Inspection on 25/02/09 for Richmondwood

This is the latest available inspection report for this service, carried out on 25th February 2009.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Richmondwood 23/07/07

Richmondwood 02/11/06

Richmondwood 28/04/06

Richmondwood 24/11/05

Richmondwood 28/07/05

Richmondwood 26/01/05

Richmondwood 17/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Richmondwood 19 Richmond Park Avenue Bournemouth Dorset BH8 9DL Lead Inspector Jon Clarke Unannounced Inspection 25th February 2009 11:00 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 Richmondwood DS0000003977.V374660.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. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmondwood Address 19 Richmond Park Avenue Bournemouth Dorset BH8 9DL 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) 01202 511179 01202 511179 holly.glazer@hotmail.co.uk/beverley.radford@ho tmail.co.uk www.richmondwood.co.uk Mr John Andrew Glazer Miss Holly Samantha Victoria Glazer Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category (Code OP) The maximum number of service users who can be accommodated is 22 29th February 2008 Date of last inspection Brief Description of the Service: Richmondwood is a care home providing personal care and accommodation for up to twenty-two older people. The registered provider is Mr John Glazer. Richmondwood is situated in a tree-lined avenue in a quiet residential area, within walking distance of the shops at Charminster. The main shopping centre of Bournemouth is less than two miles away. There is a car parking area to the front of the home and further car parking is available for visitors on the roadside. Bus stops are available from the nearby Charminster Road. Richmondwood is a large, detached property set in attractive and wellmaintained grounds, which are accessible to residents. Accommodation is arranged over two floors, with a passenger lift available to aid access between the floors. There are twenty-two single bedrooms and nineteen have en suite facilities, including baths in some rooms. The home has a large communal lounge with adjoining dining room. There are sufficient bathrooms, including assisted baths, and toilets to meet the needs of residents. Twenty-four hour care is provided. Laundering of personal clothing is carried out on the premises. All meals are prepared and cooked within the home. A choice of menu is offered and a variety of alternatives are always available to suit individual taste and preference at mealtimes. Special diets can be catered for. A range of social activities is offered to provide stimulation and interest for residents and each month there is an inter-denominational communion service held in the home. Current fees, as confirmed at the time of the inspection, are £363 -£525 per Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 5 week. Additional charges include hairdressing, chiropody, dry cleaning, toiletries and newspapers. For further information on fee levels and fair contracts you are advised to refer to the Office of Fair Trading website: www.oft.gov.uk. We have published ‘A fair contract with older people? A special study of people’s experiences when finding a care home’ and this can be accessed on our website www.csci.org.uk Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector 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. This was an unannounced visit to the home as part of our inspection. We looked at a number of records about the care provided in the home including pre-admission assessments, care plans. We also examined staffing records about the recruitment and training provided in the home. Other records looked at included medication and those relating to health and safety practice in the home. There was an opportunity during our visit to talk with people who live and work in the home. As part of this inspection the home completed and Annual Quality Assurance Assessment (AQAA) this told us what the home has changed over the past year since the last inspection in February 2008. It also told us what plans the home has to improve the quality of care provided in the home. We use this information to help us in making a judgement about the quality of care provided in the home. What the service does well: In the inspectors view the appointment and registration of a manager to the home has led to the effort needed to address the changes which has resulted in the rating of Good now being given to the home and reflects the commitment of the manager and staff in raising the quality of care and practices of the home. There is good care planning with through details as to the care needs of individuals with good use of assessment tools to identify specific areas of care needs such as nutrition and skin care. The home provides a welcoming environment with staff who have established caring and supportive relationships with individuals who live in home. There is a supportive management in place with a real effort to obtain the views of individuals who live in the home about the service they receive and will respond to changing needs of individuals and their wishes and choices. There are good opportunities for individuals to participate in activities which reflect their choice and wishes. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 7 Two comments received by us during our visit reflect the quality of service provided in the home: “Excellent care, excellent staff, excellent cleanliness” “Its just like home, nothing could be better”. Comments received from relatives: “We also very much appreciate that our relative was able to end her life in a peaceful and dignified manner” “We were happy to know that our relative was happy and so well cared for.” What has improved since the last inspection? What they could do better: We identified a number of areas which the home needs to address to further improve care practice. Care plans need to provide up to date information and make that the care summaries show the current situation with regard to individual’s health and welfare. Assessments need to be undertaken to evidence the need for the use of bed rails and consent obtained for their use to ensure that such equipment is appropriate and in the best interests of the welfare of the individual. The staffing arrangements need to be reviewed (on a continued basis) in that there were some concerns as to the level of staffing throughout the day but particularly in the mornings. There is no measurement being used to look at the required needs of individuals and demands on staff and thereby relating this measure to staffing in the home. We recognise that occupancy levels change in the home however the staffing must reflect the current needs of those living in the home and it is in this regard that the use of a dependency tool would help in making this judgement. Where there is use of “as required” medication guidance for its use must be in place this will help in making sure it is given in the appropriate circumstance and there is consistent use of such medication. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 8 Whilst there has been substantial improvement in the environment of the home as noted above there remains further areas which would benefit from improvement specifically bathrooms and hallway carpeting. 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. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 9 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 Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes full and comprehensive assessment of prospective residents so that they are able to make an informed decision about the capacity of the home to meet health and social care needs. EVIDENCE: We looked at two pre-admission assessments they provided good information about the health and social care needs of the individual. Included were health information, daily care needs and interests and routines. Where individuals are known to social services a copy of their assessment had been obtained by the home. Richmondwood DS0000003977.V374660.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Planning and arrangements for meeting health care is good providing staff with the necessary information so that the health and social care needs of individuals who live in the home are met. Arrangements for managing resident’s medication make sure that resident’s health needs are protected. The practice of staff and policies of the home help to make sure that residents are treated with respect and their dignity is upheld. EVIDENCE: We looked at care plans for 4 individuals they showed information about the specific needs of the individuals under “Residents Problem/Need”. For one individual this stated “prone to UTIs” and a risk assessment had been completed, for another the individuals “breathlessness” was highlighted and associated tasks and medication was outlined to address this care need. Moving and handling had been completed. Risk assessments had been completed for specific areas such as falls, poor hygiene and use of heater in Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 12 individual’s rooms. The home uses MUST tool for assessing risk around nutrition and these had been completed. Assessments for risk of skin breakdown are completed and for one individual who was at high risk this was reflected in their care plan. There were also turn and fluid charts. However whilst the care plan had been reviewed a change in the individuals skin condition namely “broken skin on sacrum” had not been noted in the review. These areas were not reflected in the Care Summary of the individual. Care plans had been signed by the individual or their representative. It was also noted that the home had written to relatives about their involvement in care plan reviews. Also included in care plans are Individual Activities record. For one individual bed rails were being used however there was no assessment or consent for their use. We spoke to the individual who told she felt “safer” when they were used. Individuals who live in the home have access to community health services such as chiropody, dental and optician. Community nurses will visit the home if individuals need this level of care for specific conditions such as ulcers or skin breakdown. Records confirmed this contact and in talking with individuals one of whom told she “can see my doctor whenever I need to only have to say”. Medication administering records were looked at and had been completed as required with no gaps and any changes signed and witnessed by staff. Storage was satisfactory with controlled drugs kept in separate secure storage. Returns of medication are recorded and signed by pharmacist or their representative. One individual manages their medication and a risk assessment had been completed to make sure this remains safe for the individual. Medication which requires storage in fridge is done so and record of temperatures are kept. For one individual who needed eye drops date of start of this medication was recorded so that it remains within its use by date. One individual has diazepam “as required” there was no guidance or circumstances when it is to be used. As part of care plans medication is reviewed and records seen showed this is undertaken regularly. Staff who have responsibility regarding the administering of medication have received the required training. We spoke to a number of people who live in the home about the approach of staff particularly whether they felt they were treated with respect. All of the individuals we spoke too were very positive about staff “all very good” “very good it’s nice we can have a chat”. When asked if they felt they were treated with respect and their privacy respected all of those we spoke with said yes and “you can’t fault the staff all very kind and helpful” “all treat me well”. Throughout our visit we observed staff treating individuals with respect and where providing assistance this was always done in a sensitive and supportive manner. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 13 Richmondwood DS0000003977.V374660.