Inspection on 26/09/05 for Richmond Village Care Centre

This inspection was carried out on 26th September 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 Village Care Centre 28/06/07

Richmond Village Care Centre 09/11/04

Richmond Village Care Centre 14/06/04

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 Village Care Centre St Josephs Way London Road Nantwich Cheshire CW5 6LZ Lead Inspector Mr Val Flannery Announced Inspection 26th September 2005 09:00 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 Village Care Centre DS0000018731.V253374.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 Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Richmond Village Care Centre Address St Josephs Way London Road Nantwich Cheshire CW5 6LZ 01270 629080 01270 625020 sue@richmondcarevillage.co.uk 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) Richmond Village Care Centre Limited Mrs Lynne Griffin Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (1) of places Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home is registered for a maximum of 41 service users in the category OP (Old age, not falling within any other category) Two married couples in the category OP are permitted within the overall number of registered places (41) When one married couple is accommodated the maximum number permitted within the category OP is 40 When no married couples are accommodated the maximum number permitted within the category OP is 39 One service user in the category PD (Physical disability aged between 60 and 65 years) is permitted within the overall number of registered places (41) for respite care only The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 15th April 2005 6. 7. Date of last inspection Brief Description of the Service: Richmond Village Care Centre cares for up to 41 older people. The home is located on a residential estate on the outskirts of Nantwich. It is close to local amenities and the town centre. The home is on two levels and there is a passenger lift to the first floor. There are a variety of aids and adaptions around the building to help those residents with mobility problems. All the bedrooms in the home are single and have en-suite toilet and shower facilities. The home is able to provide accommodation for married couples. Staff are on duty twenty four hours a day to care for residents. Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second inspection took place over five hours as part of the yearly inspection process. One hour was spent preparing for the inspection, this included reading the previous inspection report and reviewing the service history for the home. During the inspection six residents, the registered manager, deputy manager and five staff were spoken with. Three resident files were seen as were a number of home records and the policies and procedure files. Two service users, five relative/visitors, three health/social care professionals and four general practitioners comment cards were returned. A partial tour of the building was carried out What the service does well: The home continues to provide a high standard of care in a well-maintained environment. As well as providing sufficient care staff the home employs a range of support staff including dining room staff, domestic and kitchen staff and administrators. The information provided ensures residents and relatives are able to make an informed choice about the services offered by the home. Some of the comments received about the home were as follows: ‘the home offers very good care and there is mutual respect at all levels’, ‘the home provides an above average standard of care’, ‘a very pleasant environment with a happy residents’, ‘communication with other professionals is very good’, ‘my father…commented on how peaceful and pleasant the care centre and ground are’. The home is well managed by an experienced, competent and qualified manager. She encourages residents to comment on the service offered and will take action to address any concerns and complaints. Staff are ‘kind and caring’ and receive supervision and training in order to fulfil their roles. A number of staff have worked in the home for a number of years. Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 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 Village Care Centre DS0000018731.V253374.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 Village Care Centre DS0000018731.V253374.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/ The admission procedure includes a detailed pre-assessment of residents’ care needs to ensure their care needs can be met. The statement of purpose and service user guide provide residents with information they need to make an informed choice about the service offered by the home. EVIDENCE: Residents spoken with said they, or their relatives, had received information about the service offered by the home. This included a copy of the statement of purpose and other publicity information about the home. They also said they and/or their relatives had visited the home prior to making a decision about moving in. Residents said they are given a copy of the contract which sets out the terms and conditions of their stay in the home. The residents’ files showed that staff from the home had carried out preadmission assessments and had visited them in their home or in hospital. Residents said the service offered by the home more then meets their needs. Any changes that may affect residents are discussed with them; their plans of care are updated to reflect these changes. Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 9 Richmond Village Care Centre DS0000018731.V253374.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): 7/8/9/10/11 The resident’s health and social care needs are set out in their plans of care. Residents are looked after well in respect of their health and personal care needs. Residents are treated with respect and their privacy is respected. EVIDENCE: Residents spoken with said they receive visits from doctors, nurses and other health professionals. During the inspection district nurses were seen visiting a number of residents. Residents’ plans of care showed that their healthcare needs are monitored, discussed with the residents and action taken to address any problems. During the inspection the arrangements seen for administering medication to residents was satisfactory. Medication records for residents living on the first floor were seen, these showed that they are given the medication prescribed and is signed by staff. A number of service users manage their medication, a lockable space is provided in their bedrooms in which they can store their medication. Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 11 Staff were seen talking to and caring for residents in a manner that respected their privacy and dignity. For example, they knocked on bedroom doors before entering, issues of personal care were managed in a sensitive manner and time was spent with residents who were unwell. A procedure for caring for residents who are ill was seen during the inspection. Richmond Village Care Centre DS0000018731.V253374.