Random inspection report
Care homes for older people
Name: Address: Rider House Nursing Home Stapenhill Road Burton On Trent Staffordshire DE15 9AE one star adequate service 18/05/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Rachel Davis Date: 0 9 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Rider House Nursing Home Stapenhill Road Burton On Trent Staffordshire DE15 9AE 01283512973 01283511749 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rider House Limited care home 38 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 38 The maximum number of service users who can be accommodated is: 38 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Physical Disability (PD) 38 Date of last inspection Brief description of the care home Rider House is a 38-bedded care home (with nursing care) and is situated on the Stapenhill Road, approximately one mile from the centre of Burton upon Trent. Rider House is part of the Elder Homes Group, the registered manager is Roslyn FoxRoberts. The home is registered with us to meet the needs of adults with a physical disability and those with a terminal illness. The home also has two intermediate care beds, which are facilitated by the Primary Care Trust (PCT) and the Social Care and Health Directorate. This means people can reside at Rider House on a short-term basis
Care Homes for Older People Page 2 of 9 1 8 0 5 2 0 0 9 Brief description of the care home with an intensive internal and external support programme with a view to them returning to their own home within a reasonable period of time. Information about the fees for this service are included within the Service User Guide, they vary from £500 £545 per week. This was correct at the time of the inspection but people may wish to enquire directly to obtain up to date information. The environment is fit for purpose and in the process of modernisation and refurbishment. Care Homes for Older People Page 3 of 9 What we found:
The focus of inspections undertaken by the Care Quality Commission is based upon outcomes for people who use the service. The inspection process considers the homes capacity to meet regulatory requirements, national minimum standards and aspects where the service requires further development. This was an unannounced random inspection undertaken by the inspector for the home, we arrived at 12:35. During the visit we looked at the outcomes relating to protection of people using the service, the environment, staffing, and the conduct and management of the home. The primary reason for this visit was to establish whether the requirements made at the last key inspection, held in May 2009, had been complied with. We made six requirements at the last inspection. We checked to ensure all of these had been dealt with. We had asked the home to provide policies and procedures referring to Deprivation of Liberty Safeguards. This means policies and procedures are necessary to fully inform people about any decisions made for people who lack capacity, and where their liberty is deprived. These decisions have to be made by the appropriate professionals who consider the persons best interests. Rider House is part of the Elder Homes Group who have a number of homes across the country. Their policies and procedures are therefore corporate. Their policy is presently being reviewed but we could access information on the website to see that the necessary requirements regarding this are in progress. We also asked the home to ensure hot water is available to all people who use the service. At the time of the Key inspection one bathroom upstairs was not producing hot water. The manager confirmed new valves have been fitted and temperature checks we saw confirmed that the required temperature had been reached. The monthly temperature report sheets select random outlets and this particular bathroom has not been checked since June /July 2009. We recommend this area is checked regularly to detect any problems with the temperature as soon as practicable. The manager confirmed staff have not raised any concerns regarding temperatures recently. We noted on the Key inspection that some new en-suites had exposed pipework, this may pose a risk to people using the service. Exposed pipe work within the home must be assessed for the risk they present to people and action taken to minimize the risk. The manager considered the pipework had been lagged but on inspection we noted this was not the case. The manager considered that the pipework only carried cold water but we have asked that the risk assessments to identify this are completed and sent to us by the 13th November 2009. This is because there was not any evidence to verify her statement and we need to ensure the home has risk assessments in place to confirm people are safe. We required the home to review their staffing levels as we had evidence to verify that people who use the service were not always receiving care in a timely way. The effect of this was that people had to wait longer for attention. As already reported in the Key inspection one person told us that there were times we are not offered breakfast until 11.30. Another person repeatedly told us there are not enough staff. A visitor told us no
Care Homes for Older People Page 4 of 9 one had been in the lounge on some days they visited for an hour and a half. They commented: There are not enough staff to adequately care for residents. During this inspection we spoke with staff on duty who confirmed things are better and Ros is supportive, she understands. There are either two nurses and five or four care staff, or one nurse and six care staff on duty during the morning. Staff confimed when there is one nurse and four care staff it is difficult. Overall staff felt things had improved and morale was better , they have always considered they work well as a team and offer good care. We have not received any complaints or concerns from families, staff or people who use the service since our last inspection. People we spoke with were satisfied with the care and they like the staff. One person did say they had to wait quite a while for the bell to be answered. The manager considers that this is not an issue as the bell automatically turns to emergency call if it is not answered in a timely manner. We will continue to monitor this at future inspections. We sent 24 questionnaires to the home in August with a return date of 26th September 2009. Twelve were sent for the staff and twelve for the attention of families and carers of the people who use the service. Unfortunately none were returned to us. We discussed this with the manager who confirmed they had arrived but from that point onwards we can only assume people did not return them. We have asked the manager to discuss this in a staff meeting as their information helps us to form the basis of our inspections. We noted at the Key inspection that a member of staff had not received any induction training. The manager confirmed an induction pack is now in place which meets with the Skills for Care Induction Standards. This means new staff receive the necessary infomation and training to support them in their role. The manager has produced a training matrix however, it is not up to date and it is not fully completed. It is difficult for the manager to evidence their training programme is up to date. We did see evidence of training booked for January, February and March 2010. We have asked the manager to ensure all records pertaining to training are up to date and there is clear evidence available to show the staff have an up to date training profile. We required Rider House implemented effective quality monitoring systems, which demonstrated positive quality outcomes are consistently achieved for all persons living at the home. The manager informed us that all information relating to this is on the computer system. We could see that regular audits were undertaken and that structures and systems are in place to ensure the health, safety and welfare of the people who live there. We still consider the manager needs to improve the way in which evidence is available. This is more on a day to day basis, relating to areas such as activities and conversations held with visitors and people who use the service. The manager is aware of the need to offer more documented evidence and will consider this for the next inspection. We asked the manager when the responsible individual last completed a Regulation 26 visit. These visits are to monitor the quality of the service. The responsible person has
Care Homes for Older People Page 5 of 9 carried these out monthly as required and recorded these visits. This aslo verifies additional quality monitoring is taking place. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 19 To continue to monitor the temperature of bath water upsatirs at regular intervals. This means the home can be confident hot water is available at all times. To ensure the training matrix is accurate. This means the manager is clear on which staff require any mandatory training or refresher courses. The registered manager needs to ensure their verbal statements can be evidenced in written records to verify their existence. 2 30 3 31 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
