Inspection on 25/10/05 for Riverside

This inspection was carried out on 25th October 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside 18/01/07

Riverside 25/01/06

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 Unannounced Inspection 25th October 2005 10:00 Riverside DS0000037796.V261963.R01.S.doc Version 5.0 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.V261963.R01.S.doc Version 5.0 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.V261963.R01.S.doc Version 5.0 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.V261963.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 residents over the age of 60 Date of last inspection 23rd February 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.V261963.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place over a five-hour period through the middle of the day, and was facilitated by Maureen Rickett the home manager. On the day of the Inspection there were twenty people in residence out of the twenty-two Registered places. The methodology used was to case track three residents. This involved talking to those three residents, three members of staff, and also two relatives who were visiting the home. In addition a range of records, and the three resident’s files were seen. Case tracking means that the care for those three particular people was closely observed and monitored. The residents at Riverside are well cared for, and their needs are being met by the current staff team. What the service does well: What has improved since the last inspection? What they could do better: The Employers Liability Insurance Certificate is out of date, and needs replacing/ updating. Some of the bathrooms are in need of refurbishment. Care plans relating to health care needs need to be more detailed. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 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. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Riverside DS0000037796.V261963.R01.S.doc Version 5.0 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 the following standard(s): 124&5 Prospective residents would have the information they need to make an informed choice about coming to live at Riverside. Residents are assessed prior to coming to Riverside. Introductory visits form part of the Riverside admission policy and procedure. Every resident has a copy of the terms and conditions of residence. EVIDENCE: Both the Statement of Purpose and Service User Guide were seen, and both contained all of the information required by Care Homes Regulations. Three resident’s files were seen and each contained an Extended Community Care Assessment, together with a range of other assessment tools for specific areas of need. Three residents were spoken with, and one was able to say that they had visited Riverside before they moved in, in addition two members of staff were asked about introductory visits, and they both said that this was “common practice.” Terms and conditions of residence were contained in all three files that were seen, although they do not identify the room that the resident has been allocated, which was a recommendation made at the last Inspection, which remains outstanding. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 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 the following standard(s): 6 9 & 10 Residents assessed and changing needs are reflected in their plan of care. Risk taking is an integral part of life at Riverside. Information regarding residents is stored securely and confidences kept. EVIDENCE: Three residents files were seen, and there has been an improvement in record keeping since the last Inspection. Two residents were able to talk about risk taking, and activities that they engage in. The resident’s files contained risk assessments, and these were cross-referenced with what the resident’s actually had to say. Records and files were seen to be stored securely under lock and key, and in locked offices. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 10 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 14 15 16 & 17 Riverside’s residents take part in a range of age, peer and culturally appropriate activities. There are a number of activities arranged within the local community. Riverside does provide a range of leisure activities for the residents. Residents enjoy an open door visiting policy for family and friends. Resident’s rights and responsibilities are recognised and supported at Riverside. Mealtimes at Riverside offer healthy options, and residents enjoy their food, and mealtimes. EVIDENCE: Three residents were asked about leisure activities, and activities within the home generally. All three spoke very positively and were able to describe a variety of activities that they are involved in. There is an activity area within Riverside where there is a pool table and skittles, and residents were seen using these facilities. Some residents attend a local Day Centre for activities during the week. The parents of a resident were spoken with, and they said that visiting and taking their son out was not a problem, and that the staff made them feel very welcome. They were taking their son for a pub lunch after speaking to me. Two resident’s talked about having their own key to their bedroom, and being able to come and go as they please. One of the residents Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 11 said she had just got in from shopping, and was going out again after lunch, she said there were very few restrictions on her, as long as she told the staff where she was going, and when she would be back. Riverside has a large well-organised catering kitchen, and a range of menus and records were seen, all of which had been completed, and were found to be in order. There is also a picture menu to help communicate with those residents who have communication difficulties. Five different residents were asked about the food, and each one spoke highly about the cooking and choice, with such comments as: “It’s smashing”, “I like the food a lot”, “It’s really nice, and there’s plenty of it”. Mealtimes are arranged so that there is always a choice of jacket potato, soup and salad available, as well as the main choices. Many of the residents actually enjoy this option, and during the Inspection jacket potatoes and salads were seen to be very popular. The dining tables were covered with tablecloths, and when tea was served, it came with the milk served separately in individual china jugs, and the tea in individual teapots. Riverside also have a bar area where alcohol and soft drinks are available with a ‘raffle ticket’ system in place of money. The catering at Riverside was very well organised, with a great deal of resident choice evident. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 12 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): 19 & 20 Resident’s emotional and health needs are met at Riverside. There is a safe and secure medication procedure in place. EVIDENCE: In the three resident’s files that were seen as part of the case tracking exercise, there were a number of details relating to health matters, however the record keeping was inconsistent, with some records found to be out of date. The care plans in relation to health needs were found to cover the necessary areas and in sufficient depth. During the Inspection, one resident had a dental appointment, which he decided not to keep. The staff were observed to handle this in a sensitive and appropriate manner, and the dental surgery were telephoned and a new appointment made, after explaining the situation. Riverside uses the Boots (The Chemist) Monitored Dosage System for their medication. Records relating to administration of medication were seen to be in order, and the storage was safe and secure. Currently no resident’s self medicate. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 13 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 feel their views are listened to and acted upon. There is the potential for residents to be subject to abuse. EVIDENCE: Riverside have resident’s meetings, and the minutes of the last three meetings were seen. It was clear that resident’s could (and did) raise issues, and that these were acted upon. Two residents said that they would know whom to complain to if they needed to. Copies of the complaints procedure were displayed throughout the building. Two complaints have been received this year (2005) and these were both tracked, and found to have been dealt with in accordance with the procedure, and the outcomes were recorded. Currently not all members of staff have been trained in Abuse issues, or the Protection of Vulnerable Adults. This training is being organised by the City Council, and was evidenced in the training plans. However Riverside are awaiting a date and venue for this training to be confirmed. Staff members must receive this training as without it residents will be potentially more at risk of abuse. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 14 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 & 30 Riverside is homely, comfortable and safe. Riverside is also clean and hygienic. EVIDENCE: The building is far from ideal; it is large, sprawling and open plan in design. However the staff have made great efforts to make a homely and comfortable living space, with good use of colour, design and accessories such as cushions and plants. Three residents when asked said that they liked living at Riverside. Residents were seen to be relaxed and comfortable within their surroundings. Attempts have been made to personalise the space, with holiday photos and pottery on display. The ladies bathroom on the first floor is in need of refurbishment, although the Manager said she had raised this issue with the City Council, a start date for the works was not yet known or identified. The whole building appeared clean and fresh, and domestic/ cleaning staff were observed to be cleaning during the Inspection. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 15 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): 31 32 34 & 36 The staff rota shows a clarity of roles within the staff team. The staff team are competent and well trained in care issues at Riverside, although currently lacking in abuse training. The recruitment procedure does leave residents potentially at risk. The staff team are well supported and supervised. EVIDENCE: The staff rota covering a four-week period was seen, and this identified the roles and responsibilities of team members on duty. Staff files showed a range of experience among the staff team. Staff training records were seen, and there is a range of training on offer, although not as yet (as already identified) Protection of Vulnerable Adults training. Two staff members were asked about training, and they identified National Vocational Qualification (NVQ) level II, Learning Disability Award Framework (LDAF), Health & Safety, and Care Planning as some of the areas of training they had received. The staff training records supported this. In line with other City Council run care homes, staff files are held centrally, this means that there were no individual staff references or employment history available on site. Consequently it was not possible to monitor individual’s suitability for their post as staff files did not contain all of the information outlined in Schedule 2 of the Care Homes Regulations, which therefore potentially leaves residents at risk. Staff supervision records were seen, and these were well documented. Staff members `said they felt well supported and supervised. One staff member Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 16 who had previously worked in another care setting, said: “I like working here, it’s much more rewarding, than where I was before.” Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 17 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): 39 & 42 Residents are confident that their views underpin the development of Riverside. The health & safety of residents is promoted and protected at Riverside. EVIDENCE: Two residents said that they could raise issues at “The meeting”, and that they thought staff listened to what they had to say. Resident’s meetings minutes supported this view, and there was evidence of resident involvement in activities such as menu planning and holiday planning. A range of Health & Safety records were seen, and these were found to be in order. The City Council has an issue with Legionella (Legionnaire’s Disease), which is a water borne bacterium, which can cause major health problems. As a result there is an ongoing programme of testing at Riverside, and records were seen. The building was constructed in the 1970’s and asbestos was used in its construction. We are now aware that asbestos can pose a serious health risk. The Manager has undertaken Asbestos awareness training, and any structural works on the building is done with due regard to asbestos. Records relating to both asbestos and water testing are held in the office, and were seen during Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 18 the inspection, together with the Manager’s certificates relating to asbestos training. Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 19 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 3 3 X 4 2 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 X 2 X 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Riverside Score X 2 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 4 X DS0000037796.V261963.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 YA23 Regulation 18 (1) a Requirement Timescale for action 31/05/06 2 YA34 19 (1) The Registered person must ensure that at all times suitably qualified, competent and experienced persons are working at the care home. Therefore all staff should undertake training in the Protection of Vulnerable Adults. The Registered person must 28/02/06 ensure that staff files contain all of the information outlined in Schedule 2 of the Care Homes Regulations, and are available for Inspection. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA5 YA19 Good Practice Recommendations The terms and conditions of residence/ contact should specify the number of the room to be occupied by an individual. Care plans relating to health care should be considerably more detailed. DS0000037796.V261963.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Riverside DS0000037796.V261963.R01.S.doc Version 5.0 Page 22 - 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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