Redwood House Care Home Service Adults 53 Seafield Road Broughty Ferry Dundee DD5 3AL

Transcription

1 Redwood House Care Home Service Adults 53 Seafield Road Broughty Ferry Dundee DD5 3AL Inspected by: Patsy McDermott Type of inspection: Unannounced Inspection completed on: 5 March 2012

2 Contents Page No Summary 3 1 About the service we inspected 5 2 How we inspected this service 6 3 The inspection 9 4 Other information 26 5 Summary of grades 27 6 Inspection and grading history 27 Service provided by: Thomas Dailey trading as Kennedy Care Group Service provider number: SP Care service number: CS Contact details for the inspector who inspected this service: Patsy McDermott Telephone enquiries@careinspectorate.com Redwood House, page 2 of 28

3 Summary This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change after this inspection following other regulatory activity. For example, if we have to take enforcement action to make the service improve, or if we investigate and agree with a complaint someone makes about the service. We gave the service these grades Quality of Care and Support 2 Weak Quality of Environment 2 Weak Quality of Staffing 3 Adequate Quality of Management and Leadership 2 Weak What the service does well Staff knew the residents very well and interacted well with them. We saw that communications between residents and staff were very good. What the service could do better The ownership of the service has recently been taken over by the Kennedy Care Group which also owns 5 other care home services. The new owner has met with the residents, relatives and staff and has identified the following areas of improvement: * New procedures and processes to be introduced which will ensure the health and welfare of the residents * A new management team is being developed * A refurbishment plan is in place which will involve major upgrades throughout the building. This will enhance the experience of the residents and their relatives. What the service has done since the last inspection This was the first inspection of the service. Redwood House, page 3 of 28

4 Conclusion Documentation needs to improve. Evidencing where the service meets and exceeds quality statements and standards needs to improve through better documentation. Residents and relatives commented positively on the service provided and the skill and sensitivity of the staff. Who did this inspection Patsy McDermott Lay assessor: Not applicable. Redwood House, page 4 of 28

5 1 About the service we inspected Redwood House is a care home for older people which was deemed registered with Social Care and Social Work Improvement Scotland on 1 April 2011 and is registered to provide care for up to 30 older people. The home is located in the Broughty Ferry area of Dundee. It has 26 single and two double bedrooms, all with en suite toilet facilities. Most of these rooms are in the modern extension to the building, with a small number in the older part of the building, which also has a spacious lounge and two interconnected dining rooms. The south facing building has full disabled access and is situated in attractive landscaped gardens. The home provides long-term and respite care for older people. It does not provide nursing care. In summary the service stated that it aims to provide care and accommodation of the highest quality for older people, with the intention that the people who reside at Redwood house will live in a 'homely' manner that gives a good service to the residents. The ownership of the service has been taken over by the Kennedy Care Group who also owns 5 other care home services. Social Care and Social Work Improvement Scotland (SCSWIS) is the new regulatory body for care services in Scotland. It will award grades for services based on the findings of inspections. The history of grades that services were previously awarded by the Care Commission are also available on the SCSWIS website. Based on the findings of this inspection this service has been awarded the following grades: Quality of Care and Support - Grade 2 - Weak Quality of Environment - Grade 2 - Weak Quality of Staffing - Grade 3 - Adequate Quality of Management and Leadership - Grade 2 - Weak This report and grades represent our assessment of the quality of the areas of performance which were examined during this inspection. Grades for this care service may change following other regulatory activity. You can find the most up-to-date grades for this service by visiting our website or by calling us on or visiting one of our offices. Redwood House, page 5 of 28

