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Inspection on 04/01/10 for Richmond Lodge

Also see our care home review for Richmond Lodge for more information

This is the latest available inspection report for this service, carried out on 4th January 2010.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Richmond Lodge The quality rating for this care home is: The rating was made on: two star good service 0 6 0 1 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Justine Poulton Date of this annual service review: 1 9 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 27 Bilton Road Rugby Warwickshire CV22 7AN 01788547781 01788573410 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: New Directions (Rugby) Ltd Number of places (if applicable): Under 65 Over 65 21 0 The maximum number of service users who can be accommodated is: 21 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 21 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Richmond Lodge provides residential care for up to 21 adults with learning disabilities. The home is run by an organisation called New Directions. The home is made up of what the organisation describes as a hostel, for 14 adults and two flats. One flat is in a separate building on the first floor and the other is accessed through the main building. Three residents occupy one flat and four occupy the other. They require lower levels of staffing support than people in the main house. The home offers a day service as an alternative to a local social service run day centre Annual Service Review Page 2 of 7 None 0 6 0 1 2 0 0 9 close to the home. There is some provision for people with physical disability in the main house and a lift serves the first floor. The premises are on the main road close to Rugby town centre. The organisation also has offices on the site which senior managers use as a base. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received or asked for since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us within an agreed timescales. The AQAA is a self-assessment tool, which focuses on how well outcomes are being met for people using the service. It also gave us some statistical information about the service. Completed surveys that we received from the people who use the service. This enables them to inform the annual service review process. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection report. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) within the agreed timescale. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service. They told us about how they had met Equality and Diversity, which included: The provision of Equality and Diversity training for all staff members. In depth coverage of Equality and Diversity within the induction programme for new staff. Actively supporting people to attend the church of their choice. Supporting people with their personal relationships as appropriate. Supporting older, less mobile people to access local amenities such as shops and pubs by using wheelchairs. Ensuring that everyone that lives in the home has access to both floors via the lift . The manager is aware of how the home is to progress over the next 12 months which is reflected in the AQAA. This includes: Providing relevant documents such as care plans in a more appropriate format for people. Supporting those people that wish to start self medicating with the process towards this. Annual Service Review Page 4 of 7 Producing a pictorial menu for people to choose from, and involving them more in the menu planning process. Shifting the balance from caring for people to supporting people, with a view to helping them achieve more independence within their lives. The reinforcement of the complaints procedure at regular intervals to ensure that people know how to complain and feel confident in doing so. The continued redecoration programme for peoples bedrooms. The introduction of apprenticeships for school leavers. Examples of areas highlighted by the manager as having improved in the last 12 months include: The implementation of easy read versions of the Statement of Purpose, Service User Contract and Complaints Procedure. The introduction of an independent advocate who has been visiting the home and talking to people about what they do and how they can help them individually. This is as a direct result of information provided in the homes annual quality survey. Providing support for people to send out personal invitations for their in house reviews. The involvement of people in the recruitment of prospective new employees, via interview following shortlisting by the management team.The people who live in the service now have the final say on who is or isnt appointed. The provision of several training sessions to the people living in the home about oral health which have been delivered by an external agency. The recruitment of a volunteer who is going to teach a new variety of skills to people. The successful employment of an additional male staff member to try to accommodate the needs of the men living in the home.. The reinstatement of Regulation 26 visits on a monthly basis. The implementation of regular care plan audits by the registered manager to ensure that they are up to date. We received three completed surveys from people currently living in the home, all of which indicated a general satisfaction with the service they receive. Comments within these surveys included I am very happy; I have lots of individual support and have gained new life skills over the last 12 months; I am very happy with the support I get; very occasionally I cant do what I would like to because the staff cant be provided to support me. The AQAA states that three complaints have been received by the home since the last key inspection in January 2009, which were investigated inline with the organisations Annual Service Review Page 5 of 7 procedures. We have not received any complaints since the last inspection. The home continues to let us know about things that have happened concerning the people who live there since our last key inspection. This shows us that they have managed the issues well. They work generally work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 5th January 2011. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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