Care Home: Riverside

Similar services:

• Fairfields Country Rest Home
• Queensmount
• Poldhu
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well The home is well run by a competent manager. People living at the home told us they were well cared for by competent, well trained staff. Residents are supported to maintain contact with family and friends, enabling people living in the home to continue to enjoy relationships that are meaningful to them. People told us that they enjoy the activities provided and that the food is good. The menu offers choice and staff are aware of the likes and dislikes of those living there. The complaints and adult protection procedures ensure that residents and their representatives well-being and comfort is important to the home and that any concerns raised will be properly investigated and resolved. Sufficient numbers of staff are on duty throughout the day and night to be able to meet the care needs of people. Recruitment procedures are good ensuring that staff are suitable to work in the home and residents are well protected. Financial procedures within the home also ensure that residents interests are protected. What has improved since the last inspection? We last undertook a key inspection in 2007. Since then the home has continued to provide staff training to ensure that that people living in the home receive a very good level of care. There is an ongoing refurbishment programme so that Riverside can continue to provide a comfortable environment in which to live. What the care home could do better: No requirements or recommendations have been made as a result of this inspection. Key inspection report Care homes for older people Name: Address: Riverside Riverside Westbury Sherborne Dorset DT9 3QZ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Amanda Bell     Date: 1 5 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 23 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Riverside Riverside Westbury Sherborne Dorset DT9 3QZ 01935812046 F/P01935812046 riversidehouse@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Riverside Nursing Home Limited Name of registered manager (if applicable) Mrs Judith Alison Maidment Type of registration: Number of places registered: care home 39 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One named person (as known to CSCI) under the age of 65 may be accommodated to receive care. Date of last inspection Brief description of the care home Riverside is located on the outskirts of Sherborne, within level walking distance of the town centre. The home is owned by Riverside Nursing Home Ltd; the director and responsible person is Mr Farhad Pardhan. The home is registered to provide residential nursing care to a maximum of 39 people. A registered nurse is on duty throughout each 24-hour period. Mrs Judith Maidment is the registered manager; she is a trained nurse with extensive experience of nursing in a residential setting. Accommodation is on the ground and first floors and provides 25 single and 7 shared bedrooms, a lounge/dining room on the ground floor, conservatory, first floor Care Homes for Older People Page 4 of 23 Over 65 39 0 Brief description of the care home lounge and an additional visitors area. A passenger lift provides level access to all parts of the home. A section of ground floor corridor is slightly sloped, to overcome the necessity for stairs between the original building and a later constructed extension. Assisted bathroom and toilet facilities are provided and most bedrooms have en-suite toilets. Laundering of clothing and household linen is carried out within the home at no additional cost to residents; items requiring dry cleaning are charged additionally because it is necessary to send them out of the home for this service. A hairdresser visits the home each week; there is an additional charge for this service. Fees are charged weekly; at the time of inspection those charges ranged from £700 to £850. Care Homes for Older People Page 5 of 23 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: three star excellent 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection took place on the 15th April 2010 and took approximately five hours. The purpose of the inspection was to assess all of the key standards. The inspection was carried out by one inspector however the term WE is used throughout the report to reflect the findings of the Care Quality Commission, (CQC). The Registered manager, Mrs Maidment was on hand throughout to aid the inspection process. We gathered information in a variety of ways, which included reports made to CQC by the home; the annual quality assurance assessment, (AQAA), completed by the Registered Manager; a tour of the premises; discussion with those people living and working at the home and information from completed surveys, which were sent out in advance of our visit and were completed by residents and staff at Riverside. We Care Homes for Older People Page 6 of 23 also reviewed a number of care records, recruitment and training records and maintenance documentation. We were made extremely welcome throughout our stay. Care Homes for Older People Page 7 of 23 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 23 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 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. New residents move into the home having had their needs thoroughly assessed and been assured that these needs will be met fully. Evidence: The AQAA the home sent us stated that: Potential service users are invited to look around the whole home and see existing room, introduced to staff and reisidents to gain a feel of the place. People we spoke with confirmed that the Registered Manager or deputy manager had also come to see them in their own home or hospital prior to admission and that they were made very welcome on arrival. Records showed us that the home had provided extra staffing so that one person admitted recently was able to have one to one care whilst they were settling in. We reviewed the care documentation for two people who had recently moved into the home. We saw that pre-admission assessments had taken place and the home was Care Homes for Older People Page 10 of 23 Evidence: able to meet the needs of these individuals. Care Homes for Older People Page 11 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: The AQAA stated: We provide person centred care by having named nurses for each resident. Care plans evolve as we get to know the resident better. We ask the resident or family member friend to provide a brief life history, if they are happy to do so. This will help us to recognise what is important to this resident and enable us to provide the type of care that resident wishes and in the way they wish care to be delivered. By knowing something about their past will help us to plan their future with them. We looked at the care files for four people who use the service, we found there was very good information on how people need to be supported, there was detailed information on how staff need to provide care in order to meet peoples needs. Daily records were sensitively written with good information on all aspects of the persons life. We found that the life diaries were completed well and gave a personalised view of the individual and their life. Care Homes for Older People Page 12 of 23 Evidence: We found that people had the equipment they needed and were able to see health care professionals when necessary. We found when talking to staff they understood people well and knew how to support them sensitively. People said: The staff are very professsional, caring and attentive. I am delighted with the standard and mother is very happy. The regular reviews involving me are very comprehensive. The home supplies care with a human touch, makes family feel welcome, communicates well, has time to stop and chat, is good humoured and generous spirited. This all applies to practically all of the staff the family comes in contact with. We looked at how the home managed medication and they did this well