Care Home: Redholme

Similar services:

• St Vincents
• The Cotswold Home
• Winton House
• Rush Court
• Hillyfield Rest Home
• The Maypole Nursing Centre
• The Briars

What the care home does well People who use the service say this is a nice place to live and they can choose how to spend their time. There is a relaxed and `homely` atmosphere at Redholme. One relative said `Mr and Mrs Matadeen provide a real home` and `there is always a happy atmosphere and Redholme`. The home encourages people to be independent and as one relative said `...able to do little jobs, makes him feel useful`. The home is clean and safe. People who live in the home say they are happy and well cared for. What has improved since the last inspection? Mr Matadeen has improved his filing system. Two risk assessments that were asked for at the last inspection have been drawn up. One bedroom has been redecorated. What the care home could do better: The statement of purpose and service user guide needs to be updated. Improvements need to be made to the detail written in care plans and to risk assessments. CARE HOMES FOR OLDER PEOPLE Redholme Forest Road Whitehill Bordon GU35 9BA Lead Inspector Liz Palmer Key Unannounced Inspection 20th September 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redholme Address Forest Road Whitehill Bordon GU35 9BA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01420 472 467 Mr Hurryprasad Matadeen Mrs Ermelinda Matadeen Mr Hurryprasad Matadeen Care Home 5 Category(ies) of Old age, not falling within any other category registration, with number (5) of places Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2007 Brief Description of the Service: Redholme is a detached house situated in a quiet residential area, a short walk from the village of Whitehill. The owners live on the premises and personally provide the care needed to meet the needs of the service users; care/domestic staff are not employed. The home provides a residential service to up to five older people who are actively encouraged to maintain their independence. The fees at the home are between £272.37 and £395.64. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this unannounced inspection was to assess how well the home is meeting the key National Minimum Standards. The inspection included a site visit to the home over a period of three hours. During this time the owners (Mr and Mrs Matadeen, who live on the premises and also provide all the care) and four of the five people who live in the home were spoken to and observed. A visiting professional was also spoken to on the day. Care plans, medication records, policies and records were sampled. Other information used to make judgements about the standard of care in the home, included one visiting professional’s survey, three surveys from people who live in the home and two relatives’ surveys. The home also provided information in their Annual Quality Assurance Assessment (AQAA), which was received after a reminder letter was sent out by the commission. These have been referred to throughout the report. What the service does well: What has improved since the last inspection? Mr Matadeen has improved his filing system. Two risk assessments that were asked for at the last inspection have been drawn up. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 6 One bedroom has been redecorated. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 does not apply. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Suitable arrangements are in place for assessing people before they are offered a place in the home. However, the statement of purpose must be reviewed and updated for any prospective service users and must include the range of fees. EVIDENCE: The current service users have lived in the home for several years, all had their needs assessed prior to admission to ensure they could be met in the home. Enough information was available at the time for them to make an informed decision. However, the statement of purpose was seen to be out of date and must be reviewed and updated for any prospective service users and must include the range of fees. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Mr Matadeen is aware of all the healthcare needs of service users. However, a lack of detail in care plans and risk assessments may put service users at risk of not having their needs met at all times. EVIDENCE: Three care plans were looked at. Evidence of people who use the service being involved in these was seen. Care plans were reviewed monthly and changes noted. They contained basic information about peoples’ needs and a requirement made at the last inspection for all support needs to be detailed has not been met. A requirement for all risks to be assessed has not been completed. Two specific risk assessments asked for had been done. Although Mr Matadeen is aware of the care needs and risks of each individual, these need to be recorded in case a situation arises that care needs to be provided by someone else. For example, in an emergency situation. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 10 Both relative surveys said that the home ‘always’ meets the care needs of service users. One commented that they have never had any concerns about the care received and said ‘he has always received the right amount of support that he needs’. People who use the service are all registered with a local General Practitioner (GP). They said that they can see their GP if they need to and records showed that visits are arranged and health concerns are followed up. Specialist healthcare needs are also addressed and records of all medical appointments are kept. A visiting community psychiatric nurse (CPN) was spoken to about her opinion of the home and the support received for her clients. The CPN has been visiting the home for many years and says that her clients have settled well into the home and have improved their mental well being as a result. She spoke highly of the care and support provided and said that all the service users looked well dressed, clean and well cared for when she visited. She said she has never had any concerns or issues about the care provided. Another health professional returned a survey to the commission and answered ‘usually’ to all the questions relating to the care and health needs of service users. The home uses a blister pack system and records medication given on the Medication and Recording system (MAR). The medication cupboard was seen to be suitably secure, clean and organised. Records for recording were sampled, three omissions were found relating to one service user. This was discussed with Mr Matadeen who said the service user had thrown them in the bin. Later Mr Matadeen said his wife had recorded the information on the back of the MAR sheet. A more suitable arrangement needs to be made with regard to this person’s medication in discussion with their GP. No other errors or omissions were seen on the records. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for social and leisure activities in the home ensure that people choose how they spend their time, can receive visitors and enjoy the food provided. EVIDENCE: People spoken to said they could choose how they spend their time. Surveys received by the commission also stated this. One service user goes out every day to buy a newspaper the others tend to watch television or listen to the radio, either in the lounge or in their own rooms. Mr Matadeen said they had tried to play cards and board games in the past but that people were not really interested. A mobile library visits, daily papers are provided and they all attend a tea club once a month. A visiting vicar offers Communion once a month for those that would like it. No other religious needs have been identified or requested by service users. The AQAA states that people are encouraged to maintain their independence and have control over their lives and visitors are welcome. This was seen Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 12 during the inspection and Mrs Matadeen commented that it is often busy with visitors. People who live in the home said the food was good and there was always enough. Personal preferences are noted and Mrs Matadeen knows the individual likes and dislikes of all the service users. People choose to eat in their own rooms. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The procedures for complaining and dealing with abuse protect the people who use the service. EVIDENCE: People who use the service are all provided with a complaints procedure. Those asked said they would talk to Mr Matadeen if they were worried about anything. The surveys returned by service users and relatives confirmed that people knew how to complain if they needed to. Both relative surveys said they knew how to compain. One commented ‘I have always found Mr and Mrs Mataden very approachable and happy to discuss issues – not that we’ve had any real concerns’. There have been no formal complaints since the last inspection. The home had a copy of the Hampshire Adult Protection Policy and the Department of Health Protection of Vulnerable Adults guidelines. Mr and Mrs Matadeen have both received training in this area and are aware of their responsibilities. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in safe, clean and pleasant surroundings. EVIDENCE: The lounge, dining room, bathroom and some of the bedrooms were seen during the inspection. They were clean and hygienic and service users said they were happy with the accommodation and had everything they needed. One comment in a service users survey said ‘they are always hoovering’. People were able to bring their own belongings into the home; this made their rooms homely and personal. Mr Matadeen said their was no programme for the redecoration and upkeep of the home. He said it was difficult to decorate the rooms while people were in Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 15 them. All the areas seen were suitably decorated and the lounge had comfortable seating. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30. (Standard 29 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mr and Mrs Matadeen continue to meet the needs of people who use the service with up to date training being undertaken. No other staff are employed by the home. EVIDENCE: Mr and Mrs Matadeen do not employ any staff and provide all the care, laundry, cleaning and cooking themselves. They know the service users very well and were seen to interact with them in a relaxed and friendly manner. People spoken to said they felt well looked after. One relative survey stated that ‘Mr and Mrs Matadeen do all the caring themselves. They are certainly skilled and experienced’. Mr and Mrs Matadeen have many years experience and regularly update their skills by attending training courses. Recently Mr Matadeen has attended a course on Equality and Diversity and Mr And Mrs Matadeen attended a course on Dementia. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is managed in a way that has the views and best interests of people who use the service at heart. However, improvements need to be made to care plans, risk assessments and quality assurance to ensure that regulations are met and maintained. EVIDENCE: The manager has many years experience in owning and managing Redholme. He has completed the NVQ4 in care, and the Registered Manager’s Award. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 18 Mr Matadeen maintains the records and policies and procedures for the home, he was advised at the last inspection that an improved filing system would help him. His AQAA states that this has been implemented. Policies and procedures were sampled and most of them have been reviewed and updated. However, the Statement of Purpose and Service User Guide have not. A requirement has been made regarding this. The AQAA completed by Mr Matadeen was received after the commission had sent out a reminder letter after the due date. The information in the AQAA was basic and lacking detail, in particular about planned improvements to the home. This was discussed at length with Mr Matadeen and the importance of this document was stressed. Also discussed was the home’s own quality assurance system. Satisfaction surveys are given out to service users and some of these were seen. There was no evidence of relatives or other stakeholders being consulted nor were any results analysed or published. While it is accepted that in a home this size feedback can be given verbally to those completing the surveys, a written record of this should be kept. Mr Matadeen does not have responsibility for any monies belonging to service users; this is looked after by themselves, their families or social services. Improvements need to be made to the care plans and risk assessments to ensure the health, safety and well-being of service users at all times. Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 N/A 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 Requirement The statement of purpose and service user guide must be up to date and include information about the fees charged. There must be a written record of all of the support needs for all individuals at the home this includes mental health and physical health. This is a repeated requirement from the last inspection on 14/02/07 Risk assessments must take place for individuals in all areas of their daily lives and where a risk is identified a record must be kept of how this has been lessened. This is a repeated requirement from the last inspection on 14/02/07 Timescale for action 30/10/07 2. OP7 15 30/11/07 3. OP38 13 30/11/07 Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Redholme DS0000012156.V344370.R01.S.doc Version 5.2 Page 23 - 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!