Inspection on 09/12/05 for The Ridings

This inspection was carried out on 9th December 2005.

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 Ridings 01/12/08

The Ridings 05/12/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Ridings Calder Close, Daventry Road Banbury OX16 3WR Lead Inspector Carole Moore Announced Inspection 9th December 2005 09:30 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 Ridings DS0000013127.V258445.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. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Ridings Address Calder Close, Daventry Road Banbury OX16 3WR 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) 01295 276767 01295 277107 Anchor Trust Mr Richard Martin Armstrong Care Home 40 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (21) The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 40. 18th May 2005 Date of last inspection Brief Description of the Service: 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 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. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out on Friday 9th December, 2005. Not all the key standards were assessed at this inspection as a majority had already been assessed and met at the unannounced inspection in May 2005. Standard 7 in relation to care records was reassessed and met at this inspection. The inspector was made to feel very welcome by both staff and residents and was appreciative of the cooperation of all the staff who were on duty at this time. The inspector toured the building, looking at most of the communal areas, the laundry and the kitchen. A majority of the time was spent talking to residents and individual time was spent talking with staff, the cook, a senior care leader, several carers, a visiting professional, the deputy manager and the registered manager. Three residents’ records of care were inspected to view the new changes that had been implemented and three new staff members’ records were looked at in detail, as well as paperwork relating to the health and safety of the home. The senior care leader was observed carrying out the lunchtime medication round and the inspector observed residents having their lunch. The inspector sat in on the handover meeting and observed staff passing the necessary relevant information on residents from one team to another. Positive comments had been received prior to the inspection from five GP practices and all expressed satisfaction with the overall care provided at The Ridings. Visiting professionals also made positive comments and residents were happy with their overall care, saying ”Staff are marvellous”, “Nothing too much trouble”, “Caring and respectful staff”. Relatives’ comments included, “Very warm, caring and friendly atmosphere”, “Staff committed to residents’ care”. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 7 There needs to be a change to the menus to improve the overall healthy eating programme. Residents also confirmed that they would like changes made to the menus. The covers on the easy chairs in the main lounge need replacing as they appear to have shrunk and it detracts from the general ambience of the home. There needs to be someone who takes ultimate responsibility for ensuring that all the necessary paperwork and checks are carried out prior to employing staff. 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 Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 8 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 Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 9 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): Standard 3 was assessed at the unannounced inspection on 18th May 2005 and Standard 6 is not applicable. EVIDENCE: The Ridings DS0000013127.V258445.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 &10. There is a safe system of medicine administration given by trained staff. Staff are respectful to residents. EVIDENCE: The home has appropriate policies and procedures to manage the storage, recording and distribution of medication. The inspector spent time with the senior care leader during the distribution of the lunchtime medication and all medicines were stored safely in a locked medication trolley. The medication records were examined and found to be accurate and all appropriately signed. New paperwork has also been introduced in relation to medication and all residents have their own medication checklist files. The inspector spoke to six residents and was assured that residents are treated with respect and that their privacy is respected. It was made entirely clear that no one enters a resident’s flat without first obtaining permission from that resident. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 11 The care records of three residents were re-examined and a great deal of hard work has gone into implementing new procedures and paperwork in relation to falls. There is now a separate record sheet for any falls or accidents, with outcomes and treatments well documented. The Ridings DS0000013127.V258445.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): 13 & 15. Every effort is made to ensure that residents enjoy their meals and residents maintain contact with family and the local community. EVIDENCE: The inspector was present whilst the lunchtime meal was being prepared and served. Ingredients used were fresh and a choice was available. The system of ordering food has changed and choices are now given at the point of serving, which the residents do prefer. Feedback from some of the residents following the healthy eating campaign was that they would prefer a change to the current menus and this is in hand. The cook is also applying to obtain the “Healthy-Eating Award”, which is excellent practice..” The dining room was a pleasant well-decorated room and lunch was unhurried, with carers assisting those less able residents. There are a variety of visitors to the home and they confirmed that they are made to feel very welcome. Residents are also encouraged to be active in the community and are taken into Banbury for shopping, or to local activities, for example the pantomime. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 13 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. The home has a clear complaints procedure and residents’ rights are protected. EVIDENCE: Residents spoken to confirmed that, if they had any area of concern, they would speak to the manager and they felt confident that their views would be listened to and acted upon. Residents’ meetings provide a forum to discuss day-to-day issues and residents feel very involved with this process. Residents are able to access advocacy services should the need arise and are enabled to exercise choice in the voting process. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 14 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, 20, 21 & 26. Residents live in a safe, homely and well-maintained environment. EVIDENCE: The tour of the building showed that the home was clean, fresh smelling and well maintained. It is a bright, spacious and pleasant environment. The domestic team were working around the home during the time of inspection and need to be commended for all their hard work. Recommendations were made at the last inspection in relation to the bathroom flooring and this continues to be monitored and the manager assured the inspector that the home would be having new flooring in some bathrooms in the New Year. The home has sufficient communal areas that can provide for entertainment or for peace and quiet. The main lounge is spacious with ample comfortable seating. Some of the covers on the easy chairs could do with replacing as they have shrunk and this spoils the overall décor in the room. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 Residents are protected by the home’s recruitment procedures, but care needs to be taken that all requirements in Schedule 2 of the Care Homes Regulations have been met. EVIDENCE: Three staff records were examined and the home does follow a clear recruitment procedure. The inspector has recommended that a front sheet checklist be implemented to ensure that all the necessary information is in place and that one person remains responsible for ensuring this. It is also recommended that job histories are critically evaluated and any gaps identified and recorded. In one file the inspector could only find one reference and yet the manager was certain he had obtained two. It is a requirement that two written references are on file. The manager has since forwarded the second reference and it was dated December 16th2005. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 16 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): 35. Residents’ petty cash is well managed. EVIDENCE: The home administrator is responsible for the residents’ petty cash and she ensures that all the records are well maintained. The inspector had sight of the records and each resident has their own separate account sheet with all receipts and transactions recorded. There is also a property file and any valuables are kept locked in the safe for safekeeping. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 17 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 X X X X 3 STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP29 Regulation 19(5) Requirement It is a requirement that two written references are obtained and kept on file before employing a member of staff. Timescale for action 01/01/06 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. 2 3 Refer to Standard OP19 OP19 OP29 Good Practice Recommendations Bathroom floors need to continue to be monitored for wear to prevent a potential accident. Covers on the easy chairs in the main lounge could do with replacing. It is recommended that a front sheet checklist be implemented and kept on the recruitment file to ensure that all the necessary information is collected before employing a member of staff. The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 The Ridings DS0000013127.V258445.R01.S.doc Version 5.0 Page 20 - 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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