Inspection on 15/12/05 for Ransdale House

This inspection was carried out on 15th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Ransdale House 16/01/07

Ransdale House 21/07/05

Ransdale House 15/12/04

Ransdale House 20/08/04

Similar services:

Ashlea Mews Residential Home

Harwood House

South Chowdene Care Home

Farmborough Court

St Albans Place (14)

Bisley Drive (18)

Carrdale

The Hermitage

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Ransdale House 54 Caversham Road Easterside Middlesbrough TS4 3NU Lead Inspector Christine Moon Announced Inspection 15th December 2005 10:30 Ransdale House DS0000000095.V259002.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 Ransdale House DS0000000095.V259002.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. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ransdale House Address 54 Caversham Road Easterside Middlesbrough TS4 3NU 01642 320785 01642 325437 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) Royal National Institute for Deaf People Mrs Judy Anne Sharples Care Home 6 Category(ies) of Sensory impairment (6) registration, with number of places Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual has a sensory impairment and a physical disability. 24th June 2005 Date of last inspection Brief Description of the Service: Ransdale House is run by the Royal National Institute for the Deaf and is registered for the six service users who are profoundly deaf, one of whom also has a physical disability. The home is a detached, two storey building, domestic in style, which blends in with the properties in the surrounding area. The home is close to shops and local amenities and there is easy access to local transport into the centre of Middlesbrough. Accommodation is provided in six single bedrooms. Communal space consists of one main lounge with a dining area, plus a conservatory. There is an enclosed garden to the rear of the home, and a summerhouse. Those living at the home are able to personalise their rooms according to taste and preference. All bedrooms have a wash hand basin, sky television and the home is equipped with specialist communication systems. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place over a period of two hours spent at the home. During this time, time was spent talking with the manager, staff and those living at Ransdale House. This was the second inspection of the year, and priority was given to ensuring that all key standards, as identified by the Department of Health, were audited over the two inspections. A total of 10 Comment Cards were received by the Commission for Social Care Inspection. 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. Ransdale House DS0000000095.V259002.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 Ransdale House DS0000000095.V259002.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): These Standards were not assessed at this Inspection. EVIDENCE: Ransdale House DS0000000095.V259002.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): These Standards were not assessed at this Inspection. EVIDENCE: Ransdale House DS0000000095.V259002.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 Opportunities for development at Ransdale House are many and varied. EVIDENCE: Staff at Ransdale House continue to both encourage and support residents to ensure as high a quality of life as possible is achieved. College courses of choice are available most days, and social activities are many and varied. All residents enjoy trips to the cinema, swimming, meals out and every year holidays are arranged, with staff support. During the Inspection, one resident was baking a chocolate cake, another was busy tidying his room and helping to keep the house tidy and it was clear that those living at the home are proud of their contribution to the running of the home. The manager and staff are to be commended for the enthusiastic and conscientious way they work to ensure that emotional and social needs are met. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 10 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): 20 A policy for the administration of medication is in place. If appropriate, residents would be able to retain control of their own medication, following a risk assessment. EVIDENCE: A robust policy for the administration of medication is in place and all staff have now completed an accredited Safe Handling of Medicines course. Medication audits are carried out by the Manager to ensure staff competence in this area. At the present time it is not appropriate for any resident to retain responsibility for their own medication, but one resident likes to ‘sign’ to confirm their medication has been taken. Medicines are appropriately and safely stored. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 11 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): These Standards were not assessed at this Inspection. EVIDENCE: Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 12 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 The home is comfortable and safe, with bedrooms suited to the needs and lifestyles of residents. EVIDENCE: Again, at the time of the Inspection, the home was homely, clean and comfortable. Those bedrooms seen were appropriately and personally furnished to a high standard. Only one issue was noted – the bathroom wall of one bedroom is scuffed and in need of repair and protective covering. This was put in hand during the Inspection. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 13 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): 34 Residents are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Recruitment takes place alongside the Human Resources Department of the RNID, although interviews are held locally. At the time of the Inspection, new staff were not taking up employment until both CRB (Criminal Records Bureau) and Pova (Protection of Vulnerable Adults) checks have been received. Advice was given in respect of new CRB Guidance, which states that employment can commence as long as both CRB and Pova checks have been applied for, and until these are received, staff are supervised at all times. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 14 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 and 38 The home is well run and residents benefit from a sound ethos and management style. EVIDENCE: The Registered Manager of the home has proved herself to be hard working and competent. She also has the respect of staff. The management ethos definitely places residents at the centre of both care provided and daily life, and aims to promote as high a quality of life as is possible. Encouragement and support provided by staff within the home also aims to maximise independence and potential of those living at the home. Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 15 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 4 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ransdale House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 4 4 X X X X X DS0000000095.V259002.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? NO 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. 1 Refer to Standard 25 Good Practice Recommendations The bathroom wall of one resident’s room is in need of repair, protection and some redecoration Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Ransdale House DS0000000095.V259002.R01.S.doc Version 5.0 Page 18 - 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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