Inspection on 19/12/08 for 8-10 Richmond Road

This inspection was carried out on 19th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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 01/12/05

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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 8-10 Richmond Road 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ     The quality rating for this care home is:   one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Western     Date: 1 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: 8-10 Richmond Road 8-10 Richmond Road Lincoln Lincolnshire LN1 1LQ 01522887123 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sheila Mary Conlon Type of registration: Number of places registered: Mrs Hayley Stephens,Mrs Jill Ross care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: 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 Date of last inspection Brief description of the care home 8-10 Richmond Road is a care home providing personal care and accommodation for 12 younger adults with Mental Health needs. The home was opened in 1993 and is owned by Mrs Ross and Mrs Stephens . 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 Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 12 Brief description of the care home 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. The home has a single rate, which is currently £365 per week. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager and residents about 8-10 Richmond Road and by undertaking a visit to the home, which took three hours to complete with the inspector using a method of inspection called case tracking. This method involved identifying individual residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspection was also used to check that information provided about how the care needs are currently met matched the individual experiences of records. We talked to residents, the manager and care staff whilst observing day-to-day practices within the home. Care Homes for Adults (18-65 years) Page 6 of 25 The manager named in the report has since left and the newly-appointed manager is applying for registration. She was present throughout the inspection. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information provided is freely available to people and clearly sets out what is available for them, but is not up to date. A comprehensive initial assessment ensures that the needs of people can be met. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. Evidence: Care files we saw showed that people had contracts in place. A wide range of information about likes, dislikes, preferred routines and support needs formed the basis of the care plan. The manager described how a plan for introduction to the home is discussed with people and their carers and will usually involve a few visits prior to an overnight stay.One resident described how she had visited for the day several times and then stayed overnight before she was sure she wanted to stay for a week. Both the statement of purpose and the service user guide contained all of the information needed for prospective residents to make a decision, but the statement of purpose needed updating. A staff member described the admission process and the importance of making new residents and their families welcomed; she was knowledgeable and Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: used a caring approach. Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans accurately describe service users support needs and service users are fully consulted. There are good assessments in place to minimise risks to service users. Evidence: We saw care plans for three people; they contain good personal information including likes, dislikes and preferred routines. It was made clear about peoples needs and how they were going to be met and there were risk assessments. Staff told us that they have daily access to care records and write in them. The manager is in the process of separating care plans as they are currently contained in one large folder. We saw that reviews had taken place and there were reports from other professional agencies such as Community Psychiatric nurses and consultant psychiatrists. We could see that people had been involved in their care plans and in reviews. People had clear ownership of the home and were seen answering the front door and checking who people were before letting them in. One resident was seen going out with a friend who had called; he said We can do what we want as long as we let them know and I can Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: have my friends round when I want. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A good variety of leisure activities and outings are provided to ensure that service users have an enjoyable stay. Service users have a choice of meals from a balanced and varied menu. Evidence: We spoke with five residents who told us how they spend their days. We were told about the forthcoming Christmas activities which included a quiz night, parties, a disco and a trip to the theatre. Some people were going home for Christmas. People described recent activities which had included day trips to Boston and Skegness, a barbecue and T.V. games. Staff we spoke with said that people are encouraged to be as independent as possible and on the day of the inspection some went out shopping or with friends for coffee or to the pub. We saw people preparing their own lunch with support and all said they enjoyed the Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: food. The main meal was in the evening and staff usually prepared this. We saw that fresh fruit and vegetables were used. Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are in sufficient depth and detail to ensure that peoples health care needs can be met. Evidence: We looked at the medication arrangements for people. Each person has a separate medication file and is supported by a staff group who knows their needs well. Their preferred routines are well documented; one said I look after myself - I get up and go to bed when I want. The manager told us how she had recently overhauled the medication practices at the home with the result that medication arrangements were safer and easier for staff to manage. Two people administered their own medication. A pharmacist visited the home regularly to check medication practices and any issues from the most recent visit on 5/11/2008 had been addressed. People told us that they were satisfied with the health care given and staff we spoke with described the nature of care and support given to some people. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes procedures for addressing complaints and for protection from abuse are clear. Residents and their families are confident that their comments and concerns will be listened to. Evidence: We spoke with two people about that they would do if they had any worries or concerns. Both were clear on the action they would take and one said The staff would help me - if they didnt Id go to Social Services. We also spoke with staff who were clear on safeguarding issues. There had been no complaints since the last inspection.The manager said that all staff members had received training in safeguarding adults this year and staff members confirmed this. Care Homes for Adults (18-65 years) Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents live in a safe, comfortable and pleasant environment that is suitable for their needs. Evidence: The home presents as a domestic dwelling and is indistinguishable from the other properties in the road. It consists of two Victorian houses joined by an internal door. Overall, the standard of decoration internally was good and afforded people a great degree of comfort. People said that they liked their bedrooms; one said My bedroom is lovely - I chose the colours myself. Other rooms were well personalised. The garden and patio areas were well maintained and offered pleasant and private places for residents to sit out in. Recent improvements to the home had included refitted bathrooms and kitchens. The building smelled clean and fresh throughout. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent to meet the needs of residents. Evidence: We saw the daily staff rota which showed that in addition to the manager, there were two support workers. A cleaner had recently been appointed. Staff members we spoke with said that there were enough staff to complete their tasks in time and residents confirmed this. Staff members we spoke with had been working at the home for many years. We saw training records for the National Vocational Qualification [a nationally recognised qualification]. These showed that four staff have achieved NVQ at level 2 with four working towards it. Three staff have NVQ at level 3 with two working towards it. The training records showed that all staff members were up to date with mandatory training and in addition there was a programme of training fro the following year using an external trainer. A staff member described how she had an interview, gave three references and underwent an induction and CRB/POVA checks and staff records we saw confirmed this. Records also showed that staff received regular supervision and had monthly staff meetings. Care Homes for Adults (18-65 years) Page 19 of 25 Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is adeqwuately managed and the health, safety and welfare of people are promoted. Policies and procedures have not been reviewed and are not up to date, which may put peoples safety at risk. The views of the residents are listened to and they are involved in decisions affecting them. Evidence: The manager of the home has been in post since October 2008. She is applying to undertake the Registered Managers Award. Staff members we spoke with said that the management team were approachable and accessible and the owner visits regularly; people we spoke with said Mrs Ross is fine - she listens to us. The manager is curerntly moving offices and policies and procedures were therefore in various places. The manager said her aim was to have one place for all documents as they were currently scattered throughout the two houses. Some documents, such as the up to date version of the local authoritys safeguarding adults procedures, could not be found. Some policies and procedures needed updating; the manager was aware of this. The manager does not have a computer at the home and this makes it difficult for Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: her to keep up to date with new practices and information from CSCI. Care Homes for Adults (18-65 years) Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 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, Care Homes 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 1 41 14 The registered person must keep all records up to date. To ensure the safety of people. 18/02/2009 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 Adults (18-65 years) Page 24 of 25 Helpline: 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 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!