Care Home: Ridgewood Lodge

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well Assessments prior to moving into Ridgewood Lodge are undertaken and based on the individuals health, social and personal care needs, including needs relating to their religious, ethnic and cultural backgrounds, to ensure they can be met in the homes setting. Ridgewood Lodge provides residents with a well-maintained, comfortable and homely setting. All residents have written care plans which are kept under review. Risk assessments are also in place to protect the residents and inform and direct the staff. Some of the residents are supported in a regular programme of attendance at varied activities during the week. Visiting arrangements are flexible and there are no barriers to residents maintaining appropriate relationships with their family, representatives or friends. The manager and staff were observed with the residents and noted the positive interaction taking place and how the residents had confidence in them. The health care needs of residents are well met and health services are accessed promptly when required. There is evidence of good multi-disciplinary work. Residents are appropriately supported with their personal care so thatthey maintain their privacy and dignity. Staff were observed to assist them with their needs quietly sensitively and unobtrusively. The home is maintained to a high standard. Residents` bedrooms are well maintained, suitably furnished and personalised. The staff have completed a range of training in order meet the needs of the residents, and training is ongoing. Residents are encouraged and supported to develop their skills and independence in many ways. The resident`s representatives are fully involved in the care plans and reviews. Residents and their representatives attend reviews regularly, so that they know why they are placed at the home and via their person centred planning (PCP) process, which identifies what aspirations, they are aiming to achieve e.g. developing a particular element of self-care to promote their skills and independence. Residents have opportunities to make decisions about important aspects of their lives, with the support of the staff. What has improved since the last inspection? CARE HOME ADULTS 18-65 Ridgewood Lodge 51 Roskear Camborne Cornwall TR14 8DQ Lead Inspector Alan Pitts Unannounced Inspection 14th October 2008 10:00 Ridgewood Lodge DS0000070420.V372715.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 Ridgewood Lodge DS0000070420.V372715.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. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgewood Lodge Address 51 Roskear Camborne Cornwall TR14 8DQ 01209 714032 01209 714032 ridgewoodlodge@hotmail.co.uk 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) Chy Morvah Ltd Manager post vacant Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Ridgewood Lodge DS0000070420.V372715.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 either gender whose primary care needs on admission to the home are within the following categories: Learning disability (Code LD) Mental Disorder (Code MD) - maximum of 1 place The maximum number of service users who can be accommodated is 5. 2. Date of last inspection 17th December 2007 Brief Description of the Service: Ridgewood Lodge is a new service registered with CSCI in August 2007 to provide personal care and accommodation to 5 people with a Learning Disability. The home is set within a small private garden on the outskirts of Camborne within walking distance of the main bus and railway terminals and with the availability of shops and other services close at hand. Access to the property is through large gates, which leads to a ramped area for wheelchair users. The Registered Providers are Chy Morvah Ltd with Mr Alastair Matley Jones the Responsible Individual for the company. He submits monthly Regulation 26 reports to the Commission on the conduct of the home. Mr Patrick Riley is the manager and is responsible for the day-to-day management of the home. The home provides two bedrooms on the ground floor and three bedrooms on the first floor. Four of the rooms having ensuite facilities, and the fifth has its own dedicated bathroom. There is an additional bath/shower room on the first floor. The two ground floor rooms have been adapted for disabled use. There is no chair or shaft lift for residents to the first floor. The home is well maintained and the standard of furnishings and fittings are to a high standard. We discussed the ethos of the home with the manager who said that they aim to meet residents’ needs and choices by providing high quality accommodation and care. Establish a team of people to work together side by side effectively for the wellbeing of the residents and promote life long learning not only for staff but for residents at Ridgewood Lodge. The residents have varied packages of activities during the week that are provided by the home, local day care services or commissioned by Cornwall Department of Adult Social Care. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 5 The fees are from £850 up to £2100 weekly. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced inspection carried out on the 14th October 2008. The inspector spoke with residents, the registered person, staff, and inspected records. The home was seen to be providing a good service to its residents, who were observed to interact freely with staff and visitors and were relaxed and happy at home. The home provides a high standard of individualised personal care, where the wishes of the residents are paramount. The Commission received the Annual Quality Assurance Assessment, which is an annual quality assessment that was completed by the Responsible Individual. The AQAA describes the services and facilities that Ridgewood Lodge provides and identifies what areas they do well in and where they want to make further improvements in the service. We were impressed by the professionalism of the manager and staff who were on duty that day and would like to thank them for their very helpful manner and cooperation to complete the inspection. What the service does well: Assessments prior to moving into Ridgewood Lodge are undertaken and based on the individuals health, social and personal care needs, including needs relating to their religious, ethnic and cultural backgrounds, to ensure they can be met in the homes setting. Ridgewood Lodge provides residents with a well-maintained, comfortable and homely setting. All residents have written care plans which are kept under review. Risk assessments are also in place to protect the residents and inform and direct the staff. Some of the residents are supported in a regular programme of attendance at varied activities during the week. Visiting arrangements are flexible and there are no barriers to residents maintaining appropriate relationships with their family, representatives or friends. The manager and staff were observed with the residents and noted the positive interaction taking place and how the residents had confidence in them. The health care needs of residents are well met and health services are accessed promptly when required. There is evidence of good multi-disciplinary work. Residents are appropriately supported with their personal care so that Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 7 they maintain their privacy and dignity. Staff were observed to assist them with their needs quietly sensitively and unobtrusively. The home is maintained to a high standard. Residents’ bedrooms are well maintained, suitably furnished and personalised. The staff have completed a range of training in order meet the needs of the residents, and training is ongoing. Residents are encouraged and supported to develop their skills and independence in many ways. The resident’s representatives are fully involved in the care plans and reviews. Residents and their representatives attend reviews regularly, so that they know why they are placed at the home and via their person centred planning (PCP) process, which identifies what aspirations, they are aiming to achieve e.g. developing a particular element of self-care to promote their skills and independence. Residents have opportunities to make decisions about important aspects of their lives, with the support of the staff. What has improved since the last inspection? What they could do better: The registered provider and manager should ensure that only the information and direction that is pertinent to the current needs and goals of the individual Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 8 is included in the plan of care. The registered provider and manager should ensure that care plans are reviewed at least 6-monthly. The registered provider and manager should ensure the availability of the complaints procedure to residents or their representatives. The manager and registered provider should review the safeguarding procedure to ensure it provides step-by-step instruction on the action to take in the event of an allegation of abuse (including relevant contact details). The registered provider and manager should arrange for the views of the residents, their representatives, and professionals are sought. The responses should be analysed, where necessary acted upon, and a summary of the findings published. 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. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 9 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 Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 10 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): 1, 2 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a statement of purpose and service users guide that provides information about the home in an appropriate format. A thorough assessment is carried out for all prospective residents. EVIDENCE: The statement of purpose and service users guide has been completed. The home makes use of a variety of appropriate communication tools to assist residents. The registered provider confirmed that alternative format would be produced as the need arose, and a pictorial format Service User Guide is being developed. The registered manager and staff maintain good links with the families of residents. There have been two new admissions since the last inspection. The care documentation shows assessments of prospective residents prior to admission, and all the residents were fully assessed prior to admission. The service works closely with other agencies such as the Department for Adult Social Care and the Health Authorities. The home currently provides care and accommodation for 4 people. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 11 The home’s self-assessment told us: Prospective residents and their representatives receive information about the home in order to make an informed choice. The Manager and Clinical Director, who are qualified nurses, undertakes assessments and seeks the views of representatives and professionals that are involved with the individuals care. Visits are made and meetings held to ensure that transfers are made on the basis of full knowledge. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 12 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, 9 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents, who are involved to the best of their capabilities in decision-making and self-determination. EVIDENCE: The manager and team leader demonstrated a detailed understanding of the complex range of needs that are presented by residents and the records inspected detailed how the relevant support is provided. The plans of care involved health care issues residents’ aims and aspirations in educational or social interactions. The plans of care are usually developed with other agencies, such health or the Department for Adult Social Care, and this can result in plans of care from more than one perspective. As discussed, the manager should ensure that only the information and direction that is pertinent to the current needs and goals of the individual is included in the plan of care. There was evidence that care plans are reviewed at multi-disciplinary reviews (there is good evidence of the involvement of external agencies), but care Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 13 should be taken to ensure that care plans are reviewed by the manager at the frequency stated in the national minimum standards. The residents have key staff to assist them, attend reviews of care, and the monitoring and updating of their care plan. Support staff will use a variety of ways to reinforce effective communication. The manager and team leader were aware of capacity issues and liaise with other professionals where necessary to establish this. The manager and staff liaise with other professionals to ensure the rights of the residents are safeguarded, and their right to self-determination is not compromised. Risk assessments are completed for various aspects of residents’ needs, capabilities, and activities. The home’s self-assessment told us: Each Care Plan is specific to the individual client which reflects the assessments made with regard to changing needs and aspirations, together with client preferences. This includes dietary needs and preferences, clothes, friends, entertainment, décor of rooms, personal needs, personal hobbies and interests together with personal shopping. In recognising that the Service Users needs are not static the staff provide both personal and social support to them and their families. Each client has a care plan that informs and directs staff about the most appropriate ways to provide the care and support required. The care plans detail the interventions necessary to obtain the required (agreed) outcomes and are written in a manner that provides easy access by staff. Where a resident has complex needs and lacks capacity the representative is involved and contributes to the planning. Care plans are regularly reviewed and updated. Each review summarises the areas considered and details the actions required. Residents are encouraged to take decisions about their lives, assisted where required. Risk assessments and risk management arrangements provide staff with the guidance required to minimise risk and ensure the health and welfare of residents and staff alike Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 14 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, 17 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of social and recreational opportunity is provided in keeping with known preferences and capabilities. Residents engage with the local community, and all have appropriate contact with people important to them. Residents’ rights and capacity as adults is recognised. A balanced diet is provided. EVIDENCE: The residents, manager, and care records confirm that residents are involved in a range of appropriate leisure activities and maintain contact with people important to them. The manager and staff recognise the residents’ right to determine their own waking day within the parameters of meeting their health care needs. Residents are able to choose when to be alone or in company, and when not to join an activity. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 15 The residents attend a range of resources, including work placements. Contact with family members and friends is encouraged and assisted where necessary. Social/recreational activities and work opportunities are recorded in individual plans and the home provides appropriate staff to support these activities. The home now has its own adapted vehicle to assist residents attend appointments, events, or meet with people important to them. The home makes a charge of £0.45 per mile to cover fuel costs, and this is stated in the Statement of Purpose. The registered provider said that he would also obtain evidence of agreement to the charge. The residents at home at the time of the inspection interacted freely with the staff and the inspector. Interactions between staff and residents were seen to be adult, friendly, and professional. All staff have a responsibility for meal preparation and relevant training has been undertaken. The kitchen is domestic, well equipped and clean. The home’s self-assessment told us: The range and frequency of activities is documented and the activities reflect each individual residents preferences and interests. All visitors to the Lodge sign in when visiting or taking residents out. Meals are cooked fresh daily, fresh produce is used and dietary preferences and needs are well known to staff and recorded. Meal times are a ‘family’ focus in the Lodge and enjoyed by clients and staff alike in very pleasant surroundings. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 16 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, 20 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of residents are met with evidence of promoting privacy, dignity and good multi-disciplinary working taking place. EVIDENCE: The care records, and discussion with the manager and staff show that the residents’ waking day is flexible, within the parameters of their care plan. The registered manager and support staff ensure that the residents receive health care services as required, and in accordance with the residents’ known preferences. Staff keep contact records for all healthcare professionals and services in the daily notes. The care plans detail health care needs and how these are met. These records evidence that residents’ healthcare needs are monitored and addressed. All residents are registered with local GPs. Daily records and correspondence document the monitoring and addressing of residents’ healthcare needs and referral to appropriate healthcare professionals and specialist workers. A number of residents have regular contacts with consultants and other clinical specialists for specific health issues. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 17 The medication records, procedures and storage facilities are appropriately maintained. Medicine Administration Records were seen to be in order. The home uses the Monitored Dosage system for medicines. The policy and procedure covers the required areas. Staff check and sign in the medicines received from the pharmacist. Records of administration were consistently signed and appeared well maintained. Staff who administer medicines have completed a course in the safe handling of medicines. One resident selfmedicates, and the staff fill a one-week dossett box from the monitored dosage system. Subsequent to the inspection, the manager has now arranged for the supplying pharmacist to fill the dossett box removing the need for staff to do so. The home’s self-assessment told us: High staffing level and skill mix, enables very high contact ratio which in turn facilitates opportunity for general freedom of movement, together with planned social and practical independent life skills. Within the context of individual Care Plans independence is promoted and routines reflect this. Each client has the opportunity to choose their ‘Key Worker’. Professionals and relatives have commented on how well the physical health and emotional wellbeing of clients are catered for. The high staff/client ratio ensures that clients receive personal support in a way they prefer and require. Our medication protocols and operational system are designed to protect clients, and staff, and works exceptionally well. Client specific as well as generic training takes place, eg manual handling and client specific hoist and sling training. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 18 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, 23 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were seen to interact with staff in a relaxed manner. The manager and staff have a clear understanding of ‘Adult Protection’ issues and procedures that will protect service users from abuse. EVIDENCE: The people that live at Ridgewood Lodge are enabled to maintain contact with relatives and friends, and external agencies through visits and telephone calls. The homes complaints procedure is available in the service users guide, though this is not currently provided to residents or their representatives. The manager and registered provider said that the complaints procedure would be provided to the people that live at Ridgewood Lodge, or their representatives. The home has a policy and procedure regarding complaints and concerns. Neither the home nor Commission for Social Care Inspection have received any complaints since the last inspection. Advice regarding various forms of potential abusive situations and procedure are available to staff and are raised during induction training. The home has a written policy and procedure for protecting residents against abuse and supplementary guidance on the nature of abuse. The manager undertook to review the safeguarding procedure to ensure it provides step-by-step instruction on the action to take in the event of an allegation of abuse (including relevant contact details). The manager has a copy of the Cornwall Multi-Agency Code of Practice on the Protection of Vulnerable Adults, and four staff have now undertaken relevant training. The manager said that this Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 19 training would continue for all staff. The manager and staff are fully aware of the need for prompt reporting of any concerns. The home’s self-assessment told us: Client concerns, views and preferences are addressed during initial meetings and these together with strategies, communicated to all staff. Similarly, open door culture for communicating any concern is initiated and reassurances given to client, relatives and staff, that action will be taken. Policy accessible to all. Responsible Individual regularly on premises and often on staffing rota and able to monitor and ensure working practice consistent with the safety and protection of service users. Proceedure for the appointment of all staff follows Care Standard Regulations. Staff required to undertake 3 month induction period and training. Regular contact and communication with relatives. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 20 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, 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of furnishings and fittings is good and residents live in a safe, clean, and homely environment. EVIDENCE: The care home is granite built semi detached ex mine captains house that is maintained to a high standard and provides residents with a comfortable and homely setting. A car park is situated at the main entrance from the road. The attractive garden leading from the car park to the property is pleasantly landscaped and is a popular and safe area in the summer. The premises are bright, airy, and free from untoward odours. Furnishings and fittings are of good quality and domestic in nature. The company continue to undertake regular maintenance and refurbishment to provide a high standard of accommodation. Residents appeared to be very satisfied with the accommodation and facilities provided. Rooms are well furnished and comfortable and have been Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 21 personalised by the occupants. There is a communal bathroom on the first floor. Three of the bedrooms are on the first floor and two on the ground floor. The ground floor rooms are both en-suite. There is no shaft or chair lift so residents using the first floor will have to be able to negotiate the stairs. The communal areas comprise a conservatory/sun lounge, an entrance hall, a dining room on the ground floor and first floor lounge. There is a staff office area situated on the second floor with its own toilet. A small laundry is located next to the kitchen. The laundry area contains standard laundry equipment. The staff use red bags for soiled linen and receive training in infection control. The home is clean and a good standard of hygiene is maintained. Disposable paper towels and hand wash are provided throughout the home. Protective equipment is provided for staff. The home’s self-assessment told us: Property has been adapted to provide homely, family style, safe accommodation for its 4 clients, which exceeds required Standards and has been customised to provide appropriately for individual needs and lifestyle. All the ground floor is wheelchair friendly and the attractive grounds are popular with residents. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 22 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, 35 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is providing sufficient, competent support staff to provide for the welfare of the people that live at Ridgewood Lodge. EVIDENCE: The staffing complement is: the manager plus 10 care staff. There are two teams of 3 staff, and two teams of 2 staff (nights) working opposite each other to cover each week. The teams have weekly communication meetings on Mondays. There is a rolling 2-week duty rota. The registered manager and four staff member have achieved NVQ Level 2 or above, and three members of staff are undertaking this training. The manager and registered provider confirmed that there is a stable staff team available that is providing continuity and a consistent approach to care. The staff team are involved in training, which is continuing and the manager is establishing effective monitoring of training needs. New staff undertake a National Training Organisation induction. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 23 One personnel file was inspected, and this showed that the home is adhering to a robust recruitment procedure in order to protect the people that live at Ridgewood Lodge. The manager and the staff member who greeted the inspector at the start of the inspection were knowledgeable of the residents’ needs and capabilities, and were observed to exhibit a positive regard and appropriate attitudes in their interactions. The home’s self-assessment told us: Staff are appointed with the necessary personal qualities, experience and competencies to ensure that the team have the necessary skill mix to make an effective team. Each post has a clear job description. The team compliments one another to support the clients. All new appointees follow a mentored induction programme that encompasses the Common Induction Standards. Very experienced and knowledgeable management team support and lead the actions of the staff. Training programme in place to address both the needs of clients and the professional development of staff. Work of the staff has been recognised as contributing to the Lodge becoming a Centre of Excellence and staff have been invited (by Cornwall CC) become ‘Care Ambassadors’ to work with the Authority in promoting Care as a career. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 24 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, 42 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to provide for the safety and welfare of residents. The manager has made application to the Commission to be the registered manager. EVIDENCE: The manager has made application to the Commission to be the registered manager. The manager has achieved NVQ Level 5 and a Diploma in management. He has previously owned his own care home and also worked for a nearby health authority. There are internal quality assurance tools, such as house meetings, and residents are consulted as part of everyday normal practice. Quality assurance was discussed with a view to the home actively seeking the views of others about the service provided by Ridgewood Lodge. Quality assurance Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 25 questionnaires have been developed in draft, and the manager and registered provider said that this would be followed-up, with a summary of feedback received published. Relevant maintenance and safety records are kept (e.g. fire equipment, insurance). The home’s self-assessment told us: The home is very well run for the benefit of clients. There is an excellent Quality Assurance policy and a recent Environmental Health visit has given us a 5 star report. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 26 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 3 2 3 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 2 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 2 X X 3 X Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? no 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. 1. Refer to Standard YA6 Good Practice Recommendations The registered provider and manager should ensure that only the information and direction that is pertinent to the current needs and goals of the individual is included in the plan of care. The registered provider and manager should ensure that care plans are reviewed at least 6-monthly. The registered provider and manager should explore the possibility of the supplying pharmacist filling the dossett box to remove the need for staff to do so. The registered provider and manager should ensure the availability of the complaints procedure to residents or their representatives. The manager and registered provider should review the safeguarding procedure to ensure it provides step-by-step instruction on the action to take in the event of an allegation of abuse (including relevant contact details). 2. 3. 4. YA20 YA22 YA23 Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 28 5. YA39 The registered provider and manager should arrange for the views of the residents, their representatives, and professionals are sought. The responses should be analysed, where necessary acted upon, and a summary of the findings published. Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Ridgewood Lodge DS0000070420.V372715.R01.S.doc Version 5.2 Page 30 - 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!