Care Home: The Red House Nursing Home

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What the care home does well The admissions procedure is well managed A relative told us he was very happy with the admission of his wife. A general practioner who visits the home on a regular basis says, "The Red House staff deal with patients on an individual basis with respect for them as individuals. The physical health care is excellent." One person who lives at the Red House commented, "I am happy. I have everything I want." People are able to enjoy flexible routines and a good range of activities. One person says, "They bring me my newspaper each day at coffee time - I like doing the crossword." People say that the food is very good. One person told us, " "The food is nice, they come around and ask you what you want each day." The manager said that the cook "always goes the extra mile." The lounge is spacious and comfortable with pictures and ornaments making it feel homely. One person says, "It`s very nice here - like a family." Staff spend time with people talking to them and having a drink with them. One person told us that "The staff are lovely - they do a woderful job." What has improved since the last inspection? Care plans have improved and are more detailed and reflect personal need. The home is clean and fresh. The Registered Provider sends notifications of accidents and incidents to The Commission for Social Care Inspection as required by Regulation. What the care home could do better: Ensure that all the required pre recruitment checks are carried out on new staff before they start work. Make sure that all staff receive regular individual `supervision` meetings with senior staff to ensure that they are given support and advice to help them do their jobs in the right way. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Red House Nursing Home High Cross Syresham Brackley Northamptonshire NN13 5TJ     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Catherine Perrins     Date: 1 5 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: The Red House Nursing Home High Cross Syresham Brackley Northamptonshire NN13 5TJ 01280850375 01280850540 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Miss Denise Weir care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: One named person in the category OP (under 65 years of age) named in variation number V35528 can be accommodated in The Red House. The Red House Nursing Home is registered to provide personal care with nursing to male and female service users who fall within the following categories: Dementia Over 65 years of age (DE(E)) - 25 Physical Disability - Over 65 years fo age (PD(E)) 25 Old Age - Not falling within any other category (OP) - 25 The maximum number of persons to be accommodated at The Red House Nursing Home is 25 Three named persons in the category PD (over 50 years of age), named in variation numbers V30264 and V37390 can be accommodated in The Red House Date of last inspection 0 0 0 Over 65 25 25 25 Care Homes for Older People Page 4 of 26 Brief description of the care home The Red House is set in its own extensive grounds on the outskirts of Syresham village. The home provides accommodation for up to 25 service users mainly over the age of 65 years. Nursing care can be provided as well as personal care. Accommodation is provided in both single and shared rooms, some with en suite facilities. The premises are warm and homely. The registered owner is also the registered manager. Fees range from 600 to 1500 pounds per week according to individual assessed needs. The date of the previous inspection was 10th August, 2006. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what we found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. Prior to this statutory inspection, a period of three hours was spent in preparation. This involved reviewing all of the information held by The Commission for Social Care Inspection about this service. The Commission have a focus on Equality and Diversity and issues relating to this are also included in the main body of the report. Care Homes for Older People Page 6 of 26 An unannounced visit to the home were conducted which lasted seven hours. The manager was present for the duration of this visit. During the visit we made observations and spoke to people living at the home and to staff. A limited tour of the premises was conducted which involved viewing the communal areas and a selection of the private accommodation. Case tracking was used during the inspection. This involves looking closely at all aspects of peoples care and experiences, including individual plans of care and associated documentation. Two people were case tracked during this inspection. Some of the people living in the home have dementia or other conditions and as such were unable to recollect or to fully express their views about this service. In these circumstances observations are used to inform the inspection activity. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 Care Homes for Older People Page 8 of 26 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admissions process is well managed and ensures that the home can meet the needs of people who move in. Evidence: The home has a Statement of purpose and a service user guide which give good information to people wishing to move to the Red House. Records show that a thorough assessment is carried out before someone moves into the Red House. This ensures that peoples needs can be fully met. A relative spoken to said he was very happy with how the home had managed the admission of his wife. The manager explained that where necessary additional staff are put on the rota when a new person moves in to help them to settle in. Care Homes for Older People Page 11 of 26 Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are treated with dignity and respect in this home. They receive support with health and personal care according to their individual needs and wishes. Evidence: A general practitioner who visits the home on a regular basis says, The Red House staff deal with patients on an individual basis with respect for them as individuals. The physical health care is excellent. A specialist nurse who visits the home says, Care staff are always caring, organised and efficient. A pleasure to work with. I can rely on them to contact me if the patients condition deteriorates and I need to visit sooner. Each person has an individual plan of care which contains all the information that staff need to care for the person in the right way. Where people have specific health needs these are well documented with clear guidance for staff on how to meet peoples needs. There is evidence that people have involvement from health care professionals Care Homes for Older People Page 13 of 26 Evidence: such as general practitioners, dietitians, opticians, audiologists and chiropodists. Some of the care plans are written in the persons own words and contain information about their preferences as well as needs. Where possible care plans are signed by the person. The individual plans of care contain information about any risks to people and how these are to be minimised in areas such as eating and drinking, mobility, pressure care and falls. Staff show a good knowledge of peoples needs and preferences and how to care for them in the right way. One person commented, I am happy. I have everything I want. The administration and recording of medication appears to be well managed and on the day of inspection a new cupboard was being fitted to ensure that all medication can be stored safely and in line with current recommendations. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy flexible routines, a good range of activities, good food and their relatives and visitors are made to feel welcome. Evidence: People who live at The Red House are able to enjoy flexible routines and a good range of activities. One person says, They bring me my newspaper each day at coffee time I like doing the crossword. Another comments, We often have music on but we can have the television on if we want. We put it on ourselves. An activities board in the lounge shows the activities available each day, these include bingo, painting, quiz, sing-a-long, bowling, movies, music, hairdresser. Photographs around the board show people doing various activities. Staff say they also do individual activities with people such as bible readings, knitting, painting, hand massage and manicures. One person says that he enjoys playing dominoes. The manager explained that additional staff are available to do activities with people. People told us that they are looking forward to going to a pantomime before Christmas. Care Homes for Older People Page 15 of 26 Evidence: People say that the food is very good. One person told us, The food is nice, they come around and ask you what you want each day. The manager said that the cook always goes the extra mile. The cook shows a good knowledge of peoples dietary needs and preferences explaining who needs soft foods and who likes larger or smaller portions. Menus viewed looked healthy and appetising with a good range of fresh vegetables and the manager explained that all of the cakes served are home made. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a robust complaints procedure and good staff awareness and attitudes regarding how to keep people safe. Evidence: People told us that they are aware of how to make a complaint should they need to. The home has a complaints procedure which is displayed in the entrance hall. The home has received one complaint in the last two years. The Commission for Social Care Inspection visited the home following this complaint to make sure that the home had investigated the complaint and made the necessary improvements. Some of the things mentioned in the complaint were not upheld but the Commission did make five requirements and ten recommendations following the visit. We looked at these during this visit and found evidence that the home has met all of the requirements and recommendations made. Staff have a good understanding of how to keep people safe and records show that staff receive training to make sure that they are aware of the appropriate policies and procedures that they need to follow if a concern is raised about someones safety. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can enjoy living in a home that is homely, safe, clean and well-maintained. Evidence: The Red House is a large detached property which has been extended to provide accommodation for up to twenty five people. The majority of people have their own single bedroom but there are also three double rooms. The bedrooms seen were spacious and well decorated. The manager stated that people were able to chose the decor before they move in. All of the bedrooms are en suite and had been personalised with peoples own furniture and belongings. The majority of rooms have views over the large garden. There is a communal lounge area which is divided into two seating areas and a dining area. The lounge is spacious and comfortable with pictures and ornaments making it feel homely. One person says, Its very nice here - like a family. The home has extensive gardens. One person commented, We have a lovely garden, we sit out on the patio when the weather is nice. Some of the bedrooms have patio doors leading on to the patio which can also be accessed through the lounge. The home was clean and well maintained throughout. One person described the home Care Homes for Older People Page 18 of 26 Evidence: as very clean and comfortable. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitably qualified and trained staff are provided in adequate numbers to ensure peoples needs can be met. Evidence: Staff were observed to relate well to the people who live in the home, spending time with them and showing empathy and a good understanding of peoples needs and preferences. The manager and a senior nurse both state that staff are encouraged to make spending time with people a priority, ..talking, having coffee, making a fuss of them, making them happy. One person told us that The staff are lovely - they do a wonderful job. As well as the registered manager a clinical coordinator is employed to over see the nursing staff. Staff spoken to say that they have good training and feel that they have all the information and support that they need to enable them to do their jobs well. Records show that staff have a good induction consisting of one week completing training courses and three weeks working alongside an experiences colleague. The clinical coordinator explained that staff are able to repeat any training courses that they need to Care Homes for Older People Page 20 of 26 Evidence: to make sure that they have fully understood all of the information that they need to know. Staff records show the recruitment of staff to be generally well managed however one person was found to have started work without one of the required checks having been carried out. These checks are necessary to ensure that staff can work with older people safely. The manager explained that she had been advised that this check was not required for workers recruited from overseas. She later discovered that this advice was incorrect and did ensure that the check was carried out without delay. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed in the best interests of the people who live there. Evidence: The manager explained that she carries out a weekly check in the home to make sure that people are receiving the care and support that they should be and that the home is well maintained and safe. Questionnaires are sent to people who live in the home, relatives and professionals who visit the home to make sure that they are happy with how the home is run. The manager stated that feedback from these was generally positive and that any issues raised are acted upon. For example one person asked for a larger bedroom and this is currently being arranged for her. The manager is completing a three year development plan which will include plans to extend the current home. Care Homes for Older People Page 22 of 26 Evidence: No hazards were observed within the home and there was evidence that the necessary checks had been completed to ensure that equipment and appliances are safe. Some staff have regular individual meetings with the manager or a senior staff member to make sure that have support and guidance to help them do their jobs in the right way. The manager says that arrangements for this support and supervision need to be made more formal. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 1 29 19 New staff must have the required pre appointment checks, including a check against the Protection of Vulnerable Adults list before starting work at the home. To make sure that staff employed are safe to work with older people. 02/11/2008 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 1 36 Staff should receive formal supervision on a regular basis to make sure that they have the support and guidance to enable them to do their jobs effectively. Care Homes for Older People Page 25 of 26 Helpline: 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 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. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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. 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