Inspection on 23/02/06 for Ryehill Country Lodge

This inspection was carried out on 23rd February 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

Ryehill Country Lodge 03/08/06

Ryehill Country Lodge 25/11/04

Ryehill Country Lodge 20/07/04

Ryehill Country Lodge 16/03/04

Ryehill Country Lodge 18/12/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Ryehill Country Lodge Pitt Lane Ryehill Thorngumbald East Yorkshire HU12 9NN Lead Inspector Rob Padwick Unannounced Inspection 1:30 23 February 2006 rd 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 Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 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. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ryehill Country Lodge Address Pitt Lane Ryehill Thorngumbald East Yorkshire HU12 9NN 01964 624245 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 Arthur Bunting Mrs Tina Jane Bunting Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st September 2005 Brief Description of the Service: Ryehill Country Lodge is located in the small village of Ryehill, which is approximately 4 miles from the market town of Hedon. The home is on a quiet country lane and there is not immediate access to public transport. The home has been registered since 1990 and provides personal care and accommodation for 23 older people who may have dementia. The home consists of a traditional two-storey country house, which has been extended providing further bedrooms and a laundry. The home has six double bedrooms and 11 single rooms over the two storeys, all of which are en-suite. The upstairs is accessed by a chair lift. There are 2 communal bathrooms; both have assisted baths available. There is a garden area to the front of the building, which is accessible to service users and includes chairs, tables and benches. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 4 hours including preparation time. During the inspection, a tour of the premises was undertaken, and the inspector spent time talking with residents and observing their daily lives and checking on the requirements and recommendations from the last inspection. Further time was spent reading care plans and files and talking to the home’s management and staff. The home was clean and furnished to a good standard and had a welcoming atmosphere. Staff were helpful and polite and all of the residents spoken to confirmed that it was very good. One resident described it as a “Home from Home” whilst another stated that she “Couldn’t ask for better”. Relatives of a further resident, who had been coming to the home for day and respite visits, and was due to move in the following day, commented that they “Wouldn’t want him to go anywhere else”. Good progress had been made in implementing the findings from the previous inspection. What the service does well: What has improved since the last inspection? The homes staff recruitment procedures had been strengthened and the recording of service user’s finances developed; in order protect the residents from abuse. The upstairs bathroom was now in operation to give the service users a greater choice of facilities and the homes systems for checking the quality of its service had been developed. The Manager had updated the home’s statement of purpose and service user guide. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 6 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. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 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 Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 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): 1 Service users had been provided with information about the home to help them decide whether to move in to the home. EVIDENCE: A combined Statement of Purpose for the home and Service User guide had been developed to assist prospective residents make an informed choice about whether to move into the home, and inspection of these materials confirmed that these were of a satisfactory nature to meet requirements of the Care Home Regulations 2001. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 21st September 2005 Inspection report. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 21st September 2005 Inspection report. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 11 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): None of these standards were assessed EVIDENCE: None of these standards were assessed. Please see 21st September 2005 Inspection report. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 12 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): 19, 21 The service users lived in a clean and well-maintained environment. EVIDENCE: The home was warm, clean and comfy which residents described as being “A home from home”. Those residents spoken with said they were able to bring items of their own to personalise their rooms and inspection of the building confirmed this. The upstairs bathroom had been made operational since the last inspection, in order to maximise the residents’ choice of bathing facilities as previously recommended. A new kitchen was in the process of being installed. Discussion with the manager indicated that as part of the home’s ongoing plan of maintenance, the upstairs areas in the annexe were to be upgraded over the coming year. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 13 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): 29 The home’s recruitment policies and procedures were being appropriately followed in order to safeguard the service users. EVIDENCE: The home had recruitment policies and procedures; in order to support and protect the residents and inspection of a random sample of staff files indicated that these were being followed appropriately. Staff files examined now contained all of the required documentation outlined in the Care Home Regulations 2001, together with up to date supervision records. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 14 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): 31, 33, 35, 37, 38 The home’s management and administration systems were of a good standard in order to benefit the welfare of the service users. EVIDENCE: Residents indicated that the home was well run and said they “Couldn’t ask for better” and inspection of the records confirmed that they were being well maintained. Since the last inspection, the manager has become registered with the Commission for Social Care Inspection and discussion with her indicated that she had 2 units to complete of her Registered Managers Award and that she was also undertaking her NVQ 4 in care, together with the deputy manager of the home. Residents said that they were consulted about the home and that they regularly had meetings with the management and staff about this. The manager had developed a Quality Assurance for the home since the last Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 15 inspection, and inspection of this confirmed it was of a satisfactory standard. Questionnaires had been issued to residents, relatives and other relevant professionals to obtain their views, and an action plan developed following a quality audit that had been undertaken of the standard of food served. The home had policies and procedures relating to residents’ finances, and a random check of service users individual records confirmed that the homes practices concerning the maintenance of these had been strengthened as previously recommended. Records inspected were up to date, accurate and well maintained. Discussion with the residents and staff indicated that their health and safety were being met. However the temperature of the hot water in the upstairs bathroom was unsafe and posed a risk of scalding to residents. This was immediately rectified and made safe and records inspected indicated that regular audits were being carried out with regard to this. Similarly, a recent visit from the Environmental Health Department had resulted in a requirement being met that some of the kitchen tiles be replaced for ease of cleaning. As previously identified in this report (standard 19), work was underway to upgrade and improve the kitchen. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 16 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 3 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 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X 3 X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 2 Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 17 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 OP38OP38 Good Practice Recommendations The registered person should ensure that work to upgrade the kitchen is completed as soon as possible and continue to ensure that the temperature of the hot water delivered in the home’s bathrooms is regularly checked. Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Ryehill Country Lodge DS0000019721.V283875.R01.S.doc Version 5.1 Page 19 - 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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