CARE HOMES FOR OLDER PEOPLE
Ridgeway House Front Street Station Town, Wingate Durham TS28 5DP Lead Inspector
Belinda Parker Unannounced 12 July 2005 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. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Ridgeway House Address Front Street Station Town Wingate Durham TS28 5DP 01429 836383 01429 837658 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) Southern Cross Home Properties Ltd maureen Mountford CRH 48 Category(ies) of OP Old age (47) registration, with number LD Learning disability (1) of places Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Named Individuals: The home may accommodate named individuals as set out in a letters to the registered person dated 29th December 2004 and 11th May 2005 which establishes the basis on which the individuals` needs will be met by the home. Where necessary the home`s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named individuals, who fall outside the registered category. Date of last inspection 21 October 2004 Brief Description of the Service: Ridgeway House is registered to accommodate up to 48 older people in the category of (OP). It is not registered to accommodate persons who require nursing care.The home is owned by Southern Cross Homes Proprieties Limited and operates within the private sector.Ridgeway House occupies a prominent location in Station Town, adjoining the main road, close to local amenities and with views over the surrounding countryside.The home is a two-storey building situated in its own private well-maintained grounds. Personal accommodation and communal space is located on both floors. Service areas are located on the ground floor.34 service users were accommodated on the day of inspection. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 13/7/05 over a period of 4 hours. During the inspection discussion took place with service users, staff and a relative. A number of records were examined and I toured the building. Two of the three requirements made at the previous inspection have been met. What the service does well: What has improved since the last inspection?
Since the last inspection the Statement of Purpose has been up dated. Redecoration and refurbishment has been completed. The ground floor dining room is particularly attractive. The standard of comfort for service users has been improved to a high standard.
Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 6 The home has achieved 98 of care staff achieving NVQ2 in Care. The manager said she has completed the Registered Managers Award. Through training staff `are given the skills to meet the needs of the people who live in the home. The requirement made at the last inspection for the signing and witnessing of errors in the controlled drugs register has been met. 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. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 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 Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 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) 1 Clear information is made available to prospective service users and their family to make an informed choice about where to live. EVIDENCE: Since the last inspection the Statement of Purpose has been reviewed. This document explains clearly to prospective service users and their family the aims, objectives and philosophy of care the home provides. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 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 and 9 There is a clear Care Planning process in place. This process equips staff with the information required to meet service users needs. Although there has been some improvement in medication procedures there is still an outstanding issue that may put service users at risk. EVIDENCE: Care Plans examined were up to date. Staff have the necessary information to meet the needs of service users. The requirement to sign and witness errors of recording in the Controlled Drugs Register has been met since the last inspection. The procedure for signing MAR sheets on receiving medication into the home where a hand written entry is made still needs to be addressed. This could may put service users at risk (Outstanding since the last inspection). Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 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) EVIDENCE: This standard section was not assessed at this inspection. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 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) EVIDENCE: This standard section was not assessed at this inspection. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 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 and 26. The environment is safe, homely, well maintained and accessible. Recent financial investment by the company has increased the standard of comfort for service users and other visitors to the home. EVIDENCE: Since the last inspection redecoration and refurbishment has been completed. Service users spoken to said they were satisfied with the improvements. One service user said, “ I like my room, but I do not like a lot of personal possessions, just photo’s of my father ”. The communal areas are bright and airy. There is a variety of seating areas on both floors for service users to sit. The external paved seating area is uneven in places and may put service users at risk of falls. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 13 Since the last inspection the issue of odour detected in a specific area of the home has been addressed. The home was clean and free from any offensive odours. This increases the standard of comfort for service users. There is adequate toilet and washing areas with a choice of bathing facilities for service users. Some rooms have ensuite facilities. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 14 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 and 29 The home has trained staff, who are equipped with the necessary skills to meet the collective needs of the service users who live there. A thorough recruitment process is followed for the protection of service users. EVIDENCE: Since the last inspection it is commendable that the home has achieved 98 of care staff achieving NVQ2 in Care. Service users benefit from staff equipped with the necessary skills and abilities to meet their needs. The manager said she has completed the Registered Managers Award , which will enhance her professional role in the efficient management of the home. Staff personnel files examined showed that the home has a robust recruitment procedure in place to ensure the protection of service users. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 15 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, 35, and 36. The manager has a clear sense of leadership and vision for the home. Service users benefit from a well run home with dedicated staff. EVIDENCE: Since the last inspection the manager has achieved the Registered Managers Award. This achievement enhances her professional role in the effective management of the home. The manager described her style of management as, quiet, involving, fair and approachable. The manager said she listens to suggestions and views from staff and service users. The administrator said the system for the safekeeping of service users money held on their behalf by the company has been reviewed. The revised process allows for service user individual accounts which replaces the pooled system.
Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 16 Evidence was available to show that staff receives supervision on a regular basis from their line manager. Staff spoken to said they find this system beneficial. Service users benefit by staff acquiring new skills and abilities through identification of training needs during the supervision process. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 17 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 3 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 3 x x 3 3 x x Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 18 yes 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 9 Regulation 13 Requirement The registered manager must ensure all staff responsible for recording hand written entries on MAR sheets sign for receipt of medication into the home. Timescale for action immediate 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 19 Good Practice Recommendations The registered manager should ensure the paved seating area to the rear of the building is flat in identified areas to prevent trips and falls. Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Ridgeway House B54 S39793 Ridgeway House V232492 Stage 4.doc Version 1.40 Page 20 - 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!
