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Inspection on 20/05/10 for Riverside Court

Also see our care home review for Riverside Court for more information

This is the latest available inspection report for this service, carried out on 20th May 2010.

CQC found this care home to be providing an Adequate 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.

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

What the care home does well

To make sure the service can meet peoples personal and health care needs these are assessed before coming to live in the home. The assessments are very comprehensive and include peoples choices , preferences, likes and dislikes. The assessments also show peoples emotional and spiritual needs and if they have any mental health problems or suffer with Dementia. There are also risk assessments completed and care plans showing staff what they must do to minimize any risks to people living in the home or those caring for them. To make sure people receive the care and support they need and require these are set out in a plan of care telling staff what they must do to make sure peoples needs are met. The risk assessments are looked at regularly and amended if need be to show and reflect peoples changing care and support needs. People living in the home are protected by the way their medicines are dealt with, as there is a Medicine Administration Policy and Procedure for staff to follow. People are further protected as records show staff dealing with medicines have been trained to do so safely. The returned `Have Your Say` surveys show people living in the home and their relatives are happy with the care and support provided. The Registered Manager said the home has employed an activities coordinator and people can choose from a range of activities organized on a daily basis. A sample of peoples records and in particular personal record of activities show people enjoy joining in planned group sessions and one to one activities. Discussion with people living in the home and the returned surveys show people and their relatives like the people caring for them. During the visit positive relationships were observed being fostered between people living in the home and those caring for them. After meeting and speaking to those working the home the inspector was impressed with the positive attitude toward people using the service. People are protected by the way staff are recruited and selected as records show references, police and Po VA (Protection of Vulnerable Adults List) checks are taken up before they are employed. Peoples Health Safety and Wellbeing is promoted and protected as records show staff have induction training that includes, Moving and Handling, First Aid, Infection Control, Food Hygiene and Health and Safety training. To make sure peoples care and support needs can be fully met the records show some staff have training in how to care for people suffering from Dementia. Records also show staff also receive training in how to care for people who are very poorly and require palliative care. The registered Manager says there are enough staff planned to be on duty to meet peoples care and support needs. The staff rota confirmed this and shows there are Registered Nurses available at all times. People are protected from any kind of abuse as there is a Safeguarding Policy and Procedure for staff to follow when reporting any allegations of abuse that includes the Wakefield Local Authority Protocols. People are further protected as records show all staff receive Safeguarding training and update training in how to recognize and report any kind of abuse. The Care Quality Commission records show the home has not had to make any recent Safeguarding Referrals to the local authority. One returned survey from a member of staff says "The home works well together as a whole,and everyone pulls together to get jobs done. We are encouraged to share our ideas to improve the home. If a member of staff has any problems, the managers and nurses are very approachable and problems are usually sorted straight away if possible". One relative writes, "My Mother is very happy i the home and the staff are very good at seeing to her needs. She has has three daughters who visit in turn everyday and it is like going to visit mum in her own home". Another staff writes,"The home strives to keep updated and to be well staffed and provide training appropriate to staff needs and expectations. In turn this helps to support them to fulfill the needs of service users. They have good relationships with service users and their families. As a home I believe the care given is very good and the increased level of activities is beneficial". They go on to say, "Staff moral has improved and their greater involvement in activities and taking responsibility for certain areas has increased their ownership of the home which encourages a huge impact on the care provided overall". One person living in the home sent lots of information to us including the homes Newsletter and Leaflet about the homes Human Rights, `Dignity and Respect` celebrations also says, "All carers should spend time in Riverside Court to see how it is done". On the day of the visit there were three areas of good practice which impressed the inspector. Firstly,a carer was observed assisting someone with breakfast who was cared for in their bedroom There was a relaxing atmosphere. The carer was positioned correctly and the pace of assistance was not hurried but timely and determined by the person being assisted. This good practice is to be commended. Second, the daily records and in particular the record of activities are very detailed and made links to the assessments and care plans. Descriptive words are also used to reflect peoples choices, preferences, choices and any decisions they make about their daily lives. This good practice is also to be commended. Thirdly, on entering the unit caring for those suffering Mental Health problems and in particular Dementia there is a relaxed and calming atmosphere created. Throughout the visit everyone one the unit was relaxed and there was no `agitation` or adverse behavior displayed. The staff were observed demonstrated empathy and great skill and experience in caring for people living on the unit. The Registered Nurse in charge of the unit and staff team are to be commend for their efforts in maintaining such good standards for people living in the home and in particular those suffering with Dementia.