6 2 How we inspected this service The level of inspection we carried out In this service we carried out a high intensity inspection. We carry out these inspections where we have assessed the service may need a more intense inspection. What we did during the inspection We wrote this report after an unannounced inspection that took place between 8.30 am and 3 pm on 24 January As requested by us, the provider sent us an annual return. In this inspection we gathered evidence from various sources, including the relevant sections of policies, procedures, records and other documents: * observing how staff work * evidence from the service's most recent self assessment * personal plans of people who use the service * training records * health and safety records * accident and incident records * complaints records * discussions with various people, including: - the manager - care staff - the people who use the service - relatives and carers of the people who use the service * examining equipment and the environment (for example, is the service clean, is it set out well, is it easy to access by people who use wheelchairs?). Grading the service against quality themes and statements We inspect and grade elements of care that we call 'quality themes'. For example, one of the quality themes we might look at is 'Quality of care and support'. Under each quality theme are 'quality statements' which describe what a service should be doing well for that theme. We grade how the service performs against the quality themes and statements. Details of what we found are in Section 3: The inspection Redwood House, page 6 of 28

7 Inspection Focus Areas (IFAs) In any year we may decide on specific aspects of care to focus on during our inspections. These are extra checks we make on top of all the normal ones we make during inspection. We do this to gather information about the quality of these aspects of care on a national basis. Where we have examined an inspection focus area we will clearly identify it under the relevant quality statement. Fire safety issues We do not regulate fire safety. Local fire and rescue services are responsible for checking services. However, where significant fire safety issues become apparent, we will alert the relevant fire and rescue services so they may consider what action to take. You can find out more about care services' responsibilities for fire safety at Redwood House, page 7 of 28

8 The annual return Every year all care services must complete an 'annual return' form to make sure the information we hold is up to date. We also use annual returns to decide how we will inspect the service. Annual Return Received: No Comments on Self Assessment Every year all care services must complete a 'self assessment' form telling us how their service is performing. We check to make sure this assessment is accurate. Not submitted. Taking the views of people using the care service into account We spoke to several residents during the inspection. Some of the comments made included: "The food is interesting." "New cook so it's early days." In relation to activities most people spoken with said there was not much to do. Other comments in relation to the staff included: "Great. I have a good wee girl." "Very nice. I get on well with everyone." Taking carers' views into account We saw that there were relatives visiting throughout the day. Those we spoke to were very positive about the service and reassured that it was now owned by Kennedy Care Group. They felt fully informed during this process and that it would be a positive change for their relatives. Redwood House, page 8 of 28

9 3 The inspection We looked at how the service performs against the following quality themes and statements. Here are the details of what we found. Quality Theme 1: Quality of Care and Support Grade awarded for this theme: 2 - Weak Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the care and support provided by the service. Service strengths We found that the service showed weak evidence in support of this quality statement. There was some evidence of previous minutes, newsletters or survey information. However, as the service had a new provider from November 2011, a residents and relatives meeting and a staff meeting had been held. The minutes confirmed the new owner had introduced himself to the groups and gave some background information about the Kennedy Care Group. Areas for improvement As the service did not have an up to date participation strategy we were unable to assess how the service was ensuring residents and their relatives were contributing to improving the quality of the service. See requirement 1 We awarded a Grade 2. The grade 2 awarded identifies that although there may be some strengths, there are important weaknesses which cause concern. The weaknesses will, either individually or collectively, cause concern about the performance when measured against the Quality Statement or Theme. Grade awarded for this statement: 2 - Weak Number of requirements: 1 Number of recommendations: 0 Redwood House, page 9 of 28

