Inspection on 24/11/05 for Ripon Gardens, 3

This inspection was carried out on 24th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ripon Gardens, 3 26/04/07

Ripon Gardens, 3 08/03/06

Ripon Gardens, 3 28/02/05

Ripon Gardens, 3 12/07/04

Similar services:

22 Sandown Road

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Dilston College Of Further Education

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Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Ripon Gardens, 3 3 Ripon Gardens Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1HN Lead Inspector Jim Lamb Unannounced Inspection 24th November 2005 17:00 DS0000000465.V268353.R02.S.doc Version 5.0 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 DS0000000465.V268353.R02.S.doc Version 5.0 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 Adults 18-65. 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. DS0000000465.V268353.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ripon Gardens, 3 Address 3 Ripon Gardens Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1HN 0191 281 0233 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) Mrs Jean Barrett Mrs Carol Coffey Mrs Jean Barrett Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000000465.V268353.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2005 Brief Description of the Service: Ripon Gardens is a small home providing personal care and accommodation for two male service users with learning disabilities. Both young men are encouraged and facilitated to be as independent as possible; they are treated as part of the family. The home is located in a residential part of Jesmond, close to shops, Jesmond Dene, pubs and other local amenities. Both young men have lived here for many years, the accommodation is a large three-storey house, both service users have single bedrooms that are spacious, highly personalised and well decorated. The home does not meet some of the NMS for younger adults, this is reflected in the homes statement of purpose, the standards that are not met, are not really applicable to this type of care setting. DS0000000465.V268353.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection visit. The inspection lasted 2.30 hours. Time was spent looking at the service users care plans, policies and procedures and looking around the home. Time was also spent talking to one of service users at home during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. DS0000000465.V268353.R02.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000000465.V268353.R02.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12345 There have been no new admissions to the home since it was first registered, however there was evidence that both service users needs were fully assessed prior to admission. The needs of the service users are fully met. The homes statement of purpose contains appropriate information required. One service user has a written contract/statement of terms and conditions. The other service user is in receipt of housing benefits. EVIDENCE: Details of the extra charges and what these are for are in the contract given to one service user and this was agreed prior to his admission. The other service user is in receipt of housing benefits. Mrs Barrett has cared for both service users for 17 and 20 years. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Both service users’ files were checked and on each were a copy of a full needs assessment. DS0000000465.V268353.R02.S.doc Version 5.0 Page 8 They did contain a range of appropriate information and the service user interviewed confirmed he was involved in drawing up the home’s subsequent service user plans. The service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions needed to meet these needs. The service user said his needs were fully met and that he was very happy with the care offered. DS0000000465.V268353.R02.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 9 10 Both service users have a range of care and support plans in place. Both service users are supported to take risks as part of their lifestyle. Information is held in confidence. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. One of the service users has just recently been allocated a care manager; Mrs Barrett will ensure that his care manager carries out an annual review of his care needs. DS0000000465.V268353.R02.S.doc Version 5.0 Page 10 Self-advocacy is promoted and both service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Each service user receives support to manage their finances. One service user confirmed that he is able to make decisions for himself. DS0000000465.V268353.R02.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 15 16 17 Both service users are fully involved in all aspects of community life, they enjoy a good range of leisure activities. Meals are varied and healthy. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, both service users participate in this process. The service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. One service user works in a local supermarket 12 hours per-week; he said that he enjoys this very much. DS0000000465.V268353.R02.S.doc Version 5.0 Page 12 Both service users are supported to maintain very close links with their relatives, both enjoy regular family holidays and they are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Both are involved in housekeeping tasks, and one enjoys looking after the small garden. The inspector observed Mrs Barrett interacting in a sensitive and respectful manner the service user present. It was apparent that they both treated as family members. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Both service users have access to the kitchen and are able to prepare snacks for themselves if they wish. The service user said that the food was always very good and that Mrs Barrett was a very good cook. DS0000000465.V268353.R02.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 20 Both service users are receiving the personal health care they need and in the way that they prefer. None of the service users require any form of medication. EVIDENCE: No service users currently have any moving and handling needs. Service users require minimum help with their personal care tasks. Privacy and dignity are respected at all times. No service users currently have or require any technical aids or equipment. The service user present said that his privacy is respected. DS0000000465.V268353.R02.S.doc Version 5.0 Page 14 There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. Both service users receive regular health care checks. No service users are currently taking prescribed medication, should this change Mrs Barrett will need to implement medication procedures and undertake accredited medication training. DS0000000465.V268353.R02.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Both service users views are listened to. Appropriate steps have been taken to protect the service users from harm and abuse. EVIDENCE: The home does have complaints procedure. It does contain details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. The service user interviewed confirmed that he would know how to make a complaint and whom to approach; he said Mrs Barrett always listened to his concerns and dealt with them fairly. The home does keep a record of complaints, during the last twelve months there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Mrs Barrett requires Protection of Vulnerable Adults training. Each service user has an individual bank account bank statements were evidenced. There was evidence of personal spending and receipts are kept. DS0000000465.V268353.R02.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 26 27 28 30 The home is extremely comfortable and safe. The home is well maintained and clean and hygienic. EVIDENCE: On the day of the inspection the home was clean, extremely well decorated and well maintained. The home is in a residential location. One service user interviewed said that this is a great place to live. The home does have an appropriate amount of sitting, recreational and dining space. Service users can see visitors in private. The dining area is highly attractive and overlooks the front garden. The lounge is spacious and very comfortable. Furnishings and fittings were in very good condition. DS0000000465.V268353.R02.S.doc Version 5.0 Page 17 The home does have a sufficient number of baths, showers and toilets. Doors had privacy locks. Room sizes exceed the minimum required. Service users’ bedrooms checked both had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. The home was extremely clean and free from offensive odours. DS0000000465.V268353.R02.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards are not applicable to this home EVIDENCE: No staff are employed. DS0000000465.V268353.R02.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 40 41 42 The service users benefit from Mrs Barretts experience, knowledge and management approach. The health, safety and welfare of the service users are promoted. EVIDENCE: The registered manager has many years experience and was clear about her responsibilities. Both service users have lived with Mrs Barrett for over 17 years. The service user interviewed spoke positively about Mrs Barrett saying she had encouraged him to remain as independent as possible and that he felt part of the family. Service users are informed when inspections take place and have access to inspection reports. Copies are available for relatives/others to see DS0000000465.V268353.R02.S.doc Version 5.0 Page 20 Mrs Barrett has developed a range of policies and procedures which have been linked to the National Minimum Standards. Gas and electrics are checked annually. A new central heating system has recently been installed. Finance records have previously been forwarded to the CSCI to verify that the home is viable. DS0000000465.V268353.R02.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x N/A x Standard No 37 38 39 40 41 42 43 Score x N/A N/A 3 3 3 x DS0000000465.V268353.R02.S.doc Version 5.0 Page 22 Yes 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 YA 23 Regulation 13 (6) Requirement The provider requires POVA training. Outstanding from previous inspection visit. Timescale for action 01/04/05 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 DS0000000465.V268353.R02.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000000465.V268353.R02.S.doc Version 5.0 Page 24 - 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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