Inspection on 26/04/07 for Red Court Nursing Home

This inspection was carried out on 26th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Red Court Nursing Home 15/02/06

Red Court Nursing Home 09/08/05

Red Court Nursing Home 18/02/05

Red Court Nursing Home 05/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Spinney (The)

Queen Elizabeth House

Spring Lane Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Red Court Nursing Home 27 Stanhope Road Croydon Surrey CR0 5NS Lead Inspector Alison Ford Key Unannounced Inspection 26th April 2007 10:00a 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.V336322.R01.S.doc Version 5.2 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.V336322.R01.S.doc Version 5.2 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 chiverop@bupa.com www.bupa.com BUPA Care Homes (BNH) Limited 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.V336322.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 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. It is attractive and well presented and maintained and there are off street parking facilities to the front of the building. At the time of this latest inspection fees range from £895-£1000 per week. These fees and any extra charges which may be payable would be discussed prior to admission. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken as a part of the inspection process for the year 2007/2008. In writing the report consideration has also been given to information received throughout the year such as comments from people who use the service, reports of incidents and complaints. The inspection visit was undertaken with help from the Registered Manager and the Head of Care. Both of them were helpful, knowledgeable and very receptive to the inspection process. A tour of the premises was undertaken; many of the thirty residents currently living in the home were spoken to, also a relative who was visiting and several members of staff. Various records that the home is required to keep, as evidence of its commitment to the protection and health and safety of its residents, were seen and also a sample of care plans which identify the help and support that residents need and show how their assessed health care needs are met. Personnel files of new members staff were checked to ensure that they contained all of the necessary documentation that helps to ensure the protection of residents and staff training schedules were looked at to make sure that the training that is provided is relevant to their needs. Menus and kitchen records were seen and the lunchtime meal was observed during the visit. Prior to the visit, comment cards routinely sent to homes as a part of the inspection process, had been returned from nine people who use the service and three of their relatives. The majority of these reflected complete satisfaction with the home and the care that was being provided. There is currently one issue being investigated under adult protection procedures. This was dealt with promptly and appropriately; an outcome is still awaited. What the service does well: This home provides a safe, clean and well-maintained environment for the people who live there. It is a “hotel style” home however, the atmosphere is warm and friendly and residents say that they find it pleasant and comfortable. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 6 Aids and adaptations are in the home to help them and make their lives easier and a varied range of activities is offered to suit their capabilities and preferences. Several residents said how much they enjoyed living in the home and how lovely the staff were. Comments were received such as “ the people who look after us are very kind ” and “they couldn’t do more for you”. Others agreed that they “were all very happy,” “looked after very well” and “you couldn’t find a better place to live in”. Comment cards received from relatives and visitors spoken with during the inspection confirmed that they were always made to feel welcome and that they never had any concerns about the care that is provided. All of the residents looked exceptionally well cared for on the day of the inspection; clothing had been colour – coordinated, ladies had been helped to put make-up on and the hairdresser visits regularly. It is considered that the home exceeds the minimum standards required in several areas, providing good facilities, which meet the healthcare needs of the residents and promoting a quality of life, which suits their capabilities and preferences. Staffing levels are sufficient to ensure that residents are not hurried and interaction between them and the carers is good. A full and comprehensive assessment is undertaken by the matron or a senior nurse prior to the admission of any new residents so that they can be sure that their healthcare needs will be met. This then provides the basis for individual care planning. These care plans are subject to regular review to make sure that they are always up to date and that care is being delivered in a way which suits residents needs. There is evidence of contributions from the residents and their relatives. A doctor visits regularly and advice is gained from other healthcare professionals as required. An activities coordinator works in the home and several residents said how much they enjoy the range of both indoor and outdoor activities that are offered to them. It provides an opportunity for them to chat together and for staff to find out more about their past lives and achievements. Entertainers also visit the home and there is an extensive video library. The lunchtime meal was served during the inspection and those spoken with considered that the food was tasty and well presented and said that their relatives could join them at mealtimes if they wished to. The chef meets with them on a daily basis and has devised a new range of menus. There is a range of choices and snacks and drinks are always available during the day. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 7 A robust complaints procedure is in place although people spoken to were confident that the management team would deal with any issues promptly as they occurred. BUPA management representative’s visit on a regular basis and there are regular meetings arranged for residents and their relatives. An annual questionnaire is sent out to monitor the views of those using the service. Documentation required as evidence of the homes commitment to the health and safety of its residents and staff was in order and appropriate medication procedures are in place. 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. The summary of this inspection report can be made available in other formats on request. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 8 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.V336322.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,3,6. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use this service know that a comprehensive pre-admission assessment will be undertaken to make sure that the home will able to meet their healthcare needs and they will be given all of the information that they need to help them decide if they will be happy living there. EVIDENCE: In the sample of care plans that were assessed there was clear evidence that a comprehensive pre admission assessment is undertaken with potential residents, prior to their moving into the home. This assessment covers both physical and psychosocial needs and then forms the basis for subsequent care planning. It also includes details of their previous life to enable staff to gain an insight into the resident’s current needs and behaviour patterns. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 10 There is a comprehensive Statement of Purpose for the home, which is displayed in the entrance hall, and residents have a copy of the service user guide in their bedroom. Information relating to fees and terms and conditions is given to residents or their representatives at the time of admission. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9,10. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The people who use this service all have an individual care plan so that staff that are caring for them are aware of the help and support that they need. They are always treated with dignity and respect and medication policies and procedures are in place to protect them. EVIDENCE: Each resident has an individual plan of care providing evidence that personal and nursing care is being delivered to a high standard. All of those that were seen contained a considerable amount of information including risk assessments, manual-handling protocols, and monitoring of factors, which could lead to the incidence of pressure sores. Staff document all of the care that has been given and plans are regularly reviewed to make sure that any changing needs are identified. The training programme in place in the home for staff ensures that they have the necessary skills to deliver care in the way that people prefer. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 12 Throughout the care plans there was evidence that residents and their representatives are consulted and able to influence the support that they are receiving. There were entries in the plans, which illustrated that 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. It was considered that outcomes for the people who use this service exceeded the minimum standard required. The residents that were spoken with during the inspection were all extremely pleased with the way that they were cared for in the home, several said “it was like living in a big family”. One commented that ”someone was always there as soon as they rang the bell” and another that “everything was always done for them just how they liked it”. They all agreed how thoughtful and polite the majority of staff members were and carers were observed treating residents kindly and with a great deal of respect and consideration. If residents have to go into hospital they are always sent flowers and cards and staff members would visit them while they were there. Medication storage and administration was in order, it is checked by the nurse in charge of every shift and there are regular audits undertaken by the supplying pharmacist. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14,15 Quality in this outcome area is excellent, This judgement has been made using available evidence including a visit to this service. The people who use this service are able to enjoy activities, which are arranged for them, and their visitors are always welcomed. They are helped to exercise choice and control over their lives and there is a particularly varied range of meals and snacks available to them. EVIDENCE: There is an enthusiastic activities organiser who arranges various sessions, both indoors and outside in the garden. Entertainers sometimes visit the home and many residents are registered with the Dial-a-Ride service to enable them to go out. Several people said that they particularly enjoyed the card games and bingo sessions, it offers them the opportunity to chat together and for staff to discover more about their past lives and achievements. Various pieces of artwork that they have done are displayed around the activities room along with photographs of events that they have enjoyed. Birthdays are always celebrated, residents receive a card, a cake is made for them and photographs are taken. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 14 Residents all agreed that they were able to exercise choices over their daily lives regarding what they wear, what they eat for their meals and how they choose to spend their day. They confirmed that their relatives and friends are always welcome to visit and many of them benefit from having their own telephone in their rooms. Where residents who still have partners are admitted into the home, staff are aware of their need to be allowed time on their own if they would like it. Since the last inspection a new chef has been appointed. He visits people when they are first admitted, to record any particular preferences that they may have and meets with all residents on a daily basis to ask them about their meal choices for that day. Menus have been displayed, in a particularly attractive format, in the entrance hall and include information about snacks and drinks, which are available throughout the day. All those spoken to agreed that the food was varied and enjoyable. Of particular note is a monitoring tool,which is in use in order to provide evidence that meals are nutritionally balanced and conform to current good guidelines. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An appropriate complaints procedure, a copy of which is given to residents as a part of The Service User Guide, and regular residents meetings ensure that people who use this service can be confident that their complaints will be taken seriously and acted upon. Robust policies and procedures and staff training and supervision are in place to protect them. EVIDENCE: There is a complaints procedure in place and residents are given a copy in their Service User Guide. A copy is also displayed in the entrance hall. Any allegations of inappropriate treatment towards residents are always dealt with very promptly; the Registered Manager is always very protective of the residents in the home. One incident is currently being investigated according to agreed protocols. The staff that were spoken with all displayed an understating of the relevant issues. Files that were seen showed that, to ensure the protection of residents, appropriate pre-employment checks had been made on new staff members prior to them starting work. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The people who use this service live in an exceptionally well-presented and maintained environment, which meets their needs 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 communal areas and bathrooms have been redecorated and upgraded since the last inspection. Some new furniture has been purchased and the activities room has been refurbished. Residents were asked for their opinion regarding colour schemes that were used. Bedrooms are pleasantly Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 17 decorated and residents have been encouraged to personalise their rooms. All areas of the home were scrupulously clean at this inspection and there was no evidence of any malodour. There is a beautiful garden, which is enjoyed by residents in the warm weather, and in response to a request from staff and relatives extra lighting has been installed in the car park. Several comments were received regarding how well the laundry services are managed in the home and how well resident’s clothes are washed. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29,30 Quality in this outcome area is excellent, This judgement has been made using available evidence including a visit to this service. The people who use this service can be sure that there will always be sufficient numbers of staff to care for them and that they have appropriate skills and qualifications. Robust recruitment procedures are in place to help to safeguard residents from harm. EVIDENCE: The off duty rotas indicate that, there are always sufficient numbers of staff on duty to meet the needs of the residents. Ninety percent of care staff are now qualified to at least NVQ level 2 and two have level 3; exceeding the minimum standards. New staff members undertake a twelve – week induction package and completion of this contributes 60 towards their NVQ. They are given a learning portfolio to complete and keep which also contains copies of BUPA key policies and ways of working. The attractive presentation of this portfolio emphasises its importance and it becomes a useful reference tool. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 19 Training for all staff is a high priority in this home and the schedules were seen. In addition a “ customer focus” scheme is in place called Personal Best. Completion results in the award of a badge. Staff files of three newly appointed members of staff were seen and were all in order. Evidence of POVA clearance was in the files prior to Criminal Records Bureau clearance being completed. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35,36,38 Quality in this outcome area is good, This judgement has been made using available evidence including a visit to this service. The people who use this service can be confident that someone who is highly competent runs it in their best interests and that policies and procedures are in place to protect them and ensure their safety. EVIDENCE: The Registered Manager has been in post for some time and is highly experienced and qualified. She displayed a sound knowledge of how the home operates according to the plans of its corporate provider and is deeply committed to the wellbeing of residents in this home. Effective quality assurance systems are in place to gain the views of those who use the service and ensure that it operates according to their preferences. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 21 There are regular meetings for residents and their families and there is an annual questionnaire, which is distributed. If these highlight a need for any improvements an action plan is compiled to address them. The home does not deal with the financial affairs of any of the residents although money would be available to them if they needed it and they would receive an itemised bill for that later. All care staff have regular supervision sessions in order to monitor their progress and identify future training needs and the performance of all staff is monitored as part of the management process. There was evidence available to show that equipment and services are appropriately maintained and safe working practices are in place in the home. Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 23 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.V336322.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP National Enquiry Line: 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 © 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 Red Court Nursing Home DS0000019040.V336322.R01.S.doc Version 5.2 Page 25 - 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. 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