Inspection on 02/11/05 for Red House Nursing Home

This inspection was carried out on 2nd November 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 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 Nursing Home 22/06/06

Red House Nursing Home 12/05/05

Red House Nursing Home 18/11/04

Red House Nursing Home 04/08/04

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 Nursing Home 11 Emlyn Street Stamford Lincs PE9 1QP Lead Inspector Mr Toby Payne Unannounced Inspection 2nd November 2005 08:30 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 Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 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 Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Red House Nursing Home Address 11 Emlyn Street Stamford Lincs PE9 1QP 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) 01780 766261 Mr Dinesh Ambalal Patel Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th May 2005 Brief Description of the Service: Red House Nursing Home is situated close the centre of the town of Stamford. The home is a three storey building with a two storey extension providing accommodation on ground and first floor levels. Rooms to the first floor are served by a shaft lift. The home is registered to provide care and accommodation for up to 23 people requiring nursing and personal care over 65 years of age. On the day of the inspection there were 22 people living in the home. The home is not on a bus route but there is limited car parking at the side and front of the home. There is a small patio area with a pond at the side of the home with access from the lounge/dining rooms. Most accommodation is single but the home provides 5 double bedrooms, which have en suite provision. The registered provider of the home visits the home every week and works closely with the acting manager. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and started at 8.30 am. It took place over 5 hours. The inspector spoke to 7 residents, one visitor, 5 staff, one nursing student and the acting manager. The main method of the inspection was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, the care staff and observation of how their care was delivered. The inspector also observed how care was delivered and how staff responded to other residents living in the home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 6 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 Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 4, 5 and 6 Residents receive information to enable them to make a choice as to whether or not they wish to come to this home. Red House Care Home meets the needs of residents coming into the home. EVIDENCE: All residents are assessed before entering the home and written confirmation is sent to them that the home is able to meet their needs. There is a detailed statement of purpose and service user’s guide and a copy of the service user’s guide is given to each person when being admitted to the home. Staff receive a comprehensive induction programme which enables them to understand the needs of the residents in the home. One recently appointed new member of staff commented, “I received a well planned induction and had a member of staff who supported and guided me during my induction”. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 8 Residents can have a trial visit lasting up to 8 weeks to see whether or not they like the home. Comments from a resident was, “I have come here for respite care and received a very warm welcome and found staff very kind and helpful”. The home does not provide intermediate care. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 11 There is good care planning in this home. The health and welfare needs of the people living in his home are fully met. Resident’s dignity is also met. EVIDENCE: All residents had detailed care plans, which described their health and welfare needs. The records included the resident’s agreement to their care plan with their signature, moving and handling assessment, risk assessments, dependency assessments and the care plan. There was evidence of dates of reviews. There were clear directions enabling staff to deliver the individual care to the residents. Care plans also showed evidence of promoting resident’s independence, respect, dignity and choice. All medication is administered by registered nurses all of whom have been assessed as competent. Records showed that they were well maintained. Care plans were individual, clearly written and person focused. Staff receive training on how to care and support those residents who are dying and to their relatives. The home also has a detailed policy concerning death and bereavement, which gives guidance to staff. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 and 15 Social activities are well managed with the involvement of residents. Residents receive good and nourishing meals. Visitors can visit whenever they wish to do so. EVIDENCE: On admission details of the resident’s interests are obtained. The home employs an activities organiser. Activities are provided Monday, Tuesday and Wednesday. During the inspection this person was carrying out gentle hand massage for a number of residents. The home has a written programme of activities, which was displayed on a notice board at the entrance to the home. Activities included table games, craftwork, reminiscence, quizzes and gentle exercise. On admission, details of resident’s dietary likes and dislikes are obtained and this information is sent to the Kitchen. Residents were offered a choice of well-balanced and wholesome meals. Staff were seen to ask the residents what they wished to have for their breakfast and approach them in a polite manner. They were also seen to assist those Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 11 residents who could not feed themselves in a patient, dignified and kind manner. At breakfast there is a choice including a hot meal, at lunch there is a set meal but an alternative is available if required and for tea there is a choice including a hot meal. At other times, snacks and beverages are available. Residents commented positively about the food. Comments were, “food is very enjoyable”, and “I am on a special diet but the home have been so helpful towards me”. The last Environmental Health Officer’s inspection was on the 10/3/2005. There were no concerns. A visitor commented “I can visit whenever I like, I always receive a warm welcome and have confidence in the staff in the home”. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 The home takes the issue of addressing complaints and ensuring that residents are safe very seriously and has a comprehensive complaints and adult protection procedure. EVIDENCE: Each resident receives a detailed complaints procedure when they are admitted to the home. No complaints have been received by the CSCI and home since the last inspection. None of the residents had any complaints about the home and felt they could discuss any concerns with staff or the manager. Staff also knew what to do if they received a complaint from a resident. All staff receive adult protection training and staff knew what to do if adult abuse was suspected. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 24 and 25 The home is well maintained, clean and attractively decorated. Furnishings are of a high standard and any maintenance required is attended to swiftly. Residents are also safe. Measures have been provided to ensure that residents are not scalded by being in contact with hot temperatures and surfaces. EVIDENCE: Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 14 On the ground floor there is one bath with a toilet. There are also 2 independent toilets. On the first floor there are two baths with toilets. There are also 2 independent toilets. There are also en-suite facilities in 5 double bedrooms. There are a variety of mobile hoists, slings and special beds to enable staff to meet the needs of people living in the home. Staff have received training to correctly use the equipment provided. There are 4 single bedrooms all on the first floor, which are below the minimum 10 square metre size requirements. These range from 8.44 to 9.60 square metres. This information has been included in both the statement of purpose and service user’s guide. Residents are encouraged to bring small items of furniture, pictures and personal mementoes into the home. Service users commented positively on how much they enjoyed their bedrooms and how clean they were. Thermostatic controls have been installed throughout the home to all baths and washbasins. The hot water tank has a thermostat installed to control the temperature of hot water. In addition, radiators are thermostatically controlled and have radiator covers Records were being kept of hot water temperatures. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 There is a well trained and competent staff team. The numbers of staff are sufficient for the numbers of residents. Staff are correctly recruited and there is a very well established team. EVIDENCE: Staff files examined of a member of staff who had been recently recruited showed they had been recruited correctly with checks by the Criminal Records Bureau. The home has exceeded the level of 50 of staff required to have obtained care qualifications (NVQ) by 2005. A further 6 care staff will study for these qualifications in January 2006. All staff receive an appraisal annually. There is an extensive training programme for staff, which includes training in care, internal lectures and training from outside trainers. Staff said how the training provided had enabled them to improve the care and support for the residents. Future training will include stroke awareness, continence promotion and Diabetes. The home also provides training for nursing students. The home received an Investor’s in People award for its commitment to the education and development of staff. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 16 Residents did not express any worries about the level or availability of staff. During the inspection staff were seen to promptly attend to residents needs. Staff also felt they had sufficient time to care and support the residents. Comments were, “I have received more training here over the past 6 months than I have at a previous home over 5 years” and “there is plenty of training”. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 34, 35, 36, 37 and 38 Although there is no registered manager, Red House is managed properly. There is leadership, guidance and direction. This allows the staff to ensure residents receive consistent quality of care. EVIDENCE: There is no registered manager at the moment. However the acting manager’s application is being processed by the CSCI. The acting manager is a registered nurse with extensive nursing, education and management experience. She and her deputy are studying for a management qualification. Residents, visitors and staff were positive about the staff team throughout the inspection. Comments were, “I find staff very respectful and kind”, “I have no worries or concerns”, “I can discuss any concerns I have with the staff or manager” and “staff are so patient and kind”. Staff comments were “we work as one team”, “there is plenty of training”, “I like working here”, “I feel supported, valued and safe here” and “”when I go home I feel I have done a good job”. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 18 A nursing student on her first placement commented, “fantastic”, “I have had good mentorship” and “this has been a very valuable first placement”. Staff receive annual appraisals and care staff and nurses formal supervision. The last resident and visitor’s annual questionnaire was sent out in March 2005. There were very positive responses received. The manager carried out a very detailed internal audit of the home’s 38 quality standards. The results were also very positive. Red House has comprehensive policies and procedures including clinical procedures. A number have been reviewed following the internal audit. The home also had detailed health and safety policies including risk assessment. Records showed that essential equipment had been regularly serviced. Records were well maintained, up to date and available. Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 19 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 x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x 3 3 x 3 3 x STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 4 3 3 Red House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 20 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 House Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Nursing Home DS0000002638.V261165.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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