Inspection on 17/10/06 for The Red House Residential Carehome

This inspection was carried out on 17th October 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Red House Residential... 17/12/07

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

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 Key Unannounced Inspection 17th & 18th October 2006 09:15 The Red House Residential Carehome DS0000065123.V315795.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.V315795.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.V315795.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 01454 774949 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) Mr Heron Moodie To be appointed. Care Home 8 Category(ies) of Learning disability (10) registration, with number of places The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 10 persons with Learning difficulties, aged 1864 years requiring personal care only. 24th May 2006 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 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 people carrier for outings and holidays. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of the visit was to establish if the home is meeting the National Minimum Standards and the requirements of the Care Standards Act 2000 and to review the quality of the care provision for the individual’s living in the home. This inspection employed key elements of the national inspection methodology with the objectives of focusing on outcomes for the individual’s. This is evidenced through evaluation of core standards and verification through a surveying and case tracking approach that included talking with and the observation of individuals who live at the home and the views of the manager on duty. An opportunity was taken to view the home and a number of the records relating to the management of the home and plans of care for all of the individuals were reviewed. Residents and staff were also spoken with and following the inspection the inspector contacted three relatives in order to gain additional feedback about the home. Recruitment, supervision and training records of staff were also viewed. What the service does well: The Red House is a homely and comfortable place in which individuals live, it is close to local amenities. Residents are cared for in a home that is comfortable and homely, clean and tidy. The bedrooms are all for single occupation and each room has it own wash hand basin. The homes assessment processes and the information available about the home ensures that placement is offered to those people whose needs they can meet. The homes care-planning processes will ensure that each resident receives the care they need. Residents are able to participate in a range of meaningful activities and spend their time as they wish. Residents can be assured that any complaints they have will be dealt with and that they will be safeguarded from any harm. The residents are cared for as “individuals” and the staff team are knowledgeable about each person’s likes and dislikes. The home is well managed and run in the best interests of the residents. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: In order that staff are skilled to support residents healthcare needs it has been required that staff undertake training in epilepsy awareness. In order that residents are supported to lead fulfilling lives it is required that risk assessments are reviewed in order that these reflect activities of potential risk and to demonstrate that activities are not restricted. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 7 In order to ensure that residents would be safe in the event of a power failure it is required that emergency lighting is checked on a consistent monthly basis. In order to improve on systems in place for the protection of resident’s finances it is recommended that the manager evidences that bank statements are checked against balances held and transactions that are made. In order that residents can feel confident that the registered provider would act appropriately he has been required to complete protection of vulnerable adults training. 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.V315795.R01.S.doc Version 5.2 Page 8 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.V315795.R01.S.doc Version 5.2 Page 9 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, 3, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear information is available for residents about the services provided. Contracts or the terms and conditions of the placement are in place, which record the rights and responsibilities of both individuals and the home. EVIDENCE: The Statement of Purpose was in place and this was found to be fully comprehensive and contained all of the relevant information required as stated in Schedule 1, Regulation 4(1)(c). The Statement of Purpose contained the aims and objectives of the home and spoke of treating individuals with dignity and respect, to promote independence and encourage individuals to make choices with aspects of their lives. The document also contained the relevant qualification and experience of the manager and staff team. The document outlines the needs that can be supported at the home. There was a copy of the homes complaints and admission procedures along with fire precautions on display in the entrance hall. The home has a Service Users Guide, which contains information required by the regulations. The Service Users Guide is given to prospective residents The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 10 and/or their relatives when they visit the home or make enquiries to enable them to make an informed choice about moving into the home. At this inspection the terms and conditions of the placement were viewed for all residents. This was to review the requirement made at the last inspection that was to ensure that this document had been amended to record the