Inspection on 28/08/07 for Ridgemede Care Limited

This inspection was carried out on 28th August 2007.

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

Ridgemede Care Limited 07/06/06

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Ridgemede Care Limited Ridgemede Care Limited Rareridge Lane Bishops Waltham Southampton Hampshire SO32 1DX Lead Inspector Craig Willis Unannounced Inspection 09:45 28 August 2007 th 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 Ridgemede Care Limited DS0000067273.V343006.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. Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgemede Care Limited Address Ridgemede Care Limited Rareridge Lane Bishops Waltham Southampton Hampshire SO32 1DX 01489 892511 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) Ridgemede Care Limited Mrs Lorraine Catherine Chummun Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Old age, registration, with number not falling within any other category (36), of places Physical disability over 65 years of age (4) Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: Ridgemede is located in a quiet residential area of Bishops Waltham, with local amenities close by. The home is set in pleasant well maintained grounds and accommodation is arranged on two levels, in twenty-eight single and four shared rooms, all with en suite facilities. Communal areas include a large entrance foyer with comfortable seating, a quiet lounge overlooking the rear gardens, a comfortable sitting room, and separate dining room overlooking the gardens. Additional seating is provided in the grounds. The home is registered to accommodate 36 older people, including those experiencing dementia. Up to four people with a physical disability can be accommodated. The manager reported during the site visit that the weekly fees for a place in the home range from £400 to £550. Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to write this report was gained from a review of the information the provider sent to the Commission for Social Care Inspection (CSCI) since the last visit. This information included an annual quality assurance assessment, incident reports and comment cards from thirteen people who live in the home and five relatives. A site visit to the home was made on 28 August 2007. During the site visit the inspector spoke with several residents and a visiting relative and observed the interactions between residents and staff. The inspector also spoke with the manager and members of staff on duty. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. What the service does well: What has improved since the last inspection? Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 6 Risk assessments are completed for people who live in the home and include actions that are needed to keep people safer. Care plans are now reviewed every month and amended if people’s needs have changed. 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. Ridgemede Care Limited DS0000067273.V343006.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 Ridgemede Care Limited DS0000067273.V343006.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): Standards 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good systems to assess the needs of potential residents, which provides assurance to people that their needs can be met. EVIDENCE: The records of six people who live in the home were inspected during the visit. All six people had a needs assessment that was completed prior to them moving into the home. This assessment included their physical, psychological and spiritual needs and was completed by the manager. An additional nutritional assessment has also been completed for residents to assess dietary needs. Residents and relatives spoken with said that they were reassured that the home would be able to meet their needs prior to moving in. All thirteen people who completed a survey for people who live in the home said they Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 9 received enough information about the home to decide if it was the right place for them. The manager reported that the home does not provide intermediate care, therefore standard six is not applicable. Ridgemede Care Limited DS0000067273.V343006.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): Standards 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The details recorded in care plans, support to access health services and the way staff support residents ensures that they are treated with dignity and respect and their needs are met. EVIDENCE: The care plans of six people who live in the home were inspected during the visit. These documents set out how their assessed needs should be met. Since the last inspection the manager has ensured that care plans are reviewed every month. Some of the plans seen have been amended where the person’s needs have changed. All of the care plans contained risk assessments, which include actions that should be taken to minimise the identified hazards. All residents are registered with a local GP practice. GPs visit the home when requested by the staff. People’s records showed that they were supported to Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 11 attend regular health appointments, both in the home and the community. People spoken with said they were able to see their doctor when they need to. Medication is securely stored in cabinets and a locked trolley and is supplied in a monitored dosage system. The administration records had been fully completed. One of the people living in the home currently administers their own medication, following an assessment of their ability to do this and consultation with their GP. All staff administering medication have received training. Records were available of medication that had been returned to the pharmacist to be destroyed. People spoken with said that staff treat them well and provide support in a manner that maintains their dignity. All thirteen people who completed a service users’ survey said they receive the care, support and medical assistance they need. Ridgemede Care Limited DS0000067273.V343006.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): Standards 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support for people to take part in social activities and visitors are made to feel welcome. A choice of good food is provided and meal times are a relaxed, social occasion. EVIDENCE: The home organises a range of entertainment including shows, choirs, bands, games and trips out. There is also a range of books and games that people can use in the home and there is a well maintained garden that people were using during the visit. People with dementia are supported to take part in activities to meet their needs, for example one to one discussions and additional support for trips out. All thirteen people who completed a service users’ survey said there were activities arranged by the home that they could take part in. People spoken with said recent activities had been very successful, including a strawberry cream tea and a trip to Marwell Zoo. People’s interests are recorded as part of their initial assessment before moving into the home, including any spiritual or cultural needs. People are Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 13 supported to practise their religion, both within the home and at local places of worship. People spoken with said their friends and relatives were able to visit at any time and were made to feel welcome. During the visit a mealtime was observed. Staff were observed providing appropriate support to people who needed help to eat and there was a relaxed and friendly atmosphere. At the time of the visit the dining room was being decorated. The dining tables had been placed in the large central lobby. People spoken with said these arrangements were suitable, although they were looking forward to having meals back in the dining room. People spoken with said that the food was good and they could order something different from the planned meal if they wanted to. The chef demonstrated a good understanding of people’s nutritional needs and likes and dislikes. Ridgemede Care Limited DS0000067273.V343006.