Inspection on 08/01/09 for Redcourt

This inspection was carried out on 8th January 2009.

CSCI found this care home to be providing an Good service.

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 18/01/07

Redcourt 12/09/05

Redcourt 14/04/05

Redcourt 09/11/04

Redcourt 21/05/04

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Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Redcourt Grove Road, Chapeltown Pudsey Leeds West Yorkshire LS28 7RZ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Frederick Rawlins     Date: 0 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Redcourt Grove Road, Chapeltown Pudsey Leeds West Yorkshire LS28 7RZ 01132557313 01132557333 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Castlegrounds Limited care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 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 people in the form of a Statement if Purpose and service user guide. The current fees Care Homes for Older People Page 4 of 26 Over 65 10 10 40 0 0 0 Brief description of the care home range from £421.18 per week to £458.00 per week with additional charges for hairdressing, chiropodist, newspapers and toiletries. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: A visit was made on 8th January 2008 from 08:45 to 16:30. The home did not know that this was going to happen. The inspection was conducted in the company of the manager. Feedback was given to her at the end of the visit. The purpose of the visit was to assess what progress the home had made in meeting the rquirements made in the last inspection report and the impact of any changes in the quality of life experienced by people living at the home. Before visiting the home the inspector asked for information from the manager (the Annual Quality Assurance Assessment - AQAA) which asks about what policies and procedures are in place and when they were last reviewed, when maintenance and Care Homes for Older People Page 6 of 26 safety checks were carried out and by who, menus used, staff details and training provided. The methods used during the inspection included talking to people who live in the home, staff, manager and relatives visiting at the time. Care records were looked at and a tour of the home was carried out. At the time of writing this report, the fees charged for care provided were 421 pounds 18 pence to 458 pounds per week. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Older People Page 8 of 26 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can make an informed choice about the home through visits and the information they are given. Evidence: Information for people and visitors is available in the reception area, along with a copy of the statement of purpose and service user guide both are continually reviewed. The manager said people are encouraged to visit the home prior to admission and no one is admitted without a full needs assessment. This is carried out by the manager who also involves community based professionals and family/carers. Four people we spoke to said they felt well informed before they moved into the home. One visitor said they chose the home after looking round a few. The family and their relative came to look round a few times. They said that they had been given all the information they needed to make an informed decision. Care Homes for Older People Page 11 of 26 Evidence: Information from surveys and talking to people said that: They had been given enough information about the services provided by the home. One person said this home was recommended by several people and Social Service were very helpful. In one of the survey a relative said The inspection report was available. We were made very welcome to visit, with the opportunity to discuss any comments in the report and to ask whatever questions we wanted before we decided on a home for mum. It was said by a relative that Redcourt sometimes seems a little congested, however staff always seem alert to individual needs. The manager said they aim to introduce a welcome pack/handbook which will be placed in room of choice for each person which will include all necessary information with regards to the home and the daily running of it, including key workers name. They will also include telephone numbers of Advocacy groups ie: age concern and an overview of the last Commission report. Each person has a written contract and a statement of terms and conditions with the home. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health care needs are met but the lack of person centered care plans provides the opportunity for some needs to be overlooked. Evidence: All the people living at the home permanently have a care plan providing information about care needs. The level of detail was variable with some good detail seen about care preferences. There was clear evidence that health care needs are identified and met with the input of other health-care professionals. Information provided in the Annual Quality Assurance Assessment (AQAA) stated that primary health care needs are met and people have access to specialist services and records demonstrate responsiveness to health needs and monitoring of needs. Health-care professionals visiting the home felt that staff respect the dignity of people living there and observation on the day of the visit supported this view. Responses in surveys stated that the service; Takes personal interest in individuals treats people Care Homes for Older People Page 13 of 26 Evidence: with respect and that staff are flexible and willing. The manager has identified that some of the care plans need to be more person centered and she is working on making the changes. Despite the shortfalls in records staff spoken to had a good awareness of peoples needs and appear to be making sure peoples needs are met. Some of the plans would benefit from additional information about the individuals needs, abilities and preferences. For example:The care plans for people with dementia did not say how it affected them and how staff could help them. All areas of personal care and support needed were around problems with poor memory and being disorientated. On examination of two records there was no evidence that people had been weighed when admitted. The care records must clearly show the weight of people and what action has been taken by staff to ensure dietary needs are addressed to prevent serious consequences to their health. It was not clear that care plans were fully reviewed on a monthly basis and any change found actioned. It was pointed out to the manager who agreed that a number of peoples care needs had changed, however the reviews looked at stated no change had taken place. It was clear from observation that staff treat people with respect and preserve their dignity. Discussions with staff and people at the home made it evident that staff know them well and know how to meet care needs. There was no record to available to show that at the time of people death, staff will treat them and their family with care, sensitivity and respect. Although the manager did assure me that would be the case. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples choices are respected and contact with family and friends is encouraged. Evidence: Relatives and visitors said that they could come at any time and they were always made to feel welcome. The atmosphere in the home was warm and friendly. It was clear that there were good relationships between people living in the home, their visitors and staff. People said that they could choose how to spend their time, when to get up, when to go to bed and where to eat their meals. However there was no evidence of this recorded in peoples care plans. There is a regular programme of activities through the week. It includes reminiscence sessions, sing- a-longs, quizzes and bingo. Everybody is encouraged to join in but people can choose whether or not they want to. Everyone spoken with said how much they enjoyed the Christmas activities. Menu plans are in place and these are changed at regular intervals. People can choose Care Homes for Older People Page 15 of 26 Evidence: what they want to eat and alternatives are always available if they do not want what is on the menu for that day. Meals were nicely served and people said that they enjoyed their food. The kitchen was clean, tidy and well organised. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their concerns will be listened to, taken seriously and acted on. Evidence: There is a complaints procedure is in place. It is made available to everybody in the Statement of Purpose. People said that they knew what to do and who to speak to if they had any concerns. The home has adult protection policies and information in place and the home has got copies of the local authority adult protection procedures. Most staff have received training around abuse. Staff said that they would report suspected or actual abuse to the person in charge. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home enables people to live in a safe, and comfortable environment, which encourages independence. Evidence: The home was clean and tidy. People were happy with their rooms and said that they were kept clean and free from smells. The rooms seen were nicely decorated and furnished. It was clear that people can bring their own belongings, and furniture where possible, to personalise their rooms. There is a range of communal space where people can meet with their families and friends. There is adequate provision of communal toilets and assisted bathrooms. The nurse call system was activated and the response was good. Disposable gloves and aprons are available and there is adequate provision of soap and disposable towels for staff use. This helps to make sure staff follow good infection control practice. Care Homes for Older People Page 18 of 26 Evidence: People said they were satisfied with the laundry services. Clothes and linens seen were clean, well laundered and ironed. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by robust recruitment procedures. The staff are trained and competent to do their jobs. Evidence: There are staff on duty throughout the day and night. There are usually five or six staff on each shift through the day. There is also three staff on waking night shift. In returned surveys, relatives and people living in the home spoke highly of the staff. Comments included, staff are well trained and they are very caring staff. Recruitment is in the main, properly managed; interviews are held, references and CRB (Criminal Records Bureau) checks are obtained before staff start work and checks are made to make sure staff are eligible for work. Two people spoken with said they felt safe and a relative commented I think staff are well trained to do their job another said when I come I observe staff doing their jobs very well. Information provided by the manager said over 50 percent of staff have their National Vocational Qualification (NVQ) at level two or above in care. Care Homes for Older People Page 20 of 26 Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in a manner that promotes good service delivery in the best interest of people using the service. Evidence: The manager has several years experience of caring for older people. She has a positive attitude to the inspection process and have shown a willingness to work with us to maintain and improve standards at the home. During the site visit she discussed her commitment to making sure the home puts the interests of the people in the home first and provides the best possible quality service. The manager ensures staff are supervised and supported to enable them to care for the people in the home. However this has lapsed a little, it was agreed this would be addressed. Care Homes for Older People Page 22 of 26 Evidence: Information from the Annual Quality Assurance Assessment (AQAA) said that all maintenance and safety checks were carried out and kept up to date. This is to ensure people living in the home are safe. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 1 2 3 7 7 7 Care plans should be fully reviewed at the agreed time and any changes recorded and actioned. Some care plans would benefit from additional information about individuals needs, abilities and preferences. The care records should clearly show the weight of people who uses the service so dietary needs can be more ably addressed. There should be a record to show what peoples wishes are at the time of their death. All staff should have regular formal supervision at all time, to enable them to discuss their work and address any difficulties they may be having. 4 5 11 36 Care Homes for Older People Page 25 of 26 Helpline: 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 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!