Inspection on 05/12/06 for Redwood Close 11

This inspection was carried out on 5th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Redwood Close 11 08/03/06

Redwood Close 11 07/09/05

Redwood Close 11 09/03/05

Redwood Close 11 30/11/04

Redwood Close 11 12/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Redwood Close 11 11 Redwood Close Bridlington East Riding Of Yorks YO16 7GX Lead Inspector Sarah Sadler Unannounced Inspection 5th December 2006 2:00 Redwood Close 11 DS0000019782.V308414.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 Redwood Close 11 DS0000019782.V308414.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. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redwood Close 11 Address 11 Redwood Close Bridlington East Riding Of Yorks YO16 7GX 01262 675862 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) East Yorkshire Housing Association Limited Miss Ann Sylvia Hall Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th March 2006 Brief Description of the Service: 11 Redwood Close is owned by East Yorkshire Housing Association Limited. The home is registered to provide accommodation and care for three male or female service users with a learning disability. There are currently 2 service users living at the home. The home is generally well maintained and bedrooms are individually decorated to reflect the style and taste of the service users. Service users have access to all communal areas and can spend time with others in the lounge and dining room or take time to be alone in their bedroom. The home has its own transport for taking service users to day centres or on outings in the surrounding countryside and has good access to the local bus service. The registered manager confirmed that the weekly fees for living in the home vary between £94.46 and £62.35. With additional charges for toiletries, transport and petrol, of which the fees vary. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • A review of the information held on the homes file since its last inspection. • Information submitted by the registered provider in the Pre Inspection Questionnaire, which was updated at the time of the visit. • An unannounced visit to the home lasted 3 hours. The visit included a tour of the premises, observation of service users, talking to a member of staff and the registered manager. Examining of service user and other records. Questionnaires were sent to relatives and other professionals but none were returned. What the service does well: What has improved since the last inspection? What they could do better: The registered manager has enrolled upon but not yet completed a qualification in management equivalent to a National Vocational Qualification at level 4. This will assist the manager to continue to ensure that the service users’ needs continue to be well met. The laundry floor should be made impermeable to reduce the risk of infection. Redwood Close 11 DS0000019782.V308414.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. Redwood Close 11 DS0000019782.V308414.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 Redwood Close 11 DS0000019782.V308414.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. Up to date service user assessment assists in ensuring that people’s needs are met. EVIDENCE: The files of the two service users both contained comprehensive assessments, which addressed both their strengths and needs in a variety of areas that included personal care, mobility and health. This information assists the carers when developing a care plan to offer the correct support to each individual. The service users have lived in the home for a number of years and when initially moving in the Local Authority also undertook an assessment. This is reviewed on an annual basis alongside the assessment and care plan developed within the home, ensuring that the carers are aware of the up to date needs of the service users and how these might best be met. Redwood Close 11 DS0000019782.V308414.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): 6,7,9 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 with a care plan to take risks and make decisions in their lives. EVIDENCE: A system called ‘Person Centred Planning’ is used within the home to develop care plans for each individual. This has produced detailed plans of care that focus on the individual’s strengths needs and wishes. It covers a variety of needs ranging from personal care, diet, relationships and health needs. The plan of care is reviewed on a monthly, quarterly and annual basis to ensure that it is up to date and meeting the current needs of the service users. Service user care plans consider the wishes of the individuals and wherever possible put these into practice, for example one service user is supported in making their own drink. Daily diary notes reflect the choices that people make, Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 10 for example ‘decide to have a lie in’, whilst on the day of the visit staff were observed to ask service users questions regarding choice and confirmed that people make choices in their daily routines. There are up to date risk assessments included in the service users’ file, which address the individual needs of each service user. The risk assessments cover a variety of areas from the use of the bathroom to going out in a car. These assist in ensuring the reduction of risks and support people in being able to undertake chosen activities. Redwood Close 11 DS0000019782.V308414.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. Service users are supported to meet their social and dietary needs. EVIDENCE: The registered manager, staff member and care plans all reflect that service users have busy lives. One service user attends a Community Activity Programme (CAP) five days a week with the other attending an adult education placement. Outside of this the service users’ diary notes detail that each individual relaxes within their own chosen activity which may be listening to music or watching the TV. On weekends people choose whether to stay at home or go for rides out, which sometimes is accompanied by a meal out. The staff member confirmed that the service users are supported to go out in their local community, which includes going for walks and on occasions shopping. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 12 Service users are supported by the staff team with their personal relationships and both have relatives that visit them in their home. The staff confirmed that they might visit at any time although often relatives ring prior to the visit to ensure it is convenient. One service user spends time away from the home with their relatives. The registered manager has ensured that there are menus within the home, which offer a variety of meals. The menu plan offers the opportunity of choice at mealtimes, this was observed on the day of the visit, with the individual choices of the service users are recorded. Redwood Close 11 DS0000019782.V308414.