Inspection on 23/01/07 for Red House

This inspection was carried out on 23rd January 2007.

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 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 21/01/09

Red House 11/01/06

Red House 03/08/05

Red House 22/02/05

Red House 08/09/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Red House St Annes Road Bridlington East Yorkshire YO15 2JB Lead Inspector Rob Padwick Unannounced Inspection 23rd January 2007 13:35 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 House DS0000019714.V320595.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 House DS0000019714.V320595.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Red House Address St Annes Road Bridlington East Yorkshire YO15 2JB 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) 01262 676836 01262 401183 Humberside Independent Care Association Limited Mrs Gail Burns Care Home 48 Category(ies) of Dementia - over 65 years of age (48), Old age, registration, with number not falling within any other category (48) of places Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one service user under 65 years of age. Date of last inspection 11th January 2006 Brief Description of the Service: Red House provides residential care for older people, some of who may have a dementia type illness. The building is single storey and purpose built and is situated in the seaside resort of Bridlington. The building comprises two units; Bayle and Burlington. All bedroom accommodation is provided in single rooms, some of which have an en-suite facility. The home is located in a residential area of Bridlington and is within walking distance of the seafront, shopping centre and other local facilities. Public transport passes the door. There is a car park. Communal toilets and bathrooms are suitably positioned throughout the home. There is a large secure and private outdoor garden and seating area. The standard fees charged by the home range from £395 to £440 with additional charges made for hairdressing, chiropody, toiletries etc. Red House provides information about the home to residents in its Statement of Purpose and Service User Guide. Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit lasted for 7 hours and included a tour of the building. During the visit, time was spent observing the residents’ daily lives and talking with them in the home’s communal areas or in their private bedrooms. Other time was spent reading care plans and files and talking to staff. A Pre Inspection Questionnaire asking for information about the home was sent to the manager before this visit and information from this was included as part of the inspection process. Other information that was used included reports from monthly visits carried out by a senior manager from the parent company and notifications received by the Commission for Social Care Inspection about serious incidents that had taken place in the home. Questionnaires were sent out to relatives and Health and Social Services staff associated with the home. Four replies were received from the group of relatives who were contacted and all of these were generally favourable, however two expressed some concerns about the staffing levels in the home. Replies from professionals associated with the service were positive in nature. What the service does well: What has improved since the last inspection? Improvements had been made to the décor of the building with new chair covers and a lounge being redecorated. A new parker bath had also been installed to assist with the welfare of the residents. The management of the home have continued to monitor the home well and this has resulted in no formal requirements being made. Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 6 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 House DS0000019714.V320595.R01.S.doc Version 5.2 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 House DS0000019714.V320595.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. Residents and their representatives had been involved in decisions concerning their move into the home and an assessment of their needs had taken place as part of this process, in order to ensure that the service was able to meet them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents confirmed that they had made a positive decision to move into the home and they and their relatives had been involved and consulted as part of this process. The manager had developed two different types of forms to use when assessing prospective residents and inspection of the files of the three most recently admitted residents contained evidence that a suitable assessment of their needs had been undertaken, in order to ensure that the home was able to meet these appropriately. Red House does not admit residents for intermediate care. Red House DS0000019714.V320595.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The health and personal care needs of the residents were being met by staff that were sensitive to their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were available in all of the residents’ case files that were inspected which documented their individual strengths and needs, along with information for staff in how to meet these. Other information included within the case files, related to assessments of known areas of risk to the individual residents, as well as staff guidance on how to minimise these. Evidence was seen that residents had contributed to the development of their care plans and regular reviews of these had been held that involved them and their representatives. Aspects of information relating to the residents health conditions were included within the care support plans examined, together with regular monitoring and daily staff entries of how the residents had been. A Community Psychiatric Nurse stated that that the “overall care” provided was “good” and indicated that staff in the home were proactive in seeking her advice and acted upon this Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 10 appropriately. A member of Social Services staff was complimentary of the manner that staff had provided a person centred approach in