financial arrangements of individuals living at the home. The inspector saw that new contracts had been developed to incorporate all of the required information. The inspector saw that staff had spoken with residents and explained the content of their document and all parties concerned had signed this. The manager confirmed that copies of this document had been forwarded to relatives. Information seen within care files evidenced that no person is admitted into the home without having their needs assessed and that they have been assured that these will be met. Mr Orm was able to inform the inspector of those needs, which would not be able to be met at the home, and was able to demonstrate the homes capacity to meet the assessed needs of individuals admitted into the home. Individuals who had been referred to the home through the care management process had a full assessment of need recorded within their care plan. Staff were observed communicating with individuals effectively using the communication most suited to the needs of the individual. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 11 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, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear plans of care are in place with individuals being supported to make decisions about their life within a risk managed framework. Information is handled appropriately. EVIDENCE: The care documentation for four of those living at The Red House was examined during this inspection. It was evident that the care planning information had been generated from a care manager’s assessment as well as the homes initial assessment. These cover all aspects of personal and social support and healthcare needs as well as individual’s needs and wishes. Each person’s records set out how current and anticipated specialist’s requirements will be met through positive planned referrals to identified services. The manager has developed a system of regular review of the care plan and this had been recorded. A resident spoken with was aware of their care plan and risk assessments and confirmed they had been involved with this process and had contributed their view which had been listened to and recorded. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 12 There was clear evidence within care records that evidenced that individuals are supported by staff in order to make decisions about their lives, that they have been given appropriate assistance and that support had been tailored to the needs of the individuals in order that they can make an informed decision. It was clear that, where able, individuals had been consulted and their input within assessment processes had been recorded in care records. Each person’s plan sets out in detail the action which needs to be taken by staff to ensure that all aspects of health, personal and social care needs of residents are met, records were seen to be detailed. Staff knowledge on individual’s support needs and aspirations were sound. Daily records were reviewed at this inspection as a recommendation was made at the last inspection that consideration should be given to the use of language and terminology used within residents records. All residents’ records were viewed and no inappropriate entries were seen. The inspector saw that the terms ‘encouragement’, ‘offer information’ and ‘support’, ‘guidance’ and ‘encourage choice’ were incorporated within care documentation demonstrating a commitment from the staff team to promote individual choice and respecting the individual’s as adults. During the inspection staff were heard to be using such terminology when talking with those living at the home. Through observation of responses when dealing with individuals it was evident that staff have a good understanding of individual’s support needs, this was evident from the positive relationships, which have been formed between those living at the home and staff. Staff were observed enabling, and supporting residents to reach decisions. Records are stored safely and are able to be locked away. The home has a clear confidentiality policy that covers aspects of written and verbal information and the importance of confidentiality is also incorporated within staff contracts, is covered during supervision and also is discussed at staff meetings. There was evidence to show that staff enable residents to take responsible risk. Information had been given to individuals verbally and had been incorporated within individuals care plan and these underpinned the homes risk management strategies. It was noted that some of the risk assessments were in need of review. Some discussion took place with the manager about the plan for two residents to move into the house next door and the risks associated with this. There were some risk assessments in place such as security and safety however during the initial assessment and ‘settling in’ period these may need expanding upon and developing further. It was agreed that risk assessments in respect of resident’s activities are to be reviewed and updated where required and this will be reviewed at the next inspection. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 13 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): 11, 13, 15, 16. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and community presence are tailored to the specific wishes and abilities of the individuals. These were well managed and provide daily variation and interest for the people living in the home. Relationships with others are maintained with support from the staff team. EVIDENCE: Residents who live at The Red House have opportunities for personal development. Within the home staff enable individuals to have opportunities to maintain and develop social, emotional and practical life skills. Residents are supported to attend church, visit their families and participate in these activities on a regular basis. All residents who are able and who choose to, are supported to participate in activities of daily living such as light housework, tending to their own laundry and cooking. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 14 Staff support residents to participate in the local community in accordance with their assessed needs and individual opportunity plans. Staff ensure that information is given to residents about local activities and staff support individuals both in and out of the home to participate in activities of their choosing such as visiting places of local interest, meals out, bowling, holidays and shopping. One of the residents enjoyed showing the inspector photographs of their recent holiday to Tenby and spoke of the good time they had. On the day of the inspection one resident was home unwell and was being supported by staff at the home, another went shopping and four other residents were out attending day services. Later that evening increased staffing levels had been arranged in order to support residents to attend church. Staff support individuals to maintain family links and friendships inside and outside of the home and this is facilitated by staff assisting individuals with correspondence, telephone calls and also by escorting individuals on visits to family members. The inspector contacted relatives of three residents, those spoken with said that they are satisfied with the level of service provided to their relatives at the home, that there are clear communication systems in place and that they had no issues or concerns about the service provided at the home. Other comments included; ‘the staff are brilliant!’, ‘My relative loves it there’, ‘things have improved’. All of those in the home have learning disabilities, and some have limited communication skills. However, the information seen within care records demonstrated that individuals are encouraged to participate where appropriate in making choices and decisions upon day-to-day issues which affect their well being. Staff have become skilled at recognising how choices are made, for example, through observation of individual’s, language used, expressions and individual’s behaviour. The systems for consultation in this home are good with a variety of evidence that indicates that individual’s views are both sought and acted upon. Minutes evidenced that meetings take place on a regular basis and individual’s ideas and suggestions are listened to and acted upon. Staff were seen interacting with those at home on the days of the inspection and did not talk exclusively with each other. Residents were addressed in their preferred form, as seen recorded within individuals care plans. Individuals were seen to be given their own post. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 15 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. 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 their preferred manner and individual’s physical, emotional and healthcare needs are well met. EVIDENCE: The manager was asked if individuals are able to choose when they get up and when they go to bed. Mr Orm was very clear that there are no set routines for individuals and that those living at The Red House make this decision for themselves. Mr Orm also said that the time that individual’s get up is very much dependent on what they have planned for the day and that the staff team offer a flexible approach tailored to meet the needs of individuals. Care documentation provides clear information to staff to inform and guide their practice, the records provide information to show that individual’s are supported in their life in the manner they require and prefer. It was evident that residents are able to choose their own clothes, hairstyle and makeup and individual’s appearance reflected their personality. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 16 There was clear information on how the home was responding to the health care needs of the residents. Records confirmed that individuals had access to professionals including district nurses, doctors, chiropody, dentists, opticians and members of the mental health team. One the day of the inspection one of the residents was unwell, the GP was contacted and appropriate advice was sought and acted upon. It was further noted from records that residents physical and mental health are monitored and potential problems and complications are identified and dealt with at an early stage, including a prompt referral to an appropriate specialist. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 17 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. Individual’s can be confident that their complaints would be listened to and taken seriously and staff demonstrated a clear understanding in this area with clear policies and procedures in place. Those living at the home are protected from any potential of abuse due to staff training and understanding in this area. EVIDENCE: The homes complaints procedure is included in the homes statement of purpose and a copy of this is on display in the main reception area. A resident spoken with during the course of the inspection said they would talk to the staff if they were not happy about anything, that they had done this in the past and the issue had been dealt with and that they were happy with the outcome. The complaints logbook for the home was viewed; it was found that reported incidents had been dealt with effectively to the satisfaction of those involved. The last recorded complaint was in June 2006. The logbook identifies and records both formal and informal complaints, which is consistent with good practice. Prior to the inspection a telephone call was received from a care manager who raised some concerns in respect of staffing issues, all of these were investigated fully and the inspector was satisfied that four of the issues were not upheld. One concern was that staff have not received appropriate training