Random inspection report
Care homes for older people
Name: Address: Ringway Mews Nursing Home Stancliffe Road Sharston, Wythenshawe Manchester M22 4RY two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Haller Date: 1 5 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Ringway Mews Nursing Home Stancliffe Road Sharston, Wythenshawe Manchester M22 4RY 01614914887 01614286991 Telephone number: Fax number: Email address: Provider web address: www.bupa.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes (CFHCare) Ltd care home 150 Number of places (if applicable): Under 65 Over 65 0 150 dementia old age, not falling within any other category Conditions of registration: 150 0 The registered person may provide the following categories of service only: Care home with nursing - Code N to service user of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is: 150 Date of last inspection Brief description of the care home Ringway Mews is a care home providing nursing care and accommodation for a maximum of 150 older people. Within this maximum number, accommodation is provided for 30 older people with dementia type illnesses. However, one of the houses that provided nursing care was currently closed. The home is owned by BUPA Care Homes. The home is situated in the residential area of Wythenshawe, which is to the
Care Homes for Older People Page 2 of 10 Brief description of the care home South of the City of Manchester. There is easy access to the Manchester ring road motorway system as well as easy access to public transport systems, which are within walking distance of the home. There is ample parking within the grounds of the home. Wythenshawe Civic centre is easily reached by car and there are local shops, which are within walking distance of the home. The home is purpose-built and consists of 5 separate single storey houses. Each house provides accommodation for 30 residents and stands within its own garden area. The administration area, laundry, hairdressers, and central kitchen are housed in a central building that is accessible by a covered walkway. The charges for fees range from GBP397-88 to GBP651-51 per week. There are additional charges for magazines, papers, hairdressing and Chiropody. Care Homes for Older People Page 3 of 10 What we found:
The reason for this random inspection is that when we last completed a key inspection, in February 2009, we judged the service as good. Since that time, however, we have received information from Manchester Adult Care Services, Manchester Metropolitan Police and from other sources, such as relatives, suggesting that outcomes for the residence may have changed. Concerns have been raised in the outcome areas concerned with, Health and Personal Care, Complaints and Protection and Management and Organisation. The random inspection site visit was unannounced, which means the registered manager and staff members did not know we were going. The site visit lasted approximately six hours. We conducted this random inspection included spending time on Shackleton Unit observing the interactions between the people we saw. We took a tour around four of the units. During the site visit we were able to observe parts of the communal areas and some private bedrooms. We fully assessed the effectiveness of the information in assessments, care plans, risk assessments, daily records and other reports for three people living at Ringway Mews. We looked at written information about how complaints had been managed by the registered manager. We talked to two members of the care staff and the registered manager of Ringway Mews. We looked at information about the training people had received. What the care home does well:
We found that initial assessments provided enough information for staff to develop comprehensive, person-centred care plans and risk assessments. We saw that there was information about peoples previous interests and also an assessment about how their personality may influence their tendency to wander and walk around the unit as a result of their dementia. We found that the staff spoken to could describe the actions that needed to be taken when dealing with issues concerned with abuse. We found that they understood the need to protect people from harm, report the incident and follow instructions in respect of reducing the risk. The training matrix confirmed that all staff on Shackleton Unit had completed adult protection training so that they know how to prevent, recognise and respond to possible abuse. We found from the information that we received that the registered manager was diligent in reporting the incidents that she was made aware of which involved occurrences they had a detrimental effect on residents. We found, from examining the complaints record and speaking to the registered manager that, complaints were dealt with openly and efforts made to solve problems and resolve concerns. Record keeping, in relation to complaints, was maintained to a good standard and we were able to confirm that appropriate action had been taken to investigate
Care Homes for Older People Page 4 of 10 complaints correctly. We saw people benefit by been given the opportunity to change their mind and make lifestyle choices. And we saw that staff were friendly to wards people and promoted peoples dignity and individuality. What they could do better:
We found that the registered person must make sure that individualised care plans and additional risk assessments and corresponding risk mitigation plans, are put in place to deal with all specialist needs and risks identified during an assessment. For example some residents have had their potential for wandering assessed and they scored as having a high chance of this. However there was no additional information about how to support these people in this area. We found that the registered person should introduce a system that enables staff to quickly identify when new care plans have been introduced. This will help to reduce the risk of a time lapse between the introduction of an instruction and staff compliance, and also assist when auditing whether the expected actions are understood and diligently followed. This is because we saw that some important information was buried among seemingly unrelated information. We also noted that an index of care plans was not always used and so it was difficult for staff to identify what care plans and risk assessments were in place. We found that the registered manager should ensure that staff are fully aware of peoples social circumstances so that they are know how this affects a person and the steps required to reduce distress and anxiety when it occurs. This is because we noted that, staff did not recognise the significance of the way a person behaved or what they said, in relation to their life experiences. This resulted in peoples behaviours being miss understood and therefore inappropriate action taken. We found that staff needed more specific guidance about how to work with people including information about how to manage behaviours and not just to record what they see. We found that the registered person needs to ensure that all staff record the specific actions they have taken to support people to meet their care plan goals, and also mitigate any risks that have been identified and planned for. We found that people who were not funded by Manchester Adult Care services could experience a delay in referral for additional health or social care assessments, therefore, the registered person must ensure that systems are in place so that people have their health or social care provision assessed and changed as quickly as possible. The registered manager must ensure that effective measures are introduced to ensure that all areas of Ringway Mews are hygienically clean and free from unpleasant odours. The registered person must ensure that people who access Ringway Mews always have access to hand washing facilities, this is because effective hand washing is the most important aspect of preventing the spread of infection, therefore if soap and hand drying facilities are not available in toilet areas people are put at a very high risk of crossinfection and the effects of the resultant illnesses. We noted that a large proportion of staff took their breaks together meaning that at
Care Homes for Older People Page 5 of 10 times there were only a two members of staff left to deal with a unit. We noted that staff used their mobile phones while they worked which means that they can be disturbed when they are attending to service users. The registered person should consider revising these practises. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 26 13 The carpets on Halifax unit must be deep cleaned and if this does not eliminate the smell carpets must be replaced. 23/03/2009 Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 8 12 The registered person must 26/02/2010 ensure that systems are in place so that all service users have speedy access to health and social care reassessment when it is needed it. This is so that updated health and social care intervention is introduced as soon as possible Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 The registered person should introduce a system that enables staff to quickly identify when new care plans have been introduced, this help to reduce the risk of a lapse between introduction of an instruction and staff compliance, and also assist in auditing that the expected actions are been quickly understood and diligently followed The registered person should make sure that, in all cases, individualised care plans and additional risk assessments and corresponding risk mitigation plans are put in place to deal with all specialist needs and risks identified during an assessment so that staff know precicly what to do meet
Page 8 of 10 2 7 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations these needs. 3 26 The registered person must ensure that people who access Ringway Mews always have access to hand washing facilities, this is because effective hand washing is the most important aspect of preventing the spread of infection, therefore if soap and hand drying facilities are not available in toilet areas people are put at a very high risk of crossinfection and the effects of the resultant illnesses. Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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!
