Inspection on 28/06/07 for Richmond Village Care Centre

This inspection was carried out on 28th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 26/09/05

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 Val Flannery Unannounced Inspection 28 June 2007 08:30 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 Village Care Centre DS0000018731.V328505.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 Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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 www.richmond-villages.com Richmond Village Care Centre Limited 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) 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.V328505.R01.S.doc Version 5.2 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 26th September 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 on a residential estate on the outskirts of Nantwich, 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 adaptations around the building to help residents with mobility problems. All the bedrooms in the home are single with 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. Fees for the home range from £525.00 to £700.00 per week. The home can provide further details on fees and other costs. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 28/6/07 2007and lasted 7.5 hours. The visit was carried out by Val Flannery, Regulatory Inspector This visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, health and social care professionals, such as district nurses and doctors, to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. People who live in the home, relatives and staff were spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 6 The improvements to the décor and furnishings have further added to the appearance of the home so that it remains an attractive place for the people who live there. 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. The summary of this inspection report can be made available in other formats on request. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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.V328505.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care needs assessments are carried out before people come to live in the home to make sure their needs can be met there. EVIDENCE: The relatives spoken with during the visit said they were given a copy of the information brochures (statement of purpose and service user guide) when they first visited the home. The deputy manager said information about the home is given to people who may come to live in the home or their relatives. Six care files on the people that live in the home were seen during the visit. These showed that senior staff from the home carried out care needs assessments before people moved into the home. Two of the people spoken with said staff had visited them before they moved into the home. People who live in the home and the relatives spoken with said the services offered by the Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 9 home meet their needs. A number said the home was much better then some of the other places they had visited. The people that live in the home said that although ‘it’s not like your own home’, they are glad they came to live there and that their needs are met by ‘kind and caring staff’. A copy of the contract setting out the terms for living in the home is given to the people that come to live in the home or their relative so they know their rights and responsibilities. A copy is also kept in the office. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of the people that live in the home are recorded in their plans of care. This will ensure staff have the necessary information to meet these needs. EVIDENCE: The people who were spoken with during the visit to the home said they receive visits from doctors, nurses and other healthcare professionals, for example, chiropodists. During the visit three district nurses were seen calling on a number of the people. Records seen during the visit showed that any healthcare needs people who live at the home may have are monitored, discussed with them and action taken to address any problems. One of the district nurses was spoken with during the visit. She said staff are very good at contacting them as soon as a problem has been identified. She also said staff will follow instructions given by doctors and nurses to ensure the well being of the people that live in the home. The relatives spoken with said they Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 11 are kept informed of any changes in the health of the people that live in the home. A number of the people who live in the home said staff are very respectful and do all they can to make sure their dignity is maintained. For example, they said they are addressed in the manner they prefer and that staff knock on bedroom doors before entering. They also said staff close bedroom doors when helping them with personal care tasks. During the visit one of the senior care assistants was seen giving medicines to a number of the people who live in the home. This was done with sensitivity and safety guidelines were observed. A sample of the records of the medication administered to the people who live in the home was also checked. The records were completed and signed by the senior care assistants. Staff who have responsibility to give out medication said they receive in-house training on the safe administration of medication and are regularly monitored by the manager or deputy manager. Information received from the manager before the inspection visit showed that staff receive training on health care issues such as moving/handling and first aid. Staff spoken with also confirmed that they have access to NVQ training in care. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The wishes of the people who live in the home on how they choose to live their daily lives are recorded in their plans of care. This means that staff have the information they need to help people according to their wishes. EVIDENCE: A number of people who live in the home and two relatives were spoken with during the visit. They said they are able to keep in touch with each other and that visitors to the home are welcome at any time. The relatives said staff always make them feel welcome. They also said they regularly take part in the social activities organised by the home. During the visit a number of people who live in the home were seen being helped to visit the local community by relatives and friends. The people who live in the home were very positive and complimentary about the range of activities arranged by the two activities co-ordinators. Two of the people said it’s one of the main reasons why living in the home is so enjoyable. They said activities such as quizzes, board games and musical events help ‘keep their minds and bodies active’. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 13 The plans of care seen during the visit showed that the people who live in the home have been consulted on how they wish to live their lives. For example, information included what time they wished to get up/go to bed, where they wished to spend their leisure time and the level of support they needed with daily living and personal care tasks. They said they are asked by staff about the level of help they need with, for example, using the bathroom and dressing/undressing. Some also said that it is ‘reassuring to know there are staff around all the time to help you’. People were very positive about the choice of foods offered and the environment it is served in. The mealtime seen during the visit was relaxed and unrushed. Separate staff are employed to help with mealtimes. The people spoken with said they are able to have their meals in the dining areas or in their bedrooms. They also said they are regularly offered drinks and snacks throughout the day. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and adult protection procedures are in place in the home. This helps ensure that the people that live in the home are able to raise issues of concern and are protected from abuse. EVIDENCE: The manager said a person living at the home had raised some concerns about his personal property being damaged. This was dealt with satisfactorily by the home. A copy of the complaints procedure is given to people when they come to live in the home. A copy would also be given to their relatives, where necessary. The manager confirmed that they have not made any referrals under the adult protection procedures. A copy of the procedure, which includes ‘No Secrets’, is available in the home. Two of the staff spoken with said they would refer any complaints or adult protection concerns to the senior member of staff on duty or directly to the manager. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The interior and exterior of the home is very well maintained. This helps ensure that the people who live in the home are cared for in safe and comfortable surroundings. EVIDENCE: During the tour of the building, six bedrooms, communal areas and bathing/toilets were seen. These areas are well maintained, clean and free from unpleasant smells. The bedrooms and communal areas are decorated to a very high standard and are appropriately furnished with some items the people who live in the home bring with them and some provided by the home. A number of the people who live in the home were spoken with during the visit. They said the home is ‘very well maintained’ and ‘is comfortable to live in’. A number said a key to their bedrooms would be provided if they wished. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 16 They, and the relatives spoken with, said maintenance issues are dealt with very quickly and that the temperature within the home is always adjusted depending on the weather. Parts of the garden to the rear of the home were also seen. Two of the people who live in the home commented on how well maintained the gardens are, both to the front and rear of the home. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff receive training, support and supervision so they can improve their skills in caring for the people that live in the home. EVIDENCE: The staffing rota seen during the visit showed that there is normally one senior care assistant and at least two care assistants on duty on both the ground and the first floor during the day. There is normally one senior care assistant and one care assistant on duty on each floor during the night. Support staff are on duty including the cook and other kitchen staff, housekeepers, maintenance assistants and staff to help during meal times. Sixteen of the care staff have achieved an NVQ in care and have access to a range of other training opportunities including fire safety, moving/handling, first aid, food hygiene and medication. This information was included in the completed questionnaire that was sent by the manager to CSCI before the inspection visit took place. Staff spoken with during the visit said they receive individual supervision and appraisal from senior staff in the home. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 18 During the visit three staff personnel files were seen. These contained the required information including completed application form, two references and Criminal Record Bureau checks. Staff spoken with said they are made aware of their role and responsibilities and that they receive support and guidance from senior staff in the home. The people who live in the home and the relatives spoken with during the visit were positive in their comments about the staff and how they provide care to the people living in the home. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 25 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The overall management of the home ensures the people that live in the home receive a service that meets their assessed needs, and there are effective systems in place so the home is run in their best interests. EVIDENCE: Since the last inspection, there have been changes to the management of the home. This has not affected the overall running of the home or the delivery of care to the people that live in the home. During the visit the manager said she would be taking over as general manager for the whole village complex. The current deputy manager will be applying to be the registered manager for the care home. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 20 The current registered manager has worked in the care and nursing profession for a number of years, including the role of manager at the home. She is a registered general nurse (RGN), has NVQ Level 5 in management and is an NVQ assessor. She has also attended a number of courses to up date her knowledge in the running of a care home. The people who live in the home, relatives and staff said the manager would listen to them and act upon their concerns/worries. Information provided before the inspection and discussion with manager confirmed that people who live in the home and/or their relatives are responsible for managing their personal finances. The deputy manager said they send questionnaires to the people who live in the home and their relatives asking for their views on the way the service is delivered. She said they are due to carry out a survey in the near future. The home is also visited regularly by a representative from the organisation that owns the home. The home has an equality policy that allows people to live their lives as they wish; for example, representatives for different religious groups visit the home and people’s wishes with regard to who delivers personal care are respected. During the visit records were seen that showed fire safety checks are carried out regularly. Also seen were up to date service records for the passenger lift, lifting aids and room/water temperature tests. Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 21 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 4 X 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 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 4 4 3 3 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 X 3 X 4 X X 3 Richmond Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? None made at 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. 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.V328505.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Village Care Centre DS0000018731.V328505.R01.S.doc Version 5.2 Page 24 - 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. 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