Inspection on 08/02/06 for Redlands Residential Care Home

This inspection was carried out on 8th February 2006.

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

Redlands Residential Care Home 13/05/09

Redlands Residential Care Home 14/05/07

Redlands Residential Care Home 29/06/05

Redlands Residential Care Home 17/12/04

Redlands Residential Care Home 30/06/04

Redlands Residential Care Home 25/11/03

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Redlands Residential Care Home 122 Woodlands Road Darlington Co Durham DL3 9LP Lead Inspector Jean Pegg Unannounced Inspection 8th February 2006 09:30 Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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 Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Redlands Residential Care Home Address 122 Woodlands Road Darlington Co Durham DL3 9LP 01325 243788 01325 243799 jeanmurphy@castlebeckcove.com 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) Castlebeck Care (Teesdale) Limited Mrs Jean Murphy Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Redlands is a large detached house situated in a residential area of Darlington. The home is registered as a care home providing personal care to adults between the ages of 18 and 65 with a learning disability. The home is within walking distance of Darlington town centre and Cockerton village. This location enables service users to access a full range of local facilities. Internally the home provides 5 single bedrooms each with wash hand basin. Shared toilet and bathing facilities are also provided nearby. Downstairs the home has 2 lounge areas including provision for those that choose to smoke, kitchen, breakfast room, dining room and laundry. A very good standard of furnishings and fittings has been provided within the home. Externally, the home is surrounded by well kept gardens and pathways. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Wednesday 8th February and lasted for 6 hours. Time was spent with all of the service users and staff in the house that day. Service users were making plans for their forthcoming holidays and were happy to tell me about them. They also spent a lot of time showing me photographs from previous outings and holidays. Comment cards were completed by all five service users, 6 relatives and 2 professionals who have contact with the home. Results of these comment cards will be included in the report. Individual comments made on comment cards include the following: “Redlands provides a consistently high standard of care… and is positive about risk showing flexibility to maximise opportunities..” (Other professional) “The care my brother receives at Redlands is second to none. He is very well looked after. He wouldn’t want to live anywhere else. Redlands is his home.” “Redlands Care Home is a first class care home” (2 relatives) “ I like the home activities and having a choice and going to college” (Service user) Overall this was a very good inspection with all of the standards that were assessed being met with some exceeding the national minimum standard. What the service does well: Service users are given help with personal care needs in a way that they are happy with and agree to. The home tries hard to make sure that service users are given to every opportunity to have their physical and emotional needs met. The home has some good systems in place to manage medication and to help service users in the management of their medication. The home has arrangements in place to protect service users from harm. Redlands is a safe, homely and comfortable environment for service users to live in. The home is kept very clean and very good standards of hygiene are maintained. Staff are provided with training that will help them to do their jobs. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 6 The home is well managed and for the benefit of service users. Quality checks focus on the views of service users. The health, safety and welfare of service users are promoted and protected. 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. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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 Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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): None EVIDENCE: None of these standards were assessed. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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): None EVIDENCE: None of these standards were assessed. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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): None EVIDENCE: None of these standards were assessed. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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): 18, 19 &20 Personal support is provided in a way that is acceptable to service users. As far as practicable, service user physical and emotional health needs are met. The home has good systems in place to assist service users in the management of medication. EVIDENCE: Care plans show that assessments are undertaken to identify individual service user levels of ability, these assessments help to decide how much support is provided and what prompts might be needed to help. Showing respect to each other seems to be a core value that is demonstrated at all times within the home. From observing the interactions between staff and service users it is clear that friendly but respectful relationships exist between people. Discussion with service users confirmed that routines were flexible within the home and that staff support was available when needed. From observation it was clear that service users are encouraged to show their individuality through their personal appearance. Key workers are usually matched to service users according to personalities. Comments taken from service user comment cards indicate that all 5 feel well cared for, think that they are treated well and have their privacy respected. Both external professionals who completed comment cards indicated that staff “demonstrated a clear understanding of the care needs of service users”. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 12 The manager confirmed that health promotion sessions were provided to service users via day services. Care plans show that service users access other community health care services and specialist staff employed by Castle beck Care. Both external professionals indicated that any specialist advice given to staff is incorporated into care plans. The home has a risk assessment tool in place for service users who wish to manage their own medication. Care plans show that service users have signed to give consent to medication. Records showing the administration of medication were checked and found to be in very good order. Staff are trained to administer medication safely. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 13 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): 23 The home has systems in place to protect service users from harm. EVIDENCE: The home has policies and procedures in place that if implemented correctly will help to protect service users from harm or abuse. Staff spoken to were aware of these procedures and showed that they had knowledge of what to do if they felt service users were at risk. Training records and discussions with staff show that they are also provided with training opportunities to provide them with appropriate knowledge and skills that will help to protect service users from harm. Discussion with service users and results from comment cards confirm that they know who to speak to if they are unhappy with their care including the Commission for Social Care Inspection. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 14 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 & 30 Redlands is a safe, homely and comfortable environment for service users. The home is kept very clean and very good standards of hygiene are maintained. EVIDENCE: Both inside and outside, the house has been kept in a good state of repair and decoration. The internal décor and use of ornaments and pictures taken during holidays and special events help to create a very homely atmosphere. The excellent standard of cleanliness is being maintained within the house. The housekeeper has prepared very detailed schedules to be followed to ensure that standards are maintained. The housekeeper has also prepared schedules for service users to follow when they clean their bedrooms. These schedules serve as a reminder as to the tasks that need to be done and to report any breakages or damage that need to be repaired. The laundry was clean and tidy and domestic cupboards showed evidence of protective clothing, appropriate cleaning materials, health and safety advice and cleaning equipment. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 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): 35 Staff are provided with training that will help them to do their jobs. EVIDENCE: The manager was able to show evidence of training plans for staff in the home. Castlebeck Care has it’s own training department and events are planned throughout the year. The organisation has also provided staff with access to online learning, which can be accessed in the workplace. The manager demonstrated how this worked and staff made reference to the programmes during discussions. The organisation also runs an academic programme, which means that each individual unit has to present a topic to other units covering an area that they have developed some expertise in. Duty rotas showed provision for staff to undertake training during work time. Staff’s training portfolios were seen. These portfolios include evidence of training undertaken by staff and certificates gained. Staff spoken to were positive about the training offered. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 16 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): 37, 39 &42 The home is well managed. Quality assurance systems used focus on the views of service users. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager has been at the home since it opened. She is a registered nurse and has successfully completed the registered managers award. It is clear from discussion and observation of the home that the manager is authorised to make day-to-day decisions about the running of the home. The manager undertakes periodic training and is a member of the clinical governance team. Staff and service users were positive about the manager and clearly knew who the manager was. The home undertakes periodic service reviews within the home including audits of the environment and care plans. A copy of the service user satisfaction survey was provided for inspection. This report was based on a survey completed in June 2005. An independent survey completed by researchers Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 17 from the University of Hull was also available to read. Service users see themselves as being involved in the running of the home, 2 wanted to be more involved and 1 did not want to be involved any more than they already were. The manager was able to show that health and safety training was in placed for staff and that attendance was monitored. The manager was also able to show evidence of regular servicing and maintenance checks undertaken for the home and equipment within it. Risk assessments, COSHH data sheets and accident reports were seen. All documentation was in order. Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 4 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 4 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Redlands Residential Care Home Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 4 X 4 X X 3 X DS0000000818.V262923.R01.S.doc Version 5.0 Page 19 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 Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Redlands Residential Care Home DS0000000818.V262923.R01.S.doc Version 5.0 Page 21 - 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!