Inspection on 11/01/06 for The Red House

This inspection was carried out on 11th January 2006.

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 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

The Red House 12/02/07

The Red House 28/07/05

The Red House 16/12/04

The Red House 07/07/04

The Red House 09/02/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE The Red House 2 Southampton Road Fareham Hampshire PO16 7DY Lead Inspector Beverley Rand Unannounced Inspection 11th January 2006 10:15 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 The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Red House Address 2 Southampton Road Fareham Hampshire PO16 7DY 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) 01329 287899 Mr C G Watts Mrs E Watts Care Home 36 Category(ies) of Dementia (7), Dementia - over 65 years of age registration, with number (36), Mental disorder, excluding learning of places disability or dementia (7), Mental Disorder, excluding learning disability or dementia - over 65 years of age (36), Old age, not falling within any other category (36), Physical disability (7), Physical disability over 65 years of age (10) The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than 7 service users in total can be accommodated in the categories DE, MD and PD between the ages 55-65 years. Dispensation has been given in order that one named service user in the MD category could be admitted under the age of 55. This is a temporary condition and not transferable. 28th July 2005 Date of last inspection Brief Description of the Service: The Red House is a care home providing personal care and accommodation for 36 people, including those with dementia. The home is located in the town of Fareham and is close to local amenities. Mr and Mrs Watts bought the home in 1987. The home consists of a two storey Victorian house which has been extended. All the bedrooms are single, and eighteen bedrooms have en-suite toilet facilities. Communal facilities include a sun lounge, conservatory lounge, dining room, dining/activities room and a room for smokers. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of the year and took place over four and a half hours. The inspector spoke with four residents, a visitor, three staff, two deputy managers, and spent time sitting in a lounge with five residents. The inspector looked at records such as pre-admission assessments, menus and maintenance certificates. What the service does well: What has improved since the last inspection? What they could do better: Records showed incidents of aggression between some residents, and from a resident towards staff. Although healthcare professionals were involved with one resident, Social Services should have been contacted regarding the incidents between residents. Not all the staff had accurate information about the incidents which meant that they could not effectively support those who The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 6 may have been scared or upset. This report says that Social Services must be involved in such incidents. 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 Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 the following standard(s): 3. Standard 6 does not apply to the Redhouse. The home ensures that residents’ needs are assessed before they move into the home. EVIDENCE: The manager and/or a deputy visit prospective residents in the hospital or at home and talk to them and their families, if appropriate, to undertake the assessment. The assessment includes individual needs and wishes. Assessments are also sought from professionals. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 8, 9 & 10 The home ensures that residents’ healthcare and medication needs are met whilst being mindful of the privacy and dignity of individuals. EVIDENCE: The home has good relationships with GPs who undertake monitoring visits. The Diabetes nurse supports the home in meeting the needs of service users with diabetes. A chiropodist visits every three to four weeks, seeing individuals every six to eight weeks and will visit sooner if required. A dentist will visit the home if needed. The ‘Tooth Wizard’ visits the home every three months to check and clean dentures. Service users are supported to visit the community optician. Monthly reviews are held between a designated deputy manager and the Community Psychiatric Nurse, (CPN) regarding the residents who are visited by the CPN. The home gave examples as to how they monitor health needs and contact the relevant health professional. The home uses a pharmacy boxed system for dispensing certain drugs. Only trained staff administer medication: new staff only do such training/handling when it is felt that they have the necessary skills. Appropriate procedures were in place, and medication was stored appropriately. Staff described the The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 10 procedure they used when administering medication, which included signing records after residents had taken their medication. Staff have had appropriate training regarding the use of insulin, and ensure that this is given half an hour before food. Staff gave examples about how they respected privacy and dignity by knocking on bedroom doors, closing curtains and talking to residents privately about any problems they may raise. The inspector observed staff interacting with residents in a respectful way. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12, 13, 14 & 15 The home ensures that residents enjoy a range of activities, that they can welcome visitors and exercise choice. The attention given to the menu means that residents can enjoy their meals. EVIDENCE: One of the residents told the inspector how they enjoyed quizzes, a man who plays an instrument, and a, ‘lovely afternoon’ listening to a choir sign. A visitor said that their relative enjoyed the, ‘sing song’. Staff said the recent activities programme included reminiscence, Halloween party, making Christmas table decorations, entertainers visiting the home, parties, BBQs, cooking and manicures. The home employs an activities co-ordinator who maintains a record regarding who participates in what activities, and what they achieved. The activities records showed that an activity happens every day, Monday to Friday, and that activities are designed to meet the needs of residents with dementia, as necessary. A staff member spends time in the morning discussing newspaper stories with residents. Residents can get up and go to bed when they like, and one staff member said they asked residents if they would like to go to bed, but that it was, ‘about respecting choices’ The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 12 The inspector spoke with a visitor who said that they were usually offered a meal, were made welcome and could sit in the resident’s bedroom in private whenever they wished. Residents can handle their own financial affairs and could access solicitors or advocates as necessary. One resident said they had brought in several possessions, including a television, when they moved into the home, and the inspector saw evidence of personal possessions in bedrooms. Residents are involved in their monthly reviews, and so have access to personal records. One resident said the food was, ‘more or less like home cooking’ and another two residents who were asked said they liked the food. The visitor was happy with the quality of the food. The inspector heard staff offering a menu choice to a resident, and staff confirmed that residents could have something different to what was on the menu. Individual preferences are recorded. The teatime meal was either cooked or sandwiches, but that if someone had a particular request, staff would try to get it for them. Food intake is monitored and the GP contacted if necessary. The menu is varied and a copy is displayed on the notice board. Residents can choose where they eat their meal, and this could be in their bedroom. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 the following standard(s): Although adult protection procedures are in place, the home has not recognised the need to instigate the procedure where incidents are between residents. EVIDENCE: This standard was fully assessed and met at the last inspection. However, during this inspection the inspector noted from records that frequent incidents of aggression had occurred between some of the residents, and from a resident to staff. The inspector spoke about these incidents with staff who were concerned and felt they would like clearer guidance on how to deal with these incidents. Although handover systems are in place, staff, (including deputy managers) had heard different versions of events and had heard nothing about some incidents. This means that not all staff were aware of the precise details of incidents, and were not therefore able to effectively support those affected. One resident who was asked expressed being frightened. Whilst appropriate healthcare action was being taken with regard to one of the residents involved, the wider issue had not been raised with Social Services, under the Protection of Vulnerable Adults procedures. The inspector advised that the home must contact Social Services, and this was done the next day. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 the following standard(s): 19 & 26 The manager ensures that residents live in a clean and well maintained home. EVIDENCE: The hallway, upstairs landing and some bedrooms have been redecorated and the home has a rolling programme for redecorating. The home was clean and well maintained, and one of the residents who was asked said the, ‘lounge was nice, there is a television in the other part’. Staff told the inspector how they used disposable gloves and aprons to minimise the risk of cross infection. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed. EVIDENCE: The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 38 The health and safety of residents is maintained by the manager who is fit to be in charge. EVIDENCE: The manager has many years experience managing The Redhouse and has continually updated her training which has included attending the Dementia Forum, Dementia Training for Managers and Manual Handling update. A visitor told the inspector, ‘Mr and Mrs Watts are very good’. The inspector looked at records regarding fire safety checks which were seen to be appropriate. An accident book is completed if residents have falls or other accidents. Certificates were seen for maintenance of the lift, stair lifts and oven. The due date for maintenance checks are recorded in the diary, so that if the relevant company were to miss a check, the home would ensure the company was contacted. The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 17 The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? N/A 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 OP18 Regulation 13 (6) Requirement The home must ensure that adult protection procedures are instigated when there are incident of violence between residents. Timescale for action 15/02/06 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 The Red House DS0000011829.V275707.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 The Red House DS0000011829.V275707.R01.S.doc Version 5.1 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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