Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd June 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Ribston House.
What the care home does well The last person admitted to the home from outside the organisation was thoroughly assessed before they were offered a service. Two staff have recently completed an activity co-ordinators course at a local college. They are now taking responsibility for arranging activities around the home and completing assessments/reviews of activities that people complete to enable improvements to be implemented as required. People were seen to be leading active lives in and outside the home. Staff complete comprehensive notes each day that detail what people have been doing and what they have eaten. This makes it easy to review. Ribston house is a property specially built to meet a range of physical needs that people may display. At the time of this site visit people were in the process of choosing different colours they would their bedrooms and communal areas painted. Our tour of the premises showed that it is mantained to a high standard and a soft room has been created since we last visited. To the rear of the property is a garden that is accessible by wheelchair users. The acting manager stated they are planning on creating raised flowerbeds to enable wheelchair users to create flowerbeds indpendently. The home`s recruitment procedures are robust and the records we examined showed that people are not being put at unnecessary risks. We examined accident records dating back to when the home opened last year, no shortfalls were identified. What the care home could do better: When examning one person`s care package we found it contained a range of plans to address the person`s needs. Unfortunately we were unable to find evidence of the plans being reviewed since the person was admitted. This makes it difficult to confirm that the person`s needs were still being met. It becomes a requirement of this report that themanager ensures that all care plans are dated and reviewed regularly. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Ribston House 210a Stroud Road Gloucester Gloucestershire GL1 5LA one star adequate service 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: Paul Chapman Date: 2 3 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Ribston House 210a Stroud Road Gloucester Gloucestershire GL1 5LA 01452657577 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Balkarran Tokhai Type of registration: Number of places registered: Conditions of registration: Category(ies) : New Beginnings (Gloucester) Ltd care home 8 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 8 8 The maximum number of service users who can be accommodated is 8. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning Disability (Code LD) Physical Disability (Code PD) Date of last inspection Brief description of the care home Ribston House is a purpose built establishment designed to meet the needs of people with physical and learning disabilities. The property is on the outskirts of Gloucester and close to local amenities. Accommodation is provided over 2 floors linked by a
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home staircase and lift. On each floor there is a lounge, dining room, 4 en-suite bedrooms, an assisted bathshower room and toilet. The kitchen is on the ground floor. The home is spacious and fully accessible to wheelchair users. There is specialist equipment throughout the home to support people with physical disabilities including overhead tracking in a number of bedrooms. The service provides people with a copy of the Statement of Purpose and a Service Users Guide. Fees to live in the home vary dependant on individuals needs. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We arrived at 0900hrs on Wednesday 23rd June to complete this unannounced random inspection. On arrival we were shown to the managers office where we found the acting manager of the home and the general manager for the organisation. We explained that this was a focused random inspection where we would be examining the following areas: - The admission process for the last two people admitted to the home, controlled medication administration and storage, recruitment records for the last two staff employed, accident book records and we would complete a tour of the premises. During this visit we witnessed staff supporting people to go about their day to day lives helping them with their personal care, preparing food, going out and taking part in a music session in house. Whilst in the home we took the opportunity to speak with one of the people living there. As a focused random inspection we did not assess the homes progress towards meeting the requirements of the previous inspection. What the care home does well: What they could do better:
When examning one persons care package we found it contained a range of plans to address the persons needs. Unfortunately we were unable to find evidence of the plans being reviewed since the person was admitted. This makes it difficult to confirm that the persons needs were still being met. It becomes a requirement of this report that the
Care Homes for Adults (18-65 years) Page 4 of 8 manager ensures that all care plans are dated and reviewed regularly. 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 6 15 The manager must ensure that accurate care plans are developed and implemented for each person as they are admitted to the home. Failure to do this puts people at risk of their needs not being met consistently by staff. 27/11/2009 2 18 12, 14, 15 The manager must ensure 27/11/2009 that care plans detailing peoples personal care needs require a greater level of detail to ensure peoples preferences and needs are met consistently by the staff. Failure to do this may mean that peoples dignity is compromised and their needs are not met. Care Homes for Adults (18-65 years) Page 6 of 8 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 1 6 15 The registered provider must 30/07/2010 ensure that all of the care plans for people living in the home are reviewed at regular intervals. Failure to do this may mean that peoples current needs are not identified and therefore staff are unable to meet those needs. 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 7 of 8 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 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
