Inspection on 13/07/05 for Red House

This inspection was carried out on 13th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 House 23/07/07

Red House 09/08/06

Red House 18/01/06

Red House 03/11/04

Red House 03/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Red House Gas House Lane, Main Street High Bentham North Yorkshire LA2 7HQ Lead Inspector Maggie Coxon Unannounced 13 July 2005 10:00 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Red House Address Gas House Lane Main Street High Bentham North Yorkshire LA2 7HQ 01524 262694 01524 262694 N/A St Annes Community Services Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr John Graham Palmer Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 service users with learning disabilities, some of whom may have physical disabilities, all of whom may also be aged 65 years or older 2. The home may not admit any service user within the service user category (LD(E)). This category applies to those service users currently in receipt of services. Date of last inspection 03/11/04 Brief Description of the Service: Red House is a care home registered by St. Annes Community Services to provide personal care and accommodation for up to five adults with learning disabilities some of whom may have physical disabilities and all of whom may be aged 65 years or older. The home consists of a two storey detached house situated on a quiet lane in the market town of High Bentham. The town centre is within easy walking distance of the home and has numerous and varied facilities including shops, cafes, churches and pubs. All five bedrooms are for single accomodation, none of which has en-suite facilities. Shared areas consist of a kitchen, dining room and lounge. The home has a large, landscaped garden which is well maintained. There is hard standing for resident parking in an area close to the home. There is level and ramped access to the home. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first to be undertaken between April 2005 and March 2006. It was done on 13th July 2005, at a time when most of the people living in the home would be present. It took 4 hours plus 1 hour’s preparation time. Discussions were held with four of the people currently living in the home, with care staff on duty, with the registered manager and the deputy manager. A number of records and most areas of the home, including bedrooms and shared areas, were seen. What the service does well: What has improved since the last inspection? A permanent manager has been appointed. The manager and staff team are developing quality assurance questionnaires that they plan to use to get the views of families and others involved with the home. The management and staff team have drawn up a new mini plan for the home, which is discussed with the residents. Staff morale and cohesion has improved through team members being better empowered and more involved in the decision-making process and in the future development of services. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 6 The knowledge and understanding of the staff team has generally increased through members having undertaken more training. The environment has been improved for the residents through the joining together of the first floor bathroom and the WC next door forming one larger bathroom and thereby improving access. This room has also had new flooring fitted. The health and well being of the residents has been safeguarded through the manager having fully checked all of the health and safety systems in operation and taking appropriate action where a need has been identified. The manager has secured funding for new vehicle for the residents. 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 House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None. EVIDENCE: Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 and 9. People living in the home make as many decisions about their personal lives and about the day-to-day running of the home as possible. They also live as independently as possible, taking into account any risks that have to be considered, with the full encouragement and support of staff. EVIDENCE: Every resident has a well-detailed individual life plan that clearly describes his strengths and needs and informs how these needs are to be met. The newly appointed manager has reviewed these with the staff team staff. Any changes identified have been noted and are to be included when the life plans are next fully reviewed. All of the residents have active lives with the support from the staff team as and when needed. They make as many decisions and choices for themselves as possible and are as involved in the running of the home as they want to be and are able to be. Examples of this were seen during the inspection. Staff talk to residents about any potential risks as these arise and the individual is supported to make a choice taking this information into account and looking at means of minimising any risk. These risk assessments are then recorded and included within the individual’s personal plan so that all those involved can be fully aware of any issues and how these are to be managed. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 and 16. Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities and develop and maintain good relationships with family and friends. EVIDENCE: Residents have a weekly programme of social and educational activities in a variety of local community based settings. Some of these are arranged on an individual basis with the local APS scheme that provides one to one staff support to individuals. The staff team within Red House is keen to identify new activities that the residents might enjoy and all of them enjoy lots of outings and events within their local community and beyond supported by the team. Individuals can choose from a number of activities and outings organized on a daily basis and are as involved in the running of the home as much as possible. Those who wish to, have a holiday each year organized by staff in consultation with them. Two of the residents went out to shop and to have lunch. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 11 The manager explained that he has been able to secure funding for a new vehicle for the home and is looking at different models that will have wheelchair access. Residents are supported to develop and maintain relationships with families and friends. They are assisted to visit their families and can meet in private visitors to the home who are always made welcome. Staff were seen to respect and promote the rights of the residents, including their right to make their own decisions. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 and 21. Residents’ personal and health care needs are fully met. EVIDENCE: All of the people living in the home are registered with a local GP through whom specialist health services are accessed as and when needed. The district nurse currently visits the home three times a week. A health care professional said that the home is well managed and that the manager and staff team work very professionally with her team and contact them promptly should a resident or the staff team need their support. She gave examples of the progress that one resident in particular has made since living at Red Houses and said that the staff team are committed to putting the needs of the residents first at all times. She also highly praised the care that was recently given to a resident who was terminally ill. Staff were seen to communicate very well with residents and to support them with their personal care needs in a way that respected the individual’s dignity. None of the residents is able to take their own medication. There is a monitored dosage system in operation, which is securely stored. Medication administration records are well maintained and all staff are currently undertaking appropriate medication training. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22. Residents’ concerns are appropriately dealt with and their interests are safeguarded. EVIDENCE: There is a comprehensive complaints procedure in operation that is available in various formats and is made available to anyone who wishes to see it. Whilst some of the residents might use the formal procedure, others might not. All residents however, can make any dissatisfaction known to staff, who attempt to address this promptly and appropriately. Staff have developed very good relationships with the residents and were seen to communicate extremely well with them. No complaints have been made to the home or to the C.S.C.I. within the last twelve months. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30. The standard of the environment is good and provides residents with a safe, comfortable and clean place in which to live. EVIDENCE: The home is well maintained and pleasantly decorated and furnished throughout. Shared areas consist of a kitchen, dining room and lounge that has ramped access into the large garden which some of the residents spend a lot of time in. All five bedrooms are for single accommodation two on the ground floor three on the first. All are of a suitable size. They are all very pleasantly decorated and furnished in line with the taste of the individual. There is a bathroom on both floors; that on the ground floor has an assisted bath, the first floor bathroom has a walk in shower. One improvement made since the last inspection is that the WC next door has been knocked into this bathroom giving much more space for residents to use the facilities. None of the bedrooms has en suite facilities. Appropriate aids and adaptations are fitted throughout the home and there is level and ramped access to the home. A good standard of cleanliness is maintained throughout. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 15 Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,33,34,35 and 36. The residents receive a good standard of care from a highly skilled and motivated staff team. The safety and wellbeing of residents could however be compromised by a shortfall in the recruitment procedure. EVIDENCE: Generally speaking, appropriate recruitment procedures are adopted by St Annes Community Services. It had been previously noted however that there was no CRB check in place for the deputy manager who is currently absent from the home. Whilst it was understood that one had been obtained from a previous employer, this had not been seen and subsequent guidance from the CRB dictates that an enhanced check must now be undertaken by St Annes Community Services. It was also noted during this inspection that several CRB checks recently undertaken by the organization had not had the staff member concerned checked against the POVA list. This could compromise the safety and wellbeing of residents. The manager said that he would address this immediately with the organization a representative of which countersigns these checks. Two recently appointed residential care officers have completed the induction, foundation and LDAF training and are soon to undertake their NVQs. A third is currently undertaking the same training programme. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 17 The remaining care staff are working hard towards achieving NVQs in care to level 2 or above. Whilst none has yet completed their awards, four are close to doing so. The staffing roster for the week including the inspection shows that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of people living in the home are met at all times. The newly appointed manager has had a formal supervision session with each of the residential care officers since being in post. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 and 42. The residents benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: Mr Paul Danvers has been appointed as the manager of Red House since the last inspection following the promotion of the previous registered manager. Prior to this appointment, Mr Danvers was the deputy manager of a sister home for a number of years and therefore has a considerable amount of management experience. He is currently undertaking the registered managers award prior to completing the NVQ in care to level 4 at which point he will become appropriately qualified for his role. He also needs to be registered by the Commission for Social Care Inspection as the registered manager and an application to do this in being completed for submission by the organization. He has been issued with a job outline and a contract. St Anne’s Community Services has a quality assurance and monitoring system that includes regular unannounced inspections of the service by a service Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 19 manager. The reports from these inspections are fed back into the overall quality assurance system. It has previously been recommended that this system be further developed to include ascertaining the views of individuals in the community who have contact with home. It is understood that St Annes Community Services are currently looking at quality assurance and monitoring tools to adopt in order to address this. The registered manager explained however that this subject was discussed with the staff team during the last staff meeting and that staff have been asked to suggest questions to be included in questionnaires that the manager hopes to develop and send out himself in the meantime. The acting deputy manager explained that the team have recently developed a new mini plan for the home, based on the objectives set out in the new organizational business plan. This mini plan sets out the objectives to be achieved within the home in the forthcoming year and is aimed at further improving the residents’ quality of life. She also explained that one to one discussions with residents, during which these objectives are discussed, have replaced the resident group meetings, which did not seem to be very effective. She explained that residents are expressing their views much more easily via these sessions. It is evident that the manager and deputy manager work together closely to run the home effectively and that the staff team are being encouraged and enabled to be more involved in the decision making process and in the development of services. The manager had reviewed all the health and safety systems since his appointment. All systems are being regularly checked and staff are being appropriately trained. The manager explained that the organization has undertaken a check of the hot water storage system in respect of the prevention of Legionella; measures have yet to be taken however to ensure that it is stored at a minimum of 60 degrees Celsius. It is understood that the organization will take action to rectify this. Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x 2 3 1 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Red House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 1 3 2 x x 2 x J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 21 No. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 34 Regulation 19 Requirement A CRB and POVA check must be undertaken by the organization for the staff member who has not yet been checked by them. POVA checks must be undertaken on those staff for whom CRB certificates have been obtained but a check against the POVA list has not been sought. An application to register the manager of the home must be submitted to the Commission for Social Care Inspection. Timescale for action 1st October 2005. 12th September 2005. 12th September 2005. 2. 37 Care Standards Act 2000 section 12 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 32 37 39 Good Practice Recommendations A minimum of 50 of care staff should be qualified to NVQ level 2 or above. The Registered Manager should complete an appropriate management qualification. The views of families, friends, advocates and other people involved with the home, in respect of the quality of services, should be ascertained and incorporated into the J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 22 Red House 4. 42 quality assurance system currently in operation. Hot water should be stored at a temperature that safeguards against Legionella (at a minimum of 60 degrees Celcius). Red House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 23 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ National Enquiry Line: 0845 015 0120 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 House J04 J53 Red House S7899 V234766 130705 Stage 2.doc Version 1.30 Page 24 - 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. 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