Care Home: Ribble Valley Respite Service

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What the care home does well The home provided short breaks for adults with a learning disability and considerable emphasis had been placed on providing a service which met individual needs and ensured people had a positive and rewarding time away from home. As such people`s needs were thoroughly assessed and staff were provided with detailed guidance about how best to meet people`s personal and healthcare needs. Activities were planned in advance in line with people`s interests and people were able to take photographs home of the activities as a memento of their stay.The atmosphere of the home was welcoming and the managers and staff interacted with people using the service in a dignified and sensitive manner. People were provided with a comfortable, safe and homely environment in a valued setting. What the care home could do better: People spoken to were pleased with the service, all records viewed were complete and up to date and all legal requirements were met. Random inspection report Care homes for adults (18-65 years) Name: Address: Ribble Valley Respite Service 12 Croasdale Drive Off Mayfield Drive Clitheroe Lancs BB7 1LQ two star good service 21/06/2007 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Julie Playfer Date: 0 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Ribble Valley Respite Service 12 Croasdale Drive Off Mayfield Drive Clitheroe Lancs BB7 1LQ 01200424394 Telephone number: Fax number: Email address: Provider web address: mathew.reece@ssd.lancscc.gov.uk Name of registered provider(s): Name of registered manager (if applicable) Lancashire County Council Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 A maximum of 6 service users, requiring personal care who fall into the category of LD The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Ribble Valley Respite Service is situated within a residential area of Clitheroe about ten minutes walk from the town centre. There are local services and shops within easy reach of the home and access to public transport. The home is a two storey domestic property with six single bedrooms, a communal lounge, quiet lounge and dining kitchen. The home has recently been refurbished and decorated to a high standard Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home throughout. At the time of the inspection (June 2010) the fees were £10.76 per night and £73.35 per week. Information is made available to people using the service and their familes in the form of a statement of purpose and service users guide. Previous inspection reports can be viewed on request to the manager or downloaded free of charge from the Commissions website at www.cqc.org.uk Care Homes for Adults (18-65 years) Page 3 of 9 What we found: We visited Ribble Valley Respite Service on 1st June 2010 to carry out a random inspection. The random inspection allowed us to focus on key areas and did not cover an assessment of all the National Minimum Standards. During the inspection we spent time with people using the service, looked round the home, read some of the peoples care records and other documents and talked to the staff and the manager. We lasted visited this service on 21st June 2007. People and their families were provided with useful information in a suitable format, to ensure they were well informed about the services and facilities available in the home. The information seen had recently been updated to reflect the changes in the building following a major refurbishment. Prior to using the service, people and their families were involved in a thorough assessment of their personal, social and healthcare needs. Staff also liaised with colleges and day centres as well as other professionals to gather information about peoples needs. This meant the staff were aware of peoples current needs and how best to provide care and support. We looked at two personal files in detail, from this we could see both people had a detailed care plan based on their assessment of needs. The plans were person centred and incorporated elements of the Good to Great methodology such as one page profiles. The plans also contained important information about peoples preferred routines, lifestyle and aspirations. The plans were underpinned with risk assessments, which provided the staff with guidance on how best to manage and respond to particular risks. This meant risks were managed in a consistent and safe manner. Staff maintained records of care and support, which provided information about changing needs and any recurring difficulties. The records were detailed and peoples needs were described in respectful and sensitive terms. Health care needs were appropriately assessed and were included in the care plans. Specific plans had also been drawn up to cover particular medical conditions such as Epilepsy. This meant peoples healthcare needs were understood by the staff team and an appropriate response was made to changing needs. The manager explained that some people also had a portable health action plan, which had been drawn up by the Community Nurse Team. The management team liaised closely with the Learning Disabilities Nurse, to ensure people had a positive experience of healthcare services, particularly if they were anxious. Policies and procedures were in place to cover the management of medicines and were available for staff reference in the medication file. Appropriate records were in place for the receipt, administration and discharge of medication and all records seen were complete and up to date. Staff completed accredited medication training every three years and a competency test was carried out by the management team every year. This meant that the staff had received the necessary training to ensure that medication was handled safely. The daily routines were flexible and designed to meet the needs and wishes of the people Care Homes for Adults (18-65 years) Page 4 of 9 using the service. This meant people were able to choose their preferred lifestyle and their individual preferences were recognised. People pursued a range of activities both inside and outside the home, which were carefully planned to suit peoples interests. This approach enabled people to participate in the life of the home and gave them the opportunity to meet other people. The manager fostered an open culture in the home to ensure people were able to express their views in a safe and understanding environment. As such ways of working were in place such as key contact forms, which were completed before and after people used the service, these provided people and their families with the opportunity to discuss their experiences. The complaints procedure was included in the service users guide and contained the necessary information about the complaints process, should a person wish to raise a concern. The manager had not received any complaints. There was a complaints, comments and compliments record available, which included a number of compliments from families and neighbours. Policies and procedures for safeguarding vulnerable adults were available, which provided guidance for staff should they suspect or witness any harmful practice. These issues were incorporated into the induction training and staff received specific tuition as part of their NVQ and mandatory training. This training was refreshed on a yearly basis. The staff also had access to a whistle blowing procedure. This procedure set out a system for staff to report any concerns about colleagues or managers to the relevant authorities. Staff were provided with a broad range of training opportunities, which gave them an understanding of the needs of the people using the service. The majority of the staff had achieved NVQ (National Vocational Qualifications) level 3 or above, which meant they had the necessary qualifications to carry out their role effectively. Relationships within the home were positive and the atmosphere was open and friendly. The home recently reopened following a major refurbishment. The new building had been furnished and decorated to a high standard throughout. The home accommodated up to six people in six spacious single rooms, which included televisions, hand wash basins and double beds. The rooms on the ground floor had been specifically designed for people who required assistance with mobility and had been fitted with specialist equipment such as a tracking hoist. Communal space was provided in a lounge, quiet lounge and dining kitchen, all rooms provided ample space for the pursuit of recreational activities. Bathrooms and toilet facilities had been updated, with the bathroom on the ground floor providing an assisted bath. The gardens had also been landscaped and a decking area had been added for peoples use in fine weather. What the care home does well: The home provided short breaks for adults with a learning disability and considerable emphasis had been placed on providing a service which met individual needs and ensured people had a positive and rewarding time away from home. As such peoples needs were thoroughly assessed and staff were provided with detailed guidance about how best to meet peoples personal and healthcare needs. Activities were planned in advance in line with peoples interests and people were able to take photographs home of the activities as a memento of their stay. Care Homes for Adults (18-65 years) Page 5 of 9 The atmosphere of the home was welcoming and the managers and staff interacted with people using the service in a dignified and sensitive manner. People were provided with a comfortable, safe and homely environment in a valued setting. 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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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