Inspection on 30/10/06 for Redclyffe

This inspection was carried out on 30th October 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

Redclyffe 17/10/07

Redclyffe 10/02/06

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 Pat House Unannounced Inspection 30th October 2006 10:00 Redclyffe DS0000019506.V318092.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 Redclyffe DS0000019506.V318092.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. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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.V318092.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2006 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. The home’s Statement of Purpose is kept in the office and is available on request. Current fees for the home range from £3333 to £5800 per month. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day with one inspector. One service user in a wheel chair provided a tour of the building and other service users were spoken with, as were staff members. A selection of records were checked and a general discussion took place with the Manager. Coffee and cake was shared with residents during the morning and the mid-day meal was observed in the dining room. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 6 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.V318092.R01.S.doc Version 5.2 Page 7 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): Standards 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with detailed information about the home and have full assessments completed before accepting a place so that all parties can be sure that the home can meet all individual needs. EVIDENCE: The home has an up to date Statement of Purpose, which was seen during the visit and is available to all new service users and relatives. There have been no new service users admitted to the home since the last inspection, but spot checks of records showed that full needs assessments are completed for anyone wishing to enter the home to ensure that individual needs can be met. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 8 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): Standards 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. Individual care plans are well maintained and enable care staff to have up to date information so that they can support service users to make decisions about their lives and take appropriate risks. EVIDENCE: Two care plans were tracked after the service users concerned were spoken with. Records were very detailed and clear although written care plan reviews were needed in both cases. Details of food preferences, weight and health checks were all recorded and both the Local Authority and the home’s reviews of the residents were recorded. There were detailed risk assessments in place for both service users and those residents spoken with confirmed that staff support them to take responsible risks. Service users also said that they were encouraged to make decisions about their lives and to make their own choices. One service user currently attends a local Advocacy Group. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 9 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): Standards 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 users take part in a variety of activities in the local community and are supported to maintain contact with family and friends, so that they can maintain an enjoyable and stimulating lifestyle. Service users enjoy the food provided by the home and are confident that their rights are respected at all times. EVIDENCE: A group of service users spoken with said they were going “horse riding” (or a carriage drive) that afternoon and that this was a very popular regular activity. One resident attends college for cookery lessons on two days each week and is producing his own recipe folder with the help of staff. Residents also attend evening clubs, run by a variety of local organisations and outings to local theatres and to restaurants are regularly arranged. Some residents had been on holidays with staff and long weekends away are arranged throughout the year. There is a computer for the use of the residents in the dining room and all lounges have their own television. Many of the service users have their own Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 10 music and television equipment in their bedrooms and one resident said that they did not want more organised activities in the home as current arrangements were as they would be in their own homes. Service users spoken with said that families were welcomed in to the home at all times but that they chose which people they actually maintained relationships with. Residents also confirmed that care staff always treated them with respect and they could get up and go to bed when they chose. The mid-day meal was observed in the dining room and residents had chosen a variety of food for their lunch. Food storage and temperature checks were examined and all records were well documented. All staff have current Food Hygiene certificates and this training is updated annually. Service users said that food in the home was very good and that a choice of three meals was made by the residents every evening at dinner, for the following day. Fruit is always available and a selection was left in the dining room during the visit. Coffee and cake is also served between meals for those who want this. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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. 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. Procedures in the home ensure that service users have their health needs met in the way they prefer and are protected by the home’s system for administering medication. EVIDENCE: Service users spoken with said that they chose how staff assisted them with any personal care and that they chose how they would dress. One service user chose to get up late on the day of the inspection and records showed that a variety of health professionals were involved with the residents and their care. Medication was being stored appropriately and amounts tallied when tablets and records were spot checked. Staff spoken with confirmed they had received training in the Administration of Medication and risk assessments were in place for a service user who self-medicates. The home now has a new medication fridge, as recommended at the last inspection. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that service users are listened to at all times and are protected from all areas of abuse. EVIDENCE: The home has an appropriate Complaints policy and Complaint record, which was seen during the visit. Staff spoken with were aware of the home’s policies on Adult Abuse and Whistle Blowing. Recent reports sent to the CSCI demonstrated that these policies were followed when incidents arose and that good documentation was completed. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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 are satisfied that their home is clean and hygienic and are comfortable with the decoration and general environment in the home. EVIDENCE: The home was generally in good order on the day of the inspection, with some areas newly decorated and some which will be upgraded soon. All areas of the home are accessible to wheel chair users and all bedrooms seen were bright and clean. Residents spoken with said the laundry system was good and staff said they use red alginate bags for soiled laundry and could always access disposable gloves. Standards 1 and 2. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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 have their needs met by appropriately qualified staff and are protected by sound staff recruitment procedures. EVIDENCE: Service users spoken with praised the care staff in the home and felt there were usually adequate numbers on duty. Staff recruitment was assessed at the last inspection and no new staff have been appointed since that time. However, some new staff will be recruited in December, and the home has good general policies for ensuring all appropriate checks are in place before appointments are made. The home provides good levels of training for staff although it was recommended that a Training Overview be produced so that any immediate training needs can be identified. Some care staff currently need updates of Moving and Handling training and the Manager has plans to provide this. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. The home is well managed and policies in place ensure that service users have their welfare protected and their views promoted. EVIDENCE: Staff and service users spoken with praised the home’s management and said they were always listened to and supported to express their views. All policies and procedures are up to date and the home uses the Scope Quality system to secure the views of service users and other stakeholders. During the inspection the Accident book was checked and Fire records were examined and were in order. The home has a detailed, written Health and Safety Statement, which is available to all staff and also has a named Health and Safety Co-ordinator. Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 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 3 2 3 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 Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 17 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. Refer to Standard Good Practice Recommendations Redclyffe DS0000019506.V318092.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. 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