Latest Inspection
This is the latest available inspection report for this service, carried out on 24th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Red House (The).
Annual service review
Name of Service: Red House (The) The quality rating for this care home is: The rating was made on: three star excellent service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Jane Jewell Date of this annual service review: 0 5 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 43 Skinners Lane Ashtead Surrey KT21 2NN 01372274552 01372277880 redhouse@redhouseashtead.co.uk www.redhouseastead.co.uk The Red House (Ashtead) Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Jane Lockyer Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 25 The maximum number of service users to be accommodated is 25 The registered person may provide the following category of service only: Care home with nursing (N) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category : Old age, not falling within any other category (OP) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: There has been a change of registered manager and responsible individual. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Red House is a large detached property located in a quiet residential area of the town of Ashtead in Surrey. The premises have converted to provide accommodation and nursing care to twenty five older people including people who have dementia.
Annual Service Review Page 2 of 7 The registered provider is The Red House (Ashtead Ltd) who purchased the home in October 2008. The provider operates one other registered care service in the London region. Accommodation is presented across two floors with access to the first floor via a passenger lift or stairs. There are two dining areas, and a lounge with a spacious conservatory area. There are very attractive and well maintained gardens, which are easily accessible to the service users. The fees for nursing care are currently from £149. to £155. per day, depending on the level of need. Extras such as: newspapers, hairdressing, private chiropody, toiletries and continence pads are additional costs. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included; 1) The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2) Any information we have about how the service responded to and manages complaints and safeguarding adult referrals. 3) The previous key inspection which was undertaken on the 29th November 2007 and Annual Service Review completed on 22nd October 2008 and any other visits that we have made to the service in the last 12 months. 4) Relevant information from other organisations, such as the local authority. 5) Information from people that use the service or from those that visit it. This was obtained by the Care Quality Commission sending out surveys to the home. Twenty three were returned to the Commission and their contents are included in this assessments. Nine were returned from residents, six from relatives, five from health care professionals and three from staff. 6) In addition the registered Manager (Helen Lockyer) was contacted by telephone on the day of the Annual Service Review for up to date information about the service and to feedback some of the comments given by residents and relatives through completing the surveys sent to the home. What has this told us about the service? The home returned the Annual Quality Assurance (AQAA) within the dates required. This was comprehensive and gave clear information about what was happening in the home and further developments that are planned for the next twelve months that will benefit residents, this includes the ongoing improvements to the environment, review of the information available about the home and continue with the development of person centred planning. The AQAA also highlighted the improvements that have been made since the previous inspection. This included: Improvements to the way staff are organised with closer links between nursing staff and key workers. The introduction of the loop system to help assist people with a hearing impairment and new dining room furniture, manual handling equipment. The home was involved in a pilot scheme The Resident Centred Care Home Standard undertaken by Resident Centre Care (RCC). This involved a person centred audit of the service which was undertaken by a team of external assessors who identified areas for Annual Service Review Page 4 of 7 further service development. This included creating further opportunities for activities based on individual need, person centred care planning and greater use of residents personal histories to help inform their care. The last key inspection report was very positive and identified that the home provides excellent outcomes for residents. The home was particularly noted to do well in organising activities and providing a high standard of care. Since the previous key inspection a new manager has been appointed since February 2009. She previously worked at the home as deputy manager for nine years. Much positive feedback was received regarding the effective management of the home. A health care professional fedback this nursing home provides an exemplary well managed service. It stands out as the most excellent of the nursing homes I visit and I would not hesitate to recommend it to others. All persons consulted generally spoke positively about their experiences of the home. Residents commented consistent caring concern for residents and happy atmosphere. Relatives fedback we are always made to feel very welcome whenever we visit and any questions we may have are always dealt with promptly and very caring family environment. A sample of Health care professionals comments included excellent personalised care, outstandingly good staff and good retention rate would happily recommend and provides an excellent stimulating and caring environment for all residents according to individual needs. The manager reported that there remains minimal staff turnover and the home has just recently renewed their investor in people award. Residents feedback regarding staff included very good staff very caring and they run a very good nursing home with excellent staff to resident ratios, helpful and pleasant to deal with. A relative fedback she always makes positive comments about her care and appears to be very fond of the staff. Health care professionals fedback all staff are helpful and very caring and most professional and caring standards. The manager spoke of the plans currently being developed to extend the home to provide further bedrooms and additional communal space. Much positive feedback was received regarding the high standard of accommodation. Feedback included nice communal areas and gardens and very clean and tidy lovely gardens well maintained plenty of space in the two lounges. bedrooms are cleaned every day and bed clothes changed frequently. Consistent feedback was received regarding the high standard of activities the home continues to provide. One resident however, fedback that the home could do better through providing organised activities at the weekend. This was fedback to the manager who had already identified this issue and had for some time been trying to recruit to a weekend activities co-ordinator. Variable feedback was received regarding the standard of food. Comments included the food is always nicely presented and plenty of it they could improve the standard of cooking, provide better cuts of meat could provide more hot sweets sometimes and quality of food could sometimes be better a bit of chicken served. The manager had already identified issues around the quality of food and had radically changed the catering arrangements. This now included employing their own chefs, change of menus
Annual Service Review Page 5 of 7 and suppliers. The manager reported that residents feedback regarding the food at a recent residents meeting was now very positive. They have also introduced a daily feedback book regarding meals so any issues can be dealt with promptly. A relative fedback that only occasionally but sometime there is a delay in answering call bells. The manager noted that there is a system in place to monitor the length of time taken to respond to any calls of assistance. The manager was not aware of any unreasonable length of time taken to respond, but would continue to monitor call response times. Consistent feedback was received from residents who all felt confident to raise any concerns that they had with the home. The home continues to notify the Commission of certain events that involve and effect residents, this includes accidents and incidents. There has been one safeguarding referral made regarding the home in the last twelve months which was resolved without any further action needed. There is a comprehensive quality monitoring process in place to enable the views of residents, relatives and other stakeholders to be actively being sought, listened to and any action taken to improve service delivery. The information provided by the home and other sources confirmed our previous judgement that the home continues to provide an excellent outcomes for residents. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and we will do a key inspection by the 29th November 2010 However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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