Inspection on 30/08/07 for Redclyffe Residential Care Home

This inspection was carried out on 30th August 2007.

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 Residential Care Home 17/09/09

Redclyffe Residential Care Home 26/04/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Redclyffe Residential Care Home 1 Pightles Terrace Rushden Northants NN10 0LN Lead Inspector Kathy Jones Key Unannounced Inspection 30th August 2007 09:30 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 Redclyffe Residential Care Home DS0000066208.V341223.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. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redclyffe Residential Care Home Address 1 Pightles Terrace Rushden Northants NN10 0LN 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) 01933 314645 01933 359420 BPS Care Homes Limited Mr Vinodkumar Nair Care Home 24 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (24) of places Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within the category Older People (OP) can be admitted when there are already 24 persons of category OP in the home. No person falling within the category Dementia over 65 years of age DE(E) may be admitted to the home when there are already 14 persons in the category DE(E) in the home. 26th April 2006 Date of last inspection Brief Description of the Service: Redclyffe is a care home providing personal care for up to a total of 24 Older People of which up to 14 places are for Residents with Dementia care needs. The Home is owned by the Company BPS Care Homes Limited. The Company’s Responsible Individual Mr. T. Balendra is also responsible for another nearby Home. The Home is a well established building located in a residential area of Rushden within reasonable travelling distance of the town centre and local amenities. The premises include a new extension and accommodation is provided over two floors with the majority of bedrooms devoted to single occupancy but double rooms are also available. Eleven bedrooms have en suite facilities. Some of the rooms do not meet current space Standards although they remain registered as this home was running prior to The Care Standards Act 2000. Communal space includes homely dining and lounge areas. The Home has a lift enabling Residents to access the first floor except for two bedrooms in the extension where Residents must be able to access stairs. The Home has a garden area which is fenced enabling Residents with Dementia needs to access the gardens freely. The fees charged are £440 per week. The service user guide identifies that the fees include accommodation, food, laundry services and personal care. Extra costs include items and services such as hairdressing, newspapers, toiletries, dry cleaning and TV licence charge. Any private healthcare costs such as chiropody; dentist and optician charges are also excluded. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Standards identified as ‘key’ standards and highlighted through the report were inspected. The key standards are those considered by the Commission to have a particular impact on outcomes for residents. Inspection of the standards was achieved through review of the information held by the Commission for Social Care Inspection as part of the pre-inspection planning and an unannounced inspection visit to the service. The pre-inspection planning was carried out over the period of a day and involved reviewing the service history, which details all contact with the home including notifications of events reported by the home, telephone calls, letters, and details of any complaints and concerns received. The report from the last key inspection carried out on 26 April 2006 was reviewed and the findings taken into account when planning this inspection. The inspection visit was unannounced and covered the morning and afternoon of a weekday. The inspection was carried out by ‘case tracking’ which involves selecting residents’ and tracking their care and experiences through review of their records, discussion with them, the care staff and observation of care practices, interactions with staff and their general well being. The inspector also spoke with other residents’ who were not part of the case tracking process. An annual quality assurance assessment (self assessment) submitted by the manager was received and reviewed as part of the inspection process. Some views from residents’ were obtained during the inspection and have been taken into account as part of the inspection. As part of the information gathering process the Commission for Social Care Inspection, forward questionnaires for distribution to a selection of residents’ and their relatives. At the time of completion of the report questionnaires had been received from five residents and four relatives. This information has been taken into account as part of the inspection. Shared areas and a sample of residents’ bedrooms were viewed during the inspection and observations were made of residents’ daily routines. A sample of records including staff files was viewed to check the adequacy of the recruitment process in protecting residents. As the Registered Manager was away on annual leave verbal feedback on the inspection findings was given to the Registered Manager from the company’s other home who was overseeing Redclyffe and the Responsible Individual. What the service does well: Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 6 The atmosphere was very relaxed and residents’ were observed to look comfortable and ‘at ease’ in their home. Residents’ spoke well of the staff team who were working as a team to support residents and meet their needs. Staff were professional in their approach to residents’, but also relaxed and friendly, helping to contribute to the overall atmosphere. There is a good admission process, which identifies if a resident’s needs, can be met before they move into the home. This information is used to develop a plan of care, which each resident has to guide staff in meeting their needs. These plans are very individual which helps to ensure that residents’ get the care they want and need. There are good relationships between residents, relatives and staff. Residents’ and their relatives are pleased with the care that is provided and have made comments such as “very satisfied with the care”. All staff take responsibility for making sure that where possible residents’ have some stimulation or occupation during the day which helps to enhance their daily lives. The standard of the meals is very good; residents’ are able to request an alternative if they don’t like what is on the menu and are happy with what is provided. There is good management oversight of the home by the Responsible Individual and a strong management team who appear to work in the best interests of residents. What has improved since the last inspection? What they could do better: Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 7 While residents’ medication appears generally well managed, some improvements in practice are needed to ensure that medication is always properly stored and that systems are in place to identify any discrepancies. Improvements are needed to evidence that there is a thorough recruitment process, which adequately safeguards residents’. This would include making sure that a full employment history has been obtained and that in the exceptional circumstance where staff are employed prior to receipt of a criminal record bureau clearance that there is evidence available on the staff files of the arrangements in place to ensure that the staff member is carefully supervised and not working alone with vulnerable people. Better record keeping in relation to money held on behalf of residents’ is needed to make it easier to check that proper safeguards are in place. 