both training staff and ensuring that audits were completed. We found the systems they had in place ensured the safety of the people living in the home. Care Homes for Older People Page 13 of 23 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 excellent 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 are supported to maintain their life skills and are encouraged to make choices as far as possible. Social, spiritual and recreational activities meet the needs of the residents very well. Evidence: The home provided an excellent level of social, religious and recreational support to residents. People told us that they were very happy with the lifestyle that living at Riverside afforded them. They said: The care is very good and the activities are very good. The home creates a lively and friendly atmosphere and nothing is too much trouble with regard to care. The home looks after all of us well. Gives something for us every day, like entertainments and amusements and outings. Some chose to spend time on their own but knew they could join in with any organised activities if they so wished. Activities were based on the preferences of the residents and were recorded. Designated staff were employed to undertake activities. A programme of events was distributed to each resident every week and for April this included such things as visits from PAT dogs, gentle exercise classes, trips into the town, the use of a sensory room, quizzes and manicures. During the inspection we saw a group of people enjoying classical music in the activities room. Care Homes for Older People Page 14 of 23 Evidence: One to one sessions were available to those not wishing to join in group events. Residents said that they could entertain their visitors in private and that they were always made very welcome. We saw several complimentary letters to the registered manager saying how welcome people had been made when visiting the home. People told us that they were free to choose whether they wanted to handle their own financial affairs. Some preferred to have a family member to act on their behalf. All the people we spoke with confirmed they enjoyed the food provided. Records showed that residents likes and dislikes with regard to food were known and people were aware that alternatives to the main menu were always available. Food was regularly discussed with residents and alterations were made to the menu according to peoples wishes. Care Homes for Older People Page 15 of 23 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. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure. Protection from abuse is promoted. Evidence: The AQAA stated: We actively encourage people to comment, make suggestions or complain if necessary. We probably appear to have quite a few complaints as we tend to listen and document all grumbles even if of a domestic issue. The AQAA also told us that there had been nine complaints made in the last year, which had been fully investigated and action taken in accordance with the homes complaints policy. Three were upheld. People living at Riverside told us that they knew how to complain and felt confident that if they had concerns or complaints they would be listened to and taken seriously. The home had written policies and procedures for the protection of residents from abuse or neglect and provided all staff with training in the understanding of abuse and their role in protecting residents from abuse in its many forms, including neglect. Care staff told us that they had received such training. Care Homes for Older People Page 16 of 23 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. The standard of the environment at Riverside is good providing residents with an attractive, homely and safe place to live. Evidence: A tour of the premises and review of maintenance documentation showed us that the home was well maintained inside and out. There was evidence that equipment was serviced regularly. Residents had access to all communal areas. Residents had recently expressed a wish for a ramp to aid people using wheelchairs to access the garden from the conservatory. The Registered Manager confirmed that it had been ordered. Residents rooms were of a good size and furnished appropriately. The home continued to refurbish various rooms as the need arose, this included the recent redecoration of the dining room. Bedrooms were personalised with a variety of mementos, pictures and small items of furniture. All areas of the home seen during the inspection were clean, bright and free from any unpleasant odours. Surveys completed indicated that the home was always kept clean. The laundry continued to be well managed. Adequate supplies of clean linen were seen to be available. Care Homes for Older People Page 17 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient care staff, are employed to meet the needs of residents. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. Staff are given the training and support so that they can give a high standard of care to the residents living at Riverside. Evidence: At the time of inspection staff rosters demonstrated that there were sufficient staff on duty. During the inspection staff were on hand to meet the needs of the residents. People told us that staff responded to their needs promptly. The home had an ongoing training programme, which included NVQ level 2, 3 and 4 in care and approximately 75 of the care staff held the minimum of a level 2 award in care. We reviewed the recruitment files for three new members of staff. The files were well ordered and contained all the information required by law. Enhanced Criminal Record Bureau checks had been obtained for all new staff. Training files showed us that staff were receiving induction training. Staff told us that they were encouraged to take up training opportunities provided. Recent training included all aspects of mandatory training; dementia awareness; Parkinsons disease; dignity in care; the protection of vulnerable adults; nutrition and tissue viability. People living in the home told us that they thought staff were skilled and professional. Care Homes for Older People Page 18 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well organised and the daily management and running of the home centres round the care of residents. Good management practice, systems in place, and records kept, confirm the health and safety of all in the home. Evidence: Mrs Maidment, the Registered Manager, had been in post for a number of years and has the skills and experience to manage the home very well. She confirmed that she was supported well by the Registered Provider. Everyone we spoke with had the highest regard for Mrs Maidment and said she were very approachable and responsive to any suggestions made. It was evident that the home was managed in the best interests of those people living there. There was a quality assurance and quality monitoring system in place. The home had taken steps to review its performance regularly and residents views were sought and comments put forward were acted upon appropriately. We were told that residents either dealt with their own finances or had a representative to do so. The home held small amounts of money for people at there Care Homes for Older People Page 19 of 23 Evidence: request and clear records of any monetary transactions were held. Staff told us that they had regular supervision sessions and were clear about their roles and how they were performing. Clear written records confirmed this procedure was in place. Records showed that staff had received recent training in fire safety and manual handling updates. Substances hazardous to health were seen to be stored securely. Records showed that equipment had been serviced regularly. Accidents were recorded and appropriate action was taken as necessary. Care Homes for Older People Page 20 of 23 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 21 of 23 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 Care Homes for Older People Page 22 of 23 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!