Inspection on 01/12/05 for 8-10 Richmond Road

This inspection was carried out on 1st December 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

8-10 Richmond Road 19/12/08

8-10 Richmond Road 27/12/07

8-10 Richmond Road 03/07/07

8-10 Richmond Road 09/01/07

8-10 Richmond Road 11/08/05

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 8-10 Richmond Road 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ Lead Inspector Julie Western Unannounced Inspection 1st December 2005 09:30 8-10 Richmond Road DS0000062565.V270695.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 8-10 Richmond Road DS0000062565.V270695.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. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 8-10 Richmond Road Address 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ 01522 887123 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) Mrs Jill Ross Mrs Hayley Stephens Sheila Mary Conlon Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for service users of both sexes whose primary needs fall within the following categories:Mental Disorder, excluding learning disability or dementia (MD) - 12 11th August 2005 Date of last inspection Brief Description of the Service: 8-10 Richmond Road is a care home providing personal care and accommodation for 12 younger adults with Mental Health needs. On the day of the inspection the home was fully occupied. The home was opened in 1993 and is owned by Mrs Stephens and managed by the registered manager Mrs Mary Conlon. It is located in a residential area of Lincoln city centre and is within easy walking distance to the city centre and all the amenities the city has to offer. The building consists of a pair of two-storey late Victorian terraced houses connected via an internal corridor. An extension has been added to number 10 to afford more communal space on the ground floor. Accommodation is in 10 single bedrooms and one double room; number 8 accommodating five residents and number ten accommodating seven. Each house has its own kitchen and laundry, but facilities are shared freely between the residents. The home has small frontage gardens and small, steep interconnected rear gardens, which are maintained by the residents. There is no designated car parking area but the home has six residents’ parking permits for visitors. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours. A partial tour of the building took place and care records were inspected. The main method of inspection used was called ‘case-tracking’; this involved selecting three residents and tracking the care they received through the checking of their records, discussion with the residents and care staff and observation of practices. Some policies and procedures were examined and records concerning the safety of the home were also seen. Three of the twelve residents and two of the care staff were spoken with. The Assistant Manager Denise Foster, was present throughout the inspection in the absence of the Manager. One of the residents is now over 65 years; the home must therefore apply for a variation to the home’s category of registration. What the service does well: What has improved since the last inspection? The ongoing maintenance programme has recently included the provision of a grab rail to the toilet and a grab rail to the upper garden at number 8. The statement of purpose has been updated. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 6 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. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 7 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 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 8 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): 1-5 The home clearly sets out what it intends to do for its residents, although some information about the day-to-day running of the home is not available. The aspirations and goals of residents are not identified. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. EVIDENCE: There is a comprehensive statement of purpose, which tells the resident and their relatives what they can expect from the service and that there will be an assessment process to undertake prior to a service being provided. This has been updated. The service user guide is comprehensive and contains much information for residents, especially on the availability of various support groups for mental illnesses in the area; however, apart from a set of ‘house rules’ there is little information about the daily routines of the home such as laundry or mealtimes for example. Each resident had assessments prior to admission and these demonstrated that residents, their relatives and other professionals were all involved in contributing to the care plans. The aspirations and goals of each resident were not clearly stated. The Assistant Manager said that one resident was currently staying in the home on a threemonth trial basis. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 9 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): 7-10 Service users benefit from a person centred approach to care and support, which on the whole enables them to develop their independence in a safe and supported manner. Risk assessments are detailed and clear. EVIDENCE: Care plans seen contained details about how residents expressed their needs and showed that they were encouraged to make decisions for themselves wherever they were able. Assessments would benefit from including the goals and aspirations of the resident. Staff members demonstrated that service users were encouraged to make decisions as part of the everyday support offered; for example residents were asked what they wanted to do and what they wished to eat. One resident said ‘As long as I tell them, I can do what I want during the day’. Risk assessments were contained in care plans and were comprehensive. All records were kept in a lockable cupboard and staff demonstrated their understanding of confidentiality issues throughout the inspection. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 10 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, 14-17 Residents enjoy a full and appropriate range of activities both in the home and in the local community. They benefit from the promotion of self-help skills; and clear care records underpin the care and support provided. Meals reflect the choice of residents and provide a balanced diet. EVIDENCE: On the day of the inspection three residents were going for a pub lunch in Lincoln, four were at the De Wint day centre, one, who was over 65, was going to a day centre for older people, one was at an Outreach centre, one was doing voluntary work at a local Healthy Living group and two were staying in the home. Two residents spoke of a recent Hallowe’en party to which friends, relatives and neighbours had been invited. The next event in the home was the Christmas party on 17th December. Residents were encouraged by staff to undertake activities such as shopping, cleaning their rooms, cooking and ironing. Most residents had complete freedom to come and go as they pleased as long as they informed carers. Records demonstrated that menus are based on residents’ needs and preferences: two residents were diabetics and one was on a low fat diet and there was always a salad alternative to the main meal, which was held at 5pm. Those residents who went out all day usually had a pack-up meal of their choice. Residents said they enjoyed the food provided 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 11 and some assisted with preparing the evening meal. The atmosphere at breakfast was relaxed and informal, with most residents preparing their own food and drinks in the two kitchens. The Assistant Manager said that there were future plans to hold a regular quiz night, inviting other teams from the De Wint day centre. Care plans showed that some residents had regular contact with relatives, including trips home at weekends. A daily log gave details of residents’ daily activities. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 12 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): 18-20 The home’s records give a clear picture of the personal and health care needs of residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: All residents in the home were fully mobile; however personal care was given in the form of assistance with showering for one resident. The Assistant Manager confirmed that a good working relationship was in place with the local surgery, which some residents visited regularly for DEPOT injections. Accident records showed that there had been no serious injuries to resident in the last twelve months. The most recent visit from the pharmacist was 28/9/05 and there were no issues from this. The pharmacist had also carried out some training on medication in the home. Several residents were self-medicating and these were recorded clearly on MAR sheets. The home used a blister pack or dosette box system to administer medication and only senior carers were able to carry out this duty. The home was supported by assistance from CPN’s and other health care professionals where necessary. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 13 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): 22,23 The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure. EVIDENCE: The compliments concerns and complaints book showed that there had been no complaints over the last twelve months. The home had an up to date copy of the Local Authority Adult Protection. Residents spoken with were aware of the complaints procedure in the home and where to access it. Care staff were knowledgeable on adult protection procedures and all had signed to say they had seen and understood the adult protection procedures. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 14 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): 24,25,27,28,30 The residents live in a comfortable, pleasant and safe environment with both private and communal space being generally suitable for their needs. EVIDENCE: A tour of the premises showed that the building was on the whole well maintained internally and the small back yard areas and gardens had chairs and tables for residents to sit out in good weather. In number 8 the following were identified; the door closer to the lounge was very stiff and difficult to open, the wallpaper in the bathroom was torn and the carpet on the landing outside the bedroom next to the bathroom had come away from the door strip. The Assistant Manager said that a regular health and safety check was carried out and this included a risk assessment of the building. The two houses are linked by an interconnecting area, with residents free to move between the houses. The ongoing maintenance programme has recently included the provision of a grab rail to the toilet and a grab rail to the upper garden at number 8. Residents’ rooms were cheerfully decorated and clean. The home had two laundry areas, the larger one in number 8 was used for soiled laundry, but the Assistant Manager said that this rarely occurred within the present resident group. 8-10 Richmond Road DS0000062565.V270695.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): These standards were not inspected. EVIDENCE: Although these standards were not fully inspected, the staff rota showed that there were enough staff numbers according to the staffing matrix; residents and staff confirmed that there were enough staff members on duty to complete their tasks. 8-10 Richmond Road DS0000062565.V270695.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): Residents and staff benefit from an open and supportive management approach. The home is well managed, ensuring that service user’s health and safety is maintained whilst promoting their independence. Records are well maintained. EVIDENCE: The home has a range of policies and procedures and a selection of these were sampled including infection control, health and safety, moving and handling, fire safety and Legionella controls. Risk assessments for the environment were seen and individual service user risk assessments were contained in personal files. Fire records were satisfactory; the most recent visit from the Fire Officer on 22/6/05 elicited some issues, which have since been satisfactorily addressed. Materials included in Control Of Substances Hazardous to Health regulations were stored appropriately. Questionnaires were completed by all residents and from these staff and residents’ meetings were held to address any issues. Residents’ monies were not inspected. 8-10 Richmond Road DS0000062565.V270695.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 2 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 8-10 Richmond Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 3 X 3 X DS0000062565.V270695.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? none 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 YA2 Regulation 5[1] Requirement The registered person must develop the service user’s guide to include information on the home’s facilities such as meal times, laundry etc. The registered person must make the following repairs to number 8; the door closer to the lounge is stiff and difficult to open, the wallpaper in the bathroom is torn and the carpet on the landing outside the bedroom next to the bathroom has come away from the door strip. Timescale for action 26/01/06 2. YA24 23[2] (b) 26/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is a recommendation that care plans include the goals and aspirations of residents. 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Extracts may not be used or reproduced without the express permission of CSCI 8-10 Richmond Road DS0000062565.V270695.R01.S.doc Version 5.0 Page 20 - 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. 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