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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good systems to investigate complaints and protect people from abuse. This gives residents and their representatives confidence that any concerns will be taken seriously and acted upon. EVIDENCE: The home’s complaints procedure is supplied to residents and their relatives with the service users’ guide. People spoken with said that they were aware of the home’s complaints procedure and were confident that any complaints would be taken seriously and responded to appropriately. All thirteen people who completed a service user’s survey said they were aware of the home’s complaints procedures and they know who to speak to if they are not happy. Four of the five relatives who completed a CSCI comment card said they know how to make a complaint about the home if they need to No complaints have been received by the home or CSCI since the last inspection. Staff have received training in adult protection issues and those spoken with demonstrated a good understanding of issues of abuse and action they should take if they witness or suspect abuse. Ridgemede Care Limited DS0000067273.V343006.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): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, safe and well maintained, which provides a comfortable and homely environment for people. EVIDENCE: All the communal areas of the home were viewed during the visit. The home was clean throughout and people spoken with said this was always the case. All thirteen people who completed a service user’s comment card said the home was always clean and fresh. At the time of the inspection the dining room was being decorated. The maintenance manager reported that there was an ongoing programme of re-decoration to ensure the environment was kept in good order. The home has a well-maintained garden that people can access. There are wide paths for those who use a wheelchair or walking frame and people spoken with said they enjoyed spending time in the garden. Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 16 The home has a separate laundry room, which is fitted with specialist washing machines capable of safely washing soiled clothing. There are suitable handwashing facilities throughout the home. The environmental health department inspected the kitchen in February 2007 and there were no actions required. Ridgemede Care Limited DS0000067273.V343006.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): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff training, robust recruitment procedures and the deployment of staff in sufficient numbers helps to ensure that people are protected and their needs are met. EVIDENCE: People who live in the home and staff spoken with during the visit said they felt there are sufficient staff on each shift to meet people’s needs. The home has a rota, which showed that there are at least five carers between 8am and 1pm, four carers between 1pm and 8.30pm and two carers between 8.30pm and 8am. As well as the carers working overnight, there is a member of staff sleeping in the home and on-call and a member of management staff who is available by phone. In addition to care staff there are ancillary staff in the kitchen and cleaning the home. The manager reported in the annual quality assurance assessment for CSCI that six of the fifteen permanent care staff have completed the National Vocational Qualification (NVQ) in care at level two or above and four are currently completing the qualification. Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 18 The manager reported in the annual quality assurance assessment for CSCI that everyone who has worked at the home in the last year has had satisfactory pre-employment checks. The recruitment records of five members of staff were inspected during the visit. These were found to contain all of the required checks, including a Criminal Records Bureau disclosure and written references. Staff undertake an induction when they start work and other courses, including fire safety, moving and handling, first aid, food hygiene, adult protection, dementia care, risk assessment, medication and infection control. Staff spoken with said they felt the training was good and helped them to meet people’s needs. Ridgemede Care Limited DS0000067273.V343006.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): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and has good systems to keep residents and staff safe, monitor the performance of the home and plan future improvements to the service. EVIDENCE: The registered manager is a general and mental health nurse and has been qualified for 30 years. She has undertaken further qualifications, including a teaching certificate and cognitive and behavioural studies and keeps her skills up to date with regular training and research. Staff and residents spoken with said the manager was good at her job. Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 20 The manager and a fellow director work in the home each day and directly oversee the day-to-day running of the home. Regular meetings are held for people who live in the home, which enables them to comment on how the home is running. The manager recently sent out questionnaires to people who live in the home, their relatives and other professionals involved in their care, such as GPs and district nurses. The manager has employed a member of staff to complete regular audits of the home’s performance. The findings from these checks and surveys are used to plan improvements to the home. The manager reported in the annual quality assurance assessment for CSCI that the home does not hold any money for residents or operate any bank accounts on their behalf. A record is kept of valuable items that people bring into the home. The manager reported in the annual quality assurance assessment for CSCI that that the home’s electric, gas, hoists, heating and fire systems have all been regularly serviced and maintained. Records relating to fire fighting equipment and alarms and servicing of the gas system were sampled during the visit and found to confirm the manager’s report. Ridgemede Care Limited DS0000067273.V343006.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 X X 3 X X N/A 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 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 22 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 Ridgemede Care Limited DS0000067273.V343006.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ridgemede Care Limited DS0000067273.V343006.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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