Inspection on 01/02/06 for Riverside

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Riverside 07/02/07

Riverside 27/06/05

Riverside 04/10/04

Riverside 05/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Riverside Ramsgate Road Louth Lincs LN11 ONJ Lead Inspector Roger Harrison Unannounced Inspection 1st February 2006 09:45 Riverside DS0000002410.V276473.R01.S.doc Version 5.1 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 Riverside DS0000002410.V276473.R01.S.doc Version 5.1 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 Adults 18-65. 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. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Riverside Address Ramsgate Road Louth Lincs LN11 ONJ 01507 608311 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) staff@ramsgate.freeuk.com Linkage Community Trust James Harry Kilner Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Riverside is a purpose built home for eight people with Learning Disabilities. It is situated in the market town of Louth and is within easy walking distance of the towns many amenities. The home forms part of the long stay Residential Project operated by the voluntary organisation known as Linkage Community Trust. The organisation provides transport for accessing work placements, day centre facilities and social outings. Riverside shares a large garden area with another Linkage home, Seaton House. One manager manages both homes and although there are close links as neighbours, the homes retain their individuality. The close unison with each is mainly in relation to leisure activities and transport; especially as some service users share the same interests, such as; swimming, football and music concerts. The home is built within a hollow, which affords it privacy. Some car parking is available at the front of the home. Accommodation is provided in eight single rooms. During the week the service users attend an extensive variety of off site activities of their own choice, ranging from day centre facilities, vocational interests and work placements. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over a four-hour period, with the inspector using a method of inspection called “case tracking”. This involved selecting three residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived at the home. This was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. 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. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 7 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 the following standard(s): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 27/06/05. EVIDENCE: Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 6,7 and 9. Care plans contain comprehensive information, which identify the care needs and personal preferences of all residents. Risk assessments are of a good quality, providing work strategies that enable residents to make decisions and be as independent as possible. EVIDENCE: Each resident has a detailed care plan, which reflects his or her individual needs. Plans included: health needs, social preferences, rehabilitation aims, and changing needs. Three residents confirmed that they had been involved in the review of their care plan. Comprehensive risk assessments had been formulated which included any potential risks to the resident and the management strategies that had been applied to enable them to be as independent as possible. One resident explained how staff were supporting her to prepare to move out of the home into more independent living accommodation. Another resident told the Inspector “Since moving here I have got my independence back”. Staff were observed providing sensitive and caring approaches to supporting activities with residents who were in the home, and demonstrated a good verbal knowledgeable about the needs and preferences of residents, Four residents told the Inspector that their needs were being met in they way they wanted them to be. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 12,13,15,16 and 17. Residents are supported by the care team to take part in appropriate activities within the home and community. Residents are encouraged to maintain family relationships and to develop relationships with others with support as they wish. The home provides a varied and balanced nutritious diet for residents. EVIDENCE: Care plans contained information about residents preferred leisure activities which included swimming, bowling, cinema outings, discos, pub visits, sports, games and outings to local restaurants. Hobbies are encouraged and supported by staff. One resident told the Inspector how she had been supported to develop her singing skills and was able to demonstrate this with support from the care team appropriately. Residents described how they are supported to plan and help with arrangements for weekend breaks and holidays throughout the year and during this inspection four residents told the Inspector that they enjoyed a wide range of activities both inside and outside the home and went on to show the Inspector detailed daily individual work and leisure plans that are linked directly to their care plans. Residents told the Inspector that they were actively encouraged to maintain contact with family and friends. Comments from residents included; ‘ I love Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 10 being here I get to do the things I enjoy doing’. And “I am looking forward to our holidays this year”. Meals at the home are planned in advance using a rota for menus, which were on display, and are put together using feedback from residents. Nutritional assessments undertaken by the team at the time of admission are also reviewed in order to ensure dietary needs are met in the way residents wish them to be. During the Inspection the Inspector observed one resident making her own lunch independently as part of her care plan and sat with four residents who were eating their lunch. Residents told the inspector about how they are given choice regarding meals and that they have their favourite foods as part of a balanced diet, and that they were included in planning all meals. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 20. The Manager and care team use policies and procedures to provide appropriate levels of support for residents to maintain and take medication safely in a way that has been identified through the assessment and individual care plan process. EVIDENCE: The Manager has overall responsibility for ensuring the organisations policy and procedures for medication are followed by the care team. All medication at the home is kept in a locked cabinet in the manager’s office. Each resident has a separate sealed box for individual medication, which is used by trained care staff to maintain and administer medication, as it is required. Records for medication are kept separately and when looked at provided details of the name date and time that each person’s medication had been issued. Signatures were up to date on all records and two residents told the Inspector that they felt safe and fully supported in managing their medication. The Manager confirmed that the organisation provided training for all staff in medication and that only trained staff members were able to take on this role. On the day of Inspection medication was observed to be stored safely and the Manager confirmed that the home had disposed of any out of date medication safely. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 22 and 23. The home has clear procedures for handling allegations of adult abuse. Staff had received abuse training and were clear on the action to take in the event of this occurring. Residents feel their views are heard. EVIDENCE: The home’s adult protection policy is in line with current local guidelines and the Manager confirmed that the procedure had been explained to residents and a copy of the County Council procedure was included in each residents file so that they had easy access to it. Residents told the Inspector they knew how raise any concerns that they had and that they felt able to approach the Manager or any member of staff at any time to access their individual plans and one resident said “I know exactly what is on my care plan”. Residents told the Inspector that they have regular meetings with the Manager and staff and one resident showed the Inspector where meetings take place. Two residents told the Inspector that meetings were used to talk about problems, ask questions and share ideas about changes they would like to make within the home and activities. During the Inspection one resident suggested making one room into a more formal music room. The Manager talked to the resident openly and said, “This is a good idea which we could discuss and plan together at the next resident meeting” Staff spoken with had a good knowledge of the types of abuse that could occur and the actions that they must take if they had any concerns. The manager had a good understanding of procedures to follow regarding reporting any suspected abuse to the Commission and social services. Staff comments and training records demonstrated that staff had received appropriate training in this subject which would help them to recognise and take appropriate action should the need arise. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 24 and 30. The standard of décor and hygiene within the home is very good, providing residents living there with a clean, comfortable and homely environment. EVIDENCE: One resident gave the Inspector a tour of the home and three other residents chose to show the Inspector their rooms. The residents concerned said that they were very happy with their rooms and had been encouraged to personalise them. The communal lounges were clean and well decorated with furnishings that provided a homely atmosphere. Fire safety equipment was in place and had been tested in the right way and two residents told the Inspector how the about the safe action they should take to leave the building in the event of a fire. The downstairs bathroom, hall and landing area have been recently redecorated and residents told the Inspector that they were involved in choosing the décor for this. The dining room has one large table where residents and staff sit together to eat meals prepared by the residents under staff supervision. The washing machine is situated in a separate utility room. Residents are encouraged to be involved in domestic tasks, and were observed being supported to undertake daily living activities in a sensitive way with support from staff throughout the Inspection with support from staff. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Residents are supported by experienced well-trained staff, who are recruited safely using policies and procedures developed by the homes organisation. EVIDENCE: The Manager confirmed that all new staff are recruited using references and checks that are undertaken before any new team member starts working at the home. The company has a comprehensive training programme, which starts with induction and foundation training; this is then used as a basis for starting NVQ training. During the Inspection the Manager confirmed that more than half of the staff team now have NVQ qualifications and that there are two assessors working at the home. Staff records showed that they had received regular supervision and appraisal sessions, which are used to explore development needs. Each file contains a staff development plan, which highlights individual training needed which also links to meeting the current group of resident needs. Records and Manager/staff comments confirmed that training takes place as planned, this included; adult protection, manual handling, fire safety, health and safety, basic food hygiene and challenging behaviour. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. The home consults with people to make sure that they are happy with the service provided. The quality assurance system in place checks that company policies and procedures are being followed to ensure that a consistent service is provided to residents living at the home. EVIDENCE: Since the last Inspection the Manager has undertakn further work to develop written care plans so that it is easier to access, review and cross reference information about health and safety needs together with each resident so that consultation is made easier. The home has a comprehensive quality assurance system, which involves monitoring by the Manager, and auditing by the organisations Service Manager, this is used in addition to resident/staff meetings to undertake resident, parent and staff questionnaires to obtain their views on the home this information is used to make changes if necessary. Through discussions with the Manager and residents it was confirmed that meetings have taken place regularly and minutes showed that the residents’ wishes and ideas had been taken into account, and residents confirmed their involvement in the running of the home throughout this inspection. Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 4 X 4 X X 3 X Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 17 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. 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. Refer to Standard Good Practice Recommendations Riverside DS0000002410.V276473.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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