Inspection on 19/05/05 for Ridgway House

This inspection was carried out on 19th 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

Ridgway House 21/09/06

Ridgway House 17/11/05

Ridgway House 17/11/04

Ridgway House 04/05/04

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 RIDGWAY HOUSE 1 Swinneyford Road Towcester Northants NN12 6HD Lead Inspector Pat Harte Unannounced 19th May 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. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ridgway House Address 1 Swinneyford Road Towcester Northants NN12 6HD 01327 350700 01327 352369 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) Mr Philip Jones, Northants County Council Oxford House, West Villa Road, Wellingborough, Northants, NN8 4JR Mrs Sarah Holland CRH 35 Category(ies) of OP Old Age - 35 places registration, with number PD(E) Physical Disability over 65yrs - 4 places of places DE(E) Dementia over 65yrs - 11 places RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Within the Permanent Unit No person falling within category OP can be admitted into the unit where there are 31 persons of category OP already in the unit. No person falling within category DE(E) can be admitted into the unit where there are 10 persons of category DE(E) already in the unit. No person falling within category PD(E) can be admitted into the unit where there are 3 persons of category PD(E) already in the unit. Total number of service users in this unit must not exceed 31. Within the Short Term Unit No person falling within category OP can be admitted into the unit where there are 4 persons of category OP already in the unit. No person falling within category DE(E) can be admitted into the unit where there is 1 person of category DE(E) already in the unit. No person falling within category PD(E) can be admitted into the unit where there is 1 person of category PD(E) already in the unit. Total number of service users in this unit must not exceed 4. Total number of Service Users in the home must not exceed 35. Date of last inspection 17th November 2004 Brief Description of the Service: Ridgeway House is owned by Northamptonshire County Council and Managed by Mrs. S. Holland and Mrs. C. Bell. The Home provides personal care for up to 31 permanent Elderly Residents, up to 3 Residents with Physical Disabilities and 10 with Dementia. The Home also has 4 Short term care places, 1 of which can provide for a Resident with Dementia and 1 for a Resident with Physical Disabilities. The Home is situated close to the town centre of Towcester and all local amenities and facilities. Accommodation is on two floors and bedrooms are all single occupancy. There are 5 lounge / dining areas each with their own kitchenettes. There is also a central kitchen providing main meals to Residents and laundry. The Home has a Bar and a separate designated smoking area. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 3 Residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. 5 staff and 13 Residents were spoken with. Mostly positive written comments were also received from 5 Residents but there were some criticisms on the lack of activities. 8 Relatives provided written comments and 1 visiting relative was spoken with during the Inspection again commenting positively. A partial tour of the premises took place and a selection of records was inspected. The Inspection took place during the afternoon over a period of 5 hours and was carried out on an unannounced basis What the service does well: What has improved since the last inspection? Attention has been paid to the development of record systems and policies and procedures. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 6 The systems for the safekeeping of Residents moneys have been revised to ensure moneys are paid into Residents bank accounts. 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. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 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 RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 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) 1,2, 3, 4& 5 Prospective Residents are provided with information to enable them to make informed choice regarding their placement. The pre-admission assessment is thorough and effective in ensuring that the needs of people admitted to the home can be met. EVIDENCE: The admission process ensures that all prospective Residents are visited and assessed by staff from the Home to ensure their needs can be met. Residents and their relatives have opportunities to visit the Home and are given information on the services and facilities. Residents spoken with felt that staff were well briefed on their needs and the care to be provided. Staff spoken with felt that they were given good information on their Residents needs, routines and wishes. Individual records are kept for each of the Residents and inspection of the records showed that the assessment process has been revised, specific RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 9 assessment tools are used to identify needs and risk and needs are carefully documented. The sample of Residents records viewed showed that Residents are provided with contracts. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10, 11 The development of the care plans is ongoing, further attention needs to be paid to Dementia care plans to provide detailed instruction and guidance for staff. The Home’s medication system was safely managed and sensitive support was provided to Residents who were ill or dying. EVIDENCE: Individual plans of care are available for all Residents. Progress has been made in developing the plans to reflect health and personal care needs though guidance and instruction for staff on how the care is to be carried through is still limited and timings for the frequency of care are not always detailed. The approach to Dementia care is still fragmented. The Home has one dedicated unit for 5 Residents with Dementia, which is insufficient for the total number accommodated. Consideration needs to be given to provide sufficient dedicated space including safe gardens areas with designated staff to monitor and supervise Residents. Care plans for Residents with Dementia need further development. Information was gathered on Life histories, to aid understanding of the conditions and behaviours of Residents with Dementia, but not cross-referenced to the care RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 11 plans. Strategies for the management of behaviours and anxieties were not detailed. Residents felt that they were treated as individuals and were respected by staff. They felt that they were encouraged to be as independent as possible. Staff ensured that their privacy and dignity was protected when personal care was carried through. The Home provides care for Residents who may be ill or dying with the assistance of the Community Medical and Nursing Services. Relevant equipment is provided. Residents’ wishes regarding the arrangements after death are recorded. Residents are encouraged to manage their medication where possible and lockable facilities are provided to house the medication. The Home’s medication system was in good order with the relevant records maintained. Storage of medication was secure. The administration process was safely carried through. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 & 15 The meals in the Home are good offering choice, variety and catering for special dietary needs and individual likes and dislikes. The activities programme is limited, particularly for people with dementia. EVIDENCE: A number of Residents were spoken to and everyone who commented on the food said it was good, they had choice and their special and likes and dislikes were catered for and respected. Residents are asked to comment and offer suggestions on the menu and changes are made accordingly. The midday meal was efficiently served and nicely presented. Staff helped Residents with their meals where necessary. The Home has been recently been awarded the Heartbeat Award for attention paid to nutritional content. Residents felt routines were relaxed and flexible and that their preferences on rising and going to bed times were respected. They felt that they were free to decide on how and where they wished to spend their time. Whilst an activities programme is provided Residents felt that activities were limited and that staff had little time to provide for individual interests or just sit and talk with them. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 13 There is little in the way of individual, meaningful activities for people with dementia. The Home has an open visiting policy. Visiting Relatives commented that they were made welcome, extended hospitality and that staff made time to discuss their Residents needs, health and progress with them. Residents confirmed that they were enabled to receive their visitors in private, if they so wished. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 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 standard(s) 16, 17 & 18 Systems are in place to protect Residents from abuse, to ensure that complaints are listened to and acted upon and that their rights are protected. EVIDENCE: Residents confirmed that they had been given the Home’s complaints procedure which is also displayed in the Home. Those spoken with felt confident and able to raise any issues or concerns with staff. A record of complaints is maintained and showed that any complaints are taken seriously, investigated and issues resolved. No complaints have been received by the CSCI in the last year. The Home has a procedure for the Protection of Vulnerable Adults. Staff spoken with had received training on Elder Abuse and showed that they would react quickly and appropriately to any allegations. Senior staff have responsibility for the reporting procedures to the Authorities. Residents are supported to vote and postal votes are obtained. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 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 standard(s) l - 26 EVIDENCE: Residents felt the Home was comfortably furnished. The kitchenette cupboards in Sunnyside Lounge/Dining room failed to shut and had peeling and broken laminate. The doors presented a trip hazard and the broken laminate had the potential for injury if rubbed against. Whilst the repairs had been requested the Local Authority had not responded to carry out the work. The front corridor areas were in poor decorative order with peeling or missing wallpaper. The front corridor carpet was in need of replacement as it had stretched and bubbled and presented trip hazards. Although the Local Authority had acknowledge the necessary replacement no date had been given for the work to be carried out. The designated smoking area in one of the corridor areas did not have an extractor fan. Windows were open to give ventilation but this made the corridor area cold. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 16 There are numerous exit doors from the building many of which can be accessed by Residents; none of the doors were alarmed. There is the potential for Residents with Dementia to access the busy main road or go missing. The electrical wiring in Althorpe Unit is problematic and results in frequent tripping of the supply. This presents a danger to Residents when the area is plunged into darkness. Whilst this has been reported to the Local Authority there is no indication of when work will be carried out to rectify the problem. Safe garden space is limited to an inner courtyard, which is insufficient in size to meet the needs of all Residents. Residents are able to personalise their rooms and have their furnishings and belongings about them, all those spoken with were satisfied that their rooms met their needs. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 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 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 & 28 The deployment and number of staff available in the afternoons is not sufficient and there is a risk to Users when the Units are left without staff. EVIDENCE: Residents spoken with said that the staff were very kind, committed and caring. Residents and Relatives comments indicated that they felt the Home was short staffed at times and that there were delays in meeting their needs. Staff rotas showed that 5 care staff are on duty on the morning shifts, the numbers drop to 4 in the afternoon and evenings. 3 care staff provide night cover. There are five lounge areas, which at times cannot be appropriately supervised and monitored as staff are frequently called away to assist in other areas. Only one dedicated area is provided for 5 Residents with Dementia with others being accommodated throughout the Home. There were times when staff were occupied in other areas and these Residents were not supervised and monitored. In addition two Residents require a high level of physical care requiring two staff members, this further affected the availability of staff on the floor of the Home. Staff and Residents commented on the lack of time to provide activities. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 18 RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 19 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, 35, 36, 37 &38 There is an effective and proactive Management structure in place that is accessible and responsive to the needs of both the Residents and staff. EVIDENCE: The Home has two Managers who job share. Staff spoken with felt that the Managers were easily accessible to them, acted as a Team and were willing to discuss any issues and guide them in practice. The Supervisions systems were in place to ensure that staff receive guidance and support. Residents felt the Managers were readily available to them. They commented that regular Residents meetings were held and that the Managers also sought their individual views. Residents felt that their opinions were listened to, valued and acted upon and that they had trust and confidence in the staff group as a whole. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 20 The systems for safeguarding Residents moneys and valuables were well maintained. Fire records showed a the testing of the fire alarm system is carried out weekly, fire safety training is provided to staff and fire drills are undertaken. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 21 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 3 3 3 3 N/A 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 2 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 3 3 RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 22 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 12.2. Regulation 16(2)(n) Requirement Attention must be given to providing suitable and meaningful activities for Resident s with Dementia. The Kitchenette Cupboard doors in the Sunnyside Unit must be replaced. Written confirmation that this work has been carried out must be forwarded to the Commission. The front corridors must be redecorated. Written confirmation that this work has been carried out must be forwarded to the Commission. The carpeting to the front corridor must be replaced. Written confirmation that this work has been carried out must be forwarded to the Commission. The electrical wiring to Althorpe Unit must receive attention and repair to prevent the system tripping out. Written confirmation that this work has been carried out must be forwarded to the Commission. A proposal for safely securing exit doors must be submitted to the Commission. Staffing levels must be Timescale for action 30.7.2005 2. 19 13 (4) (a) & 23 (2)(b) 15.6.2005 3. 19 23(d) 30.6.2005 4. 19 13.4.(a) 30.6.2005 5. 19 23 (2) (b) 15.6.2005 6. 7. 19 27 13 (4) (a) 18 (1) (a) 30.6.2005 30.6.2005 Page 23 RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 increasedto meet the needs of the Residents and provide adequate supervision and monitoring. 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. 2. Refer to Standard 19 19 Good Practice Recommendations An extractor fan should be fitted in the smoking area. Consideration should be given to increasing the overall garden provision in order to cater for all residents. RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Newland House, First Floor Cambell Square Northampton NN1 3EB 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 RIDGWAY HOUSE DC51 S34911 Ridgway House V223459 190505 stage 4.doc Version 1.30 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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