Care Home: Red Hill Court Care Home

Similar services:

• Maple Lodge
• Heathlands
• Inspirations
• Westmead
• Hopwood Court
• Coton Hill House
• Doddington Lodge
• Innage Grange

What the care home does well The focus of this inspection was to check if requirements had been met. Because of this, we did not look at all aspects of the service and may not, therefore, have identified some positive things about the home. Medication practices within the home have improved which means that people are protected by from harm. Medication administration and management will continue to check when we next complete a visit to the home as part of our regulatory activity to ensure consistency is maintained. People were generally well presented, with clothing appropriate for the weather. There was an open visiting policy and people were welcomed, so people living at the home were able to maintain important friendships and relationships. The quality assurance audits completed by the management provide a guide to the homes progress and where any areas may need to be improved. The management and organisation of complaints has improved since the last key inspection so people feel that they are being listened to. What the care home could do better: It is important that when a person is identified as being nutritionally compromised due to a medical/health need then staff practices must be improved in the area of recording each person`s nutritional intake in a precise and adequate manner. This will make certain that individuals are not left at risk from their health and or wellbeing deteriorating due to inappropriate monitoring and reviewing tools. Review the practice of serving hot puddings with the main meal, so that people are offered a hot pudding. The environment must meet the individual needs of people who live in this home and as stated in the statement of purpose. This is specifically in the area of providing orientation aids for people. Random inspection report Care homes for older people Name: Address: Red Hill Court Care Home 229 London Road Redhill Worcester WR5 2JG zero star poor service 05/05/2010 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Christine Potter Date: 0 9 0 9 2 0 1 0 Information about the care home Name of care home: Address: Red Hill Court Care Home 229 London Road Redhill Worcester WR5 2JG 01905354000 Telephone number: Fax number: Email address: Provider web address: www.southerncrosshealthcare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Trinity Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 70 Number of places (if applicable): Under 65 Over 65 0 60 0 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 8 0 70 0 5 0 5 2 0 1 0 Redhill Court is a purpose built home consisting of three separate units. They offer accommodation to elderly and younger people. The home provides residents with single bedrooms all with en suite facilities. Accommodation is on two floors with a lift to assist people using the service to access all areas of the home. The home provides a range of aids and equipment to assist them in meeting the needs of people using the service. Communal areas are available with lounges and dining facilities are provided Care Homes for Older People Page 2 of 10 Brief description of the care home on all units so people have a choice of where they wish to spend their day. The home has a pleasant garden which is accessible for people in wheelchairs. A range of activities are provided for the people living at the home. The home is owned by Trinity Care part of Southern Cross and the manager is Shirley Houghton. Information regarding the home is available in the Statement of Purpose, The Service Users Guide and Inspection reports. These documents are available on request from the home. Care Homes for Older People Page 3 of 10 What we found: We, the Care Quality Commission (CQC) undertook this random inspection visit to monitor requirements issued at the key unannounced inspection on the 5th May 2010. These requirements were relating to the safety and well being of people living at the home. This was because the service received a poor, zero star quality rating as a result of our key inspection. The home has also had a history of management instability and a number of incidents reported as safeguarding referrals. This random inspection was unannounced, which meant the home was not given notice of our visit. We spent five hours at the home We were told that there were 80 people living in the home on the day we visited. A senior manager from another home joined us for the inspection to assist the deputy manager. The manager designate was on annual leave on the day of the visit. Where appropriate we talked with some people living at the home and staff which included the deputy manager, administration staff and care staff. We did not inspect all of the standards at the time of this visit. At the key inspection on the 5th May 2010 three requirements were made in relation to health care needs for people living in the home. Two requirements were around care plans and risk assessments. To evidence that peoples health care needs are being met in a person centred way. The third was around the management and administration of medication and the relevant documentation. In addition to the requirements three recommendations were made to assist the service with their planned improvements and overall service for the people living in the home. The organisation provided us with an improvement plan, which told us compliance would be in place, within the timescale identified. We are aware that care plans were in the process of being rewritten into new formats. This process has been ongoing since our last key inspection on the 5th May 2010. At this random inspection on the 9th September 2010 we looked at three care plans in detail. These showed that people are being assessed prior to being admitted to the home. Sufficient information is recorded to assist the staff to develop a detailed care plan of the individuals needs when they are admitted to the home. Health and Personal Care The deputy manager told us that they are working hard to improve the quality and information in peoples care records. Generally there was an improvement with the care records, but still inconsistencies with the