CARE HOMES FOR OLDER PEOPLE
Redwell Hills Care Home St Ives Road Leadgate Consett DH8 7SN Lead Inspector
Susan Lowther Unannounced 8th June 2005 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 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 B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Redwell Hills Care Home Address St Ives Road Leadgate Consett County Durham DH8 7SN 01207 581366 01207 581366 Telephone number Fax number Email 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 Healthcare (England) Limited CRH 50 Category(ies) of DE(E) (14) registration, with number OP (36) of places PD (5) TI (5) Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Persons with a physical disability (aged 55 and over) may be accommodated commensurate with the home`s statement of purpose . Date of last inspection 15th February 2005 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. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 8th June 2005 over a period of 6 hours. During the inspection some of the time was spent talking to the residents, staff and relatives. A selection of comment cards were given to service users with pre-paid envelopes provided. A tour of the building was also undertaken and a number of care plans were examined. Time was spent observing the care provided to residents in the home. What the service does well: What has improved since the last inspection?
All of the relatives and service users spoken to felt that there has been a general significant improvement within the home in most areas since the last inspection. Comments included ‘ I previously could not stay away from the home as I was concerned about the care. The current manager has listened to me and I now think things are really good. The home is well managed and the food is really good. If anything the people are over nourished.’ Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 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. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 &4 Information is given to prospective service users to help them make an informed decision about moving into Redwell Hills. Appropriate assessment procedures are in place but these needs to include more information about peoples mental health, psychological and physical needs to ensure that the home can meet the needs of service users. EVIDENCE: Copies of the Statement of Purpose and Service User Guide were available in the reception area of Redwell Hills, along with copies of the home’s most recent inspection reports. There is still no statement of terms and conditions available to service users. The company are aware that this issue has been outstanding for some considerable time. Discussion with the manager indicated that all service users will be assessed before admission, to ensure that Redwell Hills is able to meet their needs and
Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 9 that relatives and people who may wish to move into the home can visit prior to making that decision. Individual records are kept for each service user and those inspected contained care management assessment and an assessment carried out by the home. Examination of an assessment of a person who had recently been admitted to the home, confirmed that comprehensive assessments are now undertaken. Redwell Hills does not provide intermediate care; therefore the assessment of Standard 6 is not necessary. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 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 standard(s) 7,8,9&10 Individual care plans are in place, but little progress has been made since the last inspection about the requirement that these should be much more comprehensive to ensure that all care needs are appropriately met. EVIDENCE: Individual plans of care are available but little progress has been made to ensure that all aspects of health, personal and social care needs are planned for. Plans remain basic, most were not up to date and had not been reviewed. One of the records examined did not contain a care plan for each of the problems identified in the assessment and another service user had no care plans at all. Staff confirmed that the needs of these people were being met even though there was a lack of clear plans. This approach is dependant on informal verbal communication systems. Residents are at risk of not having their needs met if these informal systems break down. All staff who give out medication have been trained to do so and the drug administration sheets checked were found to be in order.
Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 11 Residents spoken to confirmed that staff treat them with dignity and respect and knock before entering their rooms. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 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 standard(s) 12,14&15 Service users are encouraged and assisted to make a choice about their care. Throughout the inspection process it was evident that the lack of social stimulation is considered to be a major issue for the people who live there. Meals are nutritious and balanced, offering a varied diet for residents. EVIDENCE: There is now a policy in place to assist service users so that they know where their records are kept and how they can access them. Whilst it was identified that the people who live in the home consider the lack of social activity a problem, a member of staff has recently been employed who will be responsible for organising a suitable programme. A number of people living in the home and their relatives were spoken to throughout the inspection process and all confirmed that the food is excellent, with a varied choice offered. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 13 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 standard(s) These standards/outcomes areas were not assessed during the course of this inspection. They will be examined at the next inspection. EVIDENCE: Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 14 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 standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection. EVIDENCE: Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 & 30 The procedure for the recruitment of staff is now considered to be robust and offers protection for the people who live there. Staff training has recently been implemented to ensure that staff have the skills to do their job. EVIDENCE: The staff files reviewed indicated that all of the required recruitment checks are now made before a new member of staff starts to work in the home. After talking to staff and reviewing records it was confirmed that recent traing has taken place in the areas of care planning, nutrition, food hygiene, fire safety, first aid, moving and handling and ‘Protection of Vulnerable Adults. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,35,36,37&38 The home does not currently have a registered manager in place, however the current arrangement is considered to be adequate on a temporary basis. EVIDENCE: Redwell Hills has a peripatetic manager in place. She has previously been a manager in another home within the company, but now covers in homes where there is a vacant post until a new manager is appointed. Service users and relatives spoken to during the inspection process confirmed that there have been significant improvements whilst she has been there and had hoped that she would stay. The company must now seek to appoint a suitable person to be registered with the CSCI. The company have now written to service users advising them of the pooled banking arrangements currently operating within the home.
Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 17 Staff confirmed during discussion that staff supervision has now commenced and examination of records confirmed this. The temporary manager was able to demonstrate that as far as possible the health and safety of the residents, staff and visitor’s to the home is maintained. Health and safety records inspected were up to date and the appropriate staff training had been carried out. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 1 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 x 14 3 15 3
COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 1 x x x 3 3 3 x Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 19 Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5& Schedule 4 Requirement The home must ensure that each service user is provided with a statement of terms and conditions at the point of moving into the home (or a contract if purchasing their care privately). Service user plans must be in sufficient detail to provide clear guidance to staff on the actions to be taken to meet their halth and welfare needs. Service user plans must be kept undere review.Previous requirementTimescale of 31/05/05 not met.) Appropriate arrangements must be made to address the leisure and social interests of service users. The company must seek to appoint a person to manage the care home. Timescale for action 31/08/05 2. OP7 & 8 15(1) & (2) 31/08/05 3. OP12 12.2 31/08/05 4. OP31 8&9 31/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations
B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 20 Redwell Hills Care Home 1. Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 21 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Redwell Hills Care Home B54 S742 Redwell Hills V232383 080605 Stage4.doc Version 1.30 Page 22 - 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!
