Inspection on 14/08/05 for Redcote

This inspection was carried out on 14th August 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

Redcote 10/07/07

Redcote 03/07/06

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 Jean Cope Unannounced 14 August 2005 15:00pm The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Redcote Address 23 Gainsborough Road Lea Gainsborough Lincs DN21 5HR 01427 615700 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr C Sitharanjan Redcote Homes Limited Mrs J Green Care Home 28 Category(ies) of OP Old Age Both 28 registration, with number of places Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 19 May 2005 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 gardents, 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. Care 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 basisn. The proprietor has a house to the rear of the premsises 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. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place with the assistance of the manager over a three-hour period on a Sunday afternoon. This inspection took place in response to an anonymous concern raised earlier in the week. The issues raised were examined and one recommendation was left for the home to follow as a result. The inspector spoke with staff on duty, residents and toured the building. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care that they receive through checking of their records, discussion with them, the care staff and the observation of care practices. What the service does well: What has improved since the last inspection? The home has met any previous requirements left and is striving towards meeting the National Minimum Standards. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 6 Two new rooms have been decorated and have been fitted with new carpets and the sluice has also been decorated and has had a new washable floor fitted. The manager is reviewing the policies and procedures within the home and is changing them where necessary. 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. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 4 and 5 Written information is provided for new residents and their relatives to help them make an informed choice about the home and they can be assured that the manager will assess them prior to them moving in to ensure the home can meet their needs. EVIDENCE: The home has a Statement of Purpose and inspection report in the foyer, which is visible for residents and relatives to read. The manager assesses each resident prior to them moving into the home and a letter is sent to them confirming that the home is able to meet their needs. One resident said they had had the opportunity to come for several trial visits prior to making a decision to move permanently into the home. Residents confirmed that their needs were being met, one saying ‘I’ve come on champion since I’ve been here, and I’ve put on weight’. Another resident said, ‘ I am well looked after’. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 8 and 9 Each resident has a plan of care which is regularly reviewed and gives a reflection of their individual needs. Residents can be assured that the appropriate health professionals will be contacted by the home when necessary. EVIDENCE: Residents have a plan of care which gives a true reflection of their care needs, likes and dislikes and there was evidence that they had received visits from the community nursing team and specialist health professionals and consultants. The manager also visits residents regularly if they have a hospital stay. The home has a visiting optician and one resident regularly receives treatment from their dentist. All staff administering medication have received training and examination of a sample of the administration records showed that they had been signed for appropriately. The home has safe storage facilities for medicines held in the home which are pre-packed by the home’s pharmacist in a monitored dose system. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 10 One resident said that they had been able to look after their own medicine but had decided that it was too much responsibility now, so that care staff in the home were now assisting the resident. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12, 13,14 and 15 Residents are able to make choices about how and where they spend their time in the home, and they are involved, and help to choose the activities or outings provided by the home. EVIDENCE: Throughout the inspection visitors and family members were seen in the home and talking with their relatives in the garden. A relative had been transported to the home to have Sunday lunch with a resident, and was then transported back to her home by the manager. Dial A Ride transport is also used for residents in the week, which has proved to be very popular. There is a planned list of activities for residents to join in with, such as a lunch out, shopping at a local superstore, and the home had just had a very successful garden party. One resident said how much they enjoyed an organist who regularly visits the home and ‘plays hymns’. One resident was playing their own tapes and CD’S in one of the lounges and said that she could ‘come and go as I wish’, going on to say that she visited ‘the local Salvation Army Church when I want, and I go to bed and get up when I want’. Another resident had attended a local Church that morning. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 12 Residents were complimentary about the food that was served in the home saying, ‘It’s lovely food, with plenty of choice,’ and, ‘there’s good food every day’. Regular drinks were being served and there were drinks in some residents’ rooms, but no record was kept as to how much food and drink one sick resident had taken. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 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 standard(s) EVIDENCE: These outcomes were not inspected on this occasion. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 23, 24, 25 and 26 Residents live in a comfortable homely environment which is well maintained and cleaned to a high standard. EVIDENCE: The home was comfortable, clean, well maintained and was homely. Each of the residents’ rooms were different with the residents’ own possessions put in a place where they would like them. The home was odour free throughout. Residents said that they liked their rooms saying, ‘they are so nice and comfortable and I could bring my own belongings’, and one said, ‘I have a nice room and a good bed’. The outside of the home and communal gardens werewell maintained. There were seating areas and a gazebo for residents to spend time outside the home if they wished. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 There is a stable staff group in the home who know the residents’ individual needs well. The manager is committed to provide ongoing staff training to ensure that the staff are competent to provide care for residents. EVIDENCE: Depending on the time of day, the home is staffed by the manager and one senior care assistant, with either two or three care staff. Residents said that staff were competent, knew what they were doing and were well looked after. A resident commented that, ‘Staff sit and talk with me’. Since the last inspection no new staff have been recruited, but the manager was able to give a good account of how she would recruit new staff safely, ensuring that they had a satisfactory CRB check. New staff receive an induction and could work as an extra staff member for up to two weeks. The manager is planning more training on the management of medication and first aid. Staff have received training on adult protection, undertaking risk assessments, health and safety and the basic care of the individual. Fire training and moving and handling is given to staff every year. The manager said that 49 of care staff have achieved National Vocational Training Level 2. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 and 35 Staff and residents feel that they work and live in a well run home and are supported by their manager who encourages residents to air their views. EVIDENCE: The home has a newly registered manager whom staff said, was supportive of residents and staff alike. Staff members said that the new manager was doing, ‘very well’. Residents also made positive comments, one saying, ‘they are lovely staff, especially the manager’. Residents’ financial interests are safeguarded with transactions being recorded and receipts kept. A sample of residents’ accounts were examined and found to be correct. Resident have regular meetings approximately every six to seven weeks where they are able to air their views and make suggestions to improve the home and the service they receive. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 x x 3 x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 2 x 3 x x x Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. Refer to Standard 15 Good Practice Recommendations It is recommended that a record is kept of the dietary and fluid intake of residents who are ill and that water jugs are made available in residents rooms and in communal areas. Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Redcote C53 C04 S2408 Redcote V244592 140805 Stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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