Inspection on 14/04/05 for Redcourt

This inspection was carried out on 14th April 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 12/09/05

Redcourt 09/11/04

Redcourt 21/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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 LS28 7RZ Lead Inspector Graham Drye Unannounced 14th April 2005 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. REDCOURT Version 1.10 Page 3 SERVICE INFORMATION Name of service REDCOURT Address Grove Road 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) 0113 2557313 0113 2557313 Castlegrounds Limited Ms M Wadsworth CRH 40 Category(ies) of PC registration, with number of places REDCOURT Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 9th November 2004 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 font 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 wc’s in the home fitted with bath aids etc. REDCOURT Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit for this inspection year 2005/6. The inspection was unannounced with the next inspection being announced. The inspection took place over the morning and early afternoon of 14th April 2005. It focused on issues outstanding from the last inspection, records, the premises and discussions with service users. A total of 12 service users were spoken with during the inspection. Three were detailed discussions relating to their care plans. Brief discussion did take place with the staff regarding general issues relating to the home. There is a commitment from the proprietors to upgrade the building to meet the current needs of the service users. The manager is continually developing the service delivery and the supporting records to ensure that the care that is delivered is fully evidenced. It was clear fro this inspection that the service users and the staff continue to benefit from a strong democratic style of management. The service users spoken to by the inspector were all complimentary of the quality of life in the home. What the service does well: What has improved since the last inspection? REDCOURT Version 1.10 Page 6 There has been considerable improvement to the building since the last inspection. The proprietor has refurbished the ground floor bathroom and the 1st floor bathroom is currently being refurbished. New carpet has been fitted in 1 of the lounges and the room has been redecorated. A number of the service users bedrooms have been redecorated. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. REDCOURT Version 1.10 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 REDCOURT Version 1.10 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) 3, 4 6 Service Users are encouraged to make an informed choice about the home through visits to look round. The home ensures that it can meet the needs of prospective residents before they are admitted. EVIDENCE: All the service users are only admitted to the home following a full assessment of need. The inspector examined a number of care plans including the most recent admission to the home, and found that the information on the service users need was clearly identified. The home uses the “ easy care” format as a basis for the initial assessment for those service users who are admitted via the health and social services. These records are then up-dated as the needs of the service user change. The manager undertakes a full assessment for self- funding service users. The inspector examined a number of these assessments and found the information on need fully documented and subsequently updated and signed. REDCOURT Version 1.10 Page 9 The files the inspector examined confirmed that the service users have been enabled to access appropriate specialised support services including community Psychiatric nursing services. All service users are registered with local GP services and where appropriate hearing and sight needs are met. Currently the home are not contracted to provide intermediate care. REDCOURT Version 1.10 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 standard(s) 7 The needs of residents were being met EVIDENCE: The inspector examined a number of service users files were seen all contained an up to care plan which sets out clearly the needs of the individual service user. There is written evidence of the staff meeting service need. However the inspector found that on a small number of files that the recording of the delivery of care could be better documented with clearer evidence of senior staff oversight. Health Care needs of individuals are documented including the involvement of District Nursing Services. Where appropriate service users nutritional and fluid intake is monitored. Routine hearing and sight tests are undertaken. Pressure area care where needed is addressed with input from the district nursing service. The inspector examined the medication records these are well maintained, all dispensing is covered by appropriate signatures. REDCOURT Version 1.10 Page 11 The records for those service users on controlled drugs are appropriately maintained. Controlled drugs are stored in a separate metal cabinet. Only senior staff dispense medication although all staff have a NVQ 2 in medication administration, copies of the the NVQ certificates were seen on the staff files. A small number of service users manage part of their medication. Risk assessments were seen by the inspector on file. The inspector spoke with a number of service users who expressed satisfaction with the level of care they received. A small number stated that they held keys to their bedroom door. Service users also told the inspector that they were encouraged/enabelled to bath independtley. Staff