Care Home: Ridgewood House

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What the care home does well We found the home to be clean, tidy and homely. This view was supported by residents in the home we spoke with and on the information we received on surveys. Comments about this included `It is a happy, clean home and this reflects on the residents and relatives`. The Provider has a hands on approach and was said by people to visit the home daily. Each person knew the Provider by name and told us they would tell them `in no uncertain terms` if they had anything to complain about but said they had no reason to. One comment we were given was `It is nice to have an owner who visits daily`.The home a long serving staff team who have all achieved national vocational qualifications. The staff team were well complimented on surveys we received and when we spoke with residents at the home. Residents told us `I feel all the residents are treated with dignity and respect the home is spotlessly clean and the food is all excellent`, `The staff are helpful and friendly` and `We always get nice meals and the staff are really helpful always`. The staff themselves told us they `work well together and also worked along time with each other which reflects on the care of residents and they always seem happy`. Another comment we received was `We are a great working team and we all work and we all know what we have to do and have a great Manager`. What the care home could do better: Whilst pre admission assessments were always undertaken these lacked a documented structure that would enable the home to clearly demonstrate they are robustly assessing that they can meet peoples` needs. Care plans in place did not detail the support that people needed with their medication or assess the persons ability to consent and understand the medications they were taken. Updated legislation such as the Deprivation of Liberty Safeguards and the Mental Capacity Act had not been applied within the service. The extent of this was that staff had not received training and were not conversant with the implications of this and relevant aspects had not been applied to peoples care plans. The quality assurance systems in place in the home are largely informal and so did not demonstrate what actions, if any have been taken to monitor and improve the service residents received. Formalising of the quality assurance systems would ensure the Provider is able to demonstrate that people are consulted in the running of the home. Random inspection report Care homes for older people Name: Address: Ridgewood House 13 Dukes Drive Newbold Chesterfield Derbyshire S41 8QB three star excellent 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: Bridgette Hill Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Ridgewood House 13 Dukes Drive Newbold Chesterfield Derbyshire S41 8QB (01246)237333 01246220205 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Lorraine Cocking Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Peter Walsh care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 21. The registered persons 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 are within the following category: Old age, not falling within any other category - Code OP. Date of last inspection Brief description of the care home Ridgewood house provides personal care and support for up to twenty-one older persons, both male and female. It is located in a busy residential area to the northern west outskirts of Chesterfield town centre, close to shops, local amenities and bus Care Homes for Older People Page 2 of 10 Brief description of the care home routes. Accommodation is provided over two floors, with a chairlift provided for access to the first floor for those residents who are unable to use the stairs. There are fourteen single rooms, two of which have en suite toilet facilities, and three double rooms. The home provides three adjacent lounge areas and a separate dining room to the ground floor, with communal toilets close by. There are suitably adapted bathroom facilities to each floor, together with a separate shower room, which is also located on the first floor. The building provides level access and is suitably adapted throughout to assist those people with mobility problems, including the provision of an emergency call system located in all private and communal areas accessed by people who live at the home. There is an enclosed patio/wall providing seating and tables to the rear of the home, together with seating to the front of the home and a no smoking policy is operated. People receive care and support from a stable team of care and hotel services staff, led by the registered manager. The registered provider is actively present and involved in the running of the home on a daily basis. A copy of the most recent inspection report is openly displayed in the main entrance area, which people can easily access. Fees charged are currently set at £410.00 per week per person. These fees apply to people who are privately funded and people whose care is funded via local authority arrangements. (This information is correct as provided by the registered provider at this inspection). Care Homes for Older People Page 3 of 10 What we found: At our last inspection of the home on 11th July 2007 the home was considered to offer excellent outcomes for the residents who lived there. The purpose of this Random Unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of inspection activity and in preparation for the registration transfer arrangements under the Health and Social Care Act 2008. Our focus was primarily on the homes systems that were in place and as part of the inspection we reviewed a range of records and spoke with the Provider, Manager residents and staff. Prior to our visit the Manager completed an Annual Quality Assurance Assessment to provide us with a range of information about the home and surveys were out to residents, staff and relatives. These were considered as part of this visit. The Annual Quality Assurance Assessment and discussion with the Manager informed us that pre admission visits to residents were always undertaken, these however were not documented formally to enable us ascertain the quality of the assessment. Where residents were funded by Local Authorities care assessments had been obtained and were on file. Care plans were in place for each resident and were individual documenting the abilities of the resident as well as areas of need. Systems to ensure monthly reviews were completed by key workers were in place and were countersigned by the Manager. We discussed changes in legislation and practices which required consideration by