10 Requirements 1. The provider should develop and implement a participation strategy which details how residents, relatives and visiting professionals can be involved in assessing and improving the service. This is in order to comply with SSI 114 Regulation: SSI 2010/210 Regulation 4 (1) (a) Welfare of Users - a requirement to make proper provision for the health and welfare of service users. National Care Standards - Care homes for Older People - Standard 5- Managment and Staffing Arrangements. Timescale:- Within 3 months of receipt of this report. Statement 3 We ensure that service users' health and wellbeing needs are met. Service strengths We found that the service showed adequate evidence in support of this quality statement. However, there was evidence that people were well cared for. For example, on the day of inspection we saw that people were well dressed with the ladies wearing their jewellery, their glasses had been cleaned and no one had stained clothing. We observed the residents having lunch. A peaceful environment to help people enjoy their meals was created in the newly redecorated dining rooms. We saw a member of the kitchen staff was actively asking people if they had enjoyed their food and one resident who had not eaten her lunch was given a sandwich of her choice. We saw that the staff consistently demonstrated skilful and sensitive moving people techniques and were confident in using equipment such as hoists and wheelchairs. The service had a variety of tools and assessments which enabled them to focus on the resident's health and wellbeing, most of which were continuously evaluated. This had included nutritional and skin damage assessments. This had included assessments for the risk of falls, under nutrition and the development of pressure damage. We found that in general, where a risk had been identified a plan of care had been formulated which meant that staff received appropriate guidance in relation to how the risk should be minimised. However, there were some lapses as discussed below. Staff spoken with showed a clear understanding of how individual resident's needs Redwood House, page 10 of 28

11 should be met and we could see that they approached people in a very kind and caring way. There was evidence in the personal plans that the service had been prompt in accessing external professionals when a health problem or concern had been identified. This showed that the service had good links with other health care professionals. Areas for improvement We saw that some residents had their fluid inputs and outputs monitored. Care staff had recorded the amount each person had taken but there was no evidence to suggest these were being totalled or monitored by senior staff. This meant that the residents at risk of dehydration were not being accurately monitored. See requirement 1, quality statement 1.3 The service did not use a Pain Assessment tool for some of the residents in order to identify their level of pain and to assist in pain medication management. See requirement 2, quality statement 1.3 There was no evidence that the need for bedrails to protect the residents were being evaluated and monitored. The manager advised these were supplied and monitored by the District Nursing Community Service. However as there were no records available a recommendation will be made to ensure the service monitors and maintains this equipment. See recommendation 1 The use of bedrails can be used as a form of restraint. The service should develop risk assessments to protect the residents when bedrails are used. See requirement 3, quality statement 1.3 Grade awarded for this statement: 3 - Adequate Number of requirements: 3 Number of recommendations: 1 Requirements 1. Clear guidance should be given to staff to ensure that Fluid Monitoring charts are used effectively in directing the care required and that staff are competent in accurately completing food and fluid monitoring charts. These charts should be totalled daily in order to monitor any resident who was at risk of dehydration. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210), regulation 5 (2) (b). Redwood House, page 11 of 28

12 In making this requirement National Care Standards Care Homes for Older People Standard 5.1, 5.2 Management and staffing arrangements; Standard 6 Support arrangements have been taken into account. Timescale Work in this area should commence within 24 hours of receipt of this report and be completed within one month. 2. The service provider must ensure that where a "when required" medicines is used that the care plans document the criteria for use of this medicine i.e. what it is for, under what conditions it should be administered, how long it has to be used for, any tests or monitoring needed or if an accompanying behavioural charts, pain charts are needed, and when the use of the medicine should be reviewed. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210) Regulation 5 - a requirement for a plan of care, and SSI 2002/114 Regulation 19(3)(j) - a requirement to keep a record of medicines kept on the premises for residents. The following National Care Standards have been taken into account in making this requirement. NCS Older People 5.12, 15.6 and Timescale: Work in this area should commence within 24 hours of receipt of this report and be completed within one month. 3. The Provider must ensure that no service user is subject to restraint unless it is the only practicable means of securing their welfare, or that or any other service user, and only where there are exceptional circumstances. The Provider must consider the principles of the Adults with Incapacity (Scotland) Act In particular, the provider must ensure that: * the principles of the Adults with Incapacity (Scotland) Act 2000 are taken into account before any action is proposed * risk assessments are carried out where the provider is considering any form of restraint, including the use of bedrails * clear records should be kept detailing any instance of restraint * care plans reflect action to be taken following the completion of any risk assessments This is in order to comply with Scottish Statutory Instrument (SSI) 2002/114 Regulation 4 (1) (c), and takes into account the Adults with Incapacity (Scotland) Act Timescale: immediately on receipt of this report. Redwood House, page 12 of 28

