Inspection on 12/09/05 for Redcourt

This inspection was carried out on 12th September 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

Redcourt 08/01/09

Redcourt 18/01/07

Redcourt 14/04/05

Redcourt 09/11/04

Redcourt 21/05/04

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

CARE HOMES FOR OLDER PEOPLE Redcourt Grove Road, Chapeltown Pudsey Leeds West Yorkshire LS28 7RZ Lead Inspector Graham Drye Announced Inspection 12th September 2005 10:11 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 Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 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. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Redcourt Address Grove Road, Chapeltown Pudsey Leeds West Yorkshire LS28 7RZ 0113 2557313 0113 2557313 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) Castlegrounds Limited Ms Michaela Wadsworth Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 April 2005 Brief Description of the Service: Redcourt is a large detached property set in its own grounds near to the centre of Pudsey. It is within walking distance of all the local amenities and has easy access to the bus service to surrounding towns. Redcourt provides care for up to 40 older people who require residential care. Accommodation is provided on 2 floors. There are 38 single bedrooms and 1 shared room. The home has well maintained private gardens to the front. The front of the building has a patio area, which overlooks the garden and is accessed from the communal areas on the ground floor. There are appropriate numbers of bathrooms and toilets in the home fitted with bath aids etc. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 14 April 2005, starting at 9.30 a.m. and concluded at 4.00 p.m. There have been no further inspections until this announced inspection. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. The purpose of this inspection was to monitor the home’s progress since the last inspection and to assess whether the care given to residents meets minimum standards. During the inspection records were examined, some areas of the home were seen, such as bedrooms, lounges and bathrooms; care staff were observed carrying out their work and discussions, both on an individual and joint basis, were held with two members of staff, the manager, one visitor and five of the residents. Survey cards were left at the home for residents, their relatives and visiting professionals. What the service does well: What has improved since the last inspection? Work has been done on the bathrooms to make sure that they are fully accessible to residents. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 6 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. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 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 Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 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 the following standard(s): 1, 2 and 3 Residents and/or their relatives are provided with sufficient information to help them make informed decisions about the home. The admission procedure is good and includes pre-admission assessment visits, introductory visits and trial periods if appropriate. EVIDENCE: The Manager confirmed that there had been no changes to the home’s Statement of Purpose or Service User Guide and both documents are available to both existing and prospective residents as required. The manager has provided a video of ‘life at Redcourt’ which includes information on the home’s Statement of Purpose. The manager is intending to provide the Service User Guide in a DVD format. This is to be commended. The records looked at showed that pre-admission assessment visits are carried out to see prospective residents either in their own home or temporary place of residence. The needs identified during this visit are reflected in their initial care plan. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 9 In addition to the pre-assessment visit all prospective residents and/or their relatives are invited to visit the home prior to admission to view the accommodation, meet the other residents and staff and stay for a meal if they wish to do so. Residents said that the staff had been very helpful when they had initially visited the home looking for a place, had shown them round, answered any questions and provided general information about the care/service provided. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Records and reports about the residents’ welfare show that their healthcare needs are met and any problems are identified at an early stage and the appropriate referral made. EVIDENCE: A number of the residents’ files were looked at. All contained an up to date care plan, which set out clearly the needs of the residents. Care plans have been completed for all residents. These showed that residents and/or their relatives are involved in the care planning process. Care plans are reviewed on a monthly basis. However, the care staff team are not completing the record of care fully, consequently there are occasions when they fail to evidence the delivery of care. In addition to care plans, risk assessments have also been completed for individual residents where specific areas of concern have been identified. Staff need to better evidence the delivery of care. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 11 All residents are registered with a general practitioner and have access to the full range of NHS services. The manager said that the home has a good working relationship with the district nursing service and other healthcare staff. This makes sure that the health needs of the residents are fully met. Residents said that prompt medical attention was always sought if they felt unwell. They found this very reassuring. Medical examinations were always carried out in the privacy of their own rooms. Relatives also confirmed that they were kept informed of any changes in the residents’ general health and were given the opportunity to meet healthcare staff involved in the care if they wished. It was apparent through observation and discussion with the residents that the staff treat them with respect and have a genuine understanding of their needs. Currently none of the residents are self-medicating. There are risk assessments on the individual files to support this position. The manager is keen to ensure that, where possible, the residents remain independent and self-medication is an area considered at the initial assessment. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 The home offers a range of social and leisure activities which reflects the residents’ preferences. Residents are offered a choice at mealtimes, which are seen as social occasions. EVIDENCE: The home has a contract with Motivation & Co. who visit one a week and Kaleidoscope who visit 3 times a week to provide social activities. One resident visits a Mental Health Day Centre. The manager said that religious leaders from all denominations visit the home on a regular basis. In addition, the home would also make arrangements for residents to attend church etc., if they wished to do so. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Robust complaint and adult protection policies and procedures make sure that the residents are listened to and protected from any form of abuse. EVIDENCE: The home has a complaints procedure and residents and relatives said that they were aware of the procedure and know what to do if they are unhappy with the care/service provided. The manager confirmed that no complaints had been received since the last inspection. Policies and procedures are in place about adult protection and all staff have received adult protection training. Members of staff said that they were aware of the home’s policy on ‘whistle blowing’ and their responsibility to safeguard the residents from all forms of abuse. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23 and 24 The home provides a very pleasant, comfortable and safe environment for the residents. EVIDENCE: The home provides well-planned spacious accommodation. Residents and relatives said they we very happy with the standard of accommodation. The owner has undertaken work on the bathrooms to make sure that they are fully accessible to the residentss. Two further bathing facilities are scheduled for upgrading work. There is a variety of pressure relieving equipment, including repose mattresses, which are sterilised after use, auto excel mattresses, repose cushions and power cushions. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The home has now established a stable staff team, which ensures that the residents receive continuity of care. The manager is currently undertaking a recruitment drive to increase the staff numbers. EVIDENCE: A rota for the week of inspection showed that enough care staff are employed on day and night duty to meet the needs of the residents. All members of care staff providing personal care are over eighteen years of age and all senior members of staff are over twenty-one years of age, in line with the National Minimum Standards. The manager said that the home continues to occasionally employ agency staff, however, a recruitment drive is currently under way. The manager confirmed that the home’s recruitment and selection procedures for new employees is thorough and includes two written references and a Criminal Records Bureau (CRB) check. All new members of staff receive induction and foundation training. Following this, there is an expectation that they will study for a National Vocational Qualification (NVQ) at level two or above, depending on the post they hold. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38 The home is well run. The manager provides good leadership to the staff team and ensures that the residents’ rights are protected and their needs are met in line with their care plan. Policies and procedures are in place to ensure the health and safety of the residents, visitors and members of the staff team. EVIDENCE: The manager communicates a clear sense of direction and leadership to the staff team and they said that she has an open and approachable management style. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 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 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 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 X X 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 X X 3 X 3 X X 3 Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 18 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. Refer to Standard YA7 Good Practice Recommendations The manager and senior staff should ensure that staff always record the care provided. Redcourt DS0000001493.V257895.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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