Latest Inspection
This is the latest available inspection report for this service, carried out on 15th June 2010. CQC found this care home to be providing an Excellent service.
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 Redlands Residential Care Home.
What the care home does well Service user care plans contain excellent up-to-date information about their health and personal care needs. There are lots of activities for people to choose from. And staff make sure service users are supported to make choices and decisions for themselves. The meals are good with plenty of choices available and relatives and friends can visit anytime they wish. Service users are protected by the medication, complaints and safeguarding procedures. The home is clean and well maintained. Staffing levels, training, attitudes and enthusiasm is excellent. The manager is a specialist registered nurse, with several years experience of managing this care service. She has previous hospital management experience and has had lots of training in the area of management and providing services for people with challenging behaviour. Staff commented that she is very approachable. What the care home could do better: We have not made any requirements or recommendations as a result of this inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Redlands Residential Care Home 122 Woodlands Road Darlington Co Durham DL3 9LP 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: Steve Tuck Date: 1 5 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Redlands Residential Care Home 122 Woodlands Road Darlington Co Durham DL3 9LP 01325243788 01325243799 Telephone number: Fax number: Email address: Provider web address: www.castlebeck.com Name of registered provider(s): Name of registered manager (if applicable) Alexandra Hewitson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Castlebeck Care (Teesdale) Limited care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning Disability Code LD, maximum number of places: 5 Date of last inspection Brief description of the care home Redlands is a large detached house situated in a residential area of Darlington. The home is registered as a care home providing personal care to adults between the ages of 18 and 65 with a learning disability. The home is within walking distance of Darlington town centre and Cockerton village. This location enables the people who live
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home there, to access a full range of local facilities. Internally the home provides five single bedrooms each with wash hand basin. Shared toilet and bathing facilities are also provided nearby. Downstairs the home has two lounge areas, kitchen, breakfast room, dining room and laundry. A very good standard of furnishings and fittings has been provided within the home. Externally, the home is surrounded by well kept gardens and pathways. Fees for this home are currently between £1, 081.23 and £2,692,18 per week. Please check the current rate of fees with the manager. Additional charges are also made for hairdressing, chiropody, personal items and some outings and leisure pursuits. These charges vary according to personal taste. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
Before this random inspection visit: We looked at: Information we have received since the last annual service review in 2009. How the service has dealt with any complaints and concerns since the last visit. Any changes to how the service is run. The providers view of how well they care for people. The visit: An unannounced visit was made on 15th June 2010. During this visit we: Talked to the people who live at the home, staff and the registered manager in charge of the home. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had knowledge, skills and training to meet the needs of the people they care for. Checked what improvements had been made since the last visit. We told the registered manager what we found at the end of the visit. Individual Needs and Choices: We looked at a sample of the service user care records. Up-to-date information was available about how peoples needs are to be met. There is useful information about how each service user communicates, which is very important so that they can be supported to make choices and decisions for themselves. There is also excellent information about each service users health and personal care needs. This is particularly important where people have complicated needs and may respond in ways that are not usual for them if they are feeling unwell or unhappy. The plans include guidelines on how to respond to any challenging behaviour and assessments and guidance from specialists such as the speech and language therapists. The manager is planning to improve the care plans to make them easier for people to understand and staff to use. There is a keyworker system. It is the responsibility of the staff who is the keyworker to
