Care Home: The Raikes

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What the care home does well These are some of the comments people made at the visit and in surveys when we asked what the home does well: "The staff team are very good, they look after me I have no complaint, they are a great bunch". "The staff have a capacity to take great care when dealing with people on an individual basis". "The staff always seem to be able to have plenty of time to deal with people". They never seem to be rushed and always deal with people with empathy". "The staff gives loving care". "They do everything well". "They are helpful, friendly staff ". "There is a warm atmosphere". A relative said: " Personal friendly care, they always put people first. "The food is very good and varied". Another relative said what the home does well is: " Social interaction, talking to, sitting with people, being patient, tolerant, supportive and cheerful. Making the home feel like a home. The staff are very impressive". "The surrounding gives people a chance to go out in the garden in the warm weather and not couped up indoors".Staff told us what the home does well: "Support is given to both people and staff and people are given a choice of food, drinks and activities". "They provide staff with the opportunity for training and courses which then gives carers better knowledge and understanding of what is required of them as carers". The activity people told us: "This is a well run home, people are well looked after, we enjoy coming and engaging people in activities." "My mother lived here and we enjoy coming back helping people with activities." What the care home could do better: People`s relatives and staff told us what the home could do better is: Some consideration should be given to redecorate the home throughout. Care plans for people`s care and support needs should be put in place in a timely manner, this would make sure staff know how to care for people. The registered provider should have a programme of repairs, refurbishment and replacement in place to ensure that the premises is kept well maintained and people live in a safe and well maintained environment. Staff should continually have up to date Adult protection and MCA DOLS training to make sure people are safe. Random inspection report Care homes for older people Name: Address: The Raikes Bradley Road Silsden Keighley West Yorkshire BD20 9JN two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Valerie Francis Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: The Raikes Bradley Road Silsden Keighley West Yorkshire BD20 9JN 01535653339 01535653952 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Moira Madden Type of registration: Number of places registered: Conditions of registration: Category(ies) : Crabtree Care Homes care home 31 Number of places (if applicable): Under 65 Over 65 4 18 10 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 The maximum number of service users who can be accommodated is: 31 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other categor - Code OP; Dementia - Code DE(E); and Physical disability - Code PD(E) Date of last inspection Care Homes for Older People Page 2 of 11 Brief description of the care home The Raikes is a detached property on the outskirts of Silsden, halfway between the towns of Keighley and Skipton. The home is set in attractive gardens with views across the surrounding countryside. The Raikes is part of a group of homes owned by Crabtree Care Homes. The home is registered to provide personal care for up to 31 older people. Accommodation is provided in single and twin rooms on the ground and first floor. Two passenger lifts provide access to the first floor. A parking area is provided to the side of the property. The current range of fees for the service can be obtained by contacting the home directly. Care Homes for Older People Page 3 of 11 What we found: We looked at all the information that we have received, or asked for, since the key inspection of 7th June 2007. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service; these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. This was an unannounced visit to the home by one inspector on 27th April 2010 who was at the home from 11:30 until 14:45. During the visit we talked to people living in the home, staff, Deputy Manager and the Business Manager. The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We have carried out an Annual Service Review every year for this service. These reviews confirmed that the home was continuing to provide good and excellent outcomes to people using the service. At the last key inspection one requirement was made following that visit. The home was required to ensure that care plans are fully completed and be available without gaps in the identified need. During our visit the Deputy Manager told us since the last key inspection, the home has designated a Senior Care Assistant, whose role is to put together care plans with people and or their representative. This is to ensure that care plans have clear action that staff must follow to meet all peoples care and support needs. We looked at two peoples care plans, one person had recently moved into the home. There was no plan in place outlining the persons basic care and support needs or the action staff must take to care for this person in the interim, whilst a full care plan is put in place. The Deputy Manager said that the homes assessment process of peoples needs continues up to six week after their admission, and a care plan is then put together, this she said would make sure no need get missed. The home also told us, we prefer to assemble a care plan from our own experience and information gathered from, resident, family and friends, this can take some time but we feel it leads to a more person centred and effective plan. In the AQAA the home told us: We always encourage people who want to use the service to visit the home whenever possible. Care Homes for Older People Page 4 of 11 No person is admitted to the home without a pre- assessment of their needs carried out. Medication records, social workers report are obtained whenever possible. This is also done for people who use the home for respite care. Staff are encouraged to be involved with the pre- assessment process. The other persons care plan we looked at had good information about their care and support needs and information on risk assessments carried out. Although we saw that people had regular weight checks and some people had a nutritional risk assessment. The home told us: When a new resident comes to the home a nutritional risk assessment is done and placed in the care plan. This highlights any problem with their diet or fluid intake. If after a period of time their weight drops or increases excessively we would consult with GP. dietician or any other professional we feel could improve the situation. Simultaneously we would put in place charts to monitor their intake to give everyone an accurate picture. The home also told us in the AQAA: All aspect of peoples personal care needs are recorded in their care plan. Risk assessment are carried out immediately and appropriate measures taken when necessary if a risk is identified. We are quick to bring