CARE HOMES FOR OLDER PEOPLE
Red Court Nursing Home 27 Stanhope Road Croydon Surrey CR0 5NS Lead Inspector
Alison Ford Unannounced Inspection 15th February 2006 11:30a X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Red Court Nursing Home Address 27 Stanhope Road Croydon Surrey CR0 5NS 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) 020 8681 2359 020 8680 3938 BUPA Care Homes (BNH) Limited No. 2079932 Miss Palace Chivero Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Terminally ill over 65 years of age (0) of places Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Red Court is a care home owned by BUPA and registered with The Commission for Social Care Inspection, to provide nursing care for up to thirty-five older people. The home is situated near to the centre of Croydon and is an extended house, which provides accommodation over three floors. Two lifts ensure accessibility throughout the home. All the bedrooms are single occupancy and have been fitted with hand basins and almost half of them have en-suite facilities. There are two dining rooms, a main lounge, two smaller seating areas and an activities room. The home is surrounded by exceptionally well-maintained gardens in the front and an orchard to the rear of the property. The home is attractive and well presented and maintained and there are off street parking facilities to the front of the building. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the homes second inspection for the year 2005/2006 and was unannounced. Previous inspections have always found a well maintained home offering a good quality service and this was confirmed at this visit. Any requirements are always complied with promptly and the comment cards, which had been received by The Commission, reflected the satisfaction of residents and their relatives. The visit took place over three hours during the day and included a partial tour of the premises and the assessment of a care plan of a recently admitted resident. Several residents were spoken with during the visit, which was conducted with the Registered Manager. Since the last inspection there have been two concerns raised in regard to staff members and one complaint. All of these have been dealt with promptly and appropriately and have generated an increase in staff training and medication procedures. During the course of the year all of those standards considered, by The Commission, to be key to the inspection process have been assessed and this report should be read in conjunction with the one produced following the inspection on 9th August 2005. What the service does well:
This home continues to offer an exceptionally well-maintained environment with particularly attractive gardens. There is both adequate communal and private space so that visitors can be entertained in private or in one of the lounges. Comments from residents reflected their satisfaction with the home and staff, particularly its manager. Comprehensive assessments, prior to admission, ensure that placements meet the needs of the residents and these form the basis for care plans, which are subject to regular review so that they reflect current needs. Other members of the multidisciplinary healthcare team contribute to residents care as necessary and there is sufficient equipment in use to ensure their safety. Medication policies and procedures are in place to ensure the safety of residents and equipment is well maintained and serviced.
Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 6 Activities are varied and tailored to suit the needs of the residents and include trips out and visiting entertainers. Regular meetings offer them the opportunity to influence the services that are being provided. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard were not assessed at this inspection EVIDENCE: Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 Residents have an individual care plan, which ensures that the care that they receive meets their assessed needs and that staff are aware of the appropriate action to be taken. Medication policies and procedures are in place to ensure residents protection EVIDENCE: Each resident has an individual plan of care and one of these relating to a recently admitted resident was assessed. Risk assessments, manual-handling protocols, and monitoring of risks, which could lead to the incidence of pressure sores were in place. Staff complete daily entries of the care that has been given and there was evidence that this is regularly reviewed. The GP, dentists, chiropodists, opticians and tissue viability nurse make visits, and equipment was seen in use throughout the home that is designed to minimise the risk of pressure sores. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 10 Medication policies and procedures have recently been improved following an untoward incident and the home is now confident that all risks have been minimised. Record sheets and storage facilities are audited daily. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standard were not assessed at this visit. EVIDENCE: Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 An appropriate complaints procedure, a copy of which is given to residents as a part of The Service User Guide, and regular meetings ensures that residents can be confident that their complaints will be taken seriously and acted upon. Residents can feel safe knowing that there are robust procedures in place to deal with any suspected abuse. EVIDENCE: Since the last inspection one complaint had been received by The Commission about the home and had been dealt with according to their policy In addition two untoward incidents have occurred in the home. These have both been dealt with in a prompt and appropriate manner. In response to these incidents there has been an emphasis on staff training in issues around the protection of vulnerable adults. All staff appointments are subject to satisfactory checks being made on them. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 This home offers an exceptionally clean, well-presented and maintained environment, which meets the needs of its residents and allows them to live in a comfortable homely atmosphere. EVIDENCE: The home is very well maintained both internally and externally and attractively furnished and decorated. There is an ongoing programme of redecoration and residents have been encouraged to personalise their rooms. All areas of the home were clean at this inspection and there was no evidence of any malodour. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Theses standards were not assessed at this visit. EVIDENCE: Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Residents can be sure that this home is well managed, in their interests, by a very experienced and suitably qualified person and that their health and safety is promoted and protected. EVIDENCE: The Registered Manager has been in post for some time and several residents praised her kindness and skills. Clear lines of accountability and leadership are displayed in the home. There are regular residents meetings so that resident’s can influence decisions regarding the home and their views can be monitored. Small amounts of money are held securely on behalf of residents and appropriate maintenance and safety procedures are in place to protect them. Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 17 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Red Court Nursing Home DS0000019040.V274662.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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