Inspection on 04/08/05 for Ryde Cottage

This inspection was carried out on 4th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 13/12/05

Ryde Cottage 10/01/05

Ryde Cottage 29/09/04

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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 Neil Kingman Unannounced 4 August 2005 th 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 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 Stationary 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 H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ryde Cottage Address Binstead Road, Ryde, Isle of Wight, PO33 3NF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 614892 01983 564008 Mr and Mrs J R Clewley Mr D A Robinson Care Home 7 Category(ies) of Learning Disability (7) registration, with number of places Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29th September 2004 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. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Ryde Cottage took place unannounced over about 4 hours. There was only one resident present during the morning so the inspector returned in the evening to speak with another five before their evening meal. One resident was away on holiday. The inspector toured the building with the senior on duty, viewed a sample of the home’s records, and spoke with three members of staff and all the residents. Due to differences in their cognitive abilities it was difficult to obtain informed views about life in the home from all the residents. However, two who were more able to express their views made very positive comments about the service, the food and the staff who worked in the home. The others presented as being relaxed and happy. Interactions between staff and residents were warm and friendly. The inspector revisited the home the following day to discuss the results of the inspection with the manager and view more records. What the service does well: What has improved since the last inspection? What they could do better: The inspector made two recommendations that the home archives old information in residents’ care plans and removes soap bars from one of the bathrooms. There were no identified requirements. Based on the outcomes Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 6 from this inspection the home is providing a good service in line with its aims and objectives. At the time of producing this report the manager has confirmed that the recommendations have been met. 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. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 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 standard(s) 2 Ryde Cottage provides a service for long-term residents and there have been no new admissions for over two years. Those who live in the home have had their needs assessed and reviewed during that time. EVIDENCE: All residents at Ryde Cottage are long term and currently there are no vacancies. The home’s admissions policy and procedure is detailed in the statement of purpose. The manager confirmed that he was involved in the pre-admission assessment of the newest resident over two years ago. He explained that while the admission arose out of an emergency situation he was able to undertake a pre-admission assessment to ensure that the home would be able to meet the individual’s needs, and to arrange a series of visits prior to the move into the home. An assessment was available with each of the care plans seen by the inspector. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 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 standard(s) 6 and 9 The home develops a comprehensive plan for each resident, which describes how individual health, social and personal needs will be met. Staff enable residents to take responsible risks, details of which are included in their individual plans. Risk assessments contain guidelines for staff on how risks are to be managed. EVIDENCE: An individual care plan was available for each resident and the inspector looked at a sample of three. It was noted that they generally follow the format used by other homes in the Ryde House group with information covering a range of needs, including personal care, mobility, health, communication, social and leisure. They contain action plans and guidelines for staff not only around the needs of residents but also risks they may encounter in their daily lives. The home supports residents to lead independent lives, which sometimes involve activities where risks are inevitable. The inspector viewed a very comprehensive risk assessment for one resident who went on an adventure trip away from the home. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 10 While care plans contain relevant information about significant events it was noted that in some sections information was neither relevant nor current, in one case dating back to 1998. In discussions with the manager it was recommended that this information be archived. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15, 16 and 17 The home encourages and helps residents to maintain links with family and friends. Residents are given freedom of choice and movement within the scope of their abilities and identified risks. Food served is varied and nourishing. There are three main meals each day, which are served flexibly around the commitments of the residents. EVIDENCE: The home encourages and supports residents to maintain links with family and friends. Two residents have relatives abroad and receive regular postal correspondence. All others have contact with their families variously through the week. Two contact cards were received from relatives expressing satisfaction with the service provided by the home. There was evidence of the home’s support for one resident involved in a personal relationship. The inspector revisited the home in the evening when residents had returned from day services. Watching their movements around the home and listening to their conversations with staff it was clear that they have freedom of movement and choice. All rooms are lockable and residents can make use of Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 12 keys if they wish. Two invited the inspector to view their rooms in the presence of a member of staff. They were very positive about the individual personalisation of their rooms. Two articulate residents confirmed that they prepared their own breakfasts and did odd chores around the home. Menus show food to be varied and nutritious. There is no dedicated cook working in the home, therefore staff take turns to prepare and cook meals. Staff spoken with said the arrangement works well in what is essentially a domestic setting. Residents typically take a packed lunch to a day centre unless on a particular day the service users are involved in cooking a meal there. This was the case with one resident on the day of the inspection. He ate sandwiches in the evening while others had a cooked meal. Those able to give informed views were very complimentary of the food served. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 All residents are independently mobile and require minimal physical support from staff. Guidance and support regarding personal hygiene is limited to encouragement and reassurance. Residents’ health care needs are regularly addressed. EVIDENCE: There is a mix of male and female, although mostly female staff at Ryde Cottage to provide residents with flexible personal support as and when required. Staff confirmed, and care records showed, that residents receive checks from their GP, dentist, optician and specialist health care professionals. They are registered with local health clinics and dental practices. Residents have individual health care files, which contain records of health care needs, visits to practitioners and follow up action where appropriate. During the tour of the building the inspector noted that all rooms were quite different in their personalisation, reflecting the individual characters of those who occupied them. Staff confirmed that within the limits of their abilities residents choose their own clothes and are very clear about what they like and do not like. In discussions with the residents the inspector noted they had varied interests that staff helped them pursue. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 14 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 standard(s) 23 The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: Ryde Cottage has an adult protection policy and procedure, which accords with the Social Services’ policy guidance. Additionally, there is a one-page document prominently displayed to inform staff of the issues and their immediate responsibilities. Staff spoken with during the inspection showed a good understanding of what constitutes abuse and what to do if they had any concerns. They recognised that some residents may be physically or verbally aggressive and confirmed that the home provided training to manage such events. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 15 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 standard(s) 24 Ryde Cottage provides a domestic style of environment, which in general terms meets the needs of those who live there. EVIDENCE: The inspector toured the building with the senior in charge. Communal areas are spacious, bright and airy. In addition to the main lounge there is a smaller, quiet lounge that leads out through sliding doors to a patio, where there is a table and seating. The lounge contains a large TV, hi-fi equipment and comfortable seating for up to seven people. Residents’ rooms are arranged on both the ground and first floors and are furnished and equipped to meet their individual needs. The home has a programme of decoration and maintenance. At the time of the inspection all areas were decorated to an acceptable standard. The manager confirmed that four bedrooms have been nominated for redecoration by the end of the year. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff at Ryde Cottage have appropriate skills and experience to meet the needs of the people who live there. EVIDENCE: The home uses a mix of permanent and regular bank staff, all of whom have undertaken a wide range of statutory and care related training which is ongoing. All staff are scheduled to receive training and refreshers in first aid, food hygiene, manual handling and infection control. 55 of staff have achieved the NVQ at level 2 or above. Of the three staff spoken with two confirmed that they had achieved the NVQ at level 3 and the other had almost completed the level 3 training. They were very clear that the Ryde House group had a good training package for staff. The inspector viewed a selection of training profiles and certificates that evidenced the training given. The manager confirmed that the proprietor has arranged for the home’s induction training to be accredited with the Learning Disabilities Award Framework (LDAF). Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Policies, procedures and staff training are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: 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. A sample of records was viewed including fire alarm tests, adult protection and public liability insurance, all of which were in good order. The home’s pre-inspection self assessment signed by the manager confirmed that all policies and procedures, maintenance and associated records were in place to ensure compliance with regulations and relevant legislation. The manager confirmed that the home had recently had a full electrical inspection and was awaiting the certificate from the contractor. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 18 During the tour of the building the inspector noted in the ground floor bathroom bars of soap left on the washbasin and bath. A liquid soap dispenser was affixed to the wall. The manager said that this bathroom was generally only used by one resident whose soap it was. However, he recognised that it could also be used communally, and therefore the soap bars could present a cross infection problem. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ryde Cottage Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 20 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. 1. 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. 2. Refer to Standard 6 42 Good Practice Recommendations To archive old information in care plans and to ensure that information is both relevant and up to date. Bars of soap should not left for use in communal hand washing areas. Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Mill Court Furrlongs, Newport Isle of Wight PO30 2AA 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 Ryde Cottage H55 H04 S12529 Ryde Cottage V217999 40805 stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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