in order to meet the specialist needs of individuals at the home. This was not found to be the case, however a requirement was made (see staffing The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 18 standards) that staff must receive training in epilepsy awareness as not all staff had completed this. No complaints were expressed to the inspector by residents or staff during the inspection also no concerns were raised by relatives spoken with following the inspection visit. Staff have attended adult abuse awareness training, with the exception of the registered provider, see management standards. A copy of the homes policy about the protection of vulnerable adults (POVA) is kept with all other policies and procedures. A requirement was made at the last inspection that the homes adult protection policy to be updated in order that it is in line with South Gloucestershire’ s adult protection policy. This document was reviewed at this inspection and it was found to have contained all of the required information to ensure that the correct protocol is followed. The manager demonstrated a good awareness of adult abuse issues and of their responsibility in reporting any bad practice. The Commission for Social Care Inspection has received notification of incidents that have affected individual’s well being at the home, the information provided shows that individuals had been supported in an appropriate manner. The inspector has seen at previous inspections that the home has clear policies and procedures regarding residents money and financial affairs and the home have developed some checking processes in order to ensure the protection of residents monies. Three records of resident’s money in respect of cash held were checked and found to be correct, with transactions being recorded and receipts in place. The manager said that he checked bank statements against personal balances. There was no evidence of these checks and a statement for one resident was missing. A recommendation was made that the manager should develop a system to demonstrate that individual’s bank account transactions are being monitored. The Red House Residential Carehome DS0000065123.V315795.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, 25, 26, 28, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of furnishings and fittings in the home is good and overall a warm comfortable environment has been created ensuring individuals needs are met EVIDENCE: 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. This home is a two-bedded converted cottage with its own lounge, kitchen and dining area. One of the residents who will be moving into this house showed the inspector around and spoke with great pleasure of their forthcoming move and the greater degree of independence this accommodation will provide. Both individuals moving into the home chose their décor and had personalised the house with their ornaments and soft furnishings. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 20 No changes had occurred in relation to the home’s overall suitability for its stated purpose on the provision of care for the residents, the home is accessible, safe and well maintained. The house has a large comfortable lounge and a dining room that adjoins the kitchen. All furnishings and fittings are of a good quality. The residents at home were found sitting in the communal areas and their private rooms and appeared relaxed in their homely environment. There are well-established gardens to the front and rear of the home with car parking available. The records of maintenance demonstrate that any needed repairs are reported and dealt with promptly by the appropriate contractor. All individuals’ private rooms are individual’s occupancy and provide sufficient space to meet individual’s needs and lifestyle. Rooms had furnished to include the required furniture and fittings. The home was found to be clean, tidy and odour free. The home has clear polices and procedures for the control of infection. The Red House Residential Carehome DS0000065123.V315795.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, 33,34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are cared for by skilled staff that are trained and competent to meet their care needs, with safe vetting and recruitment procedures being adhered to. EVIDENCE: From discussion with residents and their relatives it appears that that staff have the competencies and qualities needed to meet residents needs. Staff appear to respect residents and have the attitudes and characteristics, which are important to them. Staff were observed to be accessible to, approachable and comfortable with residents. Discussion with the manager and staff demonstrated that staff had a sound understanding of the diverse and changing needs of individuals. This and how needs would be met had been recorded in team meeting minutes and supervision records as well as individuals care plans. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 22 Duty rotas reviewed confirmed that there are sufficient numbers of staff to ensure that individuals identified care, health and social needs are being met with further evidence in place to show that staffing levels are increased when a specific area of need had been identified. The manager confirmed that there are two staff members employed who are under the age of 21 and said that these staff are not left in charge of the home. The following requirements were made in respect of these group of standards at the last inspection and these were that: • • • • Full recruitment and employment records must be in place and be available for inspection. All staff must have criminal record bureau checks in place before they commence work. Induction for staff must be recorded. Medication competency training must be provided for all staff. The files of four staff members were reviewed and these confirmed that the home is operating in