Inspection on 21/04/05 for Red House

This inspection was carried out on 21st April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Red House 13/08/07

Red House 19/04/06

Red House 10/11/05

Red House 11/10/04

Red House 28/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE RED HOUSE 93 SHEFFIELD ROAD CHESTERFIELD DERBYSHIRE S41 7JH Lead Inspector ROSE VEALE UNANNOUNCED INSPECTION 21 APRIL 2005 9:30AM 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 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 HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service RED HOUSE Address 95 SHEFFIELD ROAD CHESTERFIELD DERBYSHIRE S41 7JH 01246 347520 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) Derbyshire County Council Mrs. Louise Mary Jardine Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number of places RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 11/10/2004 Brief Description of the Service: Red House is situated on one of the main roads into Chesterfield, on a bus route and near to the town centre. The home is well set back from the road in secluded grounds. Red House is owned by Derbyshire County Council and provides 24 hour personal care and accommodation for 20 older people. The home provides 15 long term care places, 3 respite or short term care places, and 2 places for assessment. Residents are accommodated on two floors . RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on one day. The deputy manager was available and helpful throughout the inspection. Seven residents and four staff were spoken with during the inspection. A tour of the building was undertaken. The care notes of four residents were examined, plus other records relating to the staffing and management of the home. What the service does well: What has improved since the last inspection? The home had complied with some of the requirements and recommendations made following the last inspection. Improvements were planned to the bathrooms, toilets, corridors and the garden. These improvements will provide a better environment for residents, and will particularly improve the environment for residents with mobility problems. The number of staff hours provided had increased since the last inspection, improving the level of service offered to residents. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 6 The home had developed a service which provided an intensive assessment to establish the most appropriate range of services required by the people referred to the service. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 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 standard(s) 3,4 and 5 New residents were admitted on the basis of a full assessment to ensure that their needs could be fully met by the home. New residents were given the opportunity to move in on a trial basis so that they could be sure the home was suitable for their needs. EVIDENCE: The care files seen all contained Community Care Assessments produced prior to admission, and full assessments after admission. The assessments seen were comprehensive and included details of residents preferences. The home had recently set up an assessment service so that older people living in the community can be admitted for a short stay in the home to determine their specific needs. Individual care plans had been produced from the assessment of needs. It was clear from the care plans that the home was able to meet the assessed needs of residents. On the day of the inspection a review of one resident’s needs was taking place which concluded that the resident required more care than Red House could provide and would benefit from moving to a home providing specialist dementia care. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 9 Residents spoken with confirmed that they had been offered admission on a trial basis before deciding to stay permanently. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 10 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 standard(s) 7,8,9 and 10 Clear and detailed individual care plans were produced from the assessment of needs so that staff were aware of the necessary action to meet the needs of residents. It was clear that staff adhere to the home’s procedures for dealing with medication to ensure the safety and well-being of residents. EVIDENCE: All the care plans seen were well-written, clear and detailed. Care files contained plenty of information about residents’ personal and social history and their preferred routines. Care plans had been regularly reviewed and updated. Care files all contained a monthly review by the residents’ linkworker. The care file for one resident who smoked did not contain a risk assessment to cover this. Also, the same resident had been identified as having a history of falls before admission to the home , but this was not referred to in the care plan or risk assessment. Records were seen in each file of visits from the GP, District Nurse and chiropodist. Residents spoken with said they had seen the dentist and optician RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 11 as required. On the day of the inspection a Community Psychiatric Nurse was visiting to reassess some residents at the home. Residents spoken with said that staff were kind and helpful. One resident said that staff were always quick to respond when she needed help. ‘Service User Satisfaction’ questionnaires were seen in two care files and both had positive responses and comments regarding the care given by staff. Two residents spoken with felt that their privacy was respected by staff and said that staff always knocked on the bedroom door before entering. Three residents said that they were encouraged by staff to remain as independent as possible. The home has a ‘quiet’ lounge and staff said this was used by residents wishing to see visitors in private or to use the telephone. Medication in the home was securely and appropriately stored. Medication Administration Records, (MAR), were correctly completed. All staff who administered medication had undergone appropriate training. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 12 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 standard(s) 12,13,14 and 15 Activities and routines in the home were varied and flexible, ensuring the expectations, preferences and abilities of residents were provided for. The meals provided in the home were of a high standard ensuring that residents were offered appealing and wholesome choices. EVIDENCE: The care files seen contained details of residents’ preferences with regard to aspects of their lives such as leisure activities, food likes and dislikes, daily routines. One resident spoken with said he liked to walk into the town centre and felt he was able to go out whenever he wanted to. On the day of the inspection, one resident was assisted to attend a local church and staff said that this happened regularly and recognised that it was important to the resident to maintain old contacts. The home had three lounges each with a dining area so that residents were living and eating in small groups. Three residents spoken with in one lounge said they liked this arrangement. There was a program of activities in the home, including trips out using local community transport, walks to local pubs and shops, dominoes, bingo, and reminiscence sessions. Records were kept of activities offered to residents. