Inspection on 13/12/05 for Ryde Cottage

This inspection was carried out on 13th December 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

Ryde Cottage 12/12/08

Ryde Cottage 05/01/06

Ryde Cottage 04/08/05

Ryde Cottage 10/01/05

Ryde Cottage 29/09/04

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Dalewood Respite Care

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Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Ryde Cottage Binstead Road Ryde Isle Of Wight PO33 3NF Lead Inspector Michael Gough Unannounced Inspection 13th December 2006 10:30 Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 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 Ryde Cottage DS0000012529.V324309.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 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. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryde Cottage Address Binstead Road Ryde Isle Of Wight PO33 3NF 01983 614892 01983 564008 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) Mr John Raymond Clewley Mrs Miranda Cruz Clewley David Alan Robinson Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: Ryde Cottage is a residential home providing care and accommodation for up to seven younger adults with learning disabilities. It is managed by Mr David Robinson on behalf of the proprietors Mr and Mrs Clewley. The home is approached via an extended private drive off the main Binstead to Ryde road, which provides easy access to Ryde and bus routes to other parts of the Island. The house is located within the extensive private grounds of Ryde House with access to a private beach. Accommodation within the cottage is arranged on two floors providing seven single bedrooms and a range of communal facilities and bathrooms. There is a patio area at the rear with seating available for use by the residents. The home does not have a lift. Fees at the home range from £360 to £419 per week and service users are responsible for purchasing their own toiletries and items of a personal nature. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at Ryde Cottage and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out on the 5 January 2006. The inspection took into account the homes pre inspection questionnaire; and comment cards received from all of the service users who live at the home. Included in the inspection was an unannounced site visit to the home, which took place on the 13 December 2006. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to gain the views of people living at the home and the inspector had the opportunity to speak with 2 service users, 1 member of staff and by speaking with the homes manager, who assisted the inspector throughout the visit. The home is registered to provide support for 7 service users who have a learning disability and at the time of the inspection the home was full. What the service does well: What has improved since the last inspection? What they could do better: There were no areas identified as needing improvement on this occasion. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 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 Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that there will be a detailed assessment of their individual needs before they move into the home. EVIDENCE: The pre inspection questionnaire and also information gained at the site visit showed that there have been no new service users admitted to the home since the last inspection. The last person to move into the home did so in 2003. The home has a clear admissions policy and the manager stated that he would carry out his own assessment and also obtain SS assessment before anyone moved into the home. Assessment forms were seen in the service users files that were inspected and these assessment forms were used to form the service users care plan. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs and personal goals are set out in an individual plan of care and service users are involved in the care planning process. Staff at the home respect service users rights to be involved and make decisions about their day-to-day lives and service users are supported in this process by staff at the home. Service users are supported to take responsible risks as part of their independent lifestyle. EVIDENCE: Care plans were seen for 2 service users and these were comprehensive documents that gave staff clear information on what support was required and how and when this should be given, there was information on the service users routines in the mornings, afternoon and evenings and care plans were person centred, were written clearly and could be followed easily. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 10 Service users spoken to said that they were aware that they had a plan of care that helped staff give them the support they need. The manager stated that service users were involved in the care planning process as much as possible. Recording was noted in the relevant sections of the care plan and was only undertaken when necessary. Normal daily routines were not recorded as it was felt that anything that was part of the individual’s daily routine was already well documented. Any changes to daily routines were recorded in the house diary, which then pointed staff to the relevant section of the care plan, where more detailed information was recorded. Service users are actively involved in the decision making process in the home and they were consulted on all aspects of their lives and their wishes were respected and acted upon. It was very clear by observing the staff interacting with service users that they are able to make their own decisions and staff at the home respect their wishes and views. Each service users plan seen had risk assessments in place for identified risks. One service user who is registered blind had a risk assessment on the premises carried out by the IOW society for the Blind, the risk assessment identified the need to highlight the frames of doors by painting these a different colour as an aid for a service user who was partially sighted and the home had carried this out. There were also generic risk assessments for the home and all risk assessment identified the risk and gave information for staff on how any risk could be minimised. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to be part of the local community and to be involved in appropriate activities. Service users benefit from support to maintain social contacts and daily routines at the home respect service users rights and responsibilities. Meals at the home are flexible and service users benefit from a healthy diet. EVIDENCE: 1 Service users at the home goes to a local college to develop her independent living skills and also goes to a craft centre where she is a volunteer. All of the other service users at the home go to a resource centre and day service which provide a range of activities, these including bowling, arts and crafts, cooking, relaxation and trips out to various locations on the Isle of Wight. 2 service users spoken to had just been out to Ryde town in the morning with the manager and they told the inspector that they had a milk shake and a cake. 6 Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 12 service users are going away to a holiday camp in Bognor Regis in the next few days and they are looking forward to going with staff support. Service users are encouraged to be part of the local community and are supported to be aware of what events are happening locally, they regularly go shopping, visit local pubs and cafes and attend community events in the local area. One service user accesses the local community independently. Service users are supported to maintain and expand their social networks. Families visit regularly and some service user go to their parents house for weekend stays. Service users are encouraged to invite their friends to their house for visits and for meals and one service user was going to a birthday party at a friend’s house on the evening of the inspection. Daily routines in the home promote service users independence as much as possible and service users are involved in all aspects of the day to day running of the home and staff were observed knocking on service users doors before entering and seeking permission for them to enter their rooms. Staff were observed interacting with service users appropriately and their preferred form of address was used. The 2 service users spoken to said that they were happy at the home and liked being involved in decision making. Service users are involved in the planning of meals and staff provides support to ensure service users have a balanced diet. The home has a menu with a choice of meal options and service users then choose from this. Service users also enjoy take away meals and also like to go out to eat. Food shopping normally takes place twice a week and service users are involved in shopping trips to buy food for the home. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and service users physical, emotional and health needs are met. The homes policies and procedures with regard to medication provide protection for service users. EVIDENCE: Care plans for individual service users gave information on personal care needs and this is offered by care staff of the same gender wherever possible and there is information that service users are involved in decisions about this. There was information on what support service users required in the mornings and evenings and also information on individuals personal care skills so that staff could offer the correct type of support. The staff team are flexible around the times when service users want their personal support and there are no set routines, however some service users have a daily routine to help with consistency. Service users are registered with a number of different GP’s at a local surgery. Dental checks are carried out by local dental practices that offer NHS treatment. Eye tests are conducted by local opticians and also through Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 14 GP referrals. A continence nurse supports 1 service user and all service users have input from the local learning disability nurses who provide valuable support to the home. Staff at the home monitor service users health and support service users to access appropriate healthcare professionals and to attend any appointments. The home has clear policies and procedures in place for the receipt, storage and administration of medication. The home uses a monitored dose system and all staff at the home has undertaken training in medication administration procedures. The home has clear information for staff for administering when required medication. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a simple, clear and accessible complaints procedure and the homes policies and procedures protect service users for any form of abuse. EVIDENCE: The home has a clear complaints procedure and this includes timescales for the complaint to be addressed and gives details of how to contact the CSCI. The home keeps clear records of any complaints made and also records responses. There have been no complaints since the last inspection. Service users spoken with said that they would speak to a member of staff if they were unhappy. Staff members were aware of the homes complaints procedure and said that they would support any service users to make a complaint. Staff have received training in the protection of vulnerable adults and said that they would talk to the manager if they had any concerns, they were aware that they could go above the manager if they felt that this was appropriate and knew who would take the lead in any adult protection issues. Service users spoken to said that they felt safe at the home. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ryde Cottage provides a well-maintained environment and service users have access to comfortable indoor and outdoor facilities and the home was clean, pleasant and hygienic and free from offensive odours and this provided a pleasant environment for service users and staff. EVIDENCE: The inspector toured the building with the homes manager and found that communal areas were bright and airy. The main lounge leads on to a separate dining area and service users were keen to show the inspector around the lounge. The lounge contains a large TV, hi-fi equipment and comfortable seating for up to seven people. There is also a smaller, quiet lounge that leads out through sliding doors to a patio area and enclosed rear garden where there is a table and seating. Service users own rooms are situated on both the ground and first floors and all were well furnished and had been personalised by the individual service user. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 17 The home has a programme of routine decoration and maintenance and at the time of the inspection the lounge and dining area had been decorated for Christmas and service users were very pleased with the Xmas decorations and Xmas tree. The home has a separate laundry room, away from areas where food is prepared, stored, cooked or eaten. There is a domestic tumble drier and washing machine, which is able to wash clothing at appropriate temperatures. Staff at the home support service users with their laundry. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff who are employed at the home have the competencies and qualifications required to meet service users needs and service users benefit from being supported by dedicated and qualified staff. Service users at the home are protected by the home’s recruitment procedures and service users are supported by qualified and trained staff. EVIDENCE: The home employs a total of 8 care staff, plus the homes manager and the home was commended for the fact that all of the staff team at Ryde Cottage have obtained at least NVQ level II. The home has a stable staff team who have all worked at the home for over 12 months, there have been no new staff members employed at the home since the last inspection and the home has an effective recruitment practice. Staff records were not inspected as no new staff has been employed and information at the last inspection found recruitment practices and records satisfactory. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 19 Training records were inspected and staff at the home have completed training in infection control, first aid, food hygiene, fire awareness, manual handling, medication practices, nutrition, autism awareness, managing aggressions, challenging behaviour and care practices. The home has an effective induction procedure, which covers in house procedures and also induction and foundation training in line with the “skills for care” guidelines. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home and the registered manager at Ryde Cottage is experienced and competent to run the home. Service users, relatives and other interested parties are consulted about the running of the home and there are policies and procedures in place. The health safety and welfare of service users and staff are promoted and protected. EVIDENCE: The registered manager has been in post for nearly four years and has achieved NVQ at level 4 in care and the Registered Managers Award. He has the skills and experience to effectively manage the home. Each resident has a named key-worker who works closely with the SU concerned, they are involved in decisions about the service provided for their particular key resident and have supported them to complete satisfaction Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 21 surveys. Service user, relatives and care managers are included in yearly care reviews and these reviews are used to monitor how the home is meeting its aims and objectives. Regular monthly regulation 26 visits are carried out and this is another opportunity to obtain service users views. There are policies and procedures in place to ensure safe working practices in the home and all care staff undertake statutory training, which includes health and safety, food hygiene, first aid and manual handling. The home has a new style accident book and the fire logbook was inspected and all required testing had been carried out. Certificates were available for annual testing of equipment and services. Fire equipment was last tested in September 2006, Gas equipment tested in January 2006, Electrical wiring in October 2004 and private electrical equipment in February 2006. Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 22 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 23 No 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 Ryde Cottage DS0000012529.V324309.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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