Inspection on 21/09/06 for Ridgway House

This inspection was carried out on 21st September 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

Ridgway House 17/11/05

Ridgway House 19/05/05

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 Mrs Pat Harte Unannounced Inspection 11.45 21 September 2006 st 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 Ridgway House DS0000034911.V311223.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. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgway House Address 1 Swinneyford Road Towcester Northants NN12 6HD 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) 01327 350700 01327 352369 www.northamptonshire.gov.uk Northamptonshire County Council Mrs Sarah Jane Holland Mrs Clare Louise Bell Care Home 35 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (3) Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No person falling within the OP category can be admitted where there are 32 people of OP category already in the Home. No person falling within the D (E) category can be admitted where there are 14 people of D (E) category already in the Home. No person falling within the PD (E) category can be admitted where there are 3 people of PD (E) category already in the Home. The Home may continue to provide care for 1 existing, named resident with Sensory Impairment. Total number of service users in the Home must not exceed 35. Date of last inspection 17th November 2005 Brief Description of the Service: Ridgeway House is a residential care home owned by Northamptonshire County Council and managed by Mrs. S. Holland and Mrs. C. Bell. The Home provides personal care for up to 35 permanent places for elderly residents. The home can provide care for up four residents with physical disabilities and up to fourteen residents with dementia. The home is situated close to the town centre of Towcester and its local amenities and facilities and can be accessed by public transport. The premises are sat back from the road and consist of two-storey building with a lift provided. There are 5 units each with lounge / dining areas and kitchenettes. Two of the units are dedicated to providing care for residents with dementia. All residents are provided with single bedrooms. A smoking area fitted with an extractor fan is available to residents in a rear corridor. Financial assessments are carried out by the County Council to determine charges with financial contracts sent direct to the residents or their representatives. The charges vary according to the assessment, the manager was unable to state the minimum charged but the maximum is £388 per week. Extra charges, not covered by the fees, include services such as Chiropody and Hairdressing. Residents are responsible for charges for newspapers, toiletries and transporting costs for example Taxis. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 5 Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 6 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 resident and their views of the service provided. Inspection planning took half a day and consisted of a full review of the inspection record, the home’s service history including notifications of accidents, events and incidents, the pre inspection information submitted by the manager and correspondence and contacts between the Commission and the home. Ten residents responded to our pre inspection questionnaires offering their views. All the information was taken into account to form the plan of inspection focusing on the outcomes for residents. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, talking with them and the care staff. In addition seven residents, four staff and one visiting relative were spoken with. Observations were made on routines and care practices. Selected areas of the premises were viewed and a selection of records was inspected. Discussions were held with the registered manager. The inspection took place during the morning and afternoon over a period of five hours and was carried out on an unannounced basis What the service does well: Ridgeway House continues to have a dedicated and a stable staff group who demonstrated their commitment to the well being of their residents. Residents spoke very highly of the staff group commenting that they were very caring, helpful and on hand to quickly respond to their needs. They said, and observations confirmed, that relationships with the staff were very good. All residents are visited prior to their admission and staff carry out thorough assessments. This ensures that the needs of people admitted to the home are met in full. Staff demonstrated that they involved all their residents in the planning of their care, including those residents with dementia. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 7 Residents’ commented that staff treated them as individuals and respected their individual wishes and preferences on how the care was to be provided. Health care needs were carefully monitored and residents confirmed they were enabled to see their relevant medical professionals promptly and in private. Records showed that specialist professionals such as the Continence and Falls Advisers were called in to give staff advice on how best to support their residents in these areas. Staff showed that they provided excellent care, with the assistance of local medical services, for residents who were ill or dying. They ensured that the wishes of the individual residents were upheld and they sensitively supported their relatives through this time. Residents and their relatives confirmed that they were aware of the home’s complaints procedure and felt confident to raise any issues or concerns with staff or the manager. Routines were relaxed and flexible enabling residents to follow the routines that they had had at home. They could get up and go to bed when they wished; they had choice in how and where they wished to spend their time. They could choose to join in or not the range of excellent activities arranged for them. Observations confirmed that staff took care to protect residents’ dignity and privacy by ensuring personal care tasks were carried out in private. Residents commented that staff took care to ease any embarrassment and make them comfortable when intimate