Inspection on 24/04/07 for Redbrick Court Care Centre

This inspection was carried out on 24th April 2007.

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

Other inspections for this house

Redbrick Court Care Centre 04/12/06

Redbrick Court Care Centre 09/05/06

Redbrick Court Care Centre 03/10/05

Redbrick Court Care Centre 11/04/05

Redbrick Court Care Centre 30/11/04

Redbrick Court Care Centre 28/07/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Redbrick Court Care Centre High Street Wordsley Stourbridge West Midlands DY8 5SD Lead Inspector Mrs Amanda Hennessy Key Unannounced Inspection 24th April 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Redbrick Court Care Centre DS0000004896.V334591.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. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redbrick Court Care Centre Address High Street Wordsley Stourbridge West Midlands DY8 5SD 01384 571752 01384 75391 lobleyhill@schealthcare.co.uk 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) Southern Cross Care Centres Limited Amanda Shaw Care Home 38 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (26) of places Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users in the category OP may be 63 years and over, 5 of whom may be in the category PD(E). A senior care assistant (with NVQ level 2 or above) is on duty within the dementia care unit twenty four hours a day. The 12 residents with Dementia DE(E) require personal care only. 2 service users, named in variation report dated 5.9.05, may be in the category SI (E) Sensory Impairment. These placements to remain for the lifetime of the identified service users whilst the home is able to meet their needs. The placements to revert back to category OP on termination of the placement. 4th December 2006 Date of last inspection Brief Description of the Service: Redbrick Court Care Centre (formally known as Lobley Hill Care Centre) is a large detached property, which has been considerably extended and improved. The home is currently registered for thirty- eight people. The Home is situated in its own grounds, set back from the main Stourbridge to Wolverhampton Road, near to Wordsley. There is ample parking at the front of the Home. To the rear there are extensive gardens, which provides an attractive outdoor environment. The home is on three floors with the lower ground floor accommodating the laundry. Service users are accommodated on the ground and first floor with access to the first floor by a passenger shaft lift. There are thirty-two single bedrooms of which sixteen have en-suite facilities and three double bedrooms with two having en-suite facilities. The interior of the Home is pleasantly decorated and has been recently refurbished. The home provides five lounges and two dining rooms, assisted bathrooms and toilet facilities, bedrooms and offices on the ground floor. A range of single and double bedrooms, assisted bathing and toilet facilities are also provided on the first floor. Fees vary between £335 and £540* and are dependant on the needs of the service user and the room accommodated. * Please note fees will include the free nursing care contribution when applicable. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection undertaken without any prior notice by one Inspector. The inspection was carried out over two days between 10.30 and 15.30 and 9.30 and 17.15. The inspection included a tour of the building, talking to service users and staff, a review of records including information forwarded by the Acting Manager before the inspection and survey comment cards that were completed by service users and their visitors. Care records were reviewed as part of the “case tracking” of six service users on both the nursing and dementia care unit. The home is currently without a permanent manager although has been managed by Annette Mole since September 2006, who will remain at the home until a suitable manager can be appointed. Fifteen of the previous eighteen requirements have been addressed; six new requirements were made as a result of this inspection. What the service does well: What has improved since the last inspection? Fifteen required have been met since the previous inspection. The home has been developing its care records and risk assessment and improvements have been seen although further development is required. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 6 Staff ensure that GPs review their patients and their medicines more frequently. The home now has an Activity Organiser who has and is developing activities that are varied and meet residents’ needs and capabilities. There is a new assisted toilet available within Stuart unit that is large enough to enable access by the hoist but also ensure residents privacy. 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. Redbrick Court Care Centre DS0000004896.V334591.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 Redbrick Court Care Centre DS0000004896.V334591.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): 2,3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Terms and conditions of residency are available giving people contractual information about the home. Before people come to live at the home they have an assessment of their needs giving some assurance that the home is aware of their needs and will be able to meet them. EVIDENCE: Terms and conditions of residency were in some peoples records and when available contained all required information. The Manager said that the she had sent out the terms and conditions to all residents but some families had not yet returned them. All people wishing to come and live at the home have an assessment of their needs prior to being admitted to the home. Assessments seen appeared to be process driven and showed little variance not fully showing their individual Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 9 needs and capabilities. Either the Manager or a senior member of staff undertakes the assessment of peoples needs and it is from this assessment that their care plan is generated. The Manager writes to prospective service users to confirm that following the assessment of need that the home is able to meet their needs. Redbrick Court Care Centre DS0000004896.V334591.