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 are offered a varied and stimulating life at the home. Social activities are arranged on a daily basis for individuals and groups of residents. Meals are well presented, offer choice and variety and can be eaten in a pleasant dining area. EVIDENCE: Residents spoken with said the range of activities arranged by the activity coordinators is ‘very good and very enjoyable’. They said the choice of activities ensures they have opportunities to mix with other residents in large and small groups. A people carrier and saloon car are provided by the home which allows residents to be taken to community events and use community facilities. Residents said their relatives and friends are able to visit them and take them out. Plans of care showed that residents’ next of kin and family contacts are recorded. One of the aims of the home is to ensure residents have control over their daily lives. Residents said they are able live their daily lives as they wish. However, the assessed needs of residents is such that they require different Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 13 levels of assistance from staff. The level of assistance is dependent on their capabilities which are recorded in their plans of care. Residents were very positive in their comments about the food offered by the home. They said they choose to have their meals in their bedrooms or in the well laid out dining room. One resident said the ‘quality of the food is like what you would get at home’. The menus showed that residents are offered choices of meals; this included providing for residents with special dietary needs. Richmond Village Care Centre DS0000018731.V253374.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 Satisfactory arrangements are in place to respond to complaints and adult protection issues. The procedure enables residents, relatives and others to raise concerns and they have confidence that these will be responded to. EVIDENCE: A copy of the complaints procedure is included in the statement of purpose and service user guide. Residents spoken with were aware of the procedure and who to raise issues with in the home. The home has received one complaint since the last inspection. This was resolved to the satisfaction of the resident. CSCI has not received any complaints about the home. A copy of the adult protection procedure was seen and included a copy of the government guidelines ‘No Secrets’. According to the registered manager there have being no adult protection issues in the home. Residents are enabled to vote if they wish. Residents spoken with said they have relatives who look after their affairs including their finances. Richmond Village Care Centre DS0000018731.V253374.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 home provides a comfortable and safe standard of accommodation for the residents. The single bedrooms, all with en-suite toilets/showers, are suitable for residents needs. EVIDENCE: The home is very well maintained and provides residents with a safe, comfortable environment. It is clean and free from unpleasant smells. According to the registered manager bedrooms are redecorated on a regular basis. The residents spoken with were pleased with the standard of decoration and furnishings in the bedrooms. There is a comfortable lounge on each floor and a large well laid out dining room on the ground floor. The home provides en-suite toilets and a shower in individual bedrooms. The home also provides 8 communal toilets and 4 bathrooms. Since the last inspection the ground floor corridors have been re-carpeted. Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 16 Outdoor areas, including a bowling green, to the rear of the home are safe, well maintained and are easily accessible to residents. . Richmond Village Care Centre DS0000018731.V253374.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 staff at the home are well trained and employed in sufficient numbers to meet residents’ needs. Staff recruitment procedures are robust and provide safeguards for the protection of residents. EVIDENCE: There is normally at least three staff on duty on each floor during the day and two on each floor during the night. Additional staff are on duty at other times during the week. Staff spoken with, including a male care assistant, said the staffing levels are always maintained unless in an emergency. Residents said they feel safe because there are always staff around to help. One resident said ‘its reassuring to have people around, even if you don’t need assistance’. Three staff files were seen during the inspection. These contained the required information including CRB/POVA, two references and health declaration information. A list of training opportunities for staff was seen during the inspection. There were also records on files of training attended, and qualification obtained, by staff. The list of training opportunities was also included in the pre-inspection questionnaire. Richmond Village Care Centre DS0000018731.V253374.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): 31/32/33/35/36/37/38 The home is managed efficiently and is run in the best interests of residents. The manager offers leadership and direction to staff to ensure residents receive quality care. Staff are appropriately supervised and receive guidance to ensure the safety, welfare and well being of residents. EVIDENCE: The current manager has been in post for a number of years and has obtained qualifications and attended training required for the day-to-day running of the home. Staffing records showed that staff receive one-to-one supervision from senior staff and that their care practices are monitored. Staff are also monitored in their daily delivery of care to residents. The residents and others made positive comments about the manager and said they are consulted about care issues, that they feel valued and their opinions matter. Richmond Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 19 It is the policy of the home that residents and/or their relatives manage their financial affairs. A number of policies and procedures were seen during the inspection. Copies of these are located at the staff ‘stations’ and readily available to staff. The partial tour of the building showed that health and safety issues are addressed and that staff are aware of the need to ensure the physical well being of residents. A letter was received from the Environment and Development department of Crewe and Nantwich Borough Council. This stated that at the last inspection no major contraventions of the Food Safety (General Food Hygiene) Regulations 1995 were identified. Richmond Village Care Centre DS0000018731.V253374.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 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 4 4 4 4 3 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 3 3 Richmond Village Care Centre DS0000018731.V253374.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 Village Care Centre DS0000018731.V253374.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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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