Inspection on 28/03/06 for Richmond Court Dudley

This inspection was carried out on 28th March 2006.

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

Richmond Court Dudley 26/09/07

Richmond Court Dudley 26/02/07

Richmond Court Dudley 07/09/05

Richmond Court Dudley 16/11/04

Richmond Court Dudley 25/06/04

Richmond Court Dudley 02/12/03

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Inspirations

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

CARE HOMES FOR OLDER PEOPLE Richmond Court - Dudley 16 St James Road Dudley West Midlands DY1 3JD Lead Inspector Keith Salmon Unannounced Inspection 28th March 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 Richmond Court - Dudley DS0000047902.V286986.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. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Richmond Court - Dudley Address 16 St James Road Dudley West Midlands DY1 3JD 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) 01384 254442 Mr Dharam Pal Sahni Mrs Sangeeta Sahni Care Home 14 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (13), of places Physical disability over 65 years of age (6) Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users to include up to 13 OP, 6 PD(E) and up to 5 DE(E) That the service user named in the variation report dated 3 June 2004 must be moved to a room that meets the requirements of the National Minimum Standards as soon as the new extension is registered. That the room is used solely for the purpose of accommodating the service user named in the variation report dated 3 June 2004. When that person is re-accommodated the room must not be used until it meets National Minimum Standards. One service user identified in the variation report dated 14 June 2005 who is 61 years and over may be accommodated at the home in the category OP. This will remain until such time that the service users placement is terminated. 7th September 2005 4. Date of last inspection Brief Description of the Service: Richmond Court is located in a residential area, close to the centre of Dudley, and benefits from a variety of services and amenities, including shops, library, post office, religious facilities and the main bus terminal providing access to neighbouring towns and places of interest. The Home is a traditional style, detached house, with extensions which offers twelve single bedrooms, one double bedroom, lounge, dining room, two bathrooms, seven WCs, kitchen and laundry. There are no en-suite rooms but all bedrooms have wash-hand basins. Richmond Court has a large garden to the rear of the property, but, at the present time, this is not easily accessible to Residents, as it is much lower than the house and the connecting steps are steep. However, Residents have a view over the garden and there are well-advanced plans for an extension to the property, due to commence during the Summer of 2006. This extension will provide a net increase of seven new single bedrooms with en-suite facilities, a new laundry, enlarged and up-graded kitchen, new shower room and possibly improve access to the garden. At present there is some car parking space to the front of the Home, but the proposed extension should increase this facility and provide extra office space and storage. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection was undertaken by one Inspector, commenced at 09.30 am and took 3.0 hours. Present were the Registered Providers, Mr. D.P. Sahni and Mrs. S. Sahni, who is also Registered Manager. Being the second Inspection of 2005/06 it centred on ‘Requirements’ cited at the previous Inspection, held in September 2005, and ‘Key’ Standards not addressed at that time. This Report is based on observations made during a tour of the Home, a review of care related documentation, staff duty rotas plus a range of other documents/records reflecting the general operation of the Home. The Inspector also held 1:1 discussions with Mr and Mrs Sahni, several members of Staff, 5 Residents and 2 Relatives/Visitors. What the service does well: What has improved since the last inspection? What they could do better: Some of the ‘Requirements’ cited at the previous Inspection relating to various aspects of care, i.e. provision of individual controls to bedroom radiators, improving sluicing arrangements and storage provision for equipment, e.g. wheelchairs. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 6 At the time of this Inspection these ‘Requirements’ had not been met. However, it is accepted these changes will be most effectively addressed as part of the building works relating to the extension. It would also be advantageous to Residents if access to the rear garden was improved. 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. Richmond Court - Dudley DS0000047902.V286986.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 Richmond Court - Dudley DS0000047902.V286986.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): 2,3. Residents’ rights are protected by a written Contract setting out Terms and Conditions of Residency. EVIDENCE: A randomly selected sample of Residents’ records showed evidence of full preadmission assessment of care needs by the Registered Manager or Deputy, and of written Contracts setting out Terms and Conditions of Residency, which had been countersigned by the Resident or their Relative/Advocate. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 9 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): 9,10. Practices relating to the storage, administration and disposal of medicines are in accordance with accepted good practice. Staff relate to Residents in a friendly and respectful manner. EVIDENCE: Inspection of medicine storage provision, and related administration records, demonstrated the Home’s practices meet the guidelines of the Royal Pharmaceutical Society. Specifically a ‘Requirement’ made at the previous Inspection, relating to the storage of medicines, has been satisfactorily met. Individual discussions with Residents and Visitors supported the Inspector’s perception that Residents’ care needs are being met, and they are treated in a considerate and respectful manner. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 10 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. The routines of daily living at Richmond Court appear flexible. Residents are afforded the opportunity to follow a ‘lifestyle’, which reflects their personal expectations, interests, preferences and abilities. The Home works actively with Residents to enable, wherever possible, good contact with family and friends and the continuation of religious practices. EVIDENCE: A printed programme of activities, for the forthcoming weeks, demonstrated a varied range of options available to those Residents who wish to be involved. Discussion with Residents, and a review of Care Plans, confirmed the majority of Residents regularly take part in these activities, which include:- skittles, bingo, visits by entertainers/’sing-alongs’, birthday celebrations and seasonal related craft sessions, e.g. Easter, Christmas. Residents, who are able, undertake escorted shopping trips into Dudley Town Centre and the Inspector was advised this is something they look forward to. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 11 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): 16,18. The interests of Residents are protected through ready access to the Home’s Complaints Procedure, and information relating to advocacy services. Staff are aware of their role in protecting Residents from abuse. EVIDENCE: Complaints procedure details are included in the Service User Guide and are displayed prominently for the benefit of Visitors. There are policies and procedures in place intended to provide protection for vulnerable people. These fully meet the requirements of this Standard and Staff Training Files demonstrated the topic is covered at induction and through ‘on-going’ Staff training. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 12 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, 26. The Standards within this section were not fully assessed as a number relate to action, which will be undertaken as part of the planned extension of the Home expected to commence in June 2006. EVIDENCE: A tour of the Home confirmed Residents live in accommodation, which meets their needs and is generally comfortable, clean and safe. Several ‘Requirements’ were issued at the previous Inspection, which relate to various aspects of accommodation, i.e. – provision of individual controls to bedroom radiators, improvement in sluicing arrangements and improvement in storage provision for equipment, e.g. wheelchairs. It is planned these will be dealt with as part of the new extension. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 13 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): 27,28,29,30. Staff numbers and skill-mix on duty were consistent with that shown on the rota, and appeared sufficient to meet the assessed care needs of current Residents. Recruitment and employment practices are consistent with safeguarding of Residents. The Management ensures all Staff have the training opportunities necessary to enable them to gain the skills necessary to carry out their caring role(s). EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined. Staffing numbers and skill-mix enable a service provision, which meets the care needs of the Service Users. A sampling of Staff Personnel Files demonstrated evidence of compliance with the Standard and Schedule 2 of the Regulations. Evidence observed in Staff Files, and in proposed future training plans, demonstrated Staff have undertaken training appropriate to their individual learning needs. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 14 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): 31,32,33,36,38. The Home has excellent leadership from the Manager, who expects to complete NVQ Level 4 (Management) Award in the coming weeks. The managerial ambience of the Home is warm, friendly and inclusive with lines of accountability being clearly defined and observed. Staff are subject to effective support, with regular supervision, and appeared involved and happy in their work. Residents and Staff live and work in a generally safe environment, with the central purpose being ‘the best interests of Residents’. EVIDENCE: Residents and Staff were observed to approach the Manager with a range of issues, which were received in an interested manner. COSHH requirements were satisfactory, with maintenance and servicing of equipment regularly undertaken and appropriately documented. Records are maintained for hot water supply to baths, and water tested during the Inspection was satisfactory. COSHH data sheets were up-to-date. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 15 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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 2 X X 2 2 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 3 3 X X 3 X 3 Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP22 Regulation 23.-(2)(l) Requirement Arrangements must be made for large pieces of equipment to be appropriately stored, e.g. wheelchairs, in order that there are no obstructions to the use of bathroom facilities. This may be completed as part of the new extension programme. The necessary changes to the radiators in all bedrooms thus enabling Residents to adjust heating to meet their individual needs must be completed at the same time as the building of the new extension. Timescale for action 30/09/06 2. OP25 23.-(2)(p) 30/09/06 3. OP26 23.-(2)(k) Adequate sluice facilities must be 30/09/06 provided for the Home in the extension, preferably a sluicing disinfector. This must also be completed as part of the new extension programme. Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 17 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 Richmond Court - Dudley DS0000047902.V286986.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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. 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