Inspection on 30/05/07 for Redwell Hills Care Home

This inspection was carried out on 30th May 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

Redwell Hills Care Home 28/05/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Redwell Hills Care Home St Ives Road Leadgate Consett Durham DH8 7SN Lead Inspector Mrs Sue Lowther Unannounced Inspection 30th May 2007 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 Redwell Hills Care Home DS0000000742.V337068.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.V337068.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) Position 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.V337068.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 . 4th May 2006 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 £399 to £419. This does not include hairdressing, chiropody, personal telephone calls and toiletries. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Redwell Hills Care Home took place on the 30th May 2007. Records were examined and a tour of the building took place. At the time of the inspection there was no registered manager in post. However the Regional Manager was present throughout the inspection. Time was spent talking to service users, staff and relatives. Some information was supplied on a pre inspection questionnaire. The inspection focussed on key standard outcomes for the people who live in the home and to check whether the requirements made in the last report had been met. What the service does well: What has improved since the last inspection? All of the people who live in the home now have a contract that tells them about the service they can expect to receive and what is covered in the costs. People who live in the home and their relatives said that they are now know about their care plans. The bathroom areas were not being used for storage at the time of this inspection. Over 50 of care staff have now achieved an N.V.Q. in care at level 2 or 3. Redwell Hills Care Home DS0000000742.V337068.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.V337068.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.V337068.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): 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures are in place to ensure that the home can meet all of the needs of the people who go to live there. The home does not provide intermediate care. Therefore assessment of Standard 6 is not required. EVIDENCE: The administrator said that all of the people who live in the home now have a contract that tells them about the service they can expect to receive and what is covered in the costs. One of the staff visits people in their current place of residence to carry out a comprehensive assessment before they go to live in the home. This makes Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 9 sure their needs can be met within the home. A care plan is agreed and this is reviewed regularly. The files of three people were looked at and confirmed this. One person who lives in the home said, “I came to look around and staff gave me all of the information I needed. I decided that this was the one for me”. Redwell Hills Care Home DS0000000742.V337068.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): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good systems are in place to ensure that health care needs of service users are met. People who live in the home can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: There were individual care plans available that identified health and personal care needs and how they would be met. Three were looked at during the inspection. Daily records showed this care was provided. People who live in the home and their relatives said that they were aware of these plans. The management of medication within the home is adequate with the exception of storage. The last report recommended that storage facilities be reviewed to ensure they comply with legal requirements. The regional manager provided evidence to confirm that new cupboards had been requested. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 11 The inspector saw that staff treat the people with dignity and respect. Staff were seen to knock on doors before entering rooms and spoke to the people in a respectful manner. One relative said that the staff were “very caring” and “couldn’t be better”. Another said, “You can ask staff to do anything and they do it”. Redwell Hills Care Home DS0000000742.V337068.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): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for some of the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. EVIDENCE: Redwell Hills has a policy of open visiting. Visitors said they always felt welcome. One relative said, “Staff are nice. They always make me welcome and keep me informed about important matters”. Comments about activities within the home were mixed. Care staff currently organise the activity programme. One visitor said “My relative likes to get involved in the activities when she can. She really enjoys the singers”. A service user said “There is nothing much to do at the moment”. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 13 Family members can access community transport and facilities and sometimes take their relatives out. The menus are displayed each day. Staff ask service users if they are happy with this or if they want an alternative. Redwell Hills Care Home DS0000000742.V337068.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: The home has a complaints procedure for service users and relatives. Family members said that if they had any concerns they would talk to the manager and staff. They felt confident that they would be listened to and action would be taken. One relative said “I can approach the staff if I have a problem and they always sort it out”. Staff spoken to had been trained in adult protection. They were all aware of policies and procedures to ensure the protection of vulnerable adults. They said that they felt confident they would know how to respond if an incident occurred. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: Some areas of the home have recently been redecorated to a good standard. The décor throughout the home is bright and cheerful. The bathroom areas were not being used for storage at the time of this inspection. The bedrooms viewed were found to be clean and comfortable. People had their own belongings, photos, ornaments and televisions in their rooms giving them a homely feel. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 16 The home has a variety of communal areas including a small quiet lounge and a large lounge and dining area downstairs. There are separate lounge and dining areas in the unit upstairs. All of these were found to be clean and comfortable and are available for people to see friends and families if they do not want to use their bedrooms. A relative said, “This home is well decorated. One of the better ones I think”. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. 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 good recruitment and selection system, which ensures that people are cared for by competent staff. EVIDENCE: The duty rota supplied with the pre inspection questionnaire evidenced that sufficient staff are on duty and deployed appropriately in order to meet the needs of the people who live in the home. All of the people spoken to said that staff were around when they needed them, and if they rang the buzzer it was answered promptly. There is a commitment at the home to having a trained workforce and a variety of training courses are available to all staff. Staff said they found the training helpful in improving their day-to-day practice. Recent training has taken place in moving and handling, palliative care, dementia awareness, risk assessment, care planning and safe handling of medication. Over 50 of care staff are also trained to NVQ (National Vocational Qualification) in care at level two or above. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 18 The home had staff files in place that 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. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is no registered manager in post to provide clear, consistent leadership throughout the home. EVIDENCE: There is no registered manager in post at Redwell Hills. An acting manager was recruited after the last inspection but has since resigned. The Regional Manager and some managers from other homes within the company were supporting staff. The company must ensure that there is a full time registered manager within the home to ensure that standards continue to improve and requirements are met. An application to register a manager must be submitted to the Commission. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 20 The area manager carries out a quality assurance and monitoring visit on a monthly basis. This covers all aspects of care delivery and environmental issues. Copies of these were available in the home. The administrator is responsible for the record keeping with regard to finances of people in the home who cannot look after their own and who have no relatives to do so. A representative from the company audits these on a monthly basis to ensure that residents are protected. The regional manager confirmed that the home carries out regular health & safety checks. The inspector checked some of the records. Those viewed were up to date. Redwell Hills Care Home DS0000000742.V337068.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 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 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X 3 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.V337068.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. 1. Standard OP31 Regulation 8&9 Requirement The company must seek to appoint a suitable person to manage the care home to ensure that standards continue to improve and requirements are met. Timescale for action 30/09/07 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 OP9 OP12 Good Practice Recommendations The cupboards within the treatment room should be replaced. Appropriate arrangements should be made to address the leisure and social interests of service users. Redwell Hills Care Home DS0000000742.V337068.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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.V337068.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!