Care Home: Riverside Court

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What the care home does well People`s care needs are properly assessed and they are given the opportunity to stay at the home before they move in permanently. This helps them make an informed decision about whether Riverside court is the right place for them to live. People are given enough information about the home before they move in. One of the owners of the home visits them and they are then offered the opportunity to visit Riverside Court to look round and to ask questions about the home. This enables them to make an informed decision as to whether the home is the right place for them to live. People living in the home made positive comments such as, "Staff are very good". "No regrets in coming into the home, when you press the buzzer they come within a minute" "Food is very good" "I have been very happy here" "The food is gorgeous - they give you plenty - they feed you well". "There are always activities in an afternoon such as bingo every week, and making things. They take you out in the summer and the boss bought us all an ice cream. I could not have picked a better place". "Really good here, would not change anything". "They are not skimpy with food" Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 "I asked for spaghetti Bolognese - they did it and it was very good". The information kept about people has improved and is the right kind of information needed; this helps staff support people properly all of the time. When staff apply for a job at Riverside Court all the right references and police checks are completed, this means that it is less likely that unsuitable staff are employed to work at the home. What has improved since the last inspection? The recruitment process before staff commence working at the home has improved. Two written references are now obtained. Staff have received first aid and food hygiene training. People`s care plans have improved to reflect most of the care needs that people need. Activities at the home have improved, which was confirmed by people living at Riverside Court. The decor of the home has been improved in all of the communal areas and in seven bedrooms as these areas have all been re-decorated. What the care home could do better: Staff working at the home must have up to date training such as medication and safeguarding. This will make sure that people living at Riverside Court are protected from harm. The home must consult with the fire authority in making sure that staff have the required fire training that is necessary. This makes sure that people living at Riverside Court are always safe. Care plans need to be updated to reflect how staff at the home make sure that they meet the personal care needs of people. This includes how staff actually support people to have a shower or bath. This makes sure that staff meet people`s needs when assisting them with personal care such as bathing.Riverside CourtDS0000007795.V376344.R01.S.docVersion 5.2Staff working at the home need to be appropriately supervised and records need to be maintained. This makes sure there is a consistent approach when providing care to people living at the home. Communication between staff and the management of the home could be improved further by having regular meetings. As this keeps staff up to date with current good practice and creates a positive and inclusive atmosphere. Key inspection report CARE HOMES FOR OLDER PEOPLE Riverside Court Bridge Street Boroughbridge North Yorkshire YO51 9LA Lead Inspector Irene Ward Key Unannounced Inspection 17th June 2009 09:30 DS0000007795.V376344.R01.S.do c Version 5.2 Page 1 This report is a review of the 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. 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. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Court Address Bridge Street Boroughbridge North Yorkshire YO51 9LA 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) 01423 322935 01423 324835 Mr Stephen Fredrick Jenkins Mrs Carole Anne Day, Mrs Loren Marie Jenkins Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th June 2008 Brief Description of the Service: Riverside Court is registered as a care home providing personal care and accommodation for 25 older people. The home is located in the market town of Boroughbridge close to shops, banks, pubs, the post office and other amenities. The building is a former hotel, which over looks the River Ure. The home has three floors, with a vertical passenger lift to aid access to the first floor and second floor. The home is owned by Mrs Carole Day, her daughter Mrs Loren Jenkins and her son-in-law Mr Stephen Jenkins. There are parking places to the rear of the building. The home has a Statement of Purpose, which gives information about the service. Details provided on the 17th June 2009 outline the weekly fees between £360 and £393. This does not include hairdressing, chiropody services and individual items like newspapers. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two star – good service. This means that people who use the service experience good quality outcomes. The Care Quality Commission inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.cqc.org.uk This is what we used to write this report: · We looked at information we have received about the home since it was registered. · We asked for information to be sent to us before the inspection, this is called an annual quality assurance assessment (AQAA). · We sent surveys to people who live at the home and to staff and Health Care professionals · One inspector visited the home unannounced. This visit lasted five hours and included talking to the owner and the staff about their work and checking some of the records, policies and procedures the home has to keep. · We spent time talking with people who live at the home. · We looked at four peoples care records to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. · We focused on the key standards and what the outcomes are for people who use the service. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 6 We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The site visit took place on the 17th June 2009. Mr Jenkins one of the owners was available to assist throughout the visit and available for feedback at the end of the day. What the service does well: Peoples care needs are properly assessed and they are given the opportunity to stay at the home before they move in permanently. This helps them make an informed decision about whether Riverside court is the right place for them to live. People are given enough information about the home before they move in. One of the owners of the home visits them and they are then offered the opportunity to visit Riverside Court to look round and to ask questions about the home. This enables them to make an informed decision as to whether the home is the right place for them to live. People living in the home made positive comments such as, Staff are very good. No regrets in coming into the home, when you press the buzzer they come within a minute Food is very good I have been very happy here The food is gorgeous - they give you plenty - they feed you well. There are always activities in an afternoon such as bingo every week, and making things. They take you out in the summer and the boss bought us all an ice cream. I could not have picked a better place. Really good here, would not change anything. They are not skimpy with food Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 7 I asked for spaghetti Bolognese - they did it and it was very good. The information kept about people has improved and is the right kind of information needed; this helps staff support people properly all of the time. When staff apply for a job at Riverside Court all the right references and police checks are completed, this means that it is less likely that unsuitable staff are employed to work at the home. What has improved since the last inspection? What they could do better: Staff working at the home must have up to date training such as medication and safeguarding. This will make sure that people living at Riverside Court are protected from harm. The home must consult with the fire authority in making sure that staff have the required fire training that is necessary. This makes sure that people living at Riverside Court are always safe. Care plans need to be updated to reflect how staff at the home make sure that they meet the personal care needs of people. This includes how staff actually support people to have a shower or bath. This makes sure that staff meet peoples needs when assisting them with personal care such as bathing. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 8 Staff working at the home need to be appropriately supervised and records need to be maintained. This makes sure there is a consistent approach when providing care to people living at the home. Communication between staff and the management of the home could be improved further by having regular meetings. As this keeps staff up to date with current good practice and creates a positive and inclusive atmosphere. 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. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are properly assessed prior to admission, this makes sure that Riverside Court is the right place for them to live. EVIDENCE: One of the owners of the home was present during the site visit and confirmed that information is made available to anyone interested in moving into the home in the form of a brochure and a service user guide before they move in. This information is provided to people who are considering moving to the home, relatives or to care managers from local authorities. There had been one new admission recently into the home. We were told us that people are always given the opportunity to visit the home before they Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 11 make a decision as to whether they wanted to live there. This was confirmed by people living at the home. One of the management team and a senior staff carry out all of the assessments. They visit people and get information from them as well as their relatives and other professionals to help them decide if they will be able to meet people’s needs before a place is offered. Four people’s files one of which had recently moved into the home were looked at in detail and confirmed good practice. Assessments were carried out before people moved into the home and contained details of every aspect of people’s daily life and health needs. Examples of the information included were daily living, social interests, and peoples long term needs. Care plans also detailed peoples history/background. Improvements have been made since the last inspection in how staff record information about the care people need. Peoples files held copies of terms and conditions or contracts. All of the files seen held contracts in them that had been agreed and signed by people living at the home or their representative. It was agreed on the day that these need to be updated to reflect the correct details of the Care Quality Commission. The home does not provide intermediate care. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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’s personal and healthcare is provided appropriately and sensitively according to individual needs. However further improvements should be made to care plans, so that they are clear for staff to follow when providing personal care, such as bathing. This makes sure that peoples personal care needs are always met. EVIDENCE: Four peoples case records were looked at in order to check that a plan had been formulated which helped staff provide support to people according to their needs and wishes. Peoples health care needs were recorded in their individual care plans. Most areas were well detailed. However areas such as supporting people with showering or bathing were not as well documented in how staff actually Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 13 support people when assisting them to shower or bathe. Care plans should have step-by-step instruction as to how people wished to be supported including when they are showered or bathed. Care plans on the whole were well detailed and covered all areas of daily living. They also included details such as risk assessments, peoples history, weight and moving and handling assessments where needed. Risk assessments help identify potential risks to people, this helps the staff to put into place arrangements which may minimise the risks. Each person living at the home is registered with a General Practitioner. There is one local GP practice involved with looking after peoples health care needs. There are eight or nine GPs at this practice. People are able to have a female GP if they so wish. Other health care professionals are involved with people’s health care needs such as the Chiropodist and District Nurses. People’s health care needs are promoted and maintained. Any changes to people’s health care needs are also recorded in the daily records contained within their care plan. People living at the home attend Harrogate District Hospital for all A & E (Accident and Emergency) and for most out patient appointments. The home operates a monitored dosage system. There is a policy in place for the storage and administration of medication for all staff working in the home to follow. The Medication Administration Records show that everyone receives their medication as prescribed. Records were up to date and well maintained. Medication seen in the home was securely stored in a locked drugs cabinet. Controlled drugs held were stored appropriately and records were maintained