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 adequate. This judgement has been made using available evidence including a visit to this service. Care planning records and care at the home is generally satisfactory but requires some development to give assurance that required care is person centred and reflects peoples’ needs and choices rather the needs of the organisation. The safe handling and administration of medicines is good. EVIDENCE: There is a good range of care planning information available with required assessments and risk assessments identified, although staff do not always fully complete them. The acting manager undertakes regular audit of care plans to review their content to ensure that all required information is included. There was no care plan available for one service user who had lived in the home for 11 days, although this was addressed by day two of the inspection. Staff were advised to ensure that a care plan should be generated from the assessment of need and when the admission is planned be available when the person comes to live at the home. Care plans seen were found to be non specific and failed to include information that was specific to the resident for example all residents Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 11 had a “hygiene” or “personal care” care plan but there was no information about what toiletries they preferred and should be used, or the frequency that they liked their hair washed and there was conflicting information about the frequency they preferred a bath or shower or how much they could do for themselves. The key worker does undertake monthly assessments of the service user which is with the service user or their representatives whenever possible. It was pleasing and reassuring that all service users have risk assessments for the risk of pressure sores, moving and handling, nutrition, continence and falls which are reviewed monthly as required. Service users are weighed regularly and it was nice to see that several of the recently admitted residents had put weight on since their admission. Staff ensure that residents are regularly seen by different health professionals such as GPS, Dentists, Chiropodists and District Nurses but unfortunately this is not always recorded which does not give confidence in the consistency of care. Relatives said that they are informed when their relative is unwell and had seen a Doctor. The home has acquired pressure relieving equipment to reduce the risk of residents developing pressure sores, although there was a delay of twelve days before one resident who required a specialist pressure relieving equipment received it. Staff had failed to follow a Doctor’s instructions which may have resulted in a delay of required treatment. Services users who reside in the nursing unit have all their medicines both administered and managed by qualified nurses. Services users who reside in the dementia care unit have all their medicines administered by care staff who have undertaken additional training in the safe handling of medicines. There is an accurate record of all medicines service users have received. Staff undertake all precautions such as recording the drugs fridge temperature and treatment room temperature to ensure that service users medicines are stored securely, although medicines awaiting collection for destruction are not kept locked in the treatment room. Staff were seen to treat service users with respect and have positive interactions with them. Staff were seen to knock on service users bedroom doors prior to entering them. Service users do wear their own clothes and are called by their preferred name. Residents were however brought to the dining room and sat at the dining tables for more than forty minutes before lunch, there is a need for staff to reflect on this practice to ensure that they primarily consider residents needs rather than their own ease. Redbrick Court Care Centre DS0000004896.V334591.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 adequate. This judgement has been made using available evidence including a visit to this service. Daily life within the home does not consistently meet peoples’ needs and preferences. The food is generally tasty but the failure to comply with the menu may not give people sufficient choice. EVIDENCE: There is a programme of activities available for people who live at the home. Staff try to identify and explore peoples interests and their preferred routines so that they can ensure that this is reflected in their daily life, for example the time they go to bed or get up in the morning. Records of life history including their preferred daily routine and leisure activities were not completed. The home has an Activity Organiser who has been employed by the home for three months and has been developing activities and social events. The home has a monthly newsletter which includes forthcoming events at the home and peoples birthdays. A number of residents went out for a pub lunch the week before the visit and it was nice to hear that further meals out are planned. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 13 Services users spoken to are generally happy living in the home. The home’s staff have a “care focus” with a wish to do things for people and appear to be reluctant for residents to do things for themselves. It is essential that residents maintain their independence and are encouraged to assist both in their own care but also in general day-to-day tasks. Staff do on occasions do things that appear to be for their own convenience rather than the best interests of the residents such as the times of meals, the length of time that residents sit waiting at the tables for their meals and are given a cold drink with their lunch and are not offered a hot drink until mid afternoon. Visitors are welcome to the home at any time. Visitors spoken to during the visit said that staff always made them welcome. The home has three main meals with supper available for those people who wish. People have their breakfast when they get up with a cooked breakfast available form 07.45 