Inspection on 17/12/07 for The Red House Residential Carehome

This inspection was carried out on 17th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Red House Residential... 05/10/07

The Red House Residential... 17/10/06

The Red House Residential... 24/05/06

The Red House Residential... 22/11/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Red House Residential Carehome 5 Conygre Road Filton South Glos BS34 7DA Lead Inspector Odette Coveney Unannounced Inspection 17th December 2007 08:15 The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 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 Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Red House Residential Carehome Address 5 Conygre Road Filton South Glos BS34 7DA 0117 969 3053 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) royorme@yahoo.com Mr Heron Moodie Mr Royston John Orme Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC To service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who can be accommodated is 10. 5th October 2007 Date of last inspection Brief Description of the Service: The Red House is registered as a private care home, and provides accommodation for eight adults with learning disabilities. The range of fees start from £518.00 per week up to £627.00. The home is located in the South Gloucestershire region in the residential area of Filton. The home was successful in applying for a major variation in order to increase the home’s numbers from 8 to 10 to accommodate two residents in the house next door, these individuals have not moved in yet. It is anticipated that they will be moving into the adjacent house within the next two weeks. The Red House is near to the main arterial road leading north from Bristol, which connects the main M4 and M5 motorways. It is close to a range of shops, a post office, library, pubs and Filton College. There is a GP surgery and Optician within close walking distance. It is close to the bus routes that go into Bristol, a journey of approximately three miles. The Red House is a large, mature, detached Victorian two-storey building of red brick construction, the house name was chosen by the original group of residents. There are two large communal areas, two single bedrooms and a staff room on the ground floor, with six single rooms on the first floor. Each bedroom has a vanity unit to provide en-suite washing facilities. There are gardens surrounding the house, with a range of mature trees, shrubs, a pond, and flower and vegetable beds. The garden is fully wheelchair accessible, and there is also a greenhouse and a summerhouse, which are widely used, in the warmer months. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 5 The laundry facilities are sited away from the main house in the garage. A wide range of leisure activities are available for residents, and the home has a large display of photographs which record activities and significant events. The home has a car for use for those who live at the home for outings and holidays. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for those who use the service and measures the quality of the service under four general headings. These are; - excellent, good, adequate and poor. The home’s last Key inspection was carried out on 5th October 2007 and a rating of poor was given. The home were required to complete and implement an improvement plan to demonstrate how the identified areas of concern would be addressed. A meeting took place with the registered manager Mr Orme on 29th November 2007. Mr Orme at this meeting provided clear evidence to demonstrate compliance and the visit undertaken on 17th of December was to review the information provided by Mr Orme and to ensure that the improvement plan had been implemented and was effective in ensuring positive outcomes for those who live at the home. This unannounced Key Inspection was conducted over 1 day (6hrs) by one CSCI inspector and following this visit it was found that standards had significantly improved within the home. What the service does well: The Red House is a well-run home offering a good standard of care and the manager and staff endeavour to provide a good quality of life. The overall impression following the visit was that the individuals living at the home are happy, settled and secure and the staff have a good rapport with them. A number of staff have known those who live at the home for many years and have an in depth knowledge and understanding of their needs, this contributes to the wellbeing of individuals who can be challenging at times and have some complex needs. The staff team at The Red House are caring and have developed good relationships with individuals at the home; they have a sound understanding of the needs of those living at the home. There is a low staff turnover and individual’s can be confident that they will receive support from people they know. It was clearly evident that the management and staff team are committed to ensuring that all of the needs of individual’s at the home are met, this is done through consultation and observation and previous knowledge and an understanding of individual’s. The manager supports staff to work effectively. There are good systems in place for supervision and support for staff. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 8 In order to demonstrate the commitment in providing a well maintained home in which individuals live it is required that areas identified within the environmental section of this report are given attention. In order to ensure that records of financial transactions are clearly recorded for those who live at the home it is required that staff do not use tippex in financial record books when an error has been made. 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 summary of this inspection report can be made available in other formats on request. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is in place about the facilities and services provided at The Red House. Clear contractual arrangements are in place outlining individuals’ rights and responsibilities EVIDENCE: A requirement was made during the last site visit to the home that the home must review and amend the statement of purpose for The Red House. This document was reviewed at this visit and it was found that the Home’s Statement of Purpose has detailed information about services and facilities provided at the Home. The information within this document was comprehensive and contains clear information for individuals and their relatives about the services and facilities provided at the home and furthermore the document contained information about the staff arrangements at the home, information about the admissions process into the home and how to raise issues of concern and how these would be responded to. There have been no new admissions since the last visit to the home. There is a clear process to ensure that the service is able to meet the assessed care needs of prospective people moving to the home. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 11 There is an admission procedure, which is included in the statement of purpose and full assessments of needs were undertaken. The care files reviewed during previous site visits have showed evidence of pre-admission assessments to enable staff to develop personalised care plans of individuals and these record how the needs were to be met. A requirement was made during the last site visit to the service that contracts between the home and those who live at the home must contain clear information about the fees charged. These documents were reviewed during this visit and it was found that the requirement had been met. Each individual had in place a ‘resident’ contract’ detailing the terms and conditions of stay at the Home and provided clear guidance on the rights and responsibilities of both the resident and the registered provider. Information within this document also includes clearer information about fees and services to be provided. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are well written and enable staff to provide a consistent and individualised care. Those who live at the home are involved with the personal care planning process and the home’s philosophy promotes individual’s personal development, self-direction and empowerment. Individuals are supported to take risks without hindrance or impacting on their safety. EVIDENCE: The home operates a “key working” system whereby each person living at the home has a named support worker who plays a more central role in coordinating the care and support they receive. This provides meaningful staff support to individuals, which is particularly important to those who have complex needs. It was required at the last site visit to the service that care plans must fully explore and incorporate all of individuals needs in respect of cultural, religious and dietary requirements. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 13 The care plans seen at this visit were detailed and explicit and contained all of the required individualised, person centred information. The daily reports contained entries of what, when and how care was provided. Information recorded on care documentation corresponded with information given from those who live at the home, staff and relatives about the level and individualised levels of support that individuals received. It was clear that support provided was flexible and tailored to individuals identified and requested support needs. A requirement was made during the last site visit to the home that intimate care policies be developed. This was to ensure that individuals had been consulted about the manner in which they wish to be supported in this area. Records reviewed found that this had been undertaken, those living at the home had been consulted with clear guidelines drawn up for staff to guide and direct their practice. A recommendation was made during the last visit to the home that resident’s files would benefit from being put in order. The manager and staff have worked diligently to bring all of the files up to a consistent standard with information being much easier to locate. An additional requirement made during the last site visit to the service was that Manual Handling assessments and pressure care assessments must include how individuals will be supported once a risk has been identified. These documents were reviewed at this visit and it was found that since the last site visit staff had re evaluated all of the information in place and updated documents and ensured the assessments were clear and meaningful. This will ensure that accurate information is in place to support those who live at the home with guidance for staff in order that they work in a safe consistent manner. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals have fairly active life styles of their choosing. Individuals are provided with a healthy, well balanced diet and staff work hard to support them to live as part of the community. EVIDENCE: At the time of the visit the atmosphere at the home was happy and relaxed and improvement noted was the staff’s communication with individuals. This was very positive and individuals were treated with respect. Staff from the home support service users continued access to social and leisure resources. Activities provided by the home and in the wider community includes the following: church, swimming, disco, shopping, attending college, music, beauty makeover, television and video, art & drama, cookery, walks, and meals out. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 15 The home strives to maintain regular contact with individuals’ family members. Care plans provide details of individuals personal and family relationships. There are many photographs of those who live at the home and their families in the entrance hall and in bedrooms. Individuals who were able to express a view informed the inspector that they could choose how and where to spend their day. They also confirmed that they decided what time they got up in the morning and retired to bed. During the visit individuals were observed moving freely around the home. All had access to communal areas and their bedrooms. The staff try to ensure the menus are nutritionally well balanced and varied, so that those living at the home are provided with a balanced diet. Recent Environmental Health Office checks have been satisfactory. The kitchen area appeared well managed. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are supported in a manner they prefer with physical, emotional and healthcare needs being met. Medication systems at the home are sound and ensure that safe practices are in place for all. EVIDENCE: Information seen in individuals records showed that individuals have been consulted about their preferences in all aspects of their life and have been offered and encouraged to make choices about areas which affect them, this has included; how they wished to be supported with their personal care, what communication methods are best for them and what is important to them in their life. This is regularly reviewed to ensure the information is still accurate. There were a number of concerns identified during the last site visit to the service and it was recorded that systems of medication administration and recording must be improved. It was also required that the following must be undertaken; • Controlled Medication must be recorded and accounted for. DS0000065123.V356591.R01.S.doc Version 5.2 Page 17 The Red House Residential Carehome • • • • Recording systems for medication given must be improved. Records must be in place to account for stock held medication. A disposal of medication record must be in place at the home. Creams prescribed for resident’s use must be clearly labelled. In order that good clear information is available at the home it was also recommended that the home should obtain an up to date medicines information book. A full review of systems within the home, including the administration, recording, storage and staff training were undertaken with the manager providing detail on how procedures had been improved upon it was found that all of the above issues had been addressed. There are now robust processes in place and the manager and staff are aware of their accountability in this area. At the last site visit during a review of policies and procedures within the home a recommendation was made that clarity and definition should be given to the term ‘reasonable force’ in the home’s restraint policy. The manager confirmed that since the last site visit to the home staff have attended training in this specialist area and debate and discussion with staff in respect of this area have been fully evaluated. The policy has been revisited by the home and ammended to ensure that legal considerations are taken into account and that each situation and each individual person is calculated to ensure the safety and protection of all concerned. A recommendation was made during the last site visit to the home that the home must seek and record the wishes of individuals in the event of their death. A review of individuals files found that where this information was now in place the manager had written to relatives in order to seek this information and sensitive discussion had taken place with those who live at the home. In order to obtain their wishes and views. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure, which is made available to those who live at the home. People living at the service are protected from abuse with the homes policies, procedures and practice. EVIDENCE: The home has adult protection and Whistle blowing policies and staff have undertaken training in this area. The manager has also arranged to undertake training in respect of the mental capacity act in order to ensure that he is aware of current legislation and the legal rights of those who live at the home. The home has a complaints policy and procedure. A copy of the complaints procedure is available in the entrance hall. All complaints are investigated and a record is kept. All people spoken to during the inspection stated that they would be happy to raise any concerns they had with the home manager. Due to improving auditing processes it was recommended at the last site visit that receipts for residents’ purchases held for safekeeping should be numbered. This had been implemented, however is was noted that there had been occasions where tippex had been used in individuals financial transaction records, it is recommend that this practice stops in order that records are clear and protect individuals. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Red House provides a safe comfortable home in which individuals are able to stay as independent as possible. The home has a good standard of furnishings and fittings, which provide a comfortable pleasing environment for individuals to live in; some improvements are required in respect of décor and maintenance. EVIDENCE: The Red House is accessible, safe and generally well maintained. A programme of routine maintenance has been discussed between the manager and the providers with an action plan in place to address identified areas. These include the windows to the adjoining house being replaced by the end of January 2008 and the attractive metal canopy at the front exterior entrance to the home being re painted. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 20 There is a bathroom for individuals use on the ground floor in the home and it was found that the window frame had peeling paint, the ceiling needed repainting and the sealant was in need of replacing it is required that these areas are given attention in order that this is a pleasant area for individuals to use. It was noted that the home is in some areas looking ‘tired and dated’ such as within the entrance hall and dining room, with some individual’s bedrooms that would benefit from redecoration. The manager confirmed that this had been discussed with the providers and plans are in place to deal with these issues. These will be reviewed at the next visit to the service. The gardens are attractive and well maintained. The home was clean and tidy and free from offensive odours on the day of visit. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Individual’s needs are met by the numbers and skill mix of staff on duty. Staff are trained and competent to do their job. The home has recruitment policies and procedures that protect those who live at the home. EVIDENCE: There is a well-established staff team at The Red House. During the visit staff were able to demonstrate a clear understanding and knowledge of the individuals who use the service, and of their role in the home. On the day of the site visit there were sufficient numbers of staff on duty with flexible working by staff in order to meet individual’s needs and aspirations. Staffing provision appeared to be consistent with levels and skills needed due to assessed care needs of the individual’s. The staff team have a varied range of knowledge and skills, they were observed by the inspector to be good listeners, effective communicators and were interested and motivated in meeting the needs of those living at the home. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 22 Morale is good within this home and staff spoke positively about their role and the work they do and were able to give a number of examples of areas within their role which gave them job satisfaction such as one to one time with individuals, supporting individuals in they way they prefer and building relationships based on trust. The manager said that he valued his staff and that they were an asset to the home. A review of staff files found that recruitment procedures are sound and thorough and staff receive appropriate sufficient training in order to fulfil the duties expected of them. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home benefits from good leadership and management; its practices have offered protection to the health and safety of those who live at the home. The home is run in the best interests of individuals. The home is well managed ensuring that individual’s interests and rights are promoted and protected by a committed staff team. EVIDENCE: The Red House is privately owned and is the sole care home of the proprietors. Mr Roy Orme is the registered manager of the home. Mr Orme has a wealth of knowledge and experience in working with and supporting the care of older people and those with learning difficulties and has management experience in developing and supporting a staff team. During the inspection Mr Orme was The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 24 able to demonstrate a clear understanding of the aims and objectives of the home and of his role and responsibilities for those who live at the home and the staff team. The home has good systems for monitoring the quality of the care provided to the individuals living at The Red House these included regular reviews of care plans, review meetings where the individual was involved, supervisions, staff meetings and a quality assurance tool, which encompasses the Care Homes National Minimum Standards. A review of the fire logbook found that staff are receiving sufficient fire instruction and drills, maintenance and equipment checks are undertaken on a regular basis. A requirement was made during the last visit to the service that the electrical lighting test certificate should be dated for validity. The contractor had completed this and this requirement had been met. All records seen on the visit were in good order and stored securely. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 26 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 YA24 Regulation 23 (2) b Requirement Attention to be given to the ground floor bathroom; ceiling to be painted, window frames and seals to be given attention. Timescale for action 19/02/08 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 YA23 Good Practice Recommendations Clear records of financial transaction must be maintained. The Red House Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Residential Carehome DS0000065123.V356591.R01.S.doc Version 5.2 Page 28 - 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. 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