Care Home: Ripon Gardens, 3

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What the care home does well Mrs Barrett gives good support to enable individuals to identify and access health care. Mrs Barrett gives good support to enable individuals to maintain and develop personal and family relationships and provides support to help deal with change. Residents were able and supported to participate in a range of social and leisure activities. It was observed that Mrs Barrett was kind, considerate and supportive to residents. Residents live in a home, which is well run and managed. What has improved since the last inspection? Care Plans have been reviewed and will now be updated regularly to identify change and record needs. Risk assessments have been reviewed and will now be updated regularly this helps reduce risk to residents and raise awareness. Statutory records, policies and procedures required for the protection of residents have been reviewed, updated and are available. What the care home could do better: Mrs Barrett to continue to update risk assessments to reduce risk to residents and raise awareness CARE HOME ADULTS 18-65 Ripon Gardens, 3 3 Ripon Gardens Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1HN Lead Inspector Mary Blake Key Unannounced Inspection 29th November 2007 09:30 Ripon Gardens, 3 DS0000000465.V355559.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 Ripon Gardens, 3 DS0000000465.V355559.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. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ripon Gardens, 3 Address 3 Ripon Gardens Jesmond Newcastle Upon Tyne Tyne & Wear NE2 1HN 0191 281 0233 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) Mrs Jean Barrett Mrs Carol Coffey Mrs Jean Barrett Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2007 Brief Description of the Service: Ripon Gardens is a small home providing personal care and accommodation for two male residents with learning disabilities. Both young men are encouraged and facilitated to be as independent as possible; they are treated as part of the family. The home is located in a residential part of Jesmond, close to shops, Jesmond Dene, pubs and other local amenities. Both young men have lived here for many years, the accommodation is a large three-storey house, both residents have single bedrooms that are spacious, highly personalised and well decorated. The fees range from £250 to £300 per week. The home does not meet some of the NMS for younger adults, this is reflected in the homes statement of purpose, the standards that are not met, are not really applicable to this type of care setting. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection was announced and took place over one day Residents care records and additional statutory records were examined. Mrs Barrett, the Registered Manager was spoken to and the inspector met all of the residents on her visit. What the service does well: What has improved since the last inspection? Care Plans have been reviewed and will now be updated regularly to identify change and record needs. Risk assessments have been reviewed and will now be updated regularly this helps reduce risk to residents and raise awareness. Statutory records, policies and procedures required for the protection of residents have been reviewed, updated and are available. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 6 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. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 7 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 Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 8 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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents would have access to information to enable them to make an informed choice prior to admission. EVIDENCE: There have been no admissions for over twenty years and Mrs Barrett does not intend to offer places to any new residents. A statement of purpose outlines the service she currently provides. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 9 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. Both residents have a range of care and support plans in place. Both residents are supported to take risks as part of their lifestyle and this is now documented. Information is held in confidence. EVIDENCE: There is evidence of a comprehensive assessment in the residents’ care plans. Residents have comprehensive risk assessments and these had now been reviewed and updated. There was evidence of advocacy arrangements, as well as family input. Ripon Gardens, 3 DS0000000465.V355559.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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both residents are fully involved in all aspects of community life; they enjoy a good range of leisure activities. Residents are supported to have appropriate personal and family life and their rights are respected. Meals are varied and healthy. EVIDENCE: Each resident has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, both residents participate in this process. Care plans are drawn up with resident and are now amended and reviewed on a regular basis. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 11 One of the residents has been allocated a care manager; Mrs Barrett ensured that his care manager carries out an annual review of his care needs. Self-advocacy is promoted and both residents can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. The residents have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. Each resident has the opportunity to participate in community-based activities, including supported work programmes, education and training. Both residents are supported to maintain close links with their relatives, both enjoy regular family holidays and they are able to choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. Both are involved in housekeeping tasks, and one enjoys looking after the small garden. The inspector observed Mrs Barrett interacting in a sensitive and respectful manner with the residents present. It was apparent that they both are treated as family members. Both residents have access to the kitchen and are able and were observed preparing snacks for themselves if they wish. The resident said that the food was always very good and that Mrs Barrett was a very good cook. Ripon Gardens, 3 DS0000000465.V355559.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both residents are receiving the personal health care they need and in the way that they prefer. None of the residents require any form of medication. EVIDENCE: No residents currently have any moving and handling needs and require minimum help with their personal care tasks. Privacy and dignity are respected at all times. No residents currently have or require any technical aids or equipment. The resident present said that his privacy is respected. There was evidence within the residents care records that they have access to external health care services. Visits to G.P.’s when necessary, and residents are referred for specialist health care if appropriate. Both residents receive regular health care checks. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 13 No residents are currently taking prescribed medication, should this change Mrs Barrett will need to implement medication procedures and undertake accredited medication training. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 14 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. Both residents’ views are listened to. Appropriate steps have been taken to protect the residents from harm and abuse. EVIDENCE: The home has a complaints procedure. It details how to contact the CSCI to make a complaint, and is written in a way to ensure that residents fully understand its contents. The resident said he would know how to make a complaint and whom to approach; he said Mrs Barrett always listened to his concerns and dealt with them fairly. The home does keep a record of complaints, during the last twelve months there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Mrs Barrett has undertaken training in the Protection of Vulnerable Adults. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 15 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 home is extremely comfortable and safe. The home is well maintained and clean and hygienic. EVIDENCE: These standards had been previously inspected and met. On the day of the inspection the home was clean, well decorated and maintained. The home is in a residential location. Ripon Gardens, 3 DS0000000465.V355559.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 & 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. All of these standards are not applicable to this home as no staff are employed. Mrs Barrett appears competent and has the skills to support individual need. EVIDENCE: Mrs Barrett has provided care and support for many years and was observed using good and effective communication skills to work with each resident. Mrs Barrett stated she has attended a range of training over the years and has recently completed Protection of Vulnerable Adults. Training certificates were not available. There are no staff employed at the home, therefore recruitment systems are not necessary. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 17 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 residents’ benefit from Mrs Barrett’s experience, knowledge and management approach. The health, safety and welfare of the residents are promoted. EVIDENCE: The registered manager has many years experience and was clear about her responsibilities. Both residents have lived with Mrs Barrett for over 22 years. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 18 The resident interviewed spoke positively about Mrs Barrett saying she had encouraged him to remain as independent as possible and that he felt part of the family. Residents are informed when inspections take place and have access to inspection reports. Copies are available for relatives/others to see Mrs Barrett has developed a range of policies and procedures, which have been linked to the National Minimum Standards, record keeping was now improved and being managed. Gas and electrics are checked annually. Mrs Barrett now tests and records fire safety checks at the required timescales. Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 19 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 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 N/A 32 2 33 N/A 34 N/A 35 2 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 N/A 3 3 X X X 3 3 X Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 20 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. 1 Standard YA20 Regulation 13 (2) Requirement To have a medication policy, procedure and staff training in place in readiness for any resident requiring medication. Timescale for action 01/02/08 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 Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Ripon Gardens, 3 DS0000000465.V355559.R01.S.doc Version 5.2 Page 22 - 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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