Inspection on 21/08/07 for Rydan Lodge

This inspection was carried out on 21st August 2007.

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

Rydan Lodge 24/10/06

Rydan Lodge 25/10/05

Rydan Lodge 10/05/05

Rydan Lodge 17/12/04

Rydan Lodge 08/06/04

Rydan Lodge 04/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Rydan Lodge Rydan Lodge 3 Nelson Road Brixham Devon TQ5 8BH Lead Inspector Susan Samways Unannounced Inspection 12:00 21 August 2007 st 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 Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 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. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rydan Lodge Address Rydan Lodge 3 Nelson Road Brixham Devon TQ5 8BH 01803 858590 01803 882246 rydan.care@tiscali.co.uk 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) Mrs Lily McCarthy Mr Malcolm Edward McCarthy Mrs Lily McCarthy Care Home 12 Category(ies) of Dementia (12), Old age, not falling within any registration, with number other category (12) of places Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User, named elsewhere, who is out of age range, may reside at the home 24th October 2006 Date of last inspection Brief Description of the Service: Rydan Lodge is a detached property situated in a residential area overlooking Furzeham Green and near to local facilities and amenities. The home is registered to provide care for up to 12 service users within the categories of old age or dementia. Accommodation is arranged over two floors with a stairlift providing access to the first floor. There are ten bedrooms, four of which are on the ground floor. Some rooms are en-suite, all others are close to bathroom and toilet facilities. The gardens are very pleasant with the one to the rear of the property being secure and particularly suited to residents’ needs. Fees charged range from £345 to £460 depending on the assessed needs of each resident. Additional charges are made for personal requirements only such as hairdressing and toiletries. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which lasted for 5.5 hours. The deputy manager was on duty at the start of the inspection and the manager arrived shortly afterwards. What the service does well: What has improved since the last inspection? Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 6 The Statement of Purpose and Service Users Guide have been updated. The range of activities has increased and staff encourage participation. The registered manager has sent questionnaires to residents’ relatives and care managers which resulted in positive responses. The manager has achieved the Registered Managers Award. 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. The summary of this inspection report can be made available in other formats on request. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 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 Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments and information provided by the home enable all concerned to decide whether Rydan Lodge is an appropriate home for the person concerned. EVIDENCE: The files for three of the people living at Rydan Lodge, including that for the most recent admission to the home, were examined. All had detailed assessments which had been completed by the registered manager or her deputy. The registered manager stated that, wherever possible, she visits prospective residents at home or in hospital as part of the assessment process as well as talking to relatives and/or care managers. The assessment covers Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 9 all areas of daily living skills and also includes likes and dislikes, hobbies, key points about their past history and family relationships and, where relevant, their religion. The registered manager stated that it is usually members of a prospective resident’s family who visit the home and make the decision about whether it is the right place for their relative to live. The Statement of Purpose and Service Users’ Guide have recently been updated providing interested parties with information about the services the home provides, the facilities and the manager and care staff. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and daily records provide sufficient information to enable staff to meet the needs of those living in the home. Their privacy and dignity are respected by the staff. EVIDENCE: At the time of the inspection the deputy manager was in the process of updating all the care plans using new paperwork. She explained that this was to make the care plans clearer which would assist the staff to provide the care required. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 11 The care plans for three people living in the home were examined. These were detailed and had been signed by the member of staff completing them but not the person concerned or their representative. Their level of involvement in the care planning process was therefore unclear. The records showed that the care plans had been reviewed monthly or more frequently if necessary. Daily records had been completed with key information such as visits by the GP or changes in care highlighted to ensure that all staff were made aware or reminded of those changes. Medication records had been completed correctly and medication was seen to be stored securely. No residents manage their own medication at present. Those living in the home were seen to be clean and nicely dressed. Staff were observed to approach them in an appropriate manner, respecting their privacy and dignity. The residents’ preferred form of address was seen to be recorded in their care plans and was used by the staff. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff encourage those living in the home to participate in the activities provided. Meals are nutritious, well presented and take into account peoples’ preferences. EVIDENCE: Since the last inspection the range of activities has increased. Information about activities and entertainments is displayed on the noticeboard. These include religious services held every other Sunday, music sessions, quizzes and trips out when the weather and staffing levels permit. An exercise group was due to be held on the afternoon of the inspection but the leader was on holiday so the staff organised a bingo session instead. Four people were taking part with encouragement from the staff and others were being included verbally. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 13 Individuals’ preferences regarding food and daily routines were seen to be recorded in their care plans. The registered manager stated that visitors are welcomed to the home at any reasonable time. This was confirmed by the relatives contacted. The manager actively encourages family and friends to maintain contact with their relatives living in the home and invitations are extended to them and members of the local community to special events at the home. The home has a car to transport people to appointments and to local facilities. No-one living in the home manages their own financial affairs. People moving into the home are encouraged, where possible, to bring their own possessions, the extent of which is agreed prior to admission, and to personalise their rooms. All possessions brought to the home are documented in their records. It was stated that residents have access to their personal records if they wish. It was lunchtime when the inspection commenced. The meal being served was nicely presented and staff were giving discreet encouragement to those who required it. People were offered a choice when the meal was being served so that they could see what was available and then make a decision. Whenever she is on duty the registered manager has the same meal as those living in the home so she is constantly monitoring the quality of the food. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Rydan Lodge are protected by complaints being acted upon and by staff having an understanding of the protection of vulnerable adults. EVIDENCE: The home has a clear complaints procedure and any complaints received are recorded and acted upon. The home also has on record letters and cards of thanks that they have received. The relatives contacted said that they were aware of the complaints procedure but that they had had no cause to make a complaint. No complaints about Rydan Lodge have been received by the Commission for Social Care Inspection since the last inspection. The home has a policy regarding the protection of vulnerable adults and there is a copy of the Alerters’ Guide available in the staff area. Training records showed that all but the newest member of staff had received basic training in recognising the different forms of abuse which included watching and discussing the ‘No Secrets’ video. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rydan Lodge provides people with a safe, well-maintained and homely environment in which to live. EVIDENCE: Rydan Lodge provides those living there with a homely environment. The furniture is domestic in style and varied in design to suit the differing needs of the residents. The lounge and dining room have large windows which allow a lot of natural daylight into the rooms. They overlook Furzeham Green which is a pleasant outlook. The home is well maintained and provides a safe environment. All radiators are covered and sensors covering the bottom of the Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 16 stairs and the upstairs bedrooms provide those living in the home with freedom of movement while alerting the staff to their whereabouts. The home was found to be clean, hygienic and free from offensive odours. The kitchen was clean and well organised as was the laundry area. The home has an infection control policy and records showed that most of the staff had received training in infection control. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in Rydan Lodge are safeguarded by good staff recruitment procedures and training programmes. EVIDENCE: The files for three of the staff, including the most recently appointed person, were examined. All the necessary paperwork was in place including a completed application form, two references and police checks. A record of induction training for each member of staff was seen. This training ensures that all the basic requirements for the job have been covered. The deputy manager has taken responsibility for training. Training records for all the staff were found to be up to date and clearly showed the training that each member of staff had undertaken. This included refresher courses in manual handling, first aid and fire safety as well as training sessions on challenging behaviour, skin care and bereavement. Five staff have achieved NVQ level 2 in care and a senior carer is undertaking level 3. In addition the deputy manager has gained her Registered Managers Award. As well as the Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 18 manager and deputy manager four staff have attended a course on managing medication. The manager has arranged with the local pharmacist for training to be provided for the rest of the staff. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management style is open and receptive to the views of all those involved with the home. Safe working practices provide protection for those living and working in the home. EVIDENCE: Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 20 The registered manager has several years experience of running the home and has recently achieved NVQ level 4 in Care and Management and the Registered Managers Award. She frequently provides care for those living in the home and states that she does not ask the staff to undertake any task that she is not prepared to do herself. Staff and residents were observed to approach her freely and with confidence and were obviously comfortable in her presence. Some management tasks have been delegated to the deputy manager such as responsibility for maintaining training records, providing induction programmes and staff supervision. As part of the quality assurance system the views of relatives and care managers about the home had been sought. The results were good showing a high degree of satisfaction with the care provided. This was also reflected in the comments received by the Commission for Social Care Inspection. The manager still needs to further extend the system of quality monitoring to all aspects of the running of the home such as the reviews of policies and procedures, analyses of incidents and accidents and monitoring the administration of medication. The results of these and of surveys should be used as the basis for a development plan for the home. None of the residents manage their own financial affairs. All financial transactions carried out by staff on behalf of those they care for are recorded and receipts kept. These records are clear and detailed and are open to inspection by relatives or residents’ representatives at any time. Secure facilities are provided for the safe-keeping of money and valuable with records kept. All staff receive supervision every two to three months which is provided by the deputy manager. Supervision records were seen on staff files. The sessions are structured and provide the staff with opportunities to discuss their work and identify any training needs they might have. Staff are trained in safe working practices including manual handling, first aid and fire safety. A file of information regarding all potentially hazardous substances used in the home was seen to be readily available to staff. The fire alarms are tested weekly with staff responses observed. The deputy manager carries out weekly safety checks to ensure that the environment is as safe as possible for residents and everyone working in or visiting the home. Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 21 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 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 x 3 3 x 3 Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP7 Good Practice Recommendations Care plans should be signed by the person concerned or their representative in order to demonstrate their involvement in and agreement with the care planning process The quality assurance system should be further developed to ensure that all aspects of the running of the home are monitored and a development plan for the home produced. 2 OP33 Rydan Lodge DS0000018422.V339380.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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