Inspection on 16/12/05 for Redwood House

This inspection was carried out on 16th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Redwood House 09/01/07

Redwood House 16/08/05

Redwood House 14/02/05

Redwood House 16/11/04

Redwood House 09/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Redwood House 54 Sharpenhoe Road Barton-le-clay Bedfordshire MK45 4SD Lead Inspector Leonorah Milton Unannounced Inspection 16th December 2005 13:45 Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 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 House DS0000014951.V269306.R01.S.doc Version 5.0 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 House DS0000014951.V269306.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Redwood House Address 54 Sharpenhoe Road Barton-le-clay Bedfordshire MK45 4SD 01582 881325 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) Complete Care Services Limited Mr Stephen Ofosu Koranteng Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 Brief Description of the Service: Redwood House was situated on the outskirts of Barton-Le-Clay approximately midway between Luton and Bedford with good road access to both towns. The registered owners were Complete Care Services Ltd who had operated the home since it opened in 2000. The manager had been registered in March of this year but had been in post for several months prior to this. The service was registered to provide care for up to seven younger adults with a learning disability. The home was within walking distance of the village centre and local amenities. The building had been converted and extended from its original use as a family home. It was set in generous grounds. All the bedrooms were for single occupancy, two rooms had en-suite facilities and the garage had been converted to provide a meeting room and when required an activity/day care area. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of the statutory two inspections that the Commission for Social Care Inspection (CSCI) is required to carry out each year. This inspection was carried out in accordance with the CSCI’s procedures to assess core care standards within the two inspections as detailed on this report. This inspection therefore focused on the progress to meet requirements from the previous inspection and the core standards not assessed at that visit. During this inspection a service user was consulted about the arrangements for her care and her private accommodation was inspected. The service user stated that she enjoyed living in the home but expressed frustration about her learning difficulties and how these curtailed some of her lifestyle. She was however positive about the opportunities to socialise and described several recent activities/entertainments. Attendance at a day centre also figured largely in the conversation, the handicraft sessions and friends she had met there. The service user confirmed that she contributed to domestic tasks in the home and took care of her own laundry with the assistance of members of staff. It was evident also that the service user retained some control of her finances and had maintained close links with her family. The inspection also included a review of sundry records and a partial tour of the building. It is recommended that this report be read in conjunction with the report of the inspection carried out in August 2005 for a complete overview of the standard of the operation between these dates. What the service does well: What has improved since the last inspection? There had been progress within the managers’ brief on requirements in relation to the provision of food that met service users’ preferences, access to Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 6 advocacy services and contact with an organisation to enable a service user to mix with others from his cultural background. Action had been taken risks to safety seen at the previous inspection. 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. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 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 House DS0000014951.V269306.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These core standards were not reviewed as they had been assessed at the previous inspection. EVIDENCE: Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These core standards were not reviewed as they had been assessed at the previous inspection. EVIDENCE: Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15,16,17 There had been improvement in the support for service users to achieve a lifestyle that met their preferences and cultural needs. EVIDENCE: Copies of letters were seen to show that contact had been initiated with Advocacy Services and also with an Asian Community Support Team to promote service users’ involvement with independent advisory/support groups. Risk assessments, menus and minutes of meetings with service users showed that there had been consultation about the provision of meals. Arrangements had taken account of risk assessments and those with special dietary requirements. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Service users had been enabled to achieve a flexible lifestyle in accordance with their wishes and needs. EVIDENCE: Individual daily programmes were advertised in the staff office. They showed in detail the arrangements for activities both in house and at day centres and recreational clubs. Arrangements for getting up each morning were to accommodate the advertised schedules. It was noted that when service users were remaining in the home getting up times were more flexible. A service user confirmed that she could go to bed when she wished to or stays up late. She expressed satisfaction with the daily routines and the support she had received from members of staff. Friendly dialogue was observed between service users and the members of staff on duty. Support and guidance was offered to a service user in a calm and respectful manner even when the recipient was disgruntled and abrupt by return. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Appropriate arrangements were in place to protect service users from abuse and to enable concerns to be raised. EVIDENCE: Previous inspections had identified that appropriate written protection and complaints procedures were in place. At this inspection it was noted that strategies were in place to enable the manager to receive feedback about the service as a whole and any concerns about individual care: service users’ individual progress reports were shared with service users’ representatives on a monthly basis. Representatives were invited to respond to the reports. In addition the manager had informed service users’ families and representatives that he had set aside one afternoon and evening each week for discussions and feedback. A service user confirmed that she felt able to complain if there was a need to and that she would inform her key-worker, the deputy or the manager about any worries. Training records indicated the personnel had received training in adult protection procedures and also in safe restraint techniques to eliminate any risk of accidental injury to service users in the event that such intervention was necessary. Records had been maintained when interventions had been used. These had been few with no apparent adverse effects to service users’ well being. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,26,30 The environment was mostly suitable for the care of young adults with learning disabilities. EVIDENCE: The premises had a homely appearance. Areas of the building seen at this inspection were clean and orderly. A service user’s bed that had been in a poor hygienic condition at the previous inspection had been replaced. Action on immediate requirements had improved the safety in the kitchen by the replacement of the oven and in the laundry room by fitting of electrical sockets to remove the use of extension cable. Privacy arrangements were still compromised because not all bedroom doors had been fitted with locks. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Omissions in training that was specific to the care of those with learning difficulties could result in needs being overlooked. EVIDENCE: The training records for three members of staff who had all worked in the home for two years were reviewed. Training for each had included statutory health and safety training, restraint techniques, protection issues, challenging behaviour and safe handling of medication. There was no evidence of the development of work towards NVQ awards. However the proposed training programme that was shown to the inspector at this inspection should improve this situation. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The home had been managed on site in the best interests of service users. EVIDENCE: The manager was qualified, experienced and skilled in the care of people with learning difficulties and the management of a care home. He demonstrated a professional approach to his role and the overall record keeping to evidence practice throughout the service. It was evident that both the service users and personnel benefited from his open style of management. As stated elsewhere in this report strategies were in place to consult with service users and their representatives on a regular basis, however there had not been an annual quality review with resulting action plan as detailed by the standard since July 2004. Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 2 x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 2 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x 2 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Redwood House Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 2 x DS0000014951.V269306.R01.S.doc Version 5.0 Page 17 yes 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 YA7 Regulation 15(1)(a) Requirement The registered person must ensure that each service user has an up to date fully completed individual plan that details how their needs will be met and how they will achieve their goals. 16.11.04: The registered person must ensure that on each service user’s personal file there is an up to date service user’s plan that conforms to the relevant standards (2, 6, 7 and 9 along with all the other standards that require information to go into the plan). The service user and, as appropriate, his or her representative must be involved in drawing up the plan and their involvement noted in the document (16.08.05-Previous timescales of 1.03.05 and 01.06.05 had not been met in full))16.12.05-Not assessed in full at this inspection). The risk of accidental burn from unprotected radiators must be DS0000014951.V269306.R01.S.doc Timescale for action 31/03/06 2 YA9 13(4)(a) 31/10/05 Redwood House Version 5.0 Page 18 3 4 YA24 YA26 5 YA35 6 7 YA42 YA43 8 YA39 assessed in relation to the service user who has epilepsy. (Risk assessment carried out and now requiring action to eliminate hazard-please see new requirement). 23(2)(b)(d) The walls in the corridor of the annex must be plastered and decorated. 23(1)(a) Bedroom doors must be fitted with individaul locks that permit service users to secure them during their absence and that will allow allow staff entry in the event of an emergency. 18(1)(c)(i) The registered person must ensure that the LADAFaccredited induction and foundation training is introduced in a reasonable time. (16.08.05-Previous timescales of 01.03.05 and 01.06.05 had not been met.) 13(4)(a) Exposed radiator surfaces that pose a risk of accidental burn must be covered. 25(1) The registered person must ensure that there is an annual business plan and financial plan. (16.08.05-Previous timescale of 01.03.05 and 01.06.05 had not been met in full).(16.12.05-Not assessed at this inspection) 24(1)(2) The registered person must introduce effective quality assurance and monitoring systems. 16.11.04: The registered person must ensure that there is appropriate reviewing of the findings of the monitoring systems leading to an annual development plan. (Previous timescales of 01.03.05 and 01.06.05 had not been met in full). 31/12/05 31/12/05 31/12/05 31/01/06 31/12/05 31/03/06 Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 19 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 Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Redwood House DS0000014951.V269306.R01.S.doc Version 5.0 Page 21 - 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. 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