Inspection on 03/08/06 for Ryehill Country Lodge

This inspection was carried out on 3rd August 2006.

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

Ryehill Country Lodge 23/02/06

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 Ann Day Key Unannounced Inspection 15.10p 3rd August 2006 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.V296177.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. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 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.V296177.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 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 no 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. Fees £328.50- £375.30 Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included preparation, collation of information received, a pre inspection questionnaire completed by the providers of this service and fieldwork. The fieldwork included a tour of the premises, case tracking individual residents following their experience of the care provided, examination of statutory records, meeting with residents, interviewing staff members and the registered manager Tina Bunting. The site visit to the home took place on 4th August 2006 and was unannounced. Fieldwork took a total of 3.5 hours to complete. What the service does well: What has improved since the last inspection? The home’s kitchen, which is on the first floor, has been refurbished since the last full inspection. Water delivered in the home’s bathrooms is now regularly checked. The conservatory roof has been replaced by a tiled roof; providing a more ambient temperature for residents, using the conservatory as a dining area. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 6 The home has an ongoing programme of redecoration; bedrooms have been redecorated as they become vacant. Health & Safety Officer and the Environmental Health Officer have visited the home since the last inspection and any recommendations made have been implemented. Decoration has improved and is on going. Members of staff said, “Tina (the manager) has done really well, worked so hard, improving choices, it is so much better. Always asking staff ‘s opinion; residents and visitors survey highlighted decoration, which is now being improved.” 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.V296177.R01.S.doc Version 5.2 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.V296177.R01.S.doc Version 5.2 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): 1,2,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them and whether or not the home can meet their individual needs. EVIDENCE: The home has a combined Statement of Purpose for the home and Service User guide 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. Each service user has a written contract/statement of terms with the home, which is stored securely in the office. Service users care records were comprehensive and contained a preadmission assessment, identifying individual needs to be met. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 9 The home does not provide intermediate care. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good practice regarding the planning and delivery of care means that all services users can be sure that their health and personal care needs will be fully met. EVIDENCE: Members of staff were able to explain how they ensured individual resident’s dignity and privacy whilst providing personal care. The interaction and rapport between members of staff and residents was seen to be very good. Four service users were case tracked, following the care needed and provided for these individual service users. In addition care records for residents, who had or were currently receiving pressure area care from district nurses and staff in the home, were examined. Care records were found to be comprehensive, including risk assessments, detailed care plans, which are evaluated and regular reviews of individual care needs are documented. Care records include signed authority from the service users for two hourly safety checks at night. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 11 Monitoring is undertaken on each shift and at the end of each week the key worker for each resident completes a weekly summary. The home has Safe Handling of Medication procedures in place and safe practices are adhered to. The home uses a monitored dose system, for the administration of medication. The manager ensures that only appropriately trained members of staff administer medication. At the time of the visit only one service user was administering, their own medication. Medication Administration Record sheets were examined and were found to be accurate. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities within the home and community mean the service users do have a range of opportunities to participate in stimulating and motivating activities. Meals and mealtimes are not rushed and are an enjoyable, social occasion for all of the service users. EVIDENCE: The assistant manager facilitates residents meetings and often meets with residents individually on a monthly basis; which informs her coordination of the home’s activities programme. Outings take place regularly using the home’s minibus. There is a published varied programme of activities made available for residents to participate in. Residents play bingo every Tuesday and alternate Sundays, bingo goes on until 8pm, it is very popular and the manager rosters additional staff to facilitate the sessions. There is a giant crossword on the wall of the lounge; the activities programme also includes painting, and playing cards. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 13 The home encourages open visiting, observation and service users confirmed that family and friends are made welcome. Members of staff said how they ask service users when they want to get up and when they want to retire to bed and how they ensure that residents are encouraged to choose what they want to wear on a daily basis. A male carer on the staff team enables male residents to choose to have care provided by a carer of their own gender, increasing their choices. The home has a Key worker system in place that works well. Service users are provided with a wholesome, varied and appealing diet. Meals take place in the conservatory, which has recently had a tiled roof fitted, and is awaiting redecoration; the conservatory overlooks the garden and provides pleasant surroundings for residents to eat in. Service users confirmed that they liked the food, Service users said, “The bees knees as far as I am concerned, food is really good”. Members of staff confirmed that, individual residents likes and dislikes, are listed in the kitchen. The teatime meal was observed, residents were provided with scrambled eggs on toast as the cooked option for the evening and sandwiches with five choices of fillings. The meal was not rushed, and residents were seen to enjoy both the food provided and the company. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 14 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): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel safe and listened to. Formal processes are in place and the home’s procedures are available, understood and consistently applied. EVIDENCE: The home has policies and procedures in place and service users, relatives and members of staff know who to speak to if they have any concerns. The home has received four complaints in the last year all of which were dealt with appropriately, adhering to the home’s own policy and procedures. The manager ensures that service users are enabled to exercise their right and choice to vote during national and local elections. Some residents are accompanied to the polling station by relatives or members of staff; and others are helped to use a postal vote if they choose. Members of staff have attended adult protection awareness training, and are clear about their responsibilities, with regard to the reporting of any incident, occurrence or concern. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 15 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): 19,21,22,24,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean and comfortable environment. The maintenance and renewal of equipment and facilities mean that service users live in a safe environment. EVIDENCE: A tour of the premises was undertaken; the home was very clean, comfortable and homely in appearance. Residents eat in a convivial atmosphere; aids and adaptations are in place to promote residents independence. All the aids and equipment provided in the home are of a satisfactory quality. The stock of general aids, were in a good condition. The hoists were serviced regularly, which ensures the safety of and minimises risk for people who use the service. The home has sufficient toilets and bathing facilities to meet the needs of residents, however one service user is no longer able to use a bath because of Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 16 their particular disabilities. A recommendation that the possibility of improving current bathing facilities for this individual disabled service user, should be further explored, was made. The home’s kitchen, which is on the first floor, has been refurbished since the last full inspection. The temperature of water being delivered in the home’s bathrooms is now regularly checked. The conservatory roof has been replaced by a tiled roof; providing a more ambient temperature for residents, using the conservatory as a dining area. The home has an ongoing programme of redecoration; bedrooms have been redecorated as they become vacant. The rooms of those service users whose care was case tracked (individual experience of care provided was followed) showed individuals had been able to personalise their rooms, and they were satisfactorily clean and well presented. Service users felt their rooms were comfortable. Service users said, “Happy with the room I have”. “Nice room to myself”. The home has an infection control policy in place; the home is clean and free from malodour. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 The quality rating for this outcome group is good. This judgement has been made using available evidence including a visit to this service. The home’s staff are competent and appropriately trained, ensuring that service users are in safe hands at all times. EVIDENCE: There were sufficient numbers of staff, on duty to meet the needs of the residents. The manager, Tina Bunting and two members of staff were interviewed. All three staff files, induction training records and staff rosters examined were comprehensive and in good order. The home’s staff recruitment practices are robust and consistent, ensuring the safety of vulnerable service users. Members of staff interviewed were clear about their role, knew what was expected from them and showed a good understanding of the actions they needed to take to meet and promote independence, equality, diversity and choice. Staff members and documentation confirmed that training and supervision are regularly provided; and that four members of staff are currently undertaking Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 18 NVQ Level 2. The will home achieve 50 care staff trained to NVQ Level 2 or equivalent by the end of this year. Members of staff have recently completed an accredited dementia care training course. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 19 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements are meeting the needs of the service, and the quality of the service provided is good. EVIDENCE: Residents indicated that the home was well run and said, ” Noted as one of the best homes” and inspection of the records confirmed that they were being well maintained. Since the last inspection, the registered manager has completed, Registered Managers Award and NVQ Level 4 in care; and the assistant manager of the home completes NVQ Level 4 in the next week. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 20 Members of staff said, “Home is friendly, you are able to gain qualifications, there is a nice atmosphere”. “Decoration has improved and is on going, managers are approachable”. “We receive regular staff supervision”. “Tina has done really well, worked so hard, improving choices, it is so much better. Always asking staff opinion survey, residents and visitors highlighted decoration, which is now being improved.” The home has all required policies and procedures in place, which have been reviewed since the last full inspection. Procedures are in place and are consistently applied to safeguard the financial interests of the home’s residents. Health & Safety Officer and the Environmental Health Officer have visited the home since the last inspection and any recommendations made have been implemented. Tina Bunting, the registered manager said that surveys will be sent out in October/November this year and will look for feedback from family, and visiting professionals. Surveys are collated; the results are then displayed for all stakeholders and are discussed in staff meetings. Key workers talk to individual service users, enabling them to participate and have feedback. The home has achieved external quality awards. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 21 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X 3 3 X 3 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 3 X 3 X 3 X X 3 Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 22 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 OP21 Good Practice Recommendations The possibility of improving current bathing facilities for an individual disabled service user should be further explored. Ryehill Country Lodge DS0000019721.V296177.R01.S.doc Version 5.2 Page 23 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.V296177.R01.S.doc Version 5.2 Page 24 - 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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