Inspection on 09/08/06 for Rivacre Rest Home

This inspection was carried out on 9th August 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.

Other inspections for this house

Rivacre Rest Home 21/08/07

Rivacre Rest Home 28/01/06

Rivacre Rest Home 18/08/05

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 Rest Home 3/5 Grasmere Road Blackpool Lancashire FY1 5HS Lead Inspector Mr Kevan Royston Unannounced Inspection 09 August 2006 10:00 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 Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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.V299939.R01.S.doc Version 5.2 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.V299939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28/01/06 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. The fees at Rivacre are £270.96 per week. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place over two days the 9th of August and 11th August 2006. The Inspector spoke to the homeowners, one member of staff, and two residents. The inspection visit was undertaken over a period of two days. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. All records relating to these persons are examined and the rooms they occupy are looked at. Other residents are invited to pass their opinions to the inspector if they wish. The records of one staff member were examined. No new staff had been employed since August 2004. The response from surveys sent to relative’s residents and GP surgeries was poor only two returned from GP surgeries and one social worker completed the questionnaires. None from relative/friends or residents. However comments in relation to care practices were positive. A tour of the premises was undertaken. Examination of the homes documentation, policies and procedures formed the basis of the inspection process. What the service does well: There are sufficient staff members to provide support and guidance for the residents to live an independent life as possible and feel protected. Residents spoken to said, “I go out on my own every day”. Three residents were observed returning to the home at lunchtime after being out all morning, one said “Its warm in town and I had a nice time”. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 6 Rivacre has a small family staff team with a well trained part time person caring for the residents which has not changed for a over three years ensuring the residents are able to build relationships and feel secure. One resident said, “Sheila is lovely”. The manager spoken to said “With us being with the residents for a long time we know what they like to do”. What has improved since the last inspection? What they could do better: The homeowners should complete a recognised qualification in care and management to provide evidence he or she has the competencies and skills to run a care home. Further work should be undertaken to redecorate and refurbish of parts of the home in particular some bedrooms and bathrooms areas to ensure the residents live in pleasant and homely surroundings. The homes complaints documentation should be changed to include the Commission for Social Care inspection (CSCI) contact address and telephone numbers to ensure residents and staff has the correct details of who to contact if needed. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 7 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.V299939.R01.S.doc Version 5.2 Page 8 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.V299939.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the information required to make a choice about the home and are assessed prior to admission. EVIDENCE: Two residents records were examined. They contained thorough assessments that had been completed by Social workers prior to moving into the home. The Homeowners also assessed potential residents following input from health and social care professionals to ensure they can provide the care and support needed. Assessments contained all the information required to ensure that the health and welfare needs of residents could be met when a person came to live at Rivacre. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs are identified and met. EVIDENCE: Records of two residents were examined and accurately reflected the individual’s health and social care needs. Care plans were up to date and regular reviews taking place with input by residents, this was evidenced by resident’s signatures on the care records and outlining any changing health needs that are required. The homeowner said, “We try and involve our residents in their daily care programme”. Records examined confirmed risk assessments are constantly reviewed and updated reflecting any changes that have occurred individually and in the environment ensuring the resident’s needs are being met. Medication practices at lunchtime were safe and good records had been kept ensuring residents health is maintained. A Member of staff said, “ only Mr and Mrs Chanda and myself can sort the medicines out”. To improve medication Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 11 practices a photo of each resident could be placed on there own medication record as a safety measure ensuring the residents receive the correct medication at all times. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: As of the previous inspection the residents are independent. And observation of daily routines during the visit confirmed they are flexible and relaxed. Three residents were just coming in after a walk, one spoken to said “The weather is good for getting out”. Care records of one resident examined showed his daily programme was to the “Rock Centre” a further learning day centre aimed to improve his daily lie skills. A staff member spoken to said, “He makes his own way there and back five days a week and loves it”. Food observed being cooked and tasted was fresh and wholesome with the choice of meals available. One spoken to said, “I love the curry they make”. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 13 One resident returning from a walk said, “I look forward to dinner its curry my favourite”. Observations of residents rooms showed personal belongings are brought into the home and this provides a homely atmosphere for each person. 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. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The homeowners and staff 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 and relatives on admission and is included in the homes brochure ensuring the residents feel protected. There is a complaints policy to make sure the residents and staff feels protected. However some of the documentation should be changed to ensure the correct contact information for the Commission for Social Care Inspection (CSCI) is available on all the homes records. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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): 19,20 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a reasonable standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the building found the home to be clean and tidy. Observation walking around 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 to some bedrooms and bathroom should be undertaken to provide pleasant and comfortable surroundings. New carpets and redecoration to communal areas has been done to improve the appearance of the home for the residents. The homeowner said, “We are gradually going through the home redecorating”. The home has recently been re wired records examined confirmed this to ensure the safety of the residents is maintained. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 16 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. The home has a laundry facility and uses outside agencies with policies and procedures in place to control the risk of infection. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The small staff team are trained ensuring they have the skills and competencies for their roles. Recruitment procedures are in place should any new personnel be employed. EVIDENCE: Rivacre is a small home mainly run by the family and part time staff, however examination 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 have been here working part time and enjoy it”. Although there is a small staff team records shows the target of 50 of staff to complete NVQ (National Vocational Qualification) level 2 in care has been achieved. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and systems, policies and procedures are in place for the protection of staff and residents. EVIDENCE: Residents and the staff member were very positive in their comments about the homes owners. Two residents spoken to said “Very nice people”. And, “Always helpful”. A member of staff said “I have worked for them for years and enjoy their company”. There remains a recommendation for the homeowner who is the registered provider should achieve the Registered manager’s award. Discussion with the homeowner confirmed she is finishing the course this year. When spoken to she said “Hopefully I will have completed it soon”. Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 19 Examination of records confirmed 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. 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.V299939.R01.S.doc Version 5.2 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 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 Standard No Score 16 2 17 X 18 3 3 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 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.V299939.R01.S.doc Version 5.2 Page 21 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. 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 OP20 OP31 Good Practice Recommendations Furnishings of communal areas should be of good quality and domestic in character. The registered person should complete the registered managers award equivalent to NVQ 4 in management and care. The registered person should ensure the correct name and address is given to all residents and relatives in the homes documentation for referring a complaint to CSCI. 3 OP16 Rivacre Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 Page 22 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 © 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 Rest Home DS0000009751.V299939.R01.S.doc Version 5.2 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. 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!