Inspection on 04/10/05 for Redlynch House Residential Home

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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.

Other inspections for this house

Redlynch House Residential Home 20/06/06

Redlynch House Residential Home 03/05/05

Redlynch House Residential Home 11/11/04

Redlynch House Residential Home 24/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Redlynch House Residential Home Redlynch House 19 Hillcrest Road Hythe Kent CT21 5EX Lead Inspector Julian Graham Announced Inspection 09:30 4 and 25 October 2005 th th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Redlynch House Residential Home DS0000035297.V251069.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 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. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Redlynch House Residential Home Address Redlynch House 19 Hillcrest Road Hythe Kent CT21 5EX 01303 264252 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) Redlynch Residential Home Limited Susan Constance Hambelton Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range is 65 years and over Date of last inspection 28th April 2005 Brief Description of the Service: Redlynch provides personal care for thirteen residents, and occupies detached premises. All bedroom accommodation is single and is on the ground and first floor. All bedrooms are fitted with call bells and locks (other than one which leads to a fire exit.) Mrs Hambelton, the Registered Owner along with her brother, Mr Miles, is also the Manager of the home. Communal areas of the home include a lounge and separate dining area. There are assisted bathrooms on both floors. Redlynch provides a good sized, and well maintained patio and attractive garden area for the residents to use. The home is located on the outskirts of Hythe with good access to shops, public transport and other public amenities, some of which are within walking distance. . Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over one and a half days and lasted eight hours. Nine residents were spoken with during this inspection, some in the privacy of their own rooms. Lunch was taken with the residents. Time was spent with the manager on the first of the two days of inspection, and two care staff were interviewed privately. The cook was spoken with whilst she was preparing the midday meal. All the residents spoke extremely highly of the staff and the care they are receiving. Staff on duty at the time of the visits presented very well and were clear as the their role and demonstrated a caring and responsive approach to their work. Questionnaires were received from five residents prior to the inspection and one from a relative. These were all positive. A visiting relative was spoken with at the time of the visit, who expressed high satisfaction with the care his relative is receiving. A tour of the home revealed a homely and comfortable environment is being maintained, although one or two areas will need attention before too long. Some aspects of paperwork are well below acceptable standards and action must be taken promptly to address this. It was not clear from the records, for example, how a complaint by a resident was handled, and what action, if any, was taken to address the person’s concerns. The manager is required to address this matter as a priority. What the service does well: Redlynch continues to provide a friendly and relaxed atmosphere, and without exception, all the residents spoken with said how much they like the home and the staff. Comments such as “absolutely great”, “magnificent” And “such an incredible atmosphere here” were typical. One resident said that when she first arrived at the home, she was asked by the manager to “make myself at home”. Another resident said that staff “put themselves out to help me” and “you only have to ask.” Freedom to lead the lives they want is strongly promoted in the home. One resident said, for example, that “I can do what I like here”. Another said “ you can please yourself when you rise and retire.” Staff who were interviewed had good understanding of residents’ rights to make choices and do things for themselves if they want to. Good, nutritious food is being provided, with residents making comments such as “absolutely super”, “very good” and “there is more than enough to eat.” Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 6 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. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 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 the following standard(s): 3 No progress has been made to improve the admission procedure to ensure that there is a proper assessment prior to people moving into the service. Without this there is no assurance that care needs will be met. EVIDENCE: Individual records are kept for each of the residents, and examination of these records for the three most recent admissions once again did not have the full assessment information as detailed in the standard recorded for any of them. Some of the headings within the record had either very minimal information recorded and in many cases nothing at all. This situation was also noted at the previous inspection when a requirement was made for action to be taken to ensure that proper assessments are carried out before prospective residents enter the home. There was no evidence that this action had been taken. In addition, some of the assessments were not properly dated nor signed, with one signed just “carer”. Persons undertaking pre-admission assessments must be sufficiently competent and experienced to do so. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 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 the following standard(s): 7,10 No real progress has been made to improve the systems for care planning and assessing risk. These remain not always clear and consistent to provide staff with the information they need to meet residents’ needs. Residents are generally treated with care, respect, warmth and sensitivity. EVIDENCE: Individual plans of care are available but little progress has been made on the requirement to ensure that all aspects of the health, personal and social care needs are identified and planned for. A sample of care plans were viewed and these remain basic. One resident is registered blind, and there was no guidance for staff as to what input and support this person may need in this area, for example. There was no evidence that residents are being regularly weighed, as was noted at the last inspection. Information, such as next of kin, date of admission was missing in one of the records viewed. The nutrition record in respect of one resident was not fully completed nor signed. Two of the residents were asked whether they were aware that they have written plans of care, and both said that they were not. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 10 Residents were all looking very nicely presented and well groomed. Staff spoke knowledgeably about the residents’ rights to privacy and the promotion of their dignity. One gave a good example of how she would assist a resident with having a bath, emphasising the need to maintain privacy and dignity and to ensure safety. Residents spoken with said how much staff show respect to them. One referred however, to a member of the night staff “over stepping the mark” but declined to talk further about this matter. A complaint had been recorded on behalf of this person in respect of the way they were spoken to on one occasion by one of the night staff. See the section in this report on Complaints below. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 13,14,15,16 Residents’ social and recreational needs are being met; and contact with family and friends is encouraged and maintained. Meals are nutritious and well balanced and offer a healthy diet for the residents with some choice available. EVIDENCE: As on the previous visit, residents said they are happy with the activities on offer, with many saying they prefer to spend time in their rooms and do not want group activities. They said that staff respect this and do not try and make them join in. Staff were very clear that they see an important part of their role as spending time with the residents in general conversation, engaging them in activities of their choice and so on. Staff said that there is time, particularly in the afternoons for them to do this. Since the last inspection, one staff member has taken on a greater role in facilitating taking residents out for walks, drives and to attend GP appointments. Two visiting relatives were spoken with, both confirming they are made very welcome when they visit, and are kept informed as to how their relatives are. Everyone who commented on the food said how good it is. The meal on the first day of the inspection was shared with the residents. This was a very tasty and well presented meal, and the residents were seen to greatly enjoy it. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16,18 No progress has been made to ensure that the vulnerable adults procedure, whistle blowing policy and the Complaints Procedure work more effectively to protect the people living in the home from abuse. EVIDENCE: The complaints record was viewed and showed that since the last inspection one complaint had been recorded in June. There was no record available to show what action, if any, had been taken in response to the complaint. This is particularly concerning as the complaint referred to a resident being upset at the way they were spoken to by a member of the night staff. Another resident made a similar allegation at the time of the last inspection. This was subsequently investigated under adult protection procedures. This latest allegation was not reported to the appropriate authorities, including the commission, as it should have been under regulation and adult protection procedures. A letter was left with the manager to forward a copy of any record that shows what action was taken, if any, and to report the matter under adult protection procedures to social services. Other residents, when asked whether they would feel comfortable complaining emphatically said they would, and said they were sure they would be listened to and taken seriously. Staff have still to receive training on adult protection, which was a requirement from the last inspection. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19,26 The standard of the environment is generally good within the home providing residents with an attractive, comfortable and homely place to live. Some improvements to the décor and furbishment have been made. EVIDENCE: The environment was not inspected in detail on this visit. As on previous visits, however, it was noted that Redlynch provides a homely and comfortable place for the residents to live, and the premises was clean and hygienic. New carpet has been laid in the rear hallway and one bedroom has been redecorated. Attention will need to be given to the wallpaper in the entrance hall which is torn in places and the carpet in one of the hall areas is showing some signs of wear. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 The vetting and recruitment practices have improved since the last inspection and are generally sound. They would still benefit from more robust reference checking and more detailed tracking systems. The deployment and number of staff is sufficient to meet the needs of residents. Although residents are supported by competent and well motivated staff, staff would benefit from further training. EVIDENCE: There remains minimal staff turnover which benefits the residents. Staff spoken with said they enjoy working at the home and feel well supported by the manager in their work. All staff on duty at the time of the visits presented extremely well and were seen to be very caring and attentive towards the residents. Staff files showed that as required from the last inspection CRB and POVA checks are being sought. Whilst references are being obtained, the home must check and verify that one of the references is from the applicant’s previous employer. A more detailed recruitment checklist is recommended. Whilst there are records of staff training as required from the last inspection, these records show that most staff have still not received some of the core mandatory training including moving and handling. Whilst rotas show that a sufficient number of staff are being deployed, the manager is working a considerable number of hours each week, often supplementing the care staff “on the floor”. It is recommended that she reduces the number of hours she works each week for the health, safety and welfare of herself and the residents. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, There remains a friendly atmosphere in the home. Residents’ rights and best interests would be better safeguarded, however, by more robust record keeping, quality assurance systems and thorough implementation of important policies and procedures, such as Complaints and whistle blowing. EVIDENCE: The manager is shortly to complete RMA training which is a Condition of the home’s registration. As noted on previous inspections, she acts as a good role model to the staff team, those of whom spoken to at the time of inspection demonstrating awareness of their role and responsibilities. Residents are benefiting from the general management approach of the home, with the manager being very approachable, supportive and caring to both residents and staff. As noted elsewhere in this report, however, requirements remain outstanding from the previous inspection and administrative standards remain in need of improvement. Se the staffing section above regarding the manager’s long working week. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 1 x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 x 18 1 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 x x x x x x Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? yes 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 OP3 Regulation 14 Requirement Accommodation must not be provided to residents unless their needs have been properly assessed. That assessment must be in sufficient detail to enable care staff to meet residents needs. The assessment must be kept under review and having regard to any change of circumstances be revised as necessary. (timescale of 03/05/05 not met.) Residents care plans must be in sufficient detail to provide clear guidance to staff on the actions to be taken to meet their personal care needs. (timescale of 03/06/05 not met.) Risk assessments must be maintained and kept up to date. (timescale of 03/06/05 not met.) Complaints must be fully investigated and the outcome notified to the complainant. All allegations of abuse must be reported to the appropriate authorities under adult protection procedures without delay in order to protect DS0000035297.V251069.R01.S.doc Timescale for action 25/10/05 2 OP7 15 25/11/05 3 4 5 OP7 OP16 OP18 13 22 13 25/11/05 25/10/05 25/10/05 Redlynch House Residential Home Version 5.0 Page 18 6 OP18 13 7 8 OP27 OP29 18 19 9 OP38 13 residents. Staff must receive training on adult abuse and adult protection procedures. (timescale of 03/06/05 not met.) Manager to review and reduce the number of hours she works each week. Two references must be obtained for new staff employed to work at the home, one of which being from the applicant’s previous employer. (timescale of 03/06/05 not met.) All staff must receive core mandatory training on safe working practices. 25/01/05 25/11/05 15/10/05 25/01/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2 Refer to Standard OP8 Good Practice Recommendations Residents to be weighed at regular intervals. Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Redlynch House Residential Home DS0000035297.V251069.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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