13 Recommendations 1. It is recommended that the provider ensures all bedrails are checked for faults on a monthly basis and these recordings are made available to the Care Inspectorate. The following National Care Standards have been taken into account in making this requirement. NCS Older People 5.12, 15.6 and Statement 4 We use a range of communication methods to ensure we meet the needs of service users. Service strengths We found that the service showed adequate evidence in support of this quality statement. The weekly schedule of activities was on display for the residents to see. The residents we spoke to confirmed there were usually activities in the afternoons. We saw that staff were usually aware of verbal and non verbal communication needs of the residents and were able to judge their moods very well. When asked about this staff commented they knew the residents well so were able to respond to their needs appropriately. The residents we observed had ready access to the nurse call system and were responded to promptly. Redwood House, page 13 of 28

14 Areas for Improvement Some of the planned activities on display in the foyer were out of date. The communication needs of service users were recorded in the personal plans but in some files they were very brief. The manager advised the new provider would be introducing new care plans for the service in the near future. We saw that in one of the resident's care plans monthly evaluations had not been completed or reviewed. This meant that any changes in the residents' physical or mental condition had not been evaluated and staff were not fully informed about how to meet the identified needs. See requirement 1, quality statement 1.4 Personal plans included a brief life history which was usually obtained as part of the admission process and contributed to by relatives. There was little evidence that the residents past or current interests influenced the choice of activities available. See recommendation 1, quality statement 1.4 Grade awarded for this statement: 3 - Adequate Number of requirements: 1 Number of recommendations: 1 Requirements 1. The Provider must ensure all service users' health and welfare needs as identified in each care plan is fully reviewed at least every month or sooner if the service user's care and support needs change. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011 (SSI 2011/210), regulation 5 (2) (b). In making this requirement National Care Standards Care Homes for Older People Standard 5.1, 5.2 Management and staffing arrangements; Standard 6 Support arrangements have been taken into account. Timescale: Work in this area should commence within 24 hours of receipt of this report and be completed within one month. Redwood House, page 14 of 28

15 Recommendations 1. It is recommended that the service further develops methods in order to demonstrate how the previous experiences and preferences of residents are taken into account when planning meaningful activity. It is also recommended that existing activities are subject to evaluation in order to assess the continued effectiveness of each activity for individual residents. NCS 6 Care Homes for Older People - Supporting Arrangements Redwood House, page 15 of 28

16 Quality Theme 2: Quality of Environment Grade awarded for this theme: 2 - Weak Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the environment within the service. Service strengths Weak evidence was demonstrated in support of this Quality Statement. We did not see evidence that the residents had been involved in developing the environment of the service. For further evidence in support of this Quality Statement, see quality Statement 1.1 Areas for improvement The new provider was not available during the inspection and the manager was not clear of any programme of refurbishment which will improve the environment for the residents. The provider should ensure they have evidence of the consultations they have done with the residents and their families. This will be assessed at the next inspection. Grade awarded for this statement: 2 - Weak Number of requirements: 0 Number of recommendations: 0 Statement 2 We make sure that the environment is safe and service users are protected. Service strengths We found that the service showed weak evidence in support of this quality statement. The service had measures in place to maintain residents safety. These included: individual risk assessments in service users' personal plans. The risks to service users were reduced by the implementation of the services policies such as: Care of Medicines, Control of substances hazardous to health, Waste management, Food safety, Manual handling, Health and Safety and Prevention of abuse. Redwood House, page 16 of 28

