Latest Inspection
This is the latest available inspection report for this service, carried out on 13th January 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Rothsay Grange Care Home.
What the care home does well There are good systems to assess people`s needs before they move into the home. This helps to assure people that the home will be able to meet their needs. People`s health and personal care needs are well met and staff treat people in a manner that respects their privacy and dignity. People`s social needs are well met by the home and people are supported to make choices. This helps people to retain control over their lives. The home has good systems to investigate complaints and respond to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. The home is well maintained and provides a comfortable, safe and stimulating environment for people. There are good systems to check staff before they start work in the home and to ensure there are sufficient staff working in the home at all times. This helps to protect people and ensure their needs are met. There are suitable management and quality assurance systems, which help to ensure the home is run in the best interests of people who live there. What has improved since the last inspection? Not applicable as this is the first inspection of the service. What the care home could do better: There are no requirements made as a result of this inspection. The home has a development plan of improvements they would like to make and should ensure that this is implemented. The provider needs to ensure that a permanent manager is appointed and registered with the Care Quality Commission. Key inspection report
Care homes for older people
Name: Address: Rothsay Grange Care Home Weyhill Road Weyhill Andover Hants SP11 0PN The quality rating for this care home is:
two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Craig Willis
Date: 1 3 0 1 2 0 1 0 This is a review of 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. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People
Page 2 of 22 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 Homes for Older People 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. Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home
Name of care home: Address: Rothsay Grange Care Home Weyhill Road Weyhill Andover Hants SP11 0PN 01264772898 01264772212 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Barchester Healthcare Homes Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 60 The registered person may provide the following category/ies of service only: Care home with nursing (N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Physical disability (PD) Date of last inspection Brief description of the care home Rothsay Grange is a registered care home providing personal care and nursing for up to 60 people in the older person, dementia or physical disability category. The service is run by Barchester Healthcare, which has other services throughout the country. Care Homes for Older People Page 4 of 22 60 0 60 Over 65 0 60 0 Brief description of the care home Accommodation is provided on three floors and there is a passenger lift that allows access to all parts of the home. The home is provided with equipment and adaptations to maintain and promote independence of people who live there. The home has an enclosed garden that is accessible to people who use a wheelchair. The service is located on the outskirts of Andover. Care Homes for Older People Page 5 of 22 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The evidence used to write this report was gained from a review of all the information we have received about the service since it was registered and an unannounced inspection of the home. The information included an annual quality assurance assessment completed by the manager. An unannounced site visit was carried out on 13 January 2010 and lasted approximately six hours. During the visit we spoke with people who live in the home, staff members on duty and the manager. Documents relating to the running of the home were inspected and all of the homes communal areas were viewed. Care Homes for Older People Page 6 of 22 What the care home does well: What has improved since the last inspection? 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. Care Homes for Older People Page 7 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 22 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 systems to assess peoples needs before they move into the home. This helps to assure people that the home will be able to meet their needs. Evidence: The annual quality assurance assessment, completed by the home before our visit, reported that peoples needs are fully assessed before they are offered a place in the home. We inspected the records of four people who live in the home. All four records contained a detailed assessment that was completed with them before they moved into the home. The assessments included personal care, health conditions, communication, pressure care, mobility and social needs. The assessments were completed with the person by the manager or senior nursing staff. Staff spoken with reported that they received accurate information about peoples needs when they moved into the home. Where relevant, information was obtained from other sources, for example health professionals and social workers. Care Homes for Older People Page 9 of 22 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are well met and staff treat people in a manner that respects their privacy and dignity. Evidence: The annual quality assurance assessment reported that people have a detailed care plan that is developed from their initial needs assessment and regularly reviewed. During the visit we inspected four peoples care plans. Each person had a comprehensive care plan, which had been developed from the needs assessments. The plans contained information about how to meet the persons specific needs. Staff spoken with reported that they found the information in the care plans useful and accurate, which helps them provide care in the way people want it. The records inspected contained evidence of regular appointments with health services, including GP, optician, chiropodist and physiotherapist. The records included details of the appointment and any advice from the practitioner. During the visit we spoke with a community physiotherapist who reported that he gets good support from staff to help people follow up with exercises. The physiotherapist said he felt staff
Care Homes for Older People Page 10 of 22 Evidence: were rehab minded and want to do more than just the basic care. People spoken with said they were able to access all the health services they needed. The home has a medication policy and procedures in place, although these were not inspected during the visit. Medication is stored in locked trolleys and cabinets in clinical rooms on each floor. Controlled drugs were separately stored in a suitable controlled drugs cabinet and recorded in a controlled drugs register. Records of the medicine that people had been supported to take had been fully completed and included details of the amount taken where the dose was variable and the reason why medicine prescribed to be taken as required had been administered. People who were prescribed medicine to be taken as required also had a care plan setting out details of when it should be taken. The annual quality assurance assessment reported that people are treated with the utmost respect and dignity at all times. During the visit we observed staff interacting with people in a friendly and respectful manner. People spoken with reported that staff treat them well and respect them. Care Homes for Older People Page 11 of 22 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social and cultural needs are well met by the home and people are supported to make choices. This helps people to retain control over their lives. Evidence: The home has an activities organiser who has developed a programme of activities and events following consultation with people about what they would like. Details of peoples social and leisure interests are recorded in their care plans. Activities that have taken place include baking, bowling, bingo, a quiz, golf putting and basketball. Visiting entertainers are booked approximately twice a month. The activities organiser reported that she has completed training in ensuring the social needs of people with dementia are met. People spoken with reported that they enjoyed the activities arranged in the home. One person who reported they did not like to take part in group activities confirmed that staff spend one to one time with them. The annual quality assurance assessment reported that the service wants to support people to take part in household tasks. During the visit we observed one person being supported to clean and put away wine glasses and cutlery following lunch. The home has an open visiting policy, with visitors welcome at any time so long as it is with the agreement of the person being visited. There are secluded seating areas throughout the home that people can use to receive visitors, in addition to their
