Care Home: Redbond Lodge

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What the care home does well The home is well managed and residents have the opportunity to speak with staff informally and at residents meetings so make comments and suggestions about the home and how things could be improved for them. Each person has a care plan developed as to how staff are to support them for their assessed health and personal care needs. Staff review care plans regularly and update them where a person`s condition or treatment has changed. Risks to the health and safety of people living in the home are assessed and monitored so as to minimise injury to residents. The home has a policy and procedure for receiving and dealing with complaints. Residents can speak informally to staff or raise complaints formally through the complaints procedure. Complaints were well recorded and demonstrated that issues were investigated and responded to promptly. People living in the home are safeguarded from harm and abuse. Staff have a detailed policy and procedure to follow and undertake training so that they are aware of their roles and responsibilities around recognising and reporting abuse or poor practices. Any concerns or allegations are reported to the appropriate agencies including the local safeguarding team and / or the police as needed. Appropriate checks including references from previous employers and Independent Safeguarding Authority (Formally PoVA First) checks are carried out before a person commences work at the home. These checks help to ensure that only suitable people are employed and that the interests and welfare of residents are protected. What the care home could do better: Care plans could be more person centred and individualised to show what each person can do for themselves and what support they need. Where bedrails are used as a means to prevent people from falling out of bed the risks associated with their use must be assessed and kept under review. A detailed work history should be obtained for all people applying to work in the home and this should be checked for any gaps or overlaps, as part of a robust recruitment procedure. Random inspection report Care homes for older people Name: Address: Redbond Lodge Chequers Lane Dunmow Essex CM6 1EQ three star excellent 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: Carolyn Delaney Date: 2 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: Redbond Lodge Chequers Lane Dunmow Essex CM6 1EQ 01371873232 01371874451 redbond.lodge@runwoodhomes.co.uk www.runwoodhomecare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Susan Lesley King Type of registration: Number of places registered: Conditions of registration: Category(ies) : Runwood Homes Plc care home 70 Number of places (if applicable): Under 65 Over 65 45 70 dementia old age, not falling within any other category Conditions of registration: 0 0 Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 45 persons) Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 70 persons) The registered person must not admit persons subject to the Mental Health Act 1983 or the Patients in the Community (Amendment) Act 1995 The total number of service users accommodated in the home must not exceed 70 persons Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Redbond Lodge provides personal care with accommodation for up to 70 older people. The home is also registered to provide care to older people with dementia. Redbond Lodge is owned by a private organisation named Runwood Homes Plc. The home is located in the village of Dunmow, Essex. Redbond Lodge is a purpose built two-storey care home that has been extended and refurbished to provide 34 bedrooms on the ground floor and 36 bedrooms on the first floor with a dedicated dementia facility. The home has been adapted to meet the needs of service users with limited mobility and is fully accessible through a passenger lift and ramps. Redbond Lodge is easily accessible by road. Car parking is available in the car park to the front of the property. The fees range from £468.00 -£670.00 weekly, depending on whether the care to be provided is for an older person or an older person with dementia, under the homes current registration. Additional costs apply for chiropody, toiletries, hairdressing and newspapers. Care Homes for Older People Page 3 of 9 What we found: This report is in respect of a random inspection carried out for this service. We carry out a random inspection where we want to look at specific outcome or outcome groups. A random inspection will not affect the quality rating made at the previous key inspection. Where we feel following a random inspection that there may be changes to the experiences of people using a service, which would affect the quality rating we would then carry out a key inspection. As it is a focused inspection and not all outcome areas are assessed other issues may come to light when we next carry out our next key inspection. When we visited the home we looked at the three outcome areas, which determine the services quality rating. We looked and Health and Personal Care, Complaints and Protection and Management and administration. We looked at the care plans for three people in the home. We saw that each residents assessed health and personal care needs were described in the plans. Residents needs around daily activities of living such as washing and dressing, eating and drinking, communicating and mobilising were recorded. Each persons care plans were reviewed by staff on a regular basis. Where there were changes to the individuals health or their ability to carry out activities of daily living, care plans were amended to reflect this. Staff recorded when a person became unwell and what action was taken such as contacting their doctor or arranging a hospital visit. Care plans did not always describe what each person could do