Inspection on 16/01/06 for Ridgewood House

This inspection was carried out on 16th January 2006.

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

Ridgewood House 11/07/07

Ridgewood House 24/05/06

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 Jill Wells Unannounced Inspection 16th January 2006 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.V277509.R01.S.doc Version 5.1 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.V277509.R01.S.doc Version 5.1 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 Mrs Sandra Ann 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.V277509.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Plus Two (2) Day Care Places Date of last inspection 27th July 2005 Brief Description of the Service: Ridgewood house is a detached building located in a busy residential area on the outskirts of Chesterfield town centre. The home is registered for 21 residents aged 65 and over. There are local amenities and bus routes nearby. Accommodation is provided on two floors, and a chairlift is used for residents unable to use the stairs. There are 14 single rooms, two of which have en suite toilet facilities. There are also three double rooms. The home has three adjacent lounge areas on the ground floor and a separate dining area. There are communal toilets close to the lounge and dining areas. There is one bathroom on the ground floor fitted with aids and adaptations. There is also a bathroom and a shower room on the first floor. There is a resident call systems fitted throughout the home. There is a small garden/sitting area at the rear of the home as well as benches provided at the front of the home. The home has a no smoking policy. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a four hour period. Time was spent with the manager and owner, staff and residents were spoken with in private, and staff were observed providing care for residents. Records were inspected including residents’ files as part of the case tracking methods used. A tour of the building was also undertaken. What the service does well: What has improved since the last inspection? Several requirements were made at the last inspection. This included upgrading handrails, window restrictors on the first floor and several risk assessments that were required. All requirements had been met. The provider had also upgraded and improved the outside area, creating a large patio for Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 6 residents to sit outside in the good weather. The provider had also replaced some of the back windows with UPVC windows. A lockable fridge for storing medication had been purchased 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. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 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.V277509.R01.S.doc Version 5.1 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 the following standard(s): 1, 3. Prospective residents and families have the information that they need to help them choose whether they wish to live at the home. Residents needs are assessed before they are offered a place at the home. EVIDENCE: Near the entrance to the home is a small area next to the office called the service users room. This room has information about the home for prospective residents, their families as well as existing residents. This information had recently been revised to ensure that the Commission for Social Care Inspection details were accurate. The sign outside the home still displayed that the home was registered with Derbyshire County Council, which was no longer the case. The provider stated that this would eventually be changed. The latest CSCI inspection reports were displayed in the entrance hall for residents and visitors to read. Residents had a written contract/statement of terms and conditions with the home as well as a contract from Social Services where relevant. Residents admitted with the support of Social Services had an assessment completed by a social worker/care manager. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 9 Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Residents health, social and personal care needs were met. EVIDENCE: Three residents files were inspected as part of the case tracking methods used. Each file had a completed assessment and service user plan in place. The service user plans set out in detail the action that needed to be taken by care staff to ensure that residents’ needs were met. It was stated that the key worker reviewed the plans on a monthly basis and any changes to a residents needs were amended. However there were not clear records to show that these monthly reviews had taken place. Record showed that residents have access to health care services including chiropody, district nurse and GPs. There were records of any visits made. Residents looked well cared for with clean fingernails, well-laundered clothes and hair cared for. Residents were assessed to identify their risk of developing pressure sores. It was stated that there were no residents with pressure sores at the time of the inspection. Residents weight was monitored on a monthly basis. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 11 There were records kept of medicines received into the home, administered and returned to the pharmacist. Medication was kept securely. A lockable fridge to store medication had been purchased since the last inspection. The manager handwrote medication administration records. These were now signed and dated. There were no controlled drugs being administered at the home at the time of the inspection. The home had recently obtained and upto-date drug reference book. All senior staff as well as the manager had recently undertaken medication training from an external source. Staff were observed respecting residents privacy and dignity. One resident said that they were unhappy about staff going into their drawers, however this is now only done with the agreement and presence of the resident. There were records in individual residents files of their wishes concerning dying and death. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15. Residents were encouraged to take part in activities that were planned. The meals at the home were of a good standard and catered for special dietary needs. EVIDENCE: A care assistant had responsibility for organising the activities. All staff undertook the activities, which were mainly in the afternoon. The activities record was not available on the day of the inspection, as a carer had taken them in order to update the records. There was a notice in place displaying the activities for each day. Activities arranged included dominoes, sing-alongs, bingo, quizzes, movement to music, hairdresser and manicure. Staff said that sometimes residents were difficult to motivate. A Christmas party was arranged for residents and their families, and an outside entertainer was organised for the party. It was stated that outside entertainers are arranged approximately every 3 months. Residents spoken with were very satisfied with the standard of the meals provided. The menu was displayed in the lounge area. There was not a stated choice at lunch time, however staff and residents said that an alternative could be requested. One resident said that, if you dont want the main meal you can Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 13 ask for something else. One resident who was diabetic, described the alternative sweet as very pleasant. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. There was a clear complaints procedure, and staff were aware of the issues around protection of vulnerable adults. EVIDENCE: There was a written complaints procedure available for residents and visitors. This had been recently amended to reflect the name change of the registration body to the Commission for Social Care Inspection. The manager stated that there had been no complaints since the last inspection. Adult protection training was planned for staff later in the month. This training was with an outside organisation. Staff spoken with were aware of the issues around protection of vulnerable adults. The homes practices concerning residents’ money ensured that residents had access to their personal allowance, and there was safe storage of money and valuables. The home encouraged families to look after individuals personal allowances if the resident was unable to do so themselves. The manager kept a record of all money accepted on behalf of the resident from families, and clear records of all monies spent on residents behalf. The record showed that money was usually spent on hairdressing and chiropody. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. The environment was homely, clean and met the needs of residents. EVIDENCE: The premises were safe and generally well maintained. The home was clean with no offensive odours. The provider was quick to respond to any maintenance and decorating issues. Issues highlighted at the previous inspection including damaged paintwork and a damaged bath panel had been repaired. The lounge and dining room areas were comfortable. Although the dining room was small, there was adequate seating for all residents. There were three lounge areas, and residents could choose where they wished to sit. The home had a no smoking policy. Any residents admitted were informed of this. There was one resident that smoked, and she had agreed to smoke outside. Residents had lockable drawers in their rooms. Doors could be locked from the inside and staff could override this if necessary. The manager had consulted Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 16 with residents on an individual basis concerning their wish for an individual key for their room. No residents had requested a key. Toilet and bathroom locks were checked. Some locks were not in working order. Hand rails in corridors had been replaced and were now more solid. The provider had greatly improved the back of the home as an area for residents to sit outside. He had created a patio area and planned hanging baskets in the Spring. Residents spoken to were looking forward to using this area. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Staff were well-trained, experienced and competent. Staff numbers ensured that residents needs were met. EVIDENCE: Rotas showed that there were always three staff on duty in the daytime and two staff on duty at night. There continued to be a high number of residents that had dementia. The manager had planned dementia awareness training for staff. Most staff had worked at the home for a good number of years, from observations and discussions with the residents it was obvious that staff were dedicated and committed to their jobs. One resident said that, staff are wonderful, I have never seen such patience in my life. There were 13 out of a possible 17 staff that had undertaken NVQ level 2 Care. This was well above the requirements of 50 and should be commended. Five senior staff also had NVQ level 3 Care. Training was planned around adult protection and dementia awareness within the next few weeks. There had been one new staff member since last inspection. Their staff file was checked. All the required checks had been undertaken including two written references, a CRB check, an application form and an induction had taken place. The manager and provider were confident that they had photographs and copies of birth certificates/passports for all staff, however these were not available for inspection on this occasion. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36. The service was very well managed, with residents views considered and a homely and open environment had been created. EVIDENCE: The registered manager had undertaken the required management qualifications. She had worked at the home for a number of years and was clearly very experienced and dedicated to the job. Staff spoken with said that, shes a brilliant manager, very approachable. The manager was also described as being firm enough to resolve any difficulties that arose. The registered provider’s time and commitment to the home should also be commended. The provider knew all staff and residents, and spoke with them most days. A questionnaire had recently been circulated to all residents. An analysis of the questionnaire had been undertaken, and the results were displayed. The questionnaire results were that residents were 100 satisfied with the staff, Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 19 hygiene, personal care and laundry. One resident commented when asked about entertainment and outings that they wished their family take them out more. In response, the manager spoke with the family on the half of the resident about this issue. One resident said that there was not sufficient choice around supper time. In response to this additional snacks were now available. Policies and procedures had been recently reviewed by the registered provider and were readily available for staff and residents to view. Although the minimum standard for one-to-one staff supervision is six times per year, the manager and staff found that this was not necessary given the length of time most staff had worked at the home. Neither the manager nor the staff felt this level of supervision was necessary. The manager felt that supervision at this level was important for new staff, but long-standing experienced staff would be supervised less often. This was however not reflected in the homes written policy concerning supervision of staff. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 20 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x 2 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 3 3 3 x 3 2 x x Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 21 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. 1. 2. Standard OP7 OP36 Regulation 15 Schedule 3 18 Requirement There must be evidence that service user plans are reviewed on a monthly basis. The homes supervision policy must be revised to reflect the managers decision concerning appropriate supervision provided for staff. All privacy locks on toilets and bathrooms must be fully operational. Timescale for action 28/02/06 28/02/06 3. OP21 16 14/02/06 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 OP1 Good Practice Recommendations Consideration should be given to amending the outside sign that states that the home is registered with Derbyshire County Council. Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ridgewood House DS0000020084.V277509.R01.S.doc Version 5.1 Page 23 - 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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