Inspection on 27/06/05 for Riverside

This inspection was carried out on 27th June 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 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 01/02/06

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 0NJ Lead Inspector Wilma Crawford Unannounced 27 June 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Riverside Address Ramsgate Road Louth Lincs LN11 0NJ 01507 608311 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Linkage Community Trust James Harry Kilner Care home only 8 Category(ies) of LD Learning Disability registration, with number of places Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 04 Oct 2004 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 town’s 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 C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3 hours. A tour of the premises was conducted with the assistance of 2 residents. The main method of inspection used was called case tracking which involved selecting a small number of residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. All eight residents gave their opinion of the home and one member of staff and the manager were interviewed. What the service does well: What has improved since the last inspection? What they could do better: The home has operated at a high standard for a number of years. It provides an excellent service and as no requirements have been made for some time there were no specific areas that needed improving at this time. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,4.5 The home undertakes comprehensive assessments before people are admitted to the home to ensure that the home can meet their needs. Potential residents visit the home prior to admission to make sure that the home is suitable for them EVIDENCE: The home has an admission policy and procedure, which includes an assessment being carried out prior to admission, this is undertaken to make sure that the home can meet prospective residents needs. Two residents who had been recently admitted to the home said that they had visited the home several times to meet the other residents before moving in permanently. Social workers and parents had been involved in the assessment process and visited the home to see if they felt it was suitable. Records contained a detailed assessment of the two residents care needs as well as transfer documentation. Individual care plans contain a contract that has been signed by each resident. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,9 Care plans contain comprehensive information, which identify the care needs and personal preferences of the residents. Risk assessments are of a good quality, providing management strategies that enable residents to 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. Two residents confirmed that they had been involved in the review of their care plan and said that these had also included parents and other professionals. Comprehensive risk assessments had been formulated which included any potential risks to the resident and the management strategies that would enable them to be as independent as possible. One resident explained how staff were supporting him to move out of the home into more independent living accommodation. Staff were knowledgeable about the needs and preferences of the residents, who confirmed that their needs were being met. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 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 standard(s) 14,15 The home provides an extensive range of leisure and social activities. Contact with relatives and friends is encouraged. 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. Residents are assisted to plan and help with arrangements for weekend breaks and holidays throughout the year. Two residents said that they had been on a holiday to Centre Parcs and to London. A third resident was planning a holiday to Spain. There were no relatives visiting the home on the day of the inspection. Residents said that they were actively encouraged to maintain contact with family and friends. Comments from residents included; ‘ I like being here I get to do lots of different things’. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 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 standard(s) 18,19 Staff provide a supportive service that respects residents privacy and individual preferences. The health needs of residents are met. EVIDENCE: Care plans contained a document called ‘My health action plan’ which had been completed with the involvement of the resident. The plan gave details of contact numbers and involvement of services such as G.Ps, psychologists, opticians, dentists and chiropodists. Those residents who wish to participate also attend well man/woman clinics. Observation and discussions with staff showed that they were aware of the need to respect residents’ privacy. Bedroom doors are fitted with locks and staff ask permission from the resident if they wish to enter. Residents confirmed that the staff respected their decisions and supported them to be independent. Comments included ‘Liz is my keyworker she helps me.” “ Helen is my keyworker, I like her, it is important to listen to her.” “ Helen listens to me.” “ The staff help us with things, but in the way we want to be helped.” “ I feel listened to, that is how I am going to move. I said that was what I wanted, they listened now it is happening.” Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 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 standard(s) 23 The home has robust 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. EVIDENCE: The home’s adult protection policy was is in line with current local guidelines. 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. 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 C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 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 standard(s) 24,30 The standard of the environment within the home is very good, providing residents living there with a clean, comfortable and homely environment. EVIDENCE: A tour of the home included two residents’ bedrooms. 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. The downstairs WC and hall and landing area has been recently redecorated; residents 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 with support from staff. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,36 Residents are supported by experienced well-trained staff. EVIDENCE: The company has a comprehensive training programme, which includes induction and foundation training. Staff records showed that they had received regular supervision and appraisal sessions. Each file contains a staff development plan, which highlights their training needed. Records and staff comments confirmed that training had taken place as planned, this included; adult protection, manual handling, fire safety, health and safety, basic food hygiene and challenging behaviour. Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,36,39 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: The home has a comprehensive documented quality assurance system (EFQM) which involves monitoring by the Manager and the Residential Service Manager Louise Barnes, this includes interhouse audits. The company use resident, parent and staff questionnaires to obtain their views on the home then use this information to make changes if necessary. Meetings had 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. People who were spoken to and those who returned questionnaires to the Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 16 Commission said that they were happy with the way the home operated Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 N/A 4 N/A 4 3 Standard No 22 23 ENVIRONMENT Score N/A 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 N/A N/A 4 N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 N/A N/A N/A N/A N/A 3 Standard No 11 12 13 14 15 16 17 N/A N/A N/A 4 4 N/A N/A Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A 4 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Riverside Score 4 4 N/A N/A Standard No 37 38 39 40 41 42 43 Score N/A N/A 4 N/A N/A N/A N/A C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 18 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Riverside C53-C04 S2410 Riverside V229187 270605 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection 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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