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Inspection on 08/04/08 for Rivercourt Project Short Breaks

Also see our care home review for Rivercourt Project Short Breaks for more information

This is the latest available inspection report for this service, carried out on 8th April 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Rivercourt Project provides an excellent environment for respite care to all of the people that use the service. The staff continues to provide the activities provided in the community and ensure all of the people staying at Rivercourt Road have a full activity plan that meets their needs. The manager is linking in closely with family members of all people using the service to make sure that the care required is fully provided. The manager is now introducing a committee/parents forum the first meeting is being held on the 17th April 2008 at Rivercourt Road. Surveys returned to the CSCI were very positive about the care provided to the people using the service.

What has improved since the last inspection?

The manager now makes sure that any emergency placements have a detailed care plan and risk assessment completed immediately, we saw detailed information on an individual that had been placed at Rivercourt Road the previous evening. The staff has all attended complaints training in January 2008, the complaints policy and procedure is available to all staff. The manager has put in place the correct sanitary disposal units in place throughout the home. There has been a recruitment drive that was very successful and a deputy manager and two residential care workers have been employed. All files that we looked at had relevant information recorded with dates and signatures. All staff has had food hygiene training, we looked at all food storage areas that had all food stored appropriately. The wires in all bathrooms have now been boxed in to meet health and safety requirements.

What the care home could do better:

The Statement of Purpose and Service User Guide must be bought up to date with all relevant information about Rivercourt Road in place for prospective people. These documents must also be given to the people using the service provision at present, as this was a request from surveys returned to the CSCI. The complaints procedure must include the relevant forms for staff and the people using the service to complete.

