Care Home: Ridgeway House

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well Ridgeway House is situated in the centre of Lincoln City and is close to the shops and facilities for people to visit. The manager and staff team have worked hard to update care plans and information about people is well recorded. The expert by experience found that the people spoken to were very happy living at the home and nobody had any complaints. The staff group is very stable and this gives people the confidence that their needs are known. Staff receive the training they need to be able to care for people. The home is well managed and organised. What has improved since the last inspection? People are now provided with good information to be able to make an informed decision about where they choose to live. Care plans have been updated and are now more comprehensive. People are now more involved in their care planning. Valuables belonging to people are now well recorded. What the care home could do better: The menus on the dining room tables are in a poor condition and the day`s menu is not displayed for people and visitors to see. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ridgeway House 2-6 The Avenue Lincoln Lincs LN1 1PB     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Western     Date: 0 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Ridgeway House 2-6 The Avenue Lincoln Lincs LN1 1PB 01522530552 Telephone number: Fax number: Email address: Provider web address: ridgewaynursing@btconnect.com Name of registered provider(s): Guardian Care Homes (UK) Limited care home 32 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Ridgeway House is a care home situated close to the centre of Lincoln and is within easy reach of local facilities, including shops and a post office. It is a converted building with a single storey extension on the ground floor, providing care and accommodation for thirty-two people. The registration is for a care home, providing care for older and for some who have Dementia. The homes statement of purpose states that the service meets the needs of the whole person by promoting independence and monitoring a safe environment. The home is owned by Guardian Care Homes (UK) Limited. The current scale of charges at this home is from £380.00 to £435.00. Additional costs are made for hairdressing, chiropody and newspapers. Care Homes for Older People Page 4 of 21 Over 65 32 32 0 0 Brief description of the care home These are all private arrangements and the individual resident meet these costs. Further information about the home is in the managers office. Care Homes for Older People Page 5 of 21 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced visit and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms we and us refer to The Commission for Social Care Inspection (CSCI). The visit lasted approximately three hours and we took into account previous information held by us including the previous inspection report, their service history and records of any incidents that we had been notified of since the last inspection. Before we made our visit the provider had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. We sent out surveys to people before we visited the service. The main method used to carry out the inspection is called case tracking. This includes following the care of a sample of people through their records and assessing their care. Care Homes for Older People Page 6 of 21 We spoke with two people who use the service and saw rooms of those people who gave us permission. We spoke with three staff members. The manager was present throughout the visit and the general outcomes of the visit were discussed with her. At the time of the inspection the home confirmed that the weekly fees ranged from 398 to 435 pounds, depending on the assessed needs of the resident. Additional charges are made for services such as chiropody and hairdressing. Information about these costs as well as the day to day operation of the home, including a copy of the last inspection report is available in the reception area or the office. The commission are trying to improve the way that we engage with people who use the services so that we gain a real understanding of their views and experiences of social care services. We are currently testing a method of working where experts by experience are an important part of the inspection team and help inspectors to get a picture of what it is like to live in or use a social care service. The term experts by experience used in this report describes people whose knowledge about social care services comes directly from using them. The expert met with service users and staff on their own. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 21 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 21 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using 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 who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The home does not provide intermediate care. Evidence: We looked at four files of people selected for case tracking. The manager confirmed that she or the deputy always visited people at home or in a care setting such as a hospital to undertake a thorough assessment of all their care needs. Records we saw confirmed that staff had the information they needed to meet the residents needs. The statement of purpose we saw was very comprehensive and contained terms and conditions and contracts. The service user guide we saw contained useful information for the service user and was kept in all bedrooms. Two residents we spoke with said their families had chosen the home for them and another was staying for respite care.A visitor told us that this home had been chosen by their relative because it was Care Homes for Older People Page 10 of 21 Evidence: friendly and homely. A staff member described the admission process and the importance of making new residents and their families welcomed. Care Homes for Older People Page 11 of 21 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using 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. Care plans are in enough detail to ensure that the care needs of people can be met. Evidence: Care plans we saw contained information about each persons health and personal care needs, including life histories. Risk assessments imcluded moving and handling, falls and pressure sores. They were reviewed regularly and signed where possible by people or their relatives/advocates. We saw a medication policy that was clear and comprehensive. The pharmacist visited regularly, the last visit being in November 