Inspection on 07/06/05 for Redclyffe

This inspection was carried out on 7th June 2005.

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 30/10/06

Redclyffe 10/02/06

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 Herts AL5 2QF Lead Inspector Jeffrey Orange Unnnounced 07 June 2005 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 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 Stationary 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 I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Redclyffe Address 21 Salisbury Avenue Harpenden Herts AL5 2QF 01582 620000 01582 620000 Telephone number Fax number Email 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 LD 20 registration, with number PD 20 of places PD(E) 20 Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are none Date of last inspection 31 January 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 I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection that was carried out between 8 am in the morning and 1pm in the afternoon. The Inspector enjoyed speaking with many of the residents who were at home, and was able to discuss their experience of living at Redclyffe, as well as their social and college activities and how they saw these developing in the future. Members of the staff team on duty were spoken to and details of their training and support discussed with them. Records of residents’ money held by the home were examined, as were medication records, this was to ensure that the systems being used are accurate and adequate for the safety and protection of residents. During the course of this inspection it was possible to see most areas of the home, including, with the resident’s permission, bedrooms and bathroom facilities. During the course of this inspection year it is expected that home’s like Redclyffe will be asked to complete a self-assessment form which will be used at subsequent inspections to help decide what is being done well and what could perhaps be improved in order to provide residents with the outcomes (results) that they want from living there. What the service does well: What has improved since the last inspection? There has been some quite major work done to the premises, which because of the age of the building, does provide a challenge. For example new UPVC patio doors and windows have been fitted to address problems experienced in the past with draughts, new airing cupboards have been provided and work has begun on one of the residents’ kitchens. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 standard(s) 1,2,5 It has been some time since any new residents moved into Redclyffe, the home does however provide all the necessary information, in an appropriate format, to enable any prospective resident to make an informed decision about the home and how it could meet their needs. EVIDENCE: The home’s Statement of Purpose and Service User’s Guide have been seen to provide the required information in a format that is accessible to the residents. Terms and conditions are clearly set out and agreed with residents and there are full details of the home’s complaints policy available in an appropriate format, this should enable a resident to complain if they felt their needs were not being met properly. Assessment and review documentation has been seen and is “person centred” so that the individual needs and preferences of residents are known, recorded, and incorporated in care plans. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 standard(s) 6,7,8,9 Residents are at the centre of the home’s planning and activity and are involved in making decisions that affect their lives. EVIDENCE: Having spoken to a high proportion of the residents, it was clear that they are involved in the planning of their own care, through a review process that is documented in their care plans. They are also involved in meetings with the staff about collective issues and these meetings are recorded and minutes have been seen. Care plan documentation needs to be reviewed to archive some of the records, which are now quite old and to bring up to date and fully complete the more recent records. (See recommendations) To address comments made by several residents that they “need to do something different”; the review process should be enhanced where necessary to consider how this can reasonably be achieved. (See recommendations) Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 standard(s) 11,12,13,14,16, The existing programme of college and leisure activities provides a good range of opportunities for residents, however some of them clearly feel that there is a need for some fresh challenges and opportunities. EVIDENCE: “I don’t want to go to Barnfield all my life” was a comment echoed by several of the residents spoken to, who may have been resident in Redclyffe for many years and clearly seek new opportunities. Senior staff spoken to were aware of the challenge that a long-standing and ageing residents group poses and are seeking, for example, advice on possible employment opportunities for some residents. The home’s management are committed to the whole life approach to care, which seeks to develop individual focus on the way that individuals care needs and aspirations can be met. (See recommendations) Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 standard(s) 18,19,20 The home provides a good standard of care delivered in a way that meets the needs and preferences of residents. EVIDENCE: “Staff take me out and I like them” “My key-worker does a lot for me” These are just some of the very positive comments made by residents about the staff and how they help them. Care plan documentation and regular communication sent to the CSCI by the manager and SCOPE, provide evidence of the involvement of a range of specialist healthcare professionals, GP’s and hospital services. This should give confidence that resident’s health needs are understood and met appropriately. Medication practice and records whilst in general satisfactory require some attention in order to ensure they are always safe and accurate. (See requirements) Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 standard(s) 22,23 Residents are protected by policies, procedures and a system of support both within and outside of the home. EVIDENCE: Advocacy services are involved within Redclyffe on behalf of some of the residents. College and leisure contacts outside of the home provide many opportunities for residents to raise grievances they may have. In speaking to several of the residents, they assured the inspector that they can speak openly to the manager and staff and are very capable of raising any concerns appropriately. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 standard(s) 24,25,26,28,29,30 Redclyffe provides a comfortable and safe home for its residents. EVIDENCE: Major refurbishment has taken place since the last inspection replacing ground floor patio doors and windows. New equipment such as a Parker bath with digital read out and two special airing cupboards have been installed. Some residents’ rooms have been redecorated and some communal areas, including one resident’s kitchen have been refurbished. Maintenance plans are in place to address the continuing need to upgrade and renovate other areas of the home on an ongoing basis. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,34,35 Residents needs can be met at all times by the numbers and skills of staff on duty. EVIDENCE: Staffing throughout the inspection was in line with agreed levels and rotas seen and provide adequate cover at all times. It was possible to speak to a number of staff who gave details of the regular training they have received and who all confirmed how well they were supported both by SCOPE and the home’s manager and senior staff. Training and recruitment records were seen which confirmed the above. Residents were complimentary about the staff in the home. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,40,41,42 The home is well managed with a clear focus on the needs of residents. EVIDENCE: Despite the absence of the registered manager, the home was seen to be operating effectively, there was a particularly relaxed atmosphere at 8 am with residents gradually appearing for breakfast and subsequently leaving for college and day centres. Residents were positive in their comments about the manager. Those financial records that are managed by the home on behalf of residents were found to be in order. Residents confirm that they are involved individually and collectively with decisions taken in the home that affect them. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 3 3 Standard No 11 12 13 14 15 16 17 2 3 3 3 x 3 x Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Redclyffe Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 x Version 1.30 I52_Redclyffe_s19506_v229013_070605_stage2.doc 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. 1. Standard 20 Regulation 13(2) Requirement The temperature of the medication storage cabinet must be recorded daily to ensure it is within the recommended range for the medication contained in it. Where medication is prescribed with variable dosages, the exact dosage administered must be noted each time. Where exising prescribing instructions received by the home are ambiguous and therefore require some interpretation by staff, they should be clarified by the prescriber to ensure that all instructions are absolutely clear and unambiguous. Timescale for action From 7.6.05 and thereafter. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Refer to Standard Good Practice Recommendations Version 1.30 Page 18 1. 6.1 2. 6.10 The residents should be given an early opportunity to discuss their current needs, goals and aspirations in respect of college, employment and leisure opportunities. Where this cannot be achieved through the regular review process additional sessions may be considered necessary to address the concerns raised with the CSCI. Care plan documentation should be reviewed in order to enable current activity to be more fully recorded and to determine how much historic documentation needs to be retained for reference and where. Redclyffe I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 Page 19 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City Herts 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 I52_Redclyffe_s19506_v229013_070605_stage2.doc Version 1.30 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!