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 Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 8 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 Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 9 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): 1, 3 Standard 6 is not applicable, as intermediate care is not provided. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process provides assurances that the needs of Residents entering the home can be met. EVIDENCE: Four of the five residents, who completed questionnaires before the inspection, confirmed that they had received sufficient information about the home, and the services provided before moving in. The fifth resident was not able to remember the information that they had been given. Written information is provided in the form of a statement of purpose and a service user guide. These documents provide information about the facilities, staff, and the care provided. There is also information about what is included in the fee and some of the services that residents may expect to have to pay separately. Currently the actual fee is not included, however the Responsible Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 10 Individual confirmed that this information would be added. It is important that people have clear information about the services and costs to help them make an informed decision. Residents and their relatives have opportunities to visit the Home prior to their admission to discuss their needs, view the accommodation and talk with other Residents and staff. A resident also confirmed that new residents enter the home on a six week ‘trial’ basis which they felt provided them with a good opportunity to see if their needs could be met. Copies of the statement of purpose and service user guides are displayed in the hall with a copy of the most recent inspection report. Review of the records relating to a recently admitted resident confirmed that a thorough assessment of needs is carried out prior to admission. Information gathered includes physical and mental health, medical history and family history which helps staff to understand the persons needs and provide any necessary support to ensure their needs can be met. Information gathered includes where applicable an assessment of needs from health professionals who are involved with the care and treatment of prospective residents. This is particularly important, helping to ensure that staff are aware of and able to monitor and support residents healthcare needs. Recognised risk assessment tools are used as part of the assessment process, which helps to determine areas of risk, such as nutritional needs, the potential for falls and the need to prevent pressure ulcers, in order that strategies can be put in place to reduce the level of risk. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 11 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 good. This judgement has been made using available evidence including a visit to this service. Good care plans which are reflective of residents’ needs help staff to meet residents individual care and health needs and provide residents with a good standard of care. EVIDENCE: Positive responses were received from residents about the care provided in the returned questionnaires and through discussion during the inspection. All felt that they received the care and support that they needed. Comments from residents’ included “very satisfied with the care”, and from relatives “The level of care that ------- receives is excellent”. Each resident has a care plan, which guides and instructs staff in the care provided. Review of the care plans, discussion with residents’, staff and observations during the inspection confirmed that the care plans were reflective of residents’ individual and current needs. This is particularly Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 12 important in ensuring that the different staff providing care, all understand the actions required to meet residents’ needs. This also helps to ensure that residents’ receive consistent care. Important information identified during the assessment process including that received from health professionals had been transferred to residents care plans. There was evidence that care plans are updated as residents’ needs change. For example relevant care plans had been reviewed and updated after a resident had sustained a fall and required more assistance. Records show that health professionals such as General Practitioner’s, District Nurse’s, Community Psychiatric Nurse’s and Opticians are contacted and asked to visit where necessary. Discussion and review of the records identified that residents’ health care needs are monitored and that they receive a good level of support in accessing the health care services they need and are entitled to when required. A sample check of the management of medication confirmed that residents’ prescribed medication is available. Records of medication received and administered to residents’ are kept. However there is no record of medication carried forward from one cycle to the next making it difficult to carry out an accurate audit of residents’ medication. It is important that these records are in place to ensure that any discrepancies can be easily identified. Advice was also given about improvements to the medication audit to make this more effective in identifying discrepancies. Since the last inspection a controlled drug register has been implemented, which improves the safeguarding of these drugs. However at the time of the inspection there were no controlled drugs prescribed or held. While arrangements are in place for the safe storage of medication, in that there are locked cupboards and a locked trolley within a locked room, improvements are needed in staff practice to ensure that medication is safely and correctly stored at all times. For example on the day of the inspection some eye drops had been left in a residents’ room. It is particularly important where residents’ have dementia that medication is not left unattended. In addition the refrigerator containing medication had been set to defrost, with the medication still inside resulting in the labels containing the name of the resident and instructions for administration becoming difficult to read. Managers addressed these issues with staff during the inspection. Staff spoke with and treated residents’ with dignity and respect throughout the inspection. Residents’ confirmed that staff treat them with respect. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 13 Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. Visitors are encouraged and welcomed into the home and residents’ are very happy with the quality of food provided. Activities are arranged and residents’ supported to have choice and control over their lives. EVIDENCE: There is a relaxed atmosphere in the home and a resident confirmed that their preferred routines are respected and they can choose how they spend their day according to their individual abilities. One resident said that they go down to the town centre which is within walking distance, however for those unable to walk so far they are able to access the garden which the resident confirmed they had done when the weather was good. While residents’ do sit in the shared lounges or their rooms the majority were relatively mobile throughout the day and were able to choose where they spent their time. For example two residents’ found a quiet area in the dining room to sit and have a conversation. The observations indicated that residents’ are able Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 15 to have free access to all parts of the home and to be able to choose how they spend their time. There is an activity programme, which is displayed on the notice board, and questionnaires received from residents confirmed that suitable activities are provided. Motivation and reminiscence sessions are organised monthly and efforts are made to arrange trips out. The annual quality assurance selfassessment completed by the Registered Manager identifies outside activities as an area for further improvement over the next twelve months. The activity organiser had left two weeks before the inspection and a new one was in the process of being recruited. However care staff are clearly aware of the importance of stimulation and activities in the daily lives of residents as they had organised a game of carpet bowls in the morning and board and card games in the afternoon. Staff welcomed visitors to the home and the information received in questionnaires from relatives confirms that there is good communication between staff and relatives. This helps to encourage friends and relatives to visit, which enhances the daily lives of residents. Residents religious needs are identified as part of the care planning process and a local voluntary organisation supports residents’ who wish to attend a church service other than the one arranged in the home. Observations and records indicate that efforts are made to support residents’ in exercising choice and control over their daily lives. Conversations with two residents indicated that any restrictions on their daily lives were as a result of peoples changing abilities rather than any imposed by the home. Information received in the annual quality assurance self-assessment from the Registered Manager confirms an awareness of the Mental Capacity Act and the need to examine systems and practices in the home to ensure that account is taken of this new legislation, which supports residents’ rights. There is a four week rotating menu in operation. Residents’ confirmed that if they don’t like or don’t want what is on the menu an alternative is provided. Those that are able go along to the kitchen to talk to the cook. Comments from residents’ included “ If I don’t like them (meals), I let the cook know and have something I like”. Discussion with the cook identified that she has a good awareness of individual likes and dislikes which are also recorded as part of their care plan. Positive comments were received from residents about the quality of the food provided. On the day of the inspection the lunch was home made steak and kidney pudding, which was nicely presented, and residents confirmed they had enjoyed. During the morning there was an appetising smell of the meal cooking throughout the home, which helps to stimulate appetites. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 16 Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. There are procedures for dealing with concerns and complaints, which residents and relatives are aware of and staff are aware of their responsibilities for protecting the people in their care. EVIDENCE: The Commission for Social Care inspection have received no complaints about the service and there are no complaints in the home’s complaint record. Information received in questionnaires from relatives and residents’ and discussion with residents during the inspection confirmed that if they have any concerns they are confident that they will be dealt with appropriately. There is a copy of the complaint procedure displayed in the hall and also a suggestion/complaint/comment box, which allows people to raise issues anonymously if they wish. Residents’ spoken with had no concerns about the way they are treated and staff spoken with were aware of their responsibilities for safeguarding the vulnerable people in their care. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 18 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 standard of the environment is good providing residents with a clean, comfortable and homely place to live. EVIDENCE: The Company have continued since they took over the running of the home to improve the standard of the premises. The annual quality assurance selfassessment states that they have decorated and refurbished the whole building in the last twelve months. A sample check of the premises confirms this. All areas were well decorated and maintained and furnishings were of a good standard and comfortable. Residents’ confirmed that they were happy with their rooms and the general upkeep of the premises. Observations and Residents’ comments confirmed that Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 19 they are enabled to personalise their rooms as they wish and have their furnishings and belongings about them. Additional safeguards have been put in such as a new nurse call system, additional emergency lighting and door guards on bedroom doors as recommended by the fire service. Information in the annual quality assurance self-assessment and discussion with the Responsible Individual during the inspection confirms a continued commitment to maintaining the premises at a good standard. The garden area has been fenced off allowing residents with dementia to use the garden freely and safely. All areas of the premises were clean, warm and comfortable. Comments from residents’ in questionnaires identify that the home is kept fresh and clean. One stated “very good cleaner”. Staff were observed to have access to disposable gloves and aprons for providing personal care reducing the risk of infection. The annual quality assurance self-assessment identifies that seven staff have to date received training in infection control. Discussion with the Manager of the companion home identified that a copy of the Department of Health guide for assessing infection control management had been received and that there were plans to use this tool when the Registered Manager returns from holiday. This will help to verify that current measures adequately protect residents in keeping the risk of infection to a minimum. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 20 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 arrangements including staff training are generally good however the recruitment process needs to be reviewed to ensure there is evidence in all cases that adequate steps have been taken to safeguard residents. EVIDENCE: Residents’ spoken with were happy with the staff who care for them and observations indicate good relationships between staff and residents. Positive comments were also received about support staff such as cook and cleaner in the questionnaires indicating that the whole team work together in the interests of residents. Observations during the inspection indicated that there were enough staff on duty to meet the needs of residents’. This was confirmed through discussions with staff, residents and in information received in questionnaires from residents’. One of the difficulties identified in the annual quality assurance assessment completed by the Registered Manager was that of maintaining a stable staff team. Comments received in questionnaires identify staff turnover, however one relative commented that this has not affected the quality of care provided. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 21 Discussion with staff and a sample check of records confirmed that there is an ongoing training programme to provide staff with the necessary knowledge and skills to meet residents’ needs. Information received in the annual quality assurance assessment identifies that eight of the sixteen permanent care staff hold a National Vocational Qualification (NVQ) at level 2 or above and a further four are working towards it. This qualification helps staff to understand the needs of older people and current care practices. Some staff have received training in dementia care, however there is an acknowledgment in the self assessment that more in depth dementia care training would help improve staff understanding and improve the quality of the dementia care. Two staff files were checked to look at the adequacy of the recruitment process in protecting residents’. References and checks against the protection of vulnerable adults register were found for both members of staff and criminal record bureau clearances obtained. Advice was given to review the recruitment process in line with current legislation to ensure that there is evidence that residents are adequately safeguarded in all cases. This would include making sure that a full employment history has been obtained. One of the application forms only requested employment details for the last ten years. Advice was also given that in the exceptional circumstance where staff are employed prior to receipt of a criminal record bureau clearance that there is evidence available on the staff files of the arrangements in place to ensure that the staff member is carefully supervised and not working alone with vulnerable people. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 22 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Redclyffe is managed in a manner that promotes and safeguards the health, safety, welfare and rights of residents’. EVIDENCE: At the time of the last inspection a manager had just been appointed and was undergoing induction. Since that time the Manager has become the Registered Manager following a successful application for registration to the Commission for Social Care Inspection. This registration gives the manager legal responsibilities for the conduct of the home and the care provided. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 23 Although the Registered Manager was on annual leave at the time of this inspection there was evidence that the service is well managed and that there is a strong management team. The Registered Manager works closely with the Registered Manager of a companion home and the Responsible Individual for both homes is proactive in overseeing the management of the homes. Quality assurance systems are in place, which include gathering views from residents, relatives and health professionals. The information is collated and discussion indicated that any negative comments are acted on, however advice was given to record any actions taken as a result of the survey. An annual quality assurance assessment (self assessment) submitted by the Registered Manager identifies things the service does well and also acknowledges where improvements can be made. Small amounts of money are held on behalf of some residents to assist them in paying for services such as hairdressing and items such as newspapers. A sample check confirmed that the balance of money held tallied with the record of balance. Records were however rather unclear making it difficult to track and verify. Arrangements for recording valuables received and returned were also unclear. Discussion identified that a slightly different clearer system is used in the other home and will be implemented at Redclyffe, which will provide clearer evidence that residents’ monies are properly safeguarded. No health and safety concerns were identified during the inspection. Discussion with staff confirmed that they receive training in safe working practices such as fire safety, movement and handling and first aid. The registered Manager from the companion home advised that she is to undertake a trainer’s course in movement and handling which will enable her to train new staff as soon as they start work and provide regular refresher training. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 24 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 (2) Requirement Medication held on behalf of residents’ must be securely and appropriately stored at all times to safeguard residents’. A full employment history with an explanation for any gaps in employment must be obtained as part of the recruitment procedure in order to reduce risks to residents’. Timescale for action 30/09/07 2. OP29 19 (1) (b) schedule 2 – 6. 30/09/07 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. Refer to Standard OP35 Good Practice Recommendations Clearer records must be kept to enable easier tracking of the management of residents’ monies and valuables. Redclyffe Residential Care Home DS0000066208.V341223.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Redclyffe Residential Care Home DS0000066208.V341223.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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