Inspection on 09/07/07 for Redstone House

This inspection was carried out on 9th July 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

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Redstone House 43 Redstone Hill Redhill Surrey RG1 4BG Lead Inspector Lesley Garrett Unannounced Inspection 9th July 2007 10:00 Redstone House DS0000069054.V344815.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 Redstone House DS0000069054.V344815.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. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redstone House Address 43 Redstone Hill Redhill Surrey RG1 4BG 01737 762196 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) redstonehouse1@aol.com Oregon Care Limited Emma Jane Parker Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Service Brief Description of the Service: Redstone House is a detached property located near the town centre of Redhill, Surrey. The service can provide accommodation to four adults with learning disabilities. All the bedrooms are for single occupancy and are of a good size. On the ground floor there is a communal lounge/dining room, a kitchen and separate utility room. There is a conservatory that leads from the lounge to the rear of the house to a paved garden. Parking facilities are available to the front of the house. The range of fees for the rooms is £1,663 per week to £2,307 per week. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10:00 and was in the service for 2 ½ hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s owner or manager, and any information that CSCI has received about the service since the last inspection. We looked at how well the service was meeting the standards set by the government and have in this report made judgements about the standard of the service. On the day of the site visit the service users were all out at college and arrangements were made with the manager to visit. This home is very busy and the manager told us that they are always out during the week and very often at weekends. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made following this key inspection. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Redstone House DS0000069054.V344815.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 Redstone House DS0000069054.V344815.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for assessing needs are good ensuring prospective service user’s needs and aspirations are assessed before admission to the home. EVIDENCE: The manager stated that there have been no new admissions to the home this year. We sampled the personal folder of the most recent admission and the manager explained the homes programme of transition into the home. The manager visited the service and spent time with them and other staff visited also. The service user had the opportunity of spending time at the home for the day and for the weekend. The manager stated that this period is different for each service user and the time needed for admission will also change. Redstone House DS0000069054.V344815.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): 67&9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has developed good care plans and risk assessments. The documents were current and well recorded to ensure the service users’ wellbeing and health needs were evidenced as being met. Service users make decisions regarding their lives and participate in the running of their home. EVIDENCE: All service users have care plans in place and consist of the written version and also in widget form to enable service users to understand them. We sampled the individual folders and found they had good care plans and risk assessments in place. There was evidence that parents had been involved with service user consent and the staff had reviewed them regularly. Care managers also review the service users when required and these reviews are also documented. The manager also showed us the person centred plans (PCP) that each service user had. Each service user communicated with the staff using makaton but Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 10 they had also adapted this signing to reflect their individuality. In the PCP’s the staff had taken photographs of the service users to demonstrate certain signs and explanations were underneath. It was demonstrated by the manager and through the care plans and PCP’s that the service users are given choice in their daily lives. All service users are non-verbal but use makaton to sign with the staff and the manager stated that they have purchased computer programme that enables them to produce all written documentation in widget form. The manager told us that on Saturday morning they all sit round the dining table and pick where they would like to go that day. The manager has a folder containing brochures, leaflets and pictures of all places of interest within the M25 area that enables service users to make choices. The manager stated that no service user is able to manage their own finances. Redstone House DS0000069054.V344815.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 15 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home promotes and maintains service users’ involvement in their community, offers appropriate activities and maintains friendships. Service users are encouraged to be involved in the running of the home and improving daily living skills. The available choice of food provided was of a good standard. EVIDENCE: The home is very busy and the timetable for all three service users was observed. Two of the service users attend college every morning. The manager stated that they hope that one service user will be able to find useful employment with support when the college course is completed. The manager states in the completed AQAA that service users are encouraged to take on new ventures and activities and are given maximum support to achieve this. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 12 We observed that the service users have access to the community and they visit pubs, shops, cinema and bowling is popular. The manager stated that they have also accessed a local nightclub and the dancing was very popular. Also scheduled into the individual plans, which we observed is outings on the bus, tram and train. The home has their own transport to enable the service users to be driven to college and outings. The manager stated that all the service users have families and there is no restriction on visiting the home. It was also stated that if families arrive any plans could be changed to accommodate the visitors to the home. The PCP’s had pictures of the families and there was a good biography in the folders with their life history documented. No service user was at the home on the day of the site visit but the manager stated that staff enters the bedrooms with permission. The manager said that the service users are able to communicate between themselves and can make one another understood when they need to be left alone. The staff assist service users to clean their rooms every week and help in some domestic tasks. We observed a picture that showed a service user helping with some ironing as the manager stated she had expressed a wish to try this activity. The manager said that menus are discussed with the service users and they reflect the seasons. We were also told that before the menus are finalised they are checked by a dietician to ensure that they are well balanced. Three members of staff are in the process of training to gain a qualification in food and nutrition. Redstone House DS0000069054.V344815.