Inspection on 07/11/05 for Risby Park Nursing Home

This inspection was carried out on 7th 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

Risby Park Nursing Home 07/09/07

Risby Park Nursing Home 19/09/06

Risby Park Nursing Home 19/01/06

Risby Park Nursing Home 21/10/04

Risby Park Nursing Home 14/07/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Risby Park Nursing Home Hall Lane Risby Bury St Edmunds Suffolk IP28 6RS Lead Inspector Cecilia McKillop Unannounced Inspection 7th November 2005 09:00 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 Risby Park Nursing Home DS0000024481.V265730.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 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. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Risby Park Nursing Home Address Hall Lane Risby Bury St Edmunds Suffolk IP28 6RS 01284 811921 01284 811950 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) Risby Hall Nursing Home Limited Ms Alison Rachel Lovelock Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54), Physical disability (12) of places Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st October 2004 Brief Description of the Service: Risby Park was first registered in 1997 and currently operates as a care home providing nursing care for 54 older people. The home is situated in Risby village west Suffolk and is adjacent to Risby Hall nursing home, which is also owned by the same proprietors, Risby Hall Nursing Homes Limited. The accommodation at Risby Park is on two floors and there is level access throughout the home with 2 shaft lifts connecting the ground and first floors. The facilities were purpose built and include 46 single ensuite rooms, 4 double ensuite rooms and a variety of day and quiet rooms. The home overlooks pleasant gardens and farmland. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection, which was carried out during the morning and early afternoon. The manager and the deputy manager were both on duty and assisted the inspector to assess records and other documentation. The relatives completed a relative’s questionnaire and five service users were interviewed about their experience of the home. Discussions were held with six staff about their training and duties at the home. A tour of the accommodation was undertaken. Overall this was a positive inspection, and the atmosphere within he home was relaxed and the interactions observed between staff and service users were warm and friendly. The lunch served looked appetising and a number of service users participated in an exercise class in the afternoon. What the service does well: What has improved since the last inspection? There have been some positive developments in terms of training since the last inspection with new training programme on dementia care now offered to care staff. Training on Palliative care is also being organised in conjunction with the Hospice. One of the small lounges has been decorated and refurbished since the last inspection, and it is planned that service users will be able to use this room to spend time with their visitors. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 6 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. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 Service users needs are assessed prior to their admission and service users have an opportunity to visit and assess the quality and suitability of the home. EVIDENCE: A member of the management team assesses service users needs prior to their admission. The information obtained forms the basis of their initial care plan. Service users spoken with as part of the inspection confirmed that they were invited to look around the home to assess its suitability prior to their admission. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 9 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, 10, 11 Service users care needs are set out in a care plan. Service users feel that they are treated well and their privacy is upheld. EVIDENCE: Care Plans were in place for service users and it was positive to note that service users were aware of the plans and had signed to indicate their agreement. The plans were generally detailed and there was a good balance between ongoing monitoring, service users care preferences and how best to meet the identified needs. The plans address service users health, personal and social care needs as well as what should happen in the event of their death. Service users who were spoken to as part of the inspection said that the staff were “adaptable” and kind and they all felt well cared for. The inspector was told by service users that staff knocked before coming into their room and their privacy was upheld. Staff were observed talking respectfully to service users and offering assistance and choices. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 10 Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 11 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 The home provides a good variety of social and recreational activities and service users are assisted to exercise choice and control over their lives. EVIDENCE: The home has 3 part time activity coordinators who provide a range of social and recreational activities throughout the week. There is daily programme, which was on display, and there was a good balance of home based activities and trips out on offer. One of the coordinator’s was interviewed as part of the inspection and she said that while they did offer group activities they were able to spend time with service users individually. The home has its own informative newsletter entitled “The Park Bench”, which includes articles written by service users and details of forthcoming events. Regular resident committee meetings are held and the minutes reflect the fact that the discussions were wide ranging and service users were able to raise matters, which they feel are important, such as telephone use, storage and shopping. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 12 Bedrooms had all been personalised by service users and the home had accommodated service users requests for items such as fridges, computer and a pet bird. Service users choose from a menu at the beginning of each week for the week ahead. The main meal is served in a number of locations including the dining room and service users bedroom. The dining room was nicely laid for lunch on the day of the inspection and looked pleasant and inviting. Staff were observed assisting service users with their meal in a sensitive manner. On the day of the inspection service users had a choice of lamb casserole or sausages served both of which served with swede, cauliflower and mash. There was choice of pudding on offer. Service users reported that the meal was delicious and that special requests could be catered for. The evening meal is served to service users in the lounges or in service users bedroom. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 13 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, 18 Service users were confident that their complaints would be listened to and acted upon. The home has systems in place to protect service users form abuse. EVIDENCE: There have been no formal complaints made since the last inspection. The residents meeting was recently used by the manager, as an opportunity, to remind service users of the complaints procedure. The service users who were spoken to as part of the inspection were clear that there was someone within the home that they could speak to if they had a concern. Service users expressed some confidence that the management team would address any concerns that arose. The staff who were interviewed as part of the inspection confirmed that they received training on vulnerable adults and the steps to take should they have a concern about service users welfare. The home has clear procedures to follow when recruiting staff. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 14 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, 22, 23, 24 Service users at Risby Park live in a comfortable, well maintained home with their own belongings around them. EVIDENCE: The home is accessable for wheelchair users with level access and automatic doors at the entrance. The home is organised over two floors, which are connected by a shaft lift. The home is surrounded by gardens but a relative who completed a questionnaire raised the lack of accessibility. The inspector noted that the subject was also discussed at the recent residents meeting and it was positive to note that the home are looking at organising some assistance to improve access to this area. Progress with this will be followed up at the next inspection. The home is well maintained and there was evidence of ongoing refurbishment and renewal of items. The home was clean and tidy and smelt fresh. The accommodation is of a good standard and all rooms are ensuite. The communal areas were all very pleasant and there was sufficient space to Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 15 manoeuvre wheelchairs. Since the last inspection one of the lounges had been redecorated and new furnishing had been purchased. The temperature throughout the home was comfortable and the temperature in the conservatory continues to be monitored by staff. Service users had personalised their bedrooms with items of furnishings, pictures and mementoes. A number of service users had small fridges in which they were able to store snacks and cold drinks. The home has a range of specialist equipment to assist service users promote their independence as well as aids to assist staff with moving and handling. Since the last inspection a new hoist and a number of new adjustable beds have been purchased. Service users are able to shower or bath. A number of service users requested more frequent showers. The water temperatures were tested on the day of the inspection and were within the recommended levels. The home has plans to undertake some minor works in one of the sluice rooms. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 16 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, 29, 30 The home’s recruitment procedures and staff training offers protection to service users. The home has a good skill mix of staff but staff sickness and turnover of staff can impact on the care being provided. EVIDENCE: The home was adequately staffed on the day of the unannounced inspection, and there was a relatively high number of qualified nurses on shift. The home generally operates with a minimum of 11 staff in the mornings and six staff in the evening. On some days 12/13 staff were recorded as working on the rota but the number subsequently reduced with staff sickness. Staff were also moved from day shifts to cover staffing shortfalls at night. The manager was in the process of recruiting to cover night staff vacancies. Staff who were interviewed as part of the inspection reported that while they had a good team, staffing was tight and they did not always feel able to spend time with service users or meet their requests for extra bathing. Staff were praised by all the service users who were spoken with as part of the inspection. They described them as kind and one said, “They had a heart of gold”. Another said that the “staff do their best” and it wasn’t that they didn’t want to do things but there wasn’t enough staff. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 17 The recruitment records on four staff were examined at part of the inspection and there was evidence that the home follows sound procedures and takes up references, Criminal Records Bureau (CRB) checks and Pova first checks. Staff receive an induction and the home has a mandatory training programme for new staff. The staff that were interviewed as part of the inspection reported that they had good access to a wide range of training opportunities. The home has recently introduced a dementia training programme for staff which has a number of modules and looks at how best to care for service users with theses needs. Staff undertaking the training said that it provided a helpful insight into the needs of service users with dementia. Training on palliative care entitled “integrated pathways for caring for people with palliative needs” is being organised in conjunction with the Hospice. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 18 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): 31, 32, 37 The home is managed by an experienced manager who provides clear leadership and support to staff. EVIDENCE: The manager is a qualified nurse who has significant management experience and she is assisted by the deputy manager who has worked at the home for several years. There was also an assistant deputy in post. The staff and service users spoke positively about the management. Staff described the matron as supportive and service users reported that all the management team were very approachable. The home has its own residentS committee, which meets on a monthly basis and is chaired by one of the service users. The minutes of the meeting were on display and it was positive to note that service users felt able to raise issues, which they felt would improve their quality of the life within the home. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 19 Staff reported that staff meetings were held and they had regular supervision with a senior member of staff. They confirmed that they received training on a number of areas including moving and handling, infection control and abuse. Service user risk assessments were in place. The accident book, staff rota, staff recruitment records and a sample of care plans were examined as part of the inspection and these were found to be well maintained and in good order. The water temperatures were tested as part of the inspection and these were within the recommended levels. Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 20 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 N/A N/A 3 N/A 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 N/A 9 N/A 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 N/A 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/A 18 3 3 3 N/A 3 4 3 N/A N/A STAFFING Standard No Score 27 3 28 N/A 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 N/A N/A N/A N/A 3 N/A Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP27 Regulation 18 Requirement The staffing levels must be reviewed in the light of the comments made by staff and service users. The management must ensure that there is sufficient staff to meet service users needs and to adequately staff the home in the event of staff sickness. Timescale for action 01/12/05 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 Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Risby Park Nursing Home DS0000024481.V265730.R01.S.doc Version 5.0 Page 23 - 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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