2008 and no issues were identified; the pharmacist commented on the excellent use of opened drugs. People received regular visits from GPs, district nurses and other agencies involved with their care. A visiting district nurse said that the standard of health care was good. We saw staff carrying out their duties with kindness and sensitivity towards people, especially when attending to their personal needs. Care Homes for Older People Page 12 of 21 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using 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. Social activities are regular and are tailored to suit individual residents needs. People have a choice of meals from a balanced and varied menu. Evidence: The home has a designated activities co-ordinator who works Monday to Friday 11.30 to 3pm. A large notice board near the entrance listed all activities and events being held. There is a programme of regular activities, including entertainers, armchair exercises, various board and card games. Staff members described taking people to the Brayford Wharf and for various trips out for coffee or shopping. People we spoke with all said they had a choice of whether or not to take part. Some told us they preferred to sit in the quiet lounge instead. One said I join in all the activities and enjoy them all. People we saw were enjoying the mid-day meal being served; one diabetic was offered a choice of various puddings when she said her pudding wasnt sweet enough. There was no menu available for visitors to see, but there was a menu book on each table; it was shabby and had days missing. The manager said she was aware of this nad was planning to have new menus. The cook said that if people didnt like any of the daily choices, she would make them Care Homes for Older People Page 13 of 21 Evidence: an alternative within reason. The cook was knowledgeable about the nutritional needs of service users and described cooking for diabetics and people with special diets. Care Homes for Older People Page 14 of 21 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using 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 procedures for addressing complaints and for protection from abuse are clear. People and their families are confident that their comments and concerns will be listened to. Evidence: The people we spoke with said they did not wish to complain but knew how to make a complaint. The home had a copy of the Local Authority adult protection procedures. Since the last inspection there has been one complaint managed under the safeguarding adults procedures concerning care practices. Staff spoken with confirmed that they had received training in safeguarding adults in November 2008. Care Homes for Older People Page 15 of 21 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using 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 live in a comfortable and pleasant environment with both private and communal space that is generally suitable for their needs. Evidence: Overall, the standard of decoration internal was good and afforded residents a great degree of comfort. Staff members we spoke with said that maintenance issues were addressed quickly by the maintenance personnel. Recent improvements we saw included redecoration of some rooms and renovations to toilets and bathrooms. There were safety notices around the building to prevent the spread of infection and COSHH regulations were observed throughout. The lift has been out of action for some weeks and was being replaced on the day of the inspection. The most recent visit from the Environmental Health Officer found no issues of concern. The building smelled clean and fresh throughout. Care Homes for Older People Page 16 of 21 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using 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 numbers are in sufficient quantity for them to be able to care for people. Staff members are suitably trained, qualified and competent. Evidence: The daily staff rota showed that there was a minimum of 4 staff, including a senior carer, for 32 people. In addition the manager and deputy manager could assist Monday to Friday during busy periods, although they said that at present this was not necessary. The home also employed a cook, a kitchen assistant, two domestic staff and a maintenance worker. Records showed that four staff members had achieved the National Vocational Qualification [a nationally recognised qualification] at Level 2 and three had NVQ Level 3 .The manager and deputy were working towards the Leadership in Management Award. The most recent staff member to be employed described how she had an interview, gave three references and underwent CRB/POVA checks. Staff training records demonstrated that statutory training has been undertaken and that staff received regular supervision. There were minutes of regular staff meetings. There were no staf vacancies. We saw records that showed very little staff turnover and staff spoken with confirmed this. Care Homes for Older People Page 17 of 21 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using 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 well managed and the health, safety and welfare of people are promoted. The views of people are listened to and they are involved in decisions affecting them. Evidence: The manager has been in post for one year and was the deputy for two years. She has worked in the care profession for twenty years, nine of these at this care home and two as deputy manager. The manager and deputy manager work very much as a team and staff members spoken with said they were very approachable and accessible. There is a sound quality assurance procedure, with separate questionnaires for people, their relatives/visitors and staff. The results are collated and subsequently acted upon. Health and safety policies are well documented and demonstrate a clear commitment to ensuring the wellbeing of people. Although it was clear the policies and procedures had recently been reviewed, there should be written evidence that these are updated regularly. Care Homes for Older People Page 18 of 21 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 19 of 21 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, Care Homes 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 1 15 Menus could be better displayed so that people and visitors to the home can see them. Care Homes for Older People Page 20 of 21 Helpline: 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 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 21 - 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!