Care Home: Redcourt

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Annual service review Name of Service: Redcourt The quality rating for this care home is: The rating was made on: two star good service 0 8 0 1 2 0 0 9 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: Frederick Rawlins Date of this annual service review: 0 2 1 2 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Grove Road, Chapeltown Pudsey Leeds West Yorkshire LS28 7RZ 01132557313 01132557333 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Castlegrounds Limited Number of places (if applicable): Under 65 Over 65 0 0 0 10 10 40 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Redcourt is a large detached property set in its own grounds near to the centre of Pudsey. It is within walking distance of all the local amenities and has easy access to the bus service to surrounding towns. Redcourt provides care for up to 40 older people who require residential care. Accommodation is provided on 2 floors and there are 38 single bedrooms and 1 shared room. The home has well maintained private gardens to the front. The front of the building has a patio area, which overlooks the garden and is accessed from the communal areas on the ground floor. There are appropriate numbers of bathrooms and WCs in the home that are fitted with bath aids etc. 0 8 0 1 2 0 0 9 Annual Service Review Page 2 of 8 Information about the home and the services provided is available to prospective people in the form of a Statement of Purpose and service user guide. The current fees range from 435.92 per week to 475.00 pounds per week with additional charges for hairdressing, chiropodist, newspapers and toiletries. Annual Service Review Page 3 of 8 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 or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the home. The AQAA is a self-assessment that focuses on how well the home is meeting the needs of the people using the service. It also gave us some numerical information about the home. Information about the way the home has managed any complaints. What the home has told us about things that have happened in the home, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the home in the last 12 months. Relevant information from other organisations. What other people have told us about the home. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when it was requested. We looked at the information in the AQAA which showed the various improvement/changes to the service that had been made in the last twelve months as well as further development plans. The AQAA showed that the home has made improvements as a result of suggestions from the people who use the service and their families. These included: Activities are constantly reviewed to ensure they are needs relevant to the changing needs of the people. Further development to the laundry system to ensure peoples clothing is returned promptly to their numbered room and to ensure laundry is returned to its rightful owner. In the returned AQAA it was stated that in the last 12 months: The manager has completed a course run by Marie Curie focusing on End of Life Care in care homes. The home has developed an end of life care register which offers a checklist to ensure that adequate medical help and appropriate outside agencies are informed when Annual Service Review Page 4 of 8 people are approaching the end of their life and ensure that their wishes are carried out as stated in their advanced care plan. All care plans have been re-developed and are now individually person centred. They now evidence the involvement of relevant health care professionals. Reviews are carried out regularly with the co-operation of the people living at the home and relevant family members. All Care Staff have completed their National Vocational Qualification (NVQ) level 2 and some have moved onto level 3. The local GPs continue to support the staff and the elderly medicine consultants also continue to offer support to the staff. The district nursing team visits the home daily and offer support and guidance to the care staff. Policies and procedures are in place to ensure people are protected from abuse. All Staff have training on Safeguarding and refresher courses are given. They also revisit policies/procedures during individual supervision sessions and staff meetings. Training on the Mental Capacity Act is given to all staff. All the people living in the home have an assessment on Deprivation of Liberty in their care plans. The Safeguarding Policy is also included in an easy to follow flow chart with all relevant telephone numbers. The manager said they comply with fire and environmental health requirements. They have installed extra fire doors on bedroom corridors to ensure compartmental areas are smaller should it be necessary to evacuate these areas due to fire. There is a coffee lounge area for the use of people and visitors to the home. The seating areas outside the home are made more private for people and visitors. The manager said they continue to monitor and review staffing levels to ensure they meet the needs of the current group of people. Staff number and gender mix have increased to meet the needs of the current gender mix of people. The manager said in the AQAA that the results from the homes Annual Quality Assurance questionnaires, highlight that people at the home and their families say that the Manager is visible and approachable and any problems are resolved immediately. She keeps herself informed of the changes to the Regulations and legislation and is constantly updating policies and procedures. Records are kept on all financial transactions with regard to peoples fees and personal allowances. There are records kept in the home detailing regular individual staff supervision sessions. Comments from the survey returned from people living in the home and their families/visitors on what the home does well included the following: Redcourt creates and maintains warm, caring and positive relationships. Annual Service Review Page 5 of 8 They treat all the people at the home as individuals and where appropriate foster a sense of fun. Takes care to help people with their clothes e.g. their co-ordinated outfits, jewellry, showing respect for their dignity. They involve people in a range of fun activities from having finger nails painted through making Easter bonnets to May Day fund raising for the annual day at the seaside. They care about peoples needs and treat them with respect My mom has only been there a few weeks but feels content and at home. The staff are approachable and helpful and cover special occasions well i.e. Christmas and Easter. The meals are excellent, they try hard to keep everyone happy. The home is well kept and clean. They look after me adequately and attend to all my needs. The home is well staffed with caring people who work extremely hard, looking after mainly Alzheimers/dementia people, creating a reasonably happy and efficiently run care home. One relative said in the returned survey a member of staff got married and before going to her formal reception came straight to Redcourt in her bridal gown with groom, bridesmaids and all the wedding party. The people in the home loved it. The bride said it was very important for her to share her special day in this way. Had we needed it, this was absolute confirmation we had entrusted my mothers care to the right people. Comments from the survey returned from people on what they could do better included the following: Keep a closer eye on who gets correct clothing back after washing It would be more stimulating if there were more opportunities to go out on visits. We have noticed unpleasant odours more often recently. More consideration to personal hygiene i.e. particularly peoples nails are dirty. People need more stimulation regularly, i.e. more activities or people coming in to give talks etc. What are we going to do as a result of this annual service review? Annual Service Review Page 6 of 8 The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that the home continues to provide good outcomes for the people who use it. We are not going to change our inspection plan and will complete an inspection by 26th 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 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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. 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