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Inspection on 12/07/05 for Redholme

Also see our care home review for Redholme for more information

This inspection was carried out on 12th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Mr and Mrs Matadeen have undertaken training in Fire Safety and Moving and Handling. Mrs Matadeen has also completed a Food Hygiene course and is working towards a NVQ2.

CARE HOMES FOR OLDER PEOPLE Redholme Forest Road Whitehill Bordon GU35 9BA Lead Inspector Beverley Rand Unnannounced 12.07.05 11:40 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 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. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Redholme Address Forest Road Whitehill Bordon GU35 9BA 01420 472467 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Hurryprasad Matadeen Mrs Emmelinda Matadeen Mr Hurryprasad Matadeen Care Home 5 Category(ies) of Old Age - OP - 5 registration, with number of places Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14.10.04 Brief Description of the Service: Redholme is a detached house situated in a quiet residential area, a short walk from the village of Whitehill. The owners live on the premises and personally provide the care needed to meet the needs of the service users; care/domestic staff are not employed. The home provides a residential service to five older people who are actively encouraged to maintain their independence. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted two and three quarter hours and was the first unannounced inspection of the year. There are currently four residents at the home, and one was in hospital. The inspector spoke with all three residents who were in the home and looked at records such as careplans. Mr Matadeen assisted the inspector. What the service does well: What has improved since the last inspection? What they could do better: The toilet which is in the same hallway as the bedrooms and is therefore used by men and women, could be kept cleaner, to ensure that it is hygienic for everyone to use. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 6 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. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 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 standard(s) EVIDENCE: These standards were not assessed. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 9 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 standard(s) 8 The manager ensures that residents are supported in accessing the healthcare they need. EVIDENCE: Mr Matadeen said that residents generally visit their doctors, dentists etc. in the village, with or without him or his wife, and one of the residents said that they had a chiropodist visit the home. Records also confirmed this. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 10 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 standard(s) 13 The lifestyle of the home means that residents can entertain visitors as they choose to. EVIDENCE: A visitors book is kept, and Mr Matadeen records the names of visitors in it. Two residents were asked if they could receive visitors at any time, and they said they could. Mr Matadeen said that if a resident did not choose to see a certain visitor, their wishes would be respected. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 11 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 standard(s) 16 & 18 The home ensures that residents would feel able to complain. The home’s awareness of abuse means that residents are protected. EVIDENCE: The home has not received any complaints, and the procedure is included in the occupancy agreement, which resident have a copy of. All residents felt that they had no cause for complaint, but if they did, they could probably speak to Mr Matadeen. Mr Matadeen had undertaken an ‘Elder Abuse’ course two years ago, and had the Hampshire Protection of Vulnerable Adults procedure. He was aware of the role which would be taken by Social Services in the event of an allegation or suspicion of abuse. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 12 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 standard(s) 19 & 26 The provider ensures that residents live in a well-maintained environment, but could be more attentive to toilet hygiene. EVIDENCE: The home has several communal areas, although residents tend to stay in their rooms. The inspector spoke with two residents about this, and although they knew that they could use communal areas, they wished to eat in their rooms. They sometimes used a small lounge. The rooms were all comfortably furnished and have a ‘family’ feel. The providers live in the home, and are the only staff, therefore they see what maintenance and decoration needs doing on a daily basis. Mr Matadeen said that he was planning to decorate a resident’s room whilst they are in hospital, and that he had talked to him about the colour. One of the residents spoke about the bed linen not being changed as regularly as they would like. One said sheets were changed monthly, but this did not concern them, and one said the sheets had been on the bed ‘too long’. Mr Matadeen said that sheets were changed weekly. An issue was also raised regarding the cleanliness of the toilet floor, (the toilet is used by all the residents, as it is the nearest one to their bedrooms) and the inspector noted Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 13 that there was an odour of stale urine in the toilet concerned. Mr Matadeen agreed to monitor the cleanliness of the toilet after it had been used. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The providers ensure that residents can make their views known formally. EVIDENCE: Mr Matadeen said that he undertook a satisfaction survey twice a year, but two residents who were asked could not remember completing them. However, Mr Matadeen showed the inspector one of the surveys which had been completed previously. Standard 35 was discussed, but Mr Matadeen does not look after money for any of the residents, so this standard does not apply at present. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x x Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 17 Yes 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 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 OP19 Good Practice Recommendations The providers should monitor the cleanliness of the toilet to ensure that it is hygenic for everyone to use. Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Redholme H54 S12156 Redholme V238319 120705.doc Version 1.40 Page 19 - 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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