care homes when providing care such as the Mental Capacity Act and Deprivation of Liberty safeguards with the Manager and staff. Care plans did not record consideration of these and staff had not received training and were unable to demonstrate they were aware of the changes and what they meant for residents. The care plans had suitable risk assessments in them which were updated. The one for tissue viability was not being scored for all relevant areas which would not give an accurate assessment of risk. One resident told us they knew they could look at their care records but chosen to do so. All residents appeared to be clean and well dressed. One resident told us that another resident had spilled something on themselves and that clothing was changed immediately. Generally there was good feedback regarding the food and choices available. Menus were available and one resident told us the cook knew their preferences and accommodated these. Activities were offered each day and a schedule of these was on display. All staff were responsible for delivering activities. Some residents said they liked these particularly bingo others said they werent really interested. Some surveys we received told us that Care Homes for Older People Page 4 of 10 residents would like more outings to be arranged. We discussed this with the Manager who said some residents did go out locally with staff however outings further a field presented transport difficulties. The Manager told us the home had not received any complaints or safeguarding adult concerns over the past year. Information on how to make a complaint was in the entrance along with other information about the home such as the inspection reports. The surveys and residents we spoke indicated that People did know how to make a complaint if they wished. A range of thank you cards and letters were available from satisfied residents and their families. We found the home to be clean and comfortable throughout and a range of lounges and quiet areas enabled residents to have a choice of places to sit. Bedrooms were also personalised and individual with personal possessions. We were told there was continuous investment put into maintaining and improving the home. This included the purchase of large screen televisions which residents told us enabled them to see the screen more clearly, a new stair lift, general redecoration and new laundry equipment. A loop system to help residents and visitors who were hearing aid users had also been installed. We spoke with staff about the training and support they received. They said they received regular training and were conversant with what to do should the fire alarm go off. They told us the Manager and Provider was very approachable. We were told that staffing levels were consistently maintained and any absences were covered by the homes staff group. The staff group are an established one with some working at home for between 12 and 19 years. When we spoke to staff and on surveys we were consistently told the staff team got on well and worked well together. The staff training records indicated that a basic level of training was offered and whilst mandatory training had been completed some updates were due. As identified previously some training had not been arranged to ensure staff had been kept up to date with changes in legislation. We discussed with the Manager what quality assurance processes were in place. We were shown minutes from residents meetings which were held typically 3 monthly. These sought feedback from residents. Some questionnaires had been completed but these were dating back to 2005. The Provider visited daily and residents said they knew the Provider and raise concerns if they ever needed to however despite residents appeared to be happy and satisfied with the service from the survey information we received and the discussions we held with residents. What the care home does well: We found the home to be clean, tidy and homely. This view was supported by residents in the home we spoke with and on the information we received on surveys. Comments about this included It is a happy, clean home and this reflects on the residents and relatives. The Provider has a hands on approach and was said by people to visit the home daily. Each person knew the Provider by name and told us they would tell them in no uncertain terms if they had anything to complain about but said they had no reason to. One comment we were given was It is nice to have an owner who visits daily. Care Homes for Older People Page 5 of 10 The home a long serving staff team who have all achieved national vocational qualifications. The staff team were well complimented on surveys we received and when we spoke with residents at the home. Residents told us I feel all the residents are treated with dignity and respect the home is spotlessly clean and the food is all excellent, The staff are helpful and friendly and We always get nice meals and the staff are really helpful always. The staff themselves told us they work well together and also worked along time with each other which reflects on the care of residents and they always seem happy. Another comment we received was We are a great working team and we all work and we all know what we have to do and have a great Manager. 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 10 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 10 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 7 15 Care plans must include an assessment of the residents mental capacity to make decisions and consent to treatment and this must be considered when the plan of care is drawn up This will ensure that all decisions and care is delivered to residents is in the persons best interests 30/07/2010 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 3 A formal documented pre admission assessment should be in place to ensure that the home is able to demonstrate it can meet peoples needs Where recognised and research based risk assessments are used the guidance and scoring must be completed fully to ensure an accuarte risk assessment score is obtained Staff should receive up to date changes in aspects relating to changed legislation that affects the delivery of care to residents such as the Mental Capacity Act and Deprivation Page 8 of 10 2 8 3 18 Care Homes for Older People 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 of Liberty Safeguards 4 33 A formal system of monitoring quality at the home should be implemented to demonstarte the residents are being consulted about the service Care Homes for Older People Page 9 of 10 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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