Inspection on 20/01/09 for Riverside House Residential Care Home

This is the latest available inspection report for this service, carried out on 20th January 2009.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside House Residential Care... 23/01/06

Riverside House Residential Care... 20/10/05

Riverside House Residential Care... 07/12/04

Riverside House Residential Care... 14/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOME ADULTS 18-65 Riverside House Residential Care Home 337a Seven Sisters Road Hackney London N4 1QR Lead Inspector Robert Sobotka Unannounced Inspection 20th January 2009 11:00 Riverside House Residential Care Home DS0000010284.V369586.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 Riverside House Residential Care Home DS0000010284.V369586.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. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside House Residential Care Home Address 337a Seven Sisters Road Hackney London N4 1QR 020 7503 5978 020 7503 5978 Nelson.Gudza@blueyonder.co.uk 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) Mr & Mrs Despo & Jim Gopalla Nelson Svosva Gudza Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Riverside House Residential Care Home DS0000010284.V369586.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. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 9 26th January 2007 Date of last inspection Brief Description of the Service: Riverside House is a care home offering care and support to service users who have mental health support needs. The home offers support for service users preparing to live within the community, offering accommodation, supervision and assistance. The home operates a key worker system; service users receive guidance with regard to managing their personal care, health needs and finance. The home has adopted a multidisciplinary approach to working with service users, liaising regularly with external professionals. The home is a three-storied house on Seven Sisters Road, a main road, near Manor House Station in the London Borough of Hackney. The home is nicely furnished and decorated with a homely appearance. The current range of fees is between £1000 and £1200 per week. For the most up-to-date scale of charges, please contact the registered manager. Riverside House Residential Care Home DS0000010284.V369586.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 that people who use the service experience good quality outcomes. This unannounced inspection commenced on 20th January 2009. It was carried out by one inspector, who spoke with the people who use the service, staff working there, as well as a Community Psychiatric Nurse who was visiting one of the service users at the same time as this inspection was taking place. He also looked around the premises and viewed various documents. Prior to this inspection, the registered manager was asked to complete an Annual Quality Assurance Assessment, information from which is included in this report. The purpose of this visit was to check the home’s progress with the Care Homes Regulations and National Minimum Standards for younger adults. We would like to thank all service users and staff who contributed to this inspection visit. What the service does well: The home enables people who use the service to meet their aspirations. It recognises each service user’s individuality and offers support where required. The service ensures that the core principles of care are observed and promoted. Good admission and care planning systems were in place. Staff working in the home are committed and dedicated to their job and to ensuring that good quality of care is promoted. People who use the service are supported to be independent with their finances where appropriate. They are involved in the day-to-day running of the home and hold regular house meetings. Service users who spoke with us felt happy to be living in the home and felt well looked after. Appropriate staff recruitment systems were in place, as well as induction and training programme. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 6 There was a comfortable and relaxed atmosphere in the home during this inspection visit and people who use the service were encouraged to raise any issues with the inspector and to speak to us freely. 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. Riverside House Residential Care Home DS0000010284.V369586.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 Riverside House Residential Care Home DS0000010284.V369586.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): 1, 2, 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have access to comprehensive information about the service prior to making a decision whether to move there. Good admission systems were in place, in order to ensure that the assessed needs of the people accommodated in the home can me appropriately met. EVIDENCE: The home had an up-to-date statement of purpose and the service user’s guide in place. Both documents contained useful information, which would enable any prospective service users to make a decision whether the home would suitable to meet their needs. The document was last updated in February 2008. It was noted that the home’s statement of purpose would benefit from having some information about how the home intends to meet needs of service users in relation to equality and diversity. As part of this visit we reviewed care plans of three service users, who have been admitted to the home since the last inspection visit. Care plans viewed evidenced that good admission systems were in place. Each care plan contained an assessment prepared by the management, as well as any relevant information obtained from each service user’s placing authority and Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 9 their previous placement. People who spoke with us felt that the admission systems were good. There was one vacancy in the home at the time of our visit. One of the prospective service users was on a day visit to the home at the time of our inspection. This evidenced that prospective service users are given an opportunity to test-drive the home and to meet those already living in the home and staff working there. Riverside House Residential Care Home DS0000010284.V369586.