Inspection on 28/07/05 for The Red House

This inspection was carried out on 28th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 11/01/06

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 Unnannounced 28.07.05 11:30 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 H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Red House Address 2 Southampton Road Fareham Hampshire PO16 7DY 01329 287899 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) Mr C G Watts Mrs E Watts Care Home 36 Category(ies) of Dementia - DE - 7 registration, with number Dementia, over 65 - DE(E) - 36 of places Mental Disorder - MD - 7 Mental Disorder, over 65 - MD(E) - 36 Old Age - OP - 36 Physical Disability - PD - 7 Physical Disability, over 65 - PD(E) - 10 The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 7 service users in total can be accommodated in the categories DE, MD and PD between the ages of 55-65 years. 2. Dispensation has been given in order that one named service user in the MD category could be admitted in the age of 55 years. This is a temporary condition and not transferable. Date of last inspection 16.12.04 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 H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first unannounced one of the year, and took place over three and a half hours. The inspector spoke with four residents about living at the home and three staff. The inspector also spoke with the providers, Mr and Mrs Watts and looked at paperwork, such as care plans and staff files. Prior to the inspection, ten comment cards from residents were received, as well as five from relatives, and two from healthcare professionals. All were positive. What the service does well: What has improved since the last inspection? The last inspection did not identify any areas for improvement. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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 The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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) These standards were not assessed. EVIDENCE: The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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 standard(s) 7 The home ensures that residents needs are met by thorough care planning. EVIDENCE: The inspector sampled three residents’ files and found that residents have signed various policies including whether they wish to have bedroom door keys, lockable storage boxes, the open door policy, bedroom door closures, hospital escort arrangements etc. Care plans also detail when people like to get up, go to bed, etc. so that people can maintain the routine they had before moving to residential care, as far as possible. A set of informative notes are maintained in case a service user needs to go to hospital – staff can just pick up the notes without having to search through reams of information. This is seen as good practice. The home is continuing with ‘Life Profiling’, which involves a delegated staff member spending time with residents and their families, putting together photographs, stories etc. so that a holistic picture can be formed of service users and their lives prior to moving to residential care. This is only done if residents are in agreement and is also seen as good practice. Care plans are reviewed monthly, as well as six monthly with family if appropriate, and assessments are reviewed on an annual basis. The person responsible for the six month/annual review has extra hours on the rota, The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 10 purely for this task. The staff member told the inspector that the care plans were designed so that, ‘anyone could come, pull a file and know how to look after that person’. Staff said that they record observations on care plans and follow them. This shows that the care plans are a working document. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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 standard(s) These standards were not assessed. EVIDENCE: The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 12 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) 16 & 18 Residents and their families feel that they could complain, and that they would be listened to. The home has procedures in place to protect residents from abuse. EVIDENCE: Ten residents who returned a comment card said that they would know who to talk to if they were unhappy with the care in the home. The inspector spoke with four residents about the complaints procedure and they all said they would feel able to complain and felt confident that the manager would listen. Staff said that they would listen to a complaint and report it to the manager. Four of the five comment cards received from relatives stated that they knew about the complaint procedure. The home has appropriate policies and procedures regarding the protection of vulnerable adults. Staff are aware what to do in the event of an allegation of suspicion of abuse. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 13 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 were not assessed. EVIDENCE: The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 14 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, 28, 29 & 30 The home’s staffing levels ensure that residents needs are met. Recruitment procedures and training methods ensure that residents are protected by competent and trained staff. EVIDENCE: The home provides three care staff plus a senior carer on each shift. There is also a deputy manager who works in addition to the rota. The home also employs three cleaning staff, one person who undertakes laundry tasks, one cook and one kitchen assistant. The providers are in the home most days undertaking the management tasks. The home has two waking night staff and one ‘sleeping in’. The home does not use agency staff. Staff told the inspector that they felt they had enough time to undertake care tasks and activities, even though every day was different. Three residents who were asked said they felt there was enough staff. Nineteen of the thirty two care staff have a NVQ2 in care, and three are currently studying for the award. This figure is higher than the 50 standard to be achieved by the end of the year, and this is seen as good practice. Three recruitment files were sampled for new staff and found to contain all the necessary information and checks. The home remains highly committed to training, and staff all have more than the minimum three days paid training. There is a rolling programme for basic training requirements, e.g. Health and Safety, Fire etc., but more individual The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 15 training needs are reviewed as necessary. Training is calculated in minutes for the year, and a quarterly review is undertaken to ensure that targets are met. Training in the last year has included NVQs, Induction and Foundation (for new staff), Fire Training, Manual Handling, First Aid, Infection Control, Food Hygiene, Health and Safety, Diabetes, Schizophrenia, Dementia and Administration of Medicines. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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) 33 & 35 The home’s quality assurance methods ensure that the home is run in the best interests of the residents, and their financial interests are safe guarded. EVIDENCE: The home has re-applied for, and been granted, the Investors in People Award. Residents are invited to complete an annual survey. Staff meetings are held at different times through out the year, which address different issues. The manager did start family meetings but these were not well attended. The providers are in the home most days and have an open door policy. The inspector observed open interaction between family and senior staff. The manager intends to complete a formal audit checklist soon. Residents meetings are held twice a year. The home encouraged residents, families and healthcare professionals to complete comment cards for this inspection, and all were positive. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 17 The inspector checked financial records for two residents, whose money is managed by the home, and found the amount and records matched. The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 4 x 3 x x x The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 19 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 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. Refer to Standard Good Practice Recommendations The Red House H54 S11829 The Red House V240309 280705.doc Version 1.40 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechnyden 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. 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