and many were still having their breakfast at 09.45. Lunch is then served at 12.00 for Crystal residents and from about 12.30 for Stuart residents and is generally finished by 13.00hrs. Staff were unable to give any explanation why lunch was served so soon after many had just finished their breakfast although it was stated that the cook finishes at 14.00hrs after which time the kitchen is not staffed. Tea is served around 17.00 with final preparations made by the care staff, which leaves the number of staff available to care for people depleted at these times. The home has a three-week menu that has been nutritionally checked by Southern Cross; disappointingly the menu was not being followed during the two days of the visit. Meals served on the days of the visit were: Sausage and chips or pork casserole (staff told the residents it was chicken casserole) with creamed potatoes and vegetables with either peach and pineapple crumble or pineapple and ice cream instead of the planned menu for day one. Day two there was chicken stew with mashed potatoes and green beans or corned beef hash with bananas or rhubarb and custard replacing the planned menu. Residents were mixed in their views of the food with some saying it was “ very tasty” whilst others saying, “well, mmmmm ok”. The Inspector did sample all the food served and did find it tasty but felt there was repetition with the puddings on both days, this was an issue for one lady whom the staff said didn’t like pineapple. It was also suggested that residents might appreciate “baking days” when they would also be able to eat the cakes and pastries that they had made. Redbrick Court Care Centre DS0000004896.V334591.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 adequate. This judgement has been made using available evidence including a visit to this service. The home has appropriate policies and procedures to highlight concerns and complaints but does not always undertake required actions to fully safeguard residents. EVIDENCE: The home has a detailed complaints procedure, which is displayed in the reception area of the home and also in the service user guide. Fourteen complaints have been made to the home since the last inspection. Records were available of the outcome of complaints, which found that appropriate actions have been undertaken. Service users and their families said that they would discuss their concerns with the Acting Home Manager. The home has appropriate policies for staff to highlight concerns whilst feeling safe to do so. The home has an Adult Protection policy, which meets all regulations and good practice guidance. Half of the staff have had training in the Protection of Vulnerable Adults although it was over twelve months ago. When concern is raised about poor practice this is addressed with staff undertaking required training when necessary. The home failed to undertake required actions related to two incidents, one that should have resulted in an Adult Protection referral and another that should have been further investigated. It was also unfortunate that the home failed in its duty to inform Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 15 the Commission for Social care Inspection of either of the above incidents, which again may have ensured that required actions would have been undertaken. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 16 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 home is clean, pleasantly decorated and well maintained and there are appropriate infection control procedures in place that make the home both a pleasant and safe place for people to live. EVIDENCE: The home is separated into two separate units: Stuart where people who are elderly and may have nursing needs live, and Crystal unit where people with mild to moderate dementia may live. The home is well maintained, clean and generally free from odour. Staff have been developing the environment of Crystal unit to assist residents memory and day to day tasks, the garden room is particularly popular. There has been a leak that has resulted in a hole in Crystal dining room ceiling however the Acting Manager confirmed that there are plans in process to address this shortly. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 17 Bedrooms are generally single with many residents taking advantage of the opportunity to bring in their treasured possessions such as photographs and pictures to adorn their rooms. The home has assisted baths on both units but the shower attachment to two baths was not working and required repair, again records seen suggested that this was being addressed. The garden is tidy and is accessible for all people regardless of their disability. Paths have been laid out in the dementia care unit garden in a way to enable service users to wander safely if they wish to. Garden furniture is available in both Crystal and Stuart gardens should residents wish to sit and spend time in the garden. The addition of garden pots etc would make the garden more attractive and would provide an opportunity for residents to be more actively involved with the garden. The home has satisfactory infection control practices to minimise the risk of infection for its service users. The Manager stated that alternative arrangements for the storage of linen currently stored in the bathroom in Crystal would address both the increased infection control and fire risk. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 18 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 adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels and staff experience and their qualifications meet residents general needs but additional staff may be beneficial at further develop care. Recruitment and selection processes safeguard the homes residents. EVIDENCE: Staffing levels have been reduced due to a reduction in resident numbers. Crystal unit has 12 service users with two care staff on duty at all times. The manager stated that the Dementia Care manager has 5 hours supernummary time for this purpose. Stuart unit has 16 residents. Staffing levels do appear to meet the general needs of service users but there are no additional staff at busy times of the day such as meals times, or scope to enable residents to go out regularly. There are additional laundry, domestic and kitchen staff. Kitchen staff leave at 2pm and care staff do need to go into the kitchen to complete preparations for residents tea. Four of the six care staff on duty were in kitchen when the kitchen was visited, which considerably reduced the number of staff available at that time caring for residents. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 19 The majority of the staff at the home have now had dementia care training with training being arranged for recently appointed staff. The number of care staff with National Vocational Level 2 qualification (NVQ) remains lower than minimum requirement of 50 . At present there are 7 of the 18 care staff qualified to NVQ level 2. The recruitment and selection of staff safeguards people who live in the home with required information available. The home has a comprehensive induction programme that has been developed by Southern Cross, although staff files seen had no evidence that this has been completed. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 20 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): 31,33,35,36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is safely maintained with required actions undertaken to protect and safeguard residents. The home requires consistency in management to enable it to go forward. EVIDENCE: The home has been without a registered manager for over twelve months and currently is being managed by Annette Mole on a temporary basis. Whilst some improvements have been seen, to enable the home to go consistently forward there is a need to ensure that the home has a permanent manager. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 21 Southern Cross has a quality assurance programme for all its homes that includes regular audit of all areas of the home with all required audits being undertaken at Redbrick Court. Service users surveys have recently been sent out and there are plans to summarise them and prepare a report with actions identified that can be shared with interested parties. Service users monies were satisfactory with good systems in place to protect service users with a policy for handling and safekeeping of money. The service users monies checked all were balanced and transactions could be accounted for. There were records that some staff had had supervision although it is not regularly undertaken. It was also a concern that there were no records of supervision of newer staff although they had been working at the home from December 2006. The home is not meeting the requirement for staff to receive supervision sessions at least six times a year. The acting manager had anticipated that all staff would have received a staff appraisal by December 2006 but this has now been extended to June 2007. The maintenance of the building is managed effectively; maintenance contracts seen were all up to date and provided the appropriate cover. Mandatory staff training is ongoing although many staff require updates in a number of areas including fire safety, moving and handling. The acting manager confirmed that suitable arrangements were in place and many staff had received training during the days of the inspection. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 22 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 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 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 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 2 x 2 Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15.1 Requirement All people using the service must have an up to date, detailed care plan. This will ensure that they receive person centred support that meets their needs. The timing and choice of meals is reviewed to ensure that people have suitable, wholesome and nutritious food that is varied, properly prepared and available at such time as may be reasonably be required by residents. The must ensure that required referrals in relation to vulnerable adults. This will ensure that people are protected from harm or abuse. Suitable arrangement must be made to reduce the risk of infection to minimise the risk of cross infection to residents. Staffing levels and the skill mix of staff must be appropriate to ensure that people needs are met and their health and welfare is protected. An application is forwarded to CSCI to ensure that the home DS0000004896.V334591.R01.S.doc Timescale for action 31/05/07 2 OP15 16(2)(i) 31/05/07 3 OP18 13(6), 37 31/05/07 4 OP26 13(3) 31/05/07 5 OP27 18 31/05/07 6 OP31 10 31/10/07 Redbrick Court Care Centre Version 5.2 Page 24 7. OP30 19(11) has a manager to give greater assurance that the home is able to meet service users needs. Staff must receive induction training that meets Skills for Care standards and that written records are kept of this induction, To give assurance to people who use the service that staff are appropriately trained. This requirement was part met should have been addressed by 31/01/07timescale extended 31/05/07 8. OP36 18,19 9 OP36 18,19 The registered provider must 31/07/07 reintroduce annual staff appraisals. This requirement was not met but should have been addressed by 31/01/07. The registered provider must 31/05/07 implement a formal supervision system, ensuring care staff receive a documented supervision session a minimum 6 times each year. Partially met. Staff continue not to have supervision at the required frequency. This requirement has been outstanding since the inspection undertaken on the 26/6/02 Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 25 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 OP2 OP3 Good Practice Recommendations To ensure that each Service User is provided with a statement of terms & conditions/ contract at the point of moving into the Home. Assessment of people needs are “person centred” rather than task orientated. Redbrick Court Care Centre DS0000004896.V334591.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Redbrick Court Care Centre DS0000004896.V334591.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. 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