Inspection on 22/01/06 for Richmond Park

This inspection was carried out on 22nd January 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 Park 02/02/07

Richmond Park 19/05/05

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 Mrs Margaret Drury Unannounced Inspection 22nd January 2006 10:00 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 Park DS0000035365.V266155.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 Park DS0000035365.V266155.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Richmond Park Address High Street Workington Cumbria CA14 4ES 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) 01900 325030 www.cumbriacare.org.uk Cumbria Care Mrs Janice Sarah Sibbald Care Home 29 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (29) of places Richmond Park DS0000035365.V266155.R01.S.doc Version 5.1 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. . 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) The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 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. 19th May 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Richmond Park is operated by Cumbria Care, an internal business unit of Cumbria County Council and managed on a day-to-day basis by Mrs Janice Sibbald. 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 on this floor for those people who wish to smoke. 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 residents during the evening 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 DS0000035365.V266155.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and took place over one Sunday morning. It was the second inspection of the year and those standards not assessed on this occasion were inspected and met during the previous inspection that took place on the 19th May 2005. During the visit the inspector spent time with the registered manager, the supervisor on duty and talking to the residents and staff. Documentation to do with the running of the home and care of the residents was discussed and some parts of the home were inspected. What the service does well: What has improved since the last inspection? Discussions with the residents about the food and “taster days” take place in order that the menus and choice of food can be improved. A new system for staffing the laundry has been introduced, which has improved this service for the residents. The upgrading of the central heating system and replacement of all radiators is now complete and there has been some redecoration of bedrooms. All the residents who spoke with the inspector said how kind the staff were and “ nothing was too much trouble”. The home manager has produced an action plan for activities within the home. This means that one to one outings to the shops or walks are arranged as well as group activities in the home. Richmond Park DS0000035365.V266155.R01.S.doc Version 5.1 Page 6 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 Park DS0000035365.V266155.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 Park DS0000035365.V266155.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&6 Residents are safeguarded by the provision of contracts and terms and conditions. Prospective residents and their families benefit from the opportunity to visit the home prior to admission to assess the facilities on offer. EVIDENCE: The Local Authority Social Services Department oversees all admissions to the home and the issuing of contracts. Each resident has a contract, a copy of which is held on the resident’s file. They are also given a copy of the statement of purpose and terms and conditions. Family members or the resident’s representative are invited, together with the prospective resident, to visit Richmond Park prior to admission. This gives opportunity to meet the staff and others living in the home. Rooms can be viewed and the facilities in the home looked at. Richmond Park DS0000035365.V266155.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): 10 & 11 Residents feel they are valued and treated with respects and that their dignity and privacy are upheld and protected. EVIDENCE: During the inspection the inspector was able to speak with a small number of residents, all of whom spoke highly of the care and attention they received. They said the staff “looked after them really well” and that “nothing was too much trouble”. The caring attitude of the staff was obvious throughout the home. The home has a policy in place to deal with the death of a resident. The wishes of the resident are recorded on the care plan and the residents are confident that their wishes will be carried out. Richmond Park DS0000035365.V266155.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): 14 There was a sociable atmosphere in the home and the residents interviewed were happy with the routines and the opportunity to voice their opinions. EVIDENCE: Residents’ meetings are held at least four times a year but discussions with the manager and the residents evidenced that all can have their say about the running if the home as often as they like. A recent resident’s meeting resulted in actions plans to re-organise the laundry facility, the activity programme and the rewriting of the menu. Residents were observed in the lounge, relaxing in their rooms or attending the twice-monthly church service. Richmond Park DS0000035365.V266155.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): 17 Service users benefit from the availability of an advocacy service should this ever be required and the opportunity of taking part in the electoral process. EVIDENCE: At this time all the residents have family members or solicitors available to assist them with their personal/financial affairs. However, discussions with the manager evidenced that she was aware of the procedure for using an advocacy service and will ensure that details are available for anybody who wishes to use this service. All residents were given the opportunity to vote in the local/general elections either in person or via the postal vote system. Richmond Park DS0000035365.V266155.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): 22, 23, 24 & 25 The home offers comfortable and homely accommodation and all areas are reasonably well maintained. This contributes to a good quality of life for the residents. EVIDENCE: The home has 4 hoists in place to assist with the movement of residents. All the bathing and toilet facilities are suitable for any resident who may have a physical disability. There are rails on the corridor to facilitate movement around the home. All the bedrooms are for single occupancy and 14 of them have en-suite toilet facilities. Although some of them are a little on the small side they are all suitable for their stated purpose. All those that were inspected were pleasant and contained photographs, pictures and ornaments brought from the residents’ own homes. Richmond Park DS0000035365.V266155.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): 28 & 29 Staff have completed the required training and provide a skilled and experienced workforce. EVIDENCE: Cumbria Care has a full recruitment and selection process that is used throughout the organisation. This ensures that no member of staff starts work until all the required checks are completed. The inspector was able to check a sample of personnel files and found them to be up to date and in order. Staff training is ongoing and the inspector was able to examine the training records held on the professional development files during the visit. Training includes, moving and handling, adult protection, safe handling of medication, infection control and NVQ level 2. Richmond Park DS0000035365.V266155.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): 32, 33, 34 & 36 The manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: The manager is highly motivated and it was obvious, from discussions with her that the home is run in the best interests of the residents and their families. Residents who spoke with the inspector were complementary of her caring attitude and said she was approachable and easy to talk to. Management supervision motivates the staff to undertake training, which assists in the improvement of their skills and knowledge. The financial procedures that are in place, together with the viability of the home, are in the hands of the organisation’s head office. Financial policies and procedures are in place and are suitable to safeguard those living in the home. Richmond Park DS0000035365.V266155.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 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 3 3 3 x STAFFING Standard No Score 27 X 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 3 X 3 X X Richmond Park DS0000035365.V266155.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. 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. Refer to Standard Good Practice Recommendations Richmond Park DS0000035365.V266155.R01.S.doc Version 5.1 Page 17 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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