Care Home: The Risings

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What the care home does well People living at the home are cared for in a safe homely environment, by staff who are knowledgeable about them and are responsive to their needs. Most of the staff have worked at the home for a long time and they have developed close relationships and patterns of care that are individualised and `person centred`. People living at the home and their relatives were all very positive in the feedback they gave us about the home and had a lot of praise for the attention to detail in the way they care as well as in other aspects of the home such as its physical state and small size. The home provides a choice of meals and residents reported being well satisfied with the food and that their individual preferences are recognised and respected. Staff work in planned ways and have clear documentation to help them care for and support people in their day to day needs. People`s needs are properly assessed and their healthcare needs are effectively met. Staff have a good understanding of the needs of older people and recent training about caring for the needs of people suffering from dementia has been particularly well received and effective. In addition staff said that they have received a good amount of training in the past year, which helps them do their jobs more professionally and consistently. Staff were observed to be warm, friendly, and relaxed in the way they communicate and help people retain dignity and individuality. The manager and her joint owner are regarded as approachable and responsive by everybody involved with the home and they make sure that, by being readily available to people things are the best they can be for people living at the home. The home has been well maintained and there are high standards of cleanliness throughout. People are also encouraged to personalise their private space to their own liking and to bring in their own possessions and small items of furniture. What has improved since the last inspection? All of the legal requirements that were made at the last inspection have been addressed and the home`s management have continued to maintain a high standard of service and individualized care. Improvements have been made in the documents that support care activities and the physical environment of the home has continued to be improved and there are plans for further improvements. Staff training has been continued to a good standard and staff have been able to demonstrate how this has improved the quality of their work. The home has been reviewed under the `Investors in People` and received a high rating and a repeated approval. This is a national scheme that recognises good standards in staff training and management and the overall progress that the home continues to make is reflected in the overall quality rating that has been reached. What the care home could do better: No statutory requirements have been made as a result of this inspection and there are good practice recommendations that relate to indirect aspects of care and people`s lives. CARE HOMES FOR OLDER PEOPLE The Risings Primrose Lane Simmondley Glossop Derbyshire SK13 6LW Lead Inspector Brian Marks Key Unannounced Inspection 10th March 2009 10:00 am 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 The Risings The Risings KI Report.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. The Risings The Risings KI Report.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Risings Address Primrose Lane Simmondley Glossop Derbyshire SK13 6LW 01457 853770 F/P 01457 853770 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) The Risings Care Home Ltd Mrs Julie Townsley Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places The Risings The Risings KI Report.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st February 2007 Brief Description of the Service: The Risings is an adapted detached building within a mile of the centre of Glossop. Accommodation is on 2 floors and the Home has a stair lift to assist residents. The Home has 3 shared bedrooms and 11 bedrooms for single occupancy. There are 3 communal rooms that include a lounge, conservatory and dining room, all located on the ground floor. To the rear are well maintained and accessible garden and sitting areas. The Home has adapted bathing and toilet facilities on both floors. The Home has a no smoking policy. The scale of charges at the Home is £450 - £495 per week. The Risings The Risings KI Report.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The qaulity rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This was a Key unannounced inspection that took place at the home over one day. Additionally, time was spent in preparation for the visit, looking at key documents such as previous inspection reports, records held by us, the written Annual Quality Assurance Assessment document (AQAA), which was returned before the inspection, and surveys that had been previously sent out to the home, its staff and the people living at the home. All of the above material assisted with the preparation of a structured plan for the inspection. Eight resident and three staff surveys were returned before the inspection and the information supplied in this way was analysed and the outcomes included in the inspection process and reflected in this written report. At the home, apart from examining documents, files and records, time was spent speaking to the manager, who was in charge of the home during the visit, her joint owner and all of the staff working on the day shift. The care records of three people who live at the home were examined in detail and these were interviewed along with a number of others. The relatives or friends of three more, who were at the home on the day of the inspection, were also spoken to. No other inspection visits have been made to the home since the last Key unannounced inspection on 1 February 2007 and the assessment was made against the key National Minimum Standards (NMS) identified at the beginning of each section of this report, as well as other Standards that were felt to be most relevant. What the service does well: People living at the home are cared for in a safe homely environment, by staff who are knowledgeable about them and are