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 13 Residents spoken with said they enjoyed the activities. One resident said she had found it ‘good fun’ playing a game with staff. The manager said that she was trying to negotiate with the provider for more hours for the activities coordinator. Staff spoken with were enthusiastic about activities for residents and said they had worked voluntarily to enable residents to go out on trips. Staff said they thought the home would benefit from having it’s own transport so that trips out could be more spontaneous in good weather. Staff said they felt that there should be a bigger budget for residents social activities. All the residents spoken with said the food was very good. One resident said she particularly enjoyed the roast dinners. Another resident said that there was always plenty of food and she was pleased that fresh fruit was always available in the lounges. The cook made fresh bread on most days and said residents enjoy this. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 14 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 standard(s) 17 and 18 Residents were protected from abuse by the policies and procedures in place in the home, and by the program of staff training and supervision. EVIDENCE: Three of the residents spoken with said they were able to vote by post in the forthcoming election. All staff at the home had undergone training in adult protection issues and procedures. All staff had regular supervision sessions and records were kept of these. Clear records were kept of residents personal money held in the home. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 15 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 standard(s) 19,20,21,22 and 26 The home was suitable for its stated purpose and provided a comfortable, homely environment for residents. Some equipment in the home, although well maintained, was dated and residents could benefit from more modern equipment. The garden and patio were not fully accessible to all residents, limiting the benefits of using the outdoor environment. EVIDENCE: A schedule of planned alterations to the home was seen. The alterations include substantial upgrading of the bathrooms and toilets, and work to make the gardens fully accessible to residents. This work is planned to take place in August / September 2005. The home has an old passenger shaft lift which was manually operated. It was demonstrated that this lift required a degree of strength and dexterity to operate which could be difficult for an older person to manage, particularly someone using a walking stick or frame. The lighting inside the lift was poor. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 16 Residents bedrooms seen were pleasant, clean, well decorated and personalised with residents own possessions. All areas of the home seen were clean and pleasant. Staff had not had training in infection control. The deputy manager said that this was looked into as it was a requirement following the last inspection. However, Derbyshire County Council apparently do not provide infection control training for existing staff, though it is included in the induction training for new staff. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, There were sufficient care staff on duty to ensure residents needs were met. EVIDENCE: The deputy manager said that the home had been allowed more care hours to provide additional cover in the mornings. The duty rota was seen and showed that there were three care assistants on duty most mornings. This has improved since the last inspection when there were two care assistants on duty each morning. The deputy manager also said that the provider had agreed to extra hours being available if needed to cope with the needs of residents admitted for assessment. Residents spoken with said that staff were busy, but always available if needed. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 38 The home had an effective quality assurance system in place to ensure that the stated aims and objectives of the home were being met. On the whole, the health, safety and welfare of residents and staff was adequately protected. However, there were some issues to be addressed to ensure a fully robust health and safety culture in the home. EVIDENCE: A recent quality assurance audit was seen which had taken account of the views of residents, visitors and staff. Completed ‘Service User Satisfaction Questionnaires’ were seen in two residents files. One resident said that there are residents meetings in the home and also that the manager regularly comes to ask how things are. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 19 Staff have not had formal training in infection control, as required following the last inspection. The certificate of the annual Legionella test was not available in the home. This was also a requirement following the last inspection. RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 2 3 x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 x x 3 x x x x 2 RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 21 YES 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 19,21 Regulation 13,23 Requirement Timescale for action 31/10/05 2. 38 13 3. 38 13 The registered manager must ensure that the planned improvements to the home are carried out to the agreed schedule The registered manager must 31/10/05 ensure that staff are trained in infection control(Previous timescale of July 2004 not met) The registered manager must 30/06/05 ensure that the risks of legionella have been identified and that all necessary steps to address those risks have been implemented (Previous timescale of 31/01/05 not met) 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. Refer to Standard Good Practice Recommendations RED HOUSE C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Cardinal Square Nottingham Road Derby DE1 3QT 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 C52 CO2 S35768 Red House V221266 210405 Stage 4.doc Version 1.20 Page 23 - 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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