Inspection on 17/04/07 for Red Rose

This inspection was carried out on 17th April 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 Rose 10/11/05

Red Rose 19/07/05

Red Rose 07/01/05

Red Rose 06/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Red Rose 218 Hornby Road Blackpool Lancashire FY1 4HY Lead Inspector Mrs Jackie Riley Unannounced Inspection 17th April 2007 9:00 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 Rose DS0000009898.V331313.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 Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Red Rose Address 218 Hornby Road Blackpool Lancashire FY1 4HY 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) 01253 620377 Mr Robert Leslie Farley *** Post Vacant *** Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005 Brief Description of the Service: Red Rose is a small registered home providing care for up to three elderly people. The homeowner’s family, and service users share the home, although service users have independent lounge and dining space, they live as part of an extended family. Service users are encouraged to personalise their individual rooms, which are large and are equipped with shower units, en-suite facilities and tea and coffee making facilities with a fridge for storing milk or other items. The home is situated in a residential area with good access to services including shops and public transport. Community facilities are close by and the registered provider facilitates service users to access them. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection site visit was undertaken to look at Key Inspection issues. The site visit commenced at 9.00am and took place over 3 hours. The Inspector spoke to the registered provider, and two residents. There are no additional staff employed at the home. The inspector made direct observations throughout the inspection process. Residents living at the home said this was a good home to live in. No comment cards had been received prior to the site visit however throughout the visit the residents provided their views about the home. Care, maintenance and financial records were also examined. A full tour of the premises was undertaken with the registered provider. At the time of the inspection the cost of living at the home was £241.15 there were no additional charges incurred for living at the home. What the service does well: The registered provider endeavours to make sure residents receive a good quality of life to meet their individual needs. This is a small family run home and it is seen to function as an extended family. The home encourages residents to live a life, which is flexible, to meet their individual choices. Residents spoken to said they liked living at the home, and had enjoyed going out regularly either on trips, to various social clubs or just going shopping to the local shops. One resident said, “I really look forward to going to the hard of hearing club, you meet different people”. Individual residents like to go out independently and this is promoted, however due to frailty in most cases residents are supported by the registered provider. One resident spoken to said “ I go out whenever I can, but I am loosing my confidence now as I get older”. Observation of care plans confirmed equality and diversity is promoted, so that nobody is disadvantaged. This was being achieved by the registered provider supporting residents on an individual basis, and meeting their specialist needs including learning sign language. Discussion with one resident confirmed the support being provided by the manager has helped them to pursue hobbies and interests outside the home and maintain a degree of independence. Residents are involved in their own particular personal interests and the home helps them to carry on with that interest. A resident commented on how the registered provider helped them to attend social clubs, so that their social needs are met beyond the home, as well as in the home. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Red Rose DS0000009898.V331313.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 Rose DS0000009898.V331313.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: There have been no new admissions to the home since the previous key inspection, however two records seen confirmed the home has appropriate assessment information available so that any future admission would have their individual needs identified by the home. Records seen showed they were fully completed, with evidence of social work assessments being in place for people living in the home. The registered provider could describe in detail individual care needs and how they are being met. The registered provider recognised the importance of making sure residents needs are regularly reviewed so that changes can take place to meet the needs of the individual. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 9 Residents spoken to commented on how they are involved with the care they receive at the home, saying “you get everything you need here they are so helpful” “ If I have a doctors appointment I always get help to go along”. The home does not provide intermediate care. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The promotion of health and personal care is taken seriously so that residents receive the right level of care they need. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needs to be taken to make sure all aspects of health, personal and social care needs of the residents are met. Significant events had been recorded and daily entries made setting out the care given. A resident spoken to confirmed they are involved in their care plans and know this is so that the registered provider can deliver the right sort of care needed. The records of the two residents were looked at. They have been reviewed and clearly described individual healthcare needs so that they can be met by the home. Discussion with the registered provider confirmed there is full Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 11 awareness of the healthcare needs of residents and the importance of keeping records under review so that any changes can be identified and responded to. Entries made on care plans showed there is good communication between the home and healthcare professionals. The records of one resident showed a healthcare problem had been identified and appropriate action had been taken by the home to make sure the appropriate care and treatment was being received. Two residents spoken to say they liked living at the home and were well treated by the registered provider. One resident said, “ I like living here, I’ve been here a long time and feel part of the family”. Observations made demonstrated the registered provider respects residents privacy and dignity in all aspects of their care. Both residents like to spend time in their own rooms but in general tend to heave meals together. One resident said, “I like my own space but know I can come and go as I please”. Another resident spoken to say the registered provider is always polite and kind. “There always there to help you”. Medication practices had been reviewed so that there is a system in place to safely store and administer medication to one resident. Red Rose DS0000009898.V331313.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. This judgement has been made using available evidence including a visit to this service. Residents are helped to exercise choice in their day-to-day lives and meals are wholesome and provide daily variation and interest for people living in the home. EVIDENCE: This is a small home which endeavours to assist residents maintain a lifestyle of their choice. Having a flexible approach to care, with no restrictions as to the social, cultural, religious and recreational needs of residents living there, does this. Residents spoke of how they “come and go as we please but nowadays we need a little more help”. “I really look forward to going to the club every week”. In the home residents said they enjoyed watching television and reading. A resident spoke of how she enjoys knitting and is currently knitting for a friend’s grandchild. “Its really therapeutic”. One resident attends the local hard of hearing club each week. This evidence confirms residents are having their individual interests and needs met. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 13 Meals and mealtimes are flexible to meet the needs of residents living there. Most meals are shared together in a domestic way. As this is a small home the registered provider knows what individual likes and dislikes are. Residents spoken to say, “the food is nice and we can choose what we want”. The menu is balanced and fresh produce is used whenever possible so that it is nutritional. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a complaints procedure, which is made available to both residents on admission to the home. Two residents spoken to are aware of how to make a complaint and felt these would be listened to and acted upon. One resident said, “I’ve never had to make a complaint but I’m sure if I did it would be sorted out”. At the time of this site visit there have been no complaints recorded by the home. The home has a procedure in place for dealing with allegations of abuse. The registered provider had an understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. The registered provider was advised of recently revised safeguarding adult’s protocol issued by the local authority and that updating knowledge in this area is recommended, for the continuing safety of residents who use the service. Red Rose DS0000009898.V331313.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes environment is well maintained and safe for the comfort and benefit of residents living there. EVIDENCE: The home is clean and of a domestic nature, for the comfort of residents who live there. Resident’s rooms are large and contain additional seating, making them more self-contained. Residents spoke of how they appreciate the spacious rooms they live in, which makes sure they can have additional pieces of furniture if they choose. They also commented on how the spaciousness of the rooms are more suitable to receive visitors in privacy. Both residents have facilities to make hot drinks in their room. This is monitored through risk assessment, but is welcomed by both residents. One Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 16 resident said “Its nice to be able to make a cuppa when I want to, especially if I’m awake in the night”. Both residents’ rooms have evidence of personal; items so that they are homely and familiar to the residents living there. One resident was keen to show a range of personal family photographs, which brings great comfort to them. A tour of the home found it to be safe and free from hazards. There are basic polices and procedure sin place for the control of infection, and the home meets the requirements for environmental health regulations. Red Rose DS0000009898.V331313.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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no additional staff employed at the care home. The owner meets the needs of the people living at the home. EVIDENCE: The home is operated solely by the registered provider, who meets the needs of people living there. There are no staff employed at the home. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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. This judgement has been made using available evidence including a visit to this service. The home is managed in a way in which it benefits the people who live there and has systems in place for the protection of all users of the service. EVIDENCE: This is a small home, which is operated by the registered provider in the best interests of the two residents who live there. Comments received from users of the service confirmed they are happy living at the home and fell it meets their needs. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 19 The management approach is relaxed so that there is no formality in the dayto-day management of the home. Residents are encouraged to follow their individual routines, which was seen throughout the site visit, and was seen to meet the individual needs of the residents living there. There is evidence all maintenance work and appliance checks were up to date. Recent recommendations made following a fire brigade inspection had been addressed. Regular tests to emergency lighting, fire procedures and extinguishers had been carried out and recorded ensuring the safety and protection of residents and staff is maintained. Quality assurance issues are addressed informally in that the registered provider listens to what residents or family are saying and makes any changes accordingly, so that the home is adaptable to any change for the benefit of users of the service. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 21 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 OP18 Good Practice Recommendations The registered provider should update information about recently revised guidance of Safeguarding Adults for the protection of users of the service. Red Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Rose DS0000009898.V331313.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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