Inspection on 24/02/10 for Redcotts

This inspection was carried out on 24th February 2010.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Redcotts 21/01/10

Redcotts 19/11/09

Redcotts 26/02/09

Redcotts 09/09/08

Redcotts 24/04/08

Redcotts 02/05/07

Redcotts 16/05/06

Redcotts 24/11/05

Redcotts 07/04/05

Redcotts 03/11/04

Redcotts 14/07/04

Redcotts 14/01/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 25/04/2010.

Random inspection report Care homes for older people Name: Address: Redcotts 96 Wensleydale Road Hampton Middlesex TW12 2LY zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sandy Patrick Date: 2 4 0 2 2 0 1 0 Information about the care home Name of care home: Address: Redcotts 96 Wensleydale Road Hampton Middlesex TW12 2LY 02089795477 02089795491 redcottshome@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Sajjad Hassan care home 18 Number of places (if applicable): Under 65 Over 65 18 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 18 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Redcotts is a privately owned residential care home registered for up to 18 older people. The owner visits the home on a regular basis and a manager is employed to oversee the day-to-day operation of the home. The home is situated in a residential road in Hampton, close to local shops, community facilities and public transport networks. Communal rooms include a lounge and separate dining room. The home has a large rear garden. Residents rooms are on the ground and first floor of the home. Care Homes for Older People Page 2 of 18 Brief description of the care home The home is staffed 24 hours a day. Information about the home is available in a Service User Guide, which includes information on the aims and objectives of the service. The homes charges range from GBP 520 - GBP 700 per week. Care Homes for Older People Page 3 of 18 What we found: We visited the home to check compliance with the Statutory Requirement Notices that we issued in December 2009. We found that work to meet these had taken place. We found that all the Statutory Requirement Notices had been met or that work to meet these was taking place. We found that the acting manager had worked hard to do the things we had asked the home to do. We found that she had put in place systems to help the smooth running of the home and improve the quality of care for people living there. The Acting Manager has prepared an application to be registered with CQC and is waiting the return of some checks before she can complete this. She has made contact with local heath and social care professionals. The staff have undertaken some training and more is planned. The Acting Manager has met with all staff individually and as a team. We saw that staff records were completed and included checks on their suitability to work at the home, although two staff are awaiting the return of criminal record checks. The Acting Manager has improved the systems for assessment, care planning and risk assessment and has created clear, up to date and accurate care plans for the people who live at the home. The Acting Manager has organised for checks on health and safety equipment. She has completed records required by Regulation. The Acting Manager has reviewed the way in which activities are provided and recorded and menus are planned. She has also asked the people who live at the home for their views about the service and has recorded these. She has used some of their suggestions to help form her action plan for the home. She has organised for weekly meetings with the people who live at Redcotts so that they can share their thoughts and opinions and so that they are well informed. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 4 of 18 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 18 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 2 5 The registered person must make sure everybody who moves to the home, or their representatives, has a copy of the homes terms and conditions and a contract which they have agreed to. 28/02/2010 2 3 14 The registered person must: Ensure that for all service users accommodated in the home there is an assessment of need that clearly identifies each service users health and welfare needs Statutory Requirement Notice 05/01/2010 3 3 14 The registered person must: Ensure that no service user is accommodated unless an assessment of need has been obtained or is undertaken by a suitably qualified person and the service has confirmed in writing to the service user that the service is a suitable establishment to meet his health and welfare 05/01/2010 Care Homes for Older People Page 6 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action needs. Statutory Requirement Notice 4 7 13 The Registered Person must make sure risk assessments are made for the risks each person experiences and these are reviewed and updated regularly and following a change in need. Requirement not met 30/04/09 05/01/2010 5 7 15 The registered person must: Have a system is in place to ensure that care plans for service users are kept under review and updated when necessary to reflect the changing and current needs of individuals. Statutory Requirement Notice 05/01/2010 6 7 13 The registered person must make sure any risks or restrictions in peoples lives are fully assessed and recorded. Assessments should indicate the action required to reduce risks and to support people. Risk assessments must be 05/01/2010 Care Homes for Older People Page 7 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action regularly reviewed. 7 7 15 The registered person must: Ensure that all service users care needs are fully identified and documented in a care plan, which contains sufficient detailed information on their care needs and guidance necessary for staff to support service users and minimise risk and fully meet their needs. Statutory Requirement Notice 05/01/2010 8 7 15 The registered person must: 05/01/2010 Ensure a system is put into place that ensures, unless it is impractical, that service users and/or their representatives are consulted about the arrangements to be put in place to meet their health and welfare needs. Statutory Requirement Notice 9 9 13 The registered person must: Ensure all medications received into the home are properly recorded, handled and administered safely. 