Inspection on 01/12/05 for Richmond Residential Care Home

This inspection was carried out on 1st December 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 Residential Care Home 02/11/06

Richmond Residential Care Home 31/08/05

Richmond Residential Care Home 24/08/04

Richmond Residential Care Home 13/05/04

Richmond Residential Care Home 01/03/04

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

CARE HOMES FOR OLDER PEOPLE Richmond Residential Care Home 80 Penkett Road Wallasey Wirral CH45 7QW Lead Inspector John McCabe Unannounced Inspection 1st December 2005 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 Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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 Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Richmond Residential Care Home Address 80 Penkett Road Wallasey Wirral CH45 7QW 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) 0151 639 3050 Milecertain Limited Mr David Wakefield Care Home 20 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (20) of places Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Adults (aged 30-64 years) with a mental disorder (excl learning disability) may be accommodated. Elderley persons (aged 65-75 years) with a mental disorder (excl learning disability) may be accommodated. 24th August 2004 Date of last inspection Brief Description of the Service: The home is a large detached house, which offers personal care to 20 residents with mental health problems. The home is decorated to a high standard, and has well cared for gardens. Both the interior and exterior of the house are well maintained. Residents lead an open flexible lifestyle within the home; some of the residents attend college and local community centres on a daily basis. The home is close to the local amenities, pubs, cafes, shops and bus station. The home has a strict policy on unprescribed drugs and alcohol; both are not allowed to be brought into the home. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 1/12/05 and took 3 hours; the homes manager was present throughout the inspection. Both resident and staff files were reviewed; a tour of the building and gardens took place. Residents, care staff, and domestic staff were spoken with during the inspection. The home was clean and tidy, with adequate staffing levels to care for the residents. Residents said the home was ‘like a hotel’ and that they enjoyed the choice of foods and activities that were undertaken in the home. What the service does well: What has improved since the last inspection? What they could do better: At present the smokers’ lounge adjoins the main dining room where smoking is not allowed. Plans are in hand to swap the present lounge, which is away from the dining room into the smokers lounge. This should still offer a choice for those people who wish to smoke whilst respecting the rights of residents who do not. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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 Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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 Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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): 1,2,3,4,5,6. The Home’s Statements Purpose is up to date and ensures that the home stays within the category of resident agreed with the commission, and prospective residents have some knowledge of the home before they decide to move in on a permanent basis. The residents’ pre-admission assessment documentation is robust and comprehensive; this ensures that the skill mix of the workforce in the home can meet the residents identified care needs. EVIDENCE: All residents in the home are provided with a statement of terms and conditions, plus a contract when they move in to the home on a permanent basis. Residents are able to visit the home or have an overnight stays before they move. This allows for the opportunity to make an informed choice prior to moving in on a permanent basis. Admissions to the home are infrequent, as most of the residents are on long stay. The homes senior carers, and manager undertake a pre admission Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 9 assessment on residents before they are admitted to the home, to ensure care needs are identified and can be met. Other health care professionals GP, Social Worker and Community Psychiatric Nurses (CPN) known to the resident are also involved in the assessment. Care staff in the home undertake specialist care training, which is ongoing. The training includes responding to challenging behaviours, functional psychoses, diabetes and visual impairment. This specialist training helps to ensure that the assessed and changing care needs of the residents are appropriately met. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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): 7,8,9,10, Resident’s individual health, personal and psycho/ social care needs are clearly recorded, and provide care staff with the necessary information they need to meet the residents care needs. EVIDENCE: All residents in the home have an individual care plan, which is formulated on admission to the home and which is reviewed by the senior carers on a regular basis. Health records are documented daily for each resident. This includes any critical incidences plus any visits from GPs, CPN or social workers etc. No resident in the home self medicates as currently all medications for residents are administered by the carers in the home. The protocols for the receipt, storage, disposal, and documentation of medications in the home are in accordance with the National Minimum Standards (NMS). This helps ensure medication is administered safely to residents. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 11 The local Primary Care Trust Medicines Management Team is currently offering basic medication training to all the care homes in the locality. The manager of the home and other care staff recently attended such a course and found it very useful. The homes “communication book” was reviewed; this evidenced a great deal of information about staff and domestic issues but also relevant clinical and care issues that guide the delivery of care. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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): 12,13,14,15 Residents have choice and flexibility how they spend their day in the home, and can pursue leisure and educational activities according to their choice and preferences. This encourages independence and individuality for each resident. Residents receive a balanced diet offering variety, which reflects the residents’ preferences. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 13 EVIDENCE: Residents in the home are encouraged to participate in education and training outside the home and it was clear that residents attend the local college and day centres for various educational and leisure pursuits. A number of residents in the home are currently enrolled on a range of courses such as art and cookery courses at the local social centre. The home has purchased a mini bus so as care staff can take residents to hospital appointments as well as on day trips out. The residents have arranged their Xmas lunch to which their relatives are invited. The home provides 20 hours of organised activities in accordance with the Wirral Borough star status scheme; a designated member of staff undertakes the duties of activities coordinator. Residents choose the daily menus; and a number of some residents said they enjoy ‘Take-a-Ways’, and ‘help with the shopping.’ Care staff in the home help service users with benefits/finance problems or refer residents to appropriate agencies so they can receive appropriate help. The majority of residents in the home manage their own weekly personal allowances. All transactions have signatures and receipts which assists in safeguarding residents financial affairs. Care staff in the home encourage residents to maintain links with their family and friends. Any restrictions in respect of visiting is with the consent and agreement of the individual resident. Residents can entertain their visitors in the communal lounge or in the privacy of their own room. All residents have a lockable bedroom; in cases of emergency care staff can over ride the lock. The routine of the home is flexible as regards mealtimes and bedtimes, and residents have access to all parts of the home and gardens. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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): 16,17,18. The home has a satisfactory complaints system with evidence that residents feel their views are being listened to and acted upon. The homes policy and training programmes for POVA, and Whistle blowing, ensure that the homes residents are protected from any abuse. EVIDENCE: There have been no internal complaints, and no complaints to the CSC. The home has robust complaints procedures, which are documented in the residents guide and the staff handbook. Many of the residents use their vote in local elections and care staff assist residents when ever necessary so that they can exercise their right to vote. The care home has up to date information on the Protection of Vulnerable Adults. This information is communicated to new employees on their induction course. There was evidence that many of the staff in the home had undertaken training on POVA protocols, and the Whistle Blowing Policy. This helps to ensure that staff are aware of how to respond to concerns that a resident maybe vulnerable or at risk. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 15 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): 19,20,21,22,23,24,25,26. The standard of decor within this home is good, with evidence of continuing improvements, through maintenance and planning. The home does present as a homely, safe and comfortable environment for the residents. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 16 EVIDENCE: The home is well maintained and decorated and is suitable for its stated purpose. The premises are safe and comfortable. There are grab rails throughout the house, and ramps for wheelchair access. The communal lounges and dining room are furnished in a homely way and there is a separate lounge for smokers, with domestic lighting, a television, and a hot drinks facility for the residents. There are sufficient communal bathrooms and toilets for the residents. The front and rear gardens are well cared for and tended, and offer seating for the residents. The paved patio area of the garden has been relayed, so as to make the area safe for both residents and staff. Some of the residents are active in keeping the garden spaces tidy. Most of the residents have personalised their own bedrooms with photographs and memorabilia. The homes infection control policy have recently been up dated, and staff have recently attended a training course on infection control. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 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): 27,28,29,30. The standard of vetting and recruitment practices is safe. Appropriate checks are being carried out on all new staff. This means that the residents are not put at risk. EVIDENCE: All staff in the care home have an up to date enhanced CRB/POVA certificate, or a POVA first before commencing work in the home. All staff has signed their induction document to confirm they have all been instructed on Adult Protection protocols. Staff receive both mandatory and specialist training and this is ongoing as new staff commence employment and when updates are necessary as evidenced from the personal files of the staff. Currently, there are no staff vacancies in the home. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 18 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): 31,32,33,34,35,36,37,38. Staff morale is high in the care home, resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. The home regularly reviews aspects of its performances through a good programme of self-review and consultations, which include seeking the views of residents and staff. EVIDENCE: The registered manager has over 18 years experience in social care and for the past six years has managed the home in a competent and professional manner. The registered manager successfully completed an NVQ level 4 management studies in June of 2004, and continues to up date his training relevant to managing the home. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 19 Staff and residents told the inspector that, the home was run in an open, positive and transparent way, both for staff and residents. The home regularly reviews aspects of its performances through a good programme of self-review and consultations, which include seeking the views of residents, staff and relatives at regular meetings with the manager; the meetings are minuted and actioned upon. All staff in the home have documented supervision six times per year, this ensures that all staff have the opportunity to discuss with the manager, and other senior nurses, any issues that can effect or improve the care for the residents. Documented supervision of all staff gives the staff and managers opportunities to discuss their own /or identified training needs. The homes certificates of insurance and worthiness for machines, gas, electricity, fire equipments, lift, hoists were in date and valid. The Employer’s Liability Insurance Certificate which is displayed in the main hall of the home, is valid and in date. Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 20 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 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 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 3 3 3 3 3 Richmond Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 21 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 Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Residential Care Home DS0000018931.V270027.R01.S.doc Version 5.0 Page 23 - 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!