Inspection on 07/11/06 for Redcliffe House Residential Care Home

This inspection was carried out on 7th November 2006.

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

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

CARE HOME ADULTS 18-65 Redcliffe House Residential Care Home Redcliffe Road Mansfield Nottinghamshire NG18 2JP Lead Inspector Karmon Hawley Key Unannounced Inspection 7th November 2006 10:00 Redcliffe House Residential Care Home DS0000067779.V319101.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 Redcliffe House Residential Care Home DS0000067779.V319101.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. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redcliffe House Residential Care Home Address Redcliffe Road Mansfield Nottinghamshire NG18 2JP 0162 363 5599 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) Redcliffe House Limited Mrs Yana Susan Whitehouse Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Redcliffe House Residential Care Home is registered to provide accommodation and personal care to a maximum of 8 men and women whose primary care needs fall within the following category: Learning Disability (LD) NA Date of last inspection Brief Description of the Service: Redcliffe House Residential Care Home is situated in Mansfield and is close to local amenities. It is a small converted family home offering accommodation and personal care to a maximum of eight service users whose primary care needs fall within the category of learning disability. Accommodation is provided within eight single bedrooms, one bedroom offering ensuite facilities, comprising of a toilet and sink. There are two bathrooms and three shower rooms for service users use. The service is not wheelchair accessible, which the provider discussed with the Disability Rights Commission, and the statement of purpose was amended to reflect this. There is adequate communal space comprising of a living room, dining room, kitchen and training kitchen. There is access to an enclosed medium sized garden. The manager said that the current weekly fees are £1200 as a basic payment then additional payments based upon the needs assessment may be required which is discussed at the time of the initial assessment. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place four and three quarter hours and was performed by one inspector. The main method of inspection was case tracking, this is a method of sampling the records of three randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. There are currently only two service users residing in the home each with varying needs. Therefore only one service user was spoken with during the inspection so as to give the inspector an insight into the conditions and standards within the home. The service user spoken with was happy with the care received and life within the home. The manager assisted in the inspection process and two members of staff were spoken with. Staff were able to discuss service users needs and how service users are supported and facilitated to live an independent life as able. What the service does well: What has improved since the last inspection? The service has worked towards establishing the services and facilities on offer and ensuring a quality service is offered to service users. Time has been spent on researching services and facilities within the community to ensure these may be accessed as required. The service has implemented various policies and procedures to ensure a quality service is offered and service users are safe. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 6 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. Redcliffe House Residential Care Home DS0000067779.V319101.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 Redcliffe House Residential Care Home DS0000067779.V319101.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users individual aspirations and needs are assessed. EVIDENCE: Prior to admission prospective service users undergo an in depth preadmission assessments. Those assessments seen were extremely in-depth and informative ensuring individual needs and expectations were fully identified. Prospective service users are visited in the community and may also visit the home prior to making a decision to live there. Where one service user had moved into the home from a different town, time was spent prior to them making a decision getting to know the area and the facilities and services on offer. Programmes of support and recreational activities were seen to be arranged prior to a decision being made. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their assessed and changing needs and personal goals are reflected in their individual plan of care. Service users make decisions on, and participate in, all aspects of their life in the home. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: The manager said that service users are supported to maintain independence as they wish and staff aim to facilitate this. Both staff and the service user spoken with confirmed this. Key workers are designated to service users to ensure that continuity of support is offered. Support plans are designed for each individual and a section is dedicated to ‘All about me.’ Service users are supported to fill in this section themselves. Those seen were completed in varying degrees, as this is an ongoing process. These were extremely personalised and reflected service users individual needs and aspirations. One service user spoken with said that staff were nice and their needs were met. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 10 The manager said that service users are supported in making their lifestyle choices with management and negotiation as needed. There was evidence seen within the support plans to confirm this takes place. Staff spoken with discussed how service users are facilitated to lead a life of their choosing with support. The service user spoken with discussed their trip to town that had taken place that morning. Appropriate risk assessments were in place within service users support plans. The manager said that these are discussed and negotiated with service users, and a balance is reached so as to ensure service users rights are maintained. Facilities to hold personal finances are available should a service user wish to use this service. If a service user wishes to hold their own finances a lockable facility is available within service users rooms. Personal money held by this facility was checked and was correct. Currently social workers are used as advocate, however the manager said that should the need arise an independent advocacy service would be accessed. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Service Service Service lives. users users users users are part of the local community. engage in appropriate leisure facilities. have appropriate personal, family and sexual relationships. rights are respected and responsibilities recognised in their daily EVIDENCE: There are various activities on offer such as swimming, gardening, guitar lessons, life skills, music and films and relaxation. The manager said that service users are supported to access facilities in the local community and this has helped service users to build up their confidence. Service users have an individual structured programme in place to ensure personal likes, hobbies and aspirations are continued. There is a training kitchen in the home and several days a week service users are supported to purchase, cook and eat the meals they have chosen to prepare. The manager said should a service user wish to attend college they would be facilitated and supported in doing so. One service Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 12 user had attended college in the past. One service user visits a music studio twice a week. Staff support service users to access facilities and services within the community. Service users are also supported to carry out household tasks following agreements made. On the day of the visit one service user had been to the local town with two members of staff. On speaking with the staff and service user it was confirmed that this was a regular occurrence. There are no restrictions placed upon visiting and visitors may be received in private should they wish. There was evidence seen within training files to demonstrate that staff undergo an induction which is based upon a recognised structure, included within this is instruction on maintaining service users rights. Service users receive their mail unopened. A wholesome and appealing diet was on offer and service users and staff plan the menus on offer jointly, this was seen to take place during the visit. The kitchen was clean and tidy. Relevant records such as food, fridge and freezer temperatures were seen, cleaning records are maintained within the diary to state when this has taken place. Following discussions the manager is aiming to view the safer food better business documentation and adapt it to the service accordingly. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and require. Service users physical and emotional health needs are met. Service users are protected by the homes medication policies and procedures. EVIDENCE: Support plans are in place for personal support as required, those seen demonstrated that service users are supported to be as independent as able. Staff spoken with discussed how personal care is offered. The multidisciplinary team and specialist services are accessed as required. The manager said that as many as possible are accessed within the community and service users are supported in accessing these. There was evidence seen to confirm this within service users case files. Appropriate medication polices and procedures were in place. Staff who administer medication have undergone training via the supplying pharmacy, staff spoken with confirmed this. Medication records seen demonstrated that currently handwritten entries are only signed by one member of staff, following discussions of good practice recommendations with the manager she intends to implement that two staff sign these. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Relevant policies and procedures are in place for dealing with complaints and concerns. One complaint had been received from a service user since the opening of the service. This had been recorded and was seen to have been dealt with appropriately. One service user spoken with said they were happy with life within the home and they had no problems. The manager said that she has an open door policy so that anyone can speak with her at any time. Relevant polices and procedures were in place in regards to adult protection. The manager said that training for this had been arranged, staff spoken with confirmed this. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 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, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: A tour of the home was undertaken and showed that suitable furnishing was available. The manager said that service users may bring in their own furniture if desired. One service users room observed was seen to be personalised. All areas of the home were clean, pleasant and hygienic. Service users where able are responsible for the cleaning of their own rooms and carrying out their own laundry with support from staff. Relevant maintenance is carried out on a routine basis and on request; evidence of this was seen within records held. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent and qualified staff. Service users are supported and protected by the homes recruitment policies and practices. Service users individual and joint needs are met by appropriately trained staff. EVIDENCE: The duty rotas were seen which showed that sufficient staff were on duty to meet service users needs. The manager said that staff levels were dependant upon the number of service users residing in the home and their needs. Both staff members and the service user spoken with confirmed this. Four staff files were seen and contained all the required documentation. Staff spoken with confirm that has undergone a Criminal Record Bureau Check. Staff said that they felt supported in their personal development and that sufficient staff training was available. Records seen showed that staff are working towards completing all mandatory training. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. Quality assurance systems are being developed to ensure the home is run in the best interests of service users. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She has 16years experience in working with people experiencing learning difficulties and has previously managed a care home for the older person. She is in the process of completing the registered managers award and remains up to date with mandatory training. She has attained the City and Guilds Advance Management in care level 4. She said that she felt supported in her job role. Staff spoken with spoken highly of the manager and confirmed she was always approachable. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 18 The manager said that quality assurance systems are currently being developed and the service is working towards the Investors in People Award and the National Autistic Society – Autism Accreditation Award which reflects that the service is up to date and able to offer appropriate care to service users. Relevant maintenance servicing certificates were seen which were satisfactory. Accident records observed contained significant information and demonstrated that appropriate action had taken place. The fire logbook showed that the fire alarm system was tested on a weekly basis, however although a member of staff and the manager said that emergency lights were tested on a monthly basis this had not been recorded. Also it was stated that staff have undertaken fire drills however there were no records available to confirm this. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 19 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NA 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 YA42 YA42 Good Practice Recommendations To record that staff undertake regular fire drills. To record emergency lights are tested on a monthly basis. Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Redcliffe House Residential Care Home DS0000067779.V319101.R01.S.doc Version 5.2 Page 22 - 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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