responsive to their needs. Most of the staff have worked at the home for a long time and they have developed close relationships and patterns of care that are individualised and person centred. People living at the home and their relatives were all very positive in the feedback they gave us about the home and had a lot of praise for the attention to detail in the way they care as well as in other aspects of the home such as its physical state and small size. The home provides a choice of meals and residents reported being well satisfied with the food and that their individual preferences are recognised and respected. Staff work in planned ways and have clear documentation to help them care for and support people in their day to day needs. Peoples needs are properly assessed and their healthcare needs are effectively met. Staff have a good The Risings The Risings KI Report.doc Version 5.2 Page 6 understanding of the needs of older people and recent training about caring for the needs of people suffering from dementia has been particularly well received and effective. In addition staff said that they have received a good amount of training in the past year, which helps them do their jobs more professionally and consistently. Staff were observed to be warm, friendly, and relaxed in the way they communicate and help people retain dignity and individuality. The manager and her joint owner are regarded as approachable and responsive by everybody involved with the home and they make sure that, by being readily available to people things are the best they can be for people living at the home. The home has been well maintained and there are high standards of cleanliness throughout. People are also encouraged to personalise their private space to their own liking and to bring in their own possessions and small items of furniture. What has improved since the last inspection? What they could do better: No statutory requirements have been made as a result of this inspection and there are good practice recommendations that relate to indirect aspects of care and peoples lives. The Risings The Risings KI Report.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. The Risings The Risings KI Report.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 The Risings The Risings KI Report.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not come to live at the home without the care they need being properly identified but not enough attention is being paid to their social world and background history which would help staff provide person centred care for everybody. EVIDENCE: In the AQAA we were told that the manager carries out an assessment of everyone coming to live at the home, and that other professionals are consulted as part of that process. We were told that the documents used for this had been improved since the last inspection. We were also told that the home had continued to be at full occupancy because of its good reputation and being well known in the local community. We looked at the care records of three people who are living at the home, including somebody who had moved in about three weeks before the inspection and somebody who had lived there for some years. Within these records, there were clear assessments of the physical care needs of the person concerned and these were carried out at or before the person came to live at The Risings The Risings KI Report.doc Version 5.2 Page 10 the home. The information had been obtained from the person concerned, from their family, or from outside professionals such as a social worker. However the amount of information about the psychological and social worlds of the people concerned was variable and in most of the files we looked at was very brief. This does not fully support the stated intention to provide person centred care for everybody living at the home. All of the care records looked at contained an assessment of the risks related to safe moving and handling and these included an indication about the person’s risk of falls. In the files we looked at there was no documentation that identified that other areas of risk had been looked at, such as with nutritional needs. The home does not provide intermediate care. The Risings The Risings KI Report.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home have care and risk assessment records that promote safety and consistency, and staff work in ways that respect individuality, privacy and dignity. EVIDENCE: In the AQAA we were told how everybody has a care plan which informs the homes staff about the capabilities of the person concerned, and which identifies the professionals that they routinely work with. We were also told that staff give care and treatment in ways that respect everybodys privacy and dignity, and that they receive good feedback from relatives about the detailed approach given to maintaining the health and welfare of their relatives. The care records that we looked at all contained a one page care plan that was written in a narrative style but which gave clear descriptions of the areas where people need help. They also contained some descriptions of the persons social history but not enough detail to fulfill a complete person centred approach that this style of care plan suggests. Additionally not all the care plans that we looked at indicated detailed actions for staff to carry out, The Risings The Risings KI Report.doc Version 5.2 Page 12 although staff told us that they found the care plans clear and helpful for carrying out their work and in helping them to see the person as an individual. The care records we looked at held documented evidence that they had been reviewed and evaluated at monthly intervals, and daily logs were maintained, along with a regular keyworker report. There were clear records of the medical and health needs of residents being regularly monitored, and also of visits by outside professionals such as G.P and district nurse, and of optical and dental care. Additionally in the written records and from the direct comments from people, it was clear that the staff at the home work hard to care in sensitive and dignified ways, and to keep people as independent as possible: Im very independent and move around the home as well as I can, by myself. I do most things for myself apart from