Inspection on 09/05/07 for Redcot Lodge

This inspection was carried out on 9th May 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

Redcot Lodge 03/06/09

Redcot Lodge 08/02/06

Redcot Lodge 01/12/04

Redcot Lodge 02/08/04

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 Lodge 1 Lower Northdown Avenue Cliftonville Margate Kent CT9 2NJ Lead Inspector Sandra Crosby Key Unannounced Inspection 09:30 9th MAY 2007 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 Redcot Lodge DS0000050747.V330429.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. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redcot Lodge Address 1 Lower Northdown Avenue Cliftonville Margate Kent CT9 2NJ 01843 220131 01843 220131 redcotcare@btinternet.com 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) Redcot Care Ltd Mrs Emma Louise Sambrook Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one (1) Service User to the home with Learning Disabilities whose date of birth is 09.06.45. 8th February 2006 Date of last inspection Brief Description of the Service: Redcot Lodge is a large detached house, located in a residential area of Cliftonville. The accommodation is on two floors and comprises of fourteen single bedrooms and two double bedrooms. All of the rooms have a call bell, and television point and the majority of Service User’s have their own telephone line. There is a shaft lift to the first floor for those Service Users unable to manage the stairs. The home is located in a residential area with local facilities close by. There is a garden to the rear of the house. Car Parking facilities are available within the grounds together with on street parking being available to the front and side of the home. According to its aims and objectives the home provides long-term care/accommodation in comfortable surroundings - an environment in which individuality, independence and choice are important. The pre-inspection questionnaire completed by the Registered manager state that the current fees are £303.85 per week. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection visit was unannounced and carried out on Wednesday 09 May 2007 between 09.30 and 14.30. During the inspection the Inspector spoke mainly with one of the Registered Persons, and the Registered Manager, the Assistant Manager, Service Users and staff. Some records were seen together with some areas of the home. The atmosphere of the home was welcoming, calm and relaxed, and the home was clean and orderly at the time of the inspection visit. A good rapport between Service Users and staff was seen. The home continues to show commitment towards meeting the National Minimum Standards and Regulations. The Pre-inspection Questionnaire completed by the home prior to inspection and the information provided by service users and staff together with observations and information gathered at the time of the inspection visit, has been used in this report. Completed Service User Surveys returned to the Commission Office provided on the whole positive comments about the home. What the service does well: Service Users spoken with confirmed they were happy with the lifestyle they had living at the home. It was observed that staff respect Service Users dignity and privacy, and have a good rapport with Service Users. Observation and discussion with Service Users at the inspection visit confirmed that the standard of personal care provided was delivered to a high standard. Service Users needs and Service Users health care needs are well met. The meals in the home are good offering both choice and variety and catering for special diets. Service Users needs are met at all times by the numbers and skill range of the staff. Service users benefit from living in a home where the routine maintenance, decoration, and renewal of the fabric of the premises are mainly good. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 6 Service Users are protected by the home’s thorough recruitment procedures, and staff training is ongoing. Service Users benefit from a well run home, and on the whole the health, safety and welfare of service users and staff are promoted and protected. The home has been approved and achieved an ‘Investors in People’ award. 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. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 7 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 Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 8 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): Standards 1,2,3 and 6 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. The management can demonstrate through the home’s records, practices and staff competency that it can meet Service Users’ needs. It is not the general policy of the home to admit Service Users on a short-term basis, and this standard was judged as not applicable at this inspection visit. EVIDENCE: Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 9 The Registered Manager said that she and the Registered Provider had been working on updating the Statement of Purpose and Service User Guide for the home. These documents have been seen on previous visits and have contained all information required by the regulations. Completed assessment documentation was seen for one of the recently admitted Service Users. The Registered Manager said that she undertook the assessment prior to admission. Contracts/Terms and Conditions of Residence are provided by the home for Service Users whether they be privately funded or funded by Social Services. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system is clear and consistent, providing staff with the information they need to meet Service Users needs and Service Users health care needs are well met. The systems for medication administration are mainly good with clear and comprehensive arrangements being in place to ensure Service Users medication needs are met. Personal care is offered in a way to protect Service Users’ privacy and dignity. EVIDENCE: Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 11 Two Service User plans were seen, and the new care planning system is now in operation. The care planning system contained all components required by the regulations. Medication records were viewed and seen to be mainly appropriately signed and up to date. The medication trolley was seen, however the medications contained within were not examined at this visit. Previous inspection visits have shown that the home operates good medication policies and procedures. All Service Users chatted with at the announced inspection visit spoke highly of the staff, and confirmed that the staff treated them with respect, and that their dignity and privacy was respected. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users spoken with confirmed they were happy with the lifestyle they had living at the home. Service Users are encouraged to maintain contact with family and friends. The meals in the home are good offering both choice and variety and catering for special diets. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 13 EVIDENCE: It was seen that lifestyle at the home was relaxed and that Service Users were able, so far as is possible to carry on their lifestyle expectations. Visitors were seen around the home during the time of the inspection visit, and Service Users talked about family and friends that visited them at the home. It was seen from the accompanied tour of the home during the announced inspection visit and talking to Service Users that choices in relation to for example whether they spend their time in their bedroom or in the communal areas, whether they join in activities, whether they spend time in the lovely garden areas. Service Users complimented the staff member that provides occupational therapies, these including hand massages, nail painting, taking a Service User out for a tea/coffee, and Bingo that Service Users told the Inspector they enjoyed. Service Users confirmed that the meals were good at the home and had no complaints. It was seen from records that the menus are varied and nutritious, and that special diets are catered for. Improvement was seen in relation to the completed food records, however it was again found that the food records were not always maintained sufficiently. This issue was discussed with the Registered Manager and Registered Provider who agreed to set up a new formatted form to assist the cook when completing these records to ensure that all information was recorded. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system that indicates that Service Users feel that their views are listened to and acted on. Policies and procedures are in place to safeguard Service Users from abuse. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 15 EVIDENCE: The complaints procedure for the home was seen, and the complaints book was viewed. Complaints are appropriately entered together with the action taken. Following discussion the Registered Manager and Registered Provider agreed to implement a form of complaints record recording that would ensure that all complaints were recorded individually, and to discontinue the use of the books seen. Management confirmed knowledge and understanding of Adult Protection issues that protects Service Users from abuse. The home has the required policies in relation to the Protection of Vulnerable Adults. It would be beneficial to the Service Users at the home if more of the staff at the home completed Adult Protection training. The Registered Manager and Registered Provider agreed to address this issue. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 16 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): Standards 19,20,21,22,23,24,25 and 26 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home where the routine maintenance, decoration, and renewal of the fabric of the premises are mainly good. The large garden areas are attractive and well maintained. The home was clean and pleasant at the time of the inspection visit. EVIDENCE: Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 17 The premises are presented to a good domestic standard. On the outside the fabric of the property looks to be in good order. On the inside most areas are well decorated, comfortably furnished and clean. The dining room on the day of the inspection was well presented with matching tableware and fresh flowers. An accompanied tour of some areas of the premises was made and Service Users spoken with confirmed that their bedrooms were comfortable and suitable to meet their needs. It was seen that the bedrooms are well appointed and all contained personal possessions of the Service Users. Re-decoration within the home is ongoing. Discussion took place in relation to the category of waste bags used by the home. Before the end of the visit the Registered Manager had contacted the Clinical Waste Contractor and from discussion with them had taken prompt action to address this issue. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 18 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): Standards 27,28,29 and 30 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users’ needs are met at all times by the numbers and skill range of the staff. Service Users are protected by the home’s thorough recruitment procedures, and ongoing staff training. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 19 EVIDENCE: The staffing rota was seen as part of the returned pre-inspection questionnaire and from this record it is indicated that there are sufficient staff on duty at all times to meet the needs of the current group of Service Users. Two staff files were viewed for the newest members of staff, and showed that a sound and thorough recruitment procedure is in place at the home. The home meets the required percentage of staff that have completed NVQ Level 2, and further NVQ training is ongoing at the home. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 20 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): Standards 31,22,33,35,36,37 and 38 were inspected at this inspection visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from a well run home, and on the whole the health, safety and welfare of service users and staff are promoted and protected. Service Users are safeguarded by the accounting and financial procedures of the home. EVIDENCE: Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 21 Members of staff told the Inspector that the Registered Person and Registered Manager are supportive and easy to approach. People said that there is indeed an open atmosphere in the home so that views can be expressed without it being made to feel uncomfortable. The Registered Manager said that it is mainly Service User’s relatives that handle monies belonging to Service User’s if they are unable to manage themselves. Service Users personal allowance monies records were seen, and it was indicated that these were accurately recorded and up to date. In general the various records reviewed by the Inspector were orderly and mainly up to date. It was seen that records are stored securely when not in use, and are available and accessible by Service User’s should they wish to see them. The Fire Log Book was viewed and it was seen that on the whole this required records had been previously maintained. Recently the records were not sufficiently completed and the Registered Manager said that she would address this issue. It was seen in the pre-inspection questionnaire information provided by the home that maintenance certification is up to date as required. It was discussed that further staff training was required in relation to mandatory training, and the Registered Manager and Registered Provider agreed address this issue. The Registered Manager confirmed that supervision and appraisal of staff was undertaken as required by the regulations. Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 22 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 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 Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 23 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. 1. 2. 3. 4. Refer to Standard OP15 OP18 OP38 OP38 Good Practice Recommendations Ensure that the record of food provided provides all information as required by regulation. Further members of staff to undertake Adult Protection Training Further members of staff to undertake mandatory training for example Moving and Handling, Health and Safety, Infection Control, Fire Safety Maintain the fire log book recording all checks undertaken as necessary Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Redcot Lodge DS0000050747.V330429.R01.S.doc Version 5.2 Page 25 - 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!