Inspection on 16/01/07 for Ransdale House

This inspection was carried out on 16th January 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ransdale House 15/12/05

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 Neil McKenzie Key Unannounced Inspection 16th January 2007 09:30 Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 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.V318058.R01.S.doc Version 5.2 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.V318058.R01.S.doc Version 5.2 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) www.rnid.org.uk RNID Care Services Mrs Judy Anne Sharples Care Home 6 Category(ies) of Sensory impairment (6) registration, with number of places Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual has a sensory impairment and a physical disability. 15th December 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. The lowest fee is £984.11 per week. The highest fee is £1061.12 per week Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was contacted before the inspection. The inspection lasted for 6 hours. During the visit the inspector spoke to residents and staff to find out what their views were about Ransdale House. A qualified sign language interpretor supported the inspector in this. The inspector also spent time speaking to the Home Manager. The inspector spent some more time watching how staff and residents mix with each other. A tour of the home took place and records looked at included staff recruitment and training, resident care plans and how the home handles medication and money for residents. There was also questionnaire’s sent to the home, residents and relatives and these were looked at to help decide how well the home does in meeting the National Minimum Standards. What the service does well: The questionnaires returned from relatives and residents said they were pleased about the home. They all stated that they were satisfied with the overall care provided. For example, one relative commented how the home encourages residents to be part of the community, ‘we are very pleased that our daughter continues to go out into the community. This involves extra work arranging safe transport. She is also encouraged in her love of cloths, hairstyles etc which give her self-confidence but shows that staff care’. The inspector also noticed how staff supported residents in a relaxed manner as they encouraged residents to, for example, prepare food for themselves. The home is good at providing personal plans to help residents live their lives to the full in a safe way. This includes individual guidance on the handling of behaviours, health and safety as well as what residents like and not like to do. Staff are supported in the work they do from regular supervision and training to ensure they meet the needs of residents. At the time of the inspection all staff had completed a National Vocational Qualification in Care level 2 or 3. The residents live in a pleasant home that is well looked after and kept clean and tidy. Residents also have bedrooms that have lots of their personal belongings as well as communal space to spend time in. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 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 Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Information about the home is available and appropriate. The care needs, and aspirations, of any prospective residents will be assessed prior to admission. EVIDENCE: The care manager said that all residents are provided with a service users guide, which contains all of the required information about the home and how to contact the home. A copy was made available for examination during the visit to the home. The guide contained the required information. Presented in a colourful file called ‘Their lives, their choices’ the guide has photographs of current residents and quotes from them on the services and supports they experience whilst living at Ransdale House. One resident who has recently moved into the home said in his questionnaire, ‘Yes, I was asked if I wanted to be here, and I agreed’. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 9 Residents living at Ransdale House apart from one have done so for several years. However, at the time of inspection one resident recently moved into the home had not yet received the detailed assessment carried out in partnership with the local social services department. The manager said that a robust procedure of assessment had been undertaken and would ensure this is obtained and kept in the home. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments were detailed with evidence of review and updating. Support is given to all residents to try to ensure as independent a lifestyle as possible. EVIDENCE: Evidence was in place in the files examined that relatives and residents had been involved about the content and in particular any risks for a resident that may require actions by staff. For example, ‘safeguards’ had been introduced to allow one resident to enjoy the benefits of going out on his own whilst reducing the risk of the resident going missing. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 11 Each care plan also included detail on how best to support a resident with information on, for example, how to assist with any difficult changes in behaviour. It was evident that training for staff supports individual guidance on the handling of particular behaviours. One staff member stated, ‘ I absolutely loved this training; I saw residents in a different way’. There was also evidence from records in care plans that show the home also works hard to reflect the wishes of residents and to help them make choices about their care, and activities. For example, one care plan had included ‘My life’ written by one resident done on his own computer. One relative stated, ‘we are very pleased that our daughter continues to go out into the community. This involves extra work arranging safe transport. She is also encouraged in her love of cloths, hairstyles etc which give her self-confidence but shows that staff care’. A resident interviewed commented ‘ residents meet, we decide what to do and talk about cloths, new socks and shoes’. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent) This judgement has been made using available evidence including a visit to this service. Residents are supported to take part in a wide range of activity in the home and further a field. Resident’s dietary needs and choices are well catered for and relatives and friends are encouraged to maintain contact. EVIDENCE: Staffs work hard at supporting their residents to access appropriate activity. This includes residents attending different activities during the week. A resident stated in their questionnaire, ‘ I can choose to go out to different places’. In addition residents are supported to take part in a variety of leisure activity and holiday. One resident interviewed said, ‘ My friends are here, have a supervisor that give me support to help with cooking, college, shopping and going to the deaf club’. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 13 Another resident described how they had a recent holiday in Spain and was soon to go on another holiday to visit family. The same resident also talked about celebrating his birthday. Another resident who is a Middlesbrough football supporter is supported to see his team with a season ticket, ‘ I have a season ticket for football and I go myself I tell staff to pick me up because it is dark and I don’t like it’. The manager talked about a project for two residents who are to be supported by a joiner to pursue their interest in woodwork. This was evident by a new workshop that had been built in the homes garden. Residents and staff described a choice menu that includes a weekly ‘pick and choose night’; take away nights and food theme nights. At the time of the inspection a resident prepared the meal. A home made and tasty vegetable soup that was served in pleasing to the eye dinner set. Questionnaires returned by family members all said they are made welcome in the home and able to spend time privately with their relatives. Evidence was available during the inspection in residents’ bedrooms and care plans of family and friends involvement with residents in the home. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents receive high levels of support based on individual needs with health care improved by the involvement of specialist health workers. Residents’ well being is promoted by effective storage and administration of medication. EVIDENCE: It was observed that staffs work hard at meeting the emotional and physical needs of residents. Records in files looked at and discussion with staff referred to specialist health professionals for support and advice as well as access to general practitioners. For example, one staff member referred to regular support and training in autism, epilepsy and behaviour modification from health specialists. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 15 During the inspection the home’s arrangements for receiving, storing, administering, recording and returning resident’s medication were examined and discussed in depth with the deputy manager. At the time of the inspection visit, medication was seen to be correctly stored with accurate records for the medication held. The deputy manager was able to show and describe how medication is received and disposed of and how this is recorded. Separate storage and records for controlled drugs are counter signed when administered. A separate policy and procedure is in place to support residents with medication when on holiday and or visiting relatives. At the time of the inspection one resident self medicated his or her own cream and the manger said this practice is supported by a risk assessment. Staff members who handle medication attend an external training course and receive a certificate on completion. This was evidenced in staff records. Individual residents’ medication record sheets contained photographs of the person to help ensure that residents receive the correct medication. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Observation confirmed that staff observe and listen to the views of residents and families. Staff understood adult protection issues and relatives confirmed they know how to make a complaint; and this protects residents. EVIDENCE: Resident bedrooms displayed a pictorial complaints procedure that points to people who they can speak to if they have a concern and or complaint. Records kept by the home-demonstrated evidence of residents using the complaints procedure and of these complaints being discussed with residents. Staff interviewed presented a clear understanding of adult protection and said they had done training on adult protection. Certificates held in staff records evidenced this. There have been no investigations with regard to Adult abuse in the past 12 months. A random sample of resident’s personal allowances and records were examined and there were no discrepancies with the balance stated on the transaction sheet and the actual amount contained in the individual money envelope. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent) This judgement has been made using available evidence including a visit to this service. Ransdale House is homely and comfortable as well as clean and hygienic. EVIDENCE: A tour of the home showed residents living in a pleasant, comfortable home that is well looked after and kept clean and tidy. Maintenance and associated records requested by the inspection completed as up to date in the preinspection questionnaire by the manager. Residents also benefit from bedrooms that have lots of their personal belongings and choice of deco as well as plenty of communal space to spend time in. This includes a pleasant private garden to the rear of the home. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 18 Since the last inspection the home has secured agreement to upgrade the kitchen and laundry room. The manager demonstrated this with proposed plans for the refurbishment and stated that residents are to be involved in choosing the plan and colour scheme. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. Residents are supported by an effective and well-trained staff team and made safe by good recruitment practice. EVIDENCE: At the time of the inspection there was 2 staff on duty at any one time during the day and evening and 1 staff member providing night covers with on call back up. The manager who commented that staff numbers are increased to 3 when residents are on outings was supporting the day staffs. At times of sickness relief staff recruited via the deaf centres supports the team. At the time of the inspection the manager stated, ‘Currently staff cover is sufficient’. Staff training files contained evidence that new staff members receive an in house induction and certificates demonstrated that staff also receive training specific to resident needs. As one staff member said,‘ ‘ I absolutely loved this training; I saw residents in a different way’. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 20 At the time of the inspection all the staff had completed National Vocational Qualification (NVQ) in Care level 2 or 3. The staff files looked at contained certificates in NVQ. The recruitment files of staff were looked at and contained application forms that were backed up by two written references. Evidence was in place to show that Criminal Records Bureau disclosures at Enhanced level had been received for the staff members prior to them starting work in the home. Staff files examined and staff interviewed demonstrated that staff receives regular supervision and staff meetings to support their practices in the home. The staff meetings involve an interpreter to ensure deaf staff is able to participate fully in discussions. An interpreter involved in the meetings confirmed this practice. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (good) This judgement has been made using available evidence including a visit to this service. The home is well run and whilst the needs and wishes of residents are central to the provision of care which is strengthened by regular self- monitoring reviews. EVIDENCE: The registered manager has worked hard to ensure the home is well run, and she feels she has benefited from completing the National Vocational Award in Management level 4. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 22 There is evidence from the way staff, residents and relatives interact that the home is run in the best interests of those living there. Weekly meetings strengthen this with residents. These are recorded on weekly ‘feedback sheets’ and highlight resident’s involvement in choosing individual activities and food. The home also has a regular audit completed by a senior manager from the organisation that owns the home. The audit monitors all areas of practice in the home and these were made available at the time of the inspection and copies had been forwarded to the Care Commission. Health and safety of residents are promoted by joint training with staff in lifting and handling and fire awareness. It was evident that personal plans for residents include individual information on how best to respond to a fire in the home. This individual information is available in each resident’s room to promote their safety. Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 4 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 4 15 4 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 4 3 Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 24 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. 1 Standard YA2 Regulation 14 (b) Requirement Timescale for action 16/01/07 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 Ransdale House DS0000000095.V318058.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 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 © 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.V318058.R01.S.doc Version 5.2 Page 26 - 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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