17 We could see that maintenance checks were routinely carried out but there were some lapses as discussed below. A valid public liability insurance certificate was displayed in the main entrance of the home. The environment was seen to be clean, hygienic and free from any unpleasant odours during the inspection. Through sampling the duty rotas, we found that the service was adhering to the minimum numbers of trained staff and carers as was previously agreed with us through the 'staffing schedule'. The records kept by the manager about the dependency levels of the residents, did not indicate to us, at this time, that staffing numbers were not adequate to meet residents' needs. Areas for improvement Not all the water temperature records were fully completed which meant they were not being used to support people safely. See requirement 1, quality statement 2.2 We saw that the environment was in need of refurbishment. For example: - The locks on toilets on the ground floor were either missing or faulty or missing. - All toilets needed redecoration. - The corridors needed redecoration. Some of the carpets were stained. One bathroom was used for storage and needed upgrading. The bath seat in one of the baths needed to be replaced. The gallery kitchen needed repaired and repainted. This is in order to minimise infection and reduce the risks to the residents. See requirement 2, quality statement 2.2 Grade awarded for this statement: 2 - Weak Number of requirements: 2 Number of recommendations: 0 Requirements 1. The provider must ensure that procedures are in place to ensure that water temperatures regularly checked to minimise the risk of injury to residents. This is to comply with SSI 2011/210 Welfare of Users 4(1) (a) Make proper provision for the health, welfare and safety of service users and 4(1) (d). National Care Standards - Care Homes for Older People - Standard 4 Your environment. Redwood House, page 17 of 28

18 Timescales: - Immediately on receipt of report. 2. The provider must ensure that procedures are in place to ensure that maintenance and decoration issues are addressed to minimise the risk of poor infection control and injury to residents. This includes : (1) The locks on toilets on the ground floor are repaired. (2) All toilets are redecorated. (3) The corridors are redecorated and stained carpets are replaced. (4) The bathroom used for storage is upgraded and kept locked if used for storage. (5) Faulty bath seats are replaced. (6) The gallery kitchen is repaired and repainted. This is to comply with SSI 2011/210 Welfare of Users 4(1) (a) Make proper provision for the health, welfare and safety of service users and 4(1) (d) Appropriate procedures for the prevention and control of infection. National Care Standards - Care Homes for Older People - Standard 4 Your environment. Timescale: - Work to commence immediately on receipt of report and be completed by August 2013 Statement 3 The environment allows service users to have as positive a quality of life as possible. Service strengths We found that the service showed adequate evidence in support of this quality statement. A random selection of several residents' room were checked and found to be tidy and clean however it was evident some of these required redecoration as discussed below. Communal bathrooms and associate equipment were clean and free from malodours but did need to be upgraded. Sitting and dining areas including cupboards were clean and tidy. The residents we spoke to were positive about the garden. Some comments included: "We can have our meals out there." "Staff are very good at helping you outside." We saw that some of the residents sitting in the main lounge were happy to point out the squirrels who were a regular feature of the garden. Redwood House, page 18 of 28

19 Areas for improvement We observed people having lunch in a pleasant environment. However, we also saw residents complaining about the draught from the front windows. We checked the windows and found they were warped and would not shut properly. See requirement1, quality statement 2.3 Grade awarded for this statement: 3 - Adequate Number of requirements: 1 Number of recommendations: 0 Requirements 1. The provider must ensure that the environment is maintained and upgraded in order to ensure that all areas of the service provide a welcoming and draught free environment. This is in order to comply with SSI 114 Regulation: SSI 2010/210 Regulation 4 (1) (a) Welfare of Users - a requirement to make proper provision for the health and welfare of service users. Timescale: - Within 1 month of receipt of this report. In making this Requirement the following National Care Standards have been taken into account: National care standards care homes for older people - Standard 4.2 Your environment National care standards care homes for older people - Standard 4.3 Your environment Redwood House, page 19 of 28

