Inspection on 10/08/05 for Rivelin House

This inspection was carried out on 10th August 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

Rivelin House 04/04/08

Rivelin House 05/10/07

Rivelin House 19/04/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Rivelin House 498 Bellhouse Road Sheffield South Yorkshire S5 0RG Lead Inspector Carol Makin Unannounced 10 August 2005 09:30am th 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. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rivelin House Address 498 Bellhouse Road Sheffield South Yorkshire S5 0RG 0114 2577911 0114 2577933 None Milbury Care Services Limited 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) Mr Richard Vincent Burton N Care Home with Nursing 8 Category(ies) of 1. LD Learning disability - 8 registration, with number 2. PD Physical disability - 8 of places Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Not applicable as the home was registered for the first time in April 2005. Brief Description of the Service: Rivelin House is a care home providing personal care including nursing care for eight residents. The home is owned by Milbury Care Services Limited and is situated in the Shiregreen area close to local shops and amenities and on a main bus route. The home was formally a care home for the elderly the property has undergone radical changes to the layout of the building internally. There are eight rooms for single occupancy situated on two floors the upper floor is accessed by a lift. All rooms are for single occupancy and have been decorated and furnished to a high standard. All rooms are en-suite which are accessible for wheelchairs and are fitted with overhead tracks for the hoists. One of the rooms is independant to the rest of the home and has its own kitchennete, lounge/dining room, bedroom, en-suite and its own fenced garden area. This has been designed for the specific needs of a prospective resident who is to be admitted shortly. There are pleasant garden areas that are accessible to residents, these areas are private and appropriate garden furniture is provided. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection at the home since it was registered and was unannounced. The inspector carried out a partial tour of the building, checked a selection of records, interviewed two staff and made general observations. The staff made the inspector welcome and a positive approach appeared to be taken to the inspection process. What the service does well: What has improved since the last inspection? What they could do better: The medication recording systems must include specific instructions to enable staff in the appropriate administration of medicines, instructions stating, “as prescribed by GP” are not sufficient. Staff that administers medications must receive further instructions, which pays particular emphasis on the importance of signing for residents medications at the time they are administered. Regulation 26 unannounced visits by the provider to the home must be carried out monthly. The will enable the organisation to be confident that the home is being managed in the best interest of the residents and that staff support is maintained. A copy of the report produced of the findings must be forwarded to the CSCI. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 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. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 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 Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 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, 4. Full needs assessments are carried out before residents are admitted to the home. These ensure that the home, resident and their families or advocates know that the home can effectively meet their needs. This also gives the home the information they need to assess if the identified needs can be met. Residents are encouraged to spend time at the home before admission so that they can become familiar with the surroundings and staff. Staff from the home visits them at their previous homes/ placements to get to know them and start building relationships before they move in. EVIDENCE: Two residents files were checked, there was a comprehensive assessment carried for each resident before their admissions to the home. These assessments included the involvement of other health care professionals, carers and relatives involved in their care. The manager stated that prospective residents do make visits to the home before deciding to move there. Staff spend time with them at the home and their previous homes to get to know them. This is carried out before a decision is made of if the home can meet their needs and if they wish to live at the home. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 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, 8. Assessed needs are well recorded in the residents care files. Residents, their relatives and other professionals are involved in the production of the person centred plans. These plans gave very good insight into the assessed needs of each resident. Sufficient information was available to ensure that the staff have the information they need to care fully for each resident. Residents make decisions with assistance from staff where needed on all aspects of their daily lives. Where they cannot take part due to the level of their disability the decision making process is made after consultations are held with relatives, advocates and other professionals. EVIDENCE: Details of resident’s needs and aspirations were well recorded in the two care files checked. One resident spoken to gave details of what they would like to happen in the future. They had been involved in the planning of activities and a college course and these were reflected in the records checked. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 10 The resident had been consulted on further training they wanted to do and a place had been secured at a local college, which starts in September. The resident had also been listened to and action had been taken for alterations they wanted carried out in their bedroom. For the residents who cannot take part in the decision making process about their daily lives due to their disability consultations take place with relevant people. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 11 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, 14, 15. Residents are encouraged and assisted to access further education for their future development needs. Residents are able to take part and use community facilities in accordance with their assessed needs and individual plans. Staff were sourcing information and taking active steps to find further community facilities that are available for their residents to participate in. Residents are provided with and take part in activities within the home and community appropriate to their interests and capabilities. Thus providing them with stimulation and a good social life. EVIDENCE: One resident spoken to said they were due to attend college in the near future. They had a place on a cookery course then hoped to do a full time course in Skills for Life when a place was available. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 12 Activities within the home are provided also accessed in the community. Some residents go weekly to a gym and staff are investigating other community activities the residents can take advantage of. Residents files checked contained details of their preferred social activities and recorded when they had took part in these. A trip had taken place the previous week to Hull to visit “The Deep” and staff said the residents enjoyed this experience. One resident spends part of the week at their parents home and records checked indicated that staff maintain contact where needed for the resident with their families. One resident said that they were to visit their family at the coming weekend. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 13 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. Residents choices for the styles and colours of their clothes is known to staff and action is taken to ensure that they are dressed in what they like which reflects their personality. Health care needs are met and residents have regular access to health care professionals, records are kept of any treatment needed or received. Specialist equipment is provided to ensure the residents physical needs are met. A key worker system is in place to maintain the continuity and support of the residents care. Policies and procedures are in place to ensure that medication systems are implemented that provides sufficient care and support for the residents health needs. Action is needed to ensure that residents obtain their medication as is prescribed by their GPs and that staff record each dose of medication at the time it is given so that the recordings accurately reflect what has been administered to maintain their health and wellbeing. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 14 EVIDENCE: Staff deliver residents person care needs in the privacy of their own rooms and all have their own en-suites. All rooms have overhead tracks for the hoists that lead into the en-suites for ease of access. One resident had asked that the tracked hoist be removed as they could transfer themselves to the bathroom so the tracking system had been removed. Residents seen were dressed in clothes that were personal to them in their own personal style and colours. All were dressed appropriately, were clean and tidy and looked well groomed. Key workers are designated to each resident and advocates are provided for extra support for those without relatives to act on their behalf. Health needs and appointments were well recorded in the resident’s files and records were made of future health care needs required. Residents at the home do not have the capacity to be responsible for their own medication. Policies and procedures are in place to ensure that the staff administers medication appropriately, qualified nurses administer all medications. Medication administration records (MAR) sheets did not contain sufficient details of the dosage required and the frequency it was to be given. There were some gaps on the MAR sheets where it should be recorded if the medication had been administered or not. The storage facilities for medication was clean, well organised and appropriate equipment was in place to store controlled medication and that, which requires refrigeration. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 15 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) 22, 23. All the staff have received training in adult protection and those interviewed were knowledgeable and could state what action must be taken in the event of concerns being raised to protect the residents. The residents are protected by the policies, procedure and guidelines followed at the home. EVIDENCE: The home had a complaints procedure, a copy of this was provided to the CSCI. It contained details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. No complaints had been received at the home or by the CSCI. The home has a system to record any complaints it may receive. The home had a procedure on adult protection and any allegations/incidents of abuse would be referred immediately to Social Services Adult Protection office. The policy had been reviewed to take account of the Department of Health Guidance ‘No Secrets’. Staff training records recorded that all staff had received training on adult protection. Policies and procedures were in place to deal with physical and/or verbal aggression by a resident. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 16 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, 27, 29, 30. Residents live in a home that is clean, well maintained and homely. The décor and furnishings are all new and are of good quality and the home has a comfortable real home from home atmosphere. Residents own rooms are well furnished and equipped that reflect each residents personality with their own personal possessions for their comfort. Adaptations and equipment provided are of a high quality ensuring that residents and staff have the specialist equipment they need to maximise the residents independence and staffs safety. EVIDENCE: The home has recently been registered and does meet all standards relating to the environment. The furniture, furnishings, decorations and equipment provided are all of a high standard. All rooms are for single occupancy and meet the minimum size requirements. All rooms contain sufficient furniture to meet individual residents needs. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 17 Bedrooms occupied had been personalised by the resident’s own possessions each reflecting their own personality and choices. The bathrooms contained equipment of the highest quality and featured the latest technology in the baths and hoists. Resident’s rooms each have an ensuite, which contains a shower for their privacy and comfort. Overhead tracking for hoists is provided. There is a lift to the upper floor and one resident stated that they could operate this unaided. The home is bright and clean with no unpleasant odours. Appropriate laundry facilities are provided. Policies and procedures are in place for the control of infection and staff had received training in this, those interviewed could state good hygiene practices. All areas inside and outside the home are accessible to those in wheelchairs. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 18 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, 34, 35, 36. Staff treat residents with respect this was evident from interaction witnessed by the inspector. Robust recruitment practices are in place and implemented for the protection and safety of the residents. All new staff members receive induction within 6 weeks. Action has been taken for care staff to gain NVQ qualifications. Staff supervision takes place for their support and development. Mandatory staff training is up to date that ensures that the staff team are developed fully and provided with the skills to protect the residents and themselves from harm. EVIDENCE: The inspector witnessed staff being respectful to residents and taking great care to maintain their dignity and privacy. The staff group consists of some with previous experience working with people with disabilities and some who have residential experience with a different type of service. All seemed dedicated to providing quality care and those interviewed stated that they liked working at the home. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 19 The manager stated that there are six qualified nurses employed. Two care staff have achieved their NVQ level 2 qualification and a further seven are to commence their NVQ in September. A training plan was seen which indicated that a full training programme was in place for the staff group. Two staff files checked contained all the required information. References are obtained and Criminal Records Bureau checks are carried out prior to employment commencing. Checks are carried out to verify staff’s proof of identification. A full induction was provided for the whole staff team before the home was opened and a week was also spent on team building exercises. Staff interviewed stated that they receive supervision, which included the aims, and objectives of the home, resident care issues and their own development. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 20 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, 39, 42. The homes manager is an experienced and qualified nurse and was registered for the first time when the home opened earlier this year. He is knowledgeable about the needs of the residents and appears committed to providing a quality service, which is led by the needs of each of the residents. The CSCI does not receive regular reports on the conduct of the home from the provider that gives evidence that the required checks are carried out in order that the organisation can form an opinion and monitor the standard of care provided by the home. The health and safety of the residents is promoted and protected by the policies, procedures and working practices in the home. EVIDENCE: The registered manager has many years experience working with people with disabilities and he is a qualified nurse. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 21 The home opened for the first time in April this year therefore the homes annual development plan and quality assurance system were not checked to enable the home time to plan for these when the settling in process is complete for the staff and residents. The CSI has received one report from the provider of the outcome of the required monthly-unannounced visits made to the home since the home opened in April. The two staff interviewed confirmed they had had training in health and safety, moving and handling, fire safety, first aid and food hygiene. The training records seen backed this up. When the building was checked no fire exits were blocked, fire doors closed on their rebates and hazardous substances were securely stored. Policies and procedures are in place for the safe working practices for staff. Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 22 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 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x 4 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rivelin House Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 3 x J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? NA 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 20 Regulation Requirement Timescale for action 1 Oct 2005 12, 13, 43 Instructions for medication administration must give specific details of the dosage and frequency. 2. 39 26, 43 Staff that administers medication must receive further instructions on the importance of signing for medication as it is given. The provider must carry out 1 Oct 2005 monthly unannounced visits to the home and produce a report as detailed in regulation 26. A copy of the report must be forwarded to the CSCI. 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 35 Good Practice Recommendations The minimum of 50 of care staff should have NVQ qualification by 2005 Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Rivelin House J55 S63343 Rivelin Hse V236460 10.08.05 UI Stage 4.doc Version 1.40 Page 25 - 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. 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