Inspection on 30/04/07 for Redcourt Care Home

This inspection was carried out on 30th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 16/11/06

Redcourt Care Home 19/12/05

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 Lynn Paterson Key Unannounced Inspection 30th April 2007 10:00 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 Care Home DS0000063012.V337245.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 Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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 Dawn Marie Wake Care Home 51 Category(ies) of Dementia - over 65 years of age (51) registration, with number of places Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2006 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. Fees are currently £395 per week to live at the home. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Redcourt Care Home was carried out on 30th April 2007 and was undertaken on an unannounced basis. The inspector met with, the manager and her deputy, seven care staff members, resident’s visitors and 38 of the 50 residents living in the home. Records care files, policies procedures, questionnaires returned from resident’s representatives and other documentation was examined and a tour of the premises was carried out. Fieldwork included case tracking three residents, which involved reading all documentation relating to the residents daily living and speaking with the residents and staff who were associated with their care. What the service does well: Staff advised that the home is exceptionally well managed by the manager and deputy manager and staff feel totally supported and valued. Comments included; “The manager and deputy has provided staff with motivation by valuing us and providing us with ongoing training and support” “We just love working here now, the manager has made great changes, which are all excellent”. Staff said they are provided with a good level of training to enable them to keep up to date with all aspects of dementia care. Residents families/representatives said they are very impressed with the high standards of care provided by the staff and feel that the home has improved “beyond measure” in the past few years. Comments included: “It is lovely to see the gentleness and respect with which the residents are treated”, “Nothing is too much trouble for the staff” “The manager and staff ensure that all the residents are provided with a high standard of care which is provided in this lovely homely atmosphere”. “If the staff and services just stay as they are, satisfaction is fully guaranteed” Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 6 All staff spoken with presented as very motivated and totally committed to the provision of individual quality care for all the residents of the home. Care plans, daily records and general documentation were very well maintained at the time of the visit. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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.V337245.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1.2.3. Quality in this outcome area is good. The statement of purpose provides full detail of the service provision of the home and contracts provide further information to enable all residents/representatives to know the terms and condition provided at Redcourt Care Home. Pre admission assessments are clear and detail service users need and wishes to enable a care plan to be developed to meet all assessed need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The statement of purpose is clear and details the aims and objectives of the home, which are “To provide a standard that we ourselves would want to receive if we were the person in need of care”. Observations of staff and residents interactions revealed that the home appears to have achieved it aim. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 9 Records show that contracts are provided for all residents and these documents are signed for by resident’s families or appointed representatives. Copies of these documents are held on file. Care files viewed held detailed information about pre - admission assessments carried out by the manager or her deputy. The assessment process is undertaken prior to a placement being offered and the assessment document provides full details of need, capability, choice and general issues relating to daily living. All pre assessments were clear and fully detailed what care the person would need if they were provided with a placement. The document took into account the facilities in the home to ensure all assessed need could be met. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10. Quality in this outcome area is excellent. Heath and personal care needs are clearly detailed in the residents plan of care and systems are in place to ensure all assessed needs are met. Staff are respectful to all residents and provided with full training to enable them to safely manage medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans viewed were very well organised and showed dates and times of the review of care and who was involved with the review. Care plans were detailed but easy to follow and identified what care was needed, when it was needed and how it was carried out. Staff spoken with were most knowledgeable about care practices and the needs of people who experience dementia and observation practices showed Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 11 they were “exceptional” with their interactions with residents and the provision of needs led care. In discussion staff revealed that they had clear systems regarding the arranging of internal and external medical appointments. Examination of the systems identified that they clearly showed when appointments had been arranged; transport requests and staff who would be needed to accompany the resident to the appointment. Medication records were well managed and staff advised that they had received refresher training in all aspects of medication management since the last inspection. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.14.15. Quality in this outcome area is good. Staffs ensure that residents are provided with a good quality of daily life and social activities, which meet, all assessed need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and staff revealed that they work hard to provide activities and interests for the residents to suit individual choice and capacity. During the visit it was noted that staffs were “dancing with residents”, some residents were sitting looking at television, others were enjoying a sing- along or just pottering about. Daily records showed that activities are provided each day and the manager advised that currently it is the responsibility of care staff to ensure the activities take place. Records show that staff work hard to provide this service, however because they have so many other duties it would be recommended that the home employ a designated activities co-ordinator who has sole responsibility for arranging activities. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 13 The home manager provides a bi-monthly news- letter that is sent to resident’s representatives to give information about “what is happening in the home”. The visitor’s book showed that residents receive many visitors and the compliments book held details to show that visitors to the home are welcomed and “well looked after” with the provision of tea and biscuits. Care plans detailed individual nutritional information to include allergies, choices, favourite foods and capability of eating/digesting food. One care plan showed that care staff had referred a resident to a specialist re a swallowing difficulty and the resident had been greatly assisted by this. Food menus are varied; choices provided as required and dining areas have been rearranged to ensure the maximum comfort of the residents. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18. Quality in this outcome area is good. Complaints policies are in place and resident’s representatives know about the complaints system and are confident any complaints will be listened to and dealt with quickly. Staff are trained and knowledgeable in all aspects of adult protection This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy identified the complaints process and resident’s representatives advised that they knew how to complain if they wanted to. Resident’s representatives said that the home manager and staff were very approachable if they needed to discuss anything. The complaints book was viewed and it was noted that no official complaints had been recorded since the previous inspection. Staff spoken with, were clear in their understanding of what constituted adult abuse, and of what to do if they suspected abuse was taking place? Staff training records revealed that staff, were provided with ongoing adult protection training and staff said they found the training to be useful and informative. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19.26. Quality in this outcome area is good. The home ensures that residents live in a clean safe comfortable environment in which equipment is provided to enable the residents to maximise their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and daily records identified that residents are assessed as an ongoing process and aids/adaptations are provided as required. A tour of the premises revealed that the home has hand -rails and ramped access in the home and all bathroom and toilets are equipped with aids appropriate to need. A tour of the premises revealed the home had a thorough cleaning programme in place to include the daily cleaning of carpets and floors to ensure the premises was clean and hygienic and free from any unpleasant smells. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 16 Resident’s rooms were homely and personalised. Residents representatives said residents were very happy and comfortable their rooms and felt very much at ease in the home. Observational practices and discussions held with resident’s representatives and staff revealed that the home carries out daily risk assessments to ensure the safety and comfort of residents and this was seen to be commendable. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27.28.29.30. Quality in this outcome area is good. The home has clear recruitment policies to ensure that staff members who are appointed are carefully vetted prior to commencement. Staff, are well trained and provided in sufficient numbers and skill mix to ensure residents are safe and well treated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff records identified that staff were not employed in the home without the appropriate checks being undertaken to include Criminal Records Bureaux (CRB) checks and appropriate references being provided. Recruitment policies were clear and identified that equality measures were utilised to ensure all prospective staff were provided with a fair interview process. Record show that staff turnover is low and the home can provide consistency of staff. Staffing rosters revealed that the staffing levels and skill mix were more than adequate to meet the assessed needs of the current residents of the home. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 18 The manager advised that the home recognises the importance of NVQ training to the home and for individual’s personal development. Staff spoken with said they had been encouraged and supported to undertake training, which they felt made them feel valued. Comments included: “The manager and deputy encourage me to develop my skills. They have a belief in me and give me plenty of support”, “Staff are provided with ongoing training to assist them with their own personal development”. All staff spoken with or observed carrying out their duties presented as most capable and totally committed to the provision of high quality care for the people living in the home. Redcourt Care Home DS0000063012.V337245.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): 31.32.33.35.38. Quality in this outcome area is excellent. The home is very well managed and uses quality assurance methods to make sure that the views of the residents/residents representatives as to the running of the home are recorded and addressed. The home employ maintenance staff and utilise clear health and safety policies and procedures which promote and safeguard the health, safety and welfare of the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In discussion it was noted that the manager constantly monitors and reviews policies and practices and it was revealed she had updated some policies and practices in the home, which were seen to be of a high standard. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 20 These included new quality audit forms which create an audit trail in relation to admissions and discharge, care planning and care delivery, housekeeping, staffing and health and safety. Further changes to supervision policy and behavioural management training are planned for the near future. The manager demonstrated in discussion that she is very experienced in her management role and continues to develop her skills and attends meetings, training and development courses to ensure she has full knowledge and understanding of any changes in practice or legislation. The deputy manager presented as skilled and experienced in the care of people who experience dementia was trained and knowledgeable in her role and together with the manager committed to the home management being focused on positive outcomes for the people who live in the home. Comments received from staff about the management team included: “ The managers are really great, they support us and lead by example”; “We know we will always get support from the managers”, “This home has improved beyond belief since the manager has been here”, “ The mangers are so approachable, we are never afraid to speak with them, they are great”. The home administrator currently holds responsibility for managing the finances of five residents and she had systems in place to ensure that their financial interests are safeguarded. Record show that staff has received full training in all aspects of health and safety and the home employs the services of a maintenance person to ensure the health and safety of staff and residents is protected. Redcourt Care Home DS0000063012.V337245.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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 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 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X X 3 Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP12 Good Practice Recommendations It is recommended that an activities organiser be employed to take pressure of staff that are currently responsible for the provision of care, support and providing and facilitating activities. Redcourt Care Home DS0000063012.V337245.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Care Home DS0000063012.V337245.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. Re-publishing this information is in breach of the terms of use of that website. 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