accordance with its recruitment and selection policies and procedures. Induction of new staff is well recorded and confirmed that this process is structured and takes place within six weeks of appointment. Since the last inspection staff have completed a health and safety distance learning competency pack, first aid, medication competency, supporting individuals who have a learning disability in a person centred approach and protection of vulnerable adults training. There are two residents at the home who are diagnosed with having epilepsy; records show that some staff have received training in this area, but not all. Therefore a requirement was made that all staff must receive training in this specialised area. The manager confirmed that since his return from sickness absence he is prioritising the completion of formalised, recorded supervision with staff. Evidence confirmed that he had started this process and discussions with staff confirmed that they feel well supported by the manager. This will be monitored and reviewed at the next inspection. The Red House Residential Carehome DS0000065123.V315795.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, 38, 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager is qualified, skilled and experienced. Mr Orm’s management style ensures that an open and inclusive atmosphere is present in the home, which is run in the best interest of those living at the home. Health and safety of those living and working at the home is generally well managed, however the protection of residents would be improved if the registered provider undertook protection of vulnerable adults training. EVIDENCE: The manager in post is Mr Roy Orm who has many years experience within a management capacity within the care profession. Since the last inspection the deputy manager has left and there are no immediate plans to fill this post. Mr The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 24 Orm is in discussion with the registered provider Mr Moodie as they may decide to recruit an administrator instead of another manager. A requirement was made at the last inspection that the manager must submit their application for registration to the Commission, this has been forwarded and Mr Orm is waiting a date for his interview. Mr Orm cooperated in the inspection process, and was able to locate all necessary information and documents easily. This evidences that the home has good systems in place and is well run. Throughout the inspection process, as during previous inspections Mr Orm was able to demonstrate that he is qualified, competent and experienced to run the home and meet its stated purpose, aims and objectives. He has a sound understanding of the diverse and complex needs of those living at The red House and is committed to ensuring that staff are working with individuals in a person centred way. One of the residents said; Roy is ‘lush’, ‘I like the staff and am happy here’ The fire logbook is well maintained with clear information in place to demonstrate that fire fighting and detection equipment is checked at appropriate intervals by staff at the home and by specialist fire contractors. The last fire drill took place at the home recently and had been well recorded. It was noted that there had been a gap of four months in which the emergency lighting had not been checked, it is required that this in undertaken on a consistent monthly basis. A requirement was made at both previous inspections that improvements must be made in forwarding the regulation 26 reports of visits made to the home; this has improved and reports have been forwarded, this must continue on a consistent basis. Some discussion took place with the registered provider Mr Moodie surrounding the importance of the information recorded within these reports. Mr Moodie is the registered provider and was able to demonstrate a commitment in providing a good quality service for those living at the home. Mr Moodie has participated in training provided at the home, however he has not undertaken any protection of vulnerable adults training and a requirement that he completes this was made at this inspection and will be reviewed at the next visit to the home. A recommendation was made at the last inspection that records of both residents and staff meetings should be maintained. These were seen at this inspection and demonstrated that these are a useful forum in which to discuss routines, choices and to promote communication and continuity of service delivery. The Red House Residential Carehome DS0000065123.V315795.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 3 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 3 25 3 26 3 27 X 28 29 30 3 3 X 2 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 3 16 3 17 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000065123.V315795.R01.S.doc X Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Red House Residential Carehome Score 3 3 X X X 2 X X X 2 X 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. 2. 3. Standard YA35 YA38 YA9 Regulation 19 (5) b 10 (3) 13 (4) b Requirement Staff must receive training in epilepsy awareness. The registered provider to undertake protection of vulnerable adults training. Risk assessments in respect of resident’s activities to be reviewed and updated where required. Emergency lighting must be checked on a consistent basis. Timescale for action 17/02/07 17/01/07 17/12/06 4. YA42 23 (4) c (iv) 17/11/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA23 Good Practice Recommendations The manager should develop a system to demonstrate that individual’s bank account transactions are being monitored. The Red House Residential Carehome DS0000065123.V315795.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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.V315795.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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