Care Home: Radcliffe

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What the care home does well Some positive comments were received from the surveys. Relatives are satisfied that their loved one is well cared for. One person commented that people are treated with dignity and respect, provide good food, create a homely atmosphere and a stable staff team who seem to enjoy their jobs. People`s needs are assessed prior to them moving in to the care home. The home continues to provide a warm and homely environment for people. A relative said the home is clean and people who responded to the survey were positive in their comments regarding hygiene standards in the home. People are provided with a choice of meals and people spoken to during this visit said the food was good and there is plenty to eat. The home continues to work hard to ensure staff are trained and have the skills required to ensure they can care for people properly.The manager and the staff work hard to ensure the home is run in everyone`s best interests. What has improved since the last inspection? There has been some maintenance and refurbishment work carried out at the home since the last visit by the CSCI. What the care home could do better: Improvements should be made to ensure there is sufficient detail in care records. Staff need to be fully informed of individual care needs. CARE HOMES FOR OLDER PEOPLE Radcliffe 444 Huddersfield Road Mirfield West Yorkshire WF14 0EE Lead Inspector Bronwynn Bennett Key Unannounced Inspection 15th November 2007 09:20 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 Radcliffe DS0000026287.V354874.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. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Radcliffe Address 444 Huddersfield Road Mirfield West Yorkshire WF14 0EE 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) 01924 493395 01924 493225 enquiries@theradcliffe444.co.uk Mr Kevin Martin Janet March Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2007 Brief Description of the Service: The Radcliffe is a care home registered to provide personal care and accommodation for up to 34 older people. There is an extension to the original building, and all the bedrooms in this extension are en-suite; five bedrooms in the original building have en-suite facilities. All the bedrooms are for single occupancy. People living at the home have use of a passenger lift and a wheelchair lift in the extension of the home. Outside, there is a garden and patio area with a seating area. Car parking is available. The Radcliffe is on a bus route close to Mirfield town centre and Huddersfield is within easy reach. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included an unannounced visit. The visit began at 9.20 am and finished at 1.40 pm. During this visit the inspector spoke to people living at The Radcliffe care home, some staff and the manager. The inspector read records of people’s care and records about staff working at the home, looked at how medicines are given and looked at the accommodation available in the home. There were thirty-four people living at the home on the day of this visit. Before this visit, the Commission for Social Care Inspection sent out questionnaires to people living at the home and their relatives. Prior to this visit, the manager carried out a self assessment to show how they feel the home is performing and gave the CSCI information that had been requested, for example about any illnesses, accidents and incidents and how the home is managed. The inspector would like to thank everyone for their assistance during this inspection process. What the service does well: Some positive comments were received from the surveys. Relatives are satisfied that their loved one is well cared for. One person commented that people are treated with dignity and respect, provide good food, create a homely atmosphere and a stable staff team who seem to enjoy their jobs. People’s needs are assessed prior to them moving in to the care home. The home continues to provide a warm and homely environment for people. A relative said the home is clean and people who responded to the survey were positive in their comments regarding hygiene standards in the home. People are provided with a choice of meals and people spoken to during this visit said the food was good and there is plenty to eat. The home continues to work hard to ensure staff are trained and have the skills required to ensure they can care for people properly. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 6 The manager and the staff work hard to ensure the home is run in everyone’s best interests. 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. The summary of this inspection report can be made available in other formats on request. Radcliffe DS0000026287.V354874.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 Radcliffe DS0000026287.V354874.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): 3. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit. People are properly assessed before moving into the home with the assurance that their needs will be met. EVIDENCE: The care records of three people living in the home were examined and two of the three people were found to have appropriate community care assessments, which are carried out by Social Services, prior to admission and provide the information the home needs to know about these people. The home also carries out their own assessment of people prior to confirming whether their needs can be met at the Radcliffe. The third person had been admitted from another care home in the group and information had been passed to the Radcliffe regarding the needs of the individual. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 9 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 who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit. The level of care people need, which includes their health, personal and social care needs, are clearly highlighted within their care plan. Medication is managed well. EVIDENCE: The care plans of three people living at the home were examined. These were clear documents which identified the needs of people, how their needs should be met and were very detailed and individualised. For two of the three people, these records included assessments to identify whether individuals are at risk of falling, need help to move about the home, developing pressure sores or having problems eating and drinking. However, the third person had not had these assessments completed within two weeks of being admitted to the home. This practice needs to be improved and risk Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 10 assessments should be carried out on admission to ensure that risks are identified and properly managed to ensure the safety and wellbeing of people. The daily records examined were adequately detailed in their content, however the manager had already identified some areas where these could be improved and had already spoken to staff about this. The people living at the home on the day of this visit looked well cared for, comfortable and relaxed. People responded well to the staff and it was evident from observing staff interaction with people living in the home that they knew each individual’s likes, dislikes and needs. Feedback from people living in the home, and those spoken to on the day of this visit, was positive. People said that staff are kind, pleasant and approachable, and they were able to laugh and joke with them. The healthcare needs of people are met. Evidence was seen of involvement from people’s doctors, opticians, dentists and other healthcare professionals where needed. The medications of four people were checked and all were found to tally with the records held. Medications are stored appropriately and a staff signatory list is in place to ensure that it is clear who has administered medications. During this visit staff were observed to maintain the privacy and dignity of people. Staff approached and spoke to people in an appropriate manner. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 11 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 who use 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. Individual cultural, religious and social needs are being met and people are supported to maintain contact with their family and friends. People are able to exercise choice and control over their lives. The home provides the people living at the home with a varied and nutritious diet. EVIDENCE: The results from the survey showed that people had activities arranged by the home that they can take part in. Two people said they sometimes choose not to take part in activities. A relative commented in the survey that the home should provide more entertainment and activities. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 12 The home arranges activities such as aromatherapy, chair exercise, arts and craft, shopping trips and there is outside entertainment brought in to the home. Religious observance is respected. Some individuals go to church and religious ministers visit the home regularly. The manager said there are no restrictions in visiting the home and relatives spoken to during this visit said they can visit when they wish and they are always made to feel welcome by the staff. People are supported to handle their own finances if they choose to do so. Lockable facilities are available so people can keep personal items private and safe. During this visit breakfast and lunch was observed and meals were seen being provided in a relaxed and unhurried manner by the staff. A choice of meals is available and people are consulted daily regarding their choice of meals. Everyone was positive in the survey when asked if they liked meals at the home and everyone spoken to during this visit said the food was good. The inspector sampled the lunch served on the day of this visit which was very nice. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use 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 home, and their relatives, are confident their complaints will be listened to and acted upon. Individuals are protected from abuse. EVIDENCE: Everyone’s response was positive when asked if they knew who to speak to if they were not happy, and everyone said they knew how to make a complaint. The home has a complaints procedure and there have been two complaints made to the registered provider since the last visit by the CSCI that are now resolved. All staff have received (Adult Protection) safeguarding training to ensure they know how to respond should there be any allegations of abuse in the home. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use 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. Generally people live in a safe and well-maintained environment. The home is clean and people have comfortable rooms with their own possessions around them. EVIDENCE: The inspector had a look around the home and it was clean and odour free, and everyone who responded to the survey said the home is fresh and clean. The home has an ongoing maintenance programme. Since the last visit by the CSCI there has been some redecoration, new heating boilers, new shower Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 15 room and a new bathroom. Some carpets have been replaced and new carpets will be fitted to the hall and stairs in unit 1 shortly. The manager said there is ongoing decoration planned in the home. Some individual rooms were seen and had been personalised by the person with items such as pictures and other personal effects. The laundry facilities were seen and were clean, well organised and fitted with suitable equipment for hand washing. The manager said the laundry floor will be repainted shortly. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. People who use 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. Staff are employed in sufficient numbers and receive training to ensure they are competent to do their jobs. People are protected by the home’s recruitment practices. EVIDENCE: Everyone who responded to the survey said the staff were available when needed and listen and act on what they say. There were positive comments received from the relative surveys such as, the staff treat people with dignity and respect, the staff have a good relationship with the all the staff and the staff are true carers. A relative spoken to during this visit said the staff are “Wonderful”. People spoken to during this visit said the staff are “good”. During this visit staff were observed caring for people with kindness and consideration, and treating people in a dignified and respectful manner. The staff spoken to during this visit had a good understanding of individual care needs. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 17 During this visit, three staff files were looked at and contained the information required to ensure people living at the home are protected by the home’s recruitment procedures. All new staff complete basic induction training to ensure they have the right skills to care for people. The home has introduced “Skills for Care” induction standards. (Skills for Care is the national training organisation). Ten staff have achieved the NVQ level 2 in care. The manager said domestic staff are registered for NVQ training. The home works hard to ensure all staff receive basic training to ensure they are competent. All staff have completed adult protection (safeguarding) training, fire and manual handling training, food hygiene, first aid, health and safety and infection control. In addition, many staff have completed specialist training in dementia care. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 18 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 and 38. People who use 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 and managed by a person who is fit to be in charge and run in the best interests of people who use the service. The financial interests of people are safeguarded. Generally, the health and welfare of everyone is promoted and protected. EVIDENCE: Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 19 The home’s manager is Ms Janet March, she has many years’ experience of working with older people. The manager was observed sharing positive relationships with people living at the Radcliffe and the staff team. There is a quality assurance system that seeks the views of people who live at the home, their relatives and visiting professionals such as the district nurse and GPs. The manager has published the findings from quality monitoring carried out in the home. Three individual finances and financial records were checked and were correct. The fire records were checked. There is weekly testing of the home’s fire alarm system and emergency lighting. Other information looked at during this visit showed that equipment and services in the home is serviced regularly. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 20 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP8 Good Practice Recommendations Sufficient detail of individual care needs should be documented in care records. Identified risks for people should be documented in individual care records. Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Radcliffe DS0000026287.V354874.R01.S.doc Version 5.2 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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