for themselves or the specific support they needed and instructions for staff as to how they were to care for residents were generic and did not reflect each person as an individual. We looked at accident records maintained by staff. From these we saw that staff recorded when residents had accidents such as falls. From records we saw that there had been no serious injuries or accidents since the last key inspection. From records we identified residents who were prone to falls. We looked at care plans for these individuals. There was a care plan in place, which identified that there were risks to individuals around falls, and there was detailed information recorded as to the level of risk and how staff were to manage this. When care plans were reviewed they were amended to reflect any falls or injury since the last time the plan was reviewed. When a person sustained an injury or fell the risks assessment was reviewed so as to see if the risk of injury had increased. We looked at the care plan for one resident who was confined to bed due to deteriorating health. We saw that a decision had been made to use bedrails as a means to minimise risks of falling out of bed and there was a care plan in place instructing staff on how to ensure tat they were used safely. However there was no risk assessment in place to identify the potential risks to the resident associated with the use of bedrails. We discussed the importance of assessing, monitoring and managing risks to the health and safety of residents and the manager and deputy manager assured us that this would be addressed promptly. We saw that there was a comprehensive system for assessing and monitoring risks around moving and handling residents, risks to residents of developing pressure sores and risks of poor nutrition. These assessments were detailed and included information as to how staff were to monitor residents and report any changes in their condition so as to Care Homes for Older People Page 4 of 9 minimise injury or poor health of people living in the home. We looked at the arrangements for ensuring that people living in the home received medicines as prescribed for them. We saw that staff who were responsible for administering medicines that they received training. We looked at the medication administration records for twelve of the sixty-seven residents in the home at the time of the inspection visit. We saw that staff had signed to indicate that they had administered all prescribed medicines and kept good records around medicines received into the home and when medicines were discontinued by the residents doctor. We saw that medicines were stored safely and securely.. We looked at how complaints were received and investigated. The home had a policy and procedure in place for dealing with complaints and residents were encouraged to air any concerns o make suggestions for how the service could be improved through speaking with staff and at residents meetings. We looked at records for complaints received since the last key inspection. We saw that complaints were investigated and responded to appropriately in line with the homes policy and procedure. We looked at the arrangements for safeguarding people who may be vulnerable from harm and abuse. We saw that there was a policy and procedure in place around safeguarding people. This policy needs to be reviewed so that it reflects the current Southend, Essex and Thurrock Policy and Procedure, including who to report any incidents to. We saw that staff had access to the appropriate alert forms and that incidents raised had been reported correctly. We looked at how staff were trained so as to be aware of their roles and responsibilities around safeguarding vulnerable people. We saw that all staff working in the home had undertaken training within the past eighteen months and where staff were due their annual update training this was identified on the training plan. We looked at how staff were recruited so as to help ensure that only suitable people were employed in the home. We looked at the staff file for one person who had recently commenced employment in the home. We saw that Criminal Records Bureau disclosure had been applied for and a satisfactory Independent Safeguarding Authority check(formally PoVA First) and satisfactory references from previous employer had been obtained before this person started work. This individuals work history had not been explored fully and there was no record of employment, or reason for this, from September 2009 to June 2010. We looked at how the home was managed and how the views of people who live there were obtained and acted upon so as to improve their experiences. The home has a registered manager who is supported by a deputy manager and a group of team leaders and care staff. All staff have clear job descriptions, which describe their roles and responsibilities. Regular staff meetings are held, where work practices and any issues are discussed and action taken to resolve these. We saw that residents meetings were held regularly and residents could discuss any issues or concerns they had, as well as making suggestions about the things that were important to them such as meals, activities and entertainment. Overall we saw that outcomes and experiences for people living in the home remained Care Homes for Older People Page 5 of 9 excellent. We identified some areas, which need to be improved upon, so as to ensure that this continues to be the case and we have made made comments about these in the inspection report. What the care home does well: 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 6 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 7 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 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 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. 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