CARE HOMES FOR OLDER PEOPLE
Riverside Rest Home 17 West Beach Lytham Lancashire FY8 5QH Lead Inspector
Mrs Lynne Lynch
11th Announced Inspection October 2005 09:30 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 Rest Home DS0000009717.V252403.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 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 Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Riverside Rest Home Address 17 West Beach Lytham Lancashire FY8 5QH 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) 01253 737317 01253 737317 carron@ccayley.fsnet.co.uk Mr Peter Fenton Warwick Mrs Carron Lesley Cayley Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 28th May 2005 Brief Description of the Service: Riverside is a family run home for older people registered to accommodate 26 residents of both sexes aged 65 years and above. Mr and Mrs Warwick are the registered proprietors and their three children run the home on a daily basis, with the eldest daughter being the registered manager. The home is not purpose built and offers accommodation in 3 double and 20 single bedrooms, most of which have en-suite toilet facilities. There are 2 lounges, one smoking and one non-smoking as well as a dining room on the ground floor. All floors are serviced by a passenger lift. The home continues to provide permanent care and short stay holiday care. Most of these short stay service users come from the Burnley area and the home operates a free transport service collecting and returning residents to and from home. The home has now earned a reputation for providing holiday type care and prides itself on the variety of activities, entertainment, outings and trips they provide. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was announced and started at 9.30 a.m. It took place over three hours. Records in respect of staff and medication were viewed and pre inspection information in respect of health and safety confirmed. The inspector spoke to six residents, the registered manager and one member of staff. Comment cards were distributed prior to and during the inspection, at the time of the report no comment cards had been received back. At the time of the inspection there were 18 permanent residents and 6 on respite at the home. What the service does well: What has improved since the last inspection?
The Riverside has retained staff this year with very little turnover of staff thus providing a consistent approach and familiarity for residents. Training for staff is now provided by a reputable training agency and good use has been made of training opportunities. Staff have been well supported in training and are given good incentives. The majority of work identified in a previous visit by the fire service has now been completed with only one minor task outstanding. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 6 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 Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 7 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 Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 8 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): None of the above standards were inspected at this visit. EVIDENCE: Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 9 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 The systems for the administration of medication are good, with clear and comprehensive arrangements in place to ensure service users medication needs are met. EVIDENCE: All the permanent residents in the home have their medication kept and administered for them. The residents who are available to self administer told the inspector they had chosen not to do so. Residents who come to the home for respite care are encouraged to self administer their medication and are provided with a suitable lockable storage space. They sign a disclaimer and are monitored by staff where necessary. Medication within the home was seen to be stored correctly with medication being signed for upon receipt and return. Records maintained in respect of administration were completed well. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 10 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): 13 and 14 Good opportunities are provided for residents to maintain their independence. Excellent support is available to ensure residents can fulfil their social, cultural, religious and recreational interests. EVIDENCE: Details of family and friends are maintained on personal files. The home has an open visiting policy and at times is able to cater for relatives to stay overnight, particularly when service users are ill or dying. People visiting the home appeared relaxed and staff were observed to be welcoming. Residents spoken with said they were supported by staff to maintain contact with family and friends, with support being given to maintain written and telephone contact. The homes induction covers training and information in respect of principles of care and information regarding advocacy services is available in the home. Residents can exercise choice over their chosen lifestyle. Residents spoken to said that they were given choices and were able to decide what happens in the home particularly in respect of outings. One lady said “it is home from home you can use the phone eat what you want go to bed when you want there are no restrictions here”. Another lady commented “we get breakfast in bed, they knock on your door and serve it to you”. Riverside excels in its activities provided inside and outside of the home. Residents said that they were never bored. One lady said “you only need to ask to go out or a for a trip to be arranged and it is done. Residents spoke of
Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 11 past outings in the homes minibus to the Lake District, to steam railways and to visit local markets in the area. The home has it’s own minibus and there is always a driver available. One lady said, “We go out shopping at least once a week with staff”. The home also provides a pick up and drop off service for residents staying on a short term basis. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 12 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): None of the above standards were inspected at this visit. EVIDENCE: Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 13 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): 26 The home is maintained to a good standard and is clean and free from odours. EVIDENCE: A partial tour of the home was conducted and found that the physical standards were satisfactory through out the building. The home had a visit from the fire service on the 26th of January 2005. Following this visit requirements and recommendations were made. The home has responded quickly and much of the work required has been completed with only one task to be done to ensure compliance. The home was found to be warm, clean and free from any offensive odours. All staff receive training in infection control. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 14 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): 27,28 and 30 Staffing levels and skills mix are determined in accordance with the assessed needs of the residents. EVIDENCE: Riverside provides care for up to 26 residents. The staff team currently comprises of 13 care staff, two managers and four ancillary staff. The inspector noted a change to the staff rota were four care staff are now on duty on a Monday morning as this had been identified as a busy time and more staff hours were required to ensure the management duties of the home did not impinge on the care given. There is a clear commitment to the training and development of all staff at the Riverside and staff are working hard to achieve their NVQ qualifications. Currently 30 of the care staff employed at the home have successfully achieved a National Vocational Qualification (NVQ) award in care at level 2 or above and 54 are currently undertaking the qualification. The manager ensures that, all staff attend mandatory training. A training matrix is maintained which provided evidence of courses attended and when refresher courses are due. Staff spoken to said they felt well supported and that there was plenty of training available. Induction training is provided and staff are provided with a mentor until the registered manager is satisfied that the new staff member is competent to carry out their duties unsupervised. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 15 Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. Comments included “I have been here for two years and they have always had good staff”, “There are always enough staff, you just call them and they will come and help”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 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): 31,33 and 35 The home is well managed and quality monitoring promotes the best interests of the people who live there. Resident’s financial interests are safeguarded. EVIDENCE: Riverside is a family run home. The Manger is supported in her role by her sister, who has many years of experience in care for the elderly; both have completed their NVQ 4 qualification. Each of them has areas of responsibility. The senior member of staff also has delegated areas of responsibility and is being supported to do her NVQ 4 qualification. Good systems are in place to ensure that resident’s rights are safeguarded. The home is well run and this was further endorsed when the home was awarded IIP in August 2004. The home has a comments box and issues questionnaires to people who have had a period of respite as part of its internal quality assurance system. This provides the manager with the opportunity to gain the views and opinions of residents, relative’s and visiting
Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 17 professionals. The management are accessible to residents and residents spoken to said they were able to approach them and discuss anything at anytime. One lady who was enjoying a two week stay at the home said “I love it here it feels like a home from home, I wish I could stay here permanently”. Another lady said “we can talk to any of the staff or put it on paper in the comments box. The manager of the home has no involvement with residents benefit payments other than supporting four residents to collect their money from the post office. The other residents pay for their care via a standing order. The system for recording resident’s personal money held by the home was examined, this was found to be satisfactory and documented all money received and all expenditure. In addition receipts are retained together with the balance held. One lady said, “my money always goes in the office, I have no problems with them keeping it safe”. Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 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 4 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 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. 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. Refer to Standard Good Practice Recommendations Riverside Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Rest Home DS0000009717.V252403.R01.S.doc Version 5.0 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!
