Inspection on 24/05/05 for The Red House

This inspection was carried out on 24th May 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 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 23/08/07

The Red House 14/09/06

The Red House 20/02/06

The Red House 07/12/04

The Red House 20/07/04

The Red House 19/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE The Red House The Red House Clonway Yelverton PL20 6EF Lead Inspector Helen Tworkowski Announced 24 May 2005 th 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. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Red House Address The Red House, Clonway, Yelverton, Devon, PL20 6EF 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) 01822 854376 01822 853331 Crocus Care Limited Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7/12/04 Brief Description of the Service: The Red House is owned by Crocus Care Limited. Ms Clare Hunter is the Responsible Individual for the company, however at the time of the inspection there was no Registered Manager, but there was a manager in post. The Red House is registered to provide accommodation and care for a maximum of twenty-eight people in the registration category of Old Age. The Red House is a large detached house with a landscaped gardens. It is situated on the outskirts of the village of Yelverton, which has a number of shops, churches and public houses and a frequent bus service to and from Plymouth and Tavistock. Most of the bedrooms are single rooms with en-suite toilet facilities. There is a well- established staff team and most of them have or are working towards gaining an NVQ in Care at Level 2 or 3. The home has an active social calendar and the service users are encouraged to put forwards suggestions for further social, occupational and recreational activities. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection took place on the 24th May 05 between 9.00am and 6.30pm. The inspection included discussions with management, staff and service users, a tour of the building, and an inspection of records. What the service does well: What has improved since the last 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. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 6 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 The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 7 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) 3 and 5 Service Users have the opportunity to visit the home before they move and their needs are assessed, so that they can be sure that their needs will be met by the home. EVIDENCE: People who had recently moved to the home had been able to visit the home and in some instances had stayed in the home before they decided to move. There is a process for assessing people before they move, and recent assessments were done with the Service User at the Red House, the Registered Provider has confirmed that where possible the Service User at their own home. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 8 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 and 10 The home provides a good level of care reflecting individual’s choices and preferences, and Service Users are treated with respect. EVIDENCE: Service User Plans in the home are developed when an individual moves to the home, this is then summarised as a “condensed care plan” for day-to-day use. Each month there is a review of care that is recorded on a separate sheet and any changes noted on the condensed care plan. There were assessments and moving and handling plans; however there these not appear to be linked to the care plans. Risks assessments help keep service users safe by managing unnecessary risk. It is therefore important that these are part of day-to-day care planning. It is recommended that the systems for care planning and risk assessments are reviewed. From discussions with Service Users and staff were responsive to changing needs and where appropriate medical professionals have been advice. Service Users spoken with said that they felt staff did all that they could to meet their needs. Service Users are treated with respect and care was taken to address Service Users in the manner they preferred. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 9 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) 12,13,14 and 15 A good level of activities is provided at the Red House, and relatives and friends are actively involved in events at the home. The Manager is actively encouraging Service Users to have more choice and control in their live and following comments from Service Users the menu is being reviewed. EVIDENCE: There is a weekly plan of activities in the home, which Service Users are actively encouraged to participate in. Relatives and friends are encouraged to take part in events at the home- for example a “dog show” was planned for the weekend. A hairdressing salon has recently been created from an unused bedroom, this not only provides a useful amenity but is an additional place for people to meet and chat. Service Users are being more actively encouraged to make choices about their lives rather than to be dictated to by staff, for example when an individual wants an alcoholic drink in the evening. The menu is currently being reviewed, following comments from Service Users. Meals are well served and staff are encouraged to make a special occasion of some meals. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 10 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 were not inspected, however the Commission has not received any complaints regarding the Red House. EVIDENCE: The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 11 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) 19,24, 25 and26 Red House provides a very clean, comfortable and homely environment. Some issues were identified relating to the safety in the home, which could potentially be a hazard to Service Users. EVIDENCE: Red House is a large rambling detached house that has panoramic views of Dartmoor. The rooms are comfortable, and many Service Users have chosen to bring their own furniture into the home. A new double glazed conservatory has replaced an old, drafty conservatory; this area is well used. Service Users have a good view of what is happening in the home and who is coming and going. One of the baths was found to have excessively hot water, which could potentially place Service Users at risk of scalding. An immediate requirement was made to deal with this matter. It indicates that systems that should be in place to check hot water are not in place or working. Discussions have taken place with the Registered Providers regarding flame retardancy of furniture in the home, and Devon Fire and Rescue have advised they are satisfied with Fire Risk Assessment in relation to this issue. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 12 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) 27 and 29 The home has sufficient staff to care for the people staying in the home and appropriate checks have been made on new recruits to ensure that service users are in safe hands. EVIDENCE: The Red House is not fully occupied at the time of the inspection. There were three care staff on duty in the morning and two in the evening, with two staff on duty at night. The manager said that in an emergency she is on call to provide any additional cover, for example if a Service User need to go to hospital. The file of a new member of staff was well organised and appropriate checks had been made to ensure that the person would be appropriate to the work. There was evidence of staff induction, though training was not looked at during this inspection. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 13 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, 33, 37 and 38 Despite having no Registered Manager, the Red House is well organised and there is a clear sense of direction in the home. As has been noted earlier in this report there are some concerns regarding safety issues in the home. EVIDENCE: There is no registered manager at the Red House at the time of the inspection, although an application has been received and is being processed by the Commission. Marlene Treloar is currently managing the home. Feedback from Service Users regarding Ms Treloar was very positive, they felt that she knew what was going on in the home and was making positive changes. From discussions with Ms Treloar there had been a shift of emphasis in the home, with Service Users wish and aspirations being placed much more at the centre of things. One example has been the way Service Users are being consulted about the food. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 14 Records relating to the home are kept in the Office, and these had been reviewed over the last few months. One area of concern identified was the use of the communication book to record information about service users. All information about individuals should be recorded individually. As has already been noted earlier in the report there are areas of safety where improvements are required. Not all windows have window restrictors fitted however the Environmental Health Officer is satisfied that this should be tackled on by risk assessment. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 15 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 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x 1 x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 x 3 x x x 2 1 The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 16 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. 1. Standard OP25,OP38 Regulation 13,23 Requirement Immediate Requirement: . Hot water should be regulated to provide water at no higher than 43 degrees centigrade; until this can be achieved the area should be made safe, if necessary by switching off the water to that tap. A system to monitor and safely maintain the temperature of hot water in the home must be set up and implemented. A manager must be registered with the Commission. (This was a requirement at the last inspection). The practice of communal recording must cease, all recording should be done on an individual basis. Timescale for action 24/5/05 2. OP25,OP38 13,23 1/8/05 3. OP31 8 1/7/05 4. OP37 17 1/7/05 5. 6. 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 Good Practice Recommendations D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 17 The Red House 1. 2. Standard OP7 The registered person should review the systems for care planning and risk assessments. The Red House D54-D07 S46280 The Red House V216418 240505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unit D1 Linhay Buisness Park Ashburton TQ13 7UP 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. 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