Inspection on 06/12/05 for Riccall House

This inspection was carried out on 6th 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 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

Riccall House 14/12/06

Riccall House 13/03/06

Riccall House 25/01/05

Riccall House 05/08/04

Riccall House 11/03/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Riccall House 78 Main Street Riccall York North Yorkshire YO19 6QD Lead Inspector Kate Shackleton Unannounced Inspection 6th December 2005 09:30 X10015.doc Version 1.40 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 Riccall House DS0000007669.V267379.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 Older People. 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. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Riccall House Address 78 Main Street Riccall York North Yorkshire YO19 6QD 01757 248586 01757 248123 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 Gillian Mary Conroy Mr John Anthony Conroy Mrs Diane Moughan Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (18) of places Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 named service user under the age of 65. This condition will cease when the named service user reaches 65 or leaves the home. Service Users to include up to 18 (OP) and up to 18 (DE(E)) up to a maximum of 18 Service Users Date of last inspection Brief Description of the Service: Riccall House is registered to provide personal and social care and accommodation for 18 older people who may have additional dementia care needs relating to their age. The home is located on the main street in the village of Riccall, four miles from the market town of Selby and eight miles from the City of York. The village is on a main bus route to both of these locations. The home consists of a two storey Georgian building with a newer, purpose built ground floor extension. Twelve of the fifteen bedrooms are for single accommodation. None of these have en-suite facilities. One of the three double rooms has an en-suite facility. The home has no passenger lift but has a stair lift. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first to be undertaken between April 2005 and March 2006. It was done on the 6 December 2005. It took 5 hours plus 1 hour’s preparation time. Discussions were held with a number of service users, three relatives, two care staff and the registered manager. A number of records and most areas of the home, including bedrooms, bathrooms and shared areas were seen. What the service does well: What has improved since the last inspection? The manager has achieved a professional qualification and more care staff have completed National Vocational Qualifications. Nutritional assessments are completed to ensure that any change to dietary needs and or significant weight loss is picked up quickly and acted upon. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 6 There has been some redecoration and refurbishment of the premises. A planned programme of improvements makes sure that service users continue to live in comfortable surroundings. 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. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1and 3. Standard 6 does not apply to Riccall House Detailed information about the home is made available to any prospective service user and/or others involved in arranging a placement within the home enabling them to make an informed choice. EVIDENCE: Relatives said that they were given an information pack, which provided them with all the information they needed. One relative was impressed with the fact that when she rang up to make enquires about the home she was asked, “to call in anytime she liked”. Everyone is assessed before admission and has a trial period before having to make up their minds about living in the home permanently. Assessments cover a range of issues for example personal and social care needs, spiritual needs, medication and mobility. Personal and environmental risk assessments are completed. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 9 At the last inspection the manager was asked to do nutritional assessments. This is now done as part of the pre admission and on going assessments of service users. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Service users are provided with a service that promotes and protects their privacy dignity and independence. The staff have a good understanding of service users needs. EVIDENCE: All service users have a care plan. Plans seen showed the type of care that the person needs and are reviewed regularly. Relatives confirmed that they are involved in the review. Where possible service users are encouraged to be independent. The home operates a keyworker scheme which means that each service user has a named member of staff assigned to them who takes a special interest in aspects of their live other than the day to day care needs. Doctors, nurses and other health care professionals visit the home. The surgery is next door to the home and therefore easily accessible to service users. Following a risk assessment service users can if they want to look after their own medicines. Arrangements are in place for the secure storage and safe Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 11 administration and disposal of medicines. Designated staff who have received training are the only people who can give out medicines. Service users and relatives said that staff are polite, helpful and caring. Staff were seen enjoying the company of service users, involving them in conversations and checking that they had what they needed and were comfortable. Staff training covers staff attitudes about respect and privacy. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Service users receive a service that they are happy with from an enthusiastic staff team. EVIDENCE: Service users and relatives said that the care provided is very good. They spoke highly of the staff team and relatives always felt welcome in the home. There is a range of activities available within and outside of the home and an activities organiser is employed. Service users and relatives were able to give a number of examples about the way in which people exercise choice and control in their daily lives. Some situations given were, Rising and retiring time, clothes to wear, bathing times, choice of activities in and outside the home and food. Positive relationships between service users and staff were observed. The inspector joined service users for lunch. There was a choice of a hot or cold meal and it was nicely presented. The meal was tasty and service users said that the food is very good. Local fresh produce is used and a relative commented that baking is done daily. One relative said that the home is very accommodating about the particular dietary needs of her relative. Drinks and Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 13 snacks are available at any time. Service users can choose to eat in the dining room or elsewhere in the home. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Service users can be confident that complaints are taken seriously and acted upon. Proper procedures and staff training protect service users from harm. EVIDENCE: Service users and relatives said that they had no complaints about the service delivered but if they had they would speak to the manager who is very approachable. The information given to service users and relatives includes the homes complaints procedure. Staff spoken to say that they would never ignore concerns raised by service users. They were knowledgeable about the procedure to follow if they suspected or an allegation of abuse was made. Staff receive training in abuse awareness. There have been no incidents of abuse reported since the last inspection. The manager is aware that staff that are deemed to be unsuitable to work with vulnerable adults are referred for inclusion on the Protection of Vulnerable Adults register. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Service users live in a clean safe and comfortable environment. EVIDENCE: The home is well maintained and pleasantly decorated and furnished throughout. Since the last inspection there has been some redecoration and refurbishment to communal areas and bedrooms. The majority of bedrooms are for single occupation with a few shared rooms. They are well decorated and service users are able to personalise them to reflect their taste. Other shared areas consist of a kitchen, a dining room, and two lounges. Appropriate aids, adaptations and equipment are fitted throughout the home The home is spotlessly clean with no offensive odours. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Service users needs are met by sufficient numbers of well - trained staff. EVIDENCE: Service users and relatives said that there is enough staff on duty to support service users. Staff were seen taking time with service users there was no sense of people being rushed. One relative said, “Everyone looks well looked after” The staffing roster shows that staff are employed in sufficient numbers and are deployed in such a way as to ensure that the needs of people living in the home are met at all times. The care staff have worked hard to achieve National Vocational Qualifications in care to levels 2 and 3. Nine of the twenty- one care staff has now completed the award, with a further five staff doing level 2. Staff spoken to said that the training provided is very good and provides them with the knowledge and skills to carry out their duties in a competent manner. A programme of forthcoming staff training was seen Staff files seen showed that staff are properly vetted before being offered employment. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 The home is well managed. The risk of harm or injury to service users and staff is minimised through safe systems of working, staff training and risk assessment. EVIDENCE: The registered manager has considerable management experience and, since the last inspection, has become appropriately qualified having completed the Registered Managers Award and is enrolled on the NVQ level4 in care. Staff said that she is a very approachable manager with good management and leadership qualities. They also said that she is very supportive and encourages their personal development fully. There is a Quality Assurance scheme whereby service users and or their relatives are sent questionnaires about the standard of service provided. The findings are analysed followed by an action plan. The manager says that she Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 18 does unannounced visits to make sure that the home is been run properly in her absence. The proprietors of the home are not providing the Commission for Social Care Inspection with monthly reports on the conduct of the home. The report should follow a monthly unannounced visit by one of the partners or an employee who is not directly concerned with the conduct of the care home. The visit should include discussions with service users, relatives and staff. Inspection of the premises and some records. The homeowners live close by and are in and out of the home on a daily basis. There is a system in place that safeguards any personal monies held by the home on behalf of service users. Relatives confirmed that satisfactory procedures are in place. There are a range of policies, procedures and systems in place to promote the health safety and welfare of service users and staff. Staff receive training in safe working practices and first-aid. Gas and electrical appliances are serviced regularly. Stair lifts and hoists have regular services. Risk assessments are carried out and the findings recorded. The Environmental Health Officer visited in February 2005 and the contraventions and recommendations listed have been actioned. Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 20 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. 1 Standard OP33 Regulation 26 Requirement The registered Provider must arrange for monthly unannounced visits to be made to the home to check on the quality of the service being provided and prepare a written report on the conduct of the home. A copy of the report must be sent to the Commission and given to the registered manager. Timescale for action 06/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Riccall House DS0000007669.V267379.R01.S.doc Version 5.0 Page 22 - 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. 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