Care Home: 37 Redgate Court

Similar services:

• Coopers Mill Ltd
• Pocklington House
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)

What the care home does well 37 Redgate Court continues to provide good care and support to six residents with sensory needs and an associated learning disability. The manager and the staff team clearly display committment in promoting resident`s independence within a risk assessment framework to ensure safety. Care plans are person centred and detailed and there was evidence of the residents participation in decisions about their own lives. Residents are assisted to access the community and enjoy a variety of activities. Staff are well recruited, trained and supervised and the manager provides clear direction and encourages the staff to participate in proactively developing the service for residents. What has improved since the last inspection? A number of decorations and refurbishments have been completed in the home. The manager has successfully registered with the Care Quality Commission. Requirements made at the last key inspection, have been met. What the care home could do better: The staff team are keen to improve the lives of residents and proactively work to safely maximise resident`s potential and independence. No requirements or recommendations were made at this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: 37 Redgate Court Redgate Court (37) Peterborough PE1 4XZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Andy Green     Date: 1 2 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: 37 Redgate Court Redgate Court (37) Peterborough PE1 4XZ 01733314559 F/P01733314559 sally.porteious@sense.org.uk www.sense.org.uk Sense, The National Deafblind and Rubella Association Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jacqueline Jones Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability sensory impairment Additional conditions: Learning Disability only in association with Sensory Impairment Date of last inspection Brief description of the care home 37 Redgate Court consists of a purpose built property, situated on a residential estate on the north eastern edge of Peterborough. The home is a two-storey, semi-detached property in an accommodation complex catering for adults with learning disability. It is owned by Sense East and provides care and support for up to 6 people with learning disability, associated with sensory impairment. The home has 6 individual bedrooms; 4 on the upper floor and 2 on the ground floor. There is a bathroom with shower and toilet on both floors, an open planned lounge dining area and a kitchen. A conservatory leads off the lounge area to the large, well maintained garden, which is shared with the adjoining house. The home is within walking distance of local shops, pubs, post-office and public transport. Peterborough city centre is about 5 miles away and is easily Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 0 6 6 Brief description of the care home accessed by public transport. Weekly fees range from £1642 to £2080. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We, the Care Quality Commission, carried out an unannounced key inspection of 37 Redgate Courton 12th January 2010. We inspected a number of documents including; the Statement of Purpose, assessment documents, care plans, recruitment, training, health & safety records and supervision records. A tour of the building and grounds was also conducted. The manager completed an Annual Quality Assurance Assessment (AQAA) which is a self assessment audit that gives the home an opportunity to give their opinion about how they meet standards and regulations. Surveys were received from relatives, staff and residents. We also met residents and staff during the inspection to gather their opinions regarding the services provided in the home. Care Homes for Adults (18-65 years) Page 6 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides information in a variety of formats to ensure that people can make an informed choice about whether they wish to live in the home. Evidence: The homes Statement of Purpose is updated throughout the year to ensure it accurately reflects the service and any changes in personnel or care and support. Braille and audio versions are available to aid residents understanding. One of the residents has a digital photo frame where pictures of significant family members, day service, physio staff and carers are stored to assist him. There have not been any admissions to the home since 2006 so consequently no new assessments were inspected. The manager stated that should a vacancy arise a thorough assessment process is in place to fully asses an individuals care and support needs. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home produces detailed care plans and risk assessments to ensure that residents safely receive appropriate care and support. Evidence: Three care plans were inspected and they were recorded in a person centred style to reflect the care and support needs of residents. Care plans are generated from the information and transition plans collated and implemented during the assessment period. Details in care plans included; an information sheet, personal profile, communication, exercise guidelines, mobility, travel, health & safety, weight charts, bathing, language development, behaviour support guidelines, personal care needs, domestic needs, activities, eating and drinking guidelines and nutrition. There are communication profiles which looks at interventions and methods with regular updates. Vision and hearing issues/developments are regularly reviewed. Care plans are regularly reviewed including input from the resident and their family where appropriate. The home is in regular contact with relatives to ensure that care and Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: support is well delivered and communicated. It was noted that there seems to be duplication of similar care planning information which could be confusing and unnecessary. The manager stated that a new care plan format is being implemented which is clearer and cross referenced to other important documents and guidelines. Risk assessment profiles are in place to ensure residents safety and include activities both in the home and when accessing the community. Examples of risk assessments included; washing/bathing, hot drinks, using kitchen equipment, transport, accessing the community, using the jacuzzi, epilepsy guidelines and the use of overhead hoist. One resident survey was received and comments indicated that the person was pleased with their bedroom and like using the garden. Due to communication issues it is difficult to gain opinions from residents regarding the home. However, observations and interactions seen with staff and residents indicated that there is a friendly, caring and supportive atmosphere in the home. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have access to a range of activities to meet their needs and preferences. Evidence: The majority of residents attend the local SENSE Resource Centre to take part in a variety of activities including; life skills, physiotherapy, hydrotherapy, cookery, woodwork, braille sessions, horse riding, trampoline sessions and horse riding. Residents also have home days which can involve; personal shopping trips, walks, assistance with domestic tasks such as cleaning and laundry and music. Holidays are arranged throughout the year and residents have been to theme parks. Some residents prefer to go on day trips rather than spend an extended time away from home. A number of residents have particularly enjoyed nights out at the three monthly Lava Lamp club for people with a learning disability. Residents continue to have regular contact with relatives. Meals are varied and nutritious and residents are encouraged to take part in meal Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: preparation as much as possible. Residents meal preferences are catered for and choices are regularly discussed. Relatives of one of the residents confirmed that the meals were of good quality and met individual preferences. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each resident has an individual health care file which details appointments and visits from a range of health care professionals including; GP contact, dentist and eye appointments. Weight records are completed for each resident to monitor any change. It was noted that weights are recorded in a medical graph style which is unnecessarily complicated and it is recommended that a more appropriate form is devised which simply records the weight and indicates if their have been any fluctuations. Medication records were inspected and were recorded accurately. Medication is given only by the manager and senior staff who have received regular medication awareness training. One of the team leaders also monitors the medication to ensure records, storage and ordering are properly maintained. It was noted, however, that the arrangements regarding access to the keys for the medication room should be reviewed. It was agreed with the manager that the shift leader should have the keys with them at all times to ensure the security of the medication room. Since the last inspection a protocol regarding the administration of rectal Diazepam for one of the residents has been implemented and clearly displayed in the residents medication records. The home receives six-monthly pharmacy inspections to monitor required standards. A recent inspection did not raise any concerns. A relative commented that their sons health care needs were appropriately met and Care Homes for Adults (18-65 years) Page 14 of 24 Judgement: that he was treated with dignity and respect. Evidence: Residents have access to appropriate health care to meet their assessed needs. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a complaints and safeguarding procedure to ensure resident are protected from harm. Evidence: The home has a complaints procedure in place and residents have access to copies in a pictorial and braille format to aid their understanding. There have not been any complaints received since the last inspection. since the last inspection a thorough safeguarding information file has been implemented which contains; SENSE safeguarding policies, local authority and NHS protocols, No Secrets guidelines and safeguarding referral forms. Training regarding safeguarding is also organised annually. There is a current safeguarding issue which is being investigated and the outcome of this is awaited. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with a well maintained and homely setting in which to live. Evidence: The home is well presented in a clean and tidy manner. Decoration and furnishing is modern and provides a homely atmosphere. Since the last inspection a number of decorations and refurbishments have been completed which include; redecoration and furnishings to three bedrooms, new carpets in the lounge and stairs, new settees and chairs in the lounge, decoration refurbishment of the bathrooms including overhead tracking in one bathroom. Three bedrooms were seen during the inspection and they were decorated and arranged to meet individual preferences and needs. It is anticipated that two further bedrooms will be decorated before March 2010. Tye rear garden is shared with the adjacent SENSE property and includes a variety of seating and planted areas. Since the last inspection a water feature has been installed to provide a point of interest.. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are appropriately recruited, trained and supervised to ensure residents receive good quality care. Evidence: The home has a thorough recruitment process to ensure that all checks are completed prior to the commencement of employment including two references, Criminal Records Bureau checks, application form and proof of identity. All personnel documents are held centrally by the organisations human resources department which has been agreed with the Commission. There were sufficient staff on duty to meet the needs of residents throughout the the day and evening and any shortfalls are met through bank staff organised through SENSE. The rota evidenced appropriate staffing levels. It was noted that the manager needs to include her hours on the rota, she agreed to do this as soon as possible. Staff receive a thorough induction training package covering all mandatory health & safety issues and care and support issues including deafblind awareness, fire safety , moving & handling, challenging behaviour interventions, safeguarding, sexuality, medication and administration of rectal diazepam. Supervision is regularly organised on a six-eight weekly basis, this was confirmed by three staff spoken to during the inspection. Staff comments received in surveys were positive and they felt involved in the running Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: of the home and were encouraged to raise their views and be involved in new developments. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable processes in place to ensure that the home is safely and efficiently managed. Evidence: Since the last inspection of the home there has been a new manager registered with the Commission. The manager has worked for SENSE for several years and has relevant knowledge and experience with this client group. She has achieved the Registered Managers Award (RMA) and Health & Social Care Award level 4. She demonstrates a clear and inclusive style of management and staff spoken with and comments received in surveys confirmed this to be the case. Health & safety/environmental checks are regularly carried out and records inspected included; daily fridge/freezer temperatures, weekly hot water temperatures, weekly fire alarm tests and monthly emergency lighting tests and six-monthly fire drills. There are food storage checks and cleaning protocols in place. Portable Appliance Tests (PAT) are carried out annually and contracts are in place for servicing equipment. It was noted that the home has received a five star food hygiene rating from Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: Peterborough City Council since the last inspection. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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!