Care Home: Redlynch House Residential Home

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well Residents feel that they are well cared for and they like living in the home. Residents` comments included: "It`s a lovely home, its home from home. The manager is lovely. Food is excellent. I rate it a 100% in everything, cleanliness, cooking, care. All the carers are lovely". "We`re very spoilt here it, is excellent in every respect". Residents each have an individual plan of care that assists staff in providing consistent care and helps make sure their needs are met. Staff know the residents well, understand what is in the care plans and know how to support residents in the way that they want.Each resident is valued as an individual and staff are responsive to their very different needs. Residents choose how they want to live their daily lives and daily routines are flexible, so they can do things in their own way and in their own time. Visitors are welcomed to the home and always offered refreshments. Residents can invite a friend or family member to have a meal with them if they wish, just as they would have done in their own home, giving them a sense of ownership. Two relatives commented: "It`s excellent here, the staff are friendly, (resident) is happy, well looked after and there are no negatives here." "They`re brilliant here, I can`t fault it at all". Residents know that they can ask for anything they need and if they have a concern, it will be listened to and dealt with promptly. The lounge and dining room provide very pleasant areas where residents can sit and relax, or enjoy their meal times. Bedrooms are highly individual, attractively decorated and comfortable. Residents like their bedrooms and look upon them as their own. Staff are enthusiastic about their work at the home and receive the training they need to provide good quality care and support. The home is run in a way that puts residents` interests at the heart of everything that is done. Residents and their relatives therefore have confidence that the home is managed properly. What has improved since the last inspection? Some changes have been made as a result of listening to residents` views. A second television for communal use has been provided in the dining room with comfortable seating, so that residents have more choice. The lunchtime meal has been brought forward by fifteen minutes at residents` request, so that it is at a time that is suitable for them. Several areas of the home have been redecorated with new carpets and some new vanity units fitted in two bedrooms, making it an attractive and pleasant environment to live in. The external fire escape has been renewed. This has improved safety for residents and staff. What the care home could do better: CARE HOMES FOR OLDER PEOPLE Redlynch House Residential Home Redlynch House 19 Hillcrest Road Hythe Kent CT21 5EX Lead Inspector Christine Grafton Unannounced Inspection 27th February 2008 10:15 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 Redlynch House Residential Home DS0000035297.V357776.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. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Redlynch House Residential Home Address Redlynch House 19 Hillcrest Road Hythe Kent CT21 5EX 01303 264252 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) rendlynchhouse@aol.com Redlynch Residential Home Limited Susan Constance Hambelton Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range is 65 years and over Date of last inspection 20th June 2006 Brief Description of the Service: Redlynch provides accommodation and personal care for up to thirteen people. The home is a detached property with single bedrooms on the ground and first floor. All bedrooms are fitted with call-bells and locks (other than one which leads to a fire exit), five of the bedrooms have en-suite facilities and there are assisted bathrooms on both floors. Communal areas of the home include a lounge and a separate dining room. There is no lift, so residents with bedrooms on the first floor need to be able to manage the stairs. Redlynch has a good sized, and attractive garden with patio area for residents to use. The home is located on the outskirts of the small sized town of Hythe with access to shops, public transport and other public amenities, some of which are within walking distance. The registered owner/manager, Mrs Hambleton, leads a staff team of carers, cleaner and cook. Care staff work a rota that includes two staff on waking duty at night. On 27th February 2008 the manager stated that the fees range from £309:00 per week to £480:00 per week. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This report takes account of information received since the last inspection, including a visit to the home. An unannounced visit took place on 27th February 2008 between 10:15 hours and 16:00 hours. The visit included talking to the manager, staff, residents, visitors and observing the home routines and staff practices. Some records were looked at and we looked round the home. Information sent to us by the manager prior to the visit, in the form of the home’s annual quality assurance assessment, has been used and information from the previous inspection referred to. Some surveys were also sent out prior to the visit and were returned by four residents and one relative. Their responses were all positive and comments included: “Because there are a small number of residents at Redlynch the personal care is excellent and the atmosphere in the home is warm and friendly. Individual needs are taken good care of and the standard and quality of the food is very good”. “The manager and her staff are a lovely bunch, loving and caring and respectful”. At the time of the visit there were eleven residents living at the home. The atmosphere in the home was welcoming and relaxed. What the service does well: Residents feel that they are well cared for and they like living in the home. Residents’ comments included: “It’s a lovely home, its home from home. The manager is lovely. Food is excellent. I rate it a 100 in everything, cleanliness, cooking, care. All the carers are lovely”. “We’re very spoilt here it, is excellent in every respect”. Residents each have an individual plan of care that assists staff in providing consistent care and helps make sure their needs are met. Staff know the residents well, understand what is in the care plans and know how to support residents in the way that they want. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 6 Each resident is valued as an individual and staff are responsive to their very different needs. Residents choose how they want to live their daily lives and daily routines are flexible, so they can do things in their own way and in their own time. Visitors are welcomed to the home and always offered refreshments. Residents can invite a friend or family member to have a meal with them if they wish, just as they would have done in their own home, giving them a sense of ownership. Two relatives commented: “It’s excellent here, the staff are friendly, (resident) is happy, well looked after and there are no negatives here.” “They’re brilliant here, I can’t fault it at all”. Residents know that they can ask for anything they need and if they have a concern, it will be listened to and dealt with promptly. The lounge and dining room provide very pleasant areas where residents can sit and relax, or enjoy their meal times. Bedrooms are highly individual, attractively decorated and comfortable. Residents like their bedrooms and look upon them as their own. Staff are enthusiastic about their work at the home and receive the training they need to provide good quality care and support. The home is run in a way that puts residents’ interests at the heart of everything that is done. Residents and their relatives therefore have confidence that the home is managed properly. What has improved since the last inspection? What they could do better: The manager has already recognised where developments in some aspects of the home’s record keeping are needed and aims to implement changes during the coming year. Some of the things identified are: to make sure that all risks are clearly recorded in the care plans and show the actions needed to reduce Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 7 risk. The risk of falls and moving and handling risks are to be more clearly shown, to make sure that residents are adequately protected. Risk of burns from hot surfaces can be reduced with a programme to fit guards to those radiators not already covered. Things that could be provided to help reduce the risk of spread of infection in the home include, a washing machine with sluice cycle, when the current machine is replaced and a pedal bin for clinical waste. Recruitment practices are adequate, but records to support good practice in this respect are to be reviewed and developed to show that residents’ best interests are safeguarded. A process is to be developed to show when staff training updates are due to make sure that core elements are not overlooked, to maintain safe working practices and protect residents and staff. Informal practices to make sure that staff are properly supervised are to be developed to a more formal arrangement, with a regular recorded programme of supervision meetings. This helps ensure good practice and development of skills to protect residents. The manager is to complete a qualification in care and management in a timely fashion, as this has been ongoing now for some time. The paintwork on the outside of the building needs attention and this is due to be done within the next twelve months. This currently detracts from the good standard of décor and homeliness evident inside the building. 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. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 8 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 Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 9 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): 3&6 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents have an assessment that tells staff about them and the support they need. This makes sure that they can be confident that their needs will be met upon moving in. EVIDENCE: The documentation used to assess a new resident, admitted since the last inspection, was looked at as part of the case tracking. This provides a good level of information to make a decision about whether the home can meet the person’s needs. The assessment contained all the relevant details, including health, personal care, communication and social needs. The new resident described their admission process that had included a twoweek stay beforehand, to help them decide if the home was right for them. The resident said they are very pleased with the home and “They can’t do Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 10 enough for me”. They described how they were given a choice of bedroom and chose the décor before moving in. They were pleased to be able to bring in items of their own furniture and expressed how staff had helped them to settle in. From the discussion it was quite clear that this had been a very positive process and that they view Redlynch as their home. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 11 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, 10 & 11 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that they will have their own care plan that provides staff with the information needed to make sure that their health, personal and social care needs are met. They can be confident that the home’s procedures and practices for managing their medication will protect them. EVIDENCE: Three care plans were looked at and as well as talking to those residents, we discussed their needs with the staff and manager. The care plans cover aspects of daily living, such as: personal hygiene, skin integrity, continence, mobility, health care issues, medication, diet and weight. They contain clear guidelines on how best to assist residents to meet their needs. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 12 Details of contacts with healthcare professionals are recorded, such as doctors, community nurses and the chiropodist. The daily records provide information on the person’s general well being, with reference to such things as: when the district nurse has visited, how much food has been eaten, fluid intake, general demeanour, if they have had a bath, or their hair done and if they have had any visitors. The manager said that the care plans are reviewed every month. To support this, the manager needs to make sure that care plans are properly dated and show when reviews have taken place. Some risk assessments had been recorded. The home’s annual quality assurance assessment (AQAA) has identified the updating of risk assessments as an area for improvement. The case tracking identified a skin integrity risk from discussion with the resident. Although this had not been recorded in the care plan, it was being properly addressed with visits from the district nurses. It was discussed with the manager that the resident could be placed at risk if the home does not keep its own records to support this. Also, the risk of falls had not been recorded for one resident, who expressed this as a concern. Moving and handling risks are not routinely recorded, but the manager stated that a risk assessment is recorded, as and when a mobility risk is identified. Two visiting relatives commented on how well the home manages residents’ healthcare. They both said they are kept informed of any changes and have the utmost confidence in the home’s care. The lunchtime medication round was observed. The senior carer carried this out in a competent way. Medications are supplied by a local pharmacist in a monitored dosage system and stored in locked cupboards. Medication administration (MAR) sheets had been clearly signed with no gaps. Both staff spoken to on this occasion confirmed that they had done medication training. Residents spoken to felt that staff treat them with respect. They commented that the staff are very good, they are spoilt here, staff are very helpful and “they can’t do enough for me”. This was supported by observations made during the visit. The staff were friendly and welcoming. They offered support to residents with sensitivity. Conversations with staff showed that they have good understanding of residents’ needs and know the right way to offer assistance. Issues relating to equality and diversity are covered within the care plans. For example, the needs of a resident with sight and hearing disabilities associated with age are being well met. The care plan reminds staff about the use of aids such as special lighting, hearing aid and hearing loop. The AQAA states that the home provides good end of life care with the support of doctors and the community nursing team. This was identified as an area of Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 13 excellence at the last inspection and discussion with a staff member at this inspection confirms this. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 14 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 & 15 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that their daily lifestyles will meet their preferences and expectations. They can be assured that contacts with their families and friends will be encouraged and supported. Residents benefit from receiving a nourishing and balanced diet, served in attractive surroundings. EVIDENCE: All six residents and the two visiting relatives spoken to said that the residents are frequently asked whether they need anything and that they can choose what they do each day. Residents and staff said that residents do what they like, have plenty of choice and there are no set routines; for example, they get up when they want, they can have a bath when they want and go to bed whatever time they like at night. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 15 The AQAA states that as a result of listening to residents a second television has been provided in the dining room. This was seen to have a comfortable seating area, so that if residents do not want to watch the same programme, they have more choice to watch it in two different communal areas, as well as in their bedrooms. Residents pursue their own chosen activities, such as reading, listening to music, going out into the garden, chatting together and seeing their families and friends. Some spoke of going out with their relatives or friends. Several residents spoke with enthusiasm about the garden fete they had last year in the summer and of enjoying sitting in the garden in the warmer weather. Two residents commented about having their nails manicured and how this was appreciated, as it makes them feel nice. The hairdresser was at the home during the morning and residents said they valued this service. They also spoke about visits from a clergyman and of having a monthly communion service at the home. Discussions with residents and staff confirmed that residents are treated very much as individuals and that staff respond to their diverse needs, for example, such things as their age, disability, religious and spiritual needs and wishes. The AQAA has identified an area for improvement to introduce more activities, but at the last inspection residents said they did not wish to join in group activities. Residents at this inspection again said that they were content with their daily lifestyles. Residents and visiting relatives spoken to said that visitors are always made welcome and offered refreshments, or lunch. This was observed during the visit, in that each visitor was offered a drink, which was taken to them on a tray. All residents spoken to expressed that the food is good. The AQAA states that the lunchtime has been brought forward by fifteen minutes at the residents’ request and a more varied supper menu has been provided. Lunch was served at 12:45 and seen to be a leisurely occasion. The surroundings in the dining room are pleasant, with damask tablecloths, serviettes, drinks jug, glasses and coasters. Residents are offered an aperitif at weekends, such as a glass of sherry. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 16 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 & 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that any complaints will be listened to and acted upon, and they will be protected by the home’s procedures and practices to safeguard them from abuse. EVIDENCE: All six residents spoken to on this occasion said that they had no complaints and would talk to any of the staff if they had a concern about anything. The AQAA states that the manager is in constant dialogue with residents and knows how they feel on a daily basis. The manager works on shift, alongside staff, for a lot of her time and is therefore readily available for residents to speak to her. This was confirmed in the conversations with residents and two visiting relatives, who all said that the manager is very approachable. They said they have complete confidence that any concerns would be quickly dealt with. Records are kept of any issues raised. The complaints record showed that there had been no recent complaints. The format used makes sure that confidentiality is maintained and allows for details of the investigation and outcome to be recorded. Some records from previous years did not always show the outcome and the manager said she would be more vigilant with this in future. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 17 The home’s policy and procedure to protect residents from abuse is displayed in the staff room. A staff member demonstrated a very good understanding of this and described the whistle blowing procedure and what to do if abuse is suspected. Some staff have attended training on abuse. The AQAA states that the manager has completed a two-day training course on adult protection and is now qualified to train staff in this subject. This has been identified as a plan for the coming year. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 18 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, 20, 24, 25 & 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a comfortable, homely environment that suits their individual and collective needs. EVIDENCE: All internal areas used by residents are attractively decorated, comfortably furnished and kept clean and well maintained. Residents can choose to sit in the lounge with its large windows overlooking the town of Hythe and sea beyond. There are a variety of comfortable chairs, with footstalls, occasional tables, television and pictures. A new settee and armchair have been recently provided for residents’ comfort. Residents said how much they enjoy using this room. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 19 The dining room is attractively furnished with two round tables and chairs, cylindrical fish tank, plus there is a new seating area in the corner with a settee and armchair and second television. All bedrooms are singles of different shapes and sizes and all are highly individual and personalised. Several residents have chosen to bring in items of their own furniture and have arranged their rooms the way they want. Since the last inspection, several areas of the home have been redecorated and new carpets added. A resident said they had chosen their own colour scheme, including the colour of the carpet they wanted. Residents said how much they like their own rooms. Some radiator guards have been fitted where a high risk of burns has been identified. The manager said she keeps a close eye on areas of risk and would add extra guards as needed. The laundry room is small, but contains a domestic washing machine and small tumble drier, with sink unit. Infection control procedures include the use of a category E clinical waste bags and a flip-top clinical waste bin kept in the laundry room. The manager stated that the current washing machine does not have a sluice cycle and water-soluble bags are not routinely used for soiled items. She said she would purchase a washing machine with a sluice cycle when the current one is replaced. It was also discussed that a foot operated pedal bin would provide more protection for staff against the risk of spread of infection. Staff are issued with disposable gloves and aprons and staff have attended infection control training. The exterior paintwork is flaking and requires attention to bring it up to the good standards evident internally. The manager has identified this in the AQAA as a plan for improvement within the next twelve months. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 20 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, 29 & 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents can be confident that there will be enough staff on duty with the right skills to meet their needs and that recruitment practices are adequate to protect them. EVIDENCE: The AQAA states: “We always provide appropriate staffing levels to meet the needs of our residents.” This was confirmed in conversations with residents and visitors spoke to. One visiting relative said, “I feel they’ve got the staff ratio to residents spot on”. Residents said there are always staff available to help them when they need it. Staff were enthusiastic about their work, saying that they like working at the home, one said, “I enjoy working here, it’s like a family”. During the morning of the visit, the manager, two carers, a cleaner, plus an administrator were on duty. There is also usually a cook on duty weekday mornings, but they were absent at the time of the visit, so the manager was filling in. The rota shows that the manager does the cooking at weekends. The manager said she knows residents’ needs and adjusts the staffing numbers at times of increased need. The cleaner’s job description also Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 21 includes some care work. A carer confirmed that there is two staff on ‘awake’ duty at night and that the manager is contactable and will come in to help at night, if needed in an emergency. Both staff spoken to said that they have received on-going training and related a variety of courses they had attended. The AQAA indicates nearly fifty percent of the staff have their National Vocational Qualification (NVQ) in care level 2 or