Inspection on 01/12/08 for The Ridings

This inspection was carried out on 1st December 2008.

CSCI found this care home to be providing an Excellent service.

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 Ridings 05/12/06

The Ridings 09/12/05

The Ridings 18/05/05

The Ridings 11/10/04

The Ridings 19/04/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Ridings Calder Close, Daventry Road Banbury OX16 3WR     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kate Harrison     Date: 0 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: The Ridings Calder Close, Daventry Road Banbury OX16 3WR 01295276767 01295277107 karen.kyme@anchor.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Anchor Trust care home 41 Number of places (if applicable): Under 65 Over 65 0 41 0 dementia old age, not falling within any other category physical disability Additional conditions: 41 0 41 The maximum number of service users to be accommodated is 41. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) Physical disability (PD) Date of last inspection Brief description of the care home The Ridings opened in 1996 and was purpose built to provide accommodation in flats or bed sitting rooms. It is situated on the outskirts of Banbury. The home offers 39 permanent places and one respite place in a designated room. Among the facilities at the home are a large lounge and dining room with a bar, shop, activity room, library and small sitting room on the ground floor. There are two laundry rooms and a telephone kiosk for residents use. On the first floor there is another lounge, a small sitting room and a hairdressing room. There are two lifts that are fully wheelchair accessible and equipped with a seat. The grounds and the gardens at the rear of the Care Homes for Older People Page 4 of 23 Brief description of the care home home are very attractive with a gazebo and garden ornaments and a large patio area for service users to enjoy. There is an adjoining day centre, which is staffed and managed separately from The Ridings. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was an unannounced Key inspection and was conducted by one inspector over 6 hours during one day. It was a thorough look at how well the home is doing, and took into account detailed information provided by the home through the Annual Quality Assurance Assessment (the AQAA) and any other information we received about the service since the last inspection. We asked the views of people living in the home through our survey, and other people we met during our visit. We saw documents and records about the care provided and discussed the running of the home with the temporary and deputy managers. We saw all areas of the home used by the people living there, we looked at how the home manages peoples medication, and we observed lunchtime in the dining room. We spoke to several people living in the home and to staff members about their experience of the home. We looked at how the Care Homes for Older People Page 6 of 23 home is meeting the standards set by the government, and in this report we make judgements about the standards of the service. The date of the last inspection of the home was 5th December 2006. The fees are GB pounds 644 per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home carries out a full assessment of needs before deciding if the home is able to meet the individuals health and welfare needs. Evidence: The home uses Anchor Trust documentation to record information, and the team leaders who carry out the preadmission assessments are trained to do so. We saw the preadmission assessments for three people, and they contained all the information necessary to help the home to decide if they could meet the individuals health and welfare needs. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home receive a personal health and welfare service and can rely on the staff team to meet their needs. Evidence: We checked the care plans of four people to see how the home managed health and personal care needs. We saw that risk assessments were carried out for all the individuals, including falls risk and assessments for nutrition. Where the risk assessments showed that the risks needed to be minimised we saw that care plans were developed to give staff members enough information to deliver the appropriate care. A baseline assessment is carried out within 24 hours of an individual being admitted, so that the care staff have all the important information about the individual, and care plans are completed over the following days. We saw that individuals are consulted about their care, for example through the medication administration agreement individuals can decide if they want to manage their medication independently or with help from the staff. People who responded to our survey said that they received the medical support they needed at the home. There is a good Care Homes for Older People Page 11 of 23 Evidence: system in place to support people living in the home to keep appointments with their general practitioner or NHS consultant. The Anchor organisation has specialist teams available, such as the dementia specialist team, to help train the staff to care for all the people living in the home. There are good relationships with the hospitals and with the district and community psychiatric nurses, and the home is able to access any equipment needed. One healthcare professional said that the staff team are very helpful and efficient, and give good personalised care to the individuals living in the home. People can decide when they are admitted to the home if they want to manage their own medication, and the home supports people to do this safely. The home has policies and procedures available to guide staff about managing medication, and only team leaders who have completed advanced medication training administer the medication. Medication is provided by a well known pharmacy and is delivered monthly. We saw that all medication received at the home is recorded, and that the controlled drug records were correct and up to date. We noted that people living in the home are treated with respect, for example staff take time to listen and respond to individuals. Staff receive training about the rights of the individuals they care for, and people living in the home who responded to our survey question about staff said that they always listen and act on what they say. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are consulted about their preferences and the home strives to meet all the different needs. Evidence: The majority of people who responded to our survey said that there are usually activities arranged that they can take part in, and one person commented that the activities are sometimes very good. We spoke to the activities organiser who has been at the home for several years, and who has completed training about the role. People living at the home are consulted about the activities they would like to have at the home, and as a result there are different types of activities to suit most people. The keyworkers from the care team are also included in organising activities. There is a variety of group and individual activities, physical and social activity, community and home based events, and celebrations marking seasonal and religious events. The home takes part in community events such as local health walks, and has regular entertainment from local performers. People living at the home were recently involved in a project where they wrote songs and performed them at a local venue. The home has a system of self assessing performance, the Activity Benchmark Quality Indicators, so that the home can continue to improve the quality of life in the home. Care Homes for Older People Page 13 of 23 Evidence: Visitors are welcome at the home and individuals are supported to practice their religion if they want to. Representatives from local churches visit and people attend services if they want to. Meals and mealtimes are seen as important in the home and people are consulted about the homes menu, so that they get the food they want. The dining room is well presented with tablecloths and serviettes and drinks are available at different areas throughout the home. The majority of people who responded to our survey said that the food was usually good. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are able to make their views known, and are protected from harm by the homes policies and procedures. Evidence: The homes complaints procedure is displayed in the home, and a record of all the complaints received is kept. We saw the complaints record and noted that complaints are promptly responded to. All the people who responded to our survey said they knew whom to speak to if they were unhappy. We have not received any information about complaints made to the home since our last inspection. The home has a safeguarding policy and procedure to make sure that the staff team know how to protect people living in the home from harm. All new staff members receive training about how to recognise abuse at induction, and update training is provided regularly for other staff. The Anchor organisation has appointed a care specialist to support a consistent approach to abuse issues, and is reviewing the organisations safeguarding processes. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from the spacious, well-maintained safe environment provided by the home. Evidence: The home was purpose built and is spacious and clean. There is a variety of large and small communal areas available, including a hairdressing room, several lounges and a dining room. The home has a full time person responsible for maintenance, and there is a programme of renewal of furniture and fittings. New furniture has been provided for the lounges and reception area recently. The garden area is being developed to provide improved access and better facilities for all the people living in the home. The home has improved its management of infection control, by developing an action plan from the Department of Healths Essential Steps to Infection Control and developing a handwashing training programme for staff. The homes laundry room is appropriately equipped and staff are provided with protective equipment as needed. People who responded to our survey said that the home is always fresh and clean. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are supported by a safe, well trained staff team. Evidence: The homes staff rota shows that there are sufficient numbers and a good mix of skills on duty over the 24 hours. Each shift has a shift leader and the home operates the key worker system, so that individuals know whom to approach about their care. The majority of the people living at the home who responded to our survey said that there are usually staff available when they need them. The homes recruitment is managed by the Anchor Recruitment team, and we saw three staff files to check the recruitment procedures. All the necessary information was available, and those individuals who are awaiting their Criminal Records Bureau clearance work under supervision until a clear certificate is received. The homes training programme is managed by Anchor National Learning and Resource Centre, and the centre alerts the home when training updates are needed by individuals in the staff team regarding mandatory training or dementia training. The Anchor organisation provides some training, and other training is provided by organisations such as the NHS. A healthcare professional was in the home from the NHS delivering training about palliative care during our visit. Of the 22 carers, 14 have National Vocational Qualifications (NVQ) Level 2, and this is above the national minimum standard. The senior team leaders are encouraged to take NVQ Level 3 Care Homes for Older People Page 17 of 23 Evidence: training, and several are taking or have the qualification. The temporary manager and the deputy manager have taken further training about running the home. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interests of the people living in the home. Evidence: The home has no registered manager at present, so Standard 31 was not assessed. The home is well managed by a temporary manager, supported by a deputy manager and Anchors area support manager. The area support manager carries out unannounced monthly visits to the home, and has other support systems in place to support the temporary manager. The two requirements made at our last inspection have been met. The home has a comprehensive quality assurance system, including regular surveys to people living in the home and their relatives, and regular quality audits on the homes systems. The home encourages individuals to manage their own petty cash, and supports some individuals who have no other support. Petty cash is kept securely, and there is a good system in place to record transactions and provide statements. Care Homes for Older People Page 19 of 23 Evidence: Anchor has a health and safety department who supports the home to maintain and improve the homes health and safety systems. There is always a staff member with a current first aid certificate on duty. Identified members of staff are responsible for different safety topics such as fire training. The home provides mandatory training for staff in health and safety topics, and has a fire risk assessment in place and evacuation equipment provided. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 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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