CARE HOME ADULTS 18-65 Rivercourt Project Short Breaks 17 Rivercourt Road Hammersmith London W6 9LD Lead Inspector Jacqueline Derbyshire Key Unannounced Inspection 8th April 2008 11:00 Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 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 Rivercourt Project Short Breaks DS0000035441.V361731.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 Adults 18-65. 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. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rivercourt Project Short Breaks Address 17 Rivercourt Road Hammersmith London W6 9LD 020 8563 8683 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) angela.mooney@lbhf.gov.uk London Borough of Hammersmith and Fulham Ms Angela Joan Mooney Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 29th October 2007 Date of last inspection Brief Description of the Service: Rivercourt Road is a registered care home providing short breaks for adults with a learning/physical disability and/or challenging behaviours. The home provides short breaks for people living with their families and each person can stay at the home for up to 12 weeks each year. The London Borough of Hammersmith and Fulham Social Services Department manages the service. The service now also has placements from outside of the locality. The home is located in a residential area, close to the shops and transport links of Hammersmith Broadway and Chiswick. The property is fully accessible to people with limited mobility. All five single rooms have an ensuite shower and toilet and a passenger lift provides access to rooms on the mezzanine and first floors. The weekly fee is from £1000 to £1.2000 this fee may vary depending on the level of care an individual may require. Rivercourt Project Short Breaks DS0000035441.V361731.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 2 star. This means the people who use this service experience good quality outcomes. Throughout this report the word ‘we’ will be used as meaning the CSCI. This unannounced inspection took place on Tuesday 8th April 2008; we spent 4.30 hours visiting the home. The Inspector spent time talking to three people staying at Rivercourt Road, two members of staff and the Care Services Manager. We checked the care records of two people; all medication and finance records were looked at and were well recorded. All of the bedrooms were looked at and all communal parts of the home. The home provides an excellent standard of accommodation as the whole home has had a refurbishment in 2006. The home was seen to be clean and tidy. We were informed by the manager that a grant had been given to redevelop the garden into a sensory area as well as two of the bedrooms. We received eight relatives surveys and discussed the home with two relatives, comments from the surveys will be included throughout this report All of the eight requirements that were set 29/10/07 have been met; two new requirements have been made from this visit. We will make reference to the Annual Quality Assurance Assessment (AQQA) throughout this report. What the service does well: Rivercourt Project provides an excellent environment for respite care to all of the people that use the service. The staff continues to provide the activities provided in the community and ensure all of the people staying at Rivercourt Road have a full activity plan that meets their needs. The manager is linking in closely with family members of all people using the service to make sure that the care required is fully provided. The manager is now introducing a committee/parents forum the first meeting is being held on the 17th April 2008 at Rivercourt Road. Surveys returned to the CSCI were very positive about the care provided to the people using the service. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1,2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the prospective person. Prospective people are given the opportunity to spend time in the home. EVIDENCE: Comments made by relatives of people who use the service. ‘We were invited to look at Rivercourt Project for our son and we loved it on the first visit’. We looked at the Statement of Purpose and Service User Guide, both documents require up dating to include all of the relevant information for prospective people considering using the service. We were informed by the manager that the home would be available for people living outside of the borough. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 9 We looked at the information on an individual who had been sent to live at the home as an emergency placement. We saw records from the local authority social worker informing the manager of the persons needs. There was a care plan and risk assessment completed as part of the emergency placement that did show how staff were going to meet the individuals needs. The Inspector spent time with the resident, we were told that the home was nice and staff was nice. On the day of this inspection a family were visiting and spending time at the home to look at using the service for its respite provision. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are person centred and are agreed with the individual. Plans are written in plain language, are easy to understand and look at all areas of the individual’s life. They include reference to equality and diversity and address any needs identified in a person centred way. EVIDENCE: Comments made by relatives of people who use the service. ‘ My son is made to feel very welcome at each of his respite visits, staff are very nice and nothing seems to be a problem’. ‘A home away from home’. ‘Very good care at all times’. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 11 We looked at two residents files one had a very comprehensive care plan and one had been on an emergency placement from the previous evening. The Manager did discuss the emergency placement with the Inspector regarding the care plan that was in place and staff were also liaising with the resident to get as much information on their likes and dislikes. The care plan that was fully completed had a lot of information linking into the daily routine of the individual. There was a communication passport in the persons file that was very informative showing the individuals likes, dislikes their family and what activities they enjoyed doing. We were shown the new personal planning books that the manager has implemented as part of the Person Centred Planning (PCP) that are in pictorial formats and are used as an ongoing record. The manager also discussed the daily record books that are taken to the individuals hone when their respite has ended. Families are encouraged to record anything they feel would be beneficial for the person to assist staff in working with the individual in a way that is consistent with their everyday care. In discussion with two of the residents we were told they liked the home and the staff were really nice. One of the residents made them self a drink and sandwich in the kitchen; we were told that this is part of the individual’s aims to be able to prepare food for themselves. The two files checked had risk assessment records in place that linked into the care plan for any risk areas and how the staff were eliminating or minimising the risk. The risk assessments for the emergency placement were still being completed as more information was being communicated to the staff. The manager has implemented a pack for staff that includes the fire evacuation risk assessments for all of the people using the respite service. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a strong commitment to enabling residents to develop or maintain their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. EVIDENCE: We looked at two residents files and care needs assessments. One file contained a lot of information regarding information about the resident’s likes, dislikes, hobbies and leisure interests. The emergency placement records were being updated by staff, we were told by the resident that they had a job that they very much enjoyed. The manger was liaising with the placement officer to try and continue the activity plan the individual had in the community. We looked at daily records for the people staying at the home and there was information written daily about what activities an individual had done including shopping, eating out, and going for walks and attending any community centres. The services own assessment ensures that anyone using the service is encouraged to bring any favourite games or music with them when they stay. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 13 We were told by the manager that arrangements are always made to make sure that day services continue while a resident stays at the short break service. We were told that some of the residents are also supported to continue their college placements. There was four people staying at the home on the day of this inspection and all of the people went out into the community, shopping, for a walk and escorted to a centre to attend an art class. Daily care notes completed by staff show that service users are supported to take part in activities in the home and the wider community. Regular use is made of local pub, cafes and the cinema, as well as local parks. Details of resident’s family, friends and other important people are recorded as part of the home’s referral and assessment procedures. Contact details of all significant people are clearly recorded and daily care notes show that friends and relatives visit residents while they are using the short break service. One of the people staying at the home has regular visits by her mother. We were told that the home does a big weekly shopping for food but shop regularly for the food requested by the residents as they have different people with different cultural and religious dietary needs, there are also people that require special diets. The staff go out to the shops daily with residents as residents enjoy going shopping for their food. In discussion with two of the residents we were told that they liked the food provided. Records of what residents had eaten were looked at and discussed with the staff; on the day of this inspection a vegetarian curry was being provided with other choices for residents if they did not want this option. The Annual Quality Assurance Assessment (AQQA) form completed does go into great detail about the different diverse needs of people using the service and how they try to provide a varied menu. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal and healthcare support using person centred approach with support provided based upon the rights of dignity, equality, fairness, autonomy and respect. Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each person centred plan. EVIDENCE: Comments made by relatives of people who use the service. ‘My son requires PEG feeding and the manager and staff have all attended training and gathered information to understand his healthcare needs’. ‘We appreciate the care given to our daughter’. We saw information on both files looked at including referrals to the service that are made as part of a multi-agency referral process and each file contained background information and reports from health and social care professionals. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 15 We saw reports from social workers, occupational therapists, physiotherapists, psychologists and speech and language therapists. The reports each contained useful information and guidance for staff. In discussion with the manager and staff on duty at this site visit it was clear that different levels of support are required from monitoring to full care support. All of the people who stay at Rivercourt Rd will be registered with their own GP and any other healthcare visits that take place at their home will continue at Rivercourt Rd whilst they are there. We looked at the medication records kept at the home that were well recorded and accurate. We were told by the manager that all staff have had medication training and are fully aware of the medication policy and procedure. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a complaints procedure that is clearly written and easy to understand. It is available in different formats to help anyone staying at or involved with the service to complain or make suggestions for improvement. EVIDENCE: Comments made by relatives of people who use the service. ‘I would talk to a member of staff or the manager if I had a complaint’. ‘ We have not had any complaints only compliments about the care provided to our son’. We looked at the complaints file that had no complaints recorded in the last 12 months. The manager has now made sure that the complaints procedure is in place for all staff to familiarise themselves with, also all staff attended complaints training in house in January 2008. The manager must make sure that the relevant complaint forms are in place for staff or residents to complete if there is a complaint or if someone wants to make a suggestion about the service. The complaints procedure is available in different formats including pictorial. There have been no safeguarding incidents at the home in the last 12 months. The Inspector looked at the finances of the two people staying at the home, the records were correct with receipts in place for any financial transactions made with the resident or on their behalf. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24,28,29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The provider and manager have ensured that the physical environment of the home provides for the individual requirements of the people who use the service. The living environment is appropriate for the particular lifestyle and needs of the people using the service and is homely, clean, safe and comfortable, well maintained and reflects the individuality of the people using the service. EVIDENCE: We had a full tour of the home and all areas were seen. Each bedroom has an en-suite bathroom; all wiring under two sinks has now been boxed in to make sure it is safe. All areas of the home are tastefully decorated and have good furniture and fittings in all areas. The home was seen to be very clean and tidy in all areas. We were told by the manager that a grant has been allocated to the home to have a sensory garden and two bedrooms that will have a lot of sensory equipment available. The new equipment was being delivered throughout this inspection. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are consistently enough staff available to meet the needs of the people using the service, with more staff being available at peak times or when required. The staffing structure is based around delivering outcomes for people who use the service and not led by staff requirements. EVIDENCE: Comments made by relatives of people who use the service. ‘Staff are always very willing to listen and we have no problems with their professionalism’. @Our son is looked after extremely well, all staff seem to be very competent’. On the day of the Inspection there were 3 staff on duty including the manager and deputy manager. We looked at rotas and sufficient staff was scheduled to be on duty on all shifts. The organisation has been successful in the last recruitment drive and three staff has been employed. We were told by the manager that another recruitment drive would take place later in the year to look at recruiting to the night shift. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 19 The Manager sent the Inspector information showing that all staff including agency staff has a full Criminal Records Bureau (CRB) Disclosure with relevant training and experience including first aid, food hygiene and challenging behaviour. All recruitment is completed by the Human Resources team and the procurement team. There is a welcome pack in place for new staff and agency staff that was very informative. The manager has completed NVQ level 4 in December 2006; the manager keeps a training and development schedule for herself and the Annual Quality Assurance Assessment (AQQA) states that the manager undertakes regular training courses to update her knowledge. We were told by the manager that she is also part of a steering group for people who have challenging behaviour, looking at training and any other relevant issues for staff. The manager sent a list of all training to date that all staff have completed including mandatory training, with information on qualifications each person employed has. We were told by the manager that training is available for all staff and she is making sure that all people working at Rivercourt Project have a development plan in place. New staff recently employed will have to complete the new induction training and complete the workbook that has been implemented by the manager to make sure all staff is competent in their role. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. They work to continuously improve services. EVIDENCE: The Manager has worked with the council for 21 years and is very experienced having been the manager at Rivercourt Road since 2001. The Manager writes in the (AQQA) that Rivercourt Road is a home that can offer a respite service to people with very complex needs that have not been able to have a service from any other home. The Manager is promoting the home to external local authorities for people with complex needs. We were told that there will be an open day in the summer when the sensory garden has been finished to promote the service, the manager stated that local people in the community will be invited as well as professional to show what the project has to offer. Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 21 All of the records looked at had dates and signatures in place, this is a great improvement, and we were told that the manager completes self-audits on files to check they have been completed appropriately. We were sent information on the annual quality assurance report with the information collated from questionnaires completed by telephone and also that had been sent to relatives of people using the service. The manager also writes a lot of positive information in the (AQQA) showing how as well as contract monitoring the staff are working hard to liaise with the community services and other stakeholders to promote the service and improve on any areas required. We were given the dates for all Health and safety checks in the (AQQA) that show they are all up to date. The fire alarm, water temperatures and fridge freezer temperatures were looked at were well recorded with no issues. There was an issue about food storage and food hygiene training, the manager showed records of staff training and information in the communication book making sure all staff dispose of out of date food. The Inspector had a full tour of the home as written and there was two bathrooms that have had the wiring under the sinks boxed in for health and safety reasons. Rivercourt Project Short Breaks DS0000035441.V361731.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 Adults 18-65 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 2 x 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? 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. 1. Standard YA1 Regulation 6 Requirement The manager must update the Statement of Purpose and Service User Guide to include all of the relevant up to date information on the home. The manager must put in place the relevant forms for staff and people that use the service to complete if there is a complaint or they want to make a suggestion. Timescale for action 08/07/08 2 YA22 22 08/07/08 RECOMMENDATIONS 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 Rivercourt Project Short Breaks DS0000035441.V361731.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Rivercourt Project Short Breaks DS0000035441.V361731.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. 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