Inspection on 18/01/07 for Redcourt

This inspection was carried out on 18th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Redcourt 08/01/09

Redcourt 12/09/05

Redcourt 14/04/05

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 West Yorkshire LS28 7RZ Lead Inspector Hebrew Rawlins Key Unannounced Inspection 18th January 2007 09:00 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.V322571.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. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 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 Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (40) Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 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 WCs in the home that are fitted with bath aids etc. Information about the home and the services provided is available to prospective residents in the form of a Statement if Purpose and service user guide. The current fees range from £395.00 per week to £427.00 per week with additional charges for hairdressing, chiropodist, newspapers and toiletries. This information was provided by the manager as part of the pre-inspection questionnaire completed before this inspection. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This unannounced key inspection took place at 9.00am on the 18th January 2007. The purpose of the visit was to monitor standards of care in the home and to look at progress in meeting the requirements and recommendations made at the last visit. The manager completed a pre-inspection questionnaire. The information provided has been used in the preparation of this report. The people who live in the home prefer the term ‘resident’ and this will be used throughout this report. Before the inspection I sent out survey cards to residents, relatives and health care professionals. I received nine completed survey cards from relatives, two from health care professionals and seven from residents. Comments from the survey cards can be found throughout this report. During the inspection I spoke to residents and staff on duty, I looked at records and made a tour of the building. Feedback at the end of this inspection was given to the manager. I would like to extend my thanks to everyone who contributed to the inspection and for the hospitality during the visit. What the service does well: The manager and her staff provide stability and continuity for the residents. There is a warm and welcoming atmosphere at the home and recently admitted residents spoke highly of how they had been helped to settle in. One GP surveyed said, “I have always been impressed with the knowledge of patients’ needs and the care shown to them. It is a pleasure to visit.” Comments on relatives’ survey cards included, “Mum is happy and well looked after, carers go out of their way to make sure Mum’s needs are met.” “ The Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 6 staff, management and owners are all kind and caring”. I feel that I have known them for a long time, they are a very friendly hard working team that get on well together.” The environment is safe and well maintained. Residents’ rooms are comfortably furnished. The home was clean and fresh and there were no offensive odours. One resident said “this is one of the better homes it is always clean.” The staff are caring and patient and have clear respect for the dignity and privacy of the residents. They know how to care for the residents and there is good liaison with a range of other healthcare professionals to make sure that healthcare needs are met. Residents are pleased with the meals; comments made during this visit included, “The meals are very good, every day there is something different.” “The meals are lovely.” What has improved since the last inspection? What they could do better: During the feedback session the manager and the senior carer were aware of some of the shortfalls and showed a commitment to addressing these quickly. They listened carefully to feedback and were eager to improve the home’s overall quality rating. To achieve this, improvements must be sustained and the following must be addressed. Care plans must be kept up to date to make sure that staff have precise and up to date information on what care to give and how to give it. There must be information about all aspects of the resident’s health, personal and social care needs. All care records must have a current photograph of the resident. Reviews of care plans must show how the care plan is still meeting people’s needs. Although there is a list of activities for residents each month they should be recorded in residents files. A number of windows are rotting and need replacing. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 7 Requirements and recommendations have been made and appear at the end of this report. 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. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 8 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.V322571.R01.S.doc Version 5.2 Page 9 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, 4, and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the opportunity to visit the home, stay for a meal and speak to other residents before making any decisions about admission. The home carries out a pre-admission assessment to make sure that it can meet the person’s needs. EVIDENCE: There is a statement of purpose and service user guide available for prospective residents to provide information about the facilities and services at the home. There were assessment details in all of the care records sampled, and staff said that they had enough information about the care needs of people before they were admitted. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 10 It was clear that prospective residents are given the opportunity to visit the home as many times as they like. One person visited the home with her family before deciding to move in. Another resident told me that she visited the home, stayed for a meal and spoke to other residents. She said that she liked it very much and didn’t look anywhere else because she had decided that this was the place for her. Residents said that the staff had been very helpful when they had initially visited the home. They had shown them round, answered any questions and provided general information about the care provided. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 11 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 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ health care needs are met, and the care planning has the potential to provide good care records if used properly. However, care plans are not always followed through, dated and signed, so there is the opportunity for needs to be overlooked. Medication practices are good, the home follow safe guidelines and return unused medication to the pharmacy. Residents are treated with dignity and respect. EVIDENCE: A number of care records were sampled. In one resident’s care plan it state that district nurses would be visiting her for a week. There was no evident this was followed through and what instructions were given to staff. No care plans were in place for night time/sleep and bedtime routines. In two cases there Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 12 was no photograph of the resident. It was written that a resident could contribute to the care plan. However, there was no evidence showing he had. There were similar omissions. One person had short-term memory loss but there was no plan for managing this. She had no care plan for managing her depression and anxiety Care plans are reviewed monthly, but these reviews are not robust and do not show what factors have been taken in consideration. For example in most cases the record state ‘reviewed no change.’ In all of the care records sampled there was evidence of health needs being met, by chiropody, visits from GPs and district nurses. In the survey returned relatives said that they were always kept informed of any changes in resident’s condition. Another relative surveyed said that carers go out of their way to make sure health care needs are met. Medication records were sampled and found to be in order. The home makes sure that any unused medication that has been prescribed for a resident is returned to the pharmacy. Through observation on the day of the inspection, and by speaking to residents and staff it is clear that the privacy and dignity of residents is respected. Staff demonstrated great patience and sensitivity in promoting independence. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 13 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to be part of the decision-making process and make choices about their daily lives. They are supported to maintain contact with family and friends. Visitors are welcomed at the home. A good, varied and nutritious diet taking into account individual choices is provided at the home. EVIDENCE: Residents said they are able to choose when they go to bed and get up as far as possible. They are also encouraged to make their own decisions about their daily lives. There is a programme of activities, which is regularly discussed. On the day of the visit one of the activities taking place was the weekly quiz. Although there is a list of activities for residents each month they are not recorded in residents files. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 14 Resident said visitors are welcomed at the home at anytime and they are able to see their visitors in private. Survey cards returned by relatives said that they were delighted with the care their relative was receiving. Resident described staff as patient and very caring. There is a menu programme in place and clear records are kept of the food served to residents. The lunchtime meal looked and smelt appetising and residents enjoyed their food with individual likes and dislikes being taken into account. Residents said the food was good. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 15 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives feel listened to and know how to make a complaint. Staff are clear about what constitutes abuse and how and where to report any suspicions or allegations of abuse. EVIDENCE: There is a complaints procedure at the home that is made available to residents and their families. There have not been any recent complaints received at the home. The manager is highly visible in the home and residents find her approachable. Six out of nine relatives who returned survey cards said that they are not aware of the home’s complaints procedure. The manager said she would bring to the attention of relatives the home’s complaints procedure, which is displayed in the entrance and in the home’s statement of purpose. A resident said she was aware of the procedure and said, “The manager and staff are always ready to listen to any small problems.” Another resident said, “Staff listen to you, I would definitely complain if I needed to.” There are in-house procedures for staff to follow which correspond with the local authority multi agency procedures for the protection of vulnerable adults. However not all staff in the home have had adult protection training. Redcourt DS0000001493.V322571.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, 23, 24, 25 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall, residents live in a pleasant, comfortable and well-maintained environment. EVIDENCE: The home was fresh, clean and tidy and there were no offensive odours. During a conversation with a resident the home was described as, “One of the better ones, that was always clean.” Residents’ bedrooms are of a good size and are comfortably furnished with many residents bringing some personal items with them. Residents said that they were pleased with their rooms and were glad to have many of their own personal belongings with them. The communal lounges and dining rooms are on the ground floor and are appropriately furnished. The areas of the home used by residents are well Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 17 maintained and there is a planned programme to replace a number of windows and add a conservatory. There are always supplies of gloves, bags, and aprons in all areas where clinical waste is handled. There is call bell system and resident said they felt that they did not have to wait long when they used the call bell. Staff were seen to knock on doors before entering residents bedrooms. Redcourt DS0000001493.V322571.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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by robust recruitment procedures. Staff are trained and competent meet the needs of the resident. EVIDENCE: The duty rotas indicated that there were sufficient staff to care for the residents. Recruitment practices are satisfactory with all the necessary checks being carried out for staff before they start work at the home. Staff spoken to and observed during the inspection appeared relaxed and confident. They displayed a commitment to the service and an understanding of the residents in their care, which demonstrated efforts they had made in responding to residents as individuals. The comments made by residents were very positive about the staff. They complimented their care and kindness in meeting their personal needs. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, the interests of the residents are seen as very important to the manager and staff and are safeguarded at all times. EVIDENCE: The manager has been at the home for a number of years providing stability at the home and she provides clear leadership to the staff. Residents or their families deal with finances in most cases and the home only takes responsibility for a small number of residents’ money. Records for these residents and receipts of all transactions are kept. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 20 Health and safety information is displayed throughout the home and a whole range of risk assessments are carried out for the building and working practices. Health and safety of residents and staff is promoted and protected. Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 21 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 3 3 N/A 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x 3 3 3 3 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 4 4 3 x 3 3 3 3 Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Timescale for action 01/03/07 2 OP19 23 The home must keep precise and up to date information on what care to give and how to give it. Care plan must be kept up to date for all aspects of the resident’s health, personal and social care needs. Reviews of care plans must show how the care plan is still meeting people’s needs. Rotting windows must be 01/09/07 replaced. 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. 2 3 Redcourt Refer to Standard OP7 OP7 OP7 Good Practice Recommendations The home should show evidence of resident’s involvement in their care plan. All care records should have a current photograph of the resident. Activities residents have taken part in should be recorded in resident’s files. DS0000001493.V322571.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Redcourt DS0000001493.V322571.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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