Inspection on 25/10/05 for Redcot

This inspection was carried out on 25th October 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

Redcot 04/09/06

Redcot 19/07/05

Redcot 11/01/05

Redcot 12/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Redcot Redcot Three Gates Lane Haslemere Surrey GU27 2LL Lead Inspector Fiona Cole Unannounced Inspection 25th October 2005 10:00 X10015.doc Version 1.40 Page 1 X10015.doc Version 1.40 Page 2 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 Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 3 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. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Name of service Redcot Address Redcot Three Gates Lane Haslemere Surrey GU27 2LL 01428 644637 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) Friends of the Elderly Mrs Lorraine Miller Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 Brief Description of the Service: Redcot is situated in a rural location a short distance from Haslemere town, which offers a good range of small shops a library and a museum. Redcot is a large detached property set in its own substantial grounds. There are limited parking facilities at the front and at the side of the building Service users bedrooms are provided at ground first and second floor levels and all have en-suite facilities. The home has a wide variety of communal spaces including outdoor areas to enjoy views across to the South Downs. The standard of presentation decoration and furnishings are to be noted and this was reflected in the inspector’s conversations with the service users. The home has a terrace with plenty of seating and shade from the sun and very extensive landscaped gardens designed by Gertrude Jekyll. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the second unannounced inspection of the CSCI year, and Involved the manager and the deputy manager. During the course of the inspection seven residents spoke with the inspector and several members of staff were observed interacting with the residents. A tour of the building showed the improvements that had taken place over the last 6 months, leaving one room still to be decorated. CSCI would like to thank the staff and residents for their hospitality shown to the inspector throughout the inspection process. What the service does well: The manager and the staff team have a thorough awareness of the needs of the residents in the home. Residents are only admitted following a full assessment undertaken by the manager and the deputy who are able to demonstrate the homes capacity to meet the assessed needs. Each resident has a clearly set out care plan and all of the residents are registered with local GP’s. Residents spoken with stated their needs were met in a respectful and dignified manner, and full support offered to maintain independence where possible. Risk assessments are very comprehensive and are reviewed regularly, aiming to promote independence taking into account safe practice. There were satisfactory facilities and procedures available for the safe reception, storage, disposal, administration and recording of medication. Menus offered a good range of choice of meal with an emphasis on nutrition and healthy eating. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 7 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. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 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 Redcot DS0000013756.V262149.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. Residents are only admitted following a full assessment undertaken by the manager and the deputy manager who was able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The home had a comprehensive statement of purpose, which reflected the services provided by the home. All potential residents are assessed prior to admission. It was reported that the service only admits new residents based on a needs assessment and appropriateness of placement. The initial assessment was used to form the basis of the care plan and the support plan, which identified the actions that carers should follow to assist an individual living at the home. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Health, personal and social care are effectively met in this home. Resident’s health needs were well met and medication administration was accomplished satisfactorily. The service plans were comprehensive and are reviewed on a regular basis to ensure they reflect the resident’s needs. Care plans sampled were comprehensive and up to date: there was evidence that regular basis to ensure that they accurately depict resident’s needs. EVIDENCE: Care plans sampled were comprehensive and up to date; there was evidence That regular reviews took place. Encouragement and support was given to residents to promote independence within the limitation of each individual’s capabilities. The care plan is preceded by the full assessment of health and personal care needs, which is undertaken by the manager and the deputy. The assessment is Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 11 carried out in co-operation with the resident’s family health professionals or the referring agency. The assessment is ongoing when the resident is admitted to the home. Residents care plans are drawn up from the perspective of the residents themselves and showed their individual preferences, likes and dislikes. Evidence that resident’s optical dental and chiropody needs are met. Where appropriate, occupational therapists, dieticians and speech therapists would be involved in residents care. The records showed assessed medical needs were followed up properly and notes taken of the care given. Medication is stored in a locked metal trolley and all senior staff are trained In the administration of medication. During the inspection the staff were observed to care for residents in a respectful manner. Those requiring assistance were helped sensitively. All residents have their own bedrooms, thus providing the opportunity for Privacy when visitors arrive, family or professionals. The homes policies and procedures placed emphasis on the core values of Caring, such as independence, privacy and dignity. Care plans sampled were comprehensive and up to date; there was evidence that regular reviews took place. Encouragement and support was given to residents to promote independence Within the limitation of each individuals capabilities. The manager stated that all residents were registered with the local GP practice for the provision of medical services. A policy and procedure for the administration of medication was sampled as part of the inspection process. Evidence that resident’s optical, dental and chiropody needs are met and confirmed in the diary, and other records. Where appropriate, occupational therapist, dieticians and speech therapists Would be involved in the residents care. The records showed assessed medical needs were followed up properly and notes taken of the care given. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14 15. The systems in place for full resident participation indicated the resident’s views are sought and acted upon. EVIDENCE: Organised activities take place on a regular basis and are arranged by the employed activities organiser. The activities take place in the lounge or dining room or outside in good weather and residents have the choice of participating if they wish. The home has good links with the local community and the museum. There are garden parties and regular events arranged every year. Some residents handle their own financial affairs, and advocates and family members assist those who are unable to manage. The menu on the day of inspection was found to be wholesome, nutritious and well presented. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 17 and 18 The home has a satisfactory complaints system that is made available to all residents and their relatives and staff in the home. EVIDENCE: The home operates a clear complaints policy, which includes details of the Commission for Social Care and inspection. The main complaints procedure makes reference to the details of how to contact the commission. There have been no complaints to the service or to CSCI since the last inspection. All staff has had recent protection of vulnerable adult training updates as an integral part of their ongoing training. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 23 24 25 26. The standard of décor and equipment in this home is of a very high standard with evidence of improvement since the last inspection. All building works are completed. EVIDENCE: The home is situated in a large and well-maintained garden and is close to Haslemere town centre. The home has been tastefully adapted from its previous use and has been well designed to meet the needs of older people. Redcot is accessible and well maintained. There are ample dining and lounge areas and outside seating for the residents to enjoy in the warmer months. The homes facilities for washing and toileting meet the minimum standards Expected. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 15 All rooms were accessible to residents. The home has grab rails and adaptations in place to support residents to maintain their independence. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Competent and trained staff have a good awareness of their needs support residents. EVIDENCE: The home has a policy whereby all gaps in the staff rota are met by using existing staff. This helps to promote consistency in care for residents. The home has a continual programme of training for all staff and is committed to training staff particularly in NVQ. All staff have completed induction and foundation training and there is a good Training package for all staff. Staffing levels comply with National Minimum Standards. There was evidence the recruitment process had been followed and met the standards for the protection of residents. There are arrangements to carry our CRB checks and two written references for all staff. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 37 38. The manager is well supported by staff in providing clear and consistent leadership in the home with all staff illustrating an awareness of their roles and responsibilities. The homes record keeping and health and safety policies protect all residents and staff. EVIDENCE: The manager has completed NVQLevel 4 and The Registered Mangers Award. Information from residents and staff confirmed that the management style in the home was open and the registered manager is approachable at all times. Six weekly meetings were held for all staff and all were actively encouraged to attend those that are not working are paid to attend. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 18 Records required for the protection of residents and sampled on the day of inspection were well maintained accurate and up to date. The staff-training programme includes first aid, manual handling, infection control, fire safety, health and safety and welfare of the residents. Most recently all care staff have attended a drug administration a course and an IT and Literacy course. Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 20 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. 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 Redcot DS0000013756.V262149.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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