Inspection on 10/07/07 for Redcote

This inspection was carried out on 10th July 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

Redcote 03/07/06

Redcote 14/08/05

Redcote 19/05/05

Redcote 22/11/04

Redcote 10/05/04

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 Redcote 23 Gainsborough Road Lea Gainsborough Lincs DN21 5HR Lead Inspector Doug Tunmore Key Unannounced Inspection 10th July 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 Redcote DS0000002408.V340751.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. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redcote Address 23 Gainsborough Road Lea Gainsborough Lincs DN21 5HR 01427 615700 F/P 01427 615700 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) Redcote Homes Limited Mrs Jane Green Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Redcote Homes Limited is registered to provide personal care at Redcote Residential Home for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) 28 Dementia over 60 years of age DE(E) for us to 4 service users as named in the Notice of Proposals of the 14th October 2005, 7th December 2005, 21st February 2006 and the 7th August 2006 The maximum number of service users to be accommodated at Redcote Residential Home is 28 3rd July 2006 2. Date of last inspection Brief Description of the Service: Redcote care home is a detached property, which has been adapted and extended to provide accommodation for older people. The home is set back from the main road which runs through the village of Lea and stands in approximately two acres of mature and landscaped gardens, which are accessible to residents. Access to the home is via a blocked paved drive, which extends and includes a ramp to the front entrance. Car parking space is available to the front of the home. Accommodation is provided on two floors. There are twenty-six single rooms and one twin room that is currently used as a single room. Seven of the rooms have en-suite facilities and all have wash hand basins. The proprietor has a house to the rear of the premises in which he stays when visiting the home. The philosophy of the home is to provide a warm, friendly atmosphere in which individuals can have the opportunity to be as independent as possible. The current scale of charges at this home is £400.00, which is a flat rate for all residents. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by the Commission for Social Care Inspection (commission) including the homes previous inspection reports and their service history. The homes Annual Assurance Assessment, form hereafter in this report referred to as AQAA, was also sent to the home by the commission prior to this inspection. The Commission also sent residents survey forms (Have Your say) to the home and nine were returned. The site inspection consisted of case tracking a sample of three residents records and assessing their care. The inspector spoke with three of the residents who were being case tracked and joined four other people for lunch in which a general discussion took place about the care on offer at this home. The inspector also spent time with the manager, a carer and two visitors. A partial tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 6 The home continues to provide good value for money and care to those people who live in this home. A deputy manager has been appointed since the last visit to help the manager in her duties especially when she is absent from the home. The provider is to install a new kitchen before Christmas and the lounge dining room is to be redecorated and a new carpet fitted within the near future. 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. Redcote DS0000002408.V340751.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 Redcote DS0000002408.V340751.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): 1, 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are admitted into the home only after a full needs assessment has been carried out, either by the home and/or health care or social care agencies so as to ensure that their assessed needs can be met. EVIDENCE: A review of all information available prior to this inspection including previous visit record dated July 06 and evidence seen at this inspection in peoples files showed that the home does not admit residents without a care needs assessment being undertaken. Prospective residents are also written to by the home confirming whether they can meet the residents care needs or not. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 9 Nine surveys returned by residents confirmed that they had information about the home prior to admission and fourteen also agreed that they had received a contract. The files of those residents who were being case tracked contained a current contract setting out the terms and condition of their stay. A Local Authority contracting monitoring visit was undertaken on the 04/10/05 and found that ‘the manager or senior carer usually complete a pre-admission assessment and new clients are encouraged to spend a day in the home prior to admission’. The providers AQAA confirms that thorough pre-admission care assessments are now in place at the home. Information is also sought from other sources with the permission of clients Comments received by visitors about the admission process were that people visited prior to admission, were very supportive and made it an easy transition from home to residential care. The manager stated that she carries out pre-admission care needs assessments prior to admission and residents are encouraged to attend the home for a day to complete the assessment in house. The manager confirmed that the home does not provide intermediate care. She also confirmed that no residents have been admitted outside of the homes registration since the last inspection. Redcote DS0000002408.V340751.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): 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. Residents or their representatives are actively involved in their care plans. The provider ensures that all residents receive the medical attention that they require. Care plans do not address the intimate care needs of residents or their wishes regarding their privacy and dignity. EVIDENCE: Previous visits have found that residents have individual care plans, which evidenced that health care professionals in relation to their health care needs have seen residents. People’s files also describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed on a monthly basis or sooner depending on changing needs. The reviews and care plans of residents had been signed and dated by the carer and the resident. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 11 A Local Authority contracting monitoring visit found that ‘A sample of residents files were examined during the course of the visit, a Standex system is utilised and provides good comprehensive evidence of effective care planning and record keeping and involves residents and family members as much as possible’. The homes notifiable incidents record was seen and corresponded with the commission’s service history of the home relating to accidents/deaths to residents. Residents surveys showed that nine felt that they received the support that they need. The survey also showed that people felt that staff are always available when they need them. A resident stated that she has a buzzer by the side of the bed and staff come straight away. Those care plans seen evidenced that information is available regarding peoples likes and dislikes. However, care plans have not established the intimate care needs of residents and what help they require when bathing or toileting or how their privacy and dignity can be maintained. There must be a discussion with individual residents to establish their individual needs. The manager confirmed that this would be addressed with all carers and implemented as soon as possible. Surveys showed that nine residents felt that staff listen and act on what they say. Comments made by people during this visit included,‘ I self medicate and have seen and signed my risk assessment to do so’. Another resident said that she is not involved in her care plan and that staff are mindful of her privacy and dignity as much as possible and never leave her being exposed’. The pharmacist visited the home on the 20/06/07 and recorded that storage, stock control, a medication review and a spot check of records is carried out appropriately. On the day of the last visit in July 06 all care staff had gathered in the dining room and were undertaking a medication test as part of learn direct training organised by Grantham College. The homes AQAA also showed that managing and safe handling of medication training had been undertaken in July 06. Residents surveys received back from the home showed that eight felt that they always get the medical support that they need and one felt that they sometimes did. People’s files evidenced that GPs, chiropodist and district nurses visit this home on a regular basis. Those residents who were being case tracked commented that ‘the district nurse visits me’ and ‘ I am seeing the GP next week about my legs’. Redcote DS0000002408.V340751.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): 12,13,14 &15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager and staff make relatives and friends of residents welcome in this home. A range of stimulating activities is made available to residents both inside and outside of this home. Choices of meals are made available at this home, which are planned monthly in consultation with service users. EVIDENCE: Eight residents questionnaires showed that there are activities and they are available to residents always and one resident commented that activities are usually available. A Local Authority contracting monitoring visit found that the ‘home employs an activities coordinator two hours per day on weekdays, there is an outing organised every other week. Activities are funded by the home’. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 13 The activities calendar was seen for July 07 and showed that quizzes are held, bingo, a trip to an ice cream parlour, shopping at supermarkets and a trip to a local school to see a play put on by the children. A resident stated that during the last visit to this school she had struck up a conversation with two children and wrote to them on two occasions. Another resident commented that she played bridge with friends before coming into this home. This has been continued on a weekly basis at the home. Two visitors stated that they are made welcome and one said that she visits two or three times a week and has lunch with her husband. The home has its own transport, which is used to take people on regular outings or to the hospital or to see the GP if required. The AQAA stated that residents are encouraged to live a fulfilling life as if they loved in their own home, by promoting either an active daily and social life or privacy and independence from other residents. The inspector joined residents at lunch and they confirmed that their relatives visit the home and are made most welcome. They also stated that they get involved in those activities that interest them or they have the choice of reading or knitting in the privacy of their rooms. All those residents and one relative seen had high praise for the quality of the meals at this home. Resident’s surveys evidenced that six always liked the meals and two usually liked their meals and one sometimes liked the meals. The Local Authority contracting monitoring visit found that ‘there is evidence of a well balanced menu offered, residents have a choice and are consulted through the residents meetings to ensure variety and satisfaction’. Redcote DS0000002408.V340751.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures for addressing and monitoring complaints and concerns are in place and residents are aware of how to make a complaint. Residents feel safe and confident in approaching care staff regarding any concerns that they might have. EVIDENCE: The home has displayed the service users guide, which contains the homes complaint procedures in the main entrance. The home has a detailed complaints procedure. The homes AQAA evidenced that no complaints or vulnerable adults issues have taken place. Resident’s surveys recorded overwhelmingly that they were aware of how to make a complaint and knew who to speak to if they were unhappy. Other verbal comments were ‘ I have no complaints and they (the staff) are so good to me, I feel safe here’. ‘The carers treat me well and I like living here’. The manager commented that protecting vulnerable adults training was undertaken in 2005 and further training will take place in 2007. A carer stated that if she became aware of an abusive situation she would report it to the manager. She also confirmed that she had undertaken protecting vulnerable adults training. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 15 Redcote DS0000002408.V340751.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): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well maintained, the standard of the environment and its facilities are appropriate to the needs of residents. The home is clean and had a pleasant smell throughout. EVIDENCE: The home employs three domestic workers who each work 20 hours per week. No unpleasant odours were detected during this visit. The residents survey was overwhelming in that they confirmed that the home always smells nice. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 17 All three residents who were being case tracked confirmed that that their rooms are kept clean. One resident stated that ‘my room is ok, I have my television and photographs and there are no unpleasant smells’. Another commented ‘I am happy with my room, I have a great view and I can watch the birds’. The Local Authority contracting monitoring visit found that ‘ a tour of the home the accommodation appears to be clean and furnished appropriately’. Residents files showed that risk assessments were available relating to the homes environment and individual residents rooms. The manager stated that the dining room/lounge is to be redecorated and a new kitchen fitted before Christmas. Infection control training has been undertaken in 2004 and observations made during this visit was that all staff use disposal gloves and aprons and antibacterial soap is used by carers. Redcote DS0000002408.V340751.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): 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate recruitment practices are in place to ensure the safety of residents. Staff training and the numbers of staff ensure that residents care needs are met. EVIDENCE: A review of all information available prior to this inspection including the homes AQAA and last inspection carried out in July 06, showed that personnel files evidenced that thorough recruitment practices are undertaken to ensure the safety of residents. The registered manager confirmed that no new staff have been recruited in the last two or three years. A contract monitoring visit by Lincolnshire County Council found that ‘ the home does not have a high turnover and the majority of staff have been working in the home for more than two years. Files examined had appropriate records retained, which include application forms, CRB’s, (criminal records bureau checks) written references and a contact of employment. Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 19 The homes AQAA and the contract monitoring visits evidenced that ‘the home operates a set training pattern for the year’. Training has been identified as being undertaken and certificates seen at this inspection confirmed that professional trainers had undertaken training. The General Social Care Council Codes of Practice, which sets out their responsibilities as care workers looking after vulnerable adults. The homes AQAA evidenced that eleven carers have a nationally recognised qualification in caring for elderly and six carers are working towards completing this qualification. One care stated that she has a recognised qualification and has undertaken dementia training, first aid and safe handling of medication The rota was seen and evidenced the number of carers, night care staff and domestic workers on duty at any given time. The survey completed by residents overwhelmingly showed that they felt that they receive the care that they need and staff are available when they needs them. One resident stated that staff answer the call buzzer quickly. Another resident stated that ‘I ring the buzzer and night carers arrive without delay’. A carer confirmed that ‘we tend to manage and we have good support from management’. Redcote DS0000002408.V340751.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): 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. The registered manager is suitably qualified and experienced to carryout her tasks. Records seen show that residents’ health and general welfare and safety are promoted. The home ensures that the residents have the opportunity to voice their views and opinions. Accurate records are kept of residents monies. EVIDENCE: The registered manager has worked in this home for eighteen years as a care assistant, senior carer and became the registered manager in April 05. She has Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 21 a nationally recognised qualification in caring for the elderly. She has also successfully completing the Registered Managers Award. The manager confirmed that she is also starting a further national award for the care of residents and the management of the home. The contract monitoring report stated that ‘there is a homely atmosphere in the home and during the visit it was noted that there is a good rapport between the manager, staff, residents and visitors. The home conducts a quality assurance report. The quality assurance report is posted for the information of residents and visitors, as is the last Commission for Social Care Inspection report. The home only deals with personal allowances of residents, which are kept safe. Past visits have found that the proprietor and manager are not responsible for any resident’s affairs they are handled by residents families. Three residents allowances were checked and an accurate record was kept, with two signatures and receipts available for monies spent. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. The homes AQAA evidenced that fire alarm, fire drills and emergency lighting checks have been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. A contract monitoring visit showed that ‘the home operates comprehensive policies and procedures, which are accessible to staff. Redcote DS0000002408.V340751.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 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 X X X X X x 4 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 x 3 x 3 x x 3 Redcote DS0000002408.V340751.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. Refer to Standard Good Practice Recommendations Redcote DS0000002408.V340751.R01.S.doc Version 5.2 Page 24 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 Redcote DS0000002408.V340751.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!