Inspection on 19/05/05 for Richmond Park

This inspection was carried out on 19th May 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

Richmond Park 02/02/07

Richmond Park 22/01/06

Richmond Park 22/11/04

Richmond Park 29/04/04

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 Richmond Park High Street Workington Cumbria CA14 4ES Lead Inspector Elaine Brayton Unannounced 19 May 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. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Richmond Park Address High Street Workington Cumbria CA14 4ES 01900 325030 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) Cumbria Care Janice Sarah Sibbald Care Home 29 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia over 65 of places Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 2. The home is registered for a maximum of 29 service users to include: up to 29 service users in the category of OP (older people not falling within any other category) up to 17 service users in the category of DE(E) (Dementia over 65 years of age) 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 4. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. . Date of last inspection 22 November 2004 Brief Description of the Service: Richmond park is operated by Cumbria Care, an internal business unit of Cumbria County Council. The home is situated close to the centre of Workington and all of its facilities and services, and provides accommodation and care for up to 29 older people, 17 of whom have dementia. The accommodation for service users is provided on two floors and the home is divided into three living units. The units on the first floor consist of a lounge/dining room with small kitchen area, with bedrooms, toilets and a bathroom nearby. There is also a lounge for those people who wish to smoke on this unit. On the ground floor there is a dining room with small kitchen area, separate lounge with bedrooms, bathroom and toilets nearby. Also in the home is a large lounge that is used to provide daycare for people from the local community Monday – Friday. This room can be used by service users evenings and weekends for special events and social occasions. The Home is equipped to assist people with a physical disability and has a passenger lift, handrails and grab rails as well as equipment in bathrooms and toilets. There are well maintained gardens with seating and a small car park. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and this took place over one day. During the inspection time was spent talking to the residents, care staff and the manager. A selection of the records relating to the day to day running of the home and the care of residents were looked at. All parts of the home were visited. What the service does well: What has improved since the last inspection? What they could do better: There are ongoing problems with the laundry, and the manager should continue working to improve the systems for attending to resident’s personal laundry. On the living units there was no information displayed about the menu, staff on duty and other useful items, for example residents and staff were not sure what was for lunch until it arrived. The manager intends discussing this with staff and residents with a view to putting up notice boards in each unit. It is helpful for residents and their visitors to know which staff are on duty on a day to day basis, what is for lunch and information about activities or entertainment planned for that day. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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 Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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) 1, 3, 4 The Statement of Purpose was informative and provided prospective service users and their families with information about the home. The admission procedure to the home was satisfactory and ensured service users needs could be met on admission to the home. EVIDENCE: The Statement of Purpose was available in the home for service users, prospective service users and any other visitors to the home to read. It contained important information about how the home operated as well as the services and facilities provided. A sample of assessments completed for people most recently admitted to the home were looked at, and they contained detailed information about the persons care needs, which enabled senior staff to be sure the care staff had the skills, and the home the facilities, to meet the persons needs satisfactorily. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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 standard(s) 7,8,9 The home had a clear and informative care planning system, which ensured residents health and social care needs were met in a way that promoted their privacy and dignity. EVIDENCE: The care plans contained information about the residents care needs and how the care was to be provided by the care staff. They also included moving and handling assessments and risk assessments and were reviewed regularly, with residents involved in this process. Records were kept about visits by GPs, district nurses and any other healthcare professionals. Residents said that an appointment was made for them if they asked to see a doctor or nurse, and this was usually in the form of a home visit. The arrangements for storing and administering medication in the home were safe and well organised, and residents received their medication as prescribed with records kept. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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 standard(s) 12,13,15 Social activities and meals were varied and provided residents with a range of choices and opportunities on a daily basis. EVIDENCE: Residents were able to talk with care staff about activities and social events that they would like to participate in. People said that they regularly played dominos and card games, listened to music and joined in with a sing a long, and people were observed completing a jigsaw puzzle. Trips out in the locality had been organised for the coming weeks. Residents said that they enjoyed the meals provided and there was always plenty to eat and a choice of menu. Residents meetings are held on a regular basis with minutes kept. At these meetings people have an opportunity to talk about how the home operates, and any ideas they have to improve things, such as the laundry system and the menus. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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 standard(s) 16,18 The home has a satisfactory complaints procedure, and has systems in place to protect service users from abuse. EVIDENCE: The home had a complaints procedure, which contained information about what to do if a person wished to make a complaint, the timescale for investigating a complaint and details about contacting the Commission for Social Care Inspection. Residents said that they knew who to speak to if they were unhappy with anything, and that they had a copy of the complaints procedure. Care staff had completed training about the protection of vulnerable adults, and were aware of their role and responsibilities in protecting people. There were systems in place that safeguarded resident’s finances. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 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 standard(s) 19,20,21,26 The home provides well maintained, safe and comfortable communal and private accommodation that meets the needs of the residents. EVIDENCE: Several areas of the home had been redecorated since the last inspection, including the entrance hall, one of the living units, a corridor and some bedrooms. Dining room furniture had been replaced, as had some carpets. This work greatly enhanced the appearance of the home, making it a more pleasant place in which to live. The home consisted of three separate living areas, the two units on the first floor had a lounge/dining room with a small kitchen area, there was also a small separate lounge. On the ground floor there was a dining kitchen and a separate lounge. The communal areas provided enough space for the people currently living in the home. There was a garden area with seating, which people could use in warm weather, and there was level access to this area. A small number of bedrooms had en-suite toilet facilities, and there were communal toilets close to bedrooms and Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 13 communal areas. Bathrooms were equipped with assisted baths and there was a shower with level access giving everyone a choice of facilities. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 14 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) 27,30 Staff, who are suitably skilled, are employed in sufficient numbers to meet the needs of residents in a prompt and caring way EVIDENCE: On the day of the inspection there were between six and four members of care staff on duty during the day and evening to care for 29 residents. There was also a cook and kitchen domestic on duty during the day. Each night there were two members of waking night staff on duty. Residents said that they were well looked after, and that staff attended to their needs in a pleasant and courteous manner. Care staff regularly update their training in key areas such as infection control, moving and handling and the protection of vulnerable adults. New members of staff complete induction and foundation training to equip them with the skills required to provide good quality care to residents. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 15 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) 31,35,37,38 The manager provided clear leadership and direction to staff to ensure residents received consistent, good quality care. There are practices and systems in place, with records kept, to safeguard resident’s interests, financial affairs and health and safety. EVIDENCE: The manager was nearing the end of the Registered Managers Award, and was expecting to complete the award by July. The home kept small amounts of money for some residents, and records and receipts were kept to protect people’s finances. Tests and checks of equipment used in the home were being carried out and the records relating to these were looked at during the inspection, and contributed to providing a safe living and working environment. Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 16 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 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x 3 x 3 3 Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 17 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 Regulation Requirement Timescale for action 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. Refer to Standard Good Practice Recommendations Richmond Park F58 F10 s35365 richmond park v220769 190505 ui stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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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