE: Rossendale Trust has a complaints procedure and we saw copies of this around the home. The contact details for the Care Quality Commission need to be updated. We spoke with people who live at the home and found that although some people did not know how/or would not be able to make a written complaint all said that they would speak with staff if they were unhappy with anything. Following our last inspection of Rossendale Hall, a representative from the local authority’s safeguarding adults team has been involved with helping the home to develop its policies and procedures and to train the staff. A representative of the authority has attended staff training at the home and was happy with the content and delivery. We were given evidence that all but one new member of staff has received training on safeguarding adults so they all know what to do to protect people living at the home from harm and abuse. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Maintenance of the property continues so that the people live in safe, comfortable surroundings. EVIDENCE: We walked round the three houses that make up the home and saw that general maintenance continues. Work has begun on the new apartments situated in the grounds of Rossendale Hall. Parking has been relocated and there are signs and fencing to help make sure that people living at the home are safe whilst the building work is going on. There are a number of twin rooms in the home; the people living in those rooms have shared them for a number of years. This arrangement will be Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 18 addressed when the new apartments have been built; the intention is that people will live in single rooms in shared apartments. A number of the bedrooms in the home do not meet the space requirements set out in the National Minimum Standards for Care Homes for Younger Adults. However the home was registered and operating before the national minimum standards came into force and is therefore not required to meet that standard. Some areas of the home will become increasing difficult for people living there to have access to as their mobility decreases; again this will be addressed when the new apartments become available. On the day of our visit all areas of the home were clean and fresh. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff who support the people living at Rossendale Hall have received training so they know how to make sure that people are protected from possible harm or poor practice. EVIDENCE: We spoke with staff who appeared positive about the changes planned at Rossendale. They told us they were looking forward to the apartments being built, that they had enjoyed all the recent staff training and felt clearer about their role. Staff told us that they have had an annual appraisal and are starting to have planned one to one supervisions. This provides them with the chance to receive support and guidance from managers. Following our last visit the Trust has put in place a thorough staff training programme and we have been kept informed about the progress of staff in achieving mandatory training. The organisation has recently shown great Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 20 commitment to providing training and supporting staff to attend to develop their skills and knowledge. We saw records that showed most staff working at Rossendale Hall had attended this training. We spoke with the person currently responsible for training who confirmed that further training had been planned for new starters and people who had been missed previous training due to absence. This showed us that staff had been able to learn and develop the skills and knowledge they needed to provide quality support for the people living at the home. We checked the recruitment files of three staff who had joined the organisation since our last visit to Rossendale Hall. In each case there was a completed application form that gave an employment history, a copy of the interview notes and information to show that Criminal Record Bureau (CRB) checks had been obtained. However, in two files, we saw that only one reference had been obtained, rather than the two required. We discussed this with a senior person in the organisation who undertook to resolve the matter immediately. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 and 43 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Advocacy involvement and project work with people living in the home ensures that their views are taken into account with the proposed move to supported tenancy and that the service will be run in their best interests. EVIDENCE: A new manager has been appointed at the home and a valid application was made to Care Quality Commission (CQC) for the manager to become registered with us. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 22 The Rossendale Trust is currently involved with a long term project to close the care home and building is underway of self contained apartments in the grounds of Rossendale Hall. A lot of work and discussion has been going on with the people who live at the home, their families and supporters and others involved in their care to prepare them for the move and to make sure that their wishes have been taken into account in planning these future developments. The local authority has been involved, as has the local advocacy service and a social work student on placement at the Trust. This work has helped people currently living at Rossendale Hall to understand the changes that will happen for them and to plan for and look forward to their new living arrangements. Trustees of Rossendale Trust continue to visit the Hall to monthly to check that it is running in the best interests of the people who live there. At our last two visits to Rossendale Hall, we had made requirements for action to be taken to make sure that regulations were being met and that the outcomes for the people living there were improved. We found at this visit that action had been taken to meet those requirements. Staff training has been arranged and completed, a new manager has been appointed and there are clear lines of accountability within the home. This has helped to give staff a clear sense of direction so they know their roles and, having done their training, have developed their knowledge and skills to be able to provide good support for the people living at the home. We looked at some of the safety certificates for the home to confirm that the necessary checks and tests had been carried out on fire protection equipment and emergency lighting. The information we had received about the home confirmed that all equipment and installations at Rossendale Hall had been serviced and tested as required to make sure they continued to be effective and that the home is safe for the people living and working there. Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 2 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 3 Version 5.2 Page 24 Rossendale Hall DS0000006617.V375947.R01.S.doc 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. 1 Standard YA34 Regulation 19(1)(b) Requirement Two written references must be obtained prior to new members of staff starting work in the home. This is to help make sure that they are suitable to work with the people who live at Rossendale Hall. Timescale for action 31/07/09 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 YA7 Good Practice Recommendations A review should be carried out about the arrangements of keeping food locked away and the impact this has on the people living in the home. The arrangements for providing shared bedrooms should be reviewed at the next opportunity so people have the chance to choose whether or not they want to share a bedroom. A minimum of 50 of staff should have achieved NVQ level 2 in care so people who live at Rossendale Hall are receiving support from a skilled and qualified group of DS0000006617.V375947.R01.S.doc Version 5.2 Page 25 2 YA25 3 YA32 Rossendale Hall staff. 4 5 YA9 YA16 Risk assessments should continue to be developed so they include all aspects of the residents’ daily living. Locks suitable to the needs of the residents should be fitted to bedrooms, so that their possessions can be kept securely and residents are afforded privacy. Staff should receive formal recorded supervision at least six times a year so that they receive consistent support and guidance about their practice and development needs. 6 YA36 Rossendale Hall DS0000006617.V375947.R01.S.doc Version 5.2 Page 26 Care Quality Commission North West Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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