Inspection on 26/04/05 for Rivacre House

This inspection was carried out on 26th April 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

Rivacre House 28/11/08

Rivacre House 14/08/06

Rivacre House 28/11/05

Rivacre House 18/11/04

Rivacre House 10/06/04

Rivacre House 13/01/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Griffin Lodge

Pathways North West

Grove Lodge Care Home

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

CARE HOME ADULTS 18-65 Rivacre House 47a Seymour Drive Ellesmere Port South Wirral CH66 1LZ Lead Inspector John Mills Unannounced 26 April 2005 09:30 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 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 Stationary 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. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Rivacre House Address 47a Seymour Drive Ellesmere Port South Wirral CH66 1LZ 0151 356 9299 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Making Space vacant Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Mental Disorder, excluding ldarning disability or dementia over 65 years of age (3) Learning disability (1) Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Maximum number of 12 people with mental disorder (MD) to be accommodated 2 Within the maximum of 12 service users, no more than 3 people aged over the age of 65 may be accommodated. 3 Within the maximum of 12 service users, 1 named person with a learning diability can be accommodated Date of last inspection 18/11/04 Brief Description of the Service: Rivacre is a purpose-built care home for people who have mental health needs. Opened in 1992, it is run by the charity Making Space. The home is a twostorey building is located within a mile of Ellesmere Port town centre, and is in close proximity to a range of local shops and other facilities including a bus route and a railway station. Accommodation for service users comprises 12 single bedrooms located on both the ground and first floor. There is a large lounge/dining area and separate conservatory on the ground floor, and a training kitchen/small lounge area on the first-floor. This service seeks to provide support and care to service users over a medium-to-long-term period and a number of former service users have moved on successfully to independent (or semi-independent) living in the community. Service users are encouraged to participate fully in the formulation and subsequent reviews of their individual care plans, as well as in the running of the home, generally; they are also supported by staff to make use of community facilities and amenities for shopping, recreation, education and healthcare. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector carried out this inspection over 6 hours on 26th April 2005. During this inspection the inspector spoke with six service users and four members of staff. The inspection was carried out with the support of one of the deputy managers in the morning and the acting manager during the afternoon. During this inspection 15 of the identified 19 core standards were assessed together with 7 of the remaining 24 standards. The inspection included the reading of three care plans, the examination of records relating to health and safety and a tour of the home. During the inspection four staff were spoken with and time being spent in the company of and in conversation with six service users. Since the previous inspection the manager who is awaiting registration with CSCI has been on long-term sick leave and the responsibility of managing the service has been given to one of the three deputy managers. At the inspection it was identified that the manager is due to return within the next four weeks. What the service does well: What has improved since the last inspection? There has been an improvement in the meals provided within the home. Carpets within the home have either been replaced or deep cleaned. Residents’ bedrooms have also been redecorated, giving a more positive appearance to residents and visitors Staff have been provided with a range of training including NVQ at level 4 in mental health. Residents have their immediate care and emotional support provided by an experienced and knowledgeable staff team. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 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. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 8 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 standard(s) 2, 3 & 4 This service has systems in place to identify the needs of people before admission is considered. Those people admitted into this home have their needs identified and can be confident that they will be met. EVIDENCE: No new admissions to this service have taken place since 21st October 2003. Case files provided evidence that on previous occasions residents had been admitted following detailed and comprehensive assessments by senior staff from the home. These had also been supported with assessments from other health and social care professionals. Opportunities had been provided for people to visit the home as part of their decision to move in. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 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 standard(s) 6, 7 & 9 Residents within this home have a range of needs identified and staff work closely with them to meet them in a very positive way. Documents are well constructed and maintained and are helpful in directing staff on a daily basis. EVIDENCE: Three residents’ case files were examined and contained detailed care plans that identified emotional, social and physical needs. These plans were up to date and were being regularly reviewed by senior staff. Residents had contributed to the development and content of these plans and had been involved in the reviewing of these plans and had signed to confirm this. Where a significant risk had been identified this was included within the care plans and actions identified to minimise or help the person were also written within the plan providing clear information for staff to follow. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 10 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 standard(s) 11, 12, 13, 16 & 17 There is within this service a sustained commitment to support residents in taking responsibility for the maintenance of their own bedrooms and shared living rooms. Leisure and social activities are well managed providing variation and interest for the people living in the home. Menus and meals now provide a healthy and balanced diet, contributing to the well being of residents. No consideration has been given to developing a specific rehabilitation programme for those service users who have developed stability within their mental health condition. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 11 EVIDENCE: Residents participate in a range of activities related to general housekeeping and the domestic routines within this home. Whilst this is clearly organised it does not form part of a structured rehabilitation programme. One resident has a part time job doing garden maintenance. Six residents benefit from a range of college and day care services, however five have no formal activities outside of Rivacre Six residents said that they had opportunities to access a range of leisure activities, e.g. local leisure centre, swimming, cinema, bowling etc. Despite these opportunities, however, some service users - either through personal choice or as a consequence of their age and/or mental health needs prefer not to participate in outside leisure activities on a regular basis. Information about community facilities and amenities is available within the home, and residents are encouraged and supported by staff to make use of these for shopping, recreation and healthcare e.g. visiting local shops, post office, G.P. surgery, hairdressers, pubs, day centre. Residents were pleased with recent changes to the meals within the home, they said that they had been involved in identifying a more health diet and were confident that it was contributing to a general improvement in their health. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 12 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 standard(s) 18, 19 & 20 The various and often complex needs of each person are both well understood and well met within this service. Residents benefit from accessing specialist services as they work to regain control over their own lives. EVIDENCE: Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 13 Residents said that they can choose the time at which they retire to bed at night and rise in the morning, and that there is flexibility regarding bathing arrangements and who, where necessary, provides them with support. As part of the review process, residents are asked specifically whether they are happy with the care and support which they receive at Rivacre, and this is written in their case files. Residents have support from a wide range of professionals from outside of the home; these include psychiatrists, psychiatric nurses, attendance at specialist mental health clinics, GP’s, Opticians and Dentists. Within this service four residents users maintain control over their own medication. This level of control is different for each resident and the specific balances and checks for each person are included within their own care plans. The level of control varies from one person who obtains their medication from the office on a daily basis to others who hold a week’s supply of their medication. . Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 14 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 standard(s) Neither of these standards were assessed at this inspection. EVIDENCE: Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24, 25, 26 & 30 Improvements have been made in the décor of the home and the cleanliness of carpets. Residents live in comfortable home that meets their immediate needs. Residents were taking pride in being involved in the daily routines that kept the home clean and tidy. EVIDENCE: The home was clean, well decorated and carpets had been either replaced or cleaned since the last inspection. Residents were observed to be taking an active role in the cleaning of the home and told the inspector how the contributed to the running of the home in this way. Bedrooms reflected the character and personality of the people living in them. Many had been personalised by their occupant through the use of ornaments or furniture. There is a large sitting room/dining room and conservatory on the ground floor and there is also an additional lounge on the first floor. A tour of the home confirmed that it was clean and free of unpleasant odours. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 33, & 35 A regular team of knowledgeable and experienced staff support residents living in this service. Their needs are being well met and improvements in their health and social lives were obvious. Despite the absence of the manager and two senior vacancies for the first five months of this year, residents have been provided with consistency of care. EVIDENCE: The three senior staff working in this home have achieved NVQ level 4 in mental health care. Residents said that staff “worked well with them and helped them and helped them in many ways” Training had been provided to the core staff team in the following areas; Understanding the organisation and the role of the worker, understanding the experiences of the service user, principles of care, effective communication, protection of vulnerable adults, developing competent practice, supervision skills, breakaway and de-escalation techniques. Mandatory training was provided in fire safety, moving and handling, first aid & moving and handling. For new staff there is an induction programme and continuing foundation training. There are presently two vacancies existing for senior positions, these are advertised and are intended to be filled in the near future. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 & 42 The acting manager has managed the home well in the absence of the manager. Residents have continued to be supported and progress in their health care and their social development has been maintained. There is a good and constructive relationship between the staff team and with residents. EVIDENCE: The manager has been on long-term sick leave for the last four months, during that period the home has been managed by one of the deputy managers supported by her two senior staff. The service manager has provided additional support to the service through his visits and is in frequent and regular contact by telephone. Residents said that staff were “approachable, were friendly and understood them”. This positive relationship was observed during the inspection. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 18 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 3 3 4 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 2 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rivacre House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 19 No 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 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. 1. 2. Refer to Standard 11 33 Good Practice Recommendations A specific programme of rehabilitation should be developed within the service. Vacant posts should be filled to ensure that a full staff team is provided to properly support tresidents. Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Rivacre House F51 F01 S6670 Rivacre V222353 260405 Stage 4.doc Version 1.30 Page 21 - 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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