CARE HOMES FOR OLDER PEOPLE
Rider House Nursing Home Stapenhill Road Burton On Trent Staffordshire DE15 9AE Lead Inspector
Mr David Cowser Unannounced Inspection 12th January 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Rider House Nursing Home Address Stapenhill Road Burton On Trent Staffordshire DE15 9AE 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) 01283 512973 01283 511749 Rider House Limited Roslyn Ann Fox-Roberts Care Home 38 Category(ies) of Physical disability (38), Physical disability over registration, with number 65 years of age (38), Terminally ill (4) of places Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 38 PD - Minimum age 60 years on admission 4 TI - Minimum age 60 years 3 PD - 18 to 65 years Date of last inspection 11th July 2005 Brief Description of the Service: Rider House is a nursing home situated on the Stapenhill Road, approximately one mile from the centre of Burton on Trent, with views across the river Trent. The home is serviced by frequent bus services. The home has two floors with a total of 36 single bedrooms and one double bedroom. A shaft lift and staircases serve the first floor. The home has spacious communal accommodation with several lounges and a separate dining area. The home is registered for 38 elderly persons with physical disabilities requiring nursing care, three of which may require palliative/terminal care, three of which may have a learning disability, and the total may also include a maximum of three requiring personal care only. The home has also three intermediate care beds from the local NHS hospital. The approach to care in the home is based on integration of service users admitted under the above categories, with all service users using the full range of communal space. Registered general nurses and teams of care assistants, who report to the Care Manager (RGN), provide care. Local GP practices and a pharmacy service the home, and NHS facilities are accessed as and when required. Good links have been maintained with the community nursing and PCT staff. Entertainment and trips out are arranged, and people’s hobbies and interests are developed. Transport is provided when required. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine unannounced visit was made on the 12 December 2005 at 10.00hrs. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The total time spent for the inspection, including pre and fieldwork, amounted to 7.5hrs (excluding time spent on producing/processing the report). The company director and the registered care manager (both registered general nurses) were in charge of the home accompanied by the following staff: One first level and one second level general nurse, and seven care assistants, plus a student nurse. The ancillary staff on duty included; two domestic workers, one laundry worker, a maintenance person, a cook and a catering assistant. The business support person was also on duty. These staffing levels were adequate to meet the needs of the current 33 service users in the home. The total of 33 elderly residents included; 32 receiving nursing care for physical disabilities and one person receiving personal care for needs associated with old age. One of the nursing patients was terminally ill, and the three intermediate care beds were in use. The inspection included the following elements; a tour of the building, inspection of records relating to provision of care, discussions with residents and relatives, discussions with the staff members on duty, observation and sampling of other services provided such as catering and laundry, and an inspection of the managerial aspects such as staffing, quality assurance and health & safety. Since the last inspection there had been no changes to the management of the home. One formal complaint had been received during the past 12 months, and this had been upheld. No additional visits to the home had been necessitated. What the service does well:
Residents and/or their representatives had been able to choose the home, following an assessment and an invitation to visit, prior to admission. Speaking to residents and visitors, and inspecting the admission documentation, confirmed this. Residents and visitors asked said that they had been made aware of the terms and conditions of a stay in the home. The statement of purpose along with the service user guide seen reflected the current status of the different parts of the care home. The above aspects had Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 6 ensured that each resident had been suitably placed, and that the home had the ability to meet their assessed needs. It was evident, from discussions with residents and staff and an inspection of the relevant documentation, that the provision of health and social care had been addressed well. Service user plans seen had been well written and were meaningful. The plans were based on the community care plans completed by social workers, and agreed by residents/representatives. There was a good safe system in place for the receipt, storage, administration and disposal of medicines. No errors were noted concerning medicines, and residents asked said that they had their right medicines on time. Privacy, dignity and choice aspects for residents were seen being upheld during the caring process. When asked several residents and relatives said that they were very happy with the health and personal care being delivered by the home. During the past 12 months the number of accidents and reportable events in the home was low and this also reflected the good standards of care being delivered. Activities