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): 12,1,3,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for meeting the social and recreational needs of individuals who live in the home are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. EVIDENCE: We spoke with individuals about the activities arranged in the home. One individual told us that there had been “improvement” in this area. Another said there was “always enough to do” “there’s good activities here” was another comment. The activities record for one individual illustrated the range of activities available: reminiscence, classical musicians, scrabble, darts, bingo, giant dominoes. On the day we visited a number of individuals were playing Who Wants to Be a Millionaire? Religious services are held in the home monthly. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 15 We spoke to people who live in the home about having visitors they told us that the home always “welcomes my family when they come to see me” and also that there are no restrictions on visiting the home. A relative who was visiting told us that the staff were “always very friendly” and “it’s very welcoming here”. They also told us that they had “no concerns about the care provided in the home” and they were always kept informed about their relative and particularly if they were unwell. Another relative we spoke with briefly said they were “made to feel welcome”. We asked individuals about how they spend their day and the “routines” of the home. They told us they are able to choose “what I do” and “it’s up to me”. We asked one individual about getting up and going to bed they told us “staff will do as I ask” “it’s not a problem”. We spoke to individuals about the meals provided in the home all of those we spoke with were very about the quality and variety: “it’s always very good” “good choice” “food is excellent”. On the day we visited the meal was well presented and of note was the choice available at teatime (3 choices). During the meal staff were available to give assistance and did so in a supportive and sensitive way. It was a relaxed and social occasion and individuals told us that they “enjoyed the chat at lunchtime” “it’s never rushed”. The home’s Quality Assurance questionnaire asked about the meals provided in the home comments’ received from respondents: “two or three choices, usually all well cooked. Chef very good” “if I don’t like the menu I can ask for something else” (menus displayed on tables). Of the 13 who completed the questionnaire 6 said meals were excellent, 6 good 1 fair. Richmondwood DS0000003977.V374660.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures in place enabling individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having policy and procedure about the Protection of Vulnerable Adults and providing training to all staff in this area. EVIDENCE: The home has a complaints policy and procedure that is included in the Service Users Guide and provided to all individuals in their rooms. Individuals we spoke with said they would make a complaint if they were unhappy about anything though a number said they “would tell staff” “talk to Holly” “staff would do something if I was unhappy about anything”. We looked at the complaints log which showed one complaint had been made about staff breaks and this had been addressed. The home has a Safeguarding Adults policy in place and details of social services contacts are available. Staff have undertaken Safeguarding Adults training and records confirmed this. We also spoke to staff about what they would consider as abuse in a care home setting and they gave examples of not giving choice, not responding to requests for help, lack of privacy, prohibiting Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 17 movement. They were also very clear that if they had any concerns they would speak to their manager. Richmondwood DS0000003977.V374660.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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe and hygienic environment for the residents and staff. People who live and work in the home benefit from a warm, welcoming and improving environment. EVIDENCE: In the last twelve months 8 bedrooms have been fully or partially redecorated, three bedroom carpets have been replaced and new furniture purchased for two bedrooms. The damp problem identified from our last inspection has now been addressed and the area has been re-decorated. The front of the house has been repainted. It was noted during our visit and walking around the home that these improvements have resulted in a better environment however bathrooms Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 19 would benefit from re-decorating and making more welcoming being rather cold and uninviting. There were areas particularly the hallway where the carpet was stained or worn and would benefit from replacement to make this area more attractive. The home has increased domestic hours to undertake deep cleaning of bedrooms in rotation. Individuals we spoke with said how they thought the home was “always clean” “its well kept and clean all the time” The home’s quality assurance questionnaire asked about the environment and of the 13 respondents 6 said it was good and 7 excellent. The home has infection control policies and procedures in place and all staff have completed infection control training. It was noted that there are hand washing gels and paper towels available to assist in infection control and staff have the use of protective clothing where this is necessary. Richmondwood DS0000003977.V374660.