Inspection on 24/04/07 for Risedale At Aldingham Nursing Home

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Risedale At Aldingham Nursing... 06/01/06

Risedale At Aldingham Nursing... 12/09/05

Risedale At Aldingham Nursing... 11/11/04

Risedale At Aldingham Nursing... 12/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Risedale At Aldingham Nursing Home Aldingham Ulverston Cumbria LA12 9RT Lead Inspector Jenny Donnelly Unannounced Inspection 24th April 2007 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 Risedale At Aldingham Nursing Home DS0000006149.V330199.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 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. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Risedale At Aldingham Nursing Home Address Aldingham Ulverston Cumbria LA12 9RT 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) 01229 869203 Risedale Estates Limited Mrs Julie Alexander Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40) of places Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include: up to 40 service users in the category of OP (Older people) up to 10 service users in the category of DE(E) (Dementia over 65 years of age) Dementia care is only to be provided to service users receiving personal care, not to those receiving nursing care. To include one named person under the age of 65 years (as notified by letter). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 6th January 2006 2. 3. 4. Date of last inspection Brief Description of the Service: Risedale at Aldingham Nursing Home is set in the small hamlet of Aldingham, just off the coast road between Ulverston and Barrow-in-Furness, overlooking the Morecambe Bay estuary. The home is an imposing grade II listed building with many original features and is set in its own grounds. The home is one of five in Cumbria run by the Risedale Estates Limited Group. The registered manager is Mrs Julie Alexander. Accommodation is provided over three floors, the ground floor plus a split level first floor, served by two passenger lifts. The bedrooms are individual in size and shape; there are 20 single and 10 double rooms, which the company refer to as companion rooms. All bedrooms have an en-suite toilet and wash hand basin. There are five bathrooms equipped with specialist bathing/showering facilities. There is plenty of communal space in the form of lounges, dining areas and a conservatory. The main kitchen and laundry are shared with the sister home St Cuthberts; which is an adjoined building run as a separate entity. The home has large landscaped gardens and sea views. Although the home is registered to include 10 personal care places, the company is gradually changing these over to nursing beds as they become vacant. A statement of purpose and a service user guide is available from the home, and the weekly charges at the time of this inspection ranged from £363.00 to £490.00 per week. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I made an unannounced visit to the care home on 24th April 2007 between 09.30 and 17.30 hours. During the visit I spoke with people who live in the home, visitors, staff and the manager. I toured the building, observed breakfast, lunch and the evening meal, and looked at a number of records. Prior to my visit I sent survey forms to the care home, and received back 9 completed forms from visitors/relatives, and 5 from people who live in the home. The information gathered in these surveys is included in this report, along with views I gathered during my visit. What the service does well: What has improved since the last inspection? What they could do better: I received a small number of negative comments about the timing and temperature of meals, and many negative comments about the laundry service. It is recommended the manager review both these areas. The manager had gained similar feedback from her own quality survey, and was beginning to address these areas. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 6 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. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 7 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 Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Admission procedures ensure people are well informed about the care home, and have confidence in knowing the home can meet their assessed needs before they choose to move in. EVIDENCE: I looked at the files of several people who live in the care home. The files contained evidence that a thorough assessment of need had been carried out by the manager, as well by the persons’ social worker if appropriate. The assessment were very detailed and a copy of these was provided to the person, and their family if appropriate, along with a letter confirming if the care home could meet their assessed needs. There was evidence of good planning prior to people moving into the home to ensure all relevant paperwork and equipment was in place ready. There was also evidence of assessment by the community nurse for the level of any free nursing care Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 9 entitlement. There was information about the fees charged and who was responsible for payment. The people I spoke to were aware of their contract of residency and their fee arrangements. In some cases people had signed their consent to occupy a shared bedroom. The company call these “companion” rooms, and operate a waiting list for people who want to move to a single bedroom as one becomes available. People who live in the home are allocated a special carer called a keyworker and a primary nurse, to plan and provide their care, and help them settle into the home. The manager liaises with the commission for social care inspection on any unