Inspection on 11/07/07 for Ridgewood House

This inspection was carried out on 11th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Ridgewood House 24/05/06

Ridgewood House 16/01/06

Ridgewood House 27/07/05

Ridgewood House 05/01/05

Ridgewood House 02/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Ridgewood House 13 Dukes Drive Newbold Chesterfield Derbyshire S41 8QB Lead Inspector Sue Richards Unannounced Inspection 11th July 2007 09:30 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 Ridgewood House DS0000020084.V337655.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. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgewood House Address 13 Dukes Drive Newbold Chesterfield Derbyshire S41 8QB (01246) 237333 01246 220205 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) Mr Peter Walsh Ms Lorraine Cocking Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Plus Two (2) Day Care Places Date of last inspection 24th May 2006 Brief Description of the Service: Ridgewood house provides personal care and support for up to twenty-one older persons, both male and female. It is located in a busy residential area to the northern west outskirts of Chesterfield town centre, close to shops, local amenities and bus routes. Accommodation is provided over two floors, with a chairlift provided for access to the first floor for those residents who are unable to use the stairs. There are fourteen single rooms, two of which have en suite toilet facilities, and three double rooms. The home provides three adjacent lounge areas and a separate dining room to the ground floor, with communal toilets close by. There are suitably adapted bathroom facilities to each floor, together with a separate shower room, which is also located on the first floor. The building provides level access and is suitably adapted throughout to assist those people with mobility problems, including the provision of an emergency call system located in all private and communal areas accessed by people who live at the home. There is an enclosed patio/wall providing seating and tables to the rear of the home, together with seating to the front of the home and a no smoking policy is operated. People receive care and support from a stable team of care and hotel services staff, led by the registered manager. The registered provider is actively present and involved in the running of the home on a daily basis. A copy of the most recent inspection report is openly displayed in the main entrance area, which people can easily access. Fees charged are currently set at £360.00 per week per person. These fees apply to people who are privately funded and people whose care is funded via local authority arrangements. (This information is correct as provided by the registered provider at this inspection). Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on all the information we hold about the service over the last 12 months. This includes the previous key inspection report of 24 May 2006, information provided by the home by way of a completed annual quality assurance questionnaire, eleven survey returns completed by or on behalf of people who live at the home and the unannounced site visit for the purposes of this inspection. Case tracking was used as part of the methodology. This involved the random sampling of three people whose care and service provision was examined more closely. Discussions were held with those service users (in accordance with their given capacities) and where possible their representatives and also the staff involved in their care. Individual’s care and associated records were examined and their private and communal accommodation inspected. At the time of this site/inspection visit, there were twenty people accommodated receiving personal care and support. What the service does well: People live in a safe, clean and comfortable home, which is well maintained, and suits their needs. Before admission, people are provided with a range of information about the home and its services and the admission process is individually tailored and flexible and aims to ensure that people are confident to move into the home, being assured that their needs will be met. People’s health care needs are very well promoted and accounted for in a manner, which actively strives to promote individual’s health and wellbeing and also their rights to dignity, privacy and respect. People’s daily living experiences and lifestyles usually accord with their choices and interests and their contacts with family and friends are encouraged and su0pported. The majority of people are satisfied with the quality and choice of food provided. People know how to complain and are effectively protected from abuse. There are proactive and consistent staffing arrangements, which consistently promote a person centred approach to people’s care and support and also their safety and protection. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 6 The management of the home is both proactive and inclusive. The home and its services are systematically reviewed, with a consistent aim of ensuring that it is run in people’s best interests and that their health, safety and welfare is always well promoted and protected. What has improved since the last inspection? 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. Ridgewood House DS0000020084.V337655.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 Ridgewood House DS0000020084.V337655.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): NMS 1, 2, 3, 4, & 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The range of information that the home provides for people about its services and the individually tailored and flexible admission arrangements ensure that people are confident to move into the home are well assured that their needs will be met. EVIDENCE: At our last key inspection of this service we judged that the care needs of people coming to the home are properly looked at so that they can be reassured that the home is suitable for them to live in. And we said that the quality in this outcome area was good. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 9 In our annual quality assurance questionnaire completed by the home they said that as a result of listening to people accommodated that they have made information about the home, including the brochure/guide more accessible to them. They aim to regularly review and revise the home’s brochure in order to ensure that people are provided with clear, relevant and up to date information to assist them in making a decision to live at the home. They also said they felt that people’s needs are well met. The home also provided information regarding the diversity people who use their service. There is no person accommodated with identified diverse needs. At this inspection, discussions were held with those people case tracked and also the family of one person, about the arrangements for their admission and their care needs. All said that they were provided with a contract and received good information about the home, including a copy of the home’s guide/brochure, copies of which are openly displayed in the main entrance to the home. Information about the home is provided in standard print format, although can be made available in large print. People’s views about the home are published and are included in the guide, and including plaudits and photographs of the home and people who live there as consented by them. Of the eleven surveys returned from people who live at the home, all said they were provided with a contract and received enough information about the home before moving in, so they were able decide if it was the right place for them. Many people said they came to visit before moving in, including short visits, meal visits and overnight stays and that staff were friendly and helpful. The recorded needs assessment information for each person case tracked was examined. This is person centred in detail and includes identified areas of individual risk with regard to care and daily living activities. Each person has a daily living plan, which details their preferred daily living routines and known lifestyle choice. People said that their needs were always well met in accordance with these. The home does not provide for intermediate care. Ridgewood House DS0000020084.V337655.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): NMS 7, 8, 9 & 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People’s health care needs are well promoted and accounted for in a manner, which best promotes and safeguards their health and wellbeing and individual rights to dignity, privacy and respect. EVIDENCE: At our previous inspection of this service we judged that the home’s care planning and risk assessment records promote safety and consistency in caring for residents and their health, social and personal care needs are met. And we said that the quality in this outcome area was good. In our annual quality assurance questionnaire completed by the home they said that they actively consult with people about their care, including that relating to access to outside healthcare professionals and discussion and information about the key worker system, which the home operates. They Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 11 said they have detailed care plans in place for each person, that they always closely monitor people’s health and wellbeing, act promptly on any changes and keep good healthcare records. They also said that people’s health and personal care needs are met in a way, which affords their privacy and dignity. Over the next 12 months they said they aim to continue with the good practise established, including that relating to ensuring that monthly reviews of care plans and risk assessments are always undertaken as established since the previous inspection. At this inspection we spoke with people case tracked and some of their representatives, about the arrangements for their personal (social) and health care and examined their individually written care plans and associated health care records. People spoke highly of the care and support they receive. They said this was always in accordance with their preferences and choices and that staff always treat them with respect and uphold their privacy and dignity. Written care plans are person centred, based on recognised guidance concerned with the care of older persons and formulated in accordance with individual’s choices and risk assessed needs. People spoken with knew where particular risks to their health and wellbeing restricted some aspects of their daily living preferences. Restrictions were clearly recorded in their care plans, which were signed in agreement by those who were able to do so. Records of the regular review of these are now kept, which was identified as a recommendation at the previous key inspection of this service. Of the eleven survey returns, all said that they always received the care and support they needed, including the medical support. Staff spoken with was enthusiastic and demonstrated a consistent attitude in promoting a person centred approach to care, which seeks to maximise people’s independence and individual choices whilst maintaining their safety. The arrangements for the management and administration of medicines were examined. These are well managed within recognised practise boundaries. The manager demonstrated good accountability with regard to medicines policy and practises operated in the home. A discussion was held with her about the storage arrangements for one medicine, which was immediately addressed. One of the people case tracked had chosen to manage some of their medicines. The arrangements for these were well recorded in accordance with the home’s policy regarding self-administration and that person was provided with suitable lockable storage in their own room for these. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 12 A requirement made at the last key inspection of this service with regard to the monitoring of the refrigerator temperatures where medicines may be stored is complied with. Ridgewood House DS0000020084.V337655.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): NMS 11, 12, 13 & 14 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s individual daily living experiences and lifestyles usually accord with their choices and interests and their contacts with family and friends are encouraged and supported. The majority of people are satisfied with the quality and choice of food provided. EVIDENCE: At our previous inspection of this service we judged that residents are suitably encouraged to take part in activities at the home and to maintain good contacts with family and friends. And the residents appreciated the quality of meals. And we said that the quality in this outcome area was good. In our annual quality assurance questionnaire completed by the home they said they aim to promote people’s choice and control over their daily lives and encourage them to participate in a range of activities and entertainments. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 14 They also advised that they had recently upgraded their advocacy service to a premium service and information regarding advocacy is provided. They said that over the next 12 months they aim to create additional space in the home by way of a conservatory, giving more flexibility of space and choice in socialising or quiet for people accommodated. They also said they aimed to continue their regular held meetings with people who use the service and also their families, which are used to promote discussions and opinion about the home and people’s daily living arrangements. Minutes of these meetings are kept. A residents’ fund is also established and seasonal celebrations are also organised. At this inspection we spoke with people, including those case tracked about their daily living arrangements, social activities and community contacts. People said they were provided with information about activities, including information about in house entertainments provided by way of individual books in their own rooms. Activities information is also displayed on the notice board in the hallway and photographs of people’s participation are also displayed on a photograph board with people’ agreement. There is access to a range of activities materials, including music and film, which are chosen and purchased in accordance with individual’s known or expressed tastes and preferences. Staff regularly organise a range of in house activities, including dominoes, sing-alongs, bar and bingo (memory lane) sessions, film club, quizzes, movement to music, hairdressing and manicures and pub outings. People are also supported to maintain contacts with their families and friends and to access the local community. Families and friends said the home is always friendly and welcoming at any time. One person said they took daily walks out with support from staff and regularly visited placed of their choice in the community, including meals out and pub visits. This person was in the process of purchasing a mobility scooter and the registered provider advised that he was arranging for suitable storage for this. Another person said they particularly enjoyed the memory lane bingo. Of the eleven survey returns, eight said that activities were always organised at the home and three said they usually were. One person case tracked managed their own finances, supported by provision of suitable/safe storage. Lunches served during the inspection were well presented and tables were attractively set. People chose whether to eat their meal in the dining room or their own rooms. Staff provided assistance and support for people as Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 15 necessary. The majority of people spoken with said the food was very good, some said it was exceptional although one felt they would like more choice. One person was celebrating their 92nd birthday with a party tea organised, to which their family were invited, together with friends in the home. Of the eleven surveys returned, eights said that they always like the meals at the home and three said they usually did. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 16 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): NMS 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know how to complain and are suitably protected from abuse. EVIDENCE: At our last inspection of this service we judged that there is a clear complaints procedure for residents and their representatives to use, and staff and management of the home protect residents from harm. We said that the quality in this outcome area was good. In our annual quality assurance questionnaire completed by the home they said that they always take time to listen to people and inform them of their right to complain both verbally and by way of written information. They said they take complaints seriously and aim to respond promptly. They said they aim to continue their success in encouraging open expression of people’s opinions, maintaining good communications, protecting people from abuse and treating all people with respect and dignity, whilst promoting individual differences. At this inspection we asked people whether they know who to speak to if they are not happy and if they knew how to complain. All people, including those Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 17 surveyed said that they always did. Comments were received regarding the supportive and positive attitude of staff and the fact that they are always approachable and listened to people. The complaints procedure is displayed and information regarding how to complain is also provided in the home’s brochure. The complaints policy includes clear guidance for staff regarding reporting and recording. There have been no complaints made about the home since the last key inspection. Staff spoken with was conversant with these and also with the action to take in the event of any suspicion or witnessing of the abuse of any person in accordance with the home’s policy and recognised local authority procedures. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 18 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): NMS 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a safe, clean and comfortable home, which is well maintained and suits their needs. EVIDENCE: At our last key inspection we judged that standards of maintenance, cleanliness and hygiene of the home were continued and the needs of residents were met by its physical arrangements. We said that quality in this outcome area was good. In our annual quality assurance questionnaire completed by the home, they said that they keep the home exceptionally clean and free from odours, well decorated with a regular programme for the upgrade, repair and renewal of Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 19 the home. They identified key areas of improvement over the last twelve months, which include redecoration and renewal to the fabric of various areas of the home, development of the rear walled patio area of the home to enable better access and greater enjoyment for people who use it. They also plan to add a conservatory to the front of the home. At this inspection we looked the private and communal areas accessed by those people case tracked. All areas seen were very clean and were odour free and well furnished, equipped and decorated. Bedrooms were personalised. The laundry area was also inspected and is suitably equipped. Suitable hand washing facilities are provided for staff. People spoken with spoke highly of the cleanliness of the home, they said there are never any stale odours and that they are satisfied with their environment. The eleven survey returns all said that the home is always fresh and clean. Comments included “the home is always spotless and without any smell.” Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 20 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): NMS 27, 28, 29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The proactive and consistent arrangements for staff recruitment, induction, training and deployment, consistently promotes a person centred approach to people’s care and support and also their safety and protection. EVIDENCE: At our last key inspection of this service we judged that staff was well trained, experienced and competent and effectively deployed, which ensured that residents’ needs were met. In our annual quality assurance questionnaire completed by the home, they said that they have a consistent and stable staff group who are dedicated, efficient and suitably recruited and trained, with all having at least NVQ level 2 and some with NVQ level 3. They also said they felt unable to improve, other than to continue with their current approaches to staffing and staff training with the aim of providing the best care for the people who live at the home. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 21 At this inspection we held discussions with staff about the arrangements for their recruitment, induction, training and deployment and we also inspected associated records, including the personal records for three of the most recent staff starters. These were all satisfactory. The arrangements for staff induction and training accord with those determined by Skills for Care and there is a ongoing training plan, which is comprehensive and regularly reviewed with staff, both on an individual and group basis. Staff spoken with said that arrangements for their training and support were very good and confirmed details of training undertaken by them over the last twelve months, which was satisfactory. People who live at the home said that staff is always available when they need them and said they were confident in staff’s abilities. Of the eleven survey returns, nine said that staff is always available when they need them and two said they usually are. Records and discussions with staff confirmed that all have achieved at least NVQ level 2 or above. This is well above nationally agreed targets at this stage, which is commendable. Discussions were also held with the manager and staff regarding the care of a significant number of people accommodated having some confusion/dementia. All said that dementia awareness training had been undertaken with staff since the previous inspection and individual staff records examined reflected this. The home operates an equal opportunities policies and whilst staff receive regular training with regard to equality and diversity. Whilst the home is located in an area, which does not have vast cultural or religious diversity, considerable work has been undertaken over the last year by registered persons to develop its policy guidance and training in order to ensure that staff are better equipped and informed to promote equality and diversity. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 22 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): NMS 31, 32, 33, 35, 36 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The proactive and inclusive operational management of the home, consistently aims to ensure that it is run in people’s best interests and that their health, safety and welfare is always well promoted and protected. EVIDENCE: Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 23 At our previous key inspection of this service, we judged that the home is well managed with residents’ and relative’s views considered, resulting in the creation of a homely, safe and open environment. In our annual quality assurance questionnaire, completed by the home, they said they have a highly dedicated proprietor, manager and stable staff team who spend time with people who live at the home to seek and listen to their opinions and also with their representatives. They said that their most recent satisfaction survey questionnaire circulated to people provided excellent feedback about the home. They also said that they regularly review their operational policies and aim to continuously improve their service. At this inspection we spoke with the manager about development and training undertaken by her over the previous twelve months, which was satisfactory. People who live at the home, their representatives and staff employed all spoke very highly of the registered manager, who they said was always approachable, gave them a lot of time, including regularly held individual formal supervision sessions. They said the manager always listened to them and operated an open door policy. They all said the manager gave clear guidance and support regarding the aims and objective of the home and also in terms of their job expectations with regard to their own roles and responsibilities and those of others. People (both staff and those who live at the home, said they were regularly consulted about the running of the home and confirmed recent satisfaction survey questionnaire circulation. The proprietor has a high profile in the home and converses with people on a daily basis. Both he and the manager work closely together and aim to ensure the continual development of the home, which is based on a system of quality assurance and auditing for all aspects of the service. However, the findings/results of the satisfaction survey was not published or available for people. Comments made under the Staffing section of this report in respect of policy and procedural development in the home also apply here. Systems and arrangements for the management and safekeeping of people’s monies were examined via case tracking. One person, case tracked independently manages their own monies, with appropriate safekeeping facilities. Another has the assistance of an appointed solicitor and the third by their family. There are suitable safekeeping and administrative records with regard to monies, which they safe keep only on behalf of people at their request. The systems and arrangements to promote safe working practises were discussed with staff and associated training records examined. These included staff training records, certificates for the maintenance of equipment. The latter, were sampled, and are in accordance with the information provided in Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 24 the annual quality assurance questionnaire completed by the home. During our inspection of the premises there were no hazards observed. The system for the reporting, recording and monitoring of accidents and untoward incidents in the home were also examined via case tracking and are satisfactory. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 25 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 4 3 4 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 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 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 X 3 Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 26 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. 1. Refer to Standard OP33 Good Practice Recommendations Publish the findings/results of satisfaction surveys undertaken by the home and ensure these are available to people accommodated, their families and representatives and any outside stakeholders who may have an interest. Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ridgewood House DS0000020084.V337655.R01.S.doc Version 5.2 Page 28 - 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. 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