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): 6, 7, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good care planning systems were in place and people who used the service were actively involved in the running of the home. Confidentiality was maintained. EVIDENCE: As part of this visit, we reviewed care plans of 5 people who used the service. All care plans were chosen at random. Care plans covered topics such as: mental health, relationships, activities, conditions of discharge, religion and culture, budgeting, drugs and alcohol and physical health. Other areas may also be covered depending on an individual’s needs. Documents checked were found to be up-to-date and there was evidence that these were prepared following consultation with service users. Each care plan was signed by the service user and their keyworker. The home operates a keyworking system. Each month a service user’s keyworker is expected to produce a keyworking report, which describes any progress made and outlines any issues that need to be addressed. Staff also Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 11 complete daily logs in relation to each person accommodated in the home. People who spoke with us said that they were satisfied with the home’s care planning systems and confirmed that they were involved in planning their care. In the Annual Quality Assurance Assessment (AQAA), the registered manager stated that service users are encouraged to participate in the day-to-day running of the home. During this inspection we saw evidence of this. Regular house meetings are organised and people who use the service are encouraged to attend them. Service users are encouraged to take ownership of their meetings by writing their own minutes and discussing any issued that they may find relevant. Appropriate risk assessments were in place. The registered manager stated that service users are encouraged to make informed decisions and have the right to make responsible risks in their daily lives. Confidentiality in fully respected and service users have access to any records pertaining to their care if they wish. All confidential information was kept in the staff office, which was kept locked when not in use. Staff who spoke with us were aware of importance of maintaining confidentiality. Riverside House Residential Care Home DS0000010284.V369586.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): 12, 13, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those living in the home were encouraged to pursue their education and to seek paid and meaningful employment and they were valued as individuals. They also benefit from a wide range of activities on offer. Improvements were required in relation to visiting arrangement in the home. Service users enjoyed the food in the home. EVIDENCE: The review of the documentation and discussion with the service users and staff demonstrated that those accommodated in the home are encouraged and supported to take part in age, peer and culturally appropriate activities. Some of the service users also attended various further education courses and some residents engaged in paid employment. Service users living in the home were able to access community independently. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 13 On the day of this inspection there were very few service users in the home, as the majority of them were out either on activities, attending colleges or working. Service users’ files contained individual programme of activities. One of the service users told us people who use the service would benefit from having a computer, which they could use to develop and improve their computer skills. As previously mentioned, service users meetings are held on a regular basis, during which those using the service are encouraged to suggest any group outings and activities they would like the home to organise. Staff working in the home during our inspection were observed to respect the service user’s rights and were speaking to them in a friendly and professional manner. Service users who spoke with us felt happy in the home. One person said: ‘I feel very privileged to be here’. One issue that was brought to our attention was the fact that service users were discouraged from inviting into the home service users from its sister home and those who have moved on to more independent setting. One service user said that this meant that they no longer could maintain old friendships and felt that this was unfair. When we asked to see the existing visitor’s policy, this could not be found. Subsequently the registered manager sent us a letter to confirm that there was a new policy in place that was introduced following this inspection. The registered manager must ensure that appropriate visiting arrangements are in place so that any visitors to the home are not unfairly treated. Family contact is encouraged; however staff respect resident’s wishes if they do not want family involvement. Care plans viewed demonstrated that families are sometimes involved in the care planning process and systems are in place to ensure good communication between the home and relatives of the people who live in the home. The home is commended for recognising each person’s strengths and offering appropriate support to promote and encourage independence and eventually to move on to more independent accommodation. Each person has an allocated cleaning and laundry day. Service users are also involved in preparation of meals. Each person has their own fridge and cupboard space, which allows them to store their own food. People are encouraged and supported to cook their own meals. The home provides basic food products and service users are given £20 per week for their weekly shopping. People who spoke with us were very happy with the current arrangement. We checked the kitchen premises, which were kept clean and hygienic. Records of fridge/freezer temperature charts were viewed and deemed appropriate. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 14 Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 15 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): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home work hard to ensure that service user’s emotional and healthcare needs are being met. Medication systems required improvement. EVIDENCE: The registered manager stated that at the time of this inspection, none of the service users required staff support with personal care. Each care plan included section on how the service user should be encouraged in maintaining their personal care; this included comprehensive and clear guidelines for staff. Care plans viewed showed that the service users received appropriate care from the healthcare professionals. Staff support residents with booking appointments to see dentists, chiropodists, opticians and ensure that residents attend these appointments. Their responsibilities also include daily monitoring of mental health needs, behaviour and general well being of service users. Staff are also trained to take a range of intervening actions to ensure good outcomes for the service users. All people who use the service are on enhanced care programme approach and receive services from a clinical mental health team. They are also registered with a local General Practitioner. Service users are encouraged to register with dental clinics, opticians, Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 16 chiropodists, and other services identified during regular review of individual needs. During our visit we spoke with a Community Psychiatric Nurse who was visiting one of the service users and he gave very positive comments about the home. He said: ‘it is a very good home. One of the best I have’. During each visit from a healthcare professional, he/she is asked to complete an appointment sheet, which summarises the outcome of their visit. We considered this to be good practice. As part of this inspection visit we checked the home’s medication systems. These were generally well maintained, however we noted that staff failed to sign for one of the administered medication and although staff continued to omit signing the service user’s medication administration chart. The registered manager must ensure that staff accurately maintain records in relation to any medication administered to service users. In addition, the registered manager must ensure that the allergy section is completed on the medication administration record, as medication administration records checked by us during this inspection visit did not contain this information. At the previous inspection visit we made a requirement for the responsible person to ensure that the medication refrigerator temperature is recorded within the appropriate parameter on a daily basis with evidence available for inspection. This has now been met. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 17 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): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are free to make complaints. They are also appropriately protected from abuse and neglect. EVIDENCE: There have been no complaints made to the home since the last inspection visit. Those who spoke with us said that they were confident that their complaints would be investigated without delay by the registered manager. Appropriate complaints policy was in place. The home also had an Adult Protection Procedure and a Whistleblowing Policy in place. Member of staff who spoke to the inspector were aware of adult protection issues. All accidents/incidents were clearly recorded. Any incidents that require to be reported to the Commission are done so without any delay. The majority of the service users manage their finances. Where it is felt that support guidance in managing finances is needed by a service user, this is readily available form members of staff. This information is also recorded in individual care plans. As part of this visit we checked financial records in relation to one service user and these were found to be well-managed and appropriately recorded. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 18 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): 24, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a homely, well-maintained and clean environment. EVIDENCE: The home is situated in a residential area of Stamford Hill, in the London Borough of Hackney. The home is close to shops, transport links and other local amenities, and is in keeping with other homes in the area. The home consists of nine single bedrooms, sitting room, kitchen, dining area/games room, office, and bathrooms/toilets along with a rear garden. We were satisfied that the premises are suitable for the stated purpose, and that they were accessible to all service users. People have full access to the home with their own keys to the main entrance if the house and to their bedrooms. Since the last inspection the premises have been re-carpeted and the laundry facilities and the garden furniture have been replaced. Service users were also provided with a smoking shelter in the garden and they seemed happy with the current smoking arrangements. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 19 People who spoke with us told us that they were happy with the environment and felt that it was maintained to a high standard. We viewed two service users’ bedroom and these were found to be appropriately furnished and personalised by the service users. Residents are responsible for cleaning their own room with support and assistance from staff if required. We found the premises to be clean and hygienic and free from offensive odours. Appropriate laundry facilities were in place. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 20 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): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by an effective staff team, which is appropriately selected, managed and supervised. EVIDENCE: Staff’s working in the home on the day of the inspection were approachable and worked professional with service users. They appeared to have skills and knowledge necessary to carry out their duties effectively. The registered manager stated that staff roles and responsibilities are further discussed during team meetings. As part of this visit we checked staff duty rosters. These showed us that there were at least two members of staff on duty during the day in addition to the manager. There is one member of staff covering the waking night duties with a sleeping in member of staff. There is an on call emergency procedure in place. Additional staff were also provided when necessary, for example to support service users to healthcare appointments. We felt that the current staffing levels were sufficient to meet the assessed needs of the people who use the service. Staff working in the home during this Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 21 inspection visit also confirmed this. The registered manager stated that staffing levels are based on the day-to-day needs of the people that use the service and take into account their changing needs. He also stated that training and development are integral part of the management motivate their staff to acquire relevant skills and knowledge to meet good outcomes for the service users. Staff who spoke with us on the day of this inspection felt that training offered by the organisation was very good, however some felt that it would be beneficial for them to attend so external courses. Training offered to staff included: Communication, Fire Safety, Managing Aggressive Behaviour, Infection Control, Dealing with service users’ concerns/complaints, Psychiatric Diagnosis, Protection of Vulnerable Adults, First Aid, and Food Hygiene. All of the staff working in the home had appropriate National Vocational Qualifications or equivalent. During this visit we checked 5 staff personnel files. All files checked included all information required by law. This showed us that appropriate recruitment systems were in place. We noted however that some of the Criminal Records Bureau disclosures were over 3 years old and did not include a check against the Protection of Vulnerable Adults (POVA) register. It is recommended that Criminal Records Bureau checks be undertaken on a three yearly basis. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 22 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): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those who live in the home benefit from a well-run service, which is managed by a competent manager. Majority of the health and safety records and checks were found to be up-to-date. EVIDENCE: The current registered manager has been working in the home since November 2006. He holds relevant qualifications and experience in working with people with mental health issues. During the course of this inspection he was able to demonstrate that he has a good rapport with the people who use the service. We received positive comments from both the service users and staff about his commitment to achieving the best outcomes for the service users and about his management style. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 23 Appropriate quality assurance systems were in place. Visits from the registered provider are carried out on a monthly basis and copies of reports from these visits were available for inspection. Health and safety records kept in the home were generally well maintained and there was evidence that regular health and safety checks were carried out. We noted however that the home’s Electrical Wiring Certificate issued following a visit on 26/10/05, however it did to state as to the next test was due to be carried out. The registered manager must ensure that there is a valid Electrical Wiring Certificate in place. He must also ensure that there is an up-to-date fire risk assessment in place, as it was not available at the time of this inspection visit. The home was appropriately insured for its purpose. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 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 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 2 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 3 X 3 X X 2 X Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA15 Regulation 16(2)(m) Requirement Timescale for action 01/03/09 2. YA20 3. YA20 4. YA42 5. YA42 The registered manager must ensure that appropriate visiting arrangements are in place so that any visitors to the home are not unfairly treated. 13(2) The registered manager must ensure that staff accurately maintain records in relation to any medication administered to service users. 13(2) The registered manager must ensure that the allergy section is completed on the medication administration record. 23(2)(c) The registered manager must ensure that there is a valid Electrical Wiring Certificate in place. 23(4)(c)(v) The registered manager must ensure that there is a up-todate fire risk assessment in place, in order to minimise any risk of fire. 01/03/09 01/03/09 15/03/09 15/03/09 Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 26 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 YA34 Good Practice Recommendations It is recommended that Criminal Records Bureau checks be undertaken on a three yearly basis. Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Riverside House Residential Care Home DS0000010284.V369586.R01.S.doc Version 5.2 Page 28 - 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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