This is the latest available inspection report for this service, carried out on 17th February 2009.
CSCI found this care home to be providing an Excellent service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Redcourt Care Home 2 Carnatic Road Liverpool L18 8BZ three star excellent 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Michael Perry Date: 1 7 0 2 2 0 0 9 Information about the care home
Name of care home: Address: Redcourt Care Home 2 Carnatic Road Liverpool L18 8BZ 01517241733 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Argyle Care Group Limited care home 51 Number of places (if applicable): Under 65 Over 65 51 dementia Conditions of registration: Date of last inspection Brief description of the care home 0 1 5 1 0 2 0 0 8 Redcourt Care Home is a large establishment providing personal care for up to 51 older persons with organic mental disorders. The home consists of two units one of which is the original build of many years ago, called Claret, and a newer building, known as the Mews. Both buildings have lounges, dining rooms, and quiet areas for service users. Bathrooms and toilets are on each floor. Bedrooms are fully furnished with carpets and curtains, and fitted furniture, some residents have personalised their own rooms. There is a large internal/secure garden and courtyard as well as external garden area. The home is situated in a quiet residential area close to Sefton Park and the local amenities. The home has off road parking. Fees are currently #395 per week to live at the home. Care Homes for Older People Page 2 of 9 What we found:
We visited the home because of some concerns that had been raised following the admission to hospital of two people. One had been admitted to hospital and found to have fractures to ribs and another person had been admitted with a pressure sore. The aim of the inspection was to focus on specific areas of care in the home centered around the physical and personal care of people and how the home liaised with key people in health such as district nurses and GPs. This is to ensure that people in the home are receiving the right support. We looked at the care of people in particular who are currently receiving support from the district nursing team and who need a lot of physical care and personal care by staff. One person is being monitored closely as they are at risk of developing a pressure sore. We saw from the care records that the home had carried out assessments to measure the risk and had made observations around the persons skin and dietary intake. They had been alert to refer the person for extra support to the district nursing team who were attending regularly to review. This shows that the home have assessed the person and have organized the right support. The care notes contained a care plan for the person which outlined some of the care needs. This was discussed as we were informed that the home have been working closely with the family to get them involved in the care and to make them aware of all of the care needs. This was supported by references in the care notes such as notes on review forms. We felt that the actual care plan lacked some detail of this such as the families agreement to plans around dying for example. The manager advised us that she is currently in the process of updating all of the care plans to make them easier to read and more personalised. Would recommend that the people reviewed on the inspection have the care plans updated to include all details around persona care needs. We saw the person concerned and they were comfortable in bed. There were good standards of personal hygiene and it was clear that the person was being monitored well as there were forms completed by staff with respect to dietary intake and any personal care given. We saw that there was an appropriate pressure relief mattress in place and that other care aids such as a hoist and specialist reclining chair were also in place so that the person was supported appropriately. Another person had been admitted to hospital recently and had returned to the home having been assessed as needing nursing care. The manager of the home had liaised with the continuing health care team at the local PCT [hospital trust] and had submitted a comprehensive care plan drawn up with them to support the person on return to the home. This included the provision of suitable equipment and the input from district nurses who visited regularly. The care plan for this person was detailed and personalised and contained reference to Care Homes for Older People Page 3 of 9 family input as well looking at diverse care needs with respect to sexuality and privacy. This evidences that the care planning documentation is now more personalised and reflects the individual needs of the person concerned. Another person currently on the home has diabetes. She was admitted to the home from hospital and at the time had a pressure sore on both sacral area and heels. Records seen showed that appropriate support had been organized, again with district nurse support, and that the sores had now healed. The care plan was not one that had been updated to be more personalised and was one of the standardised care plans used in the home. This did not contain as much detail. For example around diabetic care there was recorded only diabetic diet. The supporting care records did indicate appropiate input for this persons diabetes however with referrals to the dietitian and good nutritional assessments. Again we would recommend that the care plan is updated to reflect the care being given. We saw the new care plan for a recently admitted person and this was much clearer and personalised. It contained clear instructions around pressure area care which were regularly reviewed. This ensures that care staff an easily follow the care plan and it is personalised to reflect the persons individual care needs. Again this person was observed in the lounge area and was comfortable with good standards of personal hygiene observed. She was also supported by a pressure relief cushion as described in the care plan. This shows that the care agreed in the care plan is being carried out. We spoke to health care professionals who visit the home. The feedback was very positive in that they felt the homes liaised and refered people appropriately. One said: Weve found the home to good at carrying out any care we are overseeing. They seem to understand the basic care needs of people and monitor them well. We recently had to do a report on the care of a resident in the the home and found that they had been very proactive in their approach. We spoke to the manager regarding the apparent high level of dependency of people in the home. Those reviewed did have high levels of care need that could be described as nursing [one had been assessed as needing nursing care by the PCT]. The relevance of this is that the homes registration is for personal care only as opposed to any specific nursing care. This means that the homes philosophy and staffing are geared towards lower levels of personal care and more social care needs. The manager showed a good awareness of this and the need to balance this with the needs of individuals who may well need extra support but we also feel that the wider considerations of the homes registration need to be always considered as the provision of this level of care can stretch staff so that the social care needs of other residents may suffer. Evidence for this came from staff interviews. All felt that the care in the home was good and that people are supported well if they are highly dependent. Some also felt that because of the time needed to care for this group of people it limited time for more social care. One said: Care Homes for Older People
Page 4 of 9 The [highly dependent] residents can take up a lot of time. We like to do social activities with other residents such as talking and doing nails but this can be a bit rushed sometimes. Staff conformed an ongoing training program covering many aspects of care and the training records seen support this. We asked about training around medical and physical care needs given the current resident group, and found this to be limited however. For example only a few staff have received any training around diabetes over the past two years. We would recommend updates for staff around diabetes and also pressure area care. This is to support staff who are caring for people with these conditions. We asked the manager about the sort of audits that are carried out so that she can get feedback and both monitor and further improve care standards in the home. WE asked about how accidents are monitored [specifically falls] and also how pressure sores are audited. Also how dependency levels are monitored as these may have implications for staffing. The manager said that currently she does not keep an overall record of these. We would recommend that these key areas are audited on a regular basis so that the manager can be aware of fluctuations and patterns that may effect service development and decision making. What the care home does well: 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 5 of 9 Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 12 16 The social care in the home 01/01/2009 must be developed with reference to more individualized care planning and the provision of activities for people with dementia. This will enhance the quality of life for people in the home. Care Homes for Older People Page 7 of 9 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 1 7 We would recommend that the care plans for the some of the people we reviewed be updated from the existing standardised format to the new more personalised format so that each persons care needs can be easily monitored and evaluated. We would recommend that staff receive further updates and training around physical care needs of the people in the home such as diabetes and pressure sore management. We recommend that the manager carries out routine audits of pressure sores in the home, accidents and also introduces a dependency rating tool. This will assist her to both monitor and plan effective resources and develop care. 2 30 3 33 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
