This inspection was carried out on 28th January 2006.
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.
CARE HOMES FOR OLDER PEOPLE
Rivacre Rest Home 3/5 Grasmere Road Blackpool Lancashire FY1 5HS Lead Inspector
Mr Kevan Royston Unannounced Inspection 10:00 28 January 2006
th 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 Rivacre Rest Home DS0000009751.V251974.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. Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Rivacre Rest Home Address 3/5 Grasmere Road Blackpool Lancashire FY1 5HS 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) 01253 621103 Mr Ramendu Chanda Mrs Shreemuttee S Chanda Mrs Shreemuttee S Chanda Care Home 11 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (11) of places Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18th August 2005 Brief Description of the Service: Rivacre is a residential home for older people who are mentally ill. The home consists of single and double rooms. There are sufficient toilet and bathroom facilities available for all residents aids and adaptations are provided if required. There is a stair lift to provide access to the first floor. The home is situated near the centre of Blackpool close to the main shopping area and local bus routes. The property is a terrace house with seating provided in the front garden. There are call bell systems provided in all rooms. There is a large through lounge with a separate kitchen and dinning area provided for the residents. Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on the 28/01/06 over 4 hours and was unannounced. The Inspector spoke to the homeowners, one staff member and three residents. Staff records were looked at and discussed with the homeowner. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection. What the service does well: What has improved since the last inspection?
Some redecoration has been completed to residents rooms for future persons accommodated to make sure residents live in comfortable pleasant surroundings. One resident said, “The home has improved we have a new carpet.” Although no new staff has been employed since the last inspection records of existing employees have been improved ensuring the safety and protection of
Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 6 the residents is maintained. However the homeowners were advised to contact the inspector if any new staff were to be employed to ensure the proper checks are in place prior to employment. 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 Rest Home DS0000009751.V251974.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 Rivacre Rest Home DS0000009751.V251974.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): This section of standards was not assessed. EVIDENCE: Rivacre Rest Home DS0000009751.V251974.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): This section of standards was not assessed. EVIDENCE: Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 10 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): This section of standards was not assessed. EVIDENCE: Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 11 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): This section of standards was not assessed. EVIDENCE: Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 12 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 and 26. The home was clean and tidy and reasonably maintained. Further updating of the home in general would ensure the residents continue to live in comfortable 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. Residents’ bedrooms, which at the moment are not occupied, have been updated. However further redecoration and refurbishment to the home in general 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 protection, comfort and safety of the residents is maintained.
Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 13 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 and 30. The numbers and skill mix of staff meets residents needs. However further training would improve the competencies of staff and ensure residents are in safe hands at all times. EVIDENCE: Observation of staff rotas and discussion with the homeowners and a member of staff confirmed there were sufficient persons on duty. And there was a mix of staff and management to ensure the needs of the residents are being met. One staff member said, “I enjoy it here it a nice family atmosphere”. Although there is a small staff team records shows less than 50 of staff have completed NVQ (National Vocational Qualification) level 2 training to meet the requirements of legislation. However that would mean only one member of staff requires the award and a member of staff said, “I will have completed the NVQ this year.” Discussion with the homeowners confirmed more individual training of existing staff would be undertaken in courses relating to the residents needs and provide the staff with the knowledge and skills to provide the support for the residents. Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 14 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, 33, 35 and 38. The home is well managed and systems are in place for the protection of staff and residents. However general record keeping of the homes documentation could be a more accurate and up to date ensuring resident and staff feels protected. EVIDENCE: Residents and the staff member were very positive in their comments about the homeowners. And they found the management to be approachable, supportive and helpful. A member of staff said, “I have worked for them for years and they are supportive”. A resident said “very helpful”. Records show the management has systems to gather staff, residents and relative’s views to enable ongoing improvements to the home. Regular resident meetings are recorded and suggestions are carried out if agreed.
Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 15 Examination of records indicated regular tests to emergency lighting, fire procedures, extinguishers and the chair lift had been carried out ensuring the safety of residents and staff is maintained. The general record keeping of the homes documentation could be improved to provide better evidence the home is meeting its aims and objectives. There remains a recommendation for the homeowner who is the registered provider to achieve the Registered manager’s award. Discussion with the homeowner confirmed they are working to complete the required qualifications. Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 16 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO 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. 1 2 Refer to Standard OP28 OP31 Good Practice Recommendations 50 of care staff should complete level 2 NVQ in care by 2005 The registered person should complete the registered managers award equivalent to NVQ 4 in management and care. Rivacre Rest Home DS0000009751.V251974.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, 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
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