What the care home could do better:

There was no failure to meet regulations noted on this visit. Although all of the comments received about the care provided are positive, two of the returned `Have Your Say` surveys, one from a relative and one from a staff member did comment, that "On occasions staff do seem a little stretched". and "sometimes there doesn`t seem to be enough staff on duty".

Random inspection report Care homes for older people Name: Address: Riverside Court The Croft Knottingley West Yorks WF11 9BL one star adequate service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Tony Railton Date: 2 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: Riverside Court The Croft Knottingley West Yorks WF11 9BL 01977673233 01977673066 riverside.court@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Pauline Downs Type of registration: Number of places registered: Conditions of registration: Category(ies) : Speciality Care (UK Lease Homes) Limited care home 61 Number of places (if applicable): Under 65 Over 65 0 0 31 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 30 30 0 The maximum number of service users who can be accommodated is: 61 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia Code DE, maximum number of places: 30 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places: 30 Old age, not falling within any other category - Code OP, maximimum number of places: 31 Care Homes for Older People Page 2 of 9 Date of last inspection Brief description of the care home Riverside Court is a purpose built home which provides nursing care for up to 61 older people. The home is divided into two separate nursing units a 31-bedded unit providing general nursing and residential care and a 30-bedded unit providing nursing and residential care for elderly people living with dementia. Accommodation in each unit is located on two floors consisting of single en-suite bedrooms, communal sitting rooms and dining facilities for each unit. There is level access at the main entrance and a passenger lift allows easy access to the first floor accommodation. Riverside Court is situated in the Knottingley district of Wakefield. It is served by local rail and bus routes and has off-street car parking facilities at the front of the premises and a garden to the rear. The home has a Service User Guide that provides information about their service for current and prospective residents. Details of the Care Quality Commission are included within the Service User Guide. Care Homes for Older People Page 3 of 9 What we found: This short random visit to the home started at 10.00 and ended at 12.00. During the visit there was the opportunity to meet and speak to most people living in the home. There was also the opportunity to speak to the Registered Manager, Registered Nurses, care staff, the Activities Coordinator, the Domestics and Laundry Assistant. Some files of people living in the home were seen and included assessments, care plans, reviews, daily and medical records, and records of activities. Some staff records were also seen and included application forms, references, police and PO VA (Protection of Vulnerable Adults List) checks. Some staff training records were looked at and i particular the staff training MATRIX. Other information considered included the returned Care Quality Commission Have Your Say surveys from people living in the home, their relatives and from people working in the home. Other information seen include the information sent to us by the service providers and in particular the Annual Quality Assurance Assessment and reportable incidents (Regulation 37) reports. This was a very positive and enjoyable visit and the inspector would like to thank the people living in the home, Registered Manager and the staff team for their hospitality and patience throughout the visit. What the care home does well: To make sure the service can meet peoples personal and health care needs these are assessed before coming to live in the home. The assessments are very comprehensive and include peoples choices , preferences, likes and dislikes. The assessments also show peoples emotional and spiritual needs and if they have any mental health problems or suffer with Dementia. There are also risk assessments completed and care plans showing staff what they must do to minimize any risks to people living in the home or those caring for them. To make sure people receive the care and support they need and require these are set out in a plan of care telling staff what they must do to make sure peoples needs are met. The risk assessments are looked at regularly and amended if need be to show and reflect peoples changing care and support needs. People living in the home are protected by the way their medicines are dealt with, as there is a Medicine Administration Policy and Procedure for staff to follow. People are further protected as records show staff dealing with medicines have been trained to do so safely. Care Homes for Older People Page 4 of 9 The returned Have Your Say surveys show people living in the home and their relatives are happy with the care and support provided. The Registered Manager said the