Inspection on 07/06/07 for The Raikes

This inspection was carried out on 7th June 2007.

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

The Raikes 20/08/09

The Raikes 08/06/06

The Raikes 01/11/05

The Raikes 13/05/05

The Raikes 16/11/04

The Raikes 08/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE The Raikes Bradley Road Silsden Keighley West Yorkshire BD20 9JN Lead Inspector Ashley Fawthrop Key Unannounced Inspection 7th June 2007 10:00 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 The Raikes DS0000001298.V336024.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. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Raikes Address Bradley Road Silsden Keighley West Yorkshire BD20 9JN 01535 653339 01535 653952 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) Crabtree Care Homes Mrs M Madden Care Home 31 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (10) The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2006 Brief Description of the Service: The Raikes is a detached property on the outskirts of Silsden, halfway between the towns of Keighley and Skipton. The home is set in attractive gardens with views across the surrounding countryside. The Raikes is part of a group of homes owned by Crabtree Care Homes. The home is registered to provide personal care for up to 31 older people. Accommodation is provided in single and twin rooms on the ground and first floor. There are three lounges and a dining room. Two passenger lifts provides access to the first floor. A parking area is provided to the side of the property. The currant rate of fees range between £384.70 and £406.50 additional charges are invoiced for hairdressing £4.50 to £22.00 and chiropody £11.00 The Raikes DS0000001298.V336024.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 without prior notification and was conducted by one inspector over the course of one day. Before the visit, accumulated information about the home was reviewed. This included looking at the number of reported accidents and incidents and reports from other agencies, i.e., the Environmental Health Officer. This information was used to plan this inspection visit. The inspector case tracked tree people’s care plans. Case tracking is the method used to assess whether people who use services receive good quality care that meets their individual needs. Where appropriate, issues relating to the cultural and diverse needs of residents and staff were considered. Using this method, the inspectors assessed all twenty-one key standards from the Care Homes for Older People National Minimum Standards, plus other standards relevant to the visit. The inspectors spoke with identified people who live at the home and relevant members of the staff team who provide support to them. Documentation relating to these people were looked at. Where possible, contact was also made with external professionals to obtain their opinions about the quality of services provided at the home. What the service does well: What has improved since the last inspection? The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 6 The home has improved it’s consistency in recording and most of the information in pre admission assessments and care plans was available. There is evidence that people have an opportunity to socialise and recommended in last years report has been added to care plans now giving the impression that social needs has an equal priority than physical needs. Staff supervision has been maintained and consolidated. The policies and procedures relating to the recruitment of staff is most important if people are to be protected from potential abuse records relating to criminal checks are now held on file and all the information relating to the individual must was evident. The quality audit has improved and now reflects the opinions of the people who live in the home and their representatives on the quality of the service and is used as part of the development plans for the home. 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. The summary of this inspection report can be made available in other formats on request. The Raikes DS0000001298.V336024.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 The Raikes DS0000001298.V336024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. The home does provide good information on the service so that people can decide if the home can meet their need before they move in. The pre admission assessments and visits by people is important and has been consistent this year. People are encouraged to visit the home before moving in. EVIDENCE: The statement of purpose has not changed since the last inspection and continues to be available to people before they move into the home. This is an improvement on last year’s findings. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 9 The document contains good information about the home and the services it provides. There is information about how people are consulted about their care. Maintaining contact with friends and family is important and how people’s religious beliefs are respected. There is also information on the environment and policies regarding personal possessions, finances and complaints. This allows people to make an informed choice about whether or not the home can meet their needs before they move in which is good practice. There were pre admission assessments on all of the care plans of people that had been admitted since the last inspection. Information included the physical, mental, social and emotional needs of people. The information gave staff an over view of the persons needs as a whole and did not focus on their disabilities. There was evidence that the social needs are as important as physical needs, which is good practice. There was evidence that the home recognises the importance of people or their representatives visiting the home before moving in. This is written in the statement of purpose. We would recommend that where people do visit the home that any assessment made on the day of the visit be part of the care plan. People who were new to the home said that they did receive information about the home and did meet staff before they moved in. The Raikes DS0000001298.V336024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. The care plans reflect the needs and wishes of the people they written for. People who live in the home and their representatives are involved in care planning and their wishes are taken into account. EVIDENCE: The records of three people were case tracked as part of the inspection and information on the whole continued to be consistent in each plan related to the needs of the individual it was written for. Assessments on daily living continue to be available as were risk assessments relating to mobility, mental and physical needs. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 11 Care plans continued to have good information about life histories and pen pictures giving staff a picture of an individual past experiences and what makes them individual. This information was available on all care plans of people who have moved in since the last inspection. There was evidence that people have access to other services such as GP’s dentists, opticians, chiropodists and other NHS services and these were recorded on the care plan. There was documented evidence that people and where needed their representatives were involved in the planning of the care and were involved in specific approaches to care through risk assessments. This is good practice as it is recognised that manager and staff understand it is important that people are empowered and have the opportunity to take informed risks. Monthly reviews continue to be consistent on all the plans seen and the information was good. On a small number of care plans the reviews were not up to date but there was a lot of good information for staff to see minimising the risk of not giving up to date care. The manager did recognise this as a risk and has said she will address the problem. Trained staff gives out the medications, they are stored in a locked trolley. The procedure for giving out the tablets is safe and staff follow the correct procedures. The recording is good and the risks of mistakes being made are low. This is good practice. People said that they were happy with the level of care provided and were very happy with the approach of the manager they said that she was approachable and acted on any issues that were raised. Others said they were happy with the care they received, friends and relatives were welcome at all times and they were very happy with the care provided by staff. The Raikes DS0000001298.V336024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. Interaction and social activities are seen as important and service users are given the opportunity to be involved. Staff treat people in the home with respect and maintain their dignity and privacy at all times The medication policies and procedures are safe. EVIDENCE: I observed the interaction between staff and people living at the home and these were relaxed and respectful. Staff continued to be attentive to the needs of people who needed assistance at meal times and were observant of people who were not eating. people were not rushed and the meal appeared relaxed. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 13 The meal provided on the day was the meal recorded on the menu. As well as protein, vegetables and fruit were included in the meal. There was banter between some of the people living at the home and the staff this was in good humour and not patronising. On touring the building people were seen to continue enjoying the privacy of their own rooms and entertaining visitors. There is a statement on visiting in the statement of purpose and there are no restrictions on when people can have visitors. People continue to be involved in activities and staff were seen to sit and talk to individuals. The activities that are provided include bingo and entertainers. Representatives from different religious denominations visit regularly. There are a number of people that go out with their relatives or to clubs in the area. Socialisation is now included in the care plan as recommended at the last inspection and is now seen as just as important as physical needs and are addressed equally. People said that the staff make it a home that is comfortable and happy and that they have the opportunity to live their own lives as they wish. The Raikes DS0000001298.V336024.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. People who live at the home and their representatives were able to raise concerns and complain if necessary. This is seen as important to the home as they have acted on issues in the past Service users are safeguarded from abuse. EVIDENCE: There have been no complaints received regarding this service since the last inspection. People said that if they had complaints or concerns they would report these to the manager. Concerns have been raised in the past and these had been acted upon and the outcome was positive. There is a complaints procedure available in the service users guide and continues to be on display in the home. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 15 Staff continue to attended the adult protection training and there are policies and procedures relating to the protection of vulnerable adults and whistle blowing and are available to staff. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 16 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): 19, 20, 22, 23, 24 and 26 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. The home is well maintained and people continue to have the opportunity to express individuality and have ownership of their rooms. The home is clean and tidy and the laundry is appropriately staffed. EVIDENCE: There was evidence that the home is maintained to a good standard and records are maintained. Staff are employed specifically to maintain the home. Most of the rooms have now been refurnished were refurbished last year and people have the opportunity to furnish their bedrooms with personal items giving them a feeling of ownership and an expression of individuality. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 17 The home was clean and tidy and the laundry was well organised both laundry and cleaning staff are employed additionally to the care staff. There are sufficient bathrooms and WC’s and there are plans to convert one into a shower room with wheelchair access. In order to maintain people within the home who require specialist equipment some internal building work has been done. This has not changed the lay out of the home but has allowed staff to care for people safely in the home. This is evidence that the manager and staff work hard to make sure that the needs of all the people in the home are met on an individual basis and is very good practice. Since the last inspection some rooms have been re carpeted, the reception area has been repainted and there are new chairs in the dining room and lounge. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. Staff continue to be inducted and trained to a good standard and meet people’s needs The recruitment and selection process is robust and protects people from potential abuse. EVIDENCE: People said they could get up in a morning and retire to bed when they wished and one visitor said “I think the staff are wonderful and the care of my relative is excellent”. Evidence to support this continues to come in the training done by staff and they continue with NVQ training programme at levels 2 and 3. Other training includes nutrition and healthy living, dementia care and challenging behaviour, safe handling of medications, food hygiene and moving and handling. Staff have also undertaken training in infection control and palliative care. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 19 The Induction training is in line with Skills for Care and is completed to a good standard. Staff continue to receive an orientation day on the day when they first start work this makes sure they are aware of the fire procedure and emergency exits as well as being introduced to staff and service users. Staff said they received training from the commencement their employment and since the last inspection all staff who give out medicines have done appropriate training as this is good practice and reduces the risk of mistakes being made. We inspected the files of staff, most of the information relating to application forms for employment, references, inductions and training and development was available and as required at the last inspection evidence of criminal records checks were available. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35, 36 and 38 People using the service experienced good quality outcomes. We made this judgement by using a wide range of evidence including a visit to the service. He manager has been registered with the Commission and is managing the home to a good standard. People who live at the home visitors and staff are protected and kept safe by the policies relating to health and safety. The Quality Audit does has been updated since the last inspection reflects the opinions of people who live at the home and their relatives.. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 21 EVIDENCE: Since the last inspection the Commission has registered the manager, this is evidence that she is a fit person to run a care service. She is continuing with her NVQ level 4 with the Care Managers award and hopes to complete both this year. As part of the homes Quality Audit the home is asking service users and their representatives for comments in the form of a questionnaire and is responding to these on an individual basis. The information must also be used in the plan for the homes future development. Formal supervision continues to be done regularly and many of the staff have a record of supervision on file. The manager has continued to plan in supervision time for all the staff and this has improved since the last inspection. There are health and safety policies and procedures in place. Staff continue to undertake training in health and safety, infection control, basic food hygiene and moving and handling. The fire system is checked on a regular basis and staff undertake fire training. The last inspection identified that there was no evidence was available that a competent person had serviced the hoists. A certificate was available at this inspection. The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 22 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 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 X 18 3 3 3 X 4 3 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 3 X 3 The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 23 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. 5. Standard OP7 Regulation 15(1) Requirement All the information required to ensure the care plan is fully completed must be available without gaps Timescale for action 30/09/07 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 The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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. Extracts may not be used or reproduced without the express permission of CSCI The Raikes DS0000001298.V336024.R01.S.doc Version 5.2 Page 25 - 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. 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