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has documentation to evidence that service users receive personal care and attend health care appointments to ensure their wellbeing and welfare. The home’s medication procedures are robust to ensure the safety and wellbeing of service users. EVIDENCE: We observed that serviced users individual plans which demonstrated how personal support is given and the homes completed AQAA stated that the staff are sensitive to the needs and wishes of their service users. The manager stated that they all choose their own clothes in the morning but the staff will tell them what the weather will be for the day. The female service users have chosen their own hair products and staff style their hair and they have chosen to colour their hair also. All service users are registered with the local General Practitioner (G.P.) and have annual medical health checks and their medication is reviewed at that time. All appointments were observed to be documented in their own personal folders. Service users are supported by the staff to visit the opticians, dentist Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 14 and one service user has an appointment with the speech and language therapist. Records indicated that care plan reviews had taken place and the home were active in seeking advice and support from healthcare professionals should the need arise to ensure the safety and well being of the service users. The manager stated that the home has their medication supplied by a local pharmacy that comes in blister packs. The pharmacy also completes their own quality audit and shares the information with the home. We observed that each service user has a detailed medication profile and photograph in place and possible side effects from service users medication is clearly stated. The manager stated that all staff that administers the medicines has received training. Redstone House DS0000069054.V344815.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure to demonstrate that complaints will be acted upon and a Safeguarding Adults policy and procedure to ensure that service users are adequately protected. EVIDENCE: The home has a complaints procedure, which is also in Widgit form, and the manager explained that no complaints have been received by the home and no complainant has contacted the Commission with information concerning a complaint either. There is a compliment book for all visitors to write their comments in and it was observed that these are all complimentary about the service and staff at the home. The manager showed us their safeguarding adults procedures and this was in line with the local authorities policies. The manager and her team leader have received training from Surrey and they have then delivered this training to the rest of their staff. The manager said that all service users have received an index card to explain the procedures to them also. Redstone House DS0000069054.V344815.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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe well maintained home which is comfortable, homely, clean and hygienic. EVIDENCE: The home is currently converting the garage into another lounge for use by the service users and the manager said she hoped this would be completed by the end of the year. The communal areas have been decorated and a conservatory added to the back of the building. The garden is easily accessible and has been recently paved and this contains garden furniture. Trees have been planted to the front of the property to improve privacy and reduce the noise pollution. On the day of the site visit the home was clean and tidy and the manager was bust hovering the communal areas. The home has a laundry area separate to the kitchen and the staff does the washing for the service users. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 17 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, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a competent and qualified staff team, which has undergone training. Good recruitment procedures in place which safeguard the welfare of service users. EVIDENCE: Staff are supported to undertake all aspects of training and this includes the National Vocational Qualification (NVQ). All members of staff have the level 2 qualification and two members of staff are in the process of completing their level 3. We sampled two recruitment folders and found that all the necessary documents were in place to ensure that service users are protected. We observed that the home provides training for members of staff and this included safeguarding adults, first aid and food hygiene. A training plan was in place and we were able to see training that had been completed and that which was planned for the year. Specialist training has also been organised and this includes challenging behaviour, the principals of learning disabilities Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 18 and autism. All members of staff have individual training records that we observed and a national induction programme is followed for all new members of staff. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 19 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and service users can be confident that their views are listened to. The health and safety of service users are protected. EVIDENCE: The manager has been in post since July 2004 and although this is a new service the manager and staff have not changed with the new ownership. The manager has nearly completed her registered managers award and demonstrated a good knowledge of her service users and staff team. The manager stated that quality survey forms are sent to relatives, friends and other healthcare professionals every year and this was last completed in April 2007. The manager stated that she analyses the results and this forms part of their annual development plan. The home did not receive our request to Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 20 supply information to allow us to send out survey forms so they will not be available for the purpose of this report. Monthly meetings are held for the service users and all questions and answers are documented in words and pictures. The provider carries out visits to the home every month and these are available to us when we visit the home. Health and safety checks had taken place and the home has current gas and electrical certificates and the testing of all portable appliances was up to date. Fire equipment had recently been checked also. Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 21 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 X 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Redstone House DS0000069054.V344815.R01.S.doc Version 5.2 Page 24 - 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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