Care Home: Ridgemoor

What the care home does well The manager and his staff like to find out what people living in the home like to do and try to make sure that they can do it and they find out what they like to eat and try to make sure that is what they get If a someone is ill they make sure that they get the right treatment. If a someone doesn`t like something they can complain to the manager. The home is clean and well decorated. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. What has improved since the last inspection? This is the first inspection since this home was acquired by Midland Heart Ltd. What the care home could do better: No requirements or recommendations were made as a result of this inspection. To make sure that people who live in this home are looked after in a way that they like the visits by the provider`s senior managers should be regular and should focus on how they feel that their needs are being met. These findings should be recorded and available to those people who could use that information to improve the service. CARE HOME ADULTS 18-65 Ridgemoor The Mallards Bridge Street Leominster, Hereford Herefordshire HR6 8UN Lead Inspector Mike Moloney Key Unannounced Inspection 10th March 2009 09:00 Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 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 Ridgemoor DS0000072758.V374509.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 Adults 18-65. 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. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgemoor Address The Mallards Bridge Street Leominster, Hereford Herefordshire HR6 8UN 01568 615 421 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) Midland Heart Limited Ian Michael Edwards Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category 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: Learning Disability (LD) 8 The maximum number of service users to be accommodated is 8. 2. Date of last inspection Brief Description of the Service: Ridgemoor is a home for eight people with a learning disability that is situated on the outskirts of Leominster in Herefordshire. It is situated in a residential area and purpose built in such a way that it does not stand out amongst other houses in the area. It is in two bungalows that are situated it the end of a cul-de-sac and these are separated by their parking area. The home is owned by Midland Heart and is managed on their behalf by Ian Edwards. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, the registration report and talking with as well as observing the care experienced by people using the service. What the service does well: 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. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Nobody has recently come to live in this home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Nobody has recently come to live in this home. Therefore it was not possible to check the homes assessment procedure. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. People who live in this home are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the records of two of the people who live in the home showed that their care had been reviewed on a regular basis. This was confirmed by talking with the staff. The care plans were seen to cover a variety of areas of need ranging from self help skills to past-times and interests. These had been identified individually and listening to the people who were in the home at the time of the inspection confirmed that they had been part of that identification and review process. Talking with one of the people who live in the home in particular showed that she was going to enjoy the activity that she was going to attend that day. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 9 Risk assessments and behavioural management programmes were seen to have been developed for a number of the activities so that people could take part in them in as safe a manner as possible. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. People who live in this home are able to make choices about their life style and are supported to develop their life skills. Social, cultural and recreational activities meet individuals expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activity records for both service users looked at contained activities such as Monday Club, Music Pool, aroma therapy, trips out and shopping. Staff also talked about going to Echo Disco the following Thursday evening. During the visit a group of four of the people who live in the home went out to a prearranged activity that involved music. When they talked about going one person started smiling and singing before she got onto the minibus. The home has two minibuses that have been adapted to enable wheelchair users or people with other mobility issues to use them safely. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 11 The group that went out was accompanied by two members of staff. Looking at the records of the meals recently served to those people who live in this home showed that they have a varied and nutritious diet. Staff confirmed that nobody currently requires a special diet and that the menus are developed according to individuals known likes and dislikes. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records looked at showed when each person had either visited or been visited by a healthcare professional, what for and what the outcome was. The arrangements for the storage and administration of peoples medication were looked at. Storage was seen to be appropriate and records correctly maintained. Storage is within a purpose designed cabinet secured in the office of each bungalow. No controlled drugs were found to be kept at the home. Staff said that they receive training in the safe handling of medication before they are allowed to give them to people and their training records confirmed this. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who live in this home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff confirmed that the home has received no complaints that they were aware of. A copy of the homes complaints procedure was seen and this contained the information someone would need if they wished to raise a problem with the home or its owners. The staff also confirmed that, as far as they were aware, no issues had been referred into the local procedures that are designed to protect vulnerable adults. Although the level of some of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff talking with them and each other indicated that they, the staff, would be aware of any dissatisfaction expressed and it was seen that a whistle blowing policy is available to be used. The manager also explained that some of the service users monies are managed by the home. Full records were seen to be kept outlining any transactions and those records are monitored by the homes line manager. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Ridgemoor is situated in a residential suburb of Leominster. It is a building that had been purpose built for its current use so that it does not stand out amongst its neighbours. It is within walking distance of the town centre although it has ample parking for both of the vehicles that are available for use by the people who live there. The home is in two bungalows that are a mirror image of each other and four people live in each. Both buildings have a kitchen, a dining room, a utility room which contains the laundry equipment, a large lounge as well as an office. Each person has their own bedroom. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 15 All of the rooms were seen to be clean and in good decorative order and the bedrooms were seen to have been personalised to the occupants tastes. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who live there, in line with their terms and conditions and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The employment records of the of the staff were looked at during a previous visit to the companys area office and these showed that appropriate references had been obtained before people had access to service users as part of the procedure that ensures that they are fit do so. Looking at the staff rota as well as talking with the on-call manager and staff showed that there are enough staff on duty to make sure that the care needs of the people living in the home are met. During the inspection a lot of conversations between residents and staff were seen and heard. The staff were always professional, clear and polite when they spoke. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 17 Talking with a number of the staff confirmed that they have received or were about to go on the training that would ensure that they are able to meet the needs of the people living at the home. Talking to staff and the manager also confirmed that a significant number of the staff had achieved National Vocational Qualification level 2 or above in care and that others were making progress towards obtaining it. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems and competent management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this inspection the manager was on sick leave but was due back to work the following week. During most of the inspection a manager from a nearby home was present. Records were seen that showed that a member of the proprietors senior management have started the monthly visits to the home that are required by law. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and policies. Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 19 Various records were seen to be kept that monitored systems and the environment in order to make sure the people living in the home safe. These were found to be kept up to date. Hazardous materials such as some cleaning fluids were seen to be kept securely and instructions about how they should be used safely were also available. Ridgemoor DS0000072758.V374509.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 Adults 18-65 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 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 21 no Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations Ridgemoor DS0000072758.V374509.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Ridgemoor DS0000072758.V374509.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. 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