Inspection on 25/05/05 for The Red House Nursing Home

This inspection was carried out on 25th 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 Nursing Home 23/05/07

The Red House Nursing Home 12/10/06

The Red House Nursing Home 04/07/05

The Red House Nursing Home 22/10/04

The Red House Nursing Home 10/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Red House Nursing Home London Road Canterbury Kent CT2 8NB Lead Inspector Jenny McGookin Unannounced 25 May 2005 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 Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Red House Nursing Home Address London Road, Canterbury, Kent, CT2 8NB 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) 01227 464171 01227 788084 The Red House Nursing Home Ltd Mrs Susanne Elizabeth Williams CRH 31 Category(ies) of Care Home for Older People - 31 x Old Age, 8 x registration, with number E Over 65 but not old age of places The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22 October 2004 Brief Description of the Service: The Red House Nursing Home is registered to provide nursing care for up to 31 older people over the age of 65. This nursing home is a large detached building, which used to be a Victorian vicarage, set in attractive and well-maintained gardens. It has two lounges and a dining room, which can accommodate 10 users at a time. Seventeen of the twenty-three single bedrooms are en-suite and all shared rooms have ensuite facilities. There is a call bell system, television and telephone point in every bedroom. The Home has a shaft lift and there is easy access for wheelchair users. In terms of access and scope for community presence, The Red House is set back off a roundabout on Rheims Way, within walking distance of bus routes. It is approximately 1.5 miles from The Westgate, the cathedral and Canterbury city centre, with all the community resources and transport links that implies. The Home has on-site car parking facilities, for several vehicles. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which was intended to introduce the new inspector to the staff and residents; to check compliance with matters raised from the last inspection (October 2004); and to reach a preliminary view on the day-to day running of the home. The inspection process took just over seven hours, and involved meetings with two residents, one relative and the manager and the deputy manager. The inspection also involved an examination of comment cards from five residents, records and policy documents and the selection of two residents’ case files, to track their care. Two bedrooms were inspected for compliance with the National Minimum Standards, and the inspector also checked some communal areas. Interactions between staff and residents were observed throughout the day. What the service does well: What has improved since the last inspection? What they could do better: While some residents are clearly content with their life at this home, others require support adjusting to nursing care and some have said they would like more activities. Care planning reviews should routinely record who participates in each case; include the recorded views of resident and/or their representative, and any The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 6 unmet needs, so that anyone authorised to inspect them can evaluate their ownership. More attention could be given to exploring each resident’s interests, aspirations and social needs in a practical way 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 Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 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 Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 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) 1, 2, 3, 5 1. Not all the documentary information necessary for potential residents to make an informed choice is available. 2. There are contracts governing each placement between the home and the resident, or their representative, and between the home and any placing authority. 3. Prospective residents’ needs are assessed prior to admission. 5. Prospective residents, or their representatives, have the opportunity to visit to further inform their choice. EVIDENCE: There is a Statement of Purpose and Service User Guide, which usefully describe the facilities, services and principles of care but a number of elements listed by this standard will need to be included to obtain full compliance with this standard. Feedback on the day of this inspection indicated that the decision to apply to this home was influenced more by its locality (i.e. close to where the resident The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 9 or their friends or relatives lived) and by personal recommendation, than by any public information produced by the home itself. There are contracts governing each placement (whether self funded or social services funded), which are identical except in respect of the arrangements for the payment of fees, termination of placements and signatories. Some matters are raised to improve the contract documents. See schedule of recommended action. The manager said that most referrals are, in the first instance, made by word of mouth. If there is a vacancy, prospective residents of their representatives will be sent a colourful brochure (the photographs are currently being updated for future editions). Before the home carries out a preadmission assessment, it will invite the prospective resident or representative to visit the home, and meet the staff. One relative and one resident were able to confirm this. The manager or deputy will then formally assess the prospective resident to make sure the home can meet their needs, and there is a standard preadmission assessment form to ensure a consistent approach. At this stage, understandably, there is a clear nursing bias in the assessment. Hospital discharge dates need to be confirmed, as a condition of admission. Each resident is offered a trial stay, which can be anything from a weekend to a week, although the manager said that in practice 99.9 are so frail they come to stay. On their admission, the home carries out another assessment, which also starts to take into account social care needs. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 10 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, 10 7. The assessment and care planning processes cover a wide range of health and personal care needs, as well as some social care needs 8. The home is served by a range of healthcare professionals, and has adequate facilities for privacy. 10. Residents confirmed that staff treat them well, and that their privacy is respected. EVIDENCE: The preadmission assessment is a summary document, which covers the most critical health and personal care needs. This is then developed into a second tier assessment document, which addresses some social care needs (e.g. preferences, social and familial contacts, hobbies and interests, important life events), and is intended to be read in conjunction with care plans and “family tree” information, though work on the “family tree” has only just started. The care planning process starts on the first day of admission, and records confirm care plans are reviewed monthly – usually by a trained nurse. The manager said there is no formal group review of care plans other than those The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 11 led by care managers, but said she is always available to residents or their relatives to discuss any issues or concerns. An examination of two residents’ files, followed through with discussions, generally confirmed the practice as described. However, records of reviews often showed no change overall. This was surprising given the residents’ dependency level and diagnoses. There were, moreover, gaps in the records in respect of social care needs (interests, activities). Care plans tend to show a nursing bias, which is understandable given the registration status of this home, but feedback from four residents indicated that more attention could be given to exploring each resident’s interests, aspirations and social needs in a practical way. Most bedrooms in this home are single occupancy, which means personal care and treatments can be given in privacy. Shared rooms have screening to afford occupants some privacy. Feedback from the residents confirmed that their privacy was respected and that staff treated them well. The home accesses a range of healthcare professionals, but residents would need to pay for chiropody, physiotherapy of any special or private treatment or medication themselves. If the home needs further nursing advice it can use the District Nurses, and the home is served by seven GP practices, so individuals have some choice. The home has yet to instigate a key worker system – this is expected to become easier once staff are NVQ trained. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 12 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 12. Some residents are generally content with their lifestyles in this home, and the home has been able to match their expectations. This home offers a limited range of activities inside and outside the home, but there is no activities programme and some residents would like the home to organise more activities. 13. There are open visiting arrangements, and the home is well placed for access to local shopping outlets as well as Canterbury City itself 14. There is choice and control over most aspects of daily routines. EVIDENCE: Residents were not able to give many examples of any particular interests and hobbies being promoted by the home. A couple indicated that they were generally content with their lifestyles in this home, others wished the home would organise more activities. There is communion once a month for Anglicans and a representative comes from the Roman Catholic Church every Tuesday. The Statement of Purpose states that the home is visited by representatives from all denominations but there was no information on how to access other religious services. The home has open visiting arrangements, and meals can be provided if required at nominal cost. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 13 The daily routines are as flexible as healthcare needs will allow. Residents confirmed that they can choose when to get up and go to bed, and can choose where to take their meals (one took a meal in her room while meeting with the inspector) and have some choice over meal times. The manager said that a farm shop visits every other day. The home gets all its meat from a local butcher in Wincheap. Residents are given wine or beer with their meals at no extra charge. The home is keeping records of the meal options actually consumed by individuals, as required. Three residents confirmed they enjoyed the meals, one said s/he did not and three said they did “sometimes”. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 14 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 16. Residents said they knew who to tell if they were unhappy about any aspect of the care they were receiving, and there is a complaints procedure readily available. The home relies on staff, or the residents’ families and friends to raise issues and represent the interests of the less able residents. 18. Residents feel well cared for and there is a policy on adult protection. EVIDENCE: The home’s complaints procedure is detailed in the Statement of Purpose and Service User Guide, and describes the process and timeframes involved, in general compliance with the provisions of Regulation 22. However, it gives the CSCI as an option only “if you feel your complaint has not been dealt with properly or you wish to take the matter further”. This is not a correct interpretation of the National Minimum Standard or Regulation 22. The residents confirmed that they would know who to talk to if they had a complaint. The home does not use any independent advocacy services but relies on staff, or the residents’ families and friends to raise issues and represent the interests of the less able residents. There is a complaints register. However, there were only 5 complaints recorded between May 2004 and May 2005, and although they reflected a realistic range of issues, this did not indicate a very proactive approach to complaints and it was not always clear in every case how the complaints were resolved, without further explanation. The manager said that those who were judged capable were registered to vote in the elections, and one relative confirmed one resident’s active interest and involvement in recent elections. Quite a few use the proxy / postal voting The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 15 system. But this element of the standard was not pursued any further on this occasion. There is a policy on abuse, and a recent potential adult protection issue (since resolved) demonstrated that the home had access to appropriate sources of advice and took appropriate precautionary action. This incident has served to clarify which agencies need to be involved and the need to take a multidisciplinary approach to strategy meetings, to ensure a timely and cohesive approach. With one exception, all the residents said they felt safe at this home. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 16 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, 20, 21, 22, 23, 26 19. The layout of this home is generally suitable for its stated purpose and well maintained. The advice of fire officer will be asked to assess the safety of wedging open fire doors. 20. Residents have a choice of communal areas, and furnishings tend to be domestic in character. There are homely touches throughout. 21. Lavatories and washing facilities are generally accessible to bedrooms and communal areas. 22. There is a range of equipment and adaptations. 23. Most residents have access to the privacy of their own bedrooms 26. The home is generally well maintained and all areas inspected were free of any unpleasant odours. EVIDENCE: The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 17 These standards were only partially assessed on this occasion, by direct observation, and with reference to information supplied by the manager and from spatial information previously supplied to, and confirmed by, the Commission. There are 23 single bedrooms, which are all at least 10 square metres – 14 of these have en-suite facilities. There are two shared rooms, which are at least 16 square metres and two shared rooms, which are below the National Minimum Standard of 16 square metres. All four shared rooms have en-suite facilities. Two bedrooms were assessed against the National Minimum Standards and had all the furniture and fitments required. Both were well maintained and in satisfactory decorative order. In both cases, the residents said they did not want any lockable facilities however – one even chooses to leave the bedroom door open at nights. One said s/he would like to have the en-suite bath (which s/he can’t use, because it is not accessible on all sides) replaced by more storage space. There are four communal bathrooms, including one Jacuzzi and shower facility on the ground floor i.e. so that residents have a choice and all are within reasonable access to bedrooms and communal areas. The home has two commercial washing machines with sluice cycles, one dryer and three separate sluice areas. Clinical waste is appropriately managed – there are collections every Thursday under contract by Canterbury City Council. The home provides adequate communal space for each resident. There are two lounges (one of which is known as the “Quiet Room” and has a library which is kept replenished by Canterbury library) and a dining room. All furnishings within the communal areas are domestic in character and of good quality, suitable for the service users needs. All areas seen were clean, well maintained and in satisfactory decorative order. However, one ceiling in the “Quiet Room” had an unsightly water leak stain. The Home has a non- smoking policy. A number of fire doors were found to be wedged open. The fire officer should be asked to assess the safety of this arrangement. All radiators have guards as a precaution against the risk of accident, and all bath and basin water temperatures are thermostatically controlled. The Home has a shaft lift to access all floors and all areas are linked with a call bell system. Specialist equipment includes special mattresses, raised toilet seats, grab rails and corridor rails, slip mats, handling belts and slide sheets There are two hoists in place though one is scheduled to be replaced by a new hoist on order. Two bathrooms have their own hoists. Access to the front door and patio is good and there are handrails. There are several storage areas located around the building and outside the property. Certificates confirm this home has been awarded “Clean Food Awards” by Canterbury City Council Environmental Health department virtually every year from 1994 till 2003. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 18 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, 30 27. There is a detailed staffing statement, based on the number of residents and their dependency levels, so that their needs can be met. 28. Residents feel safe and well cared for. Mandatory health and safety training is in train, although cycles have yet to be completed. 30. Training and appraisal systems are in the process of being introduced. It is too early to judge the effectiveness of these systems yet. EVIDENCE: Reliance was placed on manager’s responses to questions based on the National Minimum Standards on this occasion. This element of the service will be subject to more robust evaluation at the announced inspection. Staffing Arrangements There were 24 residents being accommodated by this home on the day of this inspection. 