Inspection on 28/04/05 for Riverside Rest Home

This inspection was carried out on 28th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Riverside Rest Home 02/12/08

Riverside Rest Home 13/12/06

Riverside Rest Home 11/10/05

Riverside Rest Home 16/11/04

Riverside Rest Home 10/06/04

Riverside Rest Home 22/07/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Riverside 17 West Beach Lytham Lancashire FY8 5QH Lead Inspector Lynne Lynch Unannounced 28 April 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 F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Riverside Address 17 West Beach, Lytham, Lancashire, FY8 5QH 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) 01253 737317 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 F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2004 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 F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 9.30am and took place over 6 hours. The Inspector spoke to two staff members, five residents, two visitors and the manager. Comment cards were issued but none received back at the time of the report. Staff and care records were also examined. A partial tour of the premises was undertaken. One additional unannounced visit has been made to the home since the last inspection in November 2004.This visit was undertaken to monitor the response of the homes owners to requirements raised by the local fire service about the building. What the service does well: What has improved since the last inspection? There have been several areas of improvement made to the building. The majority of these as a result of a fire service visit in January 2005 these include the fire alarm system being extended throughout the building and new fire doors and closures being fitted. The home has also now got a third bathroom in use. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 6 Resident’s files have been streamlined making them easier to access by staff and some resident’s contracts are now signed. Documents in relation to new staff recruited are now in place on staff files at the home. 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 F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 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 standard(s) 1,2,3, and 6 Information is available and is distributed to potential service users. The admission procedure ensures an adequate assessment is carried out. Care needs are clearly documented and generally met. EVIDENCE: The homes Statement of Purpose and Service user guide have been reviewed and updated in January 2005. Some resident’s spoken to showed an awareness of this information and said they had been given such information. The three visitors spoken to also confirmed that they had received this information prior to their relative moving into the home. One resident said “I chose to live at the home in 1991 and I am still here”. A second lady spoken to said “I am on holiday here for 1 month it is the second time I have been here”. Documentation was examined for two residents. In each case the contract on file were unsigned the manager was reminded that all contracts for service users must be signed either by the resident or their representative the manager advised that this was being dealt with. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 9 The admission procedure is adequate to guide staff on the actions to be taken to ensure that new residents needs are properly addressed and planned. Both residents and relatives spoken to said they felt the home gained adequate information regarding needs. The staff spoken to showed good knowledge of the care needs of the residents. The home does not provide intermediate care. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 10 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 Plans of care are in place in the home, which cover areas of personal, health and social care need. Staff meet all needs identified in an appropriate manner. Residents and relatives were generally not aware or involved in the care planning process. EVIDENCE: Individual plans of care are in place in the home and four key care staff share responsibility for reviewing and updating these. The plans cover all aspects of health, personal and social care. Daily entries in case records give a good indication of care given. Relevant risk assessments were in place. Plans of care are reviewed monthly. Residents did not appear to be involved in the formulation and maintenance of care plans and the care plans viewed were not signed by the resident or their representative .The visitors spoken to showed no knowledge of the presence of care plans. Residents spoke highly of care staff and confirmed that their needs were being met. One lady was attending the local hospital hearing aid department that afternoon as her hearing aid had broken. One service user confirmed that GP’S made regular visits to the home; she also confirmed that a chiropodist made regular visits and an optician carried out yearly eye tests. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 11 One visitor advised that she had arranged for her relative to return to the home from the hospital earlier than planned as she felt she would receive better care and attention there. Staff confirmed their knowledge of the care plan system and felt that this was supported with good verbal communication. Residents spoken to felt that they were afforded privacy in respect of personal care. During the visit Residents were seen to receive their own mail and be supported to complete postal votes for the forthcoming election. Visitors spoken to confirmed that they could see their relative in private if they so wished. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 12 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) 12 and 15 There is a variety of good well planned social activities in the home ensuring people in the home remain motivated and active. Meals are well balanced and are provided flexibly. EVIDENCE: The home does not provide set menus. Records are kept of meals eaten and by whom. Meals served reflected a varied balanced diet. A number of residents were spoken to in respect of the meals served and all were very complimentary of the food and the homes willingness to always offer alternatives and prepare the meal in an acceptable form. One resident confirmed that the home offered many options for the evening meal and any combination of the foods on offer was provided. Staff spoken to were able to describe the key elements when supporting a resident to eat a meal. Another resident spoke about choosing produce for the home when out on trips to the local market. The home continues to provide a good varied choice of indoor/outdoor activities. All the residents spoke highly of the trips out which include canal boat trips, visits to local markets and a visit to a local steam railway. All activities are advertised on several notice boards around the home. One lady said “I really enjoy playing bingo in the home” another lady spoke about the support she had received since the death of her husband in the home and being encouraged to keep busy. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 13 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 and 18 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. The home has a procedure in place for dealing with allegations of abuse. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission and displayed in the home. The Commission has received no complaints since the last inspection. Residents spoken to were aware of how to complain and if unhappy about their care they would know who speak to. One lady said “I can’t find any faults”. Visitors spoken to said they had never felt the need to make a complaint. The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 14 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) 19 and 21 The home provides sufficient and suitable lavatories and washing facilities. The home is working towards compliance with the requirements of the local fire service in respect of the building. EVIDENCE: The home has 23 bedrooms in total 19 of these provide en-suite facilities. There are accessible toilet facilities next to the lounge and dining areas in the home. The home has three assisted bathrooms. 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 work is ongoing to ensure compliance. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 15 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) 29 Recruitment policies have been followed for new staff resulting in residents receiving care from staff members who have been properly vetted. EVIDENCE: There has been little staff turnover of the staff in the last 12 months. The staff files indicated that the home had carried out all the necessary recruitment checks for any new staff to ensure protection of the residents. Criminal Record Checks had been requested for all staff members. Residents spoken to said new staff were introduced to them prior to their employment. Staffing levels are satisfactory to meet the needs of the residents and staff spoken to said whilst they are busy there is always enough staff on duty to spend time with residents. One resident commented, “Staff are very good. The inspector observed staff working with residents and was satisfied that all tasks are carried out in pleasant and courteous way. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 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 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) 38 The home provides staff with a good awareness of health and safety via training, however the unsatisfactory storage of hazardous substances does not safeguard the health, safety and welfare of the residents in the home. EVIDENCE: Staff at the home undertake all mandatory training this was confirmed via records and in discussion with staff. All staff undergo induction and as part of this they are issued with the homes Health and safety policy. Records were viewed in respect of the servicing of all safety equipment and the manager confirmed that the insurance company carries out two inspections in the home. The manager of the home carries out necessary tests on all appliances as she has a relevant qualification in this area. Safety procedures were sited throughout the home. Environmental risk assessments are in place. Two services users confirmed that fire drills are carried out in the home. Accident and incidents were recorded appropriately and records maintained on individual files. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 17 The home is working towards compliance with the requirements of the local fire service in respect of the building. During the visit the inspector discussed the safe storage of hazardous substances and advised such materials must be stored in a locked facility. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 3 x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 19 yes 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 OP38 Regulation 13 Requirement The home must ensure the safe storage of all substances hazardous to health. Timescale for action immediate and ongoing 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 OP2 OP7 Good Practice Recommendations The resident or their representative should sign contracts. The resident or their representative should be involved in the care planning proces and sign the care plan. Riverside F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 F57 F09 S9717 Riverside V216392 280405 Stage 4.doc Version 1.30 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. 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