Inspection on 16/02/06 for Redwalls Nursing Home

This inspection was carried out on 16th February 2006.

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

Redwalls Nursing Home 09/10/08

Redwalls Nursing Home 27/09/07

Redwalls Nursing Home 13/02/07

Redwalls Nursing Home 13/09/05

Redwalls Nursing Home 14/02/05

Redwalls Nursing Home 12/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Redwalls Nursing Home Weaverham Road Sandiway Northwich Cheshire CW8 2ND Lead Inspector Helena Dennett Unannounced Inspection 16th February 2006 09:30 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 Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 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. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Redwalls Nursing Home Address Weaverham Road Sandiway Northwich Cheshire CW8 2ND 01606 889339 01606 883287 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) www.redwalls.net Redwalls Care Services Ltd Ms Helen Barnett Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. This home is registered for a maximum of 40 service users in the category of OP (old age, not falling within any other category). Room 24 must not be used for any service user who requires nursing care. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection. The matter detailed in the attached schedule of requirements must be completed by the stated timescales. 13th September 2005 4. 5. Date of last inspection Brief Description of the Service: Redwalls is a care home providing nursing and personal care and accommodation for up to 40 older people. Redwalls is a large converted property the original being a grade 11 listed building and standing in its own grounds of 1.5 acres. It is situated close to the local amenities and the village of Sandiway, which is approximately five miles from Northwich town centre. The home is a three-storey building with the ground floor and first floor accommodating residents. Residents’ accommodation currently consists of 34 single and 3 double bedrooms. 31 single and 1 double bedroom have en-suite facilities. The remaining bedrooms have hand-wash basins fitted. There are two lounges and a conservatory on the ground floor and a third lounge on the first floor. The dining room is situated on the ground floor next to the kitchen area. There are separate toilets and a variety of bathrooms. There is a hairdressing salon situated on the ground floor. A nurse call system is provided in all resident areas. The residents’ primary clinical needs are due to a physical frailty and infirmity or chronic physical disability in old age. In accordance with statutory regulations the home is staffed with registered nurses, carers, and ancillary staff at all times. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 5 Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 16th February 2006. A partial tour of the building took place. The inspector spoke with five residents, members of staff and the manager. What the service does well: What has improved since the last inspection? What they could do better: The care records of the residents need to be improved by plans of care being devised for the management of all of their identified needs/problems. There were signs of wear and tear on the paintwork within the home, which needs to be addressed. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 7 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. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 8 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 Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 9 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): Standard 3 was assessed at the last inspection. EVIDENCE: Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 10 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, 8 & 10 There were care plans in place to address most of the residents needs; however there is a risk that their needs will not be met properly because not all of them showed what the individual needs were and how these should be met. EVIDENCE: Residents said that staff look after them well. The documentation relating to residents care plans has changed since the last inspection. A standard pre-printed care plan is used, however care must be taken to ensure that individual plans of care are in place, which address the residents specific needs. In one of the care files examined, the daily record noted that the resident suffered from a skin beak to her sacral area, however there was no plan of care in place to address this issue. The nutritional risk assessment identified that the resident was at risk and required assistance at all times with eating and drinking, there was no plan of care in place to address this issue. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 11 In a second care file it was noted that the resident suffered from leg ulcers, there was no care plan in place. Although there was a risk assessment identifying that residents family wished bedside rails to be used there was no risk assessment to establish whether rails were suitable for the resident. There was evidence in the care records to indicate that staff monitor residents health and where necessary seek the advice of a specialist for example the GP or dietician. Daily records on the health and well being of the resident were kept. See Requirement 1&2. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 12 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 Visiting can take place at any reasonable time so that residents can keep in touch with their relatives and friends. Meals are varied and balanced providing adequate nutrition for residents to keep them healthy. EVIDENCE: Residents spoken with said that they can receive visitors at any reasonable time. They can suit themselves and choose what they want to do in the home. The priest visits weekly and the vicar monthly. Mixed opinions were given about the food. Some residents said that they didn’t like the food, however they confirmed that there is a choice of meals at lunch and teatime. One resident said she liked the food and was offered a choice. Three of the residents said they were not offered any snack with the morning cup of tea. Staff giving out morning teas said that biscuits or fruit was not offered at that time, as residents may not eat their lunch. Following discussion the manager agreed to address this issue immediately and the provider Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 13 subsequently confirmed that residents are now offered a snack with their mid morning drink. The menus were varied and contained a good balanced diet. The chef and manager said that the menus are due to be changed shortly. Residents’ views on the menus are not formally obtained. Fresh meat was available in the fridge. This is obtained from the local butcher and was of a good quality. There was plenty of fresh fruit stored in the fridge. Lunch on the day of the inspection consisted of home made tomato soup or melon, cottage pie or grilled salmon, cauliflower, green beans, new potatoes and mash. Rice pudding was offered for dessert. See Recommendation 1 Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 14 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 Information about the complaints process for the home is readily available so residents and their relatives know how to make complaints and who to make them to. EVIDENCE: There is a clear complaints procedure, which identifies the action to be taken in the event of a complaint. Residents knew who to go to if they wished to make a complaint. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 15 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. Some of the paintwork needs to be attended to so that residents are living in a pleasant and safe environment. The kitchen floor has been renewed since the last inspection so improving the facilities. EVIDENCE: Residents said they were happy with the environment and found it a pleasant place to live. They said they were looking forward to better weather when they could use the outside facilities more. There were signs of wear and tear on the paintwork within the home. This needs to be addressed. The standard of furnishings was satisfactory. One of the bathrooms and several bedrooms have been redecorated since the last inspection. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 16 The kitchen floor has been replaced since the last inspection. clean and tidy. See Recommendation 2. The home was Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 17 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 There were plenty of staff on duty so that the needs of the residents could be met. EVIDENCE: All of the residents said that there were enough staff on duty to meet their needs. Comments such as ‘staff are delightful’ ‘good staff ‘ ‘all of the staff are great’ were made. Staff were seen to interact well with residents, a happy and relaxed atmosphere appeared to exist. There have been no new staff recruited from abroad since the last inspection, however the manager said that should they recruit someone from abroad the company will ensure that a police check from their home country will be obtained. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 18 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): 35 & 38 The manager is experienced and qualified so the home is run well. Residents or their relatives manage their own money. EVIDENCE: The manager has a lot of experience of managing care homes. She is registered with the Commission for Social Care Inspection. Residents meetings are currently not held in the home. These could provide a forum for residents to influence what happens in the home. Staff at the home do not manage any residents money. Residents’ health and safety is maintained. Wheelchairs are stored by the wall in the corridor leading to the side door. Care needs to be taken to ensure that Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 19 there is always clear access to the side door in the case of an emergency. The fire alarm and emergency lighting has been checked and recorded regularly. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 20 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 21 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. 1 Standard OP7 Regulation 15 Requirement Timescale for action 16/03/06 2 OP7 13 A written plan must be implemented that identifies how all of the residents needs with respect to their health and welfare are going to be met. Appropriate risk assessments 16/03/06 must be carried out and documented for all residents who have bed rails fitted to their beds. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP15 OP19 Good Practice Recommendations Residents’ views on the food on offer should be sought. The registered person should ensure that the woodwork in the home is kept in a good condition and painted when necessary. Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Redwalls Nursing Home DS0000018791.V280431.R01.S.doc Version 5.1 Page 23 - 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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