any other professional on board. Medication records and the storage of medication were looked at. Staff who administer medication have had training in safe handling of medicines. The home also have a copy of the Royal Pharmaceutical Society (RPS) guidance for residential homes. The procedure followed by the home met with the RPS and the CQC guidelines for safe handling of medication. During our visit we saw that people are encouraged to take part in recreational activities. The home has weekly visits from the homes activity co-coordinators who engage people in art and craft afternoon, music sessions and exercise classes on a weekly basis. Staff were also seen talking to people on a one to one basis. Some people were seen spending their time in the sitting areas watching television, sitting outside or sitting in the hallway. People told us that they are able to do what they wanted. The relatives of nine people completed surveys on their behalf. They indicated that the home always arrange activities for people to take part in. During the visit we saw that staff interacted with people in a kind and respectful way. We saw that people looked well cared for and were able to spend their time where they wanted. Care Homes for Older People Page 5 of 11 The homes complaint procedure is displayed on the notice board in the entrance to the home. People told us that they know what to do if they have any concerns; the surveys completed on peoples behalf also indicated this. During our discussion with staff, staff showed that they had no concerns about whistle blowing on any bad practise or abuse, regardless of who the member of staff was. However, not all staff have had Safeguarding Adult training. The manager had attended the D.O.L. (Deprivation Of Liberty) course and fed back to staff. We were told by the deputy manager and the business manager that this and the Mental Capacity Act (D. O. L) training would be arranged so that all staff have this training. During our walk around the building we found bedroom floor coverings were carpets or vinyl floor covering. Some people had taken the opportunity to furnish their room with memorabilia from their home. However, some bedrooms were basic with very little signs of peoples life before they moved into the home. We were told, families are encouraged to bring in personal possessions for their relatives. Some bed bases were badly stained and fraying around the edges, bed linens were thin and look worn. Several electrical vents needed cleaning. Whilst looking around bedrooms we saw one person, who had difficulty sitting up, was sat in a sofa chair which did not support them to sit upright. The bath hoist was showing signs of wear and tear and rusting in areas. These findings were brought to the attention of the manager and the visiting business manager. Since our visit we have received written feedback from the provider, indicating that the issues related to the building had been resolved. We were told that the owners of The Raikes are always willing to replace any furniture and fittings when requested to do so. The deputy manager and the business manager told us that there were plans in place for the grounds to be made safe with a pathway around the building, to give people the opportunity to use the garden in the good weather. During our visit staffing levels in the home in the morning appeared to be appropriate for the number of people living in the home at the time. Staffing levels are 4 on an evening shift and sometimes 5 with a volunteer and two staff during the night. Staffing levels were discussed with the deputy manager who said at the present time there were only two people who required the attention of two staff. Staffing levels should be continually monitored to make sure that there is enough staff to Care Homes for Older People Page 6 of 11 care for people, taking into account the change in peoples needs, size and layout of the building. We looked at two staff recruitment files and found that all the required checks, including CRB (Criminal Records Bureau) are done before new staff start work. This was confirmed by staff. This helps to make sure people are protected. Staff told us that there is on going training for them, we spoke to staff who have worked at the home for many years and those who have only been there for several months. Staff were all complimentary of the working arrangement in the home, and the way in which people are cared for and the support of the management team. In the AQAA the home told us: We have a diverse staff group both in age and from different background; they all relate to the people who live in the home at different levels. Three staff are in the process of undertaking National Vocational Qualification (NVQ) Level 2, one staff doing level 3 and another have recently completed level 4. There are 13 staff with NVQ qualification in level 2,3, or 4. People and visitors made positive comments about the manager and the staff. What the care home does well: These are some of the comments people made at the visit and in surveys when we asked what the home does well: The staff team are very good, they look after me I have no complaint, they are a great bunch. The staff have a capacity to take great care when dealing with people on an individual basis. The staff always seem to be able to have plenty of time to deal with people. They never seem to be rushed and always deal with people with empathy. The staff gives loving care. They do everything well. They are helpful, friendly staff . There is a warm atmosphere. A relative said: Personal friendly care, they always put people first. The food is very good and varied. Another relative said what the home does well is: Social interaction, talking to, sitting with people, being patient, tolerant, supportive and cheerful. Making the home feel like a home. The staff are very impressive. The surrounding gives people a chance to go out in the garden in the warm weather and not couped up indoors. Care Homes for Older People Page 7 of 11 Staff told us what the home does well: Support is given to both people and staff and people are given a choice of food, drinks and activities. They provide staff with the opportunity for training and courses which then gives carers better knowledge and understanding of what is required of them as carers. The activity people told us: This is a well run home, people are well looked after, we enjoy coming and engaging people in activities. My mother lived here and we enjoy coming back helping people with activities. 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 set out on page 2. Care Homes for Older People Page 8 of 11 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 9 of 11 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, 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 1 8 Care plans for peoples care and support needs should be put in place in a timely manner, this would make sure staff know how to care for people. Staffing level should be continually monitored to make sure that there is enough staff to care for people, taking into account the needs of people, size and layout of the building. 2 27 Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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