20 Quality Theme 3: Quality of Staffing Grade awarded for this theme: 3 - Adequate Statement 1 We ensure that service users and carers participate in assessing and improving the quality of staffing in the service. Service Strengths Adequate evidence was demonstrated in support of this quality statement. We saw that the service used several methods to seek the views of residents and their relatives in assessing and improving the quality of staff in the service. These included: * Meetings for both residents and relatives * Complaints procedure * Six monthly service users reviews We saw that some efforts had been made to involve residents in the recruitment of staff. For example residents and relatives had been asked in a questionnaire what questions staff should be asked. There was evidence to confirm that some of these questions were used at interview. Areas for improvement For areas for improvement, see "Areas for improvement" quality statement 1.1 Grade awarded for this statement: 3 - Adequate Number of requirements: 0 Number of recommendations: 0 Statement 2 We are confident that our staff have been recruited, and inducted, in a safe and robust manner to protect service users and staff. Service strengths We found that the service showed Very Good evidence in support of this quality statement. We saw that a recruitment and selection procedure was in place. The policy guidance indicated that two references and a Disclosure Scotland or PVG certificate must be obtained. The manager confirmed that applicants were provided with the job description prior to interview. Redwood House, page 20 of 28

21 A sample of staff files inspected indicated that safe recruitment procedures had been followed, each containing two references. We saw that the records and discussions with staff confirmed that new staff receive a thorough induction period and their first three months which are probationary. The Induction process covered all relevant policies and procedures such as fire safety and moving and handling. Areas for improvement The service should continue to formalise the involvement of residents and their carers in the recruitment and selection procedure. Grade awarded for this statement: 5 - Very Good Number of requirements: 0 Number of recommendations: 0 Statement 3 We have a professional, trained and motivated workforce which operates to National Care Standards, legislation and best practice. Service strengths Adequate evidence was demonstrated in support of this quality statement. We saw from the records examined that staff had some training in the last year including: * Moving and Handling * Food hygiene * Fire Safety * Protection of vulnerable adults * Palliative Care * Dementia Care Moving and Handling training was scheduled for January Staff spoken with confirmed that they had a good understanding of the Scottish Social Services Council Codes of Conduct and the National Care Standards. Areas for improvement We saw there was limited evidence to suggest that staff training needs had been identified or that training had been arranged to meet those needs. This meant that the service could not be sure that staff had an appropriate level of skill and competence in relation to key tasks. Redwood House, page 21 of 28

22 See requirement 1, quality statement 3.3 Not all the staff we spoke to were aware of how the National Care Standards influenced their work in the service. This is identified as an area for development. Grade awarded for this statement: 3 - Adequate Number of requirements: 1 Number of recommendations: 0 Requirements 1. The provider must ensure that staff receive training appropriate to the work they are to perform. The provider must also ensure that identified training needs and record and that action is taken to secure training to meet this need. This is in order to comply with: Social Care and Social Work Improvement Scotland (Requirements as to Care Services) Regulations 2011/210 Regulation 15 Staffing and Regulation 4(1)(a).Welfare of Users. Timescale for completion: To commence immediately upon receipt of this report and to be completed by April Redwood House, page 22 of 28

23 Quality Theme 4: Quality of Management and Leadership Grade awarded for this theme: 2 - Weak Statement 1 We ensure that service users and carers participate in assessing and improving the quality of the management and leadership of the service. Service strengths We found the service demonstrated weak evidence in support of this quality statement. Residents spoken with during the inspection stated that they found the Manager and staff very approachable. For further evidence in support of this statement, see quality statement 1.1. Areas for improvement It is advised that the next round of questionnaires for residents and their relatives and staff, enable people to participate in assessing and improving the quality of management and leadership of the service. Grade awarded for this statement: 2 - Weak Number of requirements: 0 Number of recommendations: 0 Statement 3 To encourage good quality care, we promote leadership values throughout the workforce. Service strengths We found the service demonstrated weak vidence in relation to this statement. Areas for improvement Some of the supervision records we examined lacked detail about the staff member's developmental needs, an evaluation of recent learning and a lack of focus on the needs of the residents. This is identified as an area for development. We saw from the records examined that staff were not receiving one to one supervision. We saw there was little evidence of meetings for care staff happening on a regular basis. Redwood House, page 23 of 28