were seen throughout the visit to interact with the service users in a manner which reflected individuals dignity. REDCOURT Version 1.10 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 standard(s) Service Users are enabled and encouraged to participate in and continue with their chosen social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. Meals are enjoyed by residents. EVIDENCE: The inspector spoke with a number of service users about the social stimulation in the home. They all stated that they were happy with the level of activities provided in the home. The home has a contracts with Motivation & Co who visit once per week, and Kalidascope who visit 3 times per week to provide social activities. One service user visits a Mental Health Day Centre. REDCOURT Version 1.10 Page 13 REDCOURT Version 1.10 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 18 Service users are protected and feel safe living in the home. EVIDENCE: The home has an extensive complaints procedure, which meets all the requirements. The inspector examined the homes complaint record which showed that there had been no complaints since the last inspection. Service users spoken to confirmed that they knew how to raise concerns/complaints. The home adult abuse policy is linked to the Government guidelines on whistle blowing called “No secrets.” All staff have had training on the indicators of Adult Abuse. All care staff are undertaking NVQ training part of which covers adult abuse. The inspector examined a number of staff files and found that training records were available. REDCOURT Version 1.10 Page 15 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 21 26 The premises meet the needs of service users.However there needs to be ongoing work to ensure that the bathrooms are fully accessible to service users. EVIDENCE: The home is well presented both externally and internally. The home has a rolling programme for redecoration and upgrading. The proprietor has a rolling programme of refurbishment. There has been extensive refurbishment of the ground floor bathroom and 1 of the 1st floor bathrooms. On the 1st floor is a shower room which is not usable by the service users, consequently the service users choice is severly restricted. There is a choice of sitting areas including separate smoking area for service users. All sitting areas are light and airy with views into large private gardens. At the time of the visit there were no malodours present all ancillary staff have had COSHH training. REDCOURT Version 1.10 Page 16 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 30.The recruitment procedure meets the standards and provides safeguards to the people living in the home.Deployment of staff is appropriate to meet the needs of the service users There are sufficient skilled and trained staff to meet the needs of the service users. EVIDENCE: Currently the home are operating with five care assistants and one senior care on the morning shift, 4 care assistants and 1 senior on the afternoon shift, the home are recruiting further care staff in order to increase day time staffing levels, to meet the personal care needs of the service users. There is also employed ancillary staff who, clean and provide a laundry service and make beds. All new employees are subject to 2 written references and a clear check.Criminal Records Burau Each member of staff has a contract of employment, confirmed a check of records. All care staff are undertaking NVQ training. The inspector examined a number of staff files and found that training records were available. REDCOURT Version 1.10 Page 17 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 33 35 EVIDENCE: The manager has considerable experience of managing a care home for Older People, this is reflected in the staff practices and the standard of the care the inspector observed being delivered by the care staff. Service users spken to by the inspector praised the openness and availability of the manager. The manager has a quality assurance system, which involves all families and involved health care professionals and service users, in providing feedback on the quality of the service. The results of these processes are published annually. The inspector examined the records of monies held on behalf of the service users and found them to be accurately maintained. P.A.T testing carried out June 2004 Gas Certificate 1st December 2004 Electrical Testing June 2004 Report of Thorough Examination of passenger lift 7th April 2005 Enviromental Health Food Hygiene September 2004. REDCOURT Version 1.10 Page 18 REDCOURT Version 1.10 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x 2 x x x x 3 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 3 x 3 3 x 3 x 3 x x x REDCOURT Version 1.10 Page 20 no 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 21 Regulation 23(2)((j) Requirement the registered person shall having regard to the number and needs of the service users ensure that there are provided at appropriate places in the premisis sufficient numbers of lavatories and of wash-basins, baths and showers fitted with hot and cold water supplies. Timescale for action 1.09.05 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 7 Good Practice Recommendations Staff provide better written records of the care delivered. Senior staff evidence their involvement in the record keeping REDCOURT Version 1.10 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley 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. Extracts may not be used or reproduced without the express permission of CSCI REDCOURT Version 1.10 Page 22 - 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!