Inspection on 02/02/06 for Riverside

This inspection was carried out on 2nd February 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

Riverside 03/08/09

Riverside 16/05/07

Riverside 24/06/05

Riverside 30/11/04

Riverside 19/04/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Riverside Westbury Sherborne Dorset DT9 3QZ Lead Inspector Gloria Ashwell Unannounced Inspection 2nd February 2006 13:15 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 Riverside DS0000020488.V281843.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 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. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Riverside Address Westbury Sherborne Dorset DT9 3QZ 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) 01935 812046 01935 812046 Riverside Nursing Home Limited Mrs Judith Alison Maidment Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th June 2005 Brief Description of the Service: Riverside is located on the outskirts of Sherborne, within level walking distance of the town centre. The home is owned by Riverside Nursing Home Ltd; the director and responsible person is Mr Farhad Pardhan. The home is registered to provide residential nursing care to a maximum of 39 people. A registered nurse is on duty throughout each 24-hour period. Mrs Judith Maidment is the registered manager; she is a trained nurse with extensive experience of nursing in a residential setting. Accommodation is on the ground and first floors and provides 25 single and 7 shared bedrooms, a lounge/dining room on the ground floor, conservatory, first floor lounge and an additional visitors area. A passenger lift provides level access to all parts of the home. A section of ground floor corridor is slightly sloped, to overcome the necessity for stairs between the original building and a later constructed extension. Assisted bathroom and toilet facilities are provided and most bedrooms have en-suite toilets. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was one of the two statutory inspections required in accordance with the Care Standards Act 2000. The previous inspection took place over 2 days in June 2005; since that inspection no complaints against the home have been received or investigated by the Commission. The inspector spoke to most residents, and together with registered manager Mrs Maidment considered other evidence relating to the National Minimum Standards, as described in this report. The inspector also spoke to the visiting relative of a resident. Additional information used to inform the inspection process included reports occasionally sent to the Commission by the registered provider and the 23 Comment Cards completed and returned to the Commission since the previous inspection; 12 were from residents, 5 cards were from health and social care professionals, 6 were from the relatives of residents accommodated at the home. Most of the cards indicated high levels of satisfaction. In recognition of the circumstances and history of this home, which is known to routinely meet most National Minimum Standards this inspection was relatively brief in duration (lasting 3 hours) and focussed on discussion with residents and assessment of only the most essential standards. Standards assessed and found met during the previous inspection were not reassessed during this inspection; this report should therefore be read in conjunction with the report of the previous inspection. What the service does well: Riverside provides residents with good nursing care and social care in comfortable surroundings. Residents feel the care is very good and are satisfied with all aspects of the home; all with whom the inspector spoke indicated unreserved satisfaction with all aspects and the visiting relative of a resident observed that the home “had exceeded expectations” by enabling the resident to significantly improve her health, mobility and mood. Completed Comment Cards received by the Commission in advance of the inspection included the following: “I cannot express how deeply touched my Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 6 family and I were by the kindness and love shown to (X) during her illness…”, “I have the highest praise for this home….Riverside is without question well organised and run”, “staff are kind and patient”, “residents are being given the best possible quality of life”. Residents are assisted to maintain as much independence as possible and are encouraged to maintain contact with the local community. Meals are appetising and of good quantity and quality; during the weekend before this inspection a Resident’s Meeting took place and some residents expressed concerns about the quality of meat served that day – within 24 hours the manager had discussed this matter with the chef to ensure that the necessary improvements were made. The premises are comfortable, with two lounges, a conservatory and a dining room; there are car parking spaces at the front of the house and a small attractive garden at the rear. The home provides a good range of social and recreational activities, including opportunities for residents who wish to, to go out of the home. Medicines prescribed by doctors are safely stored and administered to residents by trained nurses. Residents wishing to do so may store and administer their own prescribed medicines. What has improved since the last inspection? What they could do better: This report contains only one requirement; from previous inspections and from this inspection it is known that the home routinely meets the National Minimum Standards and levels of resident satisfaction are very high. The Registered Person must provide to the Commission regular reports about the home. Please contact the provider for advice of actions taken in response to this Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 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 Riverside DS0000020488.V281843.R01.S.doc Version 5.1 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): Standard 3 was assessed and found met at the previous inspection. Standard 6 is not applicable because the home does not provide intermediate care. EVIDENCE: Riverside DS0000020488.V281843.R01.S.doc Version 5.1 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): 9 (Standards 7, 8 & 10 were found met at the previous inspection) Medicines prescribed by doctors are safely stored and carefully administered to residents by staff, unless the residents have chosen to store and administer their own medicines, in accordance with risk assessment. Residents receive prescribed medicines at the correct times and in correct amounts. EVIDENCE: The home uses a monitored dosage system; the dispensing pharmacist provides printed administration charts. Residents wishing to manage their own medicines are assessed for their ability to do so. Records indicated that medicines had been accurately administered and the recommendations made in the report of the previous inspection, for improved record keeping have been met; handwritten amendments to the printed medications administration records (MARs). MARs are signed and dated and the reason for as required administration is stated on the MAR. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 11 The home has extensive clear and accurate written policies and procedures for the storage, administration and recording of medicines. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 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): (All these Standards were assessed and found met at the previous inspection) EVIDENCE: Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 13 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): 18 (Standard 16 was assessed and found met at the previous inspection) The home has well-established systems to protect residents from abuse. EVIDENCE: The home has developed and implemented written policies and procedures for the protection of residents from abuse or neglect and has provided staff with associated training. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 14 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): Standards 20, 21, 23, 24, 25 & 26 were found met at the last inspection. EVIDENCE: Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 15 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): 29 & 30 (Standards 27 & 28 were found met at the last inspection) Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training to ensure they are competent to carry out their jobs. EVIDENCE: The records of two recently employed staff members were examined and found to contain required information, indicating the use of a reliable recruitment procedure, including provision of 2 written references and CRB/POVA disclosure prior to commencing employment in the home. To further improve the reliability of the procedure it is recommended that the application form be amended to provide a more structured and precise record of employment history with dates, and to state the capacity in which each referee knows the applicant. Arrangements for staff training are good; individual staff have recently received training on subjects including first aid, moving and handling, adult protection and fire safety. All new staff undergo induction training, in accordance with the standards of ‘Skills for Care’ (previously known as TOPSS). Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 16 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): 33, 35, 37 & 38 Residents are satisfied with the home and feel staff care for them well and put them at their ease. The home holds regular resident’s meetings and periodically issues ‘user satisfaction’ questionnaires to ensure that residents and their representatives remain satisfied with all aspects of the home. The home does not manage the finances of any service user. The home has implemented written policies and procedures to promote resident’s rights and well-being. The premises is well maintained and equipment is checked and tested to ensure that service users are protected from accident and harm. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 17 EVIDENCE: Residents indicated they are satisfied with Riverside; they said they feel safe and well cared for. Comments received during the inspection included “It’s great…they’re so kind…it’s a charming home” and “I think anybody who stays here will find it very comfortable…”. The home conducts periodic analysis of the opinions of residents and their friends and relatives to ensure the maintenance of good satisfaction levels; questionnaires are issued, a Resident’s Meeting takes place each month and the home operates a system of ‘self audit’, to ensure that it continues to meet the needs and expectations of service users. The home provides safe-keeping for small amounts of money for one resident, transactions are confirmed by receipt. The financial affairs of other residents are managed by their families or lawyers. Staff work in accordance with a collection of written policies and procedures to ensure continuity of approach and safe working practices. At all times there are staff on duty in the home with knowledge of how to deal with accidents and health emergencies; a trained nurse is always on duty in the home. The home has recorded a fire safety risk assessment of the premises; Mrs Maidment informed the inspector that all identified risks are being minimised/managed. The home provides staff with fire safety training, holds periodic fire drills and tests/checks fire safety equipment at the required frequencies. The premises and equipment are maintained in a safe condition to ensure residents, staff and visitors are protected from harm and injury, The inspector was shown records indicating the safety of the passenger lift and the gas and electrical installations. At least once each month the registered provider must visit the home to monitor standards, and forward to the Commission a written report of the findings. Since the previous inspection, which took place during June 2005, only reports for August and November 2005 have been received; it is required that monthly reports are provided. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 18 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 3 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 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X 2 3 Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 19 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. 1. Standard OP37OP37 Regulation 26 Requirement The registered provider must compile a report of his monthly visits on the conduct of the home and provide a copy to the Commission and to the manager. Timescale for action 01/03/06 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 OP2929 Good Practice Recommendations The application form completed by prospective staff should be amended to provide a more structured and precise record of employment history with dates, and to state the capacity in which each referee knows the applicant. Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Riverside DS0000020488.V281843.R01.S.doc Version 5.1 Page 21 - 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!