Inspection on 10/02/06 for Redclyffe

This inspection was carried out on 10th February 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Redclyffe 17/10/07

Redclyffe 30/10/06

Redclyffe 07/06/05

Redclyffe 31/01/05

Redclyffe 05/07/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Redclyffe 21 Salisbury Avenue Harpenden Hertfordshire AL5 2QF Lead Inspector Jeffrey Orange Unannounced Inspection 10th February 2006 08:55 Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 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 Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 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. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Redclyffe Address 21 Salisbury Avenue Harpenden Hertfordshire AL5 2QF 01582 620000 01582 620001 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) SCOPE Mr Hon Ching Ng (Barney) Care Home 20 Category(ies) of Learning disability (20), Physical disability (20), registration, with number Physical disability over 65 years of age (20) of places Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Redclyffe is registered to provide care and accommodation for up to 20 adults with a learning disability and/or a physical disability, all of whom can be over the age of 65.The home is owned and managed by Scope and is a large period house in a quiet residential area, close to the town centre of Harpenden. The building has three ground floor accommodation areas, which include kitchen, lounges and bathrooms with WCs, including assisted bathrooms. The ground floor also includes office facilities, the main kitchen, dining room and laundry. A passenger lift gives access to the first floor, which includes two further accommodation areas with lounge and WCs. To the front of the building is a large garage used for storage and re-charging electric wheelchairs and the home also has a single storey annexe, which can be used for training, meetings and as a quiet area for service users. The home has the use of three specially adapted vehicles to help with the transport needs of residents. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report covers the unannounced inspection that took place on the 10th February 2006 and also an additional visit that took place on the 28th September 2005 in conjunction with a Principal Environmental Health Officer for the City of St.Albans. The purpose of that visit was to monitor progress made in respect of previous environmental health inspections and the previous CSCI inspection of the 7th June 2005 insofar as that referred to environmental health issues. Both that joint visit and the current inspection were very positive and enabled all parties to have a very open and useful discussion about the steps that had been taken to improve the operation of Redclyffe in respect of food hygiene and in the case of the current inspection to monitor progress with requirements made, principally in respect of medication. As many of the key standards were assessed during the inspection of the 7th June 2005, they have not all necessarily been assessed again during the current inspection. Where that is the case, reference should be made to the report of the inspection of the 7th June 2005 for full details. What the service does well: What has improved since the last inspection? Action has been taken to improve the recording of food storage temperatures and labelling. A monthly system of enhanced cleaning for the kitchen has been introduced which has greatly improved the general cleanliness of the kitchen and food preparation area. Care plans have been reviewed and older information archived which has made the care plans more accessible and easier to use. Medication practice has markedly improved, with problems only remaining in respect of the temperature of some medication storage. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 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. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 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 Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 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): The key standard(s) were assessed during the inspection of the 7th June 2005. Please refer to the report of that inspection for full details. EVIDENCE: Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 The handling, storage and use of sensitive and confidential information is in line with the requirements of the Data Protection Act 1998 which should enable residents to have confidence in their dealings with the manager and staff. EVIDENCE: Scope and the home have a robust policy on the protection of data and confidentiality. Confidential records are appropriately and securely stored. Staff receive training on the importance of and any limits on confidentiality. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 10 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): 15 17 Residents are encouraged to maintain contacts with their families where this is their choice and also to build social and personal relationships both within the home and in the community. EVIDENCE: Service users spoken to on this occasion and at previous inspections have made clear that they are able to remain in contact with their families and enjoy friendships outside of the home. Details of significant family and social relationships are recorded in the home’s care planning documentation. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 11 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): 20 The basic standard of medication practice has improved and is generally satisfactory, with a particularly robust system of monitoring in place. There remains some problem with the storage temperature of medication. EVIDENCE: Medication administration records and amounts of medication were spot checked and found to be in order. Although temperatures of medication were being recorded, they remained above recommended levels on several occasions and were consistently high in respect of the storage of Lactulose. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 12 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): The key standard(s) were assessed during the inspection of the 7th June 2005. Please refer to the report of that inspection for full details. EVIDENCE: Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 13 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): The key standard(s) were assessed during the inspection of the 7th June 2005. Please refer to the report of that inspection for full details. EVIDENCE: Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 14 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): 34 36 The standard of recruitment practice is good and offers protection for residents as a result of the checks made before anyone can start employment in the home. Staff supervision takes place at an appropriate frequency to provide support to members of staff in their challenging roles. EVIDENCE: The recruitment file for a new staff member was seen to include the required information and details, including criminal records checks and references. The supervision schedule of one member of staff was seen and included signed confirmation that this took place on a regular basis and at appropriate frequency. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 15 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): 39 The home has a robust system to monitor the quality of the service it provides, which includes a detailed and comprehensive system of reports by the regional representative of SCOPE. EVIDENCE: Residents have confirmed that they are involved individually and collectively with decisions taken in the home that affect them. The CSCI receive very open, full and useful monthly reports on the conduct of the home from the Services Support Manager for SCOPE. Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 16 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 x X X 3 X X X X Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes (Part only) 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 YA20 Regulation 13(2) Requirement All medicines must be stored at temperatures within the recommended range for them. Timescale for action 10/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Redclyffe DS0000019506.V283211.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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