24 Together these activities could have helped to improve the opportunities for communication amongst staff, which in turn supports individual residents. See requirement 1, quality statement 3.3 Grade awarded for this statement: 2 - Weak Number of requirements: 0 Number of recommendations: 0 Statement 4 We use quality assurance systems and processes which involve service users, carers, staff and stakeholders to assess the quality of service we provide. Service strengths We found that the service showed weak evidence in support of this quality statement. We found that the service was developing audit system with the new provider but these had not yet been established. There was evidence of some audit systems including: * Medication * Accidents * Fire safety * Catering The audit process had consistently been carried out by the manager and seniors on a monthly basis and ensured the welfare of the residents. The manager advised other audits would be implemented in the near future. Areas for improvement We found that not all audits had been completed. For example Health and Safety and Infection Control audits had not been completed this year. This meant the service was not ensuring the health and welfare of the residents. See requirement 1, quality statement 4.4. The residents and their relatives had some opportunity to assess the quality of the management of the service and to feedback any concerns or suggestions. However, this area could be further developed to evidence that their comments had been listened to. Grade awarded for this statement: 2 - Weak Number of requirements: 1 Number of recommendations: 0 Redwood House, page 24 of 28

25 Requirements 1. The provider must ensure there are audit systems to ensure the health and welfare of the residents. In particular the provider should develop systems for the monitoring of Health and Safety and Infection Control issues within the service. This is in order to comply with: The Social Care and Social Work Improvement Scotland (Requirements for Care Services) Regulations 2011/210 Regulation 4(1) (a) - Make proper provision for the health, welfare and safety of residents. Timescale for completion: - To commence immediately on receipt of this report and be completed by August Redwood House, page 25 of 28

26 4 Other information Complaints There have been no complaints upheld or partially upheld about this service since the commencement of SCSWIS on 1 April Enforcements There has been no enforcement action taken against this service since the commencement of SCSWIS on 1 April Additional Information The new owner Tom Dailey advises he plans to implement more management support within the service and a more structured training plan, including Dementia awareness, for the staff. Initially this will be developed from the existing resources of the Kennedy Care group. Action Plan Failure to submit an appropriate action plan within the required timescale, including any agreed extension, where requirements and recommendations have been made, will result in SCSWIS re-grading the Quality Statement within the Management and Leadership Theme as unsatisfactory (1). This will result in the Quality Theme for Management and Leadership being re-graded as Unsatisfactory (1). Redwood House, page 26 of 28

27 5 Summary of grades Quality of Care and Support Weak Statement 1 Statement 3 Statement Weak 3 - Adequate 3 - Adequate Quality of Environment Weak Statement 1 Statement 2 Statement Weak 2 - Weak 3 - Adequate Quality of Staffing Adequate Statement 1 Statement 2 Statement Adequate 5 - Very Good 3 - Adequate Quality of Management and Leadership Weak Statement 1 Statement 3 Statement Weak 2 - Weak 2 - Weak 6 Inspection and grading history All inspections and grades before 1 April 2011 are those reported by the former regulator of care services, the Care Commission. Redwood House, page 27 of 28

28 To find out more about our inspections and inspection reports Read our leaflet 'How we inspect'. You can download it from our website or ask us to send you a copy by telephoning us on This inspection report is published by the Care Inspectorate. You can get more copies of this report and others by downloading it from our website: or by telephoning Translations and alternative formats This inspection report is available in other languages and formats on request. Telephone: enquiries@careinspectorate.com Web: Redwood House, page 28 of 28