Latest Inspection
This is the latest available inspection report for this service, carried out on 7th October 2009. CQC found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Red Rose Care Home.
What the care home does well The staff are receiving training in the Mental Capacity Act and Deprivation of Liberty safeguards which will provide them with more up to date knowledge and skill in ensuring that people are supported to make their own decisions wherever possible and any decisions made on their behalf are in their best interest. What the care home could do better: The manager must ensure that any person who has fallen and considered at risk of falls is referred to the appropriate external health care professional for assessment so that wider consideration and consultation is undertaken before taking action to restrict a person`s liberty. You must only use restraint as a last resort for the protection of that person or others.The home must review the policies available for staff on the use of restraint and its wider implications so that they are fully aware of the risks involved and the legal implications. Where people lack the capacity to give consent to their care and treatment and are being deprived of their liberty you should make sure that this is done in accordance with the provisions of the Mental Capacity Act. Random inspection report
Care homes for older people
Name: Address: Red Rose Care Home Brockton Avenue Farndon Newark Nottinghamshire NG24 4TH two star good service 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: Mary OLoughlin Date: 0 7 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Red Rose Care Home Brockton Avenue Farndon Newark Nottinghamshire NG24 4TH 01636673017 01636678423 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs M J Daniel care home 44 Number of places (if applicable): Under 65 Over 65 44 old age, not falling within any other category Conditions of registration: 0 Named Service user to be accommodated for TI category. There after the home`s registration reverts back to accommodate up to 44 service users within the OP category. Service users shall be within category OP Date of last inspection Brief description of the care home Red Rose Care Home is a 44 bedded home for older people including nursing. It is a purpose built home in the residential area of Farndon village. Farndon is situated just off the A46, three miles south of Newark and there is access to a local bus route into the town of Newark if required. There are 42 single rooms, 11 of which have en-suite facilities; there is also 1 double room. There are communal lounges, dining areas, bathrooms and toilet facilities. The home is domestic in character and well maintained.
Care Homes for Older People Page 2 of 9 Brief description of the care home The grounds are well maintained and service users are able to access these areas. There is also a reasonable size car park. The current weekly fees for the service range from £392 - £469, additional payments may also be applied; these would be discussed on enquiry. These fees do not include hairdressing and chiropody services. The previous report is made available on request. Care Homes for Older People Page 3 of 9 What we found:
We examined the care of two people who we saw were subjected to restraint by the use of a lap strap preventing their movement from an armchair and a wheelchair. Each person had a consent form which had been signed by their relatives allowing for this type of restraint to be used. The care plans did not identify the capacity of the resident to give consent to this restraint. We could not identify that the decision to use this type of restraint was taken under an assessment and decision making process that meets the Mental Capacity Act Code of Practice guidelines. The homes assessment of risk showed that on 02/01/09 a person had slipped out of their wheelchair and staff had then taken the decision to apply a lap strap as a restraint measure, which would not be considered reasonable or proportionate. The second person had also been subjected to restraint over a long period of time without appropriate assessment of the benefits, consideration of the consequences or wider consultation. We could not identify any other methods being explored before the restraint was used. The staff had not referred the residents presenting with a falls risk to the appropriate external professional for an assessment of the risk to their health and safety. The staff on duty told us that three other residents were also subject to this type of restraint. This indicates a blanket approach to those who fall which is not person centred or in keeping with relevant guidance. All five residents were referred by us to the Nottinghamshire Social Services for investigation under the safeguarding of adults procedures. We looked at the homes policies on restraint and found that they were not comprehensive and gave no real guidance to staff on the use of mechanical restraint. Staff told us they did not know about the assessments conducted by the falls team through community occupational therapy. What the care home does well: What they could do better:
The manager must ensure that any person who has fallen and considered at risk of falls is referred to the appropriate external health care professional for assessment so that wider consideration and consultation is undertaken before taking action to restrict a persons liberty. You must only use restraint as a last resort for the protection of that person or others.
Care Homes for Older People Page 4 of 9 The home must review the policies available for staff on the use of restraint and its wider implications so that they are fully aware of the risks involved and the legal implications. Where people lack the capacity to give consent to their care and treatment and are being deprived of their liberty you should make sure that this is done in accordance with the provisions of the Mental Capacity Act. 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 5 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 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 1 8 13 You must refer any individual 22/10/2009 who has a history of falls to the appropriate external professional such as GP, District Nurse, Occupational Therapist, Physiotherapist, Falls team, or Pharmacist. To ensure that all alternatives to restraint have been considered and the service user has access to appropriate health services. 2 18 12 You must ensure that care plans show you have considered the Mental Capacity Act. To ensure that people have their rights and choices protected. 30/11/2009 3 18 13 You must ensure that no service user is subject to physical restraint unless restraint of the kind employed is the only practical means of ensuring the welfare of that or any other person and that these 15/10/2009 Care Homes for Older People Page 7 of 9 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 are exceptional circumstances. To promote and make proper provision for the health and welfare of service users. 4 33 18 You must review your policies on restraint. To ensure that staff know when restraint can be used and what procedures to follow that reflect best practice guidance. 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 30/12/2009 1 2 3 8 8 8 Staff should have training in falls prevention. Care plans should contain evidence of any consultation with legal representatives or mental capacity advocates. When assessing a falls risk you should consider the possible implications of medicines in use that may cause drowsiness. Care Homes for Older People Page 8 of 9 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. 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 Older People Page 9 of 9 - 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!
