Inspection on 25/01/06 for Riverside

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside 18/01/07

Riverside 25/10/05

Riverside 23/02/05

Riverside 21/07/04

Riverside 25/03/04

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 Coventry Road Bulwell Nottingham NG6 8RA Lead Inspector Rob Cooper & Rehana Rashid Unannounced Inspection 25th January 2006 10:00 Riverside DS0000037796.V279074.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 DS0000037796.V279074.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 DS0000037796.V279074.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Riverside Address Coventry Road Bulwell Nottingham NG6 8RA 0115 915 5555 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) maureen.rickett@nottinghamcity.gov.uk Nottingham City Council Mrs Maureen Rickett Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 residents over the age of 60 Date of last inspection 25th October 2005 Brief Description of the Service: Riverside is a purpose built care home, owned and staffed by Nottingham City Council. The home is situated approximately three miles from the city centre, and is close to local shops and transport options, including the tram. Care is provided for twenty-two people with a learning disability, with sixteen places deemed medium term, and six beds for emergency/ respite care. The home is situated on two floors, with the upper floor being accessed via stairs. There are a number of ground floor bedrooms, and assisted bathing facilities, so that a person with restricted mobility could live at Riverside and have their needs met. Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection lasted approximately four hours with two Inspectors present. The methodology used was to visually inspect the premises, talk with two residents, four members of staff, and ‘case track’ three residents. Case tracking involves inspecting a range of care records, and making a judgement about whether the care that person is receiving equates to the care that they should be receiving. In addition a range of policies, procedures and other records were also inspected. Riverside is a friendly, welcoming care home, with many positives in the care being delivered. The building in which the care is being delivered is in need of upgrading and improvement in many areas. 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 DS0000037796.V279074.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 DS0000037796.V279074.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): 5 Every resident at Riverside does have a written statement of terms and conditions of residence. EVIDENCE: At the last Inspection it was set as a recommendation that the terms and conditions of residence should specify the room number to be occupied by the individual. Three residents files were seen, and these did contain the room number being occupied. Riverside DS0000037796.V279074.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): 7&8 Residents at Riverside do make decisions about their own lives with staff assistance as required. Residents at Riverside are consulted with, and participate in all aspects of life in the home. EVIDENCE: Two residents were spoken with and they said that they felt in control of decision making in their lives. One talked about hoping to move on, and said how they were involved in the discussions about where they would live. Both said that they were involved in decisions about spending their own money. Both residents talked about resident meetings, and the sorts of things that were on the agenda. I asked one resident what they would do if they were unhappy about anything, and the immediate answer was to go and talk to the manager, who would always listen. Riverside DS0000037796.V279074.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): 11 Residents at Riverside do have opportunities for personal development. EVIDENCE: The discussions with the resident regarding moving on was clear evidence of personal development. A second resident who had moved to Riverside when the care home that they had been living in closed, also talked about their plans for personal development. Coming to Riverside had been an emergency when the former care setting closed, but the resident saw it as a temporary measure, and talked about meetings with their social worker and somebody from ‘housing’ and looking for somewhere else to live. Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 10 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): 18 & 19 Residents do receive personal support in the way that they prefer and require. Residents at Riverside are potentially not having their physical and emotional needs met. EVIDENCE: Personal support was identified in all three files that were seen, and discussions with two residents identified that they were happy with the personal support they were receiving. At the last Inspection it was recommended that care plans should contain more detail. Inspection of healthcare records shows that this is still not happening, and that some records were very out of date, one monthly monitoring chart had no entry entries since July 2005. One resident had been diagnosed with diabetes, but the healthcare records were unclear on how this was being managed. Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 11 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 & 23 Residents at Riverside do feel that their views are listened to and acted upon. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The complaints records were seen, and there have been no complaints recorded since the last Inspection. Copies of the complaints procedure were prominently displayed throughout the building. Residents said that they knew who to talk to if they were unhappy, or had a complaint, and both residents who were asked said they thought that the staff (specifically the manager) would listen to them. Residents meetings do take place fairly regularly (the last one was on the 12th November 2005) and residents said they were able to raise issues. At the last Inspection it was set as a requirement that staff should undertake training in the Protection of Vulnerable Adults. Riverside’s staff training records were seen, and these showed that staff had undertaken Protection of Vulnerable Adults training in December. Talking with staff members about training, they said that they had attended the Abuse training in December. Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 12 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 25 26 27 28 & 29 Resident’s bedrooms at Riverside do meet their needs and suit their lifestyles, while promoting independence. The toilets and bathrooms are not meeting individual needs. The shared spaces do complement resident’s individual rooms, however the standard of decorating is poor. The residents do have the specialist equipment they require to maximise their independence. EVIDENCE: A number of bedrooms were seen during the Inspection, and these were comfortable, homely and well personalised, with in some cases homemade personal items decorating the walls. The Riverside staff have attempted to make the toilets and bathrooms pleasant and homely, however the toilets are in need of upgrading, as they are stark and institutionalized. The upstairs bath needs to be replaced, as it is damaged and heavily stained. The entire building is in need of redecoration. Discussions with staff members who have been in post for many years revealed that not one member of staff could recall the City Council carrying out planned redecoration. Riverside staff have carried out the redecoration that has taken place unofficially. There is a range of specialist equipment particularly in bathrooms, to assist those more physically dependant, however while this equipment is sound and functional it is dated, and in line with earlier comments regarding the toilets and bathrooms, Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 13 replacement with better and more modern specialist equipment would be beneficial to the residents. Riverside DS0000037796.V279074.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): 35 Residents at Riverside have their individual and joint needs met by appropriately trained staff. EVIDENCE: The staff training records were seen, and these showed a staff team that is and has been receiving a variety of training courses. This training was identified as being job specific, and appropriate to the roles being carried out by the staff. Discussions with four members of staff identified that all of them felt that there was plenty of training available, and should the need arise for something ‘new or different’ this would be made available too. Riverside DS0000037796.V279074.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): 40 & 43 Resident’s rights and best interests are safeguarded by Riverside’s policies and procedures. Residents do benefit from competent and accountable management of the service. EVIDENCE: During the Inspection a selection of policies and procedures were seen, these covered all aspects of Riverside’s operation and were found to be comprehensive and wide ranging, and included policies for the Protection of Vulnerable Adults. Regulation 26 visits are taking place on a monthly basis. Regulation 26 visits are visits to Riverside by an external Council manager to check on management processes, and the welfare of the residents. Records of these visits were seen during the Inspection. Riverside DS0000037796.V279074.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 3 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 X 25 3 26 3 27 2 28 2 29 2 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 4 X X LIFESTYLES Standard No Score 11 4 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 X X X X X 3 X X 3 Riverside DS0000037796.V279074.R01.S.doc Version 5.1 Page 17 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. 1 Standard YA19 Regulation Requirement Timescale for action 31/05/06 2 YA27 3 YA28 Regulation The Registered person must 12 ensure that the healthcare needs of residents are assessed and recognised and that procedures are in place to address them. Regulation The Registered person must 23 (2) b ensure that the upstairs bath is replaced so that the premises to be used as the care home are of sound construction and are kept in a good state of repair externally and internally. Regulation The Registered person must 23 (2) d ensure that all parts of the care home are kept clean and reasonably decorated. 30/06/06 31/08/06 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 YA29 Good Practice Recommendations The Registered person should look at the provision of specialist equipment within Riverside and consider modernising this provision. DS0000037796.V279074.R01.S.doc Version 5.1 Page 18 Riverside Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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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