Inspection on 29/09/05 for Risedale Retirement and Residential Home

This inspection was carried out on 29th September 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 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

Risedale Retirement and... 14/05/07

Risedale Retirement and... 16/01/06

Risedale Retirement and... 02/02/05

Risedale Retirement and... 22/09/04

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Chirnside House

Keer Sands Residential Home

Rosehill Residential Home

Ruskin Lodge

Ruskin Lodge

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

CARE HOMES FOR OLDER PEOPLE Risedale Retirement and Residential Home Abbey Road Barrow In Furness Cumbria LA14 5LE Lead Inspector Jenny Donnelly Unannounced Inspection 29th September 2005 10:30 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 Risedale Retirement and Residential Home DS0000022704.V249702.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. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Risedale Retirement and Residential Home Address Abbey Road Barrow In Furness Cumbria LA14 5LE 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) 01229 839669 Risedale Estates Limited Mrs Pamela Harper Care Home 64 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (64), of places Physical disability (2) Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The service may accommodate sixty four older people (64OP) thirteen of whom may have dementia (13DE(E)). The home is registered for a ten bedded intermediate care unit. The two physical disability beds are applicable to the intermediate care unit only. 2nd February 2005 Date of last inspection Brief Description of the Service: Risedale Retirement and Residential Home is run by Risedale Estates, which operates four other care homes in the area. The registered manager is Mrs Pamela Harper. The home is a two-storey building, which has been extended and modernised to suit its present use. It is situated on Abbey Road in Barrow in Furness, with easy access to public transport and local shops. The full town centre amenities are also quite close by. The home has sixty single and two double bedrooms, mostly with full en-suite facilities, including an assisted bath with shower attachment. For the rooms without private facilities there were ample communal bathrooms and toilets. The home has been divided for the different categories of residents; general elderly, those with dementia and those undergoing rehabilitation. There were a number of dining and lounge areas, available for residents to use. The small garden was nicely landscaped with pleasant seating areas. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two inspectors and took place between 10.30 and 13.30 hours. The inspectors interviewed many residents (in different parts of the home), joined an intermediate care planning meeting, interviewed staff members including the manager, care staff and cook. A full tour of the home was undertaken and lunch was observed being served in four dining areas. Inspection of care records, medicines, staff rotas, training and safety records took place. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made. The manager is continually seeking to improve the service offered and consults regularly with residents to seek their views. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 6 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. Risedale Retirement and Residential Home DS0000022704.V249702.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 Risedale Retirement and Residential Home DS0000022704.V249702.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): 6 The intermediate care unit provided dedicated space, together with specialist staff and facilities, and delivered good quality intensive short-term rehabilitation. EVIDENCE: The “Maple Unit” comprised of ten bedrooms, lounge, dining room with kitchenette and a full kitchen. The bathrooms were domestic in style, and any aids provided reflected what people would have at home. Residents prepared some of their own meals, with the remainder being provided from the main kitchen. The unit was staffed separately from the rest of the home, and worked closely with the intermediate care team (nurses, physiotherapists, occupational therapists and social workers). The team visited frequently and assisted care staff in planning and delivering the rehabilitation programmes. The care staff said they found helping people to return to their own homes was extremely rewarding. There was a strong focus on enabling rather than assisting people, so residents were encouraged to be self-caring as much as possible with support and encouragement from staff. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 9 Residents said this was a very good service and were pleased with the progress they had made in the unit. One lady was hoping to return home shortly and said, “it’s marvellous here, and the staff are incredible”. There was a maximum six-week stay, in which time people either progressed enough to return to their own home, or were assessed as requiring long-term care, and the necessary arrangements made. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 10 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 The health and personal care needs of residents had been assessed and clearly recorded. There was evidence that people were receiving good general health and personal care. The management of medicines in the home was also good and benefited residents’ general health and wellbeing. EVIDENCE: Residents’ care plans were tailored to their individual needs. Some residents on the dementia care unit required a lot of input from staff and this was carefully detailed in their notes. For these people, the staff took responsibility for monitoring their general health, and made arrangements for doctors, dentists and community nurse visits as appropriate. Staff were knowledgeable about these residents and able to detect mood changes and physical symptoms in those unable to communicate well. There was evidence that health screening including eye tests and continence assessments had been done. The more able residents were enabled to get on and do what they wished for themselves, with some having very minimal input from staff such as help with bathing only. These more able residents made their own healthcare appointments with the staff booking transport as requested. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 11 The ability of the staff group to vary their approach according to the needs of the individual residents was most impressive. Medicines in the home were well organised, with the more able residents taking care of some, or all, of their own medicines. Those people managing their own medicines had been assessed by staff as safe to do so. Residents described their experience of the home as very good, saying, “I’m very happy here”, “they look out for me”, “the staff are all helpful”. The minutes from the last residents meeting showed that two residents gave a vote of thanks for the staff and their “wonderful care”. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 12 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, 15 The homes’ daily routines and activities were flexible and varied to suit residents’ expectations and needs. The menus were wholesome and appetising, giving plenty of choice and variety. Residents said the quality of food was very good. EVIDENCE: Residents described the daily routine of the home as flexible, and said they made choices about when to get up and go to bed, whether to go out, join in with group activities or stay in their own room. Those residents who had lived at Risedale for many years had made friends with each other and joined up for coffee and meals. Residents meetings took place monthly and were well attended. The minutes of these meetings had been enlarged and put on display, and showed that much of the discussion was on suggested menu changes and outings/entertainment. For the more able residents there were plenty of outings in small groups for shopping or meals, and occasional weekend breaks, for which the residents paid. There was much more emphasis on one to one attention on the dementia unit, such as massage and nail care. There were regular visiting entertainers to which all residents were welcome to attend. One lady said that the local nursery school children had come to sing recently and this had been very much enjoyed by everyone. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 13 The cook attended residents meetings and it was evident that she knew the residents well. Any menu changes were discussed with individual preferences being taken into account. Residents spoke very highly of the food, saying, “it’s marvellous”; “we couldn’t do any better”. Residents said that special requests were catered for and “nothing seemed too much trouble”. The cook was knowledgeable on catering for special dietary needs, and staff were sensitive to whether people required assistance with meals, or preferred to be left to enjoy meals as a social time with their friends. The residents who wished to attend meal outings or fish and chip shop suppers paid for these; other residents were still catered for as usual by the kitchen staff. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 14 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 The homes’ procedures and managers attitude to concerns and complaints helped people to raise any issues that worried them. The staff training programme on abuse was very robust and served to protect people. EVIDENCE: The complaints procedure was straightforward and easy to understand. A copy had been given to each resident and their family, as well as being on display in the home. All of the residents spoken to were quite clear that they could speak to the manager or senior staff at any time and felt well able to do this. No complaints had been made since the last inspection. Staff attended compulsory update lectures on the prevention and detection of abuse each year. The home had clear whistle blowing procedures for reporting any concerns, and some residents were aware of this. Staff knew what was expected of them, how residents were to be treated and what type of behaviour or language was not acceptable. The staff took a great pride in their work and as such said they would not tolerate poor practice in any of their team. Staff on the dementia unit were very aware of respecting peoples’ rights and employed sensitivity and tact when trying to assist those clients resistant to care. During the inspection it was apparent that residents were treated with kindness and respect. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 15 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, 21, 23, 24 The home provided a safe, comfortable and clean environment for people to live in. Bedrooms were very comfortable with enough space for residents to have their own possessions around them. EVIDENCE: The standard of upkeep of the building was excellent. There was a full time maintenance person who ensured that any running repairs and decoration were promptly attended to. There was a programme of routine maintenance and safety checks, which had been adhered to. Forty-six bedrooms had ensuite facilities, some with an assisted bath and shower attachment, some with toilet and/or wash hand basin. The home also had plenty of communal bathrooms and toilets conveniently situated around the building. Bedrooms were well appointed with all furnishings provided. Some residents had chosen to provide their own bedding and curtains, and had also brought some of their own furniture from home. All of the bedrooms looked very comfortable, and the majority of residents were extremely proud of their own space. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 16 There were two double bedrooms, one being used as a single and the other occupied by a married couple. The standard of hygiene around the home was very good. All areas were very clean, with no unpleasant smells. Residents confirmed that staff cleaned their bedrooms regularly, although some preferred to do their own dusting. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 17 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, 30 There were sufficient suitably trained staff to provide good consistent care to residents in all parts of the home. Staff training was given a high priority and residents benefited from the high morale and stability of the staff group. EVIDENCE: Each area of the home; general, rehabilitation and dementia, was staffed separately, taking into account the number of staff and the skills needed for each. Some adjustments had been made to the allocation of staff in order to provide more cover where a greater need had arisen. This showed good flexibility and planning. There was a strong structure of manager, senior carers, team leaders and care staff, ensuring there was adequate cover by senior staff at all times. Staff said that Risedale Estates was a good employer and that they felt well supported and listened to by management. Over 50 of the care staff had already completed an NVQ with three more due to commence the course. The standard of general staff training was excellent, and included a thorough induction programme supported by a mentor system (new staff allocated to work alongside experienced carers). In addition to this, staff in certain areas of the home had access to specialist training courses such as dementia care and rehabilitation therapy. Risedale Retirement and Residential Home DS0000022704.V249702.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, 38 Residents live in a home that is managed by an experienced and competent person. The homes’ good working practice protects the health, safety and well being of residents and staff. EVIDENCE: The registered manager Mrs Pamela Harper is an experienced home manager, with many years experience of working with older people. She has also achieved additional management and training qualifications to assist her in this role. The manager was also well supported by the directors of Risedale Estates. The homes’ health and safety policies and procedures were sound. Staff had received all mandatory training including fire safety and moving and handling training. The company had made other subjects mandatory including infection control and abuse training. Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 19 Records showed that safety checks were regularly carried out all on systems and equipment in the home. Fire precautions and food safety procedures were in place. Staff were knowledgeable on basic health and safety information. Risedale Retirement and Residential Home DS0000022704.V249702.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 X X X X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X 4 X 3 3 X X STAFFING Standard No Score 27 3 28 3 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 Risedale Retirement and Residential Home DS0000022704.V249702.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. 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