tasks such as bathing were carried out. They said and the review of records showed that they were encouraged to remain as independent as possible and do things for themselves. Residents felt that the food at the home was good. They said they were provided with a good range of meals, choices were available and staff went out of their way to “tempt” their appetites. The catering staff were fully aware of their dietary needs and likes and dislikes and special health and cultural diets can be catered for. Records showed that residents’ weight is monitored and staff quickly identify any problems and refer on for specialist help. Residents were provided with a safe and comfortable environment. Both Residents and Relatives spoke of the family atmosphere of the Home. What has improved since the last inspection? Residents care plans have been improved and now include the timing for routines to ensure that they are carried through in accordance with residents’ wishes. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 8 The range of activities has increased and residents spoke of enjoying cookery sessions and opportunities to go for walks. 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 DS0000034911.V311223.R01.S.doc Version 5.2 Page 9 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 Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 10 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, 2, 3, 4 & 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The assessment process is thorough and ensures that the needs of the residents admitted to the home can be met in full. EVIDENCE: Residents confirmed that they had been given written information on the home and its services, in the form of a Service Users Guide. They felt that the information was accurate, helpful and gave them a flavour of what the home was like helping them to make decisions to view the home. This information is also available in the foyer of the home so that anyone visiting the Home may read it together with the last inspection report and the results of surveys showing the opinions of residents, relatives and visiting professionals on the service provided. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 11 The manager or senior staff visit all residents before they are admitted to assess their needs. The manager showed, through discussions, that staff carefully consider the needs of each prospective resident balancing them with those of people already living in the home to ensure that everyone’s needs can be met. Where at all possible prospective residents and their relatives are encouraged to visit the home to view their proposed accommodation. They are able to meet with existing residents and find out about their experiences and there are opportunities to meet with staff to discuss their individual needs, ask questions and discuss any worries. Residents felt that these opportunities helped them to come to a decision on whether this home was right for them. Two residents’ assessments were viewed and showed a well-rounded approach. Their daily routines were noted so that these could be continued after admission, for example the times they usually got up and went to bed. Food likes, dislikes and any special diets were recorded to ensure staff knew their preferences. Cultural or religious food preferences can be provided although at the moment there are no residents with these requirements. The records showed that care was taken to identify any arrangements needed so that residents could continue to follow their religions. Arrangements can also be made for residents to be supported by independent Advocates to speak on their behalf if necessary. Hobbies and interests were established so that Residents could continue to purse them. The assessments carefully recorded the physical support that Residents would need in their daily lives. Care had been taken to record the things they could do for themselves so they could be as independent as possible. Any equipment necessary for their comfort and safety had been identified, for example hoists, walking frames and special mattresses. The assessments also took account of medical histories to ensure that the right health care arrangements were made in preparation for their admission. Historical information was gathered from residents, families and relevant professionals to broaden staffs’ understanding of residents who had dementia. This information enabled staff to help residents with their confusion and frustration and to understand the things, people or events that were important to them. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 12 Assessments had been undertaken to identify any areas of risk that may make residents vulnerable. For example where there was a risk that skin tissue could break down, where or where there was a history of falls or where residents may not be eating sufficiently. Care had also been taken to identify risks to the safety of residents with dementia and to identify the level of monitoring that they would need to protect them, for example from going out alone. Residents felt that when they had arrived at the home the staff were well briefed on their needs and were ready to take care of them. One resident said, “They knew what I needed help and didn’t have to ask me questions.” Staff felt that they were provided with a good level of information and guidance in the initial care plans on how to provide the care and ensure that resident preferred lifestyle routines were maintained. They also showed that they were aware of the emotional support needed to help residents to adjust and settle into the home although this was not recorded on the care plans. Records showed that after approximately a month a review was carried out with new residents and their families to find out if they wished to continue living at the home. Resident’s records showed that they had been given contracts detailing the terms and conditions of their placement. Details of the fees to be charged are provided direct from the County Council following a financial assessment. Residents are given information in the Service Users Guide on services not covered by the fees. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Care plans offered good guidance and instruction to staff on how the care was to be carried through and showed that Residents wishes and preferences were respected. EVIDENCE: Two residents care plans were inspected. Residents confirmed that they had been involved in the development of their plans and that they were consulted on any changes that were made. The care plans gave step-by-step guidance to staff on the physical support needed. For example the guidance on bath routines was thorough and showed residents preferences on timings. Staff were given instructions on the equipment needed and how the task was to be carried through. The plans detailed the areas that the residents could safely undertake for themselves Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 14 showing they were encouraged to maintain their independence as much as possible. Reminders were incorporated into the plans for staff to routinely monitor skin and nail conditions, this meant that any changes were quickly picked up and referred to the necessary specialists such as Doctors or Chiropodists. Residents confirmed that the need or their preference for night checks had been discussed and agreed with them. They spoke of being reassured that help was at hand throughout the night and had peace of mind that that staff popped in to check that they were all right. The care plans showed that good use was made of historical information to help staff understand, support and talk with residents who had dementia. Staff showed that they knew the ways in which individual residents could be helped if they were confused, angry or frustrated although this was not always written down in the care plans. Observations showed that staff responded warmly and sensitively to their Residents. They spent time with them dealing with their questions or concerns and finding out what they wanted to do or what was worrying them. They took care to work at their Residents’ pace and enabled them to make their wishes known and to express choice. For example a staff member saw that a resident restless and quickly responded to find out what was worrying her, enabling her to discuss her concerns and become settled again. Health care records were very detailed and showed that staff were quick to identify any changes and requested Doctors visits. Residents said they were able to have routine checkups, for example eye or dental checks and that arrangements were made for regular foot care. They confirmed that they were able to see their Doctors or other medical professionals in private. The medication system was viewed. Medication was safely stored and records for incoming, administration and disposal of medication were well kept and regularly audited to ensure accuracy. Residents confirmed that they were given their medication at the right times. Where a resident is assessed to safely manage their own medication they are encouraged to do so and are provided with safe and lockable storage arrangements. Observations showed that Staff made sure that any personal care tasks are carried out in private protecting residents dignity and privacy. Residents said that they felt respected and valued as individuals. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 15 Staff can provide care for residents who are ill or dying provided so long as the needs can be met with the assistance and support of the Community Medical Services such as Doctors, Nurses and specialist Nurses. Discussions with staff about a recent death of a resident showed their sensitive and excellent approach to supporting the resident through her final hours and ensuring that her wishes were carried through. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 16 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, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are enabled to exercise control over their lives and their preferred routines were respected and upheld. EVIDENCE: Residents stated that routines were relaxed and flexible. They commented, and observations confirmed, that they were free to decide on how and where they wished to spend their time. They said they could choose when they wished to get up or go to bed, as one resident put it “I just carry on as I did at home, if I want to stay up late I can do so.” Another resident said the staff adjusted breakfast times so she didn’t have to hurry in the mornings and a third resident said she always liked to take a nap in the afternoon when she was at home and still continued to do so. The homes activity programme was discussed, residents who felt that they were supported to continue with their individual interests and hobbies if they wished. Activities are organised on both a group and individual basis. Residents spoke of their enjoyment of general activities such as musical events provided by external entertainers. Staff provide activity programmes for Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 17 residents in their units for example exercise sessions, music, quizzes, games and cookery. The historical information gathered on residents who have dementia is put to good use. Activities are geared around their interests and equipment and books that will help stimulate their memories and encourage interest and conversation are provided. Quizzes are designed with reminiscence in mind so that residents can get the full benefit of joining in and recalling past events and ways of life. Residents are supported to go for walks and visit the local shops. One to one time is also allocated and provides residents with opportunities for individual attention from their carers. Residents confirmed that they can receive their visitors at any time and may take them to their rooms if they prefer privacy. A visiting relative of a new resident spoke of the real family feel of the home. She said that she was always made welcome and was given refreshments. Staff made time to discuss her resident’s progress and she felt she was kept well informed of any changes. She commented that she too had received support from the staff in coming to terms with the need for her resident to live at the home. Staff were always prepared to listen to any concerns or worries she had. Residents spoken with said the food at the Home was good and they were offered choices for all meals. They spoke of being offered alternatives if they did not fancy the main menu and felt that staff went out of their way to tempt their appetites. One resident said that staff did not mind when he occasionally ordered a take away when he fancied something different. Records showed that staff monitor residents’ appetites and weight and are quick to note any problems. Referrals were made to Doctors if the need for food supplements is identified. Observations of the mid day meal confirmed that the food was nicely presented, the tables were laid tastefully and the meals were quickly served. Specialist cutlery was available to help residents manage their own meals and remain independent. Where residents could not manage their meals staff were on hand to assist them. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 18 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, 17 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Effective systems are in place to ensure that complaints or concerns are listened to, investigated and acted upon and to ensure that Residents are protected from abuse. EVIDENCE: Residents and relatives confirmed that they had been given information on how to complain; this information was also displayed in the Home. All those spoken with felt they were able to raise any concerns or complaints with staff. One resident said, “Staff always listen to what I have to say”. When residents with dementia were asked what they would do if there was anything wrong, they showed confidence in the staff by saying they would tell them. A complaints record is maintained. Since the last inspection no complaints have been raised with either staff at the home or the Commission. The names of residents are registered on the Electoral Roll in order that they can continue to exercise their voting rights, if they wish. Postal Votes are used or alternatively arrangements can be made for residents to go to the polling station. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 19 Safe and thorough systems are in place for the Protection of Vulnerable Adults. This means that any allegations or suspicions of abuse are reported to the Authorities and investigations carried out in order to protect the Residents. Records confirmed that staff receive training in recognising abuse and discussions with two carers showed that they were fully aware of their duty to report any allegations or suspicions. Since the last inspection six allegations have been notified, all were reported to the relevant authorities. Two notifications concerned resident to resident violence and the extra monitoring measures put in place have prevented this happening again. A resident with dementia was found in another resident’s room at night without the second resident’s consent. Extra monitoring measures were quickly put in place and no further incidents have occurred. A resident reported her handbag missing, the Police were informed but the bag was later found with nothing missing. Two concerns were expressed regarding the behaviour of staff. The first instance concerned a resident with dementia who said that a staff member hit her. This was fully investigated and was unfounded, it was confirmed that the event had happened in the resident’s past. A second allegation concerned the lack of response of a carer to her residents. Steps were taken to ensure that the staff member concerned worked only under supervision whilst an investigation was carried out, this matter is ongoing. The Staff at the Home have shown that they take any allegation seriously and ensure that it is properly investigated and action taken where necessary. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 20 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, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Observations confirmed that the premises were homely and in good order and met the required space standards. They were warm, safe, comfortable and well maintained. There is a maintenance programme and re-decoration work has been carried out to two lounges to provide pleasant and bright rooms for the residents. Further work is planned to decorate one of the dementia care units. The manager showed that careful consideration has been given to planning colour schemes in order to assist residents to find their rooms and areas such as their bedrooms and the toilets. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 21 Residents stated that cleaning routines were carefully organised and did not disrupt them. One resident said that if she was not ready at the time the domestic staff came to clean her room they went away and came back later. Comments received from residents and their relatives prior to the inspection and observations made on the day showed that standards of cleanliness were very good and bathrooms and toilets were kept clean. Three residents bedrooms were viewed. They were comfortable and safely maintained. Residents commented that they were able to make their rooms homely, have their furniture and belongings around them and arrange their furniture as they wished. Some residents have had telephones installed in their rooms to help them keep in contact with their relatives and friends. The lounges and dining rooms were comfortable and suitable for the residents’ needs. There is additional lounge space by the main entrance and a corridor area with suitable comfortable seating is fitted with an extractor fan for residents who smoke. Work to fence off garden areas is planned so that residents with dementia may have free access to the gardens. Raised flowerbeds are planned for the convenience of residents who wish to do gardening. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 22 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of competent staff are deployed to meet the Residents needs. EVIDENCE: Residents spoken with said that the all the staff, including ancillary staff, were very kind, committed and caring. They felt that staff did everything possible to ensure their well-being. Residents’ comments included “Staff are very kind,” “Pleased with support, staff listen to me,” “The staff do all they can for you,” and “Staff come quickly if you call for help.” Relatives comments included “Staff have helped my father to settle,” “The care is very good,” and “I am very pleased with the service they give.” Observations showed that staff constantly monitored their Residents and responded promptly to their needs or requests for help. Relationships and communication between the residents and staff were viewed as good. The staff rotas showed that five care staff were on duty from 6am to 2.30 pm with four care staff manning the afternoon and evening shifts to 9.30 pm. three carers provide overnight care. In addition a Residential Care Supervisor Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 23 is on duty on all daytime shifts and provides guidance and support for staff. The Manager mainly works weekdays. In addition to the care staff domestic, laundry and catering staff are employed together with a Handyman. This ensures that care staff are not taken off their care duties. Regular care staff are allocated to the dementia care units throughout the day and night. This ensures that the Residents are carefully monitored, supervised and supported by familiar staff. One staff member’s record was viewed and showed that necessary Criminal Records Bureau Checks had been undertaken and references obtained before she was employed. Records showed that new staff received an “induction” introducing them to their work, responsibilities and to their Residents and their needs. The introduction also includes training in the policies and procedures and in the care to be provided. The Manager showed that she monitors staff training. The annual plan showed that staff receive training and undertake regular updates in both essential and specialist areas. For example records showed that Fire training is regularly updated and that staff caring for Residents with Dementia have received special training in this area. Staff spoken with felt that they had good access to training courses and were also encouraged to obtain National Vocational Qualifications in care. Currently about 75 of the staff group hold a qualification; the percentage is over and above the expected level of 50 . Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 24 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager ensures that the home is run efficiently and in the best interests of the residents. EVIDENCE: Currently one of the job share managers is undertaking a secondment in another area of the Social Services Directorate. The second registered manager has increased her hours to provide full time managerial cover at the home. The manager demonstrated that she takes her duties seriously and runs the home in the best interests of her residents. She continues to review the service Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 25 and make improvements for the benefit of her Residents. This is shown by the fact that no requirements have been made in this report. She closely involves her residents in the running of their home. Regular residents’ meetings are held and she ensures that all residents, including those with Dementia, have a voice and are encouraged to offer their opinions and suggestions. It was clear from the records and residents and relatives comments that their opinions and wishes are listened to, valued and acted upon. Residents said that the manager was readily available to them, was in contact with them on almost a daily basis and observations showed they knew her well and relationships were good. As part of her own Quality Assurance system the manager has undertaken surveys with the residents, relatives and other people, such as Doctors, Nurses, Chiropodists and Hairdressers, to get their opinions on how well the service is operating. The results of the survey are drawn together and published; they are available in the foyer of the Home and show that people feel the home is providing a good service. Staff spoken said the Manager was always available to them and was willing to discuss any issues, guide them and offer support. Records showed that all staff have regular supervision during which they can discuss any problems, review how they work, talk about training and discuss any concerns. The County Council revised all the policies and procedures last year. These are now available to all staff to guide and help them in their work. The systems for the safe keeping of Residents’ moneys were viewed. Records were carefully and accurately completed and receipts were kept for any items bought for residents by staff. Receipts were also kept for services such as Hairdressing and Chiropody. Items of values deposited for safekeeping were securely held with records maintained showing deposits and withdrawals. The manager together with the administrator showed that the accounts were regularly checked to ensure no errors occurred. Residents said they were able to get access to their money and valuables when they wished. The manager demonstrated through the review of records and discussions that health and safety matters were taken seriously. The fire records were in good order showing that the systems and equipment were checked on a regular basis to ensure everything was in working order. Staff receive regular fire Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 26 training and drills are carried through regularly to ensure that all staff know what to do should a fire emergency occur. Staff confirmed that they received training and updates in health and safety areas such as risk assessment, movement and handling, the control of substances hazardous to health and infection control. No hazards were observed demonstrating a thorough approach to ensuring a safe environment for the residents. Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 27 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 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 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 3 3 X 3 3 3 3 Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 28 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. Refer to Standard Good Practice Recommendations Ridgway House DS0000034911.V311223.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell 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 DS0000034911.V311223.R01.S.doc Version 5.2 Page 30 - 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!