Inspection on 26/01/06 for Richden Park

This inspection was carried out on 26th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Richden Park 07/12/06

Richden Park 27/06/05

Richden Park 14/03/05

Richden Park 15/09/04

Richden Park 27/02/04

Richden Park 13/11/03

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 Richden Park 37-43 Old Brumby Street Scunthorpe North Lincolnshire DN16 2AJ Lead Inspector Mrs Kate Emmerson Unannounced Inspection 26th January 2006 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 Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 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. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Richden Park Address 37-43 Old Brumby Street Scunthorpe North Lincolnshire DN16 2AJ 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) 01724 280587 Bondcare Group Position Vacant Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for the person under 65 is solely for that identified person. This place reverts to registration for people over the age of 65 When that person is no longer resident at the home. 27th June 2005 Date of last inspection Brief Description of the Service: Richden Park is a purpose built residential home. Accommodation is provided over two floors and there are two lifts to access the first floor The home is registered for fifty-two service users under the category of old age There is a small car park to the front of the building Richden Park is close to the bus route into Scunthorpe centre, and Ashby. It is also close to local shops and churches. The home is also in short walking distance to the town centre Nursing care is not provided in the home and this is identified in the statement of purpose Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in January 2006. To find out how the home was run and if the people who lived there were pleased with the care they got the inspector spoke to the manager and 4 of the staff working in the home at the time of the inspection. The inspector also spoke to 5 people who lived in the home and 2 visitors. Some of the records kept in the home were checked. This was to see how the people who lived in the home were being cared for, that the staff had been trained to their job safely and to make sure that the home and the things used in it were safe and were checked regularly. The home was checked to see if it was kept clean and tidy. Overall there was improvement in most areas of the home and the care provided had improved significantly. What the service does well: What has improved since the last inspection? The home gave more information to people about the home and how the care is given and they now write to people to tell if their needs can be met in the home. Every resident now had a care plan that described how the resident’s needs would be met. The plans of care were more detailed and most of the residents had seen and agreed to the care plan. The home now gave the residents information about how they could look at records the home has about them. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 6 The home had employed more staff and now met the minimum guidelines this had improved the care residents had got. The numbers of staff leaving the home within a short space of time had reduced. The owners of the home have decided to build a new office for the manager so that residents will be able to have easy access to the manager and the manager will be able to closely supervise staff. 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. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 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 Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 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): 1 and 2 The home had further developed the service users guide and statement of purpose to give information to prospective service users. Whilst these were informative they still did not include all the information required to meet the National Minimum Standards or Care Home Regulations 2001. The homes contract/statement of terms and conditions had been further developed to meet the National Minimum Standards. EVIDENCE: Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 9 There was a statement of purpose and service users guide available in the home and the manager stated these were provided in each bedroom and at the reception area together with associated polices and procedures. The statement of purpose had been further developed to meet previous requirements and to meet the Regulation 4 and Schedule 1 of the Care Home Regulations 2001. The document is now more user friendly. However the document still requires some inclusions to meet the regulation and schedule for example the qualifications and experience of the Registered Provider and arrangements for contact with family and friends. Other areas, such as the range of needs that can be met in the home should be further expanded. The service users guide had also been further developed, but to meet the standard the service users guide must include the qualifications and experience of the registered provider and number of places provided and service users views of the home A contract/statement of terms and conditions was provided to service users. This had been further developed to meet the standard and the manager now wrote to service users to confirm that that their needs could be met at the home following assessment. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 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 and 10 The quality of risk assessment, care planning, evaluation and review had been improved. Service users health needs were met but care must be taken to ensure that care plans are completed for all health needs. Records were not stored securely. Service users felt their privacy and dignity was respected. EVIDENCE: A random selection of five care plans was examined. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 11 There had been further development of the care plans and the quality of care planning had improved generally. There was some evidence that care plans had been developed from detailed assessments of need. The care plans had been evaluated monthly and there was evidence that reviews had been completed. There was also evidence that these care plans had been agreed and signed in most cases. Where one service user had been assessed as high risk of pressure sore development a care plan to reduce the risks of pressure sore development had not been developed. There was evidence that nutritional screening was completed and evaluated regularly and weights were recorded. The lock on the cupboard used for storing care plans did not work so care plans were not stored securely. Service users stated that their privacy and dignity was respected. Evidence from observation of practise, discussion with service users and staff indicated that the service users privacy and dignity were respected. The service users stated the staff were kind, used their preferred term of address and knocked on bedroom doors before entering. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 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 and 15 The services provided in the home were flexible and activities met service users needs. The service users maintained contact with their families as they wished. Service users received a varied and nutritious diet. EVIDENCE: The home employed an activities coordinator for 16 hours per week. The activities had improved and there was now a weekly plan, which included games, films and one to one activities. The plan for the week was displayed in the reception area. The service users stated that there was plenty to do if you wanted to. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 13 Information regarding access to records was now provided in the service users guide. Service users confirmed that they were able to exercise choice in all their daily routines. Visitors stated that they were made to feel welcome and the visitors in communal rooms had provided extra chairs for use. The menus offered a varied and nutritious diet. The manager had updated the menu following consultation with service users to offer an improved choice of alternatives. The service users commented that the food was ‘improved’, ‘excellent, you can have anything you want’, ‘very good’ and ‘wonderful, couldn’t ask for better’. They stated that there was always a choice at mealtimes and stated they could have a full breakfast if they wished. There was evidence of home baking and fresh fruit was offered daily. Staff encouraged independence and aids were provided. Staff were seen to offer assistance when feeding service users in a sensitive and discreet manner. The kitchen was clean and tidy and all appropriate records were maintained. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 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 The home had a robust complaints procedure and complaints were taken seriously and acted upon. EVIDENCE: Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 15 The homes policies and procedures for complaints were observed and found to be appropriate to the needs of the home. A copy of the policy and procedure was displayed in the reception area, in bedrooms, and in the information provided to prospective service users in the service users guide. The policy states that complaints will be responded to within 28 days, and a record book is kept to record any complaints and the outcome of any investigation. The home had improved staffing levels and care practises which in turn had led to a decrease in the number of complaints received. The Commission had received one verbal complaint since the last inspection in August 2005 from a relative of a service user. The areas of concern included lack of communication from the manager, lack of supervision and assistance with eating and drinking and inconsistent and inadequate staffing levels. The commission investigated the complaint with input from the Care Management team and the home manager. The complaint was partially founded. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 16 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): 26 The home was clean tidy and well maintained. EVIDENCE: A partial tour of the building was undertaken and requirements from the previous inspection report relating to the above standards were checked for compliance. The standard of cleaning in the home had improved and some areas had been redecorated and had new carpets and curtains fitted. Maintenance records were maintained. There was now evidence that the home complied with the Water Supply (Water fittings) Regulations 1999. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 17 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 and 30 The home now provided adequate staffing levels and there was a stable staff group. Although there was some improvement in staff training, further improvements in this area are required to ensure that staff are competent to do their jobs safely. EVIDENCE: The manager had worked hard to increase staff numbers in the home to ensure that they were now able to meet minimum guidelines. This had encouraged staff to remain at the home creating a stable staff group and this had had a significant impact on the quality of care provided. Service users were now very positive about the care they received and described the staff as ‘very good, come when you ring the bell’, marvellous’, ‘wonderful’ and ‘excellent, do anything for you’. Two staff have achieved NVQ level 2 and nine have registered to commence training. TOPPS induction training had been introduced to the home but the manager stated that this had not been fully implemented. New staff now completed 3 supernumerary days before working as part of the staff numbers this had Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 18 assisted in ensuring staff continued with their employment at the home. The manager stated that new staff had to wait up to 3 months before receiving moving and handling training. This may put service users health and safety at risk. Staff stated that training in the home had improved and first aid training had been provided for all senior staff. Training in management of aggression and protection of vulnerable adults. However they said that not all the staff were sufficiently competent regarding fire procedures, and they had not received accredited safe handling of medication training. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 19 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, 36 and 38 The home had an experienced manager. The home did not monitor the quality of the services provided. The home had processes in place to safeguard service users finances. The staff were not regularly supervised. The staff were adequately trained in fire safety to ensure the health and safety of service users EVIDENCE: The manager Bridget Simpson had been in post since April 2005 months and had had a positive effect in all areas of the home. The manager’s application to be Registered Manager for the home was being processed by the Commission. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 20 As mentioned in previous reports the remoteness of the manager’s office reduces the impact and accessibility of management in the home. However the manager was able to provide plans for a new office, which would address this situation. The quality of the service was not being monitored, as the manager had not received the required training in the companies systems. This had been arranged at the last inspection but had been cancelled and had still not been completed. The only form of monitoring that had been completed by the manager had been relative’s questionnaires. The home assisted service users with their finances and held money on their behalf. Clear records of all transactions and receipts were maintained. Senior staff had been on a supervision course to assist the manager in providing staff supervision but a programme of regular supervision had not been fully implemented. The home had systems in place to manage health and safety in the home and appropriate records were maintained and checks of equipment had been completed. One of the gas boilers was due for a service just before the inspection and the manager stated that this was booked. Staff identified that staff were not competent in the fire procedures and on checking records the last recorded fire drill had been in February 2005. The manger stated that another fire drill was planned for the day after the inspection. The registered person must ensure that staff receive adequate fire training to ensure competency in this area. The environmental health officer had visited just prior to the inspection and there was some work to be completed to meet their regulations. Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 21 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 2 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 1 X 2 Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4 Requirement The registered person must ensure that the statement of purpose includes all the information as listed in Schedule 1 of the Care Home Regulations 200. (Previous timescale 1 October 2005 not met) The registered person must include in the service users guide all the information listed in Standard 1 and Reulation 5 of the Care Home Regulations 2001. (Previous timescale 1 October 2005 not met) The registered person must ensure that care plans are stored securely. The registered person should ensure that 50 of the staff in the home have achieved NVQ 2. (Previous timescale 31 December 2005 not met) The registered person must ensure that all new staff receive induction training within six weeks of employment foundation training within six DS0000002889.V281146.R01.S.doc Timescale for action 01/04/06 2 OP1 5 01/04/06 3 3 OP7 OP28 17(1) 18(1) 26/01/06 01/09/06 4 OP30 18(1) 26/01/06 Richden Park Version 5.1 Page 23 5 OP36 18(2) 6 OP33 24 7 OP38 23(4) months of employment and mandatory training with appropriate refresher training as an ongoing programme (The previous timescale – with immediate effect-was not met). The registered person must ensure that staff receive a minimum of six formal recorded supervision sessions per year. (The previous timescale - 1st January, 1 June 2005 and 1 October 2005-was not met) The registered person must ensure that there is an effective quality assurance and quality monitoring system in the home that includes an action plan and publication. (The previous timescale - 1 January 20051 and October 2005 -was not met) The registered person must ensure that all staff have fire training and are competent to follow fire procedures. 01/04/06 01/04/06 01/04/06 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 Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Richden Park DS0000002889.V281146.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!