Inspection on 21/02/06 for Richmond House

This inspection was carried out on 21st February 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 House 22/05/07

Richmond House 13/10/05

Richmond House 08/03/05

Richmond House 03/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Richmond House Richmond Road Farsley Leeds LS28 5ST Lead Inspector Michael Smithson Unannounced Inspection 21st February 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 House DS0000033217.V283464.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 House DS0000033217.V283464.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Richmond House Address Richmond Road Farsley Leeds LS28 5ST 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) 0113 2555010 0113 2558435 N/A Leeds City Council Department of Social Services Mrs Susan Avery Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (1) of places Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for physical disability is for the service user named in the NCSC letter dated 8 January 2004 only. 13th October 2005 Date of last inspection Brief Description of the Service: Richmond House is a local authority older person home located in Pudsey, which is approximately 3 miles from the centre of Leeds. The home is close to a good range of local amenities and transport links. There are a total of 20 beds available. Accommodation is provided for long stay, respite and intermediate care. However the numbers of long stay beds are being phased out. All the bedrooms are single rooms with en-suite facilities provided in the intermediate care beds. There is very good disability access into the premises and a shaft lift links the ground and first floor. There is outdoor seating provided and car parking is available. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the morning of the 21st February 2006. This was the second inspection for this year. The first being announced. Copies of reports for this and previous inspections are available either from the home or on the CSCI website. This inspection focused mainly on the environment, however a spot check of a number of records was undertaken. Time was also spent with service users and observing the daily routines. Feedback questionnaires for service users and visitors were left at the inspection. The feedback from service users was very positive they felt the home provided a very good standard of care. The service users admitted on both respite and intermediate care felt they benefited from their stay. For many of the service users it was their first experience of a care home. They felt the home gave them a positive view of life in a care home. What the service does well: The care records were well organised and are kept up to date. Different care record formats are used for long stay; respite and intermediate care service users. The formats include relevant information according to service user needs. The atmosphere is very positive and staff go about their daily task in a professional manner. They were observed to spend time with service users in and amongst their daily routines. Good levels of training are provided for the staff team. The intermediate care service users are often admitted with a variety of health care needs. The staff felt they had the skills to meets the majority of needs. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Richmond House DS0000033217.V283464.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 House DS0000033217.V283464.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 3. Service users are provided with information to enable them to make an informed choice about the home. Those service users admitted on intermediate care are provided with an environment, which maximises their independence and ability to return home. EVIDENCE: The statement of purpose and service user guide are reviewed and kept up to date. Copies of information for service users are available in bedrooms. The records for 2 service users currently on respite care were checked. Both included pre-admission assessment information completed by the placing agent. One was a recent admission and had visited the home prior to the first admission. This is good practice. Richmond House DS0000033217.V283464.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): 7 and 10. The health and personal care needs of service users are well met by the staff at the home. The care records were informative and reflect the progress or deterioration of service users. EVIDENCE: The care records for 2 service users currently on respite care were checked. Both were informative and were kept up to date. Each had a basic care plan, which is regularly reviewed. At the last inspection it was recommended that the current medication is included in the care plan to identify any changes from previous stays. This has been completed. During discussions with service users it was evident that they were aware that information is recorded regarding their stay at Richmond House. The records for the service users admitted for respite care remain in their bedrooms during their stay and are taken home on discharge. Service users felt the home offered a high degree of privacy and they were always treated with respect. A number of service users did require help with Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 10 personal care tasks. They felt the staff was able to put them at ease and avoid any unnecessary embarrassment. All the bedrooms are single rooms many with en-suite facilities which help to maintain privacy. Many of the service users do like to use their bedrooms in the afternoon and evening. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 11 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 and 13. Richmond Hose provides a good range of activities geared to both individuals and small groups. The home allows service users to make maintain privacy and dignity. EVIDENCE: Family and friends are free to visit at anytime. Adequate space is available for visiting. Service user bedrooms, communal areas and a visitor’s room can be used. A good range of activities is offered. On the day of the inspection a quiz was organised by the staff and was much enjoyed by both the service users taking part and those watching. The service users felt the staff tried to find different activities to keep them occupied. A number of the service users admitted for intermediate care also have regular contact with the physiotherapist and occupational health staff who organise a range of activities aimed at promoting self help skills and improving mobility. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 12 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): These standards were not assessed at this inspection. EVIDENCE: No complaints had been made since the last inspection. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 13 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, 20, 21, 22, 23, 24, 25 and 26. The environment is maintained an excellent standard and meets the needs of the service users admitted to the home. EVIDENCE: A full tour of the premises was undertaken during this inspection. The building is maintained to an excellent standard of repair and cleanliness. Very good quality fixtures and fittings are available throughout the home. All the bedrooms are single rooms many having large en-suites. The bedrooms are decorated to a high standard and contain very good quality furnishings. The service users can lock their bedrooms if they wish and have a lockable drawer for safekeeping. Bathrooms and toilets are available around the building within easy access to bedrooms and communal areas. The toilets were maintained to a high standard of hygiene and many can accommodate wheelchair users. Bathrooms and Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 14 shower rooms contain a good range of hoisting equipment. The bathrooms are also fitted with ceiling tracking systems. The communal space is adequate for the numbers of service users living at the home and again it is maintained to a high standard. All the facilities are linked to the emergency call system and fire safety system. A shaft lift is available and a security system has been fitted to the entrance and exits. The only area, which requires attention, is the bathroom on the ground floor near to the main office. The sink has suffered a leak and some redecoration is required. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 15 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 and 29. The staffing levels were adequate to meet the needs of the service users. A very good level of training has been provided to ensure staff had appropriate skills to meet the differing needs of service users admitted for intermediate care. EVIDENCE: The home has adequate staffing to meet the needs of the service users. A vacancy currently exists for a part time kitchen assistant. The existing catering staff are covering the duties. The recruitment records for the last 2 members of staff employed at the home were checked. The information was well organised and included, application forms, 2 references and confirmation of a CRB check. A record was available of the induction training undertaken. Good levels of training continue to be provided. A training plan is in place and staff has the opportunity to discuss training needs at the individual supervision sessions and staff meetings. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 16 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, 35 and 38. The home is very well run and staff are involved in the decision making process. EVIDENCE: The management of the home has recently changed. The registered manager has reverted to a job share. A member of the existing staff has been promoted into the other job share post. However she not yet completed the registration application. A system is in place to allow service users the opportunity to have money held for safekeeping. Records are provided which include income, expenditure and the balance held. Detailed health and safety information is available for the staff team and regular training and up dates are organised. Fire safety checks are undertaken and an up to date fire safety detection system has been fitted. Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 17 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 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 X 17 X 18 X 4 3 4 3 4 3 4 4 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation Reg 23 Requirement The water damage in the bathroom on the ground floor near to the main office requires repainting. Timescale for action 01/06/06 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 Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Richmond House DS0000033217.V283464.R01.S.doc Version 5.1 Page 20 - 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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