Inspection on 05/01/06 for Ryde Cottage

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ryde Cottage 12/12/08

Ryde Cottage 13/12/05

Ryde Cottage 04/08/05

Ryde Cottage 10/01/05

Ryde Cottage 29/09/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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 Inspection 5th January 2006 14:45 Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 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.V249076.R01.S.doc Version 5.0 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.V249076.R01.S.doc Version 5.0 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.V249076.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4 August 2005 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 DS0000012529.V249076.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two inspections for the year at Ryde Cottage and took place unannounced over 3 hrs. Core standards not assessed on this occasion had been assessed at the last inspection. During the middle and late afternoon residents returned from day services. There was an opportunity to speak with them and staff while the evening meal was being prepared. Additionally, the inspector viewed a selection of records and toured the building with the manager. The atmosphere at all times was warm and friendly; residents presented as being relaxed and happy; one in particular was looking forward to visiting her family later that evening and another was planning to do the same the following day. There were no concerns raised or identified. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations identified at this inspection. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 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. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 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.V249076.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The home ensures that residents’ needs are met with the skills and experience of the staff, effective communication and access to specialist services. EVIDENCE: There have been no new service users admitted to Ryde Cottage for almost three years and all current residents are long term. They all have cognitive impairments and one has no verbal communication. The home provides longterm care/support and not dedicated intermediate care. Staff skills are developed with a wide range of statutory and care related training, which is ongoing. The home uses a mix of permanent and regular bank staff. Currently 89 of the staff group are qualified at NVQ level 2 or above. The home offers a place only to people whose needs can be met. There was evidence in personal plans that specialist services and clinical guidance are sought as and when required, examples being for a resident who occasionally self harms and for two with sight impairments. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Residents are enabled to take control of their own lives within the limits of their cognitive ability. Management and staff support those with intellectual impairment and/or limited communication skills to make decisions. EVIDENCE: It was clear during the inspection that the manager and staff assist residents who find decision making difficult. Staff interactions with residents showed a good level of understanding of needs and wishes. Staff confirmed that experience helped them to recognise the signs exhibited by those with limited speech, and this was evident from observations during the inspection. The manager said that all but two residents have family to support them. He was very clear about how to contact the advocacy service where appropriate and described occasions where contact had already been made. The inspector looked at an appropriate risk assessment, which provided guidelines for staff in the prevention of self-harm. No residents are being assessed as being able to manage their own finances. The home provides a system for administration and safekeeping of their Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 10 monies and valuables. The integrity of the system provided was checked and found to be satisfactory. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 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 the following standard(s): 12 and 13 All but one of the residents at Ryde Cottage lack the capacity to take up employment opportunities. However, support is provided for two who benefit from life-skills learning. Generally they lead active lives and maintain regular links with the community. EVIDENCE: One resident has undertaken voluntary work for some time but mental health needs have meant the work has been sporadic. This issue was discussed with the manager. Personal plans provide information on a range of activities for residents, which are set out in weekly routines. One resident attends the Isle of Wight College; others attend day services, including the Ryde House Resource Centre where a variety of activities are provided for residents and other people with learning disabilities. The home provides opportunities for leisure activities, e.g., clubs, pubs, the cinema, bowling and cafes etc, either using public transport or Ryde House vehicles. However, the manager said that leisure activities are far more popular during the summer months. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Residents are assessed as being unable to retain, administer and control their own medication. Medication for residents is held under secure conditions and appropriate records maintained. EVIDENCE: Medication is dispensed to residents by means of a monitored dosage system by staff deemed competent following training. At the time of the inspection medication was held in appropriate, secure conditions. Records relating to the safekeeping and administration of medicines were checked and found to be in good order. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The home treats residents’ complaints seriously and responds appropriately. EVIDENCE: The manager confirmed there had been no complaints from residents or representatives in the last year. He said that the home maintains good liaison with families to ensure any issues are picked up and addressed. In the event of a complaint being made staff would make a record of the issue together with details of the action taken and outcome. Residents spoken with during the inspection said they were very satisfied and liked living at Ryde Cottage. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 All areas of the home are generally clean, hygienic and free from unpleasant odours. EVIDENCE: The inspector toured the building with the manager. It was seen generally to be clean and hygienic with no unpleasant odours. The home has a separate laundry room, away from areas where food is prepared, stored, cooked or eaten. The washing machine enables washing to be carried out at appropriate temperatures. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Staff at Ryde Cottage have the necessary skills and experience to meet the needs of the people who live there. Staff turnover is low and a robust recruitment procedure ensures residents are protected. EVIDENCE: All staff are scheduled to receive training and refreshers in first aid, food hygiene, manual handling and infection control. 89 of staff have achieved the NVQ at level 2 or above. Only the newest recruit to the home is currently undergoing induction/foundation training. An evidence book was available to demonstrate progress made. The Ryde House Group ensures staff in all their homes undertake awareness training in service related subjects, e.g., autism and challenging behaviour. Courses are accessed as and when they become available. One support worker had been recruited since the last inspection. All recruitment records were found to be in good order. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The registered manager has the experience and qualifications to run the home and meet its stated purpose, aims and objectives. The Ryde House group has an annual development plan for its homes. Ryde Cottage has a process of establishing residents/representatives’ views about the service. EVIDENCE: The manager of Ryde Cottage Mr Robinson has been in post for nearly four years and has achieved The NVQ at level 4 in care and the Registered Managers Award. He has completed all statutory training and as with the rest of the staff group keeps up to date with service related awareness training, which is accessed as and when it is available. He confirmed that some refresher training in the management of challenging behaviour is planned for 2006. The home has achieved the Investors in People Award. Each resident has a named key-worker who gets to know him or her well. This person is involved Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 17 in all decisions about the service provided for their particular key resident. Residents, relatives and care managers are included in the yearly care reviews. The manager said that such occasions were most valuable in terms of seeking service users’ views about the service, as they provided opportunities to bring people together with the residents’ personal plans. He felt that written service user’s surveys had been very hit and miss with responses. A representative of the group monitors the conduct of the home by carrying out monthly regulation 26 visits. This same individual is involved in regular reviews of policies and procedures. Ryde Cottage has recently had a complete review of all policies and procedures. Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 18 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 x 3 x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ryde Cottage Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x DS0000012529.V249076.R01.S.doc Version 5.0 Page 19 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. Refer to Standard Good Practice Recommendations Ryde Cottage DS0000012529.V249076.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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. 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