Inspection on 31/05/05 for Ridgemount

This inspection was carried out on 31st May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ridgemount 18/10/07

Ridgemount 13/02/07

Ridgemount 07/11/05

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 The Horseshoe Banstead Surrey SM7 2BQ Lead Inspector Ms S Magnier Unannounced 31 May 2005 15.30 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 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 H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ridgemount Address The Horseshoe, Banstead, Surrey SM7 2BQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01737 858950 01737 851056 Anchor Trust Mrs Jean Louisa Williamson CRH Care Home 64 Category(ies) of DE(E) Dementia - Over 65, 28 registration, with number LD(E) Learning Disability - Over 65, 2 of places MD(E) Mental Disorder - Over 65, 20 OP Old Age, 60 PD(E) Physical Disorder - Over 65, 8 SI(E) Sensory Impairment - Over 65, 2 Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2 September 2004 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 two floors and comprises of five wings, with twelve bedrooms in each, plus a small unit with four bedrooms. Each of the five wings has it’s 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 it’s own grounds and all areas are accessible to the service users. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 4 and half hours with two inspectors and was carried out in response to an anonymous complaint received by the CSCI. Details of the complaint can be made available on request from the local office of CSCI. A large proportion of residents and staff were spoken with during the day including the Deputy Manager who is currently managing the home in the absence of a Registered Manager. Care plans, risk assessments and other records were seen and a tour of the premises was undertaken. What the service does well: What has improved since the last inspection? What they could do better: Requirements have been made that the Registered Persons address with staff issues of professionalism and conduct in the home regarding staff breaks. All incidents that affect the welfare and well being of residents must be reported without delay to the CSCI local Surrey (Eashing) office. Please contact the provider for advice of actions taken in response to this Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards were assessed on this occasion. EVIDENCE: None of the standards were assessed on this occasion. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10, The home continues to meet the health and personal care needs of the residents through a comprehensive care planning system. EVIDENCE: The inspectors sampled care plans and daily personal records for residents. The records indicated that personal care is attended on a regular basis and each plan contains a comprehensive and detailed account of all the needs of the residents and is complemented by a risk assessment. It was evident through the documentation that staff offer choice if residents prefer to have additional care e.g. two or three general baths per week. There was evidence within the care plans to indicate that residents are attended by health care professionals and health care needs are met. Those residents spoken with at the time of the inspection commented positively towards the staff at the home and stated that they felt they were well looked after. The appearance of the residents reflected that the general needs of the residents were met. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The home offers appropriate stimulation and support, while ensuring that residents maintain important social contacts. EVIDENCE: Several residents spoken with told the inspectors that they have meetings with the staff to discuss any issues they feel need to be addressed about the home. The inspectors met with several visitors to the home all of whom spoke highly of the care and attention that the residents receive. During the course of the inspection no planned activities were taking place however the residents spoken with told the inspectors that they have lots to do and the timetables for planned activities were available on each unit. Several residents spoke highly of the food provided and stated that they were given choices regarding what they wanted to eat. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home has a clear, appropriate complaints procedure. EVIDENCE: The home has been subject to an anonymous complaint to the CSCI. This has now been concluded, as it was the main focus of this inspection. A brief summary of the complaint report is available by contacting the Surrey CSCI office. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25,26 The areas of the home seen during the inspection were clean comfortable and offered a safe homely environment for the residents. EVIDENCE: The inspectors made a tour of the premises and noted that the home was clean and bright. The resident’s bedrooms reflect their own lifestyle and preferences. For example, in some rooms, residents had their own furniture including, chairs, bedding and ornaments including photographs of loved ones. Several residents had televisions, radios, music centres and their own telephones. The bathrooms and toilets throughout the home were observed as clean, homely and appropriate to the needs of the residents. The décor and maintenance in the home remains at a high standard. The inspectors noted a minimum odour on one of the units within the home, which was addressed with the Acting Manager. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 The home has a stable staff team in sufficient numbers, to meet the needs of the residents. Two requirements have been made in this area. EVIDENCE: The staff spoken with during the inspection spoke highly of the way in which the acting Manager was managing the home in the absence of a full time Manager. The staff stated that the standards of care at the home were high and that they were proud of their reputation in the care they provided for the residents and of achieving their NVQ Level 2 and Level 3 qualifications. The inspectors raised concern regarding the arrangements in the home for staff smoking breaks, which had caused some discontent within the home and formed part of the complaint. A requirement was made that the Acting Manager review the current situation of staff smoking breaks with immediate effect as some shortfalls were identified. The Inspector raised concern with the Acting Manager regarding the professional conduct/attitude of one staff member on duty. A requirement has been made that the Acting Manager addresses with the staff member the homes Code of Conduct . Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,38 The management and administration of the home is both professional and robust. The area of Health and Safety in respect of infection contrl and reporting of infectious diseases could be improved. EVIDENCE: The management of the home is effective, orderly and stable. Anchor Trust have successfully selected a Manager to undertake the day to day responsibility of the home, pending CRB clearance. An application for registration as manager must be submitted to the CSCI as soon as possible. The area of infection control and the reporting of infectious diseases was assessed as part of the inspection process, as a result of the investigation of the anonymous complaint. Following the sampling of service documentation and discussions with the registered manager, a requirement has been made that the Registered Persons must inform the CSCI of any outbreak in the care home of any confirmed or suspected infectious disease. Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x x x x 2 Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 16 NO 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. 1. Standard 27 Regulation 12.(5)(a)( b) Requirement The Registered Persons must make suitable arrangements to ensure that the care home is conducted in a manner that encourages and assists staff to maintain good personal and professional relationships with other staff members and residents. The Registered Persons must make suitable arrangements to ensure that staff conduct themselves in a professional manner. The Registered Persons must inform CSCI of any outbreak in the care home of any infectious disease. Timescale for action Immediate 31.5.05 2. 27 12.(5)(a)( b) 1.7.05 3. 38 37.(b) Immediate 31.5.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ridgemount H58_s40824_Ridgemount_v222667_260405 stage 4.doc Version 1.30 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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