Inspection on 02/03/07 for Ryecroft Care Home

This inspection was carried out on 2nd March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Ryecroft Care Home 01/02/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ryecroft Care Home 1 Kings Avenue Meols Wirral CH47 ONH Lead Inspector Mrs Julie Garrity Key Unannounced Inspection 2nd march 2007 11:10 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 Ryecroft Care Home DS0000065801.V295285.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 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. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryecroft Care Home Address 1 Kings Avenue Meols Wirral CH47 ONH 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) 0151 632 1068 0151 632 2890 ryecrofthome@btinternet.com Ryecroft Care Limited Mr and Mrs Basi Diana Elizabeth Meadows Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: Ryecroft is a detached, three storey property in the residential area of Meols in Wirral. The home is on a main road, near to bus routes, the beach, shops, post office, a church and other community facilities. Ryecroft is privately owned. Ryecroft is registered to accommodate 13 older people in 11 single rooms and one shared room. The shared room is not being used by two residents all but two of which have en-suite toilet facilities. A passenger lift serves each floor. The home was full at the time of the inspection. Some of the bedrooms can only be used by independent residents, as there is a step up to these rooms. Residents also have the use of a main lounge (with a small sun lounge attached), separate dining room, a small smoker’s area in the porch and a small lounge on the second floor. There is a sheltered patio garden with garden furniture. The home also plans to have a conservatory built in the future. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 11:10 and left at 16.40. The inspector spoke with 7 residents, 4 staff and the manager. The inspector completed the inspection by a site visit Ryecroft, a review took place of many of the records available in the home and CSCI offices. These included care plans, accident records, medication records, staff rota, staff files, maintenance records, menus, information sent to CSCI by Ryecroft and a preinspection questionnaire completed by the home. This site visit included discussions with residents, visitors, staff and management. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas identified in need of review were covered. All of the Key standards were covered in this inspection, these are detailed in the report. Feedback was given to the manager during and at the end of the inspection. The arrangements for equality and diversity were discussed during the visit and are detailed throughout this report. Particular emphasis was placed on the methods that the home used to determine individual needs, promote independence and support to make informed decisions in line with individual choices. What the service does well: Ryecroft is an excellent care home. It is a small care home that maintains an atmosphere very like that of an individual’s own private house. The home appears welcoming and inviting. Resident’s bedrooms are well decorated and they are encouraged to make them their own, by bringing in items from home. Some of the rooms are very large and provide a living area as well as a bedroom for the residents. All but two of the bedrooms have ensuite facilities, as the majority of the residents like to be independent they said that this was “a lovely bonus” as they were able to see to their own needs as much as possible. The staff have worked in the home for several years and are very aware of the different needs of the residents. The residents see the staff as members of their family and all said how happy they were living in the home. The manager is well thought of by the resident, relatives and the staff. She is aware of each of the residents as individuals and has a very clear understanding of how to keep the home comfortable for the residents. The individual care provided is designed to meet the needs of the residents. The Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 6 home has written instructions to the staff about how to care for the residents that are clear well thought out and clearly details the full needs of the resident. Activities are provided for the residents to take part in, these include visits out in the community. The residents spoken with said “its lovely not being stuck in” and “I feel as though I get lots of time to do what I want”. The activities also include those domestic tasks that the residents are familiar with such as baking. Two of the residents spoken with said “its so nice to bake, I did it all my life, why stop now”. The home has clear information to that staff about residents individual likes and dislikes and this is used to help decide on the general activities and the meals available in the home. What has improved since the last inspection? What they could do better: Where staff do tasks that are the responsibility of other professional healthcare works such as blood monitoring. Clear instruction s that have been developed with the healthcare professionals should be available for the staff Risk assessments need to be in place for residents who give themselves any of the medication prescribed. These need to be checked regularly and support from the staff that meets the residents individual needs described in the risk assessment. The policy for the protection of vulnerable adults that was missing at the site visit should be replaced and the planned staff training monitored to make sure that all staff receive the training, understand it and are competent to take appropriate action. Please contact the provider for advice of actions taken in response to this Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 7 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. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 8 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 Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was reviewed in this area. Standard 6 is not applicable for Ryecroft. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. All residents are given the chance to decide if the home is where they would like to live. The home makes sure that all residents have their needs looked at before they move in. EVIDENCE: People who may want to move into Ryecroft are assessed by the Registered Manager. The assessment is recorded, retained on file and used to write a care plan to meet the residents needs. The manager also makes sure that they consult with all those involved in the care of the resident such as Hospital, Doctor, Social Workers, district nurse as examples. Copies of assessments available from others are available as part of the general records retained for the residents. Two relatives spoken with spoke of how this had been done. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 10 They said that they had been asked about the needs of their relative and that it had been done in a “discreet, open and confidential manner”. Prospective residents and their families are encouraged to visit the home before making a final decision so that they can see if they like the home and if the staff can meet the residents needs. They are invite to visit as often as possible before they move in. This can include being asked to spend the day, have a meal and become involved in the activities. The Home then makes sure that a familiar person is on duty the day that they move in. The residents are asked to bring in any items they want to make their room feel like their own. One resident spoken with said that she had “visited a couple of times, liked the staff, loved the home and felt that it was right for me”. If the staff identify that the needs of a resident have changed and this is now not good for either then or the residents, they contact the Social worker and ask for their help. This has occurred recently and the home had several meetings with the resident, their family and the Social workers before the decision to move the resident was made. This is very good practice as it means that the staff are making sure that decisions that effect the residents are discussed with those people who can help. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9, 10 were reviewed in this area. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff treat the residents with dignity and are aware of their individual needs and how to support them. The care plans in the home give clear guidance to the staff and involve the residents to make sure that they agree with the care that the home is to provide. Were the staff in the home support the healthcare professionals clearing instructions to guide the staff are needed. Where possible residents are supported to manage some or all of their own medications in order to maintain their independence. This is good practice but risk assessments are needed for these residents to make sure that this can be monitored and supported by the staff properly. EVIDENCE: Each resident has a file with separate records such as a care plan that tells staff how to care for the resident. The care plans explain the needs of the residents and how to meet their needs in a very clear language and easy to Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 12 read. Of the three care plans viewed it was clear as to how to care for the resident in the manner that maintained their independence and supported their individual choices. There are care plans and risk assessments on file for all residents. The Registered Manager and care staff review care plans at monthly meetings and minutes are kept of those meetings, with care plans being changed as needed. The care plans are discussed with the residents or their relatives as appropriate. All of residents spoken with had read their care plans, comments included” well they can’t go wrong can they”, “it is exactly what I want them to know” and “the staff are great they, they know exactly what I need, So kind and very caring”. All residents are registered with a local Doctor of their choice and have access to community and specialist health care as required. District nurses regular visit the home to give support with individuals who require a nurse, as the home does not provide nursing care. The staff do undertake medical tests such as blood monitoring for diabetics, and blood pressures. Some staff have received training in this but there is no formal instructions to the staff as to what to do with this information or how to maintain the equipment. Staff need the support from the healthcare visitors in order that they can have very clear instructions on the purpose of this activity and how to keep healthcare staff informed. Residents’ weights are recorded in order to make sure that staff can respond to this correctly. Where residents have been identified as losing weight no matter how little the staff make sure that the correct advice is found and act on it. The home has clear records about the resident’s medications, all medications are checked into the home to make sure that they have received the right amount and any problems are checked with either the Doctor prescribing the medication of the local pharmacy that supplies it. All staff have received training in medications to make sure that they know what they are doing and further advanced training has been organised for these staff to develop their skills. The manager makes sure that regular checks are done on the medications to check that they are being given out properly. Records on the medication sheets are clear, however the full instructions are not always available to help the staff to give the medications in the right way. Residents who manage some of their own medications do not have risk assessments in place. Risk assessments would make sure that the residents are being supported appropriately. This is particularly relevant for one resident who gives themselves their own insulin, the home is keen that this independence be maintained and is supported by the district nurses. However the management of the security and safe dealing of this insulin does not have clear instructions that would make sure that this was dealt with correctly. The manager has been given information that will help her form a full plan in this area from the CSCI pharmacist. Observations of the staff showed that they have high regard for maintaining residents dignity. Staff always knocked on the resident’s doors and call the Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 13 residents by the name that the resident choose. One member of staff was observed supporting a resident to move around the home, her tone and pace of talking was very supportive kind and respectful. The resident spoke of the trust that there was in the staff because of the manner in which they were supported. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15 were reviewed in this area. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Ryecroft provides a wide range of activities to enhance the lives of its residents. The menu is varied, served at reasonable times, and informed by the residents’ opinions, thereby meeting their needs and tastes. EVIDENCE: Residents at Ryecroft get up and go to bed when they choose. This is detailed in the residents’ plans and gives the staff guidance as to what the residents’ choices are. Two residents spoken with spoke of how they “choose” their daily routine and what they do with the day. Both were clear they can stay in bed all day if they wanted to or get up and enjoy the day how they wish. The home employs two part time activities organisers for a total of 20 hours a week. One of the organiser’s focuses on arranging activities in the home such as quizzes, music, discussions and practical activities whilst the other takes residents out into the community, such as days out, visits to the shops etc. Residents say that they enjoy the activities very much. The home has plans for activities throughout the coming year, these are decided on by the residents at meetings Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 15 and one to one discussion with the staff in the home. Also past experiences and the lives that the residents lived before they moved into the home are used, such as places they used to visit. Staff are aware of the diverse needs of the residents such as restricted movement, sight or hearing and make sure that there different activities to meet these residents needs, that are within the personal choices. The main meal of the day is served at around 1pm, with a lighter tea served at around 6pm; times which are chosen to suit residents following discussions with the residents. At one meeting a resident commented that the chef’s pastry needed improving, he spent time learning to improve this area and the same resident now enjoys the pastry offered. The menu is varied and although formal choices are not on the menu, alternatives are always available on request. Records in the kitchen showed the choices that residents made at main meals and each resident has a card that details how they would like their breakfast. The majority of the residents like to have their breakfast in bed. But the dinning room is available for those that like to sit at a table. Special diets are not detailed on the menu such as diabetic diet. The chef is keen to expand his knowledge and will discuss specialised diets with the healthcare professionals such as dietician and diabetic nurse. Residents spoke very highly of the quality of the meals. One resident said “the food is lovely here” and other said “if I don’t like what there is I ask for something else. I’ve never been turned down and always get something very tasty”. Meals are discussed at residents’ meetings and the minutes indicated that they hold lively, detailed discussions, with their suggestions and requests being acted on by the Registered Manager and the chef. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16, 18 were reviewed in this area. Standards 16, 18 were reviewed in this area. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s approach to dealing with complaints and allegations of abuse protect the residents. Staff have the skills and understand to raise concerns and make sure that they are addressed. EVIDENCE: Details of the complaints policy and procedure are given to each resident. A copy was seen in all the bedrooms viewed. Residents spoken with knew how to raise any concerns either directly with the staff, the manager or in residents meetings. Examples of this could be seen in the minutes where residents were clearly supported to be honest about what they wanted changing. A relative spoken with was clear that they knew who to talk to if they had concerns. Policies and procedures on the prevention of abuse are in place, but could not be located at this visit. The guidance available also includes the one from Wirral Social services, which details that it is Social Services responsibility to deal with concerns of this nature and how they will be dealt with. Staff have been shown this policy and discussions with the manager and staff showed that they were aware of how any allegations of this nature would be dealt with. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 17 Staff have not received training in protecting adults from abuse, however the manager has arranged training for the near future in this area. The manager detailed that this is discussed when the staff member starts to work in the home. However the written records for staff induction did not include this area. Residents and their families are advised of advocacy services when they are admitted to the home. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 26 were reviewed in this area. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and well maintained, making sure that the resident are safe and comfort. Residents have well furnished rooms, most with en suite facilities that they can put their own items in and the rooms feel as though they are their own. Maintenance plans will give residents better facilities that they can enjoy. All areas of the home were clean and tidy. EVIDENCE: Ryecroft is on a main road, close to public transport and other community facilities. The home used to have a step between the lounge and the ground floor toilet, the owners have put a ramp in this area and less able residents can Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 19 now move freely in the home with the correct support. Two of the bedrooms are not accessible by less able residents as there is a step to the landing that they are located on. The residents who do live there are able to negotiate the step and the home has risk assessments have looked at this. The manager makes sure at assessment the residents can be supported to live in the home independently and these rooms would not be offered to anyone is they were not able to climb the step. The home is clean, odour free and has a maintenance schedule some of the bedrooms have been redecorated including new carpet, linen and curtains. They are fresh and clean in appearance. One of the residents said, “it looks lovely”. Residents have single bedrooms apart from one shared room, which is now lived in by one resident. This resident does not wish to share with another and the home is happy to meet her choices in this area. There are two single beds in there at present but the bedroom is due to be redecorated and at this time the resident will be supported to decide on the arrangements and placement of furniture in her bedroom. Seven bedrooms were looked on at and they were clean, comfortable and spacious. Residents have been able to bring their own personal items into the building, this included furniture, “knick-Knacks” and sentimental keepsakes. These gave each bedroom a personal look, all residents spoken with were please with their bedrooms. Two residents said “its lovely and big. I have lots of room to move around”, another said, “its nice to see all my things, photos are so important. I can look at my family when I need”. Many residents choose to spend time in their rooms, all of which have televisions. Or other facilities such as a telephone as the residents need. Resident needs a special touch type telephone and this is readily available for her to use should she need to. All but two bedrooms have ensuite toilet facilities, which helps to support those residents who like to spend time in their own rooms. There is a main lounge and a small lounge on the second floor both of which are comfortably furnished, welcoming and decorated in a style in keeping with a resident’s own home. The Ryecroft operates a no smoking policy on its premises for all staff and guest. Residents, who wish to smoke, can do so under strict supervision in the sun porch or garden. Ryecroft has two assisted baths and a shower, which provides the residents with a choice. The former first floor bathroom is now used as a staff sleep-in room. The kitchen is well organised and clean. Food stocks are rotated and fridge and freezer temperatures regularly recorded. The home is about to have a Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 20 new kitchen in place. This will take 4 days. All residents were informed of this event and arrangements to provide food have been put into place. The manager intends to check with environmental health that the arrangements are suitable. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29, 30 were reviewed in this area. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff working in the home are given the correct training and supported to develop good skills to care for the residents. There is enough staff in the home to meet the residents’ needs. Staffing levels for activities are very high and this supports the residents to maintain their independent skills. EVIDENCE: On weekdays the home is staffed by the manager and two care staff. On the weekends there are always two care staff on duty. At night there is a waking carer and a senior member of staff sleeping in. Observations during the day showed that no resident was left waiting for anything they asked for this included drinks. Residents spoken with also confirmed this with comments such as“ these staff are really good they are there when you need them”. Activities organisers are employed for a total of 20 hours a week. All staff receive an induction when they start in the home, which gives them the basic training that they need. This is a three day programme that includes the individual needs of the residents. The induction records do not show that staff are given formal training in a number of areas and that this meets National Training Organisation, which have basic areas that need to be covered. All staff sign the relevant parts of the induction to show that they Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 22 area aware of policies and practice in the home in this area. There are variety of certificates for staff that detail training in lots of areas, such as diabetes, dementia care and health and safety. The manager makes sure that staff training is kept up to date and monitors staff performance in staff meetings, checks on the practices in the home and supervision to make sure that staff are competent at their jobs. Staff spoken with said they are “praised” for good work and “supported” when they need to learn new skills. Staffing files in the home contained the relevant checks such as references, police check and protection of vulnerable adults check. The manager makes sure that all staff have the correct checks before they start work. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 38 were reviewed in this area. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run in the interests of the residents. The home is efficiently managed, the manager makes sure that the residents’ interests and choices are used to make sure that the home meets their needs. Staff are supervised and developed to gain skills that help them care for the residents. Areas that protect the interests of the residents such as heath and safety and their finances are dealt with appropriately and in the best interests of the residents. EVIDENCE: The Registered Manager is qualified and experienced. Regular residents and staff meetings are held, copies of these minutes are available and pinned on Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 24 the notice board in the entranced of the home for al to view. A relative spoken with said, “we choose the home because of the manager. When we arrived she was warm, knew what out concerns were and went out of her way to help. She has even made sure that equipment needed was available in the home before my mother moved in. What’s more she made sure that all the staff knew what it was fort and how to use it”. Staff receive regular supervision and records are available that show staff are supported to improve at all times and regular training given when needed. Ryecroft’s quality assurance process includes a questionnaire to relatives and residents. The questionnaires are sent out frequently and cover different areas as needed. This are then discussed with the residents and changes made to the home as the residents have indicated they would like. Regular staff and residents meetings also asks for their point of view on the quality of the service and supports all parties to feel “able” to discuss any issues and feel that they can say what they would wish to change. Residents and relatives spoken with spoke of how they felt they could make “any suggestion” and it would be looked at. Staff were sure that the manager will “take on-board” any suggestions and where it will work, makes sure that it is put into place. All ideas are discussed. Ryecroft has gained Investors in People award in January 2007 indicating its commitment to its staff development via a quality assurance framework. The home does not handle residents’ finances, which are dealt with by families or the resident themselves. Where families are involved the manager keeps in regular contact to make sure that residents can access what they need or want. Maintenance records of the home, health and safety records and staff training were looked at. These showed that staff receive regular training to maintain the safety of the residents and that regular checks are made on the building that also are meant to safeguard the residents safety. Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 25 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 26 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. 1. Refer to Standard OP8 Good Practice Recommendations Where staff are involved in medical tests or medical practices, such as blood monitoring or dealing with insulin, full instructions that have been written with the healthcare professionals involved, should be available. Where residents deal with their own medications that have been prescribed by a doctor a risk assessment should be in place that are looked at monthly. Policies and procedures such as the Protection of vulnerable adults should be available. These should also be regularly updated. Staff should also complete training in this area that has a component that tests their understanding of the training and their competency to act appropriately. Staff inductions records should be developed to reflect all the areas that staff are given initial training and information in. 2. 3. OP9 OP18 4. OP30 Ryecroft Care Home DS0000065801.V295285.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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