Inspection on 16/02/06 for Rydal Mount

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Rydal Mount 12/01/09

Rydal Mount 30/01/07

Rydal Mount 14/11/05

Rydal Mount 03/03/05

Rydal Mount 20/12/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Rydal Mount Station Hill Wigton Cumbria CA7 9BJ Lead Inspector Cath Wilson Unannounced Inspection 16th February 2006 10:00 Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 Adults 18-65. 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. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rydal Mount Address Station Hill Wigton Cumbria CA7 9BJ 016973 49266 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) www.c-i-c.co.uk. Community Integrated Care Mrs Janice Coates Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 2005 Brief Description of the Service: Rydal Mount provides the services and care for four people with a learning disability and is operated by Community Integrated Care. Rydal Mount is a detached bungalow set in its own grounds on the outskirts of Wigton. The home is near to the local services and facilities. The gradient of the home’s driveway necessitates the use of the home’s transport when service users want to leave the grounds. There is a large accessible patio area with seating, to the rear. Inside the home there is a large lounge/dining room and a smaller lounge. As well as four single occupancy private bedrooms there is a kitchen and utility room. Specially adapted bathing and toilet facilities are fully accessible. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place during the morning and lunchtime periods. The four resident who reside in the home were met during this inspection, as were the care staff present. This inspection included a tour of the premises both inside and out, and a look at some of the home’s documents. What the service does well: What has improved since the last inspection? What they could do better: Fully implement staff training requirements in National Vocational Qualifications Level 2 by June 2006. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 6 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. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3 and 4 The admission procedures ensure that prospective residents receive the information and support they need to make an informed choice before moving into the home. EVIDENCE: Information is available regarding procedures about assessment and admission for people entering the home. This process would take into account the lifestyles of others already living in the home. People’s needs and wishes are constantly assessed and reviewed and actions taken to meet these. The further development in assessing outcomes for service users being undertaken by the home will further strengthen the review process used in the home. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 the following standard(s): 9 and 10 Personal risk assessments have been completed and enable people in the home to live their lives in a measured and safe manner. EVIDENCE: Each service user has a risk assessment that is recorded in their file. Management strategies are undertaken and reviewed very regularly so that both these documents are relevant and live documents. The home is very careful about people’s personal information in both the written and spoken word. Information is confidentially stored. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 the following standard(s): All of these standards were assessed at the previous inspection and were met. EVIDENCE: Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 and 20 Health care matters are well documented and managed in a manner that upholds people’s dignity and self worth. EVIDENCE: People in the home have full access to a range of general health care services and more specialised services when required. Medication is securely stored and administered and staff follow the home’s policy and procedure for this. The home has designated staff that has had training in these matters. Records assessed had been appropriately completed and confidentially stored. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 the following standard(s): These standards were assessed at the last inspection. EVIDENCE: Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 28, 29 and 30 This home provides a safe, comfortable and homely environment that is maintained to a high standard. EVIDENCE: The home provides a comfortable and homely place that is well maintained, safe and clean. The home identifies areas for improvement and ensures that people in the home are provided with the support and assistance to maintain their own rooms. People’s bedrooms are arranged in the way they want them and there are many personal touches that create their own personal space. There are specialised bathing facilities available so that people in the home can maximise their independence. These facilities are also well maintained. The outside gardens and patio areas are well attended to. Health and safety matters are very well attended to and staff training in these matters is up-todate. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 32, 34 and 35 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, 32, 35 and 36 Service users are supported by staff who are informed about their needs and wishes and by staff who are clear about their roles and responsibilities. EVIDENCE: Staff who were present throughout this inspection were attentive and supportive with the people in the home. They were clear about their roles and responsibilities and very focussed in placing the needs and wishes of people first. There is a programme for in-house training for staff and some involvement with NVQ Qualifications. At the previous inspection in November 2005 a requirement was made that the registered person must ensure that more than half of the staffing complement have either completed or have been registered to undertake NVQ Level 2. The time scale for this to be achieved is June 2006. This requirement is still within the time scale requested although the home has begun to implement this. This requirement will be followed up at a future inspection to the home. Staff informed the inspector that they had received regular supervision. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38, 41 and 42 The home is well organised and is done so in the best interests of service users. EVIDENCE: The registered manager was not present during this unannounced inspection. Staff are diligent in carrying out their designated roles and responsibilities and attending to people’s needs in a sensitive and relaxed manner. This indicates that the home is well managed and that the manager promotes an open and positive atmosphere for people to live and work. People in the home were comfortable within their surroundings and with the staff supporting them. The documentation assessed was stored in a confidential manner and kept up-todate. The home has well developed arrangements in place to ensure the health, safety and welfare of people in the home is promoted. Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 16 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. 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 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 X 28 3 29 4 30 4 STAFFING Standard No Score 31 3 32 2 33 X 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X 3 X 3 X 3 X Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 17 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. 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 Rydal Mount DS0000022577.V271310.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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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