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Inspection on 08/03/06 for Ripon Gardens, 3

Also see our care home review for Ripon Gardens, 3 for more information

This inspection was carried out on 8th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Both service users are well supported to lead independent lives as possible. They are encouraged to have diverse interests and active social lives. The home has a nice happy atmosphere; it is very well decorated and very comfortable. The service users have good quality food and a varied, healthy diet. Mrs Barrett ensures that both service users needs are fully met.

What has improved since the last inspection?

Mrs Barrett continues to provide high standards of care for both service users. The health, safety and welfare of both service users are promoted.

What the care home could do better:

Mrs Barrett to access Protection of Vulnerable Adults Training.

CARE HOME ADULTS 18-65 Ripon Gardens, 3 3 Ripon Gardens Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1HN Lead Inspector Mary Blake Unannounced Inspection 10.00a 8 March 2006 th Ripon Gardens, 3 DS0000000465.V273359.R01.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 Ripon Gardens, 3 DS0000000465.V273359.R01.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. Ripon Gardens, 3 DS0000000465.V273359.R01.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 Mr Richard Paul Barrett, Mrs Carol Coffey Mrs Jean Barrett Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 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. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second unannounced inspection visit of the year. The majority of the key standards were assessed at the previous inspection. Time was spent talking with service users, Mrs Barrett and a general tour of the building. 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. Ripon Gardens, 3 DS0000000465.V273359.R01.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 Ripon Gardens, 3 DS0000000465.V273359.R01.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): 1,2,3 4, 5 previously assessed and met EVIDENCE: Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 8 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 previously assessed and met. 7 & 8 assessed and met Service users are consulted and make decisions about their lives with the assistance of Mrs Barrett. EVIDENCE: Mrs Barrett was observed consulting with service users and assisting them to make decisions. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 9 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): All of these standards were previously assessed and met Service users are offered a healthy diet. EVIDENCE: It was observed that service users were offered a healthy breakfast which was a relaxed and social occasion. Choice was given and Mrs Barrett gave encouragement and support to enable the service users to be as independent as possible. It was noted that there was an excellent choice of quality foods, fresh meat, fruit and vegetables readily available to service users. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 10 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 previously assessed and met. 19 assessed and met. 20 does not Services users physical and emotional health needs are met. EVIDENCE: Mrs Barrett enables and supports service users to access their community health service as and if required. No service users have medication. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 11 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 previously assessed and met. 23 minor shortfalls Appropriate steps have been taken to protect the service users from harm and abuse. EVIDENCE: The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Mrs Barrett spoke knowledgeably about protecting the service users and is currently trying to access Protection of Vulnerable Adults training. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 12 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): All of these standards were previously assessed and met Service users live in a homely, comfortable and safe environment EVIDENCE: All of the standards were previously assessed. Mrs Barrett gave the inspector a brief tour of the home and service users invited the inspector to view their rooms, which were spacious, clean and well personalised. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 13 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): None of these standards apply EVIDENCE: Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 14 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): 40,41 & 42 previously assessed and met. 37 & 39 assessed and met The service users benefit from Mrs Barrett’s experience, knowledge and management approach. Service users benefit from a home, which is well run and appears confident that their views underpin the running of the home. EVIDENCE: Mrs Barrett has many years experience in a variety of care settings, she has offered a home to the service users for many years and was clear about her responsibilities. The service user spoke positively about Mrs Barrett and their life within the home. Service users are informed when inspections take place and have access to inspection reports. Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 15 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 X X X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 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 Ripon Gardens, 3 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000000465.V273359.R01.S.doc Version 5.0 Page 16 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 YA23 Regulation 13 (6) Requirement The provider requires POVA training. Outstanding from previous inspection visit 01/04/05 Timescale for action 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 17 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 Ripon Gardens, 3 DS0000000465.V273359.R01.S.doc Version 5.0 Page 18 - 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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