Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Rydal House Nursing Home 21 Somersall Lane Chesterfield Derbyshire S40 3LA The quality rating for this care home is: The rating was made on: zero star poor service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Rose Moffatt Date: 2 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Rydal House Nursing Home 21 Somersall Lane Chesterfield Derbyshire S40 3LA 01246569511 Telephone number: Fax number: Email address: Provider web address: hitch_d@yahoo.com Name of registered provider(s): Type of registration: Number of places registered: Mr D Chand,Dr. Anjuman Diwan Chand care home 31 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 31 Conditions of registration: Date of last inspection Brief description of the care home Rydal House is situated on the western side of Chesterfield within a pleasant residential area, close to local amenities and within easy access of a main bus route. The home is a converted building, with an extension, set in its own grounds. There are separate lounges and dining rooms on the ground floor. A conservatory has been added. The home has provision for nursing and personal care, and is registered to provide care for a maximum of 31 people. The latest inspection report and a Statement of Purpose was available in the office for people living in the home or their representatives to see. Care Homes for Older People Page 2 of 10 What we found:
This inspection focused on the areas of staffing, staff training, and management of the home. We looked at compliance with related requirements made at the previous inspection in July 2008. We spoke with the acting manager, Maureen Wood, with two people living in the home, and with four members of staff. We looked at the current staff rotas, staff records, and some health and safety records. There were 23 people living in the home, including 8 people assessed as needing nursing care. People told us that there were usually staff available when needed. They said, theres always someone around, and said that staff come straightaway when they used the call buzzer during the night. Staff said that current staffing levels were usually sufficient to meet the needs of people in the home. Staff said that it would be useful to have a kitchen assistant to help the cook with clearing up after lunch and also to help in the kitchen at teatime. At present, care assistants have to serve and clear up after tea and this takes them away from directly caring for people. The rotas seen showed that staffing levels had been maintained at one registered nurse for all shifts, plus three care assistants for the morning and afternoon shifts, and two care assistants for the night shift. There was no use of agency staff in the week prior to this inspection visit. Staff told us that the use of agency staff had decreased over the last few weeks. The acting manager said that there had been a good response to advertisements for new staff. Several new staff had been recruited, some with experience in the care of older people and some with an appropriate National Vocational Qualification (NVQ). An activities coordinator had been appointed and had recently taken on additional responsibilities as assistant manager. We looked at the records of three members of staff, all recruited in the last two months. The records included the required documents and information, such as a full employment history, two written references, and a form of identification. One member of staff had a Criminal Records Bureau (CRB) disclosure in place. The other two had applied for a CRB and had a POVA First check in place. The acting manager was aware that staff could start work before a CRB was in place as long as they worked under supervision at all times until the CRB was received. There was no information in the homes recruitment policy and procedures about this. Staff spoken with confirmed that new staff always worked with a more experienced member of staff and did not work alone before their CRB was in place. Staff had received an induction from the home that did not meet Skills For Care standards. The acting manager had recently looked at a suitable induction programme and said she intended to start this with new staff. Staff had received training in manual handling provided by an outside training company. Staff confirmed they had also had training in fire safety, infection control, health and safety, and food hygiene. Most of the staff had received supervision from the acting manager in October / Care Homes for Older People Page 3 of 10 November. The acting manager said she planned to carry out supervision each month with staff. The acting manager confirmed that she would continue in the role until a new manager was appointed. She said that she had seen one applicant in response to an advertisement for a new manager. The acting manager had additional support with administration tasks from the assistant manager/activities coordinator. Staff said they had confidence in the acting manager to make improvements, though they felt she often worked long hours and found it hard to delegate responsibilities. The acting manager said she was going to start using a quality assurance system she had used when she managed the home before. She said that quality assurance questionnaires had been given out to people in the home and to their relatives in the last two weeks. She said the results of these surveys would be analysed and action taken to address any issues raised. She said she planned to set up meetings for people in the home and their relatives / representatives, and also a suggestions and comments box. We looked at records relating to the maintenance and servicing of equipment and systems in the home. We found that some of the requirements made at the previous inspection in July 2008 had been complied with. There was a current Landlords Gas Safety Certificate and a record of testing of portable electrical appliances. The requirements of the environmental health officer had been met. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 4 of 10 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14 Residents must not be 30/08/2008 admitted to the home unless their needs are within the categories the home is registered to accept. Where there are residents who fall outside of the homes categories of registration an application must be submitted to the Commission for Social Care Inspection to ensure the home is registered and able to meet the needs of the residents 2 7 14 Personalised care plans must 30/08/2008 be in for each service user which informs staff of service users needs are to be met This requirement has been made at a previous visits and was considered partially met at his visit 3 7 13(5) Where service users require 30/08/2008 assistance with moving and handling there must be risk assessments in place for this 4 9 13 (2), 17 (1) A record must be kept of all 30/08/2008 (a) medications received into the home and any returns made to pharmacy to ensure an
Page 6 of 10 Care Homes for Older People audit trail is possible and a record of all the treatment service users have received is kept 5 12 16 (2) (m) The registered person must 30/09/2008 ensure that activities and therapy are available to meet the needs of the service users social, cultural, religious and recreational interests. Previous timescales 31/05/07 & 31/12/07 6 18 13(6) There must a Safeguarding Adults procedure in place which is clear in the actions to be taken following an allegation and refers to locally agreed procedures 30/08/2008 7 18 18 The registered person must 30/09/2008 ensure that all staff receive training on Safeguarding Adults and are conversant with the Safeguarding Adults procedures and whistle blowing policy to ensure residents are protected 8 30 18 Staff must undertake a structured skill based induction to ensure they have the skills to meet service users needs The registered person must ensure that a quality assurance system with a systematic cycle is in place and being operated. 30/08/2008 9 33 24 30/10/2008 Care Homes for Older People Page 7 of 10 Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 29 The recruitment policy should include the procedure to follow where new staff are allowed to start work before a CRB is in place. The policy should include information about the circumstances for staff to start work without a CRB in place. This will ensure a more robust recruitment policy that protects people living in the home. The quality assurance system should be developed further and should include an annual report of the findings of questionnaires and of any action taken to address issues raised. The report should be made available to people in the home and their relatives / representatives. This will ensure that people know their views are taken seriously and used in planning the service provided. 2 33 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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!
