Inspection on 10/11/05 for 12 Ryder Road

This inspection was carried out on 10th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

12 Ryder Road 17/10/08

12 Ryder Road 18/10/07

12 Ryder Road 07/02/07

12 Ryder Road 07/04/05

12 Ryder Road 26/10/04

12 Ryder Road 22/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Ryder Road 12 Ryder Road Stoke Plymouth Devon PL2 1JA Lead Inspector Antonia Reynolds Unannounced Inspection 10th November 2005 09:45 Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 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 Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 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 Adults 18-65. 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. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ryder Road Address 12 Ryder Road Stoke Plymouth Devon PL2 1JA 01752 219779 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) Michael Batt Foundation (Valued Life Projects) Mr Mark John West Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning disabled adults some of whom may have a mental disorder Age 18-50yrs Date of last inspection 7th April 2005 Brief Description of the Service: 12 Ryder Road is a care home providing personal care (if required) and accommodation for three people, aged 18 - 50, with learning disabilities, who may also have mental health issues. It is owned by the Michael Batt Foundation (VLP) which is a ‘not for profit organisation’ providing services for people with a range of needs who require support and care to live in the community. The home was opened in 2000 and is a two storey terraced property located in the residential area of Stoke in Plymouth. All the homes bedrooms are single and are on the 1st floor. None of these have wash hand basins or en suite facilities. There are separate lounge and dining rooms and the home has a very small back yard and small front garden. All areas are accessible to the service users. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 0945am and 1045am. The senior staff member on duty, Steve Knott, was present throughout. A tour of the premises took place and records relating to medication and the home were inspected. One of the two service users (the home had one vacancy) as well as the staff member on duty were spoken with during the visit. What the service does well: What has improved since the last inspection? What they could do better: 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. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5 Prospective service users are given opportunities to visit the home to decide whether they would like to live there and to meet the other service users and staff. EVIDENCE: The home has a Statement of Purpose and Service User guide available for prospective service users, although no new service users have been admitted since the last inspection. The organisation has a procedure for new admissions and a detailed assessment tool has been devised. Introductory visits are arranged for prospective and existing service users to meet each other and become familiar with the home prior to admission. The Commission for Social Care Inspection has been informed that the organisation has developed a statement of terms and conditions of residency for service users and these will be provided to each person in due course. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9 The service users are enabled to participate in, and make decisions about, all aspects of their lives. EVIDENCE: Discussions with one of the service users and the staff confirmed that service users are actively consulted and enabled to make choices and decisions about their lives. Service users are supported to take risks that have been carefully assessed. For example, one of the service users spending short periods of time in the house unsupported by staff as part of moving towards a more independent lifestyle. The staff member on duty was fully aware of the needs of the service users and a good rapport has been established. The service user confirmed that he was aware of any restrictions on choice or freedom and was able to describe and explain why these agreements were in place. The attitude and approach of the staff team promotes independence and empowers service users to make decisions about lifestyles and daily routines, demonstrating excellent practice. The organisation provides additional money for clothing and leisure activities. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Service users can learn life skills, attend work placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with a service user and staff member showed that service users are enabled to live as full a life as they wish to with opportunities for personal development. Service users are encouraged to carry out all the domestic tasks in the home and participate in leisure activities of their choice including holidays. Service users are encouraged and enabled to find paid employment. The home does not provide transport as service users are encouraged to use public transport wherever possible. Staff cars are used occasionally, for which service users make a contribution towards the cost of petrol. The service user spoken with was clear that he considers this to be his home and feels empowered to make decisions because the staff and management team listen to what he says. Service users choose the menu, do the shopping and prepare meals, drinks and snacks. Each week they have a takeaway or meal out and this is paid for by the organisation. Contact with relatives and friends is Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 10 encouraged and there are no limitations in place regarding visitors to the home. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: A service user confirmed that he is consulted about the level of personal support he needs, and that external professional advice and guidance is sought when necessary from local health care professionals or social services. Timings are flexible and the choice of the service user. The home has changed the medication system to a monitored dosage system, medication was locked away safely, and the administration records were up to date and accurate. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users can be confident that the Registered Provider always deals with complaints seriously and any concerns from service users are listened to and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. The home has a complaints procedure and a service user explained how he would make a complaint and who he would talk to. Regular house meetings are held where any issues can be raised and are dealt with immediately, although it was also clear from discussion that service users can raise any issue at any time. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 The standard of the environment within this home is satisfactory providing service users with a comfortable and homely place to live. EVIDENCE: The home is clean and hygienic with a satisfactory quality of furnishings. Areas that have been redecorated since the last inspection are the ground and 1st floor hallways and the dining room. The carpet was removed from the lounge room floor, revealing wooden parquet flooring underneath and there are plans to do the same in the room beside it. Overall the standard of décor is satisfactory and there are rooms that are in the process of being redecorated. The service user spoken with has been involved in the redecoration process, including choosing the colour scheme, and is clearly very proud of his efforts and is aware of what else needs doing in the house. Each service user has a single bedroom on the 1st floor, none of which have en suite facilities or wash hand basins. A service user confirmed he did not need a wash hand basin in his bedroom and is happy to use the sink in the bathroom. Bedrooms are individually decorated and the service user said that he chose the colour scheme. One bedroom door is fitted with a fastening device so that it can be secured when the service user is out and he confirmed that he is happy with this. Another bedroom door is fitted with a yale lock and the service user has a key. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 14 The home has a bathroom on the ground floor, consisting of a combined bath/shower and a toilet; and a bath/shower room on the 1st floor with a separate toilet. There are small bolts on the doors to afford sufficient privacy and the service user spoken with said that these are satisfactory. The Registered Manager has previously confirmed that these can easily be forced if staff need to gain access in an emergency. However, the Registered Provider should consider more appropriate locks as part of the overall improvement programme. There are shared rooms on the ground floor consisting of a dining room off the kitchen, a lounge room and an additional room where service users can eat meals or relax, as they wish. Both this room and the lounge room can be used by staff to sleep in at night. The service user confirmed that no-one smokes in the home and there is a lean-to at the side of the house that provides some shelter although the service user said it needs a new roof because it leaks. The home has no specific aids/adaptations for service users with physical disabilities as these are not required. The washing machine is located in the kitchen but the risk of cross infection is low due to the number and needs of the service users. The service user and staff member confirmed that they are waiting for a new cooker to arrive and there are plans to alter the layout of the kitchen and dining room in due course. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 35 Staff are enthusiastic, have a good understanding of the service users’ needs and work positively with service users to improve their quality of life. EVIDENCE: The service user and staff member on duty confirmed that there are usually two staff on duty until 10pm with one staff member sleeping in at night. The service user confirmed that he has opportunities to meet prospective new staff members before they start working in the home. The high staffing levels means that they are able to respond immediately and effectively when necessary and that service users are able to participate in almost any community activity, if this is desired. There are plans in place to reduce the staffing levels so that one of the service users can spend short periods of time in the home without support, as part of working towards a more independent lifestyle. The organisation has a positive approach to training and the staff member confirmed that he has completed courses such as first aid, social role valorisation and fire safety awareness and will be participating in a health and safety course in the near future. The organisation does not tend to enrol staff on National Vocational Qualifications but have devised their own training, in consultation with the local College of Further Education, as this reflects the needs of the service users they support. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38 and 42 The management approach is open, inclusive and positive, providing clear leadership and guidance. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The home has Registered Manager who has been in post for approximately one year and is undertaking a level 4 National Vocational Qualification and the Registered Manager’s Award. The staff member on duty confirmed that the management approach is open and positive, and staff are listened to and included in any decisions regarding the service users and the running of the home. The staff member confirmed that all staff are expected to undertake health and safety training and emergency first aid, and service users also participate in fire drills. Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 4 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ryder Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000003450.V263425.R01.S.doc Version 5.0 Page 18 NO Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 Good Practice Recommendations Ryder Road DS0000003450.V263425.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 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. 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