Inspection on 28/11/07 for Redington House

This inspection was carried out on 28th November 2007.

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

Redington House 08/01/07

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Reddington 2 Park Avenue Dover Kent CT16 1ER Lead Inspector Mrs Penny McMullan Key Unannounced Inspection 28 November 2007 09:30 Reddington DS0000067901.V351943.R01.S.doc Version 5.2 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 Reddington DS0000067901.V351943.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 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. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Reddington Address 2 Park Avenue Dover Kent CT16 1ER 01303 230102 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) Jennifer Marsh Miss Lara Elizabeth Marsh Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th January 2007 Brief Description of the Service: Reddington House is a detached house, situated in Park Avenue in Dover. The home is within easy reach of the town centre with access to bus routes, train station, churches, and leisure facilities. There is a small garden at the side and back of the property and limited parking on the drive and Avenue. The home is registered to care for five service users with learning disabilities. Accommodation is situated over three floors, the ground floor offers one en suite bedroom, a bathroom with shower, the staff office, toilet and laundry facilities. The first floor has a large communal lounge/dining room and a small modern kitchen. There is also one bedroom with a dedicated bathroom. The second floor has three bedrooms, two en suite and another bedroom with a dedicated bathroom. The home does not have a lift and is therefore not suitable for wheelchair users. The current fees for the service at the time of the visit are £1400 per week, this fee can be increased to the assessed needs of service users. There are additional charges for chiropody, hairdressing, aromatherapy, newspapers and toiletries. Information on the homes services and the CSCI reports for prospective service users/relatives will be referred to in the Statement of Purpose and Service User Guide. The email address for the service is: lara@ldcdover.co.uk Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was carried out over a period of time and concluded with an unannounced visit to the home of 5 hours. The Registered Manager assisted throughout. Residents and staff were spoken to. Observations included interactions between residents and staff. Information in this report also includes feedback from postal surveys sent to Residents, Relatives, and staff. Information from the Annual Quality Assurance Assessment has also been included in this report. The home is registered for five residents however at the time of the site visit there are only two residents living in the home. They spoke of how happy they are living at Reddington House and are very complimentary about the Registered Manager and staff. It is apparent from the interaction of staff with residents that they understand and support the residents in a respectful professional manner. Residents spoke enthusiastically about their leisure activities, college, daily lives and are looking forward to their trip to Euro Disney. The home has exceeded the standards in the personal support to residents in their health care and leisure activities. The family run organisation own Reddington House, The Glen and Little Glen residential homes. They have recently won an award in recognition of the outstanding support it gives to young people with learning disabilities. This award was presented by Kent County Council and Kent Vocational Training Programme. What the service does well: Comments taken from the agency’s questionnaires/discussion with people who receive services included: Resident comments: ‘The staff are brilliant, if I did not have the staff I would not have got through the bad times’. ‘I love my room, I love living here, the staff are great’. Care Management comment: ‘The service enables my client to be as independent as possible with regard to daily living skills/and building upon self confidence issues’. ‘I have no concerns, I am very pleased with the way my client has been helped to progress in all areas of her life’. Feedback from a Care Manager also indicates how well the service deals with liaising with the care management team and taking the appropriate action in the bests interests of the resident. Staff comments: Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 6 ‘All staff provide a good quality of care due to the management of the home who provide training to each member of staff to ensure that they learn all aspects of their work, so we can provide all service users the best care they need’. ‘It provides good quality care with caring staff’. ‘All staff provide a good quality of care due to the fact that the management of the home provide training to each and every staff member to ensure they are given the knowledge from the training provided so we can provide the care that meets the requirements of every client in the home’. At present I feel that the home meets all requirements with both staff and the residents’ ‘The service always welcomes new ideas and suggestions. The service promotes individuality and meets the needs of the residents’. Staff are able to demonstrate their understanding of equality and diversity and gave examples of how they ensure that residents have equal opportunities. 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. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 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 Reddington DS0000067901.V351943.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to carry out a detailed and through assessments of residents needs prior to admission to the home to ensure that all care needs will be met. EVIDENCE: This standard could not be fully assessed, as there have been no admissions since the last inspection. However, thorough documentation is in place to assess the care needs of prospective residents. The two residents in the home have been living in the home since registration and confirm that they were able to visit before making up their minds if they wanted to live there. The Registered Manager carries out the assessments and is currently actively seeking new admissions for the home. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The care plans provide staff with detailed information to ensure that the resident’s personal goals and aspirations will be supported. The home promotes resident’s rights and they are supported to make their own decisions and choices. Residents are supported to take responsible risks within the homes risk assessment management strategy. EVIDENCE: Care plans provide detailed information to meet the health and social care needs of the residents. The daily reports record activities, personal care, food intake, mood and behaviour. The residents are aware of their plan and the home has introduced small pictures in each category of the plan to ensure that Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 10 the residents are assisted to understand the information. The plans also include details of multi disciplinary input including positive behavioural assessments from health care professionals. The residents gave examples of how they are supported to live their daily lives and their understanding of why restrictions are agreed through their risk assessments. Residents also discussed their choices, with regard to going out for meals, choosing and helping prepare meals, and activities. Both residents have their own bank account and detailed records and receipts are kept of all transactions. The home encourages residents to be involved in all aspects of the home including their own individual risk assessments. They work closely with the health care professionals to agree and minimise the risk to service users and staff. The risk assessments are detailed and thorough and reviewed on a regular basis. The residents spoke of the risks and limitations in place and understand why they are restricted in some areas. Environmental risk assessments are also in place. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14, 15,16, and 17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged to take part in activities of their choice and maintain family contact. Nutrition is well managed, promoting health eating with choice and variety. EVIDENCE: Residents are involved in all aspects of their daily lives and are supported to achieve their aspirations. There are short and long terms goals identified and the residents are being supported to achieve these within the limits of their assessed needs and risk assessments. The residents say they enjoy and have a well planned activity programme. They also attend college and have their certificates of achievement displayed in the home. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 12 The residents have just enjoyed a birthday celebration meal at a local restaurant. They also invite their friends for a meal and staff are supporting them both with their personal relationships. Both residents spoke of their boyfriend and how they come to the home for a meal and disco. They go to the local bank each week and are assisted to visit the local shops, and often go into the town of Dover. All family contact is recorded and the residents both confirm that they are able to speak to their relatives on a weekly basis. The residents also go to the local leisure centre for swimming and trampoline and sometimes go bowling and visit the local pub/cafes. They spoke of outings and not getting home until late and how much they enjoy going on the trips. This year they have visited Legoland, Blackpool, Cadbury World, Hastings, Oxford, Chessington World of Adventure, Monkey World, Disney on Ice in London and Beech Court Gardens. In the summer they also enjoyed a holiday to Euro Disney. This was so successful another trip has been planned in addition to a Christmas extravaganza at Butlins. It is apparent from speaking to the residents that they participate in their decisions and are supported to achieve their goals. They both spoke positively about the staff and how supportive they are. The staff assist and encourage the residents to complete some household chores. Both residents spoke of helping in the kitchen and demonstrated their awareness of what they needed assistance with. All activities are recorded and agreed in their individual care plans. The home is in the process of revising the menus with the help of the residents. There is a planned menu in the home however this is flexible to the choices, likes and dislikes and can be adapted at any time. Residents can accompany the staff for the shopping and help staff to prepare the meals. Both residents say they enjoy the food and spoke of their favourite sandwiches and snacks. They also talked about the local restaurants and how they had been out for a meal. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, and 20 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health needs of Service Users are consistently met with evidence of good multi disciplinary working taking place on a regular basis. Personal care is offered in a way protect Service Users privacy and dignity and promote independence. The medication at this home is well managed promoting good health. EVIDENCE: Residents are well supported with their personal care which is recoded daily with preferences detailed in their individual care plans. If any specialist support is identified the home involves multi disciplinary agencies to ensure the best outcome for the resident. All health care needs are monitored in the service user plan. Residents confirm they feel supported by the staff in everything they do. There is clear Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 14 evidence of multi disciplinary working with health care professionals and care managers, which is detailed in the service user plan. The staff supports the residents to attend the dentist and health care appointments. The home uses the monitored dosage system for the administration of medication. The medication administration record (MAR) sheets are in good order and medication is appropriately stored. The sheets are checked and audited every day at each shift change. Hand written entries are countersigned and creams recorded. All staff administering the medication have received training. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their complaints will be listed to and acted upon. Arrangements are in place to ensure residents are protected from abuse. EVIDENCE: Residents say they have no complaints and speak to the staff at any time on a daily basis if they have any concerns. They have no complaints and the home has not received any complaints since the registration in July 06. The complaints procedure is part of the service user guide and is in a pictorial format. The home has an Adult Protection Policy, which includes whistle blowing, and all staff have received Adult Protection or are booked on a course in the near future. The personal belongings of residents are recorded and residents are receiving care from staff who have been appropriately vetted. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well maintained and furnished to a high standard creating a comfortable environment for those living there. Laundry facilities are satisfactory and policies and procedures are in place to control the risk of infection. EVIDENCE: The home is well maintained and in good decorative order. Resident’s bedrooms have been changed around to suit their preferences and the two rooms have been painted. There is a new dishwasher and the medication cabinet has been moved. Residents say how much they like their rooms and help to keep them clean and tidy. The rooms are bright and airy and all have radiator guards. The lounge now has two fish tanks and a large flat screen Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 17 television, it is warm and cosy and very comfortable. The grounds are well maintained and the home is hoping to purchase new garden furniture next year. The home is well situated for local shops, leisure facilities, rail and road links. The premises are clean and tidy with a pleasant airy atmosphere. There are policies and procedures in place for infection control and laundry facilities are satisfactory. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34, 35 and 36 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A committed trained staff team supports residents. Residents are protected by the home’s robust recruitment process. EVIDENCE: Some of the staff have completed their NVQ 2 or above and others are completing the award. Overall residents are receiving care from trained qualified staff. The home has an effective staff team in place. The senior staff are experienced and long term employees who have worked with and supported the residents for some considerable time. New staff have also been appointed and residents say they like the new staff and they are working in the home well. The staff rota indicates sufficient staff on duty and the team now reflects residents preferences with regard to female staff providing personal care. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 19 Staff files viewed contains POVA first checks, two references and proof of identity. Application forms are completed with the full employment history, which is also discussed during the interview process. There are interview notes and risk assessments in place to ensure that staff are appropriate to work in the home. All staff have received or are booked to up date and be provided with Moving and Handling, Health and Safety, Fire, Adult Protection and Infection Control training. All staff have received food hygiene training. There is an ongoing training programme in place and the induction is linked to Skills for Care. Staff comments: Staff go on all training courses that are relevant to their work’. ‘The home provides on going support and training whether this is for general or specific tasks. Internal and external providers provide training’. A programme of staff supervision and appraisal is in place and staff confirm they are well supported by the management team. In some cases the supervisions are not up to date and the home needs to ensure that this takes place on a regular basis. The home has now taken action to ensure that staff receives supervision at least six times a year so no further recommendation will be made in this report. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of service users. The Company regularly reviews aspects of its performance to ensure service users views have an influence on the homes development plan for the future. The home is providing a safe environment for service users to live in. EVIDENCE: The Registered Manager Lara Marsh has many years experience at management level. She is a qualified competent Manager and is also the Registered Manager of The Little Glen, another small home within the Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 21 organisation. Feedback from residents and staff indicates they feel very supported by the Management team and The Registered Manager is available for support 24 hours a day if required. Residents meetings are held on a regular basis and sometimes one of the residents writes the minutes. The residents give constant feedback to staff and when they requested another fish tank for the lounge this was provided. The views of the residents are sought on both informal and formal basis, using meetings, general conversations, and questionnaires. They are also asked about their views of new staff and how they feel they will settle in the home. Care Managers, Community Nurses, relatives and friends are also included in the quality assurance survey and an annual report was completed in October 2007. The quality assurance programme also includes staff views, outcomes and plans for the future. A sample of the safety checks was carried out and all further information has been provided in the Annual Quality Assurance Assessment. The relevant health and safety procedures are in place including water temperatures and cleaning schedules to prevent the risk of infection. There have been no accidents since the last inspection and risk assessments and fire procedures are in place. All staff are receiving mandatory training and the induction is linked to Skills for Care. Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 22 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 3 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 4 x 3 x x 3 x Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 23 No 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. 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. Refer to Standard Good Practice Recommendations Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Reddington DS0000067901.V351943.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!