home has employed an activities coordinator and people can choose from a range of activities organized on a daily basis. A sample of peoples records and in particular personal record of activities show people enjoy joining in planned group sessions and one to one activities. Discussion with people living in the home and the returned surveys show people and their relatives like the people caring for them. During the visit positive relationships were observed being fostered between people living in the home and those caring for them. After meeting and speaking to those working the home the inspector was impressed with the positive attitude toward people using the service. People are protected by the way staff are recruited and selected as records show references, police and Po VA (Protection of Vulnerable Adults List) checks are taken up before they are employed. Peoples Health Safety and Wellbeing is promoted and protected as records show staff have induction training that includes, Moving and Handling, First Aid, Infection Control, Food Hygiene and Health and Safety training. To make sure peoples care and support needs can be fully met the records show some staff have training in how to care for people suffering from Dementia. Records also show staff also receive training in how to care for people who are very poorly and require palliative care. The registered Manager says there are enough staff planned to be on duty to meet peoples care and support needs. The staff rota confirmed this and shows there are Registered Nurses available at all times. People are protected from any kind of abuse as there is a Safeguarding Policy and Procedure for staff to follow when reporting any allegations of abuse that includes the Wakefield Local Authority Protocols. People are further protected as records show all staff receive Safeguarding training and update training in how to recognize and report any kind of abuse. The Care Quality Commission records show the home has not had to make any recent Safeguarding Referrals to the local authority. One returned survey from a member of staff says The home works well together as a whole,and everyone pulls together to get jobs done. We are encouraged to share our ideas to improve the home. If a member of staff has any problems, the managers and nurses are very approachable and problems are usually sorted straight away if possible. One relative writes, My Mother is very happy i the home and the staff are very good at seeing to her needs. She has has three daughters who visit in turn everyday and it is like going to visit mum in her own home. Care Homes for Older People Page 5 of 9 Another staff writes,The home strives to keep updated and to be well staffed and provide training appropriate to staff needs and expectations. In turn this helps to support them to fulfill the needs of service users. They have good relationships with service users and their families. As a home I believe the care given is very good and the increased level of activities is beneficial. They go on to say, Staff moral has improved and their greater involvement in activities and taking responsibility for certain areas has increased their ownership of the home which encourages a huge impact on the care provided overall. One person living in the home sent lots of information to us including the homes Newsletter and Leaflet about the homes Human Rights, Dignity and Respect celebrations also says, All carers should spend time in Riverside Court to see how it is done. On the day of the visit there were three areas of good practice which impressed the inspector. Firstly,a carer was observed assisting someone with breakfast who was cared for in their bedroom There was a relaxing atmosphere. The carer was positioned correctly and the pace of assistance was not hurried but timely and determined by the person being assisted. This good practice is to be commended. Second, the daily records and in particular the record of activities are very detailed and made links to the assessments and care plans. Descriptive words are also used to reflect peoples choices, preferences, choices and any decisions they make about their daily lives. This good practice is also to be commended. Thirdly, on entering the unit caring for those suffering Mental Health problems and in particular Dementia there is a relaxed and calming atmosphere created. Throughout the visit everyone one the unit was relaxed and there was no agitation or adverse behavior displayed. The staff were observed demonstrated empathy and great skill and experience in caring for people living on the unit. The Registered Nurse in charge of the unit and staff team are to be commend for their efforts in maintaining such good standards for people living in the home and in particular those suffering with Dementia. 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 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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, 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 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 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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