bathing and there is always staff around and they are very helpful and supportive. The staff help you with anything you want but encourage us to live our own lives. Ive had no falls since I came here. Shes been relieved of the complicated things in life and can now concentrate on the day to day stuff. The staff were excellent when she accidentally broke her hip and she has continued to get good support from the healthcare people. They have very open style of doing things here and we feel confident that they are keeping her best interests at heart. Examination of the arrangements for the receipt, storage and administration of medicines indicated that these are satisfactory and that all entries in the written records had been made properly. Medication is stored securely and the home uses the pharmacys own system for organising administration. There was nobody living at the home at the time of the inspection who was using controlled drugs but a separate storage cupboard is available when they are in use. The Risings The Risings KI Report.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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People at the home enjoy lifestyles and routines that suit them and have good opportunities to take part in organised leisure and social activities. EVIDENCE: In the AQAA we were told about the activities that are arranged to meet recreational and social needs at the home and how the home employs an activities coordinator to oversee this. We were told how staff find out about peoples interests and how they change things as peoples interests change, buying equipment and materials to suit. We spoke to the activities coordinator who comes to the home on both weekdays and weekends and she told us about the different things that have been happening and the things planned for spring an summer, particularly involving people in the garden. Indoor games and exercise are regular and singalongs, with or without professional entertainers, are a popular event each week. We were told about the regular church service by some of the people living at the home and how much they enjoyed this. The notice board in the entrance hall indicated a list of forthcoming events at the home and the hairdresser was present during the morning of the inspection. The Risings The Risings KI Report.doc Version 5.2 Page 14 The people we spoke to confirmed that they are very happy with lives and that they are able to do very much what they like. They develop their own routines, including spending their time in the communal areas or in their rooms; the former is the choice of the majority although we spoke to two who were reading their daily newspaper by themselves and another who had a visitor for the morning. As well as receiving written feedback from our own surveys we also received copies of the homes recent visitors questionnaire, and we also spoke individually to people around the home and to some of their visitors: Shes only been here a very short time but is already joining in with the others which has surprised us. Ive been made to feel like one of the family when I visit, and I always get a warm and friendly reception. I have a friend who comes in to play chess with me every week and in the afternoons I join in with the activities, music, exercises, walks out with my visitors and I particularly like helping out with the garden. We have regular church services and I also attend communion monthly which staff support. It was particularly nice here last Christmas. I do a lot of reading here in my room and am looking see if I can get access to the library, although my family bring me in lots of books. I join in with the things I want to but prefer my own company here in my room. I have control over what I do and have a very pleasant life here. Theres always lots going on here. The staff team have worked very hard to integrate a socially isolated lady. The activities are a real bonus and help to provide stimulus and enjoyment; she has even had the opportunity to go on outings and trips. A brief visit was made to the kitchen and the cook described current arrangements. Good standards in the catering service have continued, and a 4 week menu is being followed. The cook described how a choice at the main meals of the day is available and that a hot option is regularly available for breakfast and at teatime. People were generally very positive in their feedback about the standard of food at the home with several mentioning good quality and quantity: Im a vegetarian and they manage this very well for me. The food is very good, a very good cook who does things the way I like them. Arrangements for purchase, storage and stock control are satisfactory. The cook routinely deals with people who have special dietary needs, and at the time of the inspection these included diabetic and softened, the arrangements for which indicated a careful approach to individual needs. The Risings The Risings KI Report.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home responds to complaints made by residents and their representatives according to a written procedure, and aims to protect them from harm. EVIDENCE: In the AQAA we were told that the home has an open door policy so that communication with residents and families is regular and open; everybody receives a copy of the complaints procedure when they come to the home. The AQAA indicated that there had been no complaints since the last inspection and this was borne out by our examination of the homes records. In the feedback that we received everybody said that they knew about getting their problems resolved and were confident that they would be listened to: The office people are brilliant, they keep me informed and I can go to them at any time. Communication is excellent and any worries are raised and dealt with at the earliest opportunity. Informal issues are raised at the planned meetings between the homes staff and the people living at the home and their relatives. The minutes of these meetings showed a positive attitude from all concerned. The AQAA told us how there are policies and systems in place to protect people living at the home and how all staff have received training in their responsibilities to recognise and alert others to suspected abuse. We were also told how the