meeting the particularly complex needs of a resident, and confirmed that staff had closely involved him in this respect. The home had policies and procedures in place in order to safeguard the residents in respect of medication, and discussion with the senior staff members confirmed that they were responsible for this aspect of practice and had received training in this. Inspection of the medication systems and a random sample of the associated paperwork for these were satisfactory, with accurate records maintained. Residents confirmed that their privacy and dignity was maintained and that staff treated them with respect. Observation of the care practices indicated that staff had positive relationships with the residents and they had good levels of understanding concerning the residents’ individual needs. Some of the residents were observed sitting in the home’s lounges, enjoying the company of others, whilst others were observed to choose to stay in the comfort of their own rooms. Red House DS0000019714.V320595.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. The residents were being supported to make lifestyle choices, but an increase in the opportunities available for them to take part in additional social activities would enhance their greater physical and emotional well being. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents and staff confirmed that a number of activities were available, but that the extent of these had suffered at times in recent weeks, following the departure of a member of staff whose role included the organisation of such events. Some of the residents indicated that a general increase in the complexity of needs experienced by some of the residents, sometimes limited the availability of staff to assist them with social activities that they would like to take part in. Inspection of the minutes from residents’ meetings however, indicated that despite a number of social events and activities being arranged, the uptake for these had been limited. Staff indicated that the involvement of friends and family members were encouraged and a visiting relative confirmed that she was always welcomed Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 12 into the home and visited on an almost daily basis. The home’s Christmas newsletter contained an invitation for relatives to take part in forthcoming events over the festive period and discussion with the manager indicated that other events over the past year had included Summer Fayres and Strawberry Tea’s. Residents confirmed that they were encouraged to maintain their independence and take an active choice in matters affecting them, and documentation maintained by the chef indicated that they were regularly consulted about the food that was served. Residents stated that the quality of the food was “very good” and that alternative choices were always available. Case files inspected contained evidence that the residents’ nutritional needs were being appropriately monitored and the home’s menus confirmed that a healthy and nutritious diet was being provided. Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 13 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): 16 and 18 Quality in this outcome area is good. The concerns of residents are taken seriously and they are appropriately safeguarded from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had acceptable policies and procedures in respect of complaints and the protection of vulnerable adults. Discussion with residents confirmed that they were happy with the service they received and that staff listened to their concerns and treated them with respect. Information submitted as part of the inspection process indicated that four complaints had been received about the service since the last inspection and examination of the complaints log confirmed that appropriate action had been taken to follow these up. A visiting relative stated that she felt that the manager was approachable and that any concerns were taken seriously and inspection of quality audits carried out with regard to these matters substantiated that this fact. Mandatory training relating to the protection of vulnerable adults is completed as part of the Provider organisations staff induction process to the home, and discussion with staff confirmed that they were aware of the home’s policies in this regard and that they would act appropriately, if this was needed. Following an injury to a resident in the home, a referral had been made to the local Social Services Department for consideration under its duties concerning adult protection, and discussion with the manager indicated that these matters had been appropriately followed up. A subsequent telephone call to the Local Authority Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 14 confirmed that they had no concerns about the care practices in the home relating to this matter. Red House DS0000019714.V320595.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The residents’ environment was safe and being appropriately maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The building is purpose built and able to meet the individual and collective needs of the residents. On the day of this visit, the home was warm, bright, tidy and well maintained. Information submitted as part of the inspection process indicated that since the last inspection visit, new chair covers had been obtained and that one of the small lounges had been redecorated. Residents were observed enjoying the company of others in the communal areas of the home, or in the privacy of their own bedrooms, which were comfortably furnished and equipped with various items of personal belongings that they had brought with them. Aids and adaptations had been provided to assist the residents in maintaining their independence and a random inspection of Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 16 certificates in respect of these, indicated that the home’s practices concerning health and safety was being appropriately carried out. A slight malodour was present in one of the corridor areas of the home and discussion with members of the domestic staff indicated that continence management was a daily and on-going task. Prompt action however was action was taken to rectify this issue, and staff were observed to be diligent and thorough in their duties. A relative questionnaire confirmed this fact and commented that “the level of cleanliness (in the home) and laundry is very good”. Red House DS0000019714.V320595.