quality of records on each unit. It is recommended that the service look at the emotional needs and pressure relieving equipment. We observed that staff practices are not always reflecting what is written down in care planning information. Processes are not robust to make certain people are receiving the correct care to meet their individual health needs. For example, in one persons care records we saw that they were prescribed nutritional supplements three times per day. There was no formal system to ensure that people are receiving their nutritional Care Homes for Older People Page 4 of 10 supplements. The record of fluid balance were not being consistently completed or followed up. The deputy manager confirmed that this was being addressed. Residents have access to health and remedial services and a record of all visits is recorded in the residents care plan for reference. Medications At the key inspection on the 5th May 2010 we made one requirement in relation to record keeping on the medication administration record. We found that this requirement had been met at the random inspection on the 9th September 2010. All nurses have received training and the manager is completing regular audits of the medication system. Daily Life and Social Activities At the key inspection on the 5th May 2010 it was recommended that activities are available for people for the seven days. The unused lounge on the first floor was still waiting to be developed into a sensory room for the residents to use. We observed lunch being served at the time of the visit in the ground floor dining room. The main meal was beef stew and dumplings followed by gooseberry flan and custard. We observed that the hot pudding had been served with the dinner and was going cold. It was recommended that this practice is reviewed so people can enjoy their meal. Complaints and Protection The last key inspection rated these standards as adequate and recommended that the home reviews there complaints procedure to ensure that all complaints are investigated and there is a clear audit process. This will enable people using the service to feel that they are listened to. We looked at the homes complaints records and the home had received two since the last inspection. There is a clear record of how complaints are investigated including timescales which is good practice. The deputy manager told us the outcome of the recent safeguarding investigations and confirmed that there were no outstanding investigations. The accident records were looked at the manager completes a monthly audit of any accident that occur in the home. Environment No standards from these standards were assessed at this inspection. We observed that some redecoration had taken place to tone down the colour schemes. Further progress is required to provide more signs and orientation aids to further assist people with short term memory problems. The unused lounge on the first floor is still waiting to be developed into a sensory room for people living in the home to use. Staffing Care Homes for Older People Page 5 of 10 We reviewed the staffing rotas which showed that the staffing levels were stable. Staff said that generally the numbers were satisfactory, but at peak times an extra staff member would be helpful to assist with meals. It was recommended that the dependency levels for the people in the home are completed to evidence that staffing levels are being constantly reviewed. All the staff have induction training prior to commencing work at the home. Since the last key inspection the service have recruited some new nurses including a psychiatric nurse for the dementia unit. We looked at the staff files which shows that the home were following their recruitment procedure, and appropriate safety checks had been completed prior to them commencing. No other standards from this section were reviewed at this inspection. Management and Administration Since the last inspection the manager designate has applied for registration with CQC. She is a Registered Nurse and has completed the recognised managers qualification. The statutory monthly audits are completed by the operations manager for the owners. These reports provide valuable information about how the service is performing in key areas. We saw that staff supervision is now being completed and staff that we spoke with confirmed that this was now the case. However the supervision records show that practice in this area could be improved upon as the documented information is very brief in detail. What the care home does well: The focus of this inspection was to check if requirements had been met. Because of this, we did not look at all aspects of the service and may not, therefore, have identified some positive things about the home. Medication practices within the home have improved which means that people are protected by from harm. Medication administration and management will continue to check when we next complete a visit to the home as part of our regulatory activity to ensure consistency is maintained. People were generally well presented, with clothing appropriate for the weather. There was an open visiting policy and people were welcomed, so people living at the home were able to maintain important friendships and relationships. The quality assurance audits completed by the management provide a guide to the homes progress and where any areas may need to be improved. The management and organisation of complaints has improved since the last key inspection so people feel that they are being listened to. Care Homes for Older People Page 6 of 10 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 set out on page 2. Care Homes for Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 12 Reg 12 1 a The home should 24/09/2010 ensure that the care plans for people using the service are person centred to reflect personal preferences. They should provide clear guidance for staff to follow, and record changing health and psychological needs for individuals. To ensure that peoples care needs are fully met. Partially met 09/09/2010 Care Homes for Older People Page 8 of 10 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, 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 Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!