homes manager is now an in-house trainer to keep this subject at a high profile within the staff group. Staff records indicate that all staff have received training in the need to safeguard the vulnerable people living at the home and that this subject had also been addressed for new staff within their induction programme. All the staff spoken to were able to confirm this. The The Risings The Risings KI Report.doc Version 5.2 Page 16 policies and procedures in place are in line with the statutory procedures on safeguarding adults, and there have been no situations at the home that have required investigation since the last inspection. The Risings The Risings KI Report.doc Version 5.2 Page 17 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The physical aspect of the home has been maintained to a high standard so that people can enjoy an environment well suited to their needs. EVIDENCE: In the AQAA we were told that the environment at The Risings is homely, clean and comfortable and is decorated on a regular basis. We were also told about the improvements that have been made to the home in the past twelve months and how improvements to the garden and its facilities have been a particular focus. From a brief tour of the building and visits to some of the bedrooms we saw how good standards of decoration and furnishing have been maintained and we saw the changes and improvements that have been made: Two bedrooms have been redecorated, carpeted and fitted out with modern furniture within the past six months. All the light fittings in the communal areas have been replaced. New equipment purchased for the laundry. The downstairs bathroom has been completely refitted to include an assisted bath and redecorated. A The Risings The Risings KI Report.doc Version 5.2 Page 18 new shed and outdoor furniture has been provided in the garden. Decoration and maintenance has been carried on throughout the building. Plans are in hand to replace all the dining room furniture and completely refurbish the upstairs bathroom this year. We also noted that bedrooms have good levels of personalisation to suit individual residents and which create a sense of personal space and that there was a good range of equipment for staff to help people with mobility difficulties. A stair lift is in place to assist people to gain access to the first floor. Comments from people living at the home and relatives were positive about the standards of comfort and cleanliness offered: I really like my room which is a good size and very comfortable. The home is always very clean. The atmosphere is like home from home. All the rooms are light and airy and always warm and comfortable. All the recommendations made at the last visits by the Environmental Health and Fire Officers have been carried out. On the day of the inspection the home was clean, tidy and free from odours and everybody spoken to was very complimentary about the service provided by the laundry. A visit to the latter indicated well organised facilities and its effectiveness is supported by all residents observed in the home who were seen wearing clean and well-presented clothing. The Risings The Risings KI Report.doc Version 5.2 Page 19 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has adequate numbers of staff to carry out the physical care needs of the people living at the home and they have been recruited and trained to do their jobs properly and in a professional way. EVIDENCE: In the AQAA we were told how the home has experienced low staff turnover for some time and that most of the current group have achieved the required national Vocational Qualification (NVQ) level 2. We were also told how all staff are properly vetted before they start work and that references and checks through the Criminal Records Bureau (CRB) are always made. We were also told that the home had recently been positively re-assessed in their Investors in People review, which is a national award that is concerned with how staff are trained, supported and managed. During the inspection we interviewed most of the staff on duty, including the carer who was the last to be appointed during 2008. She described how she had received basic instruction and training and how, because of her lack of previous experience, she had been retained on trainee status for six months, working under the supervision of the experienced staff. During this time she had received further training although what she described did not support the formal induction approved for new care staff and which follows the national Skills for Care programme. Additionally other staff told us that they have a lot a training all through the year. Further discussion with the manager and examination of staff records indicated good achievements with updates on fire The Risings The Risings KI Report.doc Version 5.2 Page 20 safety and general health and safety training, safe moving and handling, infection control and first aid. Additionally some of the staff told us they had attended a course about caring for people with dementia which all of them will receive. It is also policy of the home for people to complete the NVQ qualification and only one member of the current staff team has not completed this and the new staff have recently started; this is in excess of the nationally set target. The files of two recently appointed staff supported that their recruitment had been carried out properly with the right checks being made and the manager told us that most of the recent new starters were known to her in some capacity before they started at the home. The home has enjoyed low turnover of staff in recent years. Examination of the duty roster and discussion with staff indicated levels of staff on duty unchanged from the last inspection. In the written feedback we received, everybody said that there always enough staff on hand to meet their needs and the people we spoke to confirmed this: Staff are around the home all of the time. Theres always somebody available and very quickly if I am up here in my room. Always staff around; they help you with anything you want. The staff spoken to did not feel that their workload was excessive and that we all get on well together and help each other out with any difficulties. One member of staff said that most of what we do is