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements in the home are generally satisfactory so that the needs of residents can be met in an efficient way with care being provided by skilled and competent staff. The recruitment and selection of staff is undertaken to make sure that as far as possible the health and welfare of resident is protected. EVIDENCE: We looked at worked staffing rota for period of 4 weeks. This showed that there are 2 staff on duty am (8-2,8-8) 2 pm and 2 waking night. It is noted that a staff member who was on mornings which increased the am staffing to three is on maternity leave and this post is not being covered. We spoke to individuals about staff availability and whilst there were those who said staff “are always available” “there when we need them” others said they were “always busy” and one said that mornings “there is not enough on” “have to wait and wait” this was particularly during the early part of the morning. Staff also told us that it is really busy in the mornings and “not enough on in the mornings”. This was raised with the manager at the time of our visit. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 21 The home provided us with a training record which showed that currently 1 staff member has completed NVQ professional qualification however there are 9 who are currently undertaking this qualification. We looked at recruitment and selection records for three members of staff. They showed that Criminal Record Bureau checks and POVA1st and two references had been obtained. For two of the individual’s full and detailed application forms including employment history however for one individual dates of employment only referred to the year. This application had been dealt with by the previous manager. Training records examined showed that staff had completed “mandatory” training: Moving and Handling, Safeguarding, Health and Safety, Fire, Infection Control. In addition staff have undertaken Dementia, Raising Concerns and Whistleblowing, Stroke Awareness, Pressure Ulcer Prevention. Richmondwood DS0000003977.V374660.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): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good opportunities for residents and others to express their views about the service they receive. The practices of the home help to make sure that the health, safety and welfare of those that live and work in the home are protected. EVIDENCE: The manager of the home has extensive experience of working in a care setting and was registered by us as manager in January 2008. She has NVQ 3 and 4 and is currently undertaking the Registered managers Award. Individuals we spoke with told us she was someone “we can talk too” “there if we want her”. Staff told us the manager was approachable and “if there’s a problem we can always talk to her”. The home undertook a staff questionnaire which asked Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 23 how they would describe the working relationship with the manager comments received included: “the managers are both fair and honest, where views points and problems can be discussed in a straightforward, helpful and confidential way. A supportive environment.” “Quite approachable, willing to listen” “I find both of our managers extremely fair”. The home has since our last inspection undertaken Quality Assurance questionnaires seeking the views of individuals who live in the home. We have referred to some of the responses in this report. The survey provided very positive feedback about various aspects of the care provided in the home. Residents meetings have also been arranged and minutes showed that these have been used to provide a further opportunity for individuals to comment about the quality of the care they receive and to consult about activities, menu arrangements, staff changes. The home undertakes Health and Safety management checklist on a monthly, 6 monthly and yearly basis looking at all areas of safety in the home. Records examined showed that equipment used in the home is regularly serviced, fire systems are checked weekly and emergency lighting monthly. A Gas Installation Safety report was obtained in January 2009. A Fire Risk Assessment has been completed and reviewed to make sure that it is up to date. Staff have undertaken fire drills as required and fire training. Richmondwood DS0000003977.V374660.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Richmondwood DS0000003977.V374660.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. 1. Standard OP7 Regulation 12 (3) Requirement Timescale for action 31/03/09 2 OP7 14 (2) 3 OP9 13 (2) The manager shall make sure for the purposes of providing care to individuals and making proper provision for their health and welfare, so far as practicable ascertain and take into account their wishes and feeling. This refers to the need to obtain formal consent for the use of bed rails from the individual or where not practicable their representative. The manager shall make sure 31/03/09 that the assessment of the individual needs is revised at any time when it is necessary to do so having regard to any change of circumstances. This refers to the need to undertake assessment to evidence the need for the use of bed rails. 31/03/09 The manager to make sure that there are arrangements for the safe administering of medication. This refers to the need for guidance around the use of “As required” or “PRN” medication to ensure as far possible consistent use of such medication in DS0000003977.V374660.R01.S.doc Version 5.2 Richmondwood Page 26 4 OP27 18 appropriate circumstances. The manager shall make sure 30/04/09 that at all times suitably qualified. Competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of individuals living in the home. This refers to the need to review staffing arrangements in the home. It is recommended that a recognised dependency tool is used to measure the needs of people and help in making a judgement about the level of staffing required in the home at all times. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard OP19 Good Practice Recommendations 1 Improve the bathrooms in making them more homely and inviting being in the inspectors view at present cold and unattractive in their appearance. To look at replacing hallway carpets to make this area of a more presentable standard. Richmondwood DS0000003977.V374660.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Richmondwood DS0000003977.V374660.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!