Inspection on 28/05/08 for Redwell Hills Care Home

This inspection was carried out on 28th May 2008.

CSCI found this care home to be providing an Adequate service.

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

Redwell Hills Care Home 30/05/07

Redwell Hills Care Home 04/05/06

Redwell Hills Care Home 10/10/05

Redwell Hills Care Home 08/06/05

Redwell Hills Care Home 15/02/05

Redwell Hills Care Home 20/07/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Redwell Hills Care Home St Ives Road Leadgate Consett Durham DH8 7SN Lead Inspector Mrs Sue Lowther Unannounced Inspection 09:30 28th May & 12th June 2008 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 Redwell Hills Care Home DS0000000742.V366620.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 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. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redwell Hills Care Home Address St Ives Road Leadgate Consett Durham DH8 7SN 01207 581366 01207 591192 redwell.hills@fshc.co.uk 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) Four Seasons Homes (No 1) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Manager post vacant Care Home 50 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (36), of places Physical disability (5) Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Physical disability. Persons with a physical disability (aged 55 and over) may be accommodated commensurate with the home’s Statement of Purpose . 30th May 2007 Date of last inspection Brief Description of the Service: Redwell Hills is a purpose built care home located in a residential area on the outskirts of Leadgate. The home provides accommodation for older persons offering 24 hr general nursing and residential care for service users. The home offers single room accommodation, several of which have en-suite facilities. There are adequate additional toilets, bathrooms and communal sitting/dining areas. The home offers attractive outdoor sitting areas with a pleasant rural outlook. Weekly charges range from £417.00 to £590.40. This does not include hairdressing, chiropody, personal telephone calls and toiletries. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection of Redwell Hills took place on the 28th May and 12th June 2008. Records were examined and a tour of the building took place. Time was spent talking to people living at the home, staff and visitors. The inspection focussed on key standard outcomes for people living at the home. We also checked whether requirements from the previous report had been met. What the service does well: What has improved since the last inspection? The cupboards in the treatment room have been replaced as recommended in the last inspection report. This is to make sure that medicines are stored safely. An activities coordinator has recently been appointed. This should improve the leisure and social interests of the people who live in the home. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 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 Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3. People who use the service experience good quality outcomes in this area. Assessment procedures are in place to ensure that the home can meet the needs of the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: People are only admitted after a full assessment of need is carried out by an appropriately trained person. This is usually the manager. This is to make sure that the home can meet the care needs of the people who go to live there. The family of one person who had recently gone to live in the home confirmed that they had looked around the home and had been supplied with all of the information they needed to make a decision about whether or not their relative would like to live there. All of the people who responded to the survey said that they had received enough information about the home before they went to live there. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 9 The home does not admit people for intermediate care, therefore assessment of standard 6 is not required. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10. People who use the service experience good quality outcomes in this area. People’s health care needs are well managed by the home. Systems to administer medication are safe and people living at the home say that they are treated well and that the standard of care is good. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The regional manager said that all of the people who live in the home have care plans so that staff know how to look after people on an individual basis. People spoken to during the inspection said that they are happy with the care received and the level of information given. All of the people who returned the survey indicated that they are happy with the care and usually get the care that they need. Records examined showed that people receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. One Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 11 person who lives in the home said, “The staff know when I am not well and get the doctor straight away. I am well looked after and all of the staff are excellent”. One relative said “The staff support me when health problems arise with my relative and carefully explain anything that I need to know or do not understand”. Medication is administered by qualified nurses or carers who have been trained. The home has a comprehensive medication policy. Accurate records of all medicines received, administered and those leaving the home are maintained. The cupboards in the treatment room have been replaced as recommended in the last inspection report. This is to make sure that medicines are stored safely. People spoken to said that staff always treat them with dignity and respect. One of the relatives said “ The staff are really good, they are lovely and speak to people nicely”. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15. People who use the service experience good quality outcomes in this area. The activities are varied and provide recreation for some of the people who live in the home. Family and friends can visit at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and people are given a choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Activities are tailored to individual need as far as possible. An activities coordinator has recently been appointed. Comments about the activities being provided were generally good. Everyone spoken to at the time of the inspection said that they were appropriate. Some people said that they did not wish to join in and that staff accepted this. Activities include bingo, sing a longs, quizzes and trips out. People also said that they were able to sit outside when the weather was nice. People were asked about visiting arrangements, which are flexible. One of the comments from a visitor included, “We are made welcome to the home, its Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 13 lovely”. Visitors can see people in their own rooms or in any of the communal areas available throughout the home. Comments about the food were good. The looked appetising and people said that it was tasty. Specialist diets are catered for and include menus for diabetics and soft menus. Staff supported those who needed help during mealtimes in a sensitive manner. One person said, “The food is good, no complaints”. One relative said, “The staff go out of their way to make sure that people get a meal which they like”. