Inspection on 03/02/06 for 37 Redgate Court

This inspection was carried out on 3rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

37 Redgate Court 06/02/08

37 Redgate Court 20/03/07

37 Redgate Court 08/09/05

37 Redgate Court 17/03/05

37 Redgate Court 20/07/04

37 Redgate Court 05/03/04

Similar services:

Coopers Mill Ltd

Pocklington House

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

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

CARE HOME ADULTS 18-65 Redgate Court (37) Peterborough PE1 4XZ Lead Inspector Lesley Richardson Unannounced Inspection 3rd February 2006 1:30 Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 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 Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 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 Adults 18-65. 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. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Redgate Court (37) Address Peterborough PE1 4XZ 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) 01733 314559 01733 314559 sallyporteious@sense.org.uk www.sense.org.uk Sense East Sally Porteious Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning Disability only in association with Sesnsory Impairment Date of last inspection 8th September 2005 Brief Description of the Service: 37 Redgate Court consists of a purpose built property, situated on a residential estate on the northeastern edge of Peterborough. The home is a two-storey, semi-detached property in an accommodation complex catering for adults with learning disability. It is owned by Sense East and provides care and support for up to 6 people with learning disability, associated with sensory impairment. The home has 6 individual bedrooms; 5 on the upper floor and 1 on the ground floor. There is a bathroom with shower and toilet on both floors, an open planned lounge dining area and a kitchen. A conservatory leads off the lounge area to the large, well maintained garden, which is shared with the adjoining house. The home is within walking distance of local shops, pubs, a post-office and public transport. Peterborough city centre is about 5 miles away and is easily accessed by public transport. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 2½ hours and was carried out as an unannounced inspection on 3rd February 2006. It was the second inspection of this home for the 2005-2006 year. One and a half hours were spent examining records and documents and one hour was spent with staff members. There were not service users present at the home during the inspection. A tour of the home was also undertaken during this time. The manager was not present during the inspection, which was conducted with the deputy manager. Two of the staff on duty were spoken to during the inspection. What the service does well: What has improved since the last inspection? Although there were no requirements made at the last inspection specifically for the home to improve on, this was because there were plans for repair work to be done in the home. However, this has not been completed and is commented in the section ‘What they could do better’ below. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 6 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. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed on this occasion. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed on this occasion. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Meals offer a healthy, varied diet for service users. EVIDENCE: Service users accompany staff members on shopping trips and they help with food preparation. Snacks are available throughout the day and service users, who are able to, can make drinks when they wish. Fresh fruit and vegetables are offered and meals are prepared on a daily basis. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The systems for the administration of medication must improve to ensure service users are not at risk. EVIDENCE: The home uses a system of Medication Administration Records (MAR) and blister packs for medication administration. None of the service users presently living at the home self-medicate and this is supported by risk assessment. Records are been signed appropriately and indication was made for medication not administered, although the exact reason was not recorded on all service users’ MAR sheets. Guidance is given for one medication that should only be given if an alternative route is not possible, although this was not made clear on the prescription. Stickers with hand written prescriptions had been placed over printed prescriptions on one service user’s MAR sheet. All staff members receive medication training during induction and complete an annual refresher quiz. Senior staff members attend training on administration guidelines by an external professional, and information is cascaded to other staff. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has systems in place for the protection of vulnerable adults, which ensures staff members have guidance. EVIDENCE: The home is supported by policies and procedures on how to make and deal with complaints and allegations of abuse. Staff members are given training during induction regarding protection from abuse and they have an annual questionnaire to refresh their knowledge. This questionnaire is based on the organisation’s policy and procedure, but this does not include local guidelines. It is recommended that local guidance policies are available to staff members in keeping with the Department of Health’s ‘No Secrets’ policy. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28 and 30 Some improvements have been made to the home, although there are a number of serious matters that put service users at risk of harm and do not provide safe surroundings in which to live. EVIDENCE: The home was clean and tidy on the day of inspection, décor is domestic in appearance and service users are comfortable with the layout. There were no offensive odours and the risk of cross infection is reduced, as access to the laundry is away from the kitchen and eating areas. There are a number of areas in the home were service users’ health and safety is compromised. Some areas identified at the last inspection as requiring attention and work have not been resolved. These and other areas causing concern are identified below, with additional comments. • Lime scale on the upper floor shower recess is still present. The deputy managers said attempts have been made to remove this with standard lime scale remover, although this has been unsuccessful. • Carpet at the bottom of the stairs to the upper floor is worn, torn and is a trip hazard, although an attempt has been made with tape to reduce the risk. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 14 • • The first floor bathroom/toilet had a toilet roll holder attached to the wall, although there was no mechanism for a toilet roll to be held in place. This left two metal prongs exposed. Bars of soap had been left on a shelf above the bath. If these belong to service users they should be kept separately and not available to be used by anyone else. The storage cupboard for coats in the main hall has a hole and has been split where it has banged against the wall. The deputy manager said most of these problems had already been identified but that maintenance had been put on hold as major renovation work was expected in the lower part of the building following a change of room for one service user. However, as some of these issues had been identified at the last inspection and further areas of concern have been identified at this inspection requirements have been made on this occasion. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35 The home does not have adequate vetting and recruitment practices to show that all appropriate checks are carried out, potentially leaving service users at risk. EVIDENCE: The staff files were seen for two of the home’s most recently employed staff members. The employment history in one file had been written in months and years only. Nothing could be found in the file to show gaps had been explored. A full employment history, together with a satisfactory written explanation of any gaps in employment must be obtained. The second staff file did not contain an application form or references, and the deputy manager said this could be because the Human Resources department co-ordinated employment checks and information may be kept there. However, no agreement has yet been entered into with CSCI for personnel records to be kept at a central office. Although there was information in both files regarding return of satisfactory CRB disclosures, there was no information to confirm if POVA or PoVA First checks had been completed or when PoVA First checks had been returned, if they had been requested. Staff members complete induction training that covers mandatory health and safety training and give a good introduction to service users needs. Following this, extensive training is given over a period of about 6 months, which is Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 16 specific to service user needs. This includes Makaton and BSL (British Sign Language). Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 Records are kept of checks completed to ensure service users health and safety. EVIDENCE: Staff members at the home have recently completed a quality assurance survey. Their views are also obtained on a regular basis at staff meetings, which are recorded and ensure that issues are dealt with as soon as possible. Service user’s views are obtained through their relatives, which due to the level of communication needs this service user group has, ensures their views are as independent of the home as possible. The home received an award with Sense East this year for their work with service users. The deputy manager said a report is being prepared by the provider organisation. Checks are required to ensure the health and safety of service users and these must be recorded. Records were seen for fire safety checks, portable appliance testing and equipment checks. These were all recorded as acceptable. However, hot water temperatures checks had not been completed Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 18 since 8th November 2005, when there had been an alarming rise to between 49.1oc and 53.4oc in all of the taps checked. The temperature from two hot water taps was checked by hand by the inspector and was not hot. Although the home has installed mixer valves to reduce the temperature to a safe level, checks should continue periodically to ensure the temperature remains at a level that is safe for service users. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 2 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 X X X 3 X X 3 X Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 20 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. 1 Standard YA20 Regulation 13(2) Requirement Timescale for action 15/03/06 2 YA24 3 YA34 The registered person must make arrangements for the recording, handling, safekeeping, safe administration of medicines received into the care home. 13(4)(a)(c) The registered person must ensure that all parts of the home to which service users have access are free from hazards to their safety. Unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. 23(2)(b) The registered person must ensure that the premises are kept in a good state of repair externally and internally. A programme must be produced to show how and when these repairs are to be made. 19(1)(b) The registered person must not employ a person to work at the care home unless he has obtained in respect of that person the information and documents specified in Schedule 2. 17(2) The registered person must DS0000015129.V276540.R01.S.doc 15/03/06 15/03/06 Redgate Court (37) Version 5.1 Page 21 maintain in the care home the records specified in Schedule 4. 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 YA30 Good Practice Recommendations Soap bars should not be left in bathrooms for communal use. Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Redgate Court (37) DS0000015129.V276540.R01.S.doc Version 5.1 Page 23 - 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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