Care Homes for Adults (18-65 years) Page 4 of 10 keep their records up to date and help service users maintain contact with family and friends. We could see records of how the home supported relatives to stay in touch and how they were always kept informed of their family members health care needs. Records show that relatives are always invited to attend review meetings. In the last 12 months some staff have completed training in person centred planning and personalisation to help them further understand how to support service users to make choices and decisions for themselves. Lifestyle: Records show that there are an extensive variety of activities taking place and staff support is available to help people to have varied creative and exciting lifestyles. All service users are supported to use the local community and some people shop for personal items. There is a range of activities available each week which includes Art Classes, a social drop in centre, working at a nature reserve, Create a land reclamation service, and some people are also taking college courses. Risk assessments are recorded, which describe the benefits a service user may gain from an activity and the safeguards that need to be put in place to support these activities. Meal times are flexible although it was clear that staff also understand the importance of routine for some service users. The manager confirmed that they provides a healthy menu and that alternatives are always available to suit the individuals likes and tastes. Personal Health Care and Support: There is information in peoples care plans which describes the the care and support that each person needs and how they prefer their care to be given. Some people who live at this home have complicated needs which requires staff to have specific ways of working or responding to them. For example some people need to have their opportunities arranged for them in a particular order or at particular times. There are plans in place to make sure that peoples preferences are followed and if they do become upset or challenging towards staff then agreed ways to help and support them is put in place. Detailed descriptions and guidelines are written so that the staff know and understand the best way to support people at these times. And it was evident during our visit that staff had the skills and knowledge needed to successfully support people. The service users health care needs are closely monitored and regularly reviewed by staff. Service users are supported to see a range of health care professionals such as dentists, opticians and psychiatrists. Records were available to show that Staff have had training in the safe administration of medicines. Concerns, Complaints and Protection: People living at the home are encouraged to make choices about their lives and were seen stating their daily living preferences. To help make sure that the views of people are listened to, the registered manager is able to get an advocate if they need someone to independently represent their interests; An advocate was visiting one of the people who presently live at the home so that they could represent his best interests. As well as this
Care Homes for Adults (18-65 years) Page 5 of 10 some people are in close contact with relatives, and they also have access to social workers or healthcare supports. Staff have completed training about safeguarding adults, which is up-dated every year. They have also been provided with training about the Local Authorities safeguarding policy and procedure so that they know what to do should they observe or suspect abuse. Each person living at the home has an individual behaviour profile and guidelines and all staff have completed training in behaviour management to further protect service users. Training has also bee provided about the Mental Capacity and Deprivation of Liberty Acts. Good practice is promoted in the service users best interests. Environment: The building is decorated and furnished in a domestic style and is bright and welcoming reflecting each persons tastes and preferences. Bedrooms are all different and decorated according to the wishes of each service user. There is a large well kept garden equipped with garden furniture and used by everyone at the home. One person said, I have a lovely view from my window which makes me feel good. Staffing: Some people who live at the home require extensive support from staff to make sure their needs are met and they remain safe. Staffing numbers reflect their levels of need at this home so that the number of incidents or accidents have been minimised. There were three staff including the manager on duty during our visit. Staffing levels mean that 1 to 1 support is available when this is needed providing opportunities for people to have an active lifestyle which meets their individual needs. Staff records show that there is extensive training provided for them some of which is involves specialist input from healthcare professionals and reflects the needs of the residents at the home. The registered manager told us that a range of training methods are used, such as in-house training, as well as access to specialist trainers in behaviour management and health and safety, to ensure staff are provided with the skills and knowledge they need. This includes training in autism, communication, equality and diversity, disability awareness, privacy and dignity of service users, care planning and communication and sensory impairments. Conduct and Management of the home: The registered manager has worked at the home for three years, has specialist nurse training and has worked at a senior level in both community and hospital settings. She has also undertaken National Vocational Qualifications and other training to help verify that she is a competent manager and has kept her knowledge up -to-date. The Annual Quality Assurance Assessment ( this is the information we ask for before an inspection) contained information about what the home does well, what has and what needs to improve. Care Homes for Adults (18-65 years) Page 6 of 10 Service user and relative surveys, as well as open discussion in review meetings, are used to find out what people think about the service and how it can be improved. 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 Adults (18-65 years) Page 7 of 10 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 Adults (18-65 years) Page 8 of 10 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 Adults (18-65 years) Page 9 of 10 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 Adults (18-65 years) 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
