Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 31/07/07 for Red House Residential Home

Also see our care home review for Red House Residential Home for more information

This inspection was carried out on 31st July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service offers individual support to residents in lovely, well-maintained surroundings. The house is well situated in a quiet area of Sudbury but close enough to the town centre for easy access to all the local amenities. The gardens, which contain an eighteenth century folly, are beautiful and have a variety of aspects including lawns, flowerbeds, patios and a fishpond. The assessment of residents and care planning to support the needs identified is good and covers physical, social and emotional needs. Independence is encouraged for as long as possible. The menus offer a choice of main dishes and show a balanced and nutritious content. The management committee members are supportive of the staff and residents in the home and assist in practical ways to help achieve a good lifestyle for the residents.

What has improved since the last inspection?

Since the last inspection a purpose built medicine trolley has been purchased and makes the medication administration round easier to complete. A number of rooms and corridors have been redecorated and new carpet has been laid in them and the entrance hall. The exterior of the home was being painted on the day of inspection. A new manager was appointed three months ago and has begun to address some of the lapsed training for staff. A new infection control policy and procedures have been introduced. Residents and relatives meetings have been commenced and minutes are to be made available.

What the care home could do better:

Some policies need to be expanded to give clear accurate guidance to staff in important areas of care practice such as medication administration and protection of vulnerable adults (POVA). Mandatory training and other training for staff need to be updated and a training matrix developed. Some recording of medication administration did not allow for an audit trail and the refrigerator used for the storage of medicines that required a low temperature was not functioning within safe limits. Activities could be increased and consideration given to the appointment of a dedicated activities co-ordinator. The deployment of staff and the allocation of annual leave to provide a more even cover of care staff should be looked at. Arrangements need to be made to make the laundry easier to keep clean to prevent the build-up of dust and cobwebs that pose a cross-infection risk. A hand washbasin that has water running at a temperature to allow staff to practice proper hand washing procedures to prevent cross-infection should be available in the laundry.

CARE HOMES FOR OLDER PEOPLE Red House Residential Home Meadow Lane Sudbury Suffolk CO10 2TD Lead Inspector Jane Offord Key Unannounced Inspection 31st July 2007 09:00 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 Residential Home DS0000024477.V347809.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 Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Red House Residential Home Address Meadow Lane Sudbury Suffolk CO10 2TD 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) 01787 372948 01787 377528 dgs@rhwhs.fsnet.co.uk The Red House Welfare and Housing Society vacant post Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th August 2006 Brief Description of the Service: The Red House is registered as a care home for 34 older people. The Red House Welfare and Housing Society was founded after the Second World War by a group of local religious, civic and business people on a non-profit making basis, to provide communal accommodation to meet the needs of older people. The home was opened in 1950 and has been extended over the years. The original house is 18th century and set in its own gardens enclosed by an unusual ‘crinkle-crankle’ brick wall. The grounds are very well maintained and provide a pleasant and substantial area for residents to take short walks. The home is sited very close to the centre of Sudbury and there is a range of local facilities within walking distance for the more able. Bedroom sizes vary although all are designed for single occupancy. Within the home there are four small flats, two of which have been made by converting the former accommodation known as ‘Matron’s flat’. Communal space is located on the ground floor and consists of two spacious lounges and a pleasant dining room. There is a shaft lift to carry residents to the first floor. The fees for accommodation in the home range between £373.00 and £513.00 per week depending on the accommodation occupied. Respite fees are set at £350.00 per week. Fees do not include hairdressing, chiropody, telephone accounts, newspapers and specialised toiletries. The service does provide some basic toiletries if required. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection looking at the core standards of care of older people took place on a weekday between 9.00 and 16.00. The manager was present throughout and assisted the process with the provision of files and information. This report has been compiled using information available prior to the inspection and evidence found during the day. On the day a number of residents’ and staff files were seen as well as some maintenance records, the policy folder, minutes of meetings, the complaints log, the duty rotas and medication administration records (MAR sheets). A tour of the building and grounds was undertaken and most areas were revisited independently later in the day. A number of residents and staff were spoken with and part of the medication administration round at lunchtime was followed. The building was clean and tidy with no unpleasant odours. The gardens were very attractive and several residents took advantage of a lovely sunny day to sit on the patios. Residents looked comfortable and relaxed in the environment and clearly enjoyed the lunch that was served. Interactions between staff and residents were friendly, respectful and appropriate. What the service does well: What has improved since the last inspection? Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 6 Since the last inspection a purpose built medicine trolley has been purchased and makes the medication administration round easier to complete. A number of rooms and corridors have been redecorated and new carpet has been laid in them and the entrance hall. The exterior of the home was being painted on the day of inspection. A new manager was appointed three months ago and has begun to address some of the lapsed training for staff. A new infection control policy and procedures have been introduced. Residents and relatives meetings have been commenced and minutes are to be made available. 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 Residential Home DS0000024477.V347809.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 Residential Home DS0000024477.V347809.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, 6. Quality in this outcome area is good. People who use this service can expect to have an assessment of need and be assured their needs can be met prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of three newly admitted residents were seen and each one contained a pre-admission assessment document. Areas of physical need such as diet, sight and hearing, communication, personal hygiene, mobility, continence and oral health were assessed. One entry under the mobility assessment recorded that the prospective resident could, ‘manage steps but not flights of stairs’. The assessment also covered mental health, social needs, hobbies and religion. One resident was in the home for respite care but had had the same preadmission assessment as residents wanting permanent placements. The home does not offer intermediate care. Red House Residential Home DS0000024477.V347809.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, 10. Quality in this outcome area is good. People who use this service can expect to have their health needs met and plan of care in place to assist staff to support them as they would wish. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans and records for three newly admitted residents were seen and showed that a further assessment of need was undertaken on admission to the home and a care plan developed from the findings. The care plans covered areas of support such as personal hygiene, diet, communication, mobility and continence. There were also interventions to support social and cognitive needs. One entry said, ‘XXXX would like to take part in keep fit and the church services’. One carer spoken with said they were key worker for a group of residents and they reviewed care plans with the resident monthly, changes only being made with the resident’s agreement. Residents confirmed this happened. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 10 Other records included risk assessments for areas of concern like selfmedication, falls and moving and handling. One resident had a risk assessment for going into the town unaccompanied. Each file had contact details of health professionals involved in the support of the resident such as the GP, chiropodist, community nurse and speech and language therapist. There were records of the visits to and by any health professional and treatments prescribed were noted. The GP surgery used by a number of residents was just across the road from the home and some residents had appointments during the day. Staff were organised to accompany any resident who wished. Residents spoken with said they were very happy with the service they received from the surgery. There were records of the residents’ past medical history. Their weight was regularly recorded and their final wishes were noted. One file contained a ‘do not resuscitate’ instruction that had been signed by the resident. Care practice was observed during the day and carers were seen assisting residents as they requested and encouraging more able residents to manage as much as they could. Interactions were friendly and appropriate with staff using the resident’s preferred name. This was confirmed in conversation with some residents. Staff knocked on doors before entering rooms. One resident was overheard asking for help to manage the lift and requested that a member of staff remain with them in the lift, as they were unsure of the operation of it. One of the carers willingly went to the first floor with them. The lunchtime medication administration round was followed. The carer said that since the new manager had been in post the home had received delivery of a new medicine trolley that was kept locked in the care office when not in use. They said it made the medication administration rounds much easier as they had previously had to carry all the MAR sheets and medicines. Certificates were seen in the care office that a number of carers had undertaken recognised medication training from a pharmacy group last year. Medication administration seen on the day was safe. While one carer dispensed the medicines another stayed with the trolley. The carers discreetly observed residents taking their medicines before the MAR sheet was signed. MAR sheets had identification photographs attached and no signature gaps were noted. Prescriptions that offered a choice of dose i.e. ‘one tablet or two’, ‘five mls or ten mls’ did not always have the amount given recorded making an audit trail impossible. The records of temperature of the refrigerator used to store medicines that needed to be kept below room temperature were seen and showed that the refrigerator was often running below the lowest recommended temperature for safe storage of medicines. The refrigerator also contained some medication that did not require low temperature storage. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 11 The controlled drugs (CDs) register was seen and some of the CDs held by the home were checked at random. The amounts tallied with the records. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. People who use this service can expect to have a lifestyle that generally meets their expectations and be offered a nutritious diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents’ files seen contained contact details of their next of kin and anyone important to them. Some of them contained life history work completed by either the resident or their representative. Records were made of a resident’s interests and hobbies and whether they had any spiritual beliefs. The home is open to visitors at any reasonable hour and a number were seen to come and go during the day. Staff greeted them and directed them to where their relative/friend was spending their time. The home does not have a dedicated activities co-ordinator but the manager said they are looking at the composition of the staff team and consideration is being given to employing a person for that role. At present activities take place with carers or are organised by external visitors. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 13 Some activities are facilitated by individual members of the public such as weekly armchair exercises and bingo sessions. One committee member does a weekly shop for items requested by residents like toiletries, sweets, crisps, biscuits and cards and delivers them personally. The home had recently held a garden party and strawberry tea in a marquee in the grounds. They had been lucky with the weather and a good time was had. A lovely photograph album was filled with photos to record the event and kept in one of the lounges for residents and visitors to view. The next planned event was to visit the home of one of the management committee to have tea in the garden there. After lunch on the day of inspection a number of residents were overheard discussing putting their names on the list of people to go. One of the carers offered to do that for them with the proviso that if it clashed with anything else a name could easily be removed. The residents appeared happy with that arrangement. The home has a lot of games, puzzles and books around the building for residents’ use. The manager said they would like to catalogue them all to see if they were suitable for the client group or whether more up to date or appropriate reading matter should be obtained depending on the preferences of the residents. External entertainers are regularly booked for musical sessions in the lounges. There is a church service in the home every Sunday afternoon that is officiated by different local churches who have their own rota. Church of England, Roman Catholic and the Salvation Army all take their turns on the rota. Some residents are able to attend services in the town and one attends the local Quaker meetings. The records for one resident said, ‘YYYY has developed new relationships in the home since admission and is benefiting from the company’. One resident spoken with said they enjoyed the Sunday services and the gardens. They did spend time in their room doing puzzles and sudoku but had been surprised that they looked forward to the bingo sessions. All the more surprising as, ‘I have never played bingo in my life before coming here’. They also expressed the wish that more activities were organised as, ‘time can hang a bit heavy’. The lunchtime meal on the day was liver and bacon with seasonal vegetables and potatoes; the alternative was a vegetable Kiev. Some residents requested that they did not have liver but wanted the bacon and one resident had a chicken salad. Residents were offered more vegetables if they wished and a selection of condiments was available including mustard. There was a choice of fruit juice or water to drink and dessert was apple crumble and custard. Several residents said they had enjoyed their lunch. One resident said they had gained weight since arriving in the home so had regretfully refused the apple crumble. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 14 The kitchen was visited and the food stores were seen. The cook said the produce came from local suppliers and they tried to use seasonal produce to ensure it was as fresh as possible. Most of the cakes and soups were home made. They had a good knowledge of individual resident’s likes and dislikes and tried to cater with alternatives when they were able. A wide choice of cereals, fruits and cooked breakfast was available each day and specific requests were catered for. The dry stores were kept in a spacious cellar that was well ventilated and used appropriate shelving for stacking goods. Temperature records for refrigerators and freezers showed they were functioning within safe limits for food storage and food that was stored was correctly labelled and dated. All kitchen staff had had food hygiene training that was valid until 2010. This was confirmed in discussion with staff. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. People who use this service can expect to have their concerns taken seriously and be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints policy that is displayed in the entrance hall and offers robust management of complaints. The complaints log showed there had been seven complaints since the start of the year. Two were about medication being given late, one was about late night drinks, one about overcooked food, one about the attitude of a member of staff, one about the difficulty a resident had managing a heavy fire door while manipulating their walking frame and one was from a respite resident about their suitcase not being unpacked. There was evidence all complaints had been investigated and the findings fed back to the complainants. Any changes of practice as a result of the complaints were recorded, for example the closer on the fire door had been adjusted to allow more time for residents to pass through. CSCI has not received any complaints about this service since before the last inspection. There have also been no POVA referrals concerning any resident within this service. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 16 The home has a POVA policy but it needs expanding to include the correct route for referral of a POVA concern and cross-referencing to the Inter Agency Policy Operational Procedures and Staff Guidance issued by the Vulnerable Adult Protection Committee of Suffolk. Staff spoken with were clear about their duty of care and understood that abuse can be subtle and difficult to identify at times. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 17 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, 26. Quality in this outcome area is adequate. People who use this service can expect to live in attractive well-maintained surroundings but cannot be assured that the cleanliness of the laundry room is of a standard to prevent cross-infection. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Red House is an eighteenth century building set in its own grounds in the centre of Sudbury. It offers accommodation for up to thirty-four residents in an attractive setting. The large communal lounges are airy and light. The dining room has a high ceiling and windows that overlook the gardens. The home employs a full time gardener and a full time maintenance person. They were both working on the day of inspection, the gardener catching up after a period of leave and the maintenance person painting the exterior of the house. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 18 There was evidence of redecoration in the entrance hall with new carpet laid and some residents’ bedrooms had been recarpeted and decorated as well. The manager said there were plans to do the dining room and the carpet fitters had been booked for an evening to minimise disruption to mealtimes for the residents. On the day of inspection the home was clean and tidy with no unpleasant odours noted. The furnishings and furniture were in keeping with the style of the house and residents looked comfortable in the armchairs in the lounges. The laundry was visited and had suitable washing machines that had sluice programmes and automatic product feed to reduce the handling of potentially dangerous substances. The floor covering was of a material that was easily washable but the walls were very uneven with a lot of pipes and cables attached to them. These were very dusty with a lot of cobwebs in evidence. There was also a build-up of dust and fluff behind the machines. There was not a dedicated wash hand basin and the butler sink had water that ran over 60 degrees centigrade, which is too hot to perform thorough hand washing techniques. There is a laundry worker but they only work until mid-day and then the carers do any further laundry. Since the new manager has been in post laundry is returned to residents daily instead of weekly, as had been the practice. The manager is looking at the composition of the team and within that review is considering the role of the laundry worker. Since starting in post the manager has introduced strict infection control procedures including safe management of soiled linen. The infection control policy needs to be expanded to give clear and comprehensive guidance to staff on all aspects of infection control from correct hand washing procedures to reporting back for work after being off sick with a stomach upset. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 19 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, 30. Quality in this outcome area is good. People who use this service can expect to be supported by adequate numbers of correctly recruited staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rotas were seen and showed that there was a senior carer on duty throughout the day supported by three other carers and two carers covered the night shift. The manager is supernumerary and there is a part time administrator. The ancillary team consists of a cook and a number of kitchen assistants during the morning and at teatime, a part time laundry worker, five part time domestics, a full time gardener and a full time maintenance person. Staff spoken with said they felt there were adequate numbers of staff to meet the needs of the residents but thought the composition of the team could be altered slightly to give better service. As noted earlier in this report the manager is considering what changes to make to the team, if any, to give residents more support in the way they would like. On the day of inspection the rotas showed that two seniors out of four and four carers were all on annual leave that week putting pressure on the staff team. Residents spoken with said the staff were very willing, ‘nothing is too much trouble’. During the day it was noted that call bells did not ring for long periods. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 20 The home employs twenty-four carers and of those seventeen have an NVQ qualification at level 2 or above. This more than meets the recommended ratio of 50 in standard 28 of the national minimum standards (NMS) for care homes for older people. The file for one recently employed member of staff was seen and contained two references, a recent photograph and evidence that a criminal records bureau (CRB) check had been undertaken. To apply for a CRB evidence of the identity of the person has to be seen but documentary evidence of the identity check was not kept in the file. An agency had supplied the home with evidence of CRB checks done for two agency staff who were working in the home. There was evidence of an induction programme that covered fire awareness, moving and handling, control of substances hazardous to health (COSHH) training and health and safety instruction. Staff spoken with confirmed they had had medication training and food hygiene instruction. The previous manager had allowed training to lapse for many of the staff and the training records had not been updated since 2004. The new manager was aware of the need to re-commence a training programme and had already booked in some sessions. The first session of moving and handling had been done the previous week with more planned for the coming weeks. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 21 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, 38. Quality in this outcome area is good. People who use this service can expect to have their opinions sought and their welfare protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new manager has many years experience in working in care homes and a number of qualifications in social work. They have been in post at the Red House since May 2007 and residents and staff commented that there have already been some changes in the way the service runs. People spoken with said they found the manager approachable and clear in the guidance they issued. The manager has not yet made application to CSCI for registration. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 22 The residents approached the new manager and asked if residents’ meetings could be set up, as they had not been happening under the previous management. The minutes of the meeting were to be typed up but the written version was seen. It showed that menus were discussed and proposals for activities put forward. The residents wished to use the garden for croquet in the good weather and visit the local Quay theatre. They made a request for real coffee and a change of the brand of toilet paper used in the home. Both these requests are being actioned. The residents also wished for the manager to be present on a regular basis during morning coffee or afternoon tea so they could raise any issues directly. The manager says they have made an effort to fulfil that as often as possible. The residents expressed their appreciation that the meeting had been organised and looked forward to the next one. The home’s administrator manages personal monies for a number of the residents and the system used was explained. There is a clear audit trail with receipts being kept and individual balances available. The separate wallets are kept in a safe in the administrator’s office. A random selection was checked and they tallied with the records. A number of maintenance and service certificates for equipment were seen. The gas safety certificate valid for year was dated January 2007. The hoists were checked in May 2007 and the same month the washing machines were serviced. There were records of weekly fire alarm tests and visual checks of fire doors. Accident and incident records were seen and showed that records were completed for incidents involving staff and visitors as well as residents. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 23 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 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 1 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES. 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 OP9 Regulation 13 (2) Requirement Timescale for action 31/07/07 2. OP26 13 (3) 3. OP30 18 (1) (c) (i) The recording and storage of medication must be improved to ensure medicines are fit for their purpose and there is an audit trail to protect residents’ property. The laundry must be cleaned and 31/08/07 maintained in good order to ensure the risk of cross-infection is minimal. Staff training must be reinstated 31/12/07 and records updated to reflect the training undertaken to ensure residents are supported by knowledgeable staff. 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 OP12 Good Practice Recommendations Consideration should be given to employing a dedicated activities co-ordinator so resident can participate in their chosen pastimes and be stimulated. DS0000024477.V347809.R01.S.doc Version 5.2 Page 25 Red House Residential Home 2. OP27 3. OP38 Consideration should be given to the make up of the staff team and the granting of annual leave to ensure there are sufficient, appropriate staff to meet all the residents’ needs. A number of policies and guidance procedures for staff need to be updated and expanded to ensure staff have a full understanding of the way to perform their roles and residents are protected. Red House Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Residential Home DS0000024477.V347809.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!