Inspection on 22/09/05 for Ryton Towers

This inspection was carried out on 22nd September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ryton Towers 06/08/07

Ryton Towers 01/08/06

Ryton Towers 07/06/05

Ryton Towers 11/01/05

Ryton Towers 23/07/04

Ryton Towers 04/03/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ryton Towers Whitewell Lane Ryton Tyne & Wear NE40 3PG Lead Inspector Mr Steve Tuck Unannounced Inspection 22nd September 2005 11:00 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 Ryton Towers DS0000007432.V250506.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. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ryton Towers Address Whitewell Lane Ryton Tyne & Wear NE40 3PG 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) 0191 413 8518 0191 413 8518 Wellburn Care Homes Limited Ms Lorraine June Frost Care Home 43 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (43), of places Physical disability over 65 years of age (6), Sensory Impairment over 65 years of age (2) Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Ryton Towers is a care home which can provide personal care for 43 people who are older, ten of whom may have dementia, six may have a physical disability, and two may have a sensory impairment. The home also provides respite care. The home cannot provide nursing care. The home is a two-storey building, located in the village of Ryton and is set in its own grounds adjacent to the local park. The home is within close proximity to a variety of local village facilities and is serviced by regular public transport. There is a lift provided which enables service users to get to and from the first floor. An emergency call system is provided in all individual bedrooms, bathrooms and communal areas. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 5 hours and was a scheduled unannounced inspection. The inspection process involved spending time talking to a number of the people who live in the home as well as the manager and staff. A sample of records were examined including care plans and rotas. A tour of the building took place, which included all communal areas and a selection of service users bedrooms. Service users were joined throughout the afternoon and observations were made of the support the staff offered to service users throughout this time. Discussion also took place with visitors to the home including friends and relatives. The judgements made are based on the evidence available on the day of the inspection. What the service does well: People living at the home are encouraged and supported to lead active lifestyles and the involvement of friends and relatives is supported and encouraged by the manager and staff. Detailed information is available which tells perspective service users and their families about what life is like at the home and what they can expect. Interesting and varied activities are available and service users are supported and encouraged to take part. Wellburn Care Homes has recruited a specific staff team who can carry out their duties at short notice and therefore make sure that service users are supported by sufficient numbers of staff that they know. Wellburn Care Home has also demonstrated that it is a financially viable organisation which has the financial security to continue to provide care for service users at this home. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Ryton Towers DS0000007432.V250506.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 Ryton Towers DS0000007432.V250506.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): 1 3 and 5 A range of information is available and trial visits can be made which enable service users to make a fully informed choice about where they would like to live. Each service user’s needs are assessed prior to their move to the home and periodically thereafter. This will help ensure that each service user’s needs are met at the home and inappropriate admissions avoided. EVIDENCE: The Service User Guide is used by the manager to provide potential customers and their relatives with easily understandable information on the facilities available to them at the home. This includes information about how to make a complaint. All service users and their relatives who were spoken to said they had seen this information and had been given the opportunity to visit the home prior to moving. There is also a company newsletter distributed which all current and perspective service users can read to give an ides of the activities and lifestyle opportunities taking place in Wellburn Care Homes. Each service user has a social worker’s assessment undertaken prior to their admission to the home. The manager also carries out an individual Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 9 assessment, to ensure that the home is suitable for meeting the needs of service users who are accommodated there. Records indicate that the manager has also involved other health and social care personnel where specialist assessment has been required. Records indicate that service users and their representative are fully involved whilst carrying out the assessment and any limitations or restrictions are agreed. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 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 9 and 10 The measures staff take to support the health and personal care needs of service users is not fully recorded in the individual plan of care therefore making it difficult for staff to consistently meet their needs. The homes procedures for storing and administering medication are not sufficiently robust to safeguard service users. Staff have a friendly and respectful approach towards service users. This helps to empower service users and to give them control over their lives EVIDENCE: A random sample of service users’ records were examined which indicated that service user plans do not adequately describe the actual support and intervention which staff are currently carrying out. A random sample of service users records were examined which indicated that service user plans do not adequately describe the actual support and intervention which staff are currently carrying out. Service user plans do not yet consistently detail service user needs, which have been identified by the assessment. Also where detailed assessment information is not available, for example where needs have changed, these are not recorded. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 11 The manager described how she monitors the healthcare needs of service users and ensures that involvement of healthcare professionals e.g. district nursing staff and general practitioners takes place, should these services be required. However these are not consistently recorded for example where service users are ill in bed and can lead to staff being inconsistent in the ways that they meet the needs of service users. All service users spoken to comment positively about the support they receive from care staff. They confirmed that they were treated with dignity and respect by staff and the manager. The storage and administration of medicines at the home is poor. The records of controlled drugs had recently been updated but did not include all of the drugs currently in stock. Similarly other medication is stored at the home without ensuring that accurate records are created and maintained, which indicates to staff when, and how they are to be used. The amount of some medication which has been taken into the home is not recorded making it impossible to check whether the correct levels of medication have been administered. The medication storage is disorganised with medication stored in a variety of cupboards and one tablet was found loose in a tray. All senior care staff have received training in the storage and administration of medicines and the manager and deputy are undertaking this training in October 2005. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 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 and 14 A selection of social activities are provided enabling service users to make positive choices about how they spend their day and friends and families are encouraged and involved too. EVIDENCE: The routines at the home are flexible service users said that they likes this because “there is something going on which helps to fill you’re day.” Many people have their own routines within the home and can choose to take part in regular structured activities provided by staff or follow their own interests. Many interesting activities are provided at the home, which relate to the changing seasons, public holidays, religious festival days and many other opportunities where a theme can be used. The manager holds discussions with service users to decide on these activities and a monthly timetable is published. A variety of performers of are regularly booked for the entertainment of service users at the home and many photographs testify to the high levels of enjoyment on these occasions. The managers and staff encourage families’ friends and relatives of service users to take part in activities at the home and all visitors spoken to comment that they liked this and were reassured that their relative enjoys living there. The manager also encourages service users Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 13 to continue to take part in any activities outside of the home often with the support of friends and relatives. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 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 and 18 Complaints in the home are handled objectively and openly and the manager and staff encourage service users, their friends and families to offer comment on the services that are offered so that further improvements can be made. Robust procedures are also in place, which ensure that service users are protected from abuse. EVIDENCE: Service users and their relatives commented that they are confident that any complaints made would be acted upon. The manager and owner continue to encourage service users and their relatives to express their views and opinions about the service and can demonstrate instances where actions have been taken in response to service user preferences. All service users have a copy of the home’s complaints procedure, which is available in each room. Discussions with service users and relatives indicate that they have no complaints at present but would approach the manager if this occurred and feel confident that she would act on this immediately. The service uses a set of procedures known as POVA (Protection of Vulnerable Adults) to offer protection to service users and previous experience of the service has demonstrated that these procedures are adhered to and work effectively. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 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 24 and 26 The home is clean, warm and well maintained offering service users a homely environment in which to live. Service users bedrooms are furnished to a good standard. This contributes to their comfort during their stay at the home. However, there were a number of maintenance issues, which need to be addressed, which could compromise the health and safety of service users. EVIDENCE: All communal areas and some service users bedrooms were viewed during the inspection. Some of the communal areas have been redecorated and refurbished since the last inspection and a programme of routine maintenance and replacement is in operation. Service users spoken to say that they liked their rooms, some of which have been individually decorated to reflect their lifestyles, tastes and interests. There were a number of maintenance issues noticed around the home, which were brought to the attention of the manager. The home has a fully equipped laundry, however there was an odour control problem caused by washing procedures, which do not promote good infection control practice. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 16 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 29 and 30 The deployment and number of staff on all shifts ensures that at all times service users are supported by an experienced group of staff. EVIDENCE: There are sufficient staff available to meet the needs of service users at the home. Staff were noted to spend quality time with service users, listening to their opinions and experiences and taking part in discussions and demonstrating good humour. The homes recruitment process ensures that all staff have appropriate checks carried out prior to them taking up employment to ensure that they are suitable to work with vulnerable people. However notification from an umbrella body was inaccurate but had been diligently followed up by the manager. An increasing number of the staff team have now attained NVQ awards in care at level 2 and some are undertaking level 4. They are able to describe the needs of service users, and information from the manager indicates that they have received training relevant to their job roles and the specific needs of service users. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 17 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 32 33 34 35 36 37 and 38 The manager offers leadership and direction to the staff so that they can consistently meet the needs of service users. Staff have support from the manager to ensure that they carry out their role effectively. The home supports service users to control their day-to-day finances and therefore help them to remain independent but fails to ensure appropriate account is kept of their valuables. Most of the arrangements to ensure that the health safety and welfare of service users and staff are in place and are usually successful. EVIDENCE: The manager has successfully undergone an assessment by the Commission to ensure that she is fit to be the registered manager of the home. The manager has several years experience of managing care services and is currently undertaking NVQ level 4 in care having already completed NVQ level 4 in Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 18 management. There are records which indicate that all staff have had one to one supervision with the manager or senior staff every two months to ensure that their training needs and expected work performance is met. The proprietor of Wellburn Care Homes has provided evidence that the home is financially secure and can continue to provide for service users. Records and procedures are in place which ensure that service users are supported to retain control over their day-to-day finances and when checked, these accurately matched the amounts held by the home. However, the manager does not routinely issue a receipt for valuables handed over by service users for safekeeping and a number of items were currently being stored on their behalf. Staff have undertaken specific instruction which helps them to ensure that service users are protected in the event of a fire at the home. The home has also been inspected by the fire authority to ensure that fire protection systems are adequate and the local authority to assess that measures to protect the health and safety of service users and staff are in place. However some staff practices such as transferring service users in wheelchairs without footrests and poor laundry infection control measures, increase risks to service users. Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 19 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 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 2 X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X 3 2 3 2 2 Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Service user plans must be developed to include detailed instructions of the interventions necessary to meet service users needs. (Previous timescale1.5.05) The manager must ensure that records accurately reflect the levels of medication held and administered at the home. (Previous timescale 1.4.05) Medication records must match the stock of medicines held. (Previous timescale 15.2.05) The manager must ensure that all controlled medicines are appropriately stored at all times. The manager must ensure that a check is undertaken of the homes electricity supply system to ensure that loose wires are not dangerous. The manager must ensure that all wardrobes in the home are secured to prevent them from accidentally toppling over. The manager must ensure that laundry practices must be improved so that infection DS0000007432.V250506.R01.S.doc Timescale for action 01/01/06 2 OP9OP37 13 22/10/05 3 4 5 OP9OP37 OP9OP37 OP19 13 13 13 23 22/10/05 10/10/05 10/10/05 6 OP24 13 10/10/05 7 OP26OP38 13 10/10/05 Ryton Towers Version 5.0 Page 21 8 9 OP31 OP35OP37 9 17 10 OP38 13 control is maintained. The registered manager must have an NVQ level 4 in management and in care. The manager must ensure that a receipt is given when service users valuables are handed over for safekeeping. The manager must ensure that footrests are used when service users are transferred around the home by staff using wheelchairs. 31/12/05 10/10/05 10/10/05 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 Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Ryton Towers DS0000007432.V250506.R01.S.doc Version 5.0 Page 23 - 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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