and entertainment had recently taken place, with a designated member of staff employed. Residents told the inspector that they had appreciated and enjoyed the recent events and activities, and that they were able to choose whether or not to take part. Visitors confirmed that links had been maintained with them, and links had also been maintained with the local community and clergy. Catering aspects were good and records seen showed that individual dietary requirements had been met. Residents spoke of choices and said that they were pleased with the food provided. The inspector sampled the main meal of the day, which met all requirements. Assistance was seen being given to people, by staff who had knowledge of the residents likes and dislikes. All of the above had assisted the residents in their daily living and social activities. No incidents or reports of abuse of any kind had been received since the last inspection and policies and procedures seen covered these issues. One member of staff had left the home following complaints about her approach to residents and fellow staff. Residents confirmed that they had the opportunity to vote, and the manager stated that an advocacy service would be provided if legal or other advice were required. These aspects had contributed to the protection of service users. The home was fit for purpose, and provided a safe environment for the residents, staff and visitors. A homely atmosphere had been created, and the premised were clean, warm and tidy. Adequate areas for residents were provided including; communal space, dining/activity space, bathing/toilet facilities, and bedrooms. Services and facilities including catering and laundry were adequately provided. All residents asked stated that they were happy with the facilities and that they were comfortable with their surroundings. Qualified nurses and teams of care staff provided care. A good working relationship was evident with the local GP practices and pharmacist. NHS facilities and both community and hospital health professionals had been
Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 7 accessed when required. Community Psychiatric Nurses were accessed to meet the mental health needs of service users. Staffing levels and skill mix had been adequate to meet the assessed needs of the existing residents. Recruitment and retention of staff aspects were good. Staff training had been given a high priority, with induction training being followed by NVQ training. In house training in relevant subjects had been on going. These aspects had contributed to the high standards of care being provided by the home. The home appeared to be managed well the company director and the care manager (both registered general nurses). Records had been correctly filed and stored. Assurances were given regarding the positive financial viability of the home, and that suitable accounting/business procedures were adopted. Health and safety aspects had been given a high priority and no shortfalls were noted. The documentation seen evidenced that the premises were adequately maintained. The current insurance certificate was seen. There was a safe system of accounting for residents day to day monies and the ledger reconciled with the money held. All the above had contributed to the protection and well being of residents in the home. Throughout the inspection the people who use, or have contact with, the home expressed only positive views. Many thank you cards and complimentary letters were seen from appreciative relatives. 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. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 Residents had been correctly placed in a home of their choice, following assessment of their needs and the provision of information on the service. This had also included the intermediate care beds provided. EVIDENCE: The documentation seen, and a discussion with residents/representatives, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had the opportunity to visit the home prior to choosing an admission. Several residents spoken to had visited the home, and had a meal prior to deciding to stay, and this was seen documented within the care plans. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Residents asked confirmed that they had been fully involved and were in agreement with the assessments. The records seen and a discussion with the
Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 10 staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Discussions had previously taken place between the inspector and the community nursing staff regarding admissions into the intermediate-care beds. It was established that these placements were working well, with a good standard of care being delivered and adequate assessments being undertaken prior to admission. Residents and relatives asked were also aware of the service users guide. The guide and the statement of purpose for the home were seen available, and were up to date and correct. All of the above had contributed to residents being able to make an informed choice about their stay in the home. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Individual health personal and social care needs, as documented within care plans, had been adequately addressed, with privacy and dignity afforded during the caring process. Aspects of death and dying had been well addressed in a sympathetic manner. EVIDENCE: Five service users, and six relatives spoken to, all commented positively about the care being provided. Two visitors told the inspector that they were very pleased with the standard of care delivered by the home. The service user plans and associated documentation was well written, meaningful and reflected the current condition of residents. The documentation seen and a discussion with both residents and staff members evidenced that health and personal care needs were being well met. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 12 NHS facilities and professionals including community nurses, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. Local GP practices and a local pharmacist service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. The medicines within the home, medication administration records, controlled drugs book and drugs returned book, were all checked and no errors were noted. It was observed that a safe system was in place, and that the comprehensive medicines policy documentation seen was being complied with. The documentation seen evidenced that only trained nurses administered medicines. No resident was ‘self medicating’, but locked facilities were available. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. Two residents told the inspector that they were treated with respect, and that the staff were very good to them. Since the last inspection there had been 13 deaths recorded, which is a low number in view of the sick nursing patients admitted to the home, some of which are in the terminally ill category. Only one resident currently had a pressure area (acquired elsewhere). This aspect was discussed and assurances were given that the area was healing and the correct treatment was being delivered. All of the above evidence satisfied the inspector that the individual health, personal and social care needs of patients and residents had been addressed in the correct manner. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Social contact had been maintained and daily activities, along with autonomy and choice, had contributed to the resident’s lifestyle experiences meeting their expectations. Catering aspects were good and met individual needs and preferences. EVIDENCE: Several residents told the inspector that their views had been listened to, and that they had been able to influence some aspects of the running of the home e.g. mealtimes, menus, beverage facilities for visitors. These comments had been documented along with the feed back from the resident/relatives questionnaires, and they had been acted upon. Contacts had been maintained, where possible, with relatives and friends and this was seen documented. Residents spoke of their visitors and their involvement with the home. Several visitors attended the home during this inspection, and told the inspector of the good links and communication with them. Trips out to the community had been well organised and transport provided. The manager showed the inspector the activities folder, which evidenced the activities both inside and outside the home. Residents spoke of the entertainment within the home. The activities were organised by a
Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 14 designated member of staff and residents spoke of the good work that she had done. The residents spoken to confirmed that information had been circulated regarding future events and activities and they could choose about participation. A summer fête was arranged. Several residents spoke of their satisfaction with the meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements of residents were met. The records evidenced that residents’ needs with diabetes, and special diets, had been met. The cook when asked said that fresh good quality food from local suppliers was delivered on a weekly basis, the records seen confirmed this. Adequate supplies of fresh vegetables and fruit were also seen. The catering staff spoke to each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. The inspector sampled the mid-day meal and it was very good, meeting all requirements. Several residents were unable to make a decision regarding choice of meal, due to their current condition, and the inspector saw them being assisted by staff who were knowledgeable of their likes and dislikes. All of the above had contributed to the resident’s lifestyle experiences meeting their expectations. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 An open culture existed where complaints are listened to and acted upon, residents are protected from all forms of abuse, and their legal rights are also protected. EVIDENCE: One formal complaint had been received during the past 12 months, and this had been upheld. The member of staff involved had left the home following complaints about her attitude to residents and fellow staff. No additional visits to the home had been necessitated. An examination of the complaints records, the relevant policy and procedure documentation, and a discussion with staff and residents, evidenced that complaints and grumbles were listened to and dealt with. Since the last inspection one complaint had been recorded, and this had been upheld. The member of staff involved had left the home following complaints about her attitude to residents and fellow staff. No additional visits to the home had been necessitated. Many ‘thank you’ and complimentary cards were seen from appreciative relatives. There was no evidence to indicate that any incidents of neglect or abuse of any kind had taken place. The policy documentation seen, and a discussion with staff confirmed that residents are protected from all forms of abuse. Documentation seen evidenced that the above issues had been discussed at length during staff induction, training and on-going supervision.
Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 16 A discussion with the staff and residents evidenced that all residents had been afforded the opportunity to exercise their vote in past elections. The manager confirmed that an advocate would be facilitated if required by a resident. All of the above had contributed to the protection of service users. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23,26 The home was clean, pleasant and hygienic, and provided a suitable and safe environment for the provision of care. A warm homely atmosphere was prevalent, which met resident’s expectations. EVIDENCE: A tour of the premises, and a check on the maintenance documentation, verified that the premises were fit for purpose, clean warm and tidy. The duty rosters evidenced that adequate ancillary staff were employed. Staff when asked told the inspector of their knowledge on infection control, and showed him the relevant documentation. Adequate hand washing facilities were available throughout the home. The laundry and sluice facilities were seen to be fully compliant. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 18 The records evidence that maintenance of the premises was being given a high priority. Hot water temperature checks, and emergency lighting/fire alarm tests were seen up to date and correct. The internal redecoration and replacement of furniture is ongoing and budgets have been allocated. There are no outstanding issues known from the Environmental Health or the Fire Prevention departments. A tour of the building evidenced that 36 of the 38 beds are in single rooms (95 single bedroom occupancy). Residents spoken to were very happy and settled in their rooms. Conversations with residents established that the home met with their expectations. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Adequate numbers of suitably trained and experienced staff are correctly employed to meet the assessed needs of residents. EVIDENCE: The company director and the registered care manager (both registered general nurses) were in charge of the home accompanied by the following staff: One first level and one second level general nurse, and seven care assistants, plus a student nurse. The ancillary staff on duty included; two domestic workers, one laundry worker, a maintenance person, a cook and a catering assistant. The business support person was also on duty. These staffing levels were adequate to meet the needs of the current 33 service users in the home. The duty rosters seen, and a discussion with the manager and the staff, evidenced that adequate numbers of care staff had been on duty to meet the needs of the existing service users. Staffing rosters were checked and were in order. An examination of the rosters evidenced that in addition to the registered care manager and the director the following care staff had been maintained or exceeded for the 35 residents: a.m. 2RGN 7 Care assistants p.m. 1RGN 5 Care assistants nights 1RGN 3 Care assistants
Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 20 In addition to the above adequate ancillary staff were rostered on duty throughout the week. Several residents asked stated that care staff were available when they wanted them, and that the staff were capable. The records seen evidenced that 10 trained nurses were employed, and 30 care assistants of which 15 (50 ) were trained to NVQ level 2 or above. The homes recruitment policy, procedures and documentation were examined and recruitment issues had been handled correctly. Staff had been subject to POVA/CRB comprehensive checks, and these were seen recorded. Staff asked stated that they had job descriptions and contracts of employment. Staff turnover had been very low during the past 12 months. Training had been given a high priority and the training records of individuals were seen. The records evidenced that care assistants had benefited from ‘in house’ and external training, which had covered the needs of the registered client group. Staff told the inspector that they had been afforded the time off and encouraged to study. All of the above had contributed to the residents assessed needs being well met. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 A competent management team is managing the home in the best interests of service users, and in an open an inclusive atmosphere. The home is being run well, is on a sound financial footing, and has safeguards for the health and well being of residents’ staff and visitors. EVIDENCE: The registered care manager is well experienced and competent. It is understood that she will complete studies for the relevant management qualification within the coming six months. An open, positive and inclusive atmosphere was observed during the visit and confirmed to the inspector by service users, staff and relatives. Staff when asked also said the manager and director portrayed leadership and direction which enabled them to relate to the aims and objectives of the home.
Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 22 From observations made, discussions with service users and staff, it was evident that the home was being run in the interests of service users. Quality assurance, including feedback from residents and their representatives, was seen documented. Documentation seen evidenced that the views of visiting professionals had also been established, and included in the review process. Staff supervision sessions, six times per year, had all been completed and documented. A check on the records and a discussion with both residents and representatives evidenced that all service users had the opportunity to handle their own finances and residents and families had chosen to do so. Day to day monies of residents was checked, and money held reconciled with the ledger. Inventories of valuables and belongings brought into the home were seen recorded. No health and safety issues were noted during this inspection, including a tour of the home. The documentation seen for checks and examination of plant and equipment was all correct and up to date and included; fire precautions, fire equipment, gas testing, boiler servicing, wheelchairs, equipment, hoists, lifting equipment, shaft lift servicing and tests, portable electrical appliances, water treatment, water temperatures, electrical completion/test certificates. The company director gave assurances that the home was financially viable, on a sound footing, and that suitable accountancy and budgeting procedures were adopted. The current public liability insurance certificate was seen up to date and correct. The above evidenced that the service users are protected and safeguarded. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 x x x 3 x x 4 STAFFING Standard No Score 27 4 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 4 x x 4 Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 24 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 OP31 Good Practice Recommendations The registered care manager should recommence her studies to achieve NVQ level 4 qualifications, as agreed. Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Rider House Nursing Home DS0000022364.V277046.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
