CARE HOMES FOR OLDER PEOPLE
Ryecourt Nursing Home Ryecourt Nursing Home 264/266 Queens Promenade Bispham Blackpool Lancashire FY2 9HD Lead Inspector
Mrs Jackie Riley Unannounced Inspection 21st November 2005 09:30 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 Ryecourt Nursing Home DS0000006078.V267919.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 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. Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Ryecourt Nursing Home Address Ryecourt Nursing Home 264/266 Queens Promenade Bispham Blackpool Lancashire FY2 9HD 01253 592905 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) Ryecourt Limited Mrs Jean Hepburn Wilson Care Home 35 Category(ies) of Dementia (13), Old age, not falling within any registration, with number other category (22) of places Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 35 service users to include: Up to 22 service users in the category of OP (Older People over 65 years of age) Up to 13 service users in the category of DE (Dementia) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependancy needs of the service users at all times and will comply with any guidelines which may be issued through the CSCI. All staff working in the home must have dementia awareness and dementia care training, which equips them to meet the assessed needs of the service users accommodated, as defined in the individual plan of care. 13th June 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Ryecourt Nursing Home provides nursing care for 22 older people and 13 people with dementia. The home is situated on the Promenade, overlooking the sea in Bispham and is close to local amenities. The home is within easy access to the beach, local shops, banks, the library, public houses and bus and tram routes. Accommodation within the home is situated on the ground, first and second floors. Bedrooms are mostly single rooms, a number of the rooms have en suite facilities. Ryecourt Nursing Home DS0000006078.V267919.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 statutory inspection for 2005-06. It was unannounced and undertaken during a weekday period. The inspection examined a number of standards, including health and safety issues, nutrition, adult protection, cleanliness and hygiene, financial records which will be focused upon in the main body of this report. During the inspection the registered manager and individual staff members assisted the inspector with the process. A small number of residents were spoken to and there comments will be reflected in the body of this report. What the service does well: What has improved since the last inspection?
There are now photographs of residents on the homes record sheets and medication sheets for clear identification purposes. Recruitment records show the home is carrying out checks to make sure the applicant is fit to start work at the care home for the protection of residents living there. Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 6 The home is providing training in Dementia care. This will ensure staff has the knowledge and skills to provide a high level of care to those residents. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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 Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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): These standards were not inspected. EVIDENCE: Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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): These standards were not inspected EVIDENCE: Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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, 14,& 15 An appropriate range of social activities, are in place for residents living at the home. Meals are well managed, balanced and provide a daily variation and interest. Choice is not restricted unless it is identified as risk through the risk assessment process, which is closely monitored. EVIDENCE: There is an activity programme, including games and therapy, as well as staff encouraging residents to join in singing and dancing, which is recorded daily by staff involved, so that there is a clear record of events occurring both in the home and wider community. One resident said, “ I go out to the club to play cards, I’ve always enjoyed playing cards and still do”. Some residents have various limits on their ability to make choices, however staff were seen to help and gently guide them in all areas of their daily lives. Staff spoken to said “we get to know residents individually, and through their care plans”. The food and menus are varied and offered daily choice. Mealtime arrangements are flexible enough to accommodate individual preferences. Two residents commented on how they like their meals. Residents wee seen to take there breakfast at various times of the morning to suit their choice.
Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 11 Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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): 18 There are systems in place for the protection of residents, however staff training in this area should be updated, including the written policies for the protection of residents. EVIDENCE: The homes policies and procedures for adult protection are old and must be updated to meet the guidance from the Department of Health document “No Secrets”, so that staff follow clear guidelines should adult protection issues arise. Staff training in this area is carried out during the induction period, however records are basic, and there must be specific training in this area for all staff so that residents are protected at all times. Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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): 26 The home is clean and hygienic for the comfort and protection of residents and staff. EVIDENCE: There is a designated domestic staff team, who are competent in carrying out their domestic tasks to ensure the home remains clean and hygienic throughout. Observations made during the inspection confirmed the homes standard of cleanliness is high. Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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): These standards were not inspected EVIDENCE: Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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): 33, 35, & 38 There are systems in place to make sure the health safety and welfare of all users of the service are protected. Financial records are complete and the service is run in the best interests of residents living there. EVIDENCE: Records seen confirmed the home has safe monitoring systems in place for the health safety and welfare of residents and staff, so that they are protected from harm. Financial records were up to date and accurate, with only the registered manager and the homes provider responsible for the management of resident’s finances in order to protect them from any form of financial abuse. Residents are protected from financial abuse because of the system in place for managing resident’s allowances.
Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 16 Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP18 Regulation 18© Requirement There must be evidence of all staff receiving an appropriate level of training in Adult Protection and that polices and procedures in this area are updated. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ryecourt Nursing Home DS0000006078.V267919.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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