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. The homes recruitment processes were safeguarding the residents from abuse, but additional staffing resources would benefit their emotional and social well being. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Inspection of the rotas indicated that during the day there were two care staff working in one of the units and another three in the other, together with a Senior Personal Care Manager who worked in a supervisory and “hands on” roll. The manager indicated that a further member of staff was available to assist the residents for four hours in the mornings and confirmed that domestic and other ancillary staff were available in the home, to support the above posts. However, whilst these staffing levels were generally sufficient to meet the residents’ needs, observation of the care practices and discussion with the residents indicated that their were times when the amount of time that staff were able spend with them was sometimes affected, as a result of the levels of dependency experienced by other residents accommodated within the home. Recommendations are made in these matters. The Provider organisation has developed a training programme for staff; in order to ensure that they are equipped with the skills needed to meet the residents’ needs. Discussion with the staff and inspection of their records Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 18 confirmed that a good range of topics within this programme had been delivered. During the past year, the staff in the home had worked with a number of residents with particularly complex needs and positive comments were received from a member of Social Services staff in this respect. However, owing to some of the associated issues relating to the above aspect of practice, a recommendation is made that the provider considers extending the training programme, in order to ensure that the staff are equipped with the necessary skills to work with residents that present with challenging behaviours. Information submitted by the manager as part of the inspection process, indicated that 41.3 of the staff group had obtained an NVQ level 2 qualification in care and a recommendation is made in this matter. A recruitment policy and procedure was in place to ensure that staff are safe to care for the residents. Inspection of the files of the three most recently recruited staff, contained copies of Criminal Records Bureau checks, two written references and other information to indicate that this procedure was being appropriately followed. Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 and 38 Quality in this outcome area is good. Appropriate checks were being carried out to make sure that the health, safety and welfare of residents and staff were adequately safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the residents and staff and inspection of a range of records within the home indicated that the home was being well run. The manager confirmed that she had obtained appropriate qualifications to manage the home and those spoken with indicated that she was open in her approach and consulted residents and staff in matters affecting them. Quality assurance systems were in place to ensure that the home was being monitored against its stated aims and objectives and audits of various aspects of the home were seen to confirm that this aspect of practice was being taken seriously. The Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 20 Provider organisation has a computerised system for the management of individual resident’s personal allowances and a separate bank account has been established for these. A random check of the associated records for these indicated that whilst accurate accounts of the residents’ finances were being maintained, a recommendation is made that the registered provider considers the ethical implications of how residents are supported when they are temporally without funds. Inspection of the home’s records indicated that the health, safety and welfare of residents and staff were being promoted and protected. Maintenance records were up to date and in good order and the home’s training plan indicated that staff had covered a variety of health and safety issues or that these been identified for them as a future development need. Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 21 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 3 X X 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 4 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 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP12OP12 Good Practice Recommendations The registered person should ensure that a new activities coordinator is appointed, in order to ensure that the social, emotional and psychological wellbeing of the residents continue to be addressed. The registered person should review the staffing levels within the home, in the light of the levels of dependency experienced by the residents accommodated. The registered person should continue to support care staff, in order to ensure that 50 of them have obtained an NVQ Level 2 qualification in care and considers extending the staff training programme, to ensure that staff are equipped with the necessary skills to work with residents that present with challenging behaviours. The registered provider should amend the financial systems relating to the residents finances, in order to consider the ethical implications in how residents are supported when they are temporally without funds. DS0000019714.V320595.R01.S.doc Version 5.2 Page 23 2 3 OP27OP27 OP28OP28 4 OP35OP35 Red House Red House DS0000019714.V320595.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 House DS0000019714.V320595.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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