05/01/2010 Care Homes for Older People Page 8 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Statutory Requirement Notice 10 9 13 The registered person must: Ensure the allergy section on medication administration records is completed. Statutory Requirement Notice 05/01/2010 11 9 12(1) The registered person must: Ensure there is proper provision of care and where appropriate the treatment of service users. Statutory Requirement Notice 05/01/2010 12 9 13 The registered person must: Ensure there is a system in place to ensure that medication is only signed for as given after the medication has been administered and should the same be refused or not given for some reason then the reason for non administration is also documented on the medication administration record. Statutory Requirement 05/01/2010 Care Homes for Older People Page 9 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Notice 13 10 12 The registered person must make sure staff answer call bells in a timely fashion. 05/01/2010 14 10 12 The registered person must make sure everyone is able to access a call bell in case they need support when the staff are not with them. 05/01/2010 15 12 16 The registered person must 31/01/2010 make sure there is a full and varied activities programme and that the advertised activities take place. 16 12 16 The registered person must make sure people are supported with their individual interests. 31/01/2010 17 14 12 The registered person must 05/01/2010 make sure there are opportunities for people who live at the home to make choices about the care they receive and their daily lives. 18 14 12 The registered person must 05/01/2010 make sure everyone is given Page 10 of 18 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action the opportunity to make choices about what they eat and drink. 19 18 13 The registered person must make sure all staff have had training in safeguarding people and protecting them from abuse. 31/01/2010 20 19 13 The registered person must make sure carpets are well fitted and do not present a risk. 05/01/2010 21 27 18 The registered person must 05/01/2010 make sure there is a period of time when the staff coming on shift and the staff leaving shift over lap so that they can discuss the home and the people living there and handover any important information. 22 27 17 The registered person must: Ensure that all records as detailed in Schedule 3 and Schedule 4 are kept up-todate and available for inspection by any person authorised by the Commission. Statutory Requirement 05/01/2010 Care Homes for Older People Page 11 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Notice 23 27 17 The registered person must: Ensure that records as detailed in Schedule 4 are maintained in the care home. Statutory Requirement Notice 05/01/2010 24 27 18 The registered person must assess the staffing needs of the people who live at the home and make sure he employs enough staff to meet these needs at all times. 05/01/2010 25 27 17 The registered person must: Ensure all records as detailed in Schedule 3 are kept securely within the care home. Statutory Requirement Notice 05/01/2010 26 27 17 The registered person must: Maintain in respect of each service user a record which includes the information and documents detailed in Schedule 3. 05/01/2010 Care Homes for Older People Page 12 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Statutory Requirement Notice 27 29 19 The registered person must: Ensure a system is in place to ensure that full and satisfactory information is obtained and is available in respect of each of the matters specified in Schedule 2 of the Care Homes Regulations 2001 prior to employing staff in the care home. Statutory Requirement Notice 05/01/2010 28 29 19 The registered person must: Ensure that full and satisfactory information is obtained and is available in respect of each of the matters specified in Schedule 2 of the Care Homes regulations 2001 for all existing staff employed by the service. Statutory Requirement Notice 05/01/2010 29 30 18 The registered person must make sure all staff are trained in manual handling 28/02/2010 Care Homes for Older People Page 13 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action techniques, food hygiene, first aid and fire safety and that this training is renewed as needed. 30 30 18 The Registered Person must 31/01/2010 make sure all staff are trained in food hygiene, supporting people with dementia, use of health care equipment and supporting people with specific health care needs they have. Requirement not met 30/06/09 31 30 18 The registered person must 31/01/2010 make sure all new staff have a full induction into working at the home and that this recorded. 32 31 8 The registered person must employ a suitably qualified person to manage the home and they must make an application to be registered with the Care Quality Commission. 31/01/2010 33 33 24 The Registered Person must 31/03/2011 introduce a quality assurance system and look at how people who live at the home and their relatives can Page 14 of 18 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action contribute to this. Requirement not met 31/10/09 34 36 18 The registered person must 31/01/2010 make sure all staff are given the supervision and support they need to do their jobs, including at least 6 formal supervision meetings with a manager a year. 35 38 23 The registered person must Ensure that you are fully compliant with the Regulation Reform (Fire Safety) Order 2005 in accordance with regulation 23 (4A) Statutory Requirement Notice 05/01/2010 36 38 13 The registered person must 05/01/2010 make sure there are regular recorded checks on all aspects of health and safety and equipment at the home. 37 38 13 The registered person must make sure cupboards containing potentially harmful materials cannot be accessed by people living at the home. 05/01/2010 Care Homes for Older People Page 15 of 18 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 38 38 13 The registered person must make sure there are regular recorded checks on fire safety and equipment. 05/01/2010 39 38 13 The Registered Person must 05/01/2010 make sure regular checks on health and safety take place and are recorded. The Registered Person must make sure action is taken wherever a problem with health and safety is identified. Requirement not met 31/03/09 Care Homes for Older People Page 16 of 18 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 17 of 18 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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