Care Home: Richmond Court Dudley

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What the care home does well The focus of the inspection was to check if requirements and recommendations had been met. Therefore we did not look at many aspects of the service and may not have identified some positive things about the home. The next key inspection will provide us with the chance to look at the broader picture of the service at the home and what it is like for the people who live there. We found that the service had met the requirements we made and had worked on continual improvements as identified in addressing the recommendations of good practice. We did see that there is a robust system in place for the monitoring and analysis of falls. Records show why the person fell and looks at training issues if these are identified. A bar chart of times and frequency of falls is kept and then a risk assessment is developed for the individual showing the controls in place to minimise the risk. The practice in this area shows there is due consideration of individual needs and a definite reduction in the level of avoidable falls. This is commended. What the care home could do better: At this visit we did not identify any areas that required improvement. Random inspection report Care homes for older people Name: Address: Richmond Court Dudley 16 St James Road Dudley West Midlands DY1 3JD two star good 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: Monica Heaselgrave Date: 3 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Richmond Court Dudley 16 St James Road Dudley West Midlands DY1 3JD 01384254442 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sangeeta Sahni Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Dharam Pal Sahni care home 21 Number of places (if applicable): Under 65 Over 65 21 13 6 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 The maximum number of service users to be accommodated is:21. The registered person may provide the following categories of service only: Care Home Only - Code 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 - Code OP maximum number of places 21. - Dementia - Code DE maximum number of places 21. Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Richmond Court is located in a residential area, close to the centre of Dudley, and benefits from a variety of services and amenities, including shops, library, post office, religious facilities and the main bus terminal providing access to neighbouring towns and places of interest. The Home is a traditional style, detached house, with extensions with a range of bedrooms, including some with en-suite facilities. There are commual areas such as lounge, dining room, bathing and toilet facilities. The kitchen and laundry are on the ground floor. There is a large garden to the rear of the propertywith recently improved access and car parking at the frontage. Care Homes for Older People Page 3 of 9 What we found: We the Care quality Commission CQC undertook this random inspection visit on 30th June 2010. The reason for this inspection was to check the homes compliance with the four environmental requirements made under Regulation 23 of the Care Homes Regulations 2001 at the key inspection of 26th September 2007. This random inspection was unannounced which meant the home was not given notice of our visit. The visit took place over half a day when there were twenty one people being accommodated. We conducted a partial tour of the building viewing some of the bedrooms and the bathing facilities. We looked at the laundry facilities and equipment. We talked with people living at the home. We also talked to senior staff the manager and the owners. We identified additional good practice during our visit which is also summarised in our report. Management and staff assisted us to complete our inspection and we were made to feel welcome. The home previously agreed improved facilities within the extension Programme. This work included upgrading of the radiators. Fitting sluice disinfectors and improving storage facilities for equipment. Other requirements included the fitting of privacy locks to bedroom doors of an approved design. The service was asked to consider a fitted screen system for the double bedroom to improve privacy. The laundry would benefit from an upgraded washing machine. Guidance was needed as to when hot water mixing valves are required to be adjusted to avoid scolds or risk of burns. At the key inspection on the 26th September 2007 the service had planned to carry out the improvements we asked them to alongside the extension works that were underway at that time. We made four requirements to address the issues that previous inspection visits had identified so that that the physical environment of the home provides for the individual requirements of the people who live there. This work included upgrading the radiators in bedrooms so that people can adjust heating to meet their individual needs. We also identified that radiator covers were needed to protect people from the risk of hot surface burns. We talked to the proprietor and manager and conducted a tour to sample bedrooms in the home. We saw that radiators had been fitted with adjuster controls so that people can control the level of their own heating. We saw that the bedrooms in the new extension were fitted with radiators with covers so that the hazard of hot surface burns to people is minimised. We looked at radiators in the bedrooms located in the existing building and saw that risk assessments are in place for individuals with detailed controls to protect them from risk. The risk assessments specified what controls are currently utilised such as where furniture is to be placed and how frequently surface temperatures are checked. They also identify whether the individual is high or low risk. We were told no one is currently high risk. The owner told us that it is his intension that where there is a need to provide radiator covers this will be prioritised. We consider that Regulation 23 has been met in relation to providing people with control over their own heating and protecting them from the hazards of hot surface burns. We saw that adequate sluice facilities had been provided in the new extension. A sluicing disinfector was evident as a result of environmental improvements to the home. We also saw that a new washing machine was in place with maintenance and service contract evident. We consider that Regulation 23 has been met in relation to providing improved Care Homes for Older People Page 4 of 9 infection control procedures. At our previous inspection visit it was noted that there was a shortage of storage space for large pieces of equipment such as wheelchairs. This was causing some obstructions to the use of bathroom facilities. We viewed the bathrooms and other parts of the building and saw that as the home has now been extended there is more storage space and no obstacles were noted during our tour. We also saw that storage facilities and reducing obstacles is included in the environmental risk assessment. This means the safety of the environment is kept under review. We consider that Regulation 23 has been met in relation to providing improved storage facilities and reducing environmental hazards. We identified at the previous visit that bedroom doors must be fitted with locks of an approved design. We toured the facilities and saw that bedroom doors have been fitted with an approved locking mechanism which people can exit from inside their bedroom. We were told that currently one person utilises a bedroom key. Choices about holding a key are recorded in each individual care plan reflecting that the service encourages this within a risk assessment framework. We consider that Regulation 23 has been met in relation to providing people with privacy locks. From our findings we note that action has been taken to address the good practice recommendations we made at our last inspection visit and this has been briefly highlighted in this random report. We saw that the terms and conditions contracts for people had been updated to include the room number. The access to telephone facility is clearly stated in the service user guide. This informs people they have access to a phone in the office at any time and or have the option of having their own phone fitted. We were also informed that some people also now have their own mobile phones. We saw that a record of attendance is now maintained where people need to receive long periods of care in their bedroom. One person was being nursed in bed at the time of our visit. We saw the health care plan was highly individualised and identified the needs of the person in relation to fluid and nutrition and pressure care. We saw that health care visitors were in regular attendance to support care staff in providing palliative care. We saw that the home had reviewed the medication policy alongside the Pharmaceutical Society Guidelines. This ensures their practices and procedures are in line with current good practice. We looked at Menus and food records to see if further choices had been developed for high tea and supper meals. We found that a range of choices and options are included for high teas and supper time. This ensures people have improved choices of the foods they enjoy. It was recommended that the portable privacy screen in the double bed room should be replaced with a fitted system that affords privacy and free movement simultaneously. We saw the bedroom and noted that this type of fitment would need to be a specialist one due to the height of the ceiling. We discussed this with the owner who informed us they are continuing to view products to suite their specifications with a view to having a screen fitted. In the interim the fold away screen is in use and the occupants of the bedroom are satisfied with this arrangement Care Homes for Older People Page 5 of 9 At our previous inspection visit we recommended that guidance for hot water monitoring is available and should include information about when mixing valves should be adjusted. During this visit we looked at risk assessments for burns and scolds and these told us about the controls in place to minimise the risk. This included testing the thermo valves monthly and maintaining hot water temperature checks. We noted that although these tests are consistently carried out the guidance to staff needed to include the recommended hot water temperature. This ensures staff knows when this is exceeded and could pose a risk to vulnerable people. The manager amended the record whilst we were on site. What the care home does well: 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 Older People 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 Older People 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 Older People 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 Older People 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. 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