CARE HOMES FOR OLDER PEOPLE
Riverside Court Bridge Street Boroughbridge North Yorkshire YO51 9LA Lead Inspector
Chris Taylor Unannounced 6th May 2005 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 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 Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Riverside Court Address Bridge Street, Boroughbridge, North Yorkshire YO51 9LA 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) 01423 322935 01423 324835 Mr Stephen Frederick Jenkins Mrs Carole Anne Day Care home only 25 Category(ies) of OP Old age (25) registration, with number of places Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 08.12.04 Brief Description of the Service: Riverside court is registered as a care home providing personal care and accomodation for 25 people over the age of 65 years. The home is located in the market town of Boroughbridge close to shops, banks, pubs the post office and other amenities. The building is a former hotel which over looks the River Ure. The home is owned by Mrs Carole Day, her daughter Mrs Laren Jenkins and her son-in-law Mr Stephen Jenkins. Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on an unannounced basis. Time was spent talking to staff, managers and service users and observing how staff helped service users have their lunch. Records about service users and staff were looked at. The inspection took five hours including preparation time. 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 Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 7 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 standard(s) 1 and 3 Prospective service users are provided with information so that an informed decision about admission to the home can be made. EVIDENCE: As a previous requirement there is now an up to date Statement of Purpose and Service User Guide. The case records including the most recent admission all had a pre-admission assessment that had been completed by a senior member of staff. This provided clear evidence where the home would be able to meet the service users’ needs and where other agencies would need to involved. Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 8 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 standard(s) 7,8 and 10 Service users’ health and personal care needs are met. EVIDENCE: Care plans have improved considerably and contained robust information about all aspects of the service users’ lives, what support is needed and how that support is to be provided. Where there is a risk, for instance of falling, a risk assessment was present. A requirement of the previous inspection was to ensure care plans were reviewed every month and this had been completed. Staff confirmed that they completed care plans and found them a useful tool to get to know service users and in providing care. Service users said that they talked to staff about what help they needed and said that staff are polite and always knock on bedroom doors before entering. They said that there were no problems in seeing a GP and the district nurse came to the home almost every day. Observations indicated positive warm relationships between staff and service users.
Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 9 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 standard(s) none EVIDENCE: Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 16 Complaints are dealt with in a proper manner. EVIDENCE: A complaints procedure is provided to service users and is included in the Statement of Purpose. Service users said that they felt able to talk to the owners of the home if they had complaints and that they would be dealt with properly. There have been no formal complaints made since the last inspection. Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 11 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 standard(s) none EVIDENCE: Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Service users receive care from well-trained staff. EVIDENCE: York College has provided induction training for existing and new staff. Staff said they found the training useful and for those staff who have worked in the home for a while said it was a good refresher. A large percentage of staff have completed or are completing NVQ level 2 and 3 and find it relevant to their job. Records confirmed staff training completed and included a rolling programme to ensure staff complete mandatory health and safety training. Staff training needs are discussed as part of appraisal. The rota indicates that there are enough staff hours provided and more staff are on duty at key times during the day. Staff said that they attend staff meetings and complete appraisals. Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 This home operates with its service users best interest as its priority, however there is no formal system to obtain and act upon service users views about how the home is run. EVIDENCE: Although the manager has obtained a quality assurance system this has yet to be implemented. He has made a start on quality assuring the environment but has yet to consider other aspects of the home’s development plan. There are informally systems whereby information is gathered through talking to service users, knowledge of their likes and dislikes, staff meetings and handovers. As a consequence improvements to the home and service are made. Specific examples include changes made to activities and the installation of an accessible bath.
Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x
COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 1 x x x x x Riverside Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 15 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 33 Regulation 24 Requirement The registered person must implement a system which reviews the quality of the service provided and which includes the views of service users and their representatives. A copy of the report of such a review must be made available to the Commission for Social Care Inspection and service users Timescale for action 01.10.05 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 Court J53-J04 S7795 Riverside Court V223369 100505 Stage 4.doc Version 1.30 Page 16 Commission for Social Care Inspection Unit 4, Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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