Inspection on 19/12/05 for Redcourt Care Home

This inspection was carried out on 19th December 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 Care Home 15/10/08

Redcourt Care Home 30/04/07

Redcourt Care Home 16/11/06

Redcourt Care Home 30/08/05

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

CARE HOMES FOR OLDER PEOPLE Redcourt Care Home 2 Carnatic Road Liverpool L18 8BZ Lead Inspector John McCabe Unannounced Inspection 19th December 2005 09:30 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 Care Home DS0000063012.V273766.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 Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Redcourt Care Home Address 2 Carnatic Road Liverpool L18 8BZ 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) 0151 724 1733 Argyle Care Group Limited Care Home 51 Category(ies) of Dementia - over 65 years of age (51) registration, with number of places Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 Brief Description of the Service: Redcourt Care Home is a large establishment providing personal care for up to 51 older persons with organic mental disorders. The home consists of two units one of which is the original build of many years ago, called Claret, and a newer building, known as the Mews. Both buildings have lounges, dining rooms, and quiet areas for service users. Bathrooms and toilets are on each floor. Bedrooms are fully furnished with carpets and curtains, and fitted furniture, some residents have personalised their own rooms. There is a large internal/secure garden and courtyard as well as external garden area. The home is situated in a quiet residential area close to Sefton Park and the local amenities. The home has off road parking. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours; the home’s acting manager was present throughout the inspection. A tour of the building took place, which included the majority of residents’ room, kitchen, laundry and garden areas. The personal files of residents and care staff were reviewed, including the finances of the residents. The inspector spoke with both staff and residents to ascertain their views of the care home. The home was clean and tidy, and had adequate staffing to care for the residents. What the service does well: What has improved since the last inspection? What they could do better: The homes job application form for prospective new employees should be updated to include more evidence of work history and referees. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 6 The homes cellars should be cleared, and combustible items removed from the premises. 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 Care Home DS0000063012.V273766.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 Care Home DS0000063012.V273766.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): 1,2,3,4,5. The Home’s Statement of Purpose is up to date and ensures that the home stays within the category of resident agreed with the commission, and prospective residents have some knowledge of the home before they decide to move in on a permanent basis. The residents’ pre-admission personal care assessment documentation is relevant and comprehensive; this ensures that the skill mix of the workforce in the home can meet the residents’ identified care needs. EVIDENCE: All residents in the home are provided with a statement of terms and conditions, plus a contract when they move in to the home on a permanent basis. Residents are able to visit the home or have an overnight stay before they move in on a permanent basis. The home’s senior carers undertake a pre admission assessment on residents before they are admitted to the home, to ensure care needs are Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 9 Identified. Other health care professionals known to the resident are also involved in the assessment Care staff in the home undertake mandatory and specialist care training, which is ongoing. Specialist care training includes dementia, stroke, diabetes, and challenging behaviours. This training is to help ensure that the assessed and changing care needs of the residents are met. Redcourt Care Home DS0000063012.V273766.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): 7,8,9,10 Residents’ individual health, personal and social care needs are clearly recorded, and provides care staff the information they need to meet the residents care needs. Personal support in the home is offered in such a way as to promote and protect the residents’ privacy, dignity and independence. EVIDENCE: All residents in the home have an individual care plan, which is formulated on admission to the home, reviewed by the senior carers on a monthly basis. Daily health records are documented for each resident, this includes any critical incidences plus any visits from GPs, specialist nurses etc. The Primary Care Trust (PCT) tissue viability nurse or district nurse will visit the home at any time if needs arise. One resident in the home has a pressure sore, the district nurse comes daily to treat the wound and advise staff in the home. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 11 It is recommended that when a resident has pressure sore it should be photographed and skin mapped, both for legal purposes, and to monitor the healing process of the wound. No resident in the home self medicates, all medications for residents are administered by carers in the home, who have undertaken drug administration training. The protocols for the receipt, storage, disposal, and documentation of medications in the home are in accordance with the National Minimum Standards (NMS) All residents in the home can access their NHS entitlements, which include access to dentistry, opticians and chiropody services. Residents’ documentation is kept secure in the home in accordance with the Data Protection Act 1998, thus maintaining confidentially. Redcourt Care Home DS0000063012.V273766.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): 12,13,14,15. Residents do have opportunities to exercise some degree of choice over their lives and they do have flexibility about how they spend their day in the home. This encourages independence and individuality for each resident. Residents receive a varied nutritious diet that is in accordance with their preferences. EVIDENCE: Residents at the time of their admission are asked about their lifestyle preferences. Each resident, with help from a family member, is encouraged to complete a “Getting to know you” questionnaire, which is a “Work life History” of the resident, and includes past significant events such as schooling, work, hobbies, as well as food likes and dislikes etc. This information is used to plan organised activities for the resident. The home has employed an activities coordinator for twenty-four hours per week. The activities coordinator and the residents had prepared and made many of the decorations and Xmas cards in the home. When residents participate in activities, the outcome is recorded in their personal file. Visitors are allowed in the home at any reasonable time of day and residents may entertain their visitors either in the communal lounges, or in their own Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 13 bedroom. The gardens are ideal setting for residents to sit with their relatives, especially in the summer months. Since the manager took over the home eight months ago, more relatives are visiting, and being involved in meetings and activities planning for their relatives. The home has employed another experienced chef to cover weekend work. The resident’s menus are printed and are planned on a two-week rota further menus are planned. Resident’s menus are displayed on white boards in the various lounges and dining rooms. Resident told the inspector that the enjoyed their “Full Breakfast” every day, and their “roasties” on Sundays. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 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 the following standard(s): 16,17,18. The home has a satisfactory complaints system, with evidence that residents feel their views are being listened to and acted upon. The homes policy and training programmes for POVA, and Whistle blowing, ensure that the homes residents are protected from any abuse. EVIDENCE: There have been no internal complaints, and no complaints were reported to the commission since the last inspection. The care home has up to date information on the Protection of Vulnerable Adult, (POVA) this information is communicated to new employees on their induction course. On the day of the inspection there was evidence that many of the staff in the home had undertaken training on POVA protocols, and the Whistle Blowing Policy. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 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 the following standard(s): 19.20,21,22,23,24,25,26. The standard of decor within this home is improving, with evidence of continuing improvements, through a programme of planned maintenance. The home is now beginning to present as a much more homely, safe and comfortable environment for the residents. EVIDENCE: Since the last inspection, all the main corridors in the home have been redecorated and painted. Many new pictures have been hung on the walls, and new furniture put in alcoves. There is documented research which states that people with dementia benefit from extra light especially throughout the daytime hours; the new “Light and Airy” look of the home should benefit the residents. The building looks brighter and more cheerful. New carpets will be laid after Xmas in the main corridors, and suitable flooring laid in the resident’s dining Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 16 rooms. The laundry storage room will also be painted and resident’s communal bathrooms upgraded. This investment is welcome and is a positive sign of the resident focussed approach. However, the cellars of the home need to cleared of rubbish and many various combustible items, as these are a potential fire risk. The newly appointed handyman assured the inspector that the cellars would be cleared as soon as possible. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 17 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): 27,28,29,30 The standard of vetting and recruitment practices has improved with the appropriate checks being carried out on all new staff. This ensures that the residents are not put at risk. EVIDENCE: The home’s recruitment policy is robust and in accordance with the NMS. All staff in the home have an up to date CRB/POVA enhanced certificate, so ensuring the safety of the residents. The acting manager told the inspector that there is four staff vacancies in the home, for full time care staff. The acting manager is aware of the Working Time Regulations 1998. Staff who work long hours (more than 48 hours per week) sign the Individual Opt-Out Agreement (Reg 4 (1)). The home’s application form for prospective employees needs to be updated to include more space for work history, and names, addresses of referees. During case tracking of application forms for new care staff, the inspector discovered a number of anomalies in two of the applicant’s written details. Phone calls were made to referees that had been submitted by two different applicants. On both occasions the telephone numbers and the name of the referees were incorrect. The acting manager discarded the two application Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 18 forms, telling the inspector that the applicants would not be considered for work in Redcourt. Argyle Company has its own Training Officer who visits the home and undertakes training programmes for the staff, which hopefully benefit the residents, care programmes. The acting manager supports and promotes those staff that wish to complete NVQ programmes and other types of management training. Mandatory and specialist training for all staff is ongoing in the home; this was evidenced in the personal files of the staff. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38. Staff morale is high in the care home, resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life, plus the turnover of care staff is low. The home regularly reviews aspects of its performances through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives. EVIDENCE: The acting manager has been employed in Redcourt since April 2005; previously she was a registered manager in another of the company’s homes. The proposed manager has BA (Hons) Nursing in Learning Disabilities, and NVQ Level 4 in Management. At present the acting manager is awaiting registration with the CSCI. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 20 The manager told the inspector that she recently went on a two-day training course run by the Alzheimer’s Association. The information gained from the course was cascaded to the other carers in the home. Staff and some (some residents were unable to verbalise) residents informed the inspector that, the home was run in an open, positive and transparent way. Both staff and residents/relatives have regular meetings with the manager; the meetings are minuted and actioned upon. The acting manager actively involves relatives of residents in meetings, and planning activities. Since the new manager took up the post, visiting has increased in the home; there are fewer complaints to the CSCI. All staff in the home have documented supervision six times per year, this ensures that all staffs have the opportunity to discuss with the manager, and other senior carers, any issues, which can effect or improve the care for the residents. Documented supervision of all staff gives the staff and managers opportunities to discuss their own /or identified training needs. Where possible residents or a family member look after financial affairs of the resident. The home doesn’t hold any bank accounts for individual residents. There is always a qualified First Aid person on duty in the home. Access to the Internet is available in the Administrator’s office, this provides the manager with the opportunity to source information from various web sites on care plans, POVA, access to the DH, CSCI etc. The homes certificates of insurance and worthiness for machinery, gas, electricity, fire equipments, lift, hoists, Employer’s Liability Certificate were in date and valid. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 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 3 8 3 9 3 10 3 11 3 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 3 18 3 2 3 3 3 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 3 3 3 3 3 3 3 3 Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 22 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 OP19 Regulation 23 Requirement The registered person must ensure that the homes cellars are cleared of combustible items to ensure the safety of all personnel in the building. Timescale for action 31/01/06 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 OP29 Good Practice Recommendations It is recommended that the homes job application forms are updated to include more information on past work history of prospective employees, and their referees. Redcourt Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Care Home DS0000063012.V273766.R01.S.doc Version 5.0 Page 24 - 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. 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