Inspection on 25/10/05 for Rydan Lodge

This inspection was carried out on 25th October 2005.

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 21/08/07

Rydan Lodge 24/10/06

Rydan Lodge 10/05/05

Rydan Lodge 17/12/04

Rydan Lodge 08/06/04

Rydan Lodge 04/02/04

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Fairfields Country Rest Home

Poldhu

Queensmount

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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 Announced Inspection 25th October 2005 10:00 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.V282630.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 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.V282630.R01.S.doc Version 5.1 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 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.V282630.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Service User, named elsewhere, who is out of age range, may reside at the home 10/05/06 Date of last inspection Brief Description of the Service: Rydan Lodge is a detatched 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 service users needs. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which lasted for seven hours. The registered provider/registered manager and deputy manager were available throughout the inspection. No relatives were seen but comment cards were received from three, all of which were appreciative of the care provided. Comment cards were also received from five of the residents which were positive about the way in which they are looked after. What the service does well: What has improved since the last inspection? What they could do better: The registered manager has compiled a guide for activities suitable for the residents, especially those who have dementia. This needs to be used to ensure that stimulating activities are provided on a more frequent basis. A quality monitoring system needs to be developed to ensure that all aspects of life in the home are regularly reviewed for the benefit of the residents. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 6 Staff training plans need to be developed to ensure that the staff continue to provide a good standard of care. The registered manager needs to complete NVQ Level 4 in Care and Management and the Registered Managers Award as soon as possible. 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. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 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.V282630.R01.S.doc Version 5.1 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): 3 Detailed assessments enable all concerned to decide whether Rydan Lodge is an appropriate home for a prospective resident. EVIDENCE: The records for three residents were examined including those for the most recent admission who had transferred from another care home. Care management assessments from Torbay Social Services were again found to be generally inadequate. However, the registered manager’s policy is to visit prospective residents and complete her own detailed assessment which covers all areas of daily living. Each file seen had a completed assessment. Assessments also included likes and dislikes, key points about their past history and family relationships. The registered manager was able to describe visits made by relatives of prospective residents when looking for a home for them and their contribution to the assessment process. In the case of the resident who had transferred from another care home she stated that she had appreciated the visit made by the manager of that home and the way in which they had worked together to ensure that the transfer went smoothly. Rydan Lodge does not provide intermediate care. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 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): 7,8,9,10 Care plans and daily records provide sufficient information to enable staff to meet residents’ needs. EVIDENCE: Three care plans were examined. All aspects of the residents’ care were detailed and included contributions from residents’ relatives. Daily records had been completed appropriately. Visits by health care professionals such as G.P. or district nurse were highlighted in the daily records thus ensuring that all staff were made aware of any changes in the care or treatment required for a resident. The registered provider stated that the local mental health team provide the home with good support. Medication records seen had been completed correctly. Medication is stored securely. No residents manage their own medication at present. Residents 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.V282630.R01.S.doc Version 5.1 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): 12,13,14,15 Residents’ contact with friends and relatives is positively encouraged. The further development of appropriate social activities would enhance residents’ lives. The dietary needs and preferences of the residents are met with the provision of nutritious and varied meals. EVIDENCE: Activities and entertainments are provided with information regarding them displayed. These include religious services held every other Sunday and trips out when staffing levels permit. However, suitable activities could be further developed making use of the activities guide compiled by the registered manager some time ago. Preferences regarding food and daily routines were seen to be recorded. Visitors are welcomed to the home at any reasonable time. This was confirmed by the comment cards received. The home actively encourages family and friends to maintain contact with residents 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 residents to appointments and to local facilities. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 11 No resident manages their own financial affairs. Residents 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 the residents’ records. It was stated that residents have access to their personal records if they wish. The meals were observed to be of the usual high standard being well balanced and nicely presented and with residents being offered a choice. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 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): 16,18 Residents 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. 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 the majority of the staff had received basic training in recognising the different forms of abuse which includes watching and discussing the ‘No Secrets’ video. This was confirmed by staff spoken to during the inspection. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 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): 19,26 Rydan Lodge provides residents with a safe, well-maintained and homely environment in which to live. EVIDENCE: Rydan Lodge provides the residents 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 stairs and the upstairs bedrooms provide residents 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 have received training in infection control with new staff waiting to start it. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 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): 27,28,29,30 Staff recruitment procedures and training programmes safeguard residents. EVIDENCE: The files for four staff, including newly appointed staff, were examined. All the necessary paperwork was found to be in place including references and CRB and POVA checks. Since the last inspection a young person has been employed on a modern apprenticeship. In discussion she was very clear about her responsibilities and the limitations of her role. She was able to describe her induction, including health and safety issues, and stated that she had had fire safety training and had attended a course on challenging behaviour. Another new member of staff confirmed the recruitment procedure followed by the home. She also listed training that she had done and was waiting to do and said that she was undertaking NVQ 2 and appreciated the support she was receiving from the manager and deputy manager. All staff spoken to said that they enjoyed their jobs. The training checklists and records developed by the deputy manager are proving to be successful and clearly show what each member of staff has done. Training plans for all staff need to be completed. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 15 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): 31,33,35,38 Safe working practices provide protection for both residents and staff. EVIDENCE: The registered manager has several years experience but for various reasons has not yet completed NVQ level 4 in Care and Management and the Registered Managers Award. She has registered with a local college to finish this and the deputy manager is also undertaking this course. The home’s system of quality assurance and quality monitoring needs to be developed to include audits of all aspects of the running of the home, regular reviews of policies and procedures and analyses of incidents and accidents. The results of these and of the surveys of residents and their relatives should be used as the basis for a development plan for the home. This is something that has been lacking at Rydan Lodge for some time and needs to be addressed. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 16 None of the residents manage their own financial affairs or handle their own money. All financial transactions carried out by staff on behalf of residents 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 valuables other than in residents’ own rooms with records kept. 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’s responses observed. The last fire inspection was carried out 14/02/05. Fire equipment and emergency lighting checks were completed 03/05/05. The stair lift is regularly serviced the last time being 26/07/05. Gas checks and central heating service were due to be done. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 17 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 3 x x 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 2 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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x x 3 Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 18 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 OP30 Regulation 18 Requirement The registered provider must ensure that each member of staff has a training and development plan which includes a schedule for refresher training. The registered provider/manager must complete NVQ Level 4 in Care and Management. The registered provider must ensure that there is an effective quality monitoring system in place to regularly review all aspects of the service provided at Rydan Lodge. Timescale for action 31/05/06 2 3 OP31 OP33 9 24 31/12/06 30/09/06 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 OP12 Good Practice Recommendations The registered person should ensure that there is a varied and stimulating programme of activities to meet residents’ needs, particularly those residents with dementia. Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Rydan Lodge DS0000018422.V282630.R01.S.doc Version 5.1 Page 20 - 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. 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