above. The AQAA states, “No staff are employed without satisfactory references and CRB clearance”. Four staff files were checked, all of which had evidence of the criminal records bureau (CRB) checks and three had two references. One file only had one reference and the staff files also lacked details of start dates, did not have copies of the job descriptions, or statements of the terms and conditions of employment. Whilst two of the files had brief induction records, two had no evidence of any induction. This is an area identified for improvement in the AQAA and the manager said she aims to introduce the Skills for Care induction programme for new staff recruited in future. The manager recognises that staff files need reviewing and reorganising to make sure they contain all the information that is required. At the last inspection, staff had referred to the excellent working atmosphere and the high level of support from the manager and this was again evident at this visit. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35 & 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is managed in a way that safeguards residents’ best interests, promoting and protecting their health, safety and welfare. EVIDENCE: The completed AQAA provides most of the information we asked for, although there were some areas where more supporting evidence would have been useful to support some of the statements made. It provides a good indication of where they have improved and has identified plans for future development. The last inspection identified that the manager showed a good level of competency and had made a great effort to improve many of the management Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 23 systems. Evidence from this inspection confirms the manager’s competency, but she still has not completed her NVQ level 4 in care and management, although this was identified at the last inspection. The manager stated her intention to complete it by 30th November 2008. Conversations with residents confirm that they view Redlynch as their own home and they spoke of residents and staff being like an extended family. Residents make their views known on an informal basis by day-to-day contact with the manager. Evidence of how this has influenced changes has previously been referred to in this report. As well as these informal systems of quality monitoring, the manager said that occasional residents’ meetings are held and quality assurance questionnaires are issued to residents and their relatives. Staff said that communication in the home is good, for example they have regular handover periods between shifts and the manager’s daily presence makes sure that they are kept updated. A staff meeting took place during the afternoon of the visit. This was well attended and the administrator took minutes. Staff confirmed that they receive regular one to one supervision, but the manager said she has not yet formalised these meetings and has not been keeping supervision records. This was identified at the last inspection as an area for development and has been included in the AQAA as an area for improvement. The manager stated that the home does not handle any monies on residents’ behalf. Residents either deal with their own financial affairs or have relatives to help them. There were no safety risks identified during the tour of the building. Bedroom doors, and other doors in communal areas that need to be kept open, are fitted with sound activated alarms, so that they will automatically close in the event of a fire. This helps ensure residents’ safety. A new external fire escape has been provided since the last inspection to comply with fire safety requirements. The AQAA indicates that the home’s equipment and safety precautions are maintained. Staff files seen on this occasion contained copies of various training courses attended, including first aid, fire safety, food hygiene and moving and handling. Some of these need to be updated to ensure that safe working practices are promoted, for example, moving and handling training. The AQAA identifies “To ensure a strict training programme” as an area for improvement within the next twelve months. Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 24 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 x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 4 x x x 4 2 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 2 x 3 Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations To date the care plans and record and date the reviews to show that they are being regularly reviewed and updated as needs change. To make sure that generic risk assessments are recorded within the care plans and cover such things as: skin integrity risks, moving and handling risks and risk of falls. They should show the actions to reduce risk and be regularly reviewed. To include a programme to fit radiator guards to the home’s annual development plan to keep residents safe from the risk of burns. To provide a washing machine with sluice cycle when the current one is replaced. 2 OP8 3 OP25 4 OP26 Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 26 To use water-soluble alginate bags for soiled items. To provide a foot operated clinical waste bin to reduce the risk of spread of infection. 5 OP29 That staff files are reviewed and reorganised to make sure that they contain all the information specified in the standards and regulations. That the manager completes her NVQ level 4 in care and management in a timely fashion. That all care staff receive formal supervision at least 6 times a year and supervision records are kept. To show that all staff receive on-going training on core safe working practices, such as: first aid, moving and handling, basic food hygiene, infection control and fire safety. To develop a staff training matrix for use as a tool to show when updates are due and to keep it up to date. 6 7 8 OP31 OP36 OP38 Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Redlynch House Residential Home DS0000035297.V357776.R01.S.doc Version 5.2 Page 28 - 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!