Inspection on 17/11/09 for The Ridings

This is the latest available inspection report for this service, carried out on 17th November 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Ridings 06/11/08

The Ridings 20/11/07

The Ridings 29/05/07

The Ridings 16/01/07

The Ridings 30/08/06

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Random inspection report Care homes for older people Name: Address: The Ridings Farnborough Road Castle Vale Birmingham B35 7JG one star adequate service 13/11/2008 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: Debby Railton Date: 1 7 1 1 2 0 0 9 Information about the care home Name of care home: Address: The Ridings Farnborough Road Castle Vale Birmingham B35 7JG 01217488770 01217470163 theridings@dukerieshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Kevin John Bradley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Dukeries Healthcare care home 82 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 82 The maximum number of service users who can be accommodated is: 82 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 (DE) 82 Date of last inspection Brief description of the care home The Ridings is a large care home in Castle Vale that is registered to provide care for 82 people with dementia care needs. There are two residential units called Aintree and Doncaster, two units which provide nursing care called Cheltenham and Ascot and two units for younger adults known as Champion Crescent. Care Homes for Older People Page 2 of 8 1 3 1 1 2 0 0 8 Brief description of the care home The bedrooms all have single en-suite facilities and are spread across six independent units. All units have their own dining room, lounge areas and bathing facilities. There are fully adapted bathrooms and showers to meet peoples needs and additional toilets are available for wheelchair users. All areas of the home including the first and second floors are accessible by a large passenger lift. There are enclosed gardens for people on all units to access. There are disabled parking spaces and limited car parking at the front of the building with additional car parking behind the home. The home is close to bus and rail routes in and out of the city and is within close proximity of local shops and other community facilities such as a retail park. On the day of this visit fee rates for living at the home ranged between £570 - £1080 per week depending on individual needs assessments. These rates are reviewed annually and the home should be contacted for current rates. There are a number of noticeboards which supply information about the home and the last inspection report is on display for people to read if they choose to. Care Homes for Older People Page 3 of 8 What we found: The pharmacist inspection lasted two and a half hours. Six peoples medicines, from four of the six units were looked at, together with their Medicine Administration Record (MAR) charts and care plans. Two nurses and one care assistant was spoken with and all feedback was given to the deputy manager on duty at the time of the inspection. The medicine management was good and the previous outstanding requirement regarding medication had been fully met. All the medication was stored on the separate units. One medication trolley was too small to store all the medicines within in an ordered fashion. Surplus medication did not always fit in the locked metal cabinet but stored in an open box. It was advised that an additional trolley should be purchased and kept on the separate unit to address this problem. The temperature was too hot to safely store medication in some of the units. We, the commission were assured that an air conditioning systems would be installed if the temperature consistently fell above the top limit of 25C. One medicine refrigerator was too hot to safely store medicines to, as the temperature was as high as 9C. The limits to safely store medicines requiring refrigeration are between 2C and 8C. This was also to be immediately addressed. The manager had installed good systems to manage medication. This included seeing all the prescriptions before they are dispensed and a copy taken to check the medicines and MAR charts in against. This enables the home to address any issues with the prescriptions and also with the dispensing before any administration. Evidence of a robust quality assurance system was also seen. Randomly chosen MAR charts were checked against the medicines left on the premise. Staff from one unit regularly undertook audits of the MAR charts and medicines in another unit. This had ensured the good practice seen during the inspection. Audits indicated that the medicines had been administered as prescribed and records reflected practice. A couple of errors were seen where staff had failed to record the exact quantity carried over to the new MAR chart but as staff had written the date of opening on the bottle of medicine, it was possible to demonstrate they had been administered as prescribed. Two gaps were seen on the MAR chart and the agency nurse on duty for both days signed the chart that she had administered the medicines. We the commission were confident that this error would have been recognized by the homes internal auditing system promptly and addressed. One person was prescribed a medicine outside its product license and staff had obtained written consent from the relatives for this to be administered. There was no supporting care plan surrounding the medication available as it had been archived. All the staff spoken with though had a thorough understanding why the medicine had been prescribed and its common known side effects. New peoples medication was checked against any discharge letters and the MAR charts were well written. All MAR charts had a facing page enabling new nurses and care staff to identity the people who live in the home, before any administration of medicines. The Care Homes for Older People Page 4 of 8 nursing and care staff spoken with had a good understanding of the clinical conditions of the people they looked after and what the medicines were for. Not all information surrounding external health care professional visits had been recorded so it was not possible to always track when a medicine had changed or why for example, but the care plans briefly supported the majority of the peoples underlying clinical condition but more information would be desirable for staff to implement. What the care home does well: 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 38 23 All staff should participate in 11/12/2009 fire drills. To ensure that they know how to protect people from harm in the event of a fire. Care Homes for Older People Page 6 of 8 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 1 8 it is advised that a quality assurance system is installed to check that all external health care visits are fully documented to track any changes in medication. It is advised that all medicines are stored in rooms cool enough to maintain their stability and in cupboards and trolleys that are big enough to store the medicines with ease. 2 9 Care Homes for Older People Page 7 of 8 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. 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