Inspection on 18/08/05 for Rivacre Rest Home

This inspection was carried out on 18th August 2005.

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 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 Rest Home 21/08/07

Rivacre Rest Home 09/08/06

Rivacre Rest Home 28/01/06

Rivacre Rest Home 05/10/04

Rivacre Rest Home 18/05/04

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

CARE HOMES FOR OLDER PEOPLE Rivacre Care Home 3-5 Grasmere Road Blackpool Lancashire FY1 5HS Lead Inspector Kevan Royston Unannounced 18 August 2005 10:00am 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 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. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rivacre Care Home Address 3-5 Grasmere Road Blackpool FY1 5HS 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) 01253 621103 Mr Ramendu Chanda Mrs Shreemuttee S Chanda CRH Care Home 11 Category(ies) of DE Dementia 0 registration, with number MD Mental Disorder 11 of places Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5 October 2004 Brief Description of the Service: Rivacre is a residential home for older people with who are mentally ill. The home consists of five single rooms and three double rooms.There are sufficient bathroom and toilet facilities available for all residents aids and adaptations are availble if required. The home is situated near the centre of Blackpool close to the main shopping area and local bus routes. the property is terraced with seating area in the front garden. there are call bell sytems in all rooms with a stair lift to access to first floor. There is a kitchen and dining area with a large through lounge for the residents use. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the 18/08/05 over 5 hours and was unannounced. The Inspector spoke to the registered providers and four residents. Records of three residents were examined and general discussion with these residents took place during the inspection. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection. Comments from two social workers about the care practices of the home were also taken into account. 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. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 7 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 standard(s) 3 The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The records of three residents admitted had full assessment information and contracts. Social worker assessments examined had been obtained prior to admission and are thorough with regular review documentation on file. The homeowner attends the assessment of any potential resident with the social worker to ensure the resident is assessed properly and there needs can be met by the home. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 8 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 standard(s) 7,8,9,and 10 Promotion of health is taken seriously. Residents welfare is closely monitored and health needs are identified and met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Care plans are reviewed regularly however the care plan of one residents records examined had been reviewed in two-month periods. The homeowner was informed care plans are to be reviewed monthly. Significant events had been recorded and daily entries made setting out the care given. One resident commented, “The owners are lovely nothing is to much trouble” Medication practices observed were safe and good records had been kept ensuring residents health is maintained. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12,13,14 and 15 Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Residents spoken to confirmed they enjoyed the food provided by the home. One said, “Its good and plenty” Another resident commented “I enjoy going out for tea”. All the residents are independent and observation of daily routines during the inspection confirmed they are flexible and relaxed. Two residents were just going out for a walk. Another resident said, “I just please myself as long as I let them know”. There are no restrictions on visitors and they are allowed at any time of the day or night and are encouraged by the homeowners to enable residents to build relationships with friend and families. Resident rooms seen had evidence of personal belongings, which provided residents with a homely and comfortable environment. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 16 and 18 The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The homeowners have good knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission and is included in the homes brochure ensuring the residents feel protected. One resident spoken said, “I know who to complain to” The homeowner confirmed she had covered abuse training on the NVQ (National Vocational Qualification) course and was aware of procedures to follow. The home has a complaints policy to make sure the residents and staff feels protected. There have been no complaints since the last inspection. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19 and 26 The home was clean and tidy and reasonably maintained ensuring the residents comfort and safety in pleasant surroundings. EVIDENCE: A tour of the premises found the decoration and furnishings are being gradually improved and those areas are looking more welcoming and homely. However further redecoration and refurbishment is ongoing to provide the residents with comfortable surroundings, Examination of maintenance records showed there is a rolling programme of general repairs and renewal of the premises ensuring the comfort and safety of the residents is maintained. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 The policies and procedures for the recruitment of staff are good however documentation to prove all employment information is available must be on staff records, which provide safeguards for the protection of residents. EVIDENCE: There is a small part time staff team and records were not inspected. No staff has been employed since the last inspection. However Staff records must be updated to include all the information required by legislation is available and on staff files to ensure recruitment procedures are robust and residents are protected. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 The key standards were not assessed. EVIDENCE: There remains a recommendation the registered person should complete NVQ level 4 in management and care by 2005. Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x x x x x Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 15 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. Refer to Standard Good Practice Recommendations Rivacre Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Care Home F57 F09 S9751 Rivacre V211610 180805 Stage 4.doc Version 1.40 Page 17 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!