17 residents were described as high dependency, 10 were described as medium dependency and 2 were described as low dependency. There were two vacancies on the day of this inspection visit. The manager described the following staffing levels, based on the numbers and dependency levels: The working day is from 8am till 8.30pm i.e. 12.5 hours. The manager said that she and her deputy work from 8am till 5pm. The manager said that during the morning shift there should be 2 trained staff (including the manager The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 19 or Deputy) and one RGN - plus 5 care assistants till 1pm. During the afternoons, there should be the manager or deputy or RGN till 4/5pm plus one RGN who is then on his/her own from 4pm till 8.30pm - plus 3 care assistants. Within this arrangement, some individual shifts are staggered, but the overall numbers and ratios of nursing / carer staff is maintained. The manager feels this is a satisfactory arrangement, but is able to negotiate changes with the registered proprietor as necessary. There are 2 cleaners and a housekeeper every day. Equal Opportunities Four care staff are male, which means that same-gender care can generally be given. The manager said that if a female resident objected to a male carer giving care, another carer would be sent in. With one exception all the residents are white British. The staff group is culturally diverse. The registered proprietor herself is Kenyan by birth. Other nationalities represented on the staff group include Kenya, Nigeria, Philippine, Indian as well as white British. The manager said that all staff are required to have an adequate command of the English language as a condition of their employment. Training and appraisal The manager said that 5 staff have completed their NVQ2 and the NVQ Assessor was at the home on the day of this inspection visit to complete one other assessment. One member of staff will need to re-do her training; others have moved on. The home has now engaged with Learn-Direct for ongoing training. 8 staff have had induction, and there has been one session on manual handling training, and more are planned. The deputy manager has had update training on infection control and is now the home’s assessor for infection control. There was an incontinence study day during the last week and staff had also just had fire safety training. Staff appraisal forms have been printed. Dates have been set but there have been no meetings so far. A programme is to be supplied to the Commission. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 20 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, 36 31. The Manager’s qualifications and experience as described are appropriate to her role as registered manager, subject to NVQ4 accreditation or its equivalent. Residents and staff have confidence in her leadership qualities. 36. Staff supervision in the process of being introduced. It is too early to judge the effectiveness of this system yet. EVIDENCE: The Manager’s qualifications and experience as described are appropriate to her role as registered manager, subject to NVQ4 accreditation or its equivalent. The Manager said she is in touch with Greenwich University with a view to starting her NVQ4 in September – this will be done in module form, in house. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 21 The arrangements for managing residents’ finances were not inspected on this occasion, as families and other parties outside the home’s control have responsibility for this. The manager said that formal staff supervision sessions are planned and undertook to supply a start date and programme by 30 06 05. Periodic assessments of the premises by the fire safety officers, Environmental Health Officers are recommended, to ensure it maintains its capacity to meet the needs of the residents and to ensure compliance with health and safety standards. The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 22 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 2 2 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 3 3 3 3 x x 3 STAFFING Standard No Score 27 3 28 2 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 2 x x x x 2 x x The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 23 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 OP1 Regulation 4& Schedule 1 5&6 Requirement The Statement of Purpose must be amended to comply with all the elements of National Minimum Standard 1, Regulation 4 and Schedule 1. The Service User Guide must be amended to comply with all the elements of National Mimimum Standard 1, Regulations 5, 6. The complaints procedure needs to be amended to advise prospective complainants that they can refer their complaints to the CSCI at any stage if that is their preference. Communal Areas. The following matters are raised for attention. The ceiling in the Quiet Room required redecoration. The fire officer must be asked to assess the safety of wedging fire doors open. Timescale for action 30 09 05 2. OP1 30 09 05 3. OP16 22 31 08 05 4. OP19 23 31 08 05 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 H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 24 The Red House Nursing Home 1. Standard OP2 2. OP7 3. 4. OP12 OP16 5. 6. OP36 Placement Contracts (privately funded and social services funded). The following elements are recommended to comply with standard practice· - Both contracts should identify the circumstances which would warrant serving of notice - Both contracts should detail all the services provided by the home – personal care, heating, lighting, activities. including snacks between meals - Both contracts should detail safekeeping arrangements (access to the safe, H&S / PAT tests and insurance cover arrangements, medication) - Both should undertake to comply with the provisions of the Care Standards Act 2000 and National Minimum Standards, including provision and review of care plans Care Planning reviews should routinely record who participates in each case; include the recorded views of resident and/or their representative, and any unmet needs, so that anyone authorised to inspect them can evaluate their ownership. More attention could be given to exploring each resident’s interests, aspirations and social needs in a practical way There should be an activities programme and some residents would like the home to organise more activities. The home will need to demonstrate that not only do residents and other interested parties know how to make complaints but are actively assisted to do so i.e. though independent advocacy services. A programme for staff supervision and appraisal should be supplied to the Commission The Red House Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Nursing Home H56-H05 S26112 Red House V228118 250505 Stage 4.doc Version 1.30 Page 26 - 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!