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18. People who use the service experience good quality outcomes in this area. The people who live in the home can be confident that their concerns and complaints are dealt with appropriately and sufficient safeguards are in place to protect them from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Information about complaints, how and who to make them to, is made available to the people who live in the home and their families through information displayed in the entrance to the home and in the ‘Service Users Guide’. One person said, “If I had a problem I would tell the staff”. One relative said, “I would approach any member of staff at any time”. The home had received three complaints since the last inspection. These were recorded along with the action taken. The home had a comprehensive adult protection procedure. This gives staff the support they need to make a referral should this be required. The staff spoken to during the inspection were asked about abuse and what they would do if they saw or heard anything inappropriate. All said that they would tell someone, for example the regional manager, or make a referral themselves if this was more appropriate. Training is provided for all staff in adult protection. One member of staff said, “I would have no hesitation in reporting any Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 15 concern. I am here for the residents”. Another wrote on a survey, “We always put residents first”. One relative said, “Staff listen to any concerns that I have and act on them”. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26. People who use the service experience good quality outcomes in this area. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The communal areas were bright and nicely decorated. Many of the rooms are decorated to the person’s own taste and there was evidence to confirm that people can take in some personal items when they go to live there. This includes pieces of furniture as well as photographs and ornaments. There was a range of equipment seen around the home to support people with bathing and mobility. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 17 During the tour of the building, the inspector found the building to be clean, tidy and free from offensive odours. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30. People who use the service experience good quality outcomes in this area. The home has a well-trained staff team, in sufficient numbers to meet the needs of the people who currently live in the home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: From the rota supplied at the inspection there was sufficient care staff on duty to meet the assessed care needs of the people who were using the service. People said that staff were usually around and answered the call bells quickly. Staff spoken to said that when they are involved in catering and domestic duties, this does not detract from their care hours. The home had staff files in place, which provided evidence that the appointment of a new staff member is made through proper recruitment processes. This includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. There is a commitment at the home to having a trained workforce with many of the staff having an NVQ at level 2 or above. Training is provided for staff. As well as mandatory training, recent training has also taken place in adult protection and health and safety. Staff said that they are also supported with regard to personal training needs. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 19 Staff comments in this area were positive. Comments from staff included “Morale is good and there are lots of opportunities for training” and “Good training, we are able to support each other”. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 & 38. People who use the service experience adequate quality outcomes in this area. An acting manager currently manages the home, however she is not yet registered with the CSCI. The company has systems in place to safeguard the people who live there. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Since the last inspection the company have appointed a person to manage the home. She has applied to be registered with the CSCI. She was not present on either of the inspection days. Although she had not returned the AQAA, the regional manager who was present for the inspection said that the AQAA was almost complete and would be available for the second day. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 21 The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It also provides us with numerical information about the service. The home has an annual plan for quality assurance which includes meetings staff. These are held monthly and information from these are included in quality monitoring. Relatives and the people who live in the home can approach the staff at any time. The area manager completes a regulation 26 visit monthly. This is an audit which covers all aspects of the environment and the care delivered. The area manager said that during this audit she speaks to staff, the people who live in the home and visitors about their views. Any suggestions made are considered and improvements made where possible. Personal finances are kept in the home for people who request this. Two signatures are obtained and receipts are kept to ensure peoples’ financial interests are safeguarded. Health and safety systems were looked at. Safe working practices are maintained in line with current regulations and appropriate risk assessments are available. All safety checks for maintenance are carried out by external contractors as designated by law. All accidents are recorded and reported appropriately. Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 23 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 OP31 Regulation 8&9 Requirement The company must ensure that the person appointed to manage the care home is registered with the CSCI. Timescale for action 30/09/08 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 Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Redwell Hills Care Home DS0000000742.V366620.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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