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. Service users’ health and medication needs are met. EVIDENCE: Service user care plans include the different details of how each individual requires to be supported with the meeting of their needs. This may alter in different areas of their lives and again is reflected in the care plan. There is a statement within the care plans that addresses whether each service user would prefer to have a male or female carer supporting them and the staff team have addressed this on behalf of the service user. At the time of the visit staff were observed to take time to understand each individuals method of communication to ensure that they clearly understood the individuals wishes. People are supported with the meeting of their health needs and within each plan of care and file there is a section, which addresses this. It records the attending of any appointments, for example at the GP’s with the reasons for Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 14 the appointment and any advice given. Further records are also kept of optical, chiropody and dental appointments. People have been referred to individual specialists where necessary and again information relating to this is kept within the persons file. Within assessment it has been identified that the staff will support the service users with the administration of their medication. There are clear records kept of the receipt, administration and disposal of any medication. Information is recorded regarding each prescribed medicine to ensure that staff are aware of the reason for prescribing. Redwood Close 11 DS0000019782.V308414.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. Systems are in place to support people to complain d protect service users from the risk of harm. EVIDENCE: The registered manager confirmed that there have been no complaints to the home. There is a complaints policy and a complaints log should anyone wish to make a complaint and the member of staff confirmed that they both felt able to raise a complaint and that it would be dealt with appropriately. The registered manager also confirmed that there is a copy of the Local Authority’s policy ‘ The Protection of Vulnerable Adults’ (POVA) held within the home in addition to the home’s own policy. Staff have attended POVA training and again the member of staff was positive and confident in being able to deal with and raise concerns if any issues regarding abuse arose. Both service users are supported with their finances and individual records and receipts are kept of purchases. Redwood Close 11 DS0000019782.V308414.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 warm, comfortable and clean home. EVIDENCE: The home is a bungalow within an ordinary housing establishment. Service users have the use of a lounge/dining room, kitchen two bathrooms and their own individual bedroom. The home is warm, comfortable and adequately maintained. The service user bedrooms reflect each of their individual personalities and one service user was pleased to show the inspector their room. Service users are protected from the risk of a fire, as there is a fire risk assessment, fire policy, and the fire alarm and fire fighting equipment are maintained. The registered manager confirmed that the fire risk assessment Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 17 has recently been reviewed. There are regular fire drills and staff have received training in fire safety. The laundry facilities are in the garage to assist in the control of infection. It is recommended that the floor of the garage be impermeable to assist in the reduction of the risk of infection form dirty laundry. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 18 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 well recruited and trained staff team. EVIDENCE: There are good recruitment practices within the organisation, which assist in ensuring that appropriate and suitable people are employed and also that service users are protected from the risk of harm. Staff files included application forms, two written references and details that staff had undertaken a criminal Records Bureau (CRB) check. Staff are supported with an induction that meets the Skills for Care (previously TOPSS) requirements and receive supervision and appraisals. A staff team that are well trained supports the service users and the registered manager confirmed that 80 of the staff team have achieved an NVQ level 2 in care or equivalent. Staff records reflected that staff had undertaken a variety of training, which varied slightly between individuals. The training records included accredited medication training, first aid, fire and POVA. There Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 19 is an annual training programme available to all staff and each individual is offered course to meet their individual needs. The staff member also confirmed that they had undertaken differing courses over the previous year. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 20 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. Service users live in a home that is well managed by staff that enables them to participate in its development and works to protect them from harm. EVIDENCE: The manager is now registered with the Commission. She confirmed that she has registered to complete the NVQ level 4 in management and that she has already completed the NVQ level 4 in care. There is a quality assurance system within the home, which seeks the views of service users, staff and other stakeholders, ensuring that all involved within the service are able to participate in its development. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 21 There are health and safety checks undertaken within the home to help ensure that the service users are protected from harm. Documents were available which included an up to date Gas Safety check, Electrical wiring check, and Portable appliance testing. Risk assessments are also in place for safe working practices. The registered manager confirmed that the safety requirements at the last inspection were met. The gas fire has been removed and the shower disabled to prevent it from providing hot water at excessive temperatures, however at present no service users use this. Redwood Close 11 DS0000019782.V308414.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 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 X 23 X 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 4 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 Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 23 No 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. 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. 1. 2 Refer to Standard YA24 YA30 Good Practice Recommendations Ideally, staff should be provided with separate toilet and bathing/shower facilities. The registered person should ensure that laundry floors are impermeable. Redwood Close 11 DS0000019782.V308414.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Redwood Close 11 DS0000019782.V308414.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. 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!