Inspection on 13/02/07 for Ridgemount

This inspection was carried out on 13th February 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

Ridgemount 18/10/07

Ridgemount 07/11/05

Ridgemount 31/05/05

Ridgemount 02/09/04

Ridgemount 05/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Wingham Court

Old Hastings House

Anchorstone Services Limited

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

CARE HOMES FOR OLDER PEOPLE Ridgemount Ridgemount The Horseshoe Banstead Surrey SM7 2BQ Lead Inspector Mary Williamson Unannounced Inspection 13th February 2007 10:00 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 Ridgemount DS0000040824.V327683.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. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgemount Address Ridgemount The Horseshoe Banstead Surrey SM7 2BQ 01737 858950 01737 851056 jan.norman@anchor.org.uk sharon.blackwell@anchor.org Anchor Trust 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 Jeanette Anne Norman Care Home 64 Category(ies) of Dementia - over 65 years of age (28), Learning registration, with number disability over 65 years of age (2), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (20), Old age, not falling within any other category (60), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (2) Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: Ridgemount is a Care Home, situated in Banstead, offering accommodation for sixty- four service users. The registered provider is Anchor Trust. The home is newly built and the accommodation is set over three floors and comprises of five wings, with twelve bedrooms in each, plus a small unit with four bedrooms. Each of the five wings has its own kitchen, dining room and lounge. The bedrooms all have en-suite toilet and wash hand basin facilities and each wing has a bathroom, shower room and extra toilet. The home is set in its own grounds and all areas are accessible to the service users. The fees charged range from £446.58 to £690 per week based on individual needs. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of a key inspection and was unannounced. The inspection took place over five and a half hours. Mary Williamson, Regulation Inspector, carried out the inspection. The Registered Manager Jan Norman, the deputy home manager and the assistant deputy home manager all represented the establishment for part of the inspection. A tour of the premises was undertaken and records relating to the care of the service users, and the management of the home were examined. The inspector was able to spend time talking with service users and gathering some information regarding their experiences about living in the home. It was also possible to talk with relatives and various staff. Both service users and relatives were very satisfied with the care and support provided by the home. There were a variety of activities taking place and the inspector observed games being played on the top floor organised by an activities coordinator. Morning coffee being served in the middle floor and service users were socialising in small groups or reading the daily paper. Lunch was observed being served on the ground floor. The inspector also sampled the medication administration procedures on this unit. The kitchen was visited and catering arrangements observed. Discussions were held with staff both in groups and individually. Staff were able to confirm some of the training they had undertaken and were also able to demonstrate to the inspector their understanding of service users needs. Records sampled included care plans, risk assessments, medication recording charts, menus, staffing rotas, recruitment and employment files, and staff training arrangements. CSCI would like to thank the service users, relatives, management team, and staff for their help and hospitality during the inspection. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the home manager has become registered with The Commission for Social Care Inspection. There was only one requirement from the last inspection relating to medication, which now has been met. The home has employed a second activities coordinator, which provides the opportunity for a more varied, and flexible activities programme. This has now extended the activities to the evenings and weekends. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 7 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. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 8 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 Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 9 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, and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with sufficient information to enable them to make a decision about living in the home. Individual needs are assessed prior to admission and contracts are in place. Intermediate care is not offered in this service. EVIDENCE: The home has a statement of purpose and service users guide in place. This is available to all prospective service users and their relatives in order to help them make an informed decision about living in the home. A copy of this is also available in the reception area. Each service user has a written contract/statement of terms and conditions of occupancy in place. This outlines the accommodation offered, the care to be provided and the method and frequency of fees paid. The service user or their designated representative signs these contracts. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 10 A pre admission needs assessments is undertaken on all service users admitted to the home. The deputy manager explained that ideally prospective service users are invited to visit the home for a day when the assessment will be undertaken by himself or the manager. He also stated that some assessments maybe undertaken in hospital or in service users own homes if necessary. Six needs assessments were randomly sampled which were detailed, informative and regularly reviewed. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 11 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, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health, personal, and social care needs are being met as outlined in individual care plans. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Individual care plans are in place. These are well written by the senior care team based on the pre admission needs assessment, input from the service users, relatives and other professionals. Six care plans were randomly sampled and outlined all aspects of care to be provided. A copy of these are kept in service users bedrooms and are updated daily by the care staff. Regular reviews of care are undertaken and the inspector noted that a visiting health care professional was undertaking a review of needs, as the management team recognised that the home was no longer able to meet the specific needs of an individual serviced user. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 12 The arrangements in place to meet the health care needs of the service users are satisfactory. All the service users are registered with local GP’s who will visit the home on request or service users will visit their surgeries when necessary. The manager stated that the service users receive good support from the district nursing team who lease with the doctors surgeries. Two visiting chiropodists provide chiropody in the home or some service users choose to visit a local practice. A domiciliary dentist and an optician visit the home regularly or again service users can visit their local practitioners. The manager stared that she can access other specialist support for example the psychiatrist, or the physiotherapist to discuss falls risk assessments. Service users living in the home are protected by the home’s policies and procedures for dealing with medicines. These procedures were sampled on the ground floor unit. Medication is only administered by staff that have undertaken the relevant training and have been assessed as competent to do so. There is a list of these staff names on the medication file. Boots the chemist supplies the medication monthly in blister pack format. They will also undertake training and audits of medication. The medication recording charts were seen and are well maintained. Controlled medication is in use in the home and is stored in the medication cupboard on the top floor. This was not assessed at this inspection. The deputy manager is responsible for overseeing the medication practices in the home to include coordinating prescriptions, ordering, auditing, and disposal of medicines. Throughout the inspection staff were observed undertaking various aspects of personal care for service users in a respectful and professional manner. They were observed to be polite and address service users by their preferred name. Staff were seen to knock on individual bedroom doors prior to entering. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 13 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, and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The leisure and social arrangements in the home meet the individual and collective needs of the service users. Family links are maintained and nutritional needs are catered for. EVIDENCE: The home employs two leisure activities staff who work flexible hours and who coordinate a varied activities programme. All service users are supported to live individual lifestyles according to assessed needs and expectations. Several service users who were spoken to stated that “there is plenty to do here”, “the staff take me shopping when I want to go” and another stated that “ I do not like groups and like my own company”. Some of the activities offered include music, exercise, reminiscence groups, art and craft, games, outside entertainers, shopping trips, cookery, “big bingo night”, and Saturday night social evening. A variety of one to one activities for example gardening, aromatherapy, walks out and reading are also offered. The manager stated that during the summer months she arranges an ice cream van to call to the home, which is very popular with the service users. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 14 Family links are maintained and visitors are encouraged into the home at any reasonable time. One relative stated that he is always made welcome in the home. The manager stated that relatives participate in social activities for example parties and celebrations for special occasions. She also stated that families are involved in the care planning process and reviews of care. There are four service users in the home who have an advocate to represent them. Spiritual needs are supported and worship groups are arranged on alternate Sundays. The local Baptist Church accompanies some service users to Church and arrangements can be made for various clergy to visit the home when required. The catering arrangements in the home are good. The chef plans the menus over a four- week period. The service users are consulted on the choice of food offered and there is a choice of two main courses at lunch. The kitchen was visited and was well organised and clean. The assistant chef was making cakes for afternoon tea. Lunch was observed and the food offered was appetising and wholesome. Staff were seen to offer sensitive support to service users who required help with feeding. Several comments were received from service users who stated that the food was good, and there was a wide choice. One relative was having lunch and stated that the food was excellent and he appreciated the opportunity to be able to eat with his wife. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 15 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the complaints procedure and the abuse awareness procedures in the home. EVIDENCE: The home has a complaints procedure in place and all service users and their relatives have a copy of this available to them in the service users guide. There is also a compliment, concerns, and complaints leaflet available at the main reception area for comments. There have been no formal complaints since the last inspection. Service users are protected by the home’s abuse awareness policy. All staff receive abuse awareness training during their induction training and they had a good knowledge of this procedure when various scenarios were put to them during discussion. The home also has a copy of Surreys Multi Agencies Safeguarding Vulnerable Adults policies and procedures in place and both the manager and deputy manager have attended training in these procedures. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 16 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, 24, and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is excellent and meets the service users needs. It provides a safe, well maintained, clean, and pleasant place to live in, and has been adapted to address the mobility needs of some service users. EVIDENCE: The home is well maintained and provides the service users with a safe and homely environment to live in. The lay out of the home is arranged over five units each with its own lounge and dining room providing ample communal space. All units overlook a well- maintained garden with raised flowerbeds and ample seating areas for service users to access. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 17 All the units are fitted with assisted bathing and shower facilities to meet the mobility needs of the service users. Other adaptations include raised toilet seats; grab rails installed in appropriate places, ramp access to the garden, and shaft lift to access the first and top floors. Service users bedrooms are all single en-suite and are decorated and furnished to a high standard. These have been individualised to reflect individual personalities. There is a telephone socket, television point, and call bell in each room. The main laundry is situated on the ground floor, which is well equipped. There is also a small laundry situated on the middle floor. The post of laundry assistant is currently vacant and the manager informed the inspector that she has placed an advertisement in the local paper to fill this post. Staff are aware of the infection control policies and procedures in place. The home is clean and odour free. The standard of cleanliness is well maintained by a team of six housekeeping staff. Arrangements are in place for the collection pf clinical waste. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 18 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, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff meets Service users’ needs. The service users are protected by the recruitment procedures in place. Staff have the training necessary to do their jibs. EVIDENCE: The staff duty rota was seen and the number and skill mix of staff on duty was sufficient to meet the assessed needs of the service users. The key working system is in place and service users stated that they found the staff helpful and kind. During discussion with some staff it was evident that they were aware of their service users needs and update the care plans daily. The home also employs a large number of ancillary staff. All staff spoken to confirmed that they all have job descriptions and contracts of employment. Relatives commented that the staff are helpful and kind. The recruitment procedure in pace is robust and protects the service users in the home. Three staff employment files were sampled and contained all the required employment documentation. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 19 A staff-training programme is in place and all staff have a training portfolio. Induction training is undertaken and staff work towards a B TEC foundation award. Currently there are twenty-two staff undertaking NVQ Level 2 award in care and thirty eight percent of staff have already achieved this award. The manager stated that she engages the expertise of local trainers for example Age Concern for Activities and supervision, London Ambulance Service for First Aid, and Guardian Partnership for Dementia Awareness and Challenging Behaviour. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 20 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, 36, 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 was functioning well. The home is run in the best interests of the service users. The health and welfare of the service users is protected by the homes policies and procedures. EVIDENCE: The home is well managed by the registered manager who has twenty-seven years experience in the provision of care to older people. She also has a nursing background. An experienced deputy manager, and an assistant deputy manager support her. During discussion with staff they stated that they felt satisfied and supported by the management structure within the home. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 21 Service users and relatives also confirmed that they felt protected by the homes management arrangements. The home is run in the best interests of the service users. Quality assurance is monitored using service users and relative questionnaires, which are retained on file and any concerns acted upon. There is also a record of compliments and thank you letters available. Regular service user meetings also take place, which are recorded and any issues raised acted upon. Regular staff supervision takes place. This is formal and recorded on staff personal files. The staff spoken to confirmed this. There is a wide range of health and safety policies and procedures in place some of which were sampled over the course of the inspection. All staff have induction training in these procedures and some are mandatory on a yearly basis. The deputy manager oversees fire safety arrangements. He is also responsible for the fire safety training and the weekly recording of alarm checks. There is a contract in place for the maintenance of fire fighting equipment and emergency lighting. Accidents and incidences are recorded appropriately. Risk assessments are in place for safe working practice. Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 22 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 X X 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 X 4 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 X 3 X 3 Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from 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 Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Area Office 4630 Kingsgate Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Ridgemount DS0000040824.V327683.R01.S.doc Version 5.2 Page 25 - 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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