Care Homes for Older People Page 12 of 22 Evidence: bedroom. People spoken with confirmed they were able to make choices about what they participated in and how they spent their time. Staff spoken with demonstrated a good understanding of peoples needs. The home has a planned menu offering a choice of meals. During the visit we observed lunch being served in two of the dining rooms. Both rooms had a relaxed social atmosphere, with people interacting with each other and staff. People were receiving assistance to eat meals where necessary. People spoken with reported that they liked the food and confirmed they could have a different meal or snack if requested. The home has a cafe area by the entrance where hot and cold drinks are available at all times. Care Homes for Older People Page 13 of 22 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has good systems to investigate complaints and respond to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. Evidence: The home has a complaints procedure, which is supplied to people when they move in and is also displayed in the homes reception. A record is kept of complaints received and the action that is taken to resolve them. The complaints record is reviewed each month by a senior manager to assess whether appropriate action has been taken to resolve any issues. People spoken with reported that they were aware of the complaints procedures and felt any issues they raised would be investigated and addressed. The home has a copy of the Hampshire safeguarding procedures and well as their own policy. Staff have received training in abuse awareness and the safeguarding procedures. Staff spoken with demonstrated a good understanding of the different types of abuse people may face, signs of possible abuse and action to take if abuse is witnessed, reported or suspected. Care Homes for Older People Page 14 of 22 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and provides a comfortable, safe and stimulating environment for people. Evidence: All of the communal areas of the home were viewed as well as a sample of the bedrooms. All areas were well maintained and clean. The home is arranged on three floors, with each floor having its own dining area, lounge rooms and separate sitting areas offering people a variety of options of spaces to use. At the time of the visit only the first two floors were occupied. All bedrooms have an en-suite toilet and shower and there are bathrooms on each floor. Bathrooms are fitted with suitable equipment to support people with mobility difficulties and were clean and well maintained. People are able to bring in their own furniture and personalise their bedroom. The area of the home that accommodates people with dementia has a variety of objects and tactile displays for people to use and people are supported to personalise their room with objects that are important to them. The home has a large, purpose built laundry, which was clean and well maintained. The machines are capable of safely washing soiled clothing and there are infection control procedures in place. Care Homes for Older People Page 15 of 22 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this 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 systems to check staff before they start work in the home and to ensure there are sufficient staff working in the home at all times. This helps to protect people and ensure their needs are met. Staff have received good initial training, although this would be improved on by more staff gaining nationally recognised qualifications. Evidence: The number of staff working at any one time is determined by the current dependency levels and numbers of people living in the home. People spoken with said they thought there were always enough staff available. Most of the staff spoken with said they thought staffing levels were sufficient to meet peoples needs. No staff gave any examples of occasions when they were not able to meet peoples needs. The recruitment records of four staff were inspected during the visit. These demonstrated that the home had obtained an enhanced criminal records bureau disclosure about the person and confirmation they were not on a list of people deemed unsuitable to work in care homes. Two written references were obtained before people started working in the home, which had been verified by a telephone call to the referee. Peoples identity was suitably checked and there was a record of their employment history. The home has a training programme for staff and employs a training manager. Staff had either started or completed and induction and were undertaking courses in
Care Homes for Older People Page 16 of 22 Evidence: manual handling, food hygiene, health and safety, infection control, safeguarding people from abuse, fire safety, first aid, dementia, and medication. Nursing staff spoken with reported that they were able to undertake training to develop their professional knowledge, for example one person reported they were due to attend a seminar on Huntingtons disease the following week. Staff spoken with said they felt the training was relevant to their role and helped them to meet peoples needs. The annual quality assurance assessment reported that 3 of the 25 care staff have completed the National Vocational Qualification in care at level 2 or above. Care Homes for Older People Page 17 of 22 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this 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 suitable management and quality assurance systems, which help to ensure the home is run in the best interests of people who live there. Evidence: The manager who was registered when the home opened is no longer in post and an operations manager from Barchester Healthcare is currently covering the manager post on a full time basis. During the visit we met the head of regulation for Barchester Healthcare who reported that they are in the process of interviewing for a new manager, but that the operations manager will stay in post until a full handover has been completed. Most of the staff spoken with during the visit said the home was being well managed and they felt well supported. The home has a quality assurance system in place to assess how they are performing and plan improvements that are necessary. A general survey of people who live in the home is completed by Barchester Healthcare and the results collated to identify areas for improvement. In addition to this, the current manager has completed surveys of
Care Homes for Older People Page 18 of 22 Evidence: people in relation to specific issues, for example food and accommodation. An operations director for Barchester Healthcare visits the home each month to assess the quality of the service provided. Reports of these visits, including an action plan to address any identified shortfalls are provided to the manager and reviewed the following month. Monthly audits are also completed, for example of medication, record keeping and infection control. The results of these audits are also used to develop plans for improvement. No employees of Barchester Healthcare act as appointees for people who live in the home and the home does not hold cash for people. The annual quality assurance assessment reported that all equipment in the home is regularly serviced and maintained to ensure it is safe. During the visit we sampled records relating to the servicing of fire fighting equipment, the gas system and lifts, which were all up to date. Care Homes for Older People Page 19 of 22 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, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 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, Care Homes 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 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 21 of 22 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. 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. Care Homes for Older People Page 22 of 22 - 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!