about good communication, between residents, staff and management, and the daily handover is key to all of this. Another said that I feel I can speak my mind and every one of us feels that we want to be here working and enjoying it. The Risings The Risings KI Report.doc Version 5.2 Page 21 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is a well-managed and safe environment in which to live and work. EVIDENCE: The AQAA told us that the manager and her co-owner have been running the home for eight years and between them they provide consistency that has underpinned the homes success. The registered manager is a qualified nurse and has also completed the recognised managers qualification. We were also told that they are well known to everybody living at the home and that they can be approached at any time. Although there have been irregular formal meetings for the staff group, and the planned meetings between manager and individual staff are not yet occurring regularly enough to meet the National Standard, the staff were very positive about the way the home is run and how the manager supports them at The Risings The Risings KI Report.doc Version 5.2 Page 22 any time if they have any problems. In the written feedback we were told that they regularly meet with the manager to discuss how they were working and those we spoke to were positive about the levels of trust they were given to be able to do their jobs well: I was always under supervision as a trainee and was helped to build up confidence. I feel I can speak my mind and every one of us wants to be working here; we really enjoy it. You need good managers to make things work; things get sorted out at any time. We can get unplanned meetings with the managers when we want them. Id rather stay working in place where I am happy; job satisfaction is most important. The feedback, both verbally and in writing from people living at the home and their relatives was universally positive, and glowing in their praise as to how the home is run, with many commenting on the welcoming approach and homely atmosphere: I feel we were very lucky to get my mum in here. They have a very open style of doing things and we have felt confident that they keep everybodys best interests at heart. I can only say that I am very grateful indeed for the excellent care and attention that I receive from all of the staff. I am assured that I am in good and safe hands. I looked at several homes for my mum and The Risings has proved excellent. The owners are always available if I have any concerns. The care my mother receives is second to none, it is just like a home from home here. The managers are very easy to talk to and make me feel that my problems are important to them. Ive had no reason to complain but I can talk to the manager at any time, shes quite approachable. We also looked at the surveys sent out by the homes management that had recently been completed by or on behalf of most of the people living at the home and these rated all sections as either good or excellent. Additional comments included: I know my aunt is exceptionally well cared for in a high quality residential home. Communication is excellent. I know exactly what is going on and any worries are raised at the earliest opportunity. Staff are friendly and welcoming and meet all of mums needs, I am happy she is here. Any problems are dealt with promptly and we never have a moments worry about her welfare and well-being. A well-oiled machine with the welfare of residents of paramount importance. The Risings The Risings KI Report.doc Version 5.2 Page 23 Good record keeping and management systems are in place at the home, and the manager is supported by her joint owner who takes responsibility for the more administrative and financial aspects of the home. In addition to the internal surveys carried out at the home, its management and staffing systems were subject to a review by the Investors in People organisation earlier this year; this is a national award that is reviewed every three years with extensive auditing of staff, their training and support. The home achieved a positive result again and received particularly favourable comments about the quality of its training programme and open management style. The systems in place for looking after residents’ money were found to be satisfactory at the last inspection and remain unchanged. The AQAA told us about good standards of health and safety activity at the home and about the regular servicing of equipment, and we examined records of the latter as part of this inspection, which supported this. Additionally observations made around the building and a look of fire safety activity and equipment records indicate that the home was hazard free at the time of the inspection. Discussions with the two owners indicated a rigorous approach to peoples safety within the home and progress with staff training have been good with regular updates for all staff becoming routine as they become established. The Risings The Risings KI Report.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 1 2 3 4 5 6 Score ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 Score 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 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 4 X 4 X 3 2 X 3 The Risings The Risings KI Report.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 OP3 Good Practice Recommendations Information about the social world and history of people coming to live at the home should be obtained, as well as more information about areas where they face hazards in their lives, so that staff have a more complete picture of the person and will be able to work with more consistency. Information about the social world and history of people coming to live at the home should be included in care plans, so that staff have a more complete picture of the person and will be able to work with more consistency and in a person centred way. All staff should receive formal individual supervision from their line manager, at intervals of every two months. This will ensure the opportunity for regular consultation about and monitoring of their work. 2. OP7 3. OP36 The Risings The Risings KI Report.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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