as required. All staff that administers medication in the home have been provided with medication training. Although there was no evidence of any recent medication training undertaken by staff who administer medication. The management of the home need to look at how staff are updated with best practice in respect of medication. People told us they received the care and support they need, they also confirmed that call bells are answered quickly by the staff. Examples of comments made were: Staff are very good. No regrets in coming into the home, when you press the buzzer they come within a minute Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 live at the home have the opportunity to participate in activities and are supported by staff to carry these out. EVIDENCE: People are supported in exercising choice and control over their daily and social activities. The owners and staff promote Riverside Court as peoples own home, this enables them to follow a daily routine of their choice, which resembles the one they would have had previously in their own homes. This focus encourages people to remain independent and have as much control over their lives as is possible. People can sit in communal lounges or spend time in their rooms and can rise and retire as they wish. People who live at Riverside Court have the opportunity to participate in various activities such as bingo, knitting class, piano - guess that tune, various board games, and charades, indoor bowls, keep fit class, music afternoon’s, cards and darts. On the day of the inspectors visit to home there was keep fit Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 15 to music going on in the lounge in the afternoon which people were enjoying and in the morning a member of staff played the organ in the lounge and people were either listening or sang along to somewhere over the rainbow. The home keeps an activity book. People living at the home confirmed that they were able to have visitors at anytime and that there were no restrictions. Mealtimes were discussed with one of the owners on the day of the visit as the cook had finished for the day. Menus seen were on a three week rotation. Menus were varied, and nutritionally balanced. The owner said that the home caters for special diets such as diebetics.People are given a choice of nutritious drinks and meals when they request them. People have choices and are offered a cooked meal or sandwiches and a desert at teatime. The main cooked meal is at lunchtime. Most people said that they usually had cereal and toast for breakfast. Although people did say that if they wanted a cooked breakfast all they needed to do was ask and they would get what they wanted. People on the whole spoke highly about the food provided by the home and made comments such as, Food is very good I have been very happy here The food is gorgeous - they give you plenty they feed you well. There are always activities in an afternoon such as bingo every week, and making things. They take you out in the summer and the boss bought us all an ice cream. I could not have picked a better place. Really good here, would not change anything. They are not skimpy with food I asked for spaghetti Bolognese - they did it and it was very good. Average - not top class. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 have access to an effective complaints procedure and are protected from harm. However the lack of adult abuse training for staff could put people at risk. EVIDENCE: A comprehensive complaints procedure is followed and is made available to people and any other interested parties. The complaints procedure was on display on the information board in the home. The home has not received any formal complaints. No complaints have been received by the Care Quality Commission. People when asked were clear as to whom they would speak to if they had any concerns or worries. All said they would speak to one of the owners. People made comments such as, I would go see the boss. I would see any of the staff or my key worker. It’s all right here I have no complaints. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 17 There is a policy and procedure with regard to safeguarding adults and the procedure to take if there is a suspicion of abuse and staff demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training. However there has not been any recent training in respect of safeguarding training, although one of the owners said that safeguarding training for staff had been arranged and was to take place on the 15th July 2009 with North Yorkshire County Council Social Services department. There have been no allegations regarding safeguarding made to the home or to the Care Quality Commission. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of unsuitable people working in the home. People’s finances are not managed by the home. People either manage their own finances or family or representatives do this for them. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, comfortable and safe home that is decorated and furnished to a good standard. EVIDENCE: The home provides accommodation for people that is based on three floors. It overlooks the river, and some people commented how much they enjoyed the view from their rooms. The accommodation includes a choice of three sitting areas and a dinning area all on the ground floor. There are sufficient toilets and bathrooms to meet the needs of people living at the home. Peoples rooms on the first and second floors are accessed by the use of a passenger lift or stairs. Peoples bedrooms Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 19 were seen which had been personalised with all their possessions. The home was clean in all of the communal areas, the kitchen was also clean and everywhere was free from odours. One of the owners said that all the communal areas have been re-decorated throughout the home. The decorator was in at the time of the home being inspected and was re-decorating one of the main bathrooms. The home has been decorated to a good standard throughout. The decor has been improved since the last inspection. Seven bedrooms have also been re-decorated. People living at the home said that the home is always fresh and clean. Rooms seen all had call bells. When activated by people living at the home staff on duty responded to them to quickly. This was also confirmed by people living at the home. One person said, When you press the buzzer they come within a minute The laundry is situated in the cellar. The washing machines have a sluicing cycle, which is used to wash soiled laundry separately. Staff are provided with protective clothing, which helps to reduce the risk from cross infection. Plenty of disposal aprons/gloves seen in the home. There is a large garden and patio areas to the side of the home with frontage overlooking the river. There was garden furniture for people to be able to sit out in good weather. There is a car park at the rear of the home. The home now has a portable ramp so that people have easy and safe access from the front door. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staffing levels, proper recruitment procedures meant that people’s needs were on the whole being met. However due to the lack of some training for staff regarding medication. This could potentially put people at risk. EVIDENCE: Staffing levels were sufficient for meeting the needs of people. The duty rota showed that there are usually two members of care staff on duty both in a morning and afternoon and evening. This does not include the owner’s hours. There is always one of the owners on duty each day. The home also employs ancillary staff which includes a domestic and kitchen staff. There are two care staff on waking night duty each night. No new staff have been employed in the last three years. The staff records of three staff were looked at. These showed that all the necessary pre-employment checks had been carried out prior to the new workers starting in post. All records showed completed application forms, two written references, CRB (Criminal Record Bureau) checks had been obtained. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 21 The training files for staff held little evidence that staff had received any recent form of training. Apart from the recent first aid training which was held on the 6th May 2009 and fire training which was held on the 9th March 2009. The home is not currently providing all the training needed to keep staff up to date with current practice such as medication and adult protection and safeguarding. Records showed that medication training was last undertaken in May 2008. There were no records of staff undertaking any adult protection training. The owners need to demonstrate that staff are kept up to date with relevant training so that they are able to carry out the work that they are employed to do competently, although safeguarding training for staff has now been arranged and was to take place on the 15th July 2009 with North Yorkshire County Council Social Services department. The National Vocation Qualification Level 2 (NVQ) training has been completed by six staff at the home.NVQ Level 3 has been completed by one staff. The last staff meeting was recorded as taking place in November 2008. The staff would benefit from more regular meetings taking place as this keeps them up to date with current good practice. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): People using the 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 benefit from a well managed home in which their needs and wishes are put first. Although further improvements need to be made in the management and training of staff. EVIDENCE: Riverside Court is managed by the owners who work at the home daily and have been there for a long time. A range of health and safety records were looked at which were all up to date. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 23 The home has a good management team in place, although some areas could be improved in making the management team more effective .The ethos of the home is open and positive. People who use the service commented highly about the home. Residents meeting are not held due to there only being three or four people who would be able to participate. In discussion with one of the owners who said that there is always one of the management team available and working in the home each day. Therefore people are seen daily and are spoken to about the service in making sure they are satisfied with everything. A range of other records seen from care plan, staff recruitment records to medication records were also up to date. Improvements have been made since the last inspection to the environment, staff records and peoples care plans. However, the home needs to make sure that staff receive up to date training, especially in areas such as medication. As this makes sure that staff are competent to do the job they are employed to carry out. Further improvements could be made by having regular staff meetings, as this demonstrates that there is good communication between staff and the management of the home. Staff files looked at showed little or out of date supervision records. This needs to be addressed and staff need to be appropriately supervised and records maintained to support this. All accidents are recorded as required and an accident book is maintained although this was not in line with the requirements of Data Protection. People’s finances were not checked at this site visit as the owner said they did not manage peoples finances. As people either manage their own finances or their relative or representative did this on their behalf. Quality Assurance systems are in place. The home carried out a Quality Audit in September 2008. They have produced a report which details the findings from their audit. Comments made from surveys that the home received were, Both management and staff have a caring attitude to residents as far as i can see. You are doing a great job. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 2 X 3 Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 25 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 OP7 Good Practice Recommendations Care plans should be updated to reflect how staff at the home make sure that they meet the personal care needs of people. This includes how staff actually support people to have a bath or shower. This makes sure that staff meet peoples needs when assisting them with personal care such as bathing and showering. Staff should receive regular medication training. This makes sure that staff are following good practice at all times. Staff should receive regular training in safeguarding adults. This makes sure that people living at the home are protected from any form of abuse. There should be opportunity for staff to meet with the management of the home to enable them to contribute and affect the way in which the service is delivered. Staff working at the home should receive regular supervision, which is also documented. This makes sure DS0000007795.V376344.R01.S.doc Version 5.2 Page 26 2. 3. 4. 5. OP9 OP18 OP32 OP36 Riverside Court 6. OP38 that staff are supported to do their job at all times. The accident book should be maintained in line with the requirements of Data Protection. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 27 Care Quality Commission Yorkshire & Humberside Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.yorkshirehumberside@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. Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 28 Riverside Court DS0000007795.V376344.R01.S.doc Version 5.2 Page 29 - 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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