Inspection on 25/07/06 for Redbank House Care Home

This inspection was carried out on 25th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Redbank House Care Home 19/09/05

Redbank House Care Home 09/05/05

Redbank House Care Home 24/01/05

Redbank House Care Home 23/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Redbank House Care Home Town Street South Leverton Nottingham Nottinghamshire DN22 0BT Lead Inspector Jayne Hilton Unannounced Inspection 25th July 2006 08:30 Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 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 Redbank House Care Home DS0000008737.V302867.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 Adults 18-65. 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. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redbank House Care Home Address Town Street South Leverton Nottingham Nottinghamshire DN22 0BT 01427 880716 01427 884430 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) Voyage Limited Mrs Christine Hamlyn Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category LD Date of last inspection 19th September 2005 Brief Description of the Service: Redbank House is a large family home in a quiet village. The garage has been converted into a second self-contained flat in order to provide independent living for a service user. A separate bedroom is also accommodated in the garage building. A conservatory houses the pool table and is used as a games room. The drive provides ample parking for staff and visitors. The home provides transport enabling service users to access other towns and cities. Staff have contacts within the colleges around the Nottingham area and all service users are currently enrolled on various courses. Fees range between £1, 165.92 and £3,299.53 a week. Service users are expected to fund hairdressing and chiropody costs in addition. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection was carried out by inspector Jayne Hilton spending time in the communal areas of the home and speaking with seven service users who were at home at different intervals throughout the day. Two service users development plans were examined in detail and a sample of records kept in the home were inspected. Much of the evidence gathered at the inspection is based on the service users comments and observations made by the inspector. Only one of the service users rooms were inspected and staff were spoken with as part of the four-hour inspection. The Inspector wishes to thank the service users for their helpful comments and in allowing her to have such insight into their specialist needs. What the service does well: The home continues to offer an excellent service and the outcomes for service users are very positive. Service users are supported to make choices within their lifestyles, despite having complex needs and requiring structured programmes in order to meet these. The service users residing at Redbank House report that they are happy with the service provided. Service users praised the home highly. The success of the work and philosophy is demonstrated within the service users development plans and by the comments made by service users. Staff have been innovative and creative in providing opportunities, which promote community integration. Equality and Diversity is well promoted. The home is clean, comfortable and homely. The Service users with Prada Willis syndrome are supported very well and they have clearly achieved many goals. Service users benefit from a well run home that generally promotes and protects their health and safety. Quality monitoring is integral to the homes management systems. Redbank House Care Home DS0000008737.V302867.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. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service Service users are given clear information about the service, its specialised nature, and regarding any structured daily routines, which the service users are consulted about and sign that they agree to. EVIDENCE: The statement of purpose was examined and the standard assessed as met. New versions are in place with the newly employed managers name included. A welcome pack is given to new service users. Needs assessments were seen for the two personal files examined and development plans had been devised from the individual assessed needs. Any restrictions on choice, freedom, services or facilities are documented and service users were very aware of these. Each service user had been issued with the terms and conditions of the home, however the originals had been lost. New ones are to be issued. The manager explained that as they had been without a photocopier this had not been progressed. A new photocopier was delivered on the day of the inspection. Service users spoken with said they were happy at the home and that it met their needs, when asked if they would like to change anything, replied “nothing”. Other comments were “ I have my freedom here” “its better than where I lived before” “ there is lots to do, plenty of activities” Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 9 Staff said that promoting equality and diversity was an integral part of their work and that training is provided on the topic in induction, LDAF and NVQ training and that the organisation has a policy for Equality and Diversity. Equality and Diversity was addressed within the assessment and development planning process. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported with decision making and in their daily lives through structured and appropriate development plans. There is a system in place for review evaluation and monitoring for the assessment of daily living skills, and demonstrate the great achievements made regarding service users goals and aspirations. EVIDENCE: Two service users explained their lifestyles to the inspector and the inspector was able to assess how their Prada Willis Syndrome affects this. Their daily lives were filled with structured programmes, which were varied in meaningful activity, leisure, and responsibilities. Although there needs to be structure within the lives of the service users who live at Redbank House, the staff team offer choice options within the structure. The development plans examined were detailed and appropriate and had been reviewed on a six monthly basis. Consent forms were signed where limitations were placed, such as for locking away food, however service users confirmed that they are given a choice about Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 11 food options within the structure needed for treatment programmes. Each service user chooses the menu options for a particular day; however there are three alternatives offered should the service user not like the main menu item offered that day. Service users spoken with were aware of the development plans and had contributed comments within them. An advocate visits the home periodically to discuss issues that that they may have. The group or individual meeting is called time to talk. Service users informed me they had chosen the clothes they were wearing and clearly they had different styles and preferences. Staff were observed advising service users regarding the heat wave conditions and to apply sun cream etc A service user showed the inspector the lockable facility provided for keeping money. Two service users were observed using their keys to access their rooms. Development plans covered the individual money management plans for service users. Each service user has a responsibility in the home, which is recorded in their development plan. A service user informed the inspector that he cleaned his own room and had responsibilities around the house. A House meeting is held regularly, a service user told the inspector that they talk about concerns and activities and all service users get a copy of the minutes and each service user takes turns to chair the meeting. A copy of the minutes was seen. Risk assessments were in place and from examination of these they appeared, detailed and appropriate. Key workers and co-key workers are allocated, according to their skills and experience. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,14, 15, 16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service Service users are well integrated within their local and wider communities and are provided with varied opportunities and responsibilities within their daily lifestyles and individual preferences. The manager and staff team have been innovative and instrumental in enabling service users to gain meaningful activities and employment and have promoted an ethos of valued participation both within and outside the home environment and are commended for this. The management of the complex needs of service users is balanced with good promotion of individual rights. Service users are offered a healthy diet and enjoy meals and mealtimes within the constraints of the syndrome. EVIDENCE: Service users are able to receive visitors at any reasonable time and some have personal relationships/friendships both at the home and outside of the home. The Inspector is satisfied that appropriate support and input is given regarding this and that information is fully documented in care plans. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 13 Documentation in the development plans and conversations with service users alongside observations made provided much evidence that service users have opportunities to maintain and develop social emotional, communication and independent living skills. Development plans were full of certificate of achievement at local colleges, birds of prey group etc. The dog walking service for local people in the village is carried out by a number of service users who live at Redbank house and this has enabled service users to integrate into community life and maintain a neighbourly relationship with the community. It also provides earnings for the service users, responsibility and provides healthy exercise. One service user also has a paper round with staff support. Service users spoken with talked about going on holiday [two service users were leaving to go ion holiday on the day of the inspection], out to the local pub and community activities, including church and car boot sales. A party in the park trip is planned and trips to Flamingo Land etc. Many of the service users require 1: 1 support to achieve these tasks and which is provided. Service users rooms examined at previous inspections were full of personal items including videos, games, and music. The bedroom examined at this visit had Manchester United bedding and curtains and was also personalised. The service user however has collected many personal possessions and staff are working with the service user to create more effective storage. The service user requested the inspector to highlight the need for more storage in his room. Service users confirmed they have been on various outings and a holiday Activities are planned within House meetings. The conservatory provided a wide range of facilities and recreational equipment. The sensory garden with BBQ provides both quiet and therapeutic space and for everyone to party when needed. The service users preferred term of address is documented on the service users personal information. Meal options are structured because of the eating disorder that the home specialises in supporting service users with. Observation of breakfast and lunchtime was made on the day of the inspection and lots of conversations about food were exchanged. Service users are offered healthy options and they enjoy their mealtimes within the constraints of the syndrome. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users are provided with flexible personal support to maximise privacy, dignity, independence and control over their lives. There are satisfactory systems in place for ensuring the healthcare needs of service users are met. Medication management is satisfactory apart from storage temperatures not being taken. EVIDENCE: Service users informed the inspector that they choose their own clothes when getting up in a morning and confirmed staff support for personal care as identified within the personal development plan. Service users were observed, to be dressed in varying styles, which reflected their personality. The bedroom inspected was also personalised. Support from specialist professionals is documented in the development plan. Where service users present challenging behaviour this is covered within development plans and charts. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 15 A key worker file has been developed and contains monthly reports of aspects of the service users life, including health appointments and behaviour analysis and an annual review. The main development plan folder contained old reviews and not any up to date ones. A copy of the up to date reviews should be held within the main folder. There was evidence of other health care checks such as chiropody, foot care, optician, dentist, routine smear tests, and GP visits and annual well persons checks had taken place and were documented There was good information about the prescribed medication of individuals on the two development plans examined and this section is being improved by developing it into a medication profile for each individual, detailing medication reviews and any changes in medication and reasons why. Signatures of staff who administer the medication were evident and placed in the front of the chart folder. Prescriptions are processed and dispensed by the local surgery. Staff who administer medication undertake medicines management training by distance learning, linked with the local college and evidence of competency assessments undertaken were seen. Medication is stored in a lockable cabinet in a locked store cupboard and keys are handed over each by Team Leaders or by the manager. There are policies in place for medicine management, including for drug errors. A copy of the drug error policy is placed where staff can easily access the information and it prompts staff to report drug errors under regulation 37. The manager reported that there have been no drug errors since the previous inspection. The policy for homely remedies is being revised to include the GP’s signed authorisation in accordance with the Royal Pharmaceutical Society’s Guidance for Administration of medicines within Care Homes. The storage temperatures of the medication were not being monitored and a system for this should be implemented. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have a good knowledge of dealing with concerns and complaints and said they feel safe in the home. EVIDENCE: Service user’s explained to the inspector that they know how to make a complaint should they have one. There are two recorded complaints since the last inspection. CSCI had been involved in an exchange of letters in relation to one of the complaints about toilet faculties from a relative. The other complaint was from a service user about a staffing issue. Both have been resolved satisfactorily. A copy of the complaints procedure had been issued to those service users whose personal files were examined. The policy states that all complaints will be responded to within 5 days. The home has in the past referred any Safeguarding Adults issues to the lead agency when necessary. Staff spoken with said they have covered Abuse awareness within LDAF and NVQ studies and training is booked for Protection of Vulnerable Adults for August 06. Staff confirmed knowledge that the home had policies for protection of service users and a whistle blowing policy and how to report any poor practice should they be aware of this. There are no Safeguarding Adults issues currently. Service users spoken with said they felt safe. A sample of service users finance records were seen and these were satisfactory. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 17 Staff are trained in physical intervention and de-escalation techniques. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, clean, comfortable and safe environment. Personal and communal space meets the needs of individuals residing in the home. EVIDENCE: A part tour of the building was undertaken at the inspection. Furnishings and fittings were in good order and were domestic and homely. Toilet and bathroom facilities were sufficient. One central bathroom has sauna and Jacuzzi facilities, which are still not in working order. The manager reported that she wants to re-instate the sauna as a service user has requested this, however there are risk issues and the service users GP is to be involved. This is still outstanding from the previous inspection. A bidet has been removed from the main bathroom and new floor covering fitted. A bath panel that was missing from the bath on the round floor has been replaced. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 19 Service users spoken with were obviously proud of their home, explaining that they like their home to be clean. The home was clean throughout. The utility room is cited adjacent to the garage conversion and has a washing machine, which meets sluicing and disinfecting standards and a dryer. There was no gloves, liquid soap or paper towels in the laundry. In the main bathroom there was no toilet paper despite this being provided regularly. [Service users remove this for use in their en-suites and staff said this is an ongoing problem] The soap dispenser was broken in this bathroom also. It is recommended that the issues be discussed to find a practical solution to ensure that hygiene standards are maintained. There is a large garden and enclosed courtyard with pond. An area has been developed into a sensory garden. The manager explained that the side of the house is to be made low maintenance with pebbles. The manager also reported that there are also plans to decorate the hallways and staircase and for service users to discuss what they want doing with their rooms. The kitchen is also to be looked at regarding refurbishment and a larger cooker. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service There are good systems in place for staff support and a good level of training provision. Staff members are clearly skilled and confident in the work they perform. Service users needs are met, by competent, confident and skilled staff. EVIDENCE: Various staff members participated throughout the inspection and were observed demonstrating competency and skill when interacting with service users; this was particularly noted when conflict and minor challenging behaviours were presented on the day of the inspection. The staff spoken with were clear about their roles and limitations. Staff confirmed they had a good level of training provided, such as health and safety, food hygiene, first aid, SCIP, [Strategies for Crisis Intervention and Prevention] care standards, nutrition, aggression management, abuse awareness, infection control, fire safety and medicines management. Training records examined supported this. Evidence was seen of the induction process and staff work with a mentor until confident in working un- supervised. The training records examined supported staff comments and identified that LDAF [Learning Disability Award Framework] training and NVQ’s [National Vocational Qualifications] were part of the training and development programme for staff. The rota was examined and this alongside staff comments, identified that five support staff are rostered on most daytime shifts but sometimes this is Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 21 increased to six. The rota is devised to meet the 1:1 staffing needs of service users. When trips or events are arranged staffing is increased as required. 1 staff sleeps in and 1 staff is awake for night- time arrangements. The home does have regular bank staff, this with overtime facilities means that staffing is consistent and agency use is minimised. The manager works supernumery. Four staff personal files were examined and all contained satisfactory checks. The manager and staff members on duty confirmed that, formal supervision is part of the staff support structure. Evidence was seen of supervision records. Staff spoken with praised the manager stating she was approachable. Staff said that the team was competent and knowledgeable about the service needs. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39, 41,42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service Service users benefit from a well run home that promotes and protects their health and safety. Quality monitoring is integral to the homes management systems. EVIDENCE: The manager is a long serving staff member, who was registered with CSCI in January 2006. The manager holds the Registered Managers Award. Evidence was seen of quality monitoring systems in place for example service user surveys, The Quality Tree file and regulation 26 visits. A sample of records was examined including accident, incident records fire safety testing, Water outlet temperature records, service user plans, medication records, rotas, etc. Records for water temperatures showed that on occasions the temperatures of water is above 43 degrees and details what action has been taken to remedy the situation and record of a retest. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 23 There was evidence in place for the prevention of legionella. Radiator covers are now provided where risk assessments have identified a need for them, others have shelves fitted or fabric covers. The Environmental Health Officer visited in November 2005-no issues were identified. All other safety records, including a fire risk assessment and evacuation tests were in place. Servicing of equipments, Portable appliance and electrical safety systems and oil heating checks were satisfactory and all up to date. The weekly fire alarm records are combined with the emergency lighting checks but this is not clear and deemed confusing. Some windows on the ground floor do not have safety restrainers and it is recommended that the manager undertake a security risk assessment of the premises and include this issue. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 4 2 3 3 4 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 4 X 4 4 X Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 2 Refer to Standard YA5 YA20 Good Practice Recommendations Ensure the new copies of the terms and conditions and annual reviews are included within the service users main development plans. The storage temperatures of medication need to be monitored. Ensure the new procedures are implemented in relation to homely remedies. 3 4 YA24 YA30 Support the service user specified with more storage provision in his bedroom. Ensure the laundry has its own supply of gloves, liquid soap and paper towels. 5 YA42 Ensure that the fire alarm records are clearly detailed for DS0000008737.V302867.R01.S.doc Version 5.2 Page 26 Redbank House Care Home weekly fire tests and include emergency lighting. Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Redbank House Care Home DS0000008737.V302867.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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