Inspection on 15/08/05 for Richard House

This inspection was carried out on 15th August 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

Richard House 13/02/08

Richard House 28/11/06

Richard House 21/02/06

Richard House 01/12/04

Richard House 15/06/04

Richard House 03/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Richard House 69-73 Beech Road Cale Green Stockport SK3 8HD Lead Inspector Sylvia Brown Unannounced 15 August 2005 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 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. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Richard House Address 69-73 Beech Road, Cale Green, Stockport, SK3 8HD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161-429-6877 0161-474-0457 Denmax Limited Ms J McDonald CRH - Care Home 29 Category(ies) of OP - Old Age registration, with number of places Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 29 OP. Date of last inspection 1 December 2004 Brief Description of the Service: Richard House is situated in a quiet street across from a local school, close to local shops and public transport. The home can accommodate up to 29 older people. Residents have the use of three main lounges with an additional sun lounge,conservatory and seating area at the entrance to the home. The home has been upgraded, redecorated and new fittings and fixtures are in place. Bedroom accommodation has been improved and the home offers 21 single and four double rooms for those who wish to share. A stair lift enables access to the upper floors. To the rear of the home is a garden where a decked patio area has been created to offer further outside seating. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Richard House was unannounced and was conducted in one day. Time was spent sitting and talking with residents about their routines, daily life and experiences whilst at the home. One meal time was shared with residents where the inspector was able to directly observe practices of staff. What the service does well: What has improved since the last inspection? What they could do better: The home should improve how it obtains information and assessments on prospective residents prior to them moving into the home. In addition, initial care plans should be implemented to ensure that continued evaluations and assessments are accurate and reflect progress and/or decline. Richard House has yet to complete quality assurance procedures and produce a public report. The registered person has not applied for a variation, as required previously, to ensure that the registered numbers meet those who can be accommodated within the home. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 6 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. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 standard(s) 3, 4 & 5 Residents have their needs assessed prior to and during their stay. Potential residents can visit the home before making any decisions to move in. EVIDENCE: Evaluation of one newly admitted resident’s file identified that the home had received an assessment from the placing authority, however there was no information provided from the resident’s previous placement or current information regarding the needs of the resident. Although the registered manager had completed her own assessment, dates and consultation process were not recorded. Residents confirmed that they or their family members visited the home prior to making any decisions about moving in. They stated that the home offers the support and services promised and that they were happy and contented with the choices they made. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 9 Inspection of the home’s registration certificate identified that it was incorrect. The home is currently registered to accommodate 33 service users, however the home can now only accommodate 29. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 & 10 Residents receive support to maintain, as far as possible, good health. The home manages and administers medication safely and residents are treated with dignity and respect. EVIDENCE: In the main, care plans detail the health care needs of residents. Evaluations and routine monitoring of individuals’ health care were evident, including the recording of weights, food served, professional medical support and treatments provided. The care plan for the newly admitted resident failed to contain a day time care plan. Information recorded identified that the night time care plan was not followed by staff as detailed. Those residents preferring to administer their own medication had risk assessments in place. One resident’s own routines for managing their medication was observed, as was the support provided to enable them to continue to do so safely. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 11 Since the previous inspection the home had completed a considerable amount of work to comply with the requirements issued. Administration practices were observed to be correct and records were maintained appropriately. Throughout the inspection residents stated they felt they were treated with dignity and respect. One resident explained her personal preferences for maintaining her privacy and how the care staff respect her wishes. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 15 Residents’ lifestyles meet their expectations. They maintain their individuality and have independent friendships and routines. EVIDENCE: The residents spoken to stated they were satisfied with their mainly sedentary lifestyles. They were satisfied with the amount of activities provided and with their individual daily routines. It was evident that some residents prefer to spend part of the day in the communal areas then retire to their rooms to listen to music or watch television. One resident stated they had a private phone line installed in their room and Sky television. One resident stated that whilst there was use of the home’s office phone, which can be used in rooms, she was reluctant to ask for it and would prefer a pay phone to be available. On hearing this, another resident also stated she would prefer a pay phone to be available for use without disturbing staff. Two residents spoke of their individual involvement with their families and community. Another stated “I do my own thing, like getting up and going to bed when I want”. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 13 Residents stated the food served was hot and tasty, but, sometimes, things “go a little wrong”. The manager explained that she was aware that some mealtime routines were not carried out correctly at weekends and that arrangements were underway to correct practice. One mealtime was shared with residents; the food served was hot with residents confirming it was enjoyable. The registered manager presented the new menus to be introduced. Residents stated they would enjoy a bacon sandwich at breakfast or sausage and tomatoes or eggs. Consideration should be given to the inclusion of such hot food items at breakfast. Records of food served were not consistently maintained and did not include breakfast, lunch and suppers. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 standard(s) 16 & !8 Residents are protected from abuse and have their complaints investigated. EVIDENCE: The home has a written complaints procedure in place. Complaints received are recorded, with details of the outcomes evident. Residents stated they felt at ease to report all concerns to the manager and felt confident she would deal with them on their behalf. Residents made positive comments on the conduct of staff and that they felt safe and protected. The registered manager confirmed that training has commenced in adult protection procedures and that all staff are aware of their responsibility to report all suspicions of abuse. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 standard(s) 19, 20, 23, 24, 25 & 26 Richard House is clean and well maintained. residents comfort and security. Rooms are furnished and offer EVIDENCE: The home is pleasantly decorated, with colour co-ordinated communal areas which offer residents a variety of seating arrangements. Residents informed the inspector that they were comfortable and found the areas nice places to relax. One resident invited the inspector into her room. It was clean and presentable with the resident having brought small items from her own home and personalised the room according to her own taste. Residents stated they used their rooms as they wished and maintained their privacy as they individually desired. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 29 Residents receive experienced. care from staff who are appropriately trained and EVIDENCE: Staff were available in appropriate numbers to meet the needs of the residents, who confirmed that they received timely support and care. Training continues with some staff completing training in MRSA, advanced medication, adult protection and nutritional screening. The home has applied for and/or obtained CRB checks on all staff and operate the home’s recruitment and selection procedures when securing new staff. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 & 38 The home is well managed and maintained. Service users’ safety is safeguarded. EVIDENCE: Since the last inspection the manager has successfully completed the registration process to become the registered manager of Richard House. She has completed NVQ level 4 training and the registered manager’s award. The registered manager continues with her training and development. Residents receive support from their family and/or placing authority to manage their finances. The home has minimal involvement with residents’ money. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 18 Accidents are recorded and information maintained on residents’ individual files. Health and safety checks are completed appropriately and certificates of insurance were up to date. Kitchen records were evaluated and found to contain some omissions. Gaps in daily cleaning and temperature recordings were evident. Quality assurance procedures have commenced with the views of residents being sought. The manager stated she will be seeking the views of family, staff and professional visitors to the home and, upon completion, will produce a report. Until complied with, the requirement issued previously will continue. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 1 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 2 x 3 x x 2 Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 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 24 Requirement The registered person must ensure that effective quality assurance and quality monitoring systems, based on seeking service users’ views, are in place, as detailed within standard 33. (Timescales of 01/12/04 and 31/03/05 not met). Timescale for action 31/03/06 2. 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. 2. 3. 4. Refer to Standard OP3 OP3 OP12 OP15 Good Practice Recommendations The registered person should ensure that systems are introduced to obtain all the required information and assessments prior to admitting new residents. The registered person should ensure that assessments for prospective residents detail consultation processes and are dated. The registered person should give due consideration to the residents request for a public pay phone to be installed for their individual use. The registered person should ensure they can demonstrate that residents receive a well balanced and nutritious diet. F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 21 Richard House 5. 6. OP7 OP15 The registered person should ensure that initial care plans are in place for newly admitted residents and that staff follow the care plans as detailed. The registered person should give due consideration to residents request to have hot food options available at breakfast time. Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD 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 Richard House F54 F04 richard house U s8583 v233664 150805 stage 4.doc Version 1.40 Page 23 - 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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