Care Home: Rivington View Nursing Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well Discussion with residents and staff revealed that residents were treated with respect and that their right to privacy was upheld. Comments made included; `the staff are really good and care for me well`, `It was the right choice coming here, the food is very good and all the staff treat me well`, `I am happy here and feel very safe and well cared for`. On the day of inspection staff were observed to interact positively with residents and show them respect, protect their dignity and assist them properly throughout the day. What has improved since the last inspection? There have been improvements to the home environment. Also improvements have been made to the process of how potential staff are screened and the way the home measures the quality of the service provided to residents. The requirements made at the last inspection have been complied with. What the care home could do better: There are no requirements or recommendations as a result of this report. However it is acknowledged that the home has identified through its quality assurance processes areas where they can provide a better service and have taken action to do so. CARE HOMES FOR OLDER PEOPLE Rivington View Nursing Home Albert Street Horwich Bolton Lancashire BL6 7AW Lead Inspector Mike Murphy Unannounced Inspection 22nd April 2008 09:30 X10015.doc Version 1.40 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 Rivington View Nursing Home DS0000005695.V362757.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 Older People. 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. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rivington View Nursing Home Address Albert Street Horwich Bolton Lancashire BL6 7AW 01204 694325 01204 694338 rivingtinview@talktalkbusiness.net 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) Rivington View Limited Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (6) of places Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 33 services users to include: up to 33 service users in the category of OP (Older People); up to 6 service users in the category of PD (Physical Disability under 65 years of age) The service should at all times employ a suitable qualified and experienced Manager who is registered by the CSCI 5th July 2007 2. Date of last inspection Brief Description of the Service: Rivington View is a privately owned care home providing 24 hour care for up to 33 older people, most of whom need nursing care. Within that number, the home can accommodate up to 6 younger persons who are physically disabled. A qualified nurse is on duty at all times. Rivington View is a purpose built, two-storey home, situated in the centre of Horwich, close to bus routes, shops, and other community facilities. The home has 21 single bedrooms and 6 doubles. There is a lounge on each floor, a dining room and a meeting room on the ground floor, and bathrooms and toilets on both floors. The home is fitted with suitable adaptations and equipment such as a passenger lift, assisted baths, portable hoists, and grab rails. In addition to nursing and care staff, the home also employs cooks, kitchen assistants, domestic assistants, and a maintenance worker. Fees are from £352.76 to £560.00 per week. This information was supplied by the home at the time of this inspection. Please contact the home for further details. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 5 Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection which included a site visit that the home did not know was going to take place was carried out over a six-hour period on the 22nd of April 2008. The process of inspection included observing what went on in the home, talking to residents, relatives, staff and the deputy manager, looking round the home, and examining some important records. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we see the service. We felt this form was completed in well. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements or recommendations as a result of this report. However it is acknowledged that the home has identified through its quality assurance processes areas where they can provide a better service and have taken action to do so. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 7 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. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 8 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 Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are appropriately assessed prior to admission to ensure the home can meet their care and support needs. EVIDENCE: The pre-admission assessment records of 2 residents admitted since the last inspection were looked at. Before residents are admitted to the home an assessment of their needs is carried out in consultation with the resident, their relatives and relevant health and social care professionals such as doctors and social workers. The reason for such an assessment is to help the prospective resident (and their relatives) decide how appropriate a placement at the home would be and enable the nurse conducting the assessment to determine if the home will be able to meet the prospective resident’s needs appropriately. The Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 10 initial assessment helps to form the basis of the plan of care to be followed following admission to the home. The 2 residents care records inspected contained detailed pre and post admission assessments. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care provided for residents appears to be suitable, well organised, and meets the expectations of residents and their relatives. EVIDENCE: The care records of three residents were inspected. These contained care plans that were initially based on the pre-admission assessment that is referred to earlier in this report. Care plans addressed the health and personal care needs of residents in a clear, organised way and were evaluated at least monthly. Risk assessments, that seek to protect resident’s health and welfare supplement the care plans in respect of residents skin integrity (assessing the risk of pressure sores), mobility/moving and handling, nutrition, (including regular weight monitoring) and other areas of potential risk for individual residents were also assessed at least monthly (for example the need for bed rails to be used). Daily statements regarding resident’s progress are also recorded and these are dated, timed and signed by staff. All residents are Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 12 registered with a local GP and it was evident that all were enabled to access the services of dieticians, opticians, chiropodists, dentists, district nurses and other specialist services as individual residents needed. Care records are audited regularly as part of the home’s quality assurance processes. Discussion with resident’s relatives on the day of inspection indicated that they are kept informed of all changes in their relation’s health. The practices for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate and safe. The nursing staff are responsible for the management of resident’s medicines. Medicine records had been completed properly. Discussion with residents and staff revealed that residents were treated with respect and that their right to privacy was upheld. Comments made included; ‘the staff are really good and care for me well’, ‘It was the right choice coming here, the food is very good and all the staff treat me well, ‘I am happy here and feel very safe and well cared for’. On the day of inspection staff were observed to interact positively with residents and show them respect, protect their dignity and assist them properly throughout the day. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and enabled to participate in social activities and are also encouraged to make personal choices in their daily life. There was satisfaction with food provision at the home. EVIDENCE: Residents spoken to on the day of inspection said that they are able to make as many choices as possible and that the routine at the home was as flexible as possible. Residents are able to decide what time they get up and go to bed, what activities to take part in and staff involve them in deciding what care and support they need. This is essential if residents are to keep as much control over their life as possible. A programme of social and leisure activities was being operated. These activities were varied and included entertainers coming to the home, trips out (in good weather), games, craft activities and karaoke. Residents are able to Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 14 choose if they wish to participate. Those residents spoken to stated they found the activities enjoyable and appropriate. Residents wishing to maintain their religious links are enabled to do so. The home has an open visiting policy. There are no unreasonable restrictions on the time people visit. The only time restrictions would be imposed is when requested by residents. Relatives spoken to during the inspection said they were always made welcome at the home and were able to see their relatives in the privacy of their own rooms. Residents and relatives spoken to expressed satisfaction with care provided and organisation of life at the home. Observation of care practice and information in care plans indicated residents are encouraged to make choices. For example what time they like to get up/go to bed. While some residents chose to sit in the lounge a number were observed to spend their time in their own rooms. Meals are cooked on site in the home’s kitchen. Menus are varied, balanced and provide choice. Meals are served in a designated dining area – a pleasant suitably decorated and furnished room. Lunch was observed on the day of inspection. This was a hot and substantial meal and staff assisted and served residents their meals appropriately. Discussion with residents revealed satisfaction with the meals provided. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives knew how to make a complaint if they felt it necessary. Written guidance and training arrangements ensure that staff members have knowledge of abuse and protection arrangements and safeguards were in place to protect the welfare of residents EVIDENCE: The complaints procedure was prominently displayed in the home. Residents and relatives spoken to on the day of inspection said in the main concerns or worries brought to the manager’s attention are responded to quickly and don’t become formal complaints. Policies and practices aimed at protecting residents from abuse are in place. Also Bolton’s inter agency protection procedure is held on site. Staff have received adult protection training and this was reflected in training records maintained by the home. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a homely and comfortable environment in which to live. EVIDENCE: A tour of the premises revealed that the home was very clean and free of malodour. Discussion with residents and their relatives revealed that the home is regularly cleaned to a high standard. The home appeared to provide a safe and well-maintained environment for residents. The lounges and dining area were comfortably/appropriately furnished, suitably decorated and adequately heated, ventilated and lit. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 17 WC/bathing/shower rooms were suitably equipped, decorated and adapted and these facilities are accessible to residents. Aids and adaptations have been made generally to the environment to assist and enable residents and appropriate hoisting equipment is available. Six residents bedrooms were inspected on this occasion. These were clean, warm, suitably furnished and equipped and reasonably decorated. It is noted that there is an ongoing programme of redecoration for residents bedrooms specifically and the home generally. Specialist beds are provided for those residents whose nursing needs require such provision. Residents spoken to expressed their satisfaction with the home environment. The laundry area is separate from resident areas. The laundry was adequately equipped and the arrangements to provide residents with a laundry service was suitable and appropriate. Measures were in place to prevent the spread of infection. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment, provision and training of staff employed at the home are managed appropriately. This is important to ensure residents are cared for adequately and appropriately by staff able to deliver this support safely and competently. EVIDENCE: Staffing records showed that a qualified nurse was on duty at all times and that, in addition to care staff, the home employs cooks, kitchen assistants and a maintenance worker to ensure that residents needs can be met appropriately. Inspection of staffing records, discussion with residents, the deputy manager and staff revealed the care and support needs, of the 29 residents living at the home at the time of this inspection were being met. The home continues to make progress in the provision of NVQ 2 and 3 training. At the time of inspection in excess of 25 of the care staff had received such training. 3 staff recruitment files were inspected on this occasion. They contained evidence of CRB checks (including POVA first checks), 2 written references, Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 19 criminal convictions declarations, proof of identity, (including a photograph) and completed application forms – these included a detailed work history and a declaration relating to the prospective employees health status. Checks are made and recorded in respect of the status of registered nurses with their registered body. Training records indicated that they were provided with induction training on commencing employment. There was also evidence that staff had been provided training in moving and handling, fire safety and basic food hygiene and other topics. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst current management arrangements are good a manager needs to be recruited who can be proposed for registration with the CSCI, as legally required. EVIDENCE: The home is still seeking to recruit a manager who can be proposed to the CSCI to be the registered manager – a position that is legally required by the Care Standards Act (2000). A potential candidate had been recruited since the last inspection but has recently left. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 21 The home continues to be managed by the deputy manager supported by the proprietor, administrator and senior nurses. At the time of inspection the home was being well managed. Discussion with residents, their relatives and staff indicate that the deputy manager continues to operate an ‘open door’ policy that enables any issues to be easily discussed with her. We are of the view that the home is managed in the best interests of the residents. The deputy manager has, since the last inspection, introduced an effective quality assurance programme that assesses the quality of the services provided and the systems operated by the home. This can only improve the quality of care and support provided to residents. Measures were in place to ensure that residents’ financial interests are safeguarded. Residents are encouraged to control their own money. However where they are unable (or choose not to) personal allowances are managed by the home. The arrangements for this were secure and appropriately documented. The health, safety and welfare of residents and others are promoted and protected. For example staff are provided with regular training and appropriate equipment to ensure resident’s moving and handling needs are met – and example of this would be for a resident who needs to be safely moved with the aid of a hoist. Fire safety training is regularly provided. Information provided by the home indicates that gas and electrical safety inspections/servicing has taken place. The passenger lift that enable residents and others to access all areas of the home has been serviced as has all hoisting equipment used in the home. All significant events in the home – including accidents and illness and monitoring visits by the home’s owners – are recorded and reported (as required legally) to the CSCI. Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 22 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 X 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS; None on this occasion 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; None on this occasion 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 Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Rivington View Nursing Home DS0000005695.V362757.R01.S.doc Version 5.2 Page 25 - 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!