Inspection on 02/11/06 for Richmond Residential Care Home

This inspection was carried out on 2nd November 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 Residential Care Home 01/12/05

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 Andrea Morris Key Unannounced Inspection 2nd November 2006 10:30 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.V312161.R01.S.doc Version 5.2 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.V312161.R01.S.doc Version 5.2 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.V312161.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Adults (aged 30-64 years) with a mental disorder (excl learning disability) may be accommodated. Elderly persons (aged 65-75 years) with a mental disorder (excl learning disability) may be accommodated. 1st December 2005 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 non-prescribed drugs and alcohol; both are not allowed to be brought into the home. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, during the inspection the inspector spoke with residents, staff and the manager. A selection of documentation was examined including staff personal files, care files, health and Safety certificate, medication and activity records. A tour was made of the home. What the service does well: 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 Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 6 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.V312161.R01.S.doc Version 5.2 Page 7 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 Residents are only admitted to the home following a full assessment of their needs; this assists in ensuring care provided is appropriate. EVIDENCE: The home maintains its statement of purpose and regularly reviews the contents of this and the service user guide. All residents admitted to the home are issued with a written contract that clearly defines the terms and conditions of residency. The manager prior to offering any resident a place in the home completes a pre-admission assessment, these provide staff with details of what potential residents needs are, and ensures that residents are able to be cared for appropriately. The assessment process is determined on the needs and understanding of each resident, it is flexible to ensure the process does not cause potential residents distress and anxiety. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 8 Potential residents are encouraged to visit the home prior to making a decision about moving in. Potential residents are able to visit the home and if preferred arrange to stay for an afternoon. The home accesses support and advise from other professional such as Dietician, Chiropody, tissue viability nurses and other specialities as required to ensure residents care is managed to a good standard. The home does not provide intermediate care. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 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, 8, 9, 10, 11 Care plans and risk assessments are formulated to ensure care provided is appropriate, this assists in promoting resident safety. EVIDENCE: Care plans and risk assessments are formulated for all residents. Care plans are reviewed on a monthly basis. Risk assessments are created in line with the documented care plans and kept under monthly review. The home has adequate policies and procedures relating to management of medication. Medication was examined and found to be managed appropriately. Stock was controlled in adequate amounts and medication administered was documented. The home does not hold any controlled drugs. The inspector during the visit spoke to many residents, all comments were positive relating to the care they received and the fact that staff respected their decisions and privacy was maintained at all times. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 10 It was noted during the inspection that staff and residents enjoyed each other’s company and there was a good rapport between residents and all staff, this provided the home with a relaxed and pleasant environment. The policy relating to care of the dying lacks specific detail and a recommendation has been made to address the issue. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 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, 13, 14, 15 The home provides activities that promote socially stimulating lives for residents, thus enabling residents to feel valued. EVIDENCE: The home provides activities that are varied and reflect the choices and preferences of residents. Residents confirmed they can choose whether they participate in activities or not, any decision they make they stated staff respected. Records of activities are maintained to a good standard. Residents who spoke with the inspector stated they felt they were treated with dignity and respect. Staff were noted to be polite and friendly and assisted in promoting independence for residents. Residents are able to maintain their religious beliefs as they choose; some residents confirmed they attended the local church each week. Residents also receive visits from the local church on a regular basis. The home confirmed that any person with an alternative culture and believes would be assisted in maintaining their practices. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 12 The home operates a four weekly menu, which is seasonal. Healthy eating is promoted, residents are provided with choice and are able to select alternatives to the main choice if they need. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 13 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 complaints policy ensures all complaints received are recorded and action taken, this assists in re-assuring residents that all their complaints are listened to and addressed. EVIDENCE: The home has an adequate complaints policy that is displayed in the entrance area. All complaints are recorded along with the action taken and the outcome achieved. There has been no complaints received into the home since the last inspection, there has been no complaints received by Commission for Social Care Inspection since the last inspection. Residents on entering the home are registered on the electoral role, residents if they wish are able to attend the local polling station or they can utilise the postal vote system. The home displays information on independent Advocacy Agencies. Staff receive training in Adult protection during the induction process, staff also receive additional training in adult protection to maintain knowledge. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 14 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 home is well maintained, therefore providing residents with a safe and pleasant environment in which to live. EVIDENCE: The home is maintained to a good standard, residents are able to enjoy their own living space and are able to bring in personal effects to create a homely environment. All communal areas are maintained to a high standard. The home has sufficient bathrooms and all found to be clean and tidy. The home carries out regular fire drills and staff are aware of the procedure. The lounge areas and dining area are kept clean and hazard free. Decoration was found to be adequate, along with required equipment. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 15 The home is accessed via steps or well-maintained ramps. The garden area is maintained to a satisfactory standard, residents confirmed they regularly used the garden during the better weather. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 16 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 recruitment is robust, therefore assisting in promoting safety for residents. EVIDENCE: The homes staff rota was seen, it was noted that there was sufficient staffing on the rota to meet the needs of the residents. The home does not use agency staff, as there are currently no vacancies in the home. The home has a steady workforce and the staff turnover is low. A selection of staff files were seen, all files contained the required information as detailed in schedule 2 of the National Minimum Standards. All staff are checked against the CRB (Criminal Records Bureau). Staff receive training in a variety of care subjects including moving and handling, fire, adult protection, food hygiene, medication awareness and first aid. Training records are maintained and clearly record who and what training individual staff have completed. Currently 80 of care staff hold the NVQ2 in care the remaining staff are studying the course and are due to complete in the New Year. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 17 The home is currently making enquiries about the Foundation for Mental Health where hopefully some staff will be able to attend the course in the next 6 months. The home has an adequate equal opportunity policy. All staff are aware of their job description as it is displayed in the staff office. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 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 An experienced manager manages the home; this assists in promoting good standards of care for residents. EVIDENCE: An experienced manager who is registered with the Commission for Social Care Inspection manages the home; he provides leadership and guidance for staff. Staff who spoke with the inspector stated they found the manager approachable and friendly. Residents confirmed that the manager operated an open door policy and felt they could easily go and speak to him. The home is run with the residents as their centre focus, residents are able to express their views and preferences during the regular meetings held and via the open door policy. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 Page 19 The home does not take responsibility for residents’ finances; personal money that is held is recorded with the appropriate receipts. The homes policies and procedures are kept under annual review or reviewed as required. The homes health and Safety certificates are appropriate and all were found to be in date. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 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 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 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.V312161.R01.S.doc Version 5.2 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. 1. 2. 3. Refer to Standard OP11 OP29 OP30 Good Practice Recommendations It is strongly recommended that the policy relating to Care of the Dying is reviewed to cover expected and sudden death procedures. It is strongly recommended that staff files without current photos are in receipt of photos as detailed in schedule 2. It is strongly recommended that all staff receive training in Equality and diversity. Richmond Residential Care Home DS0000018931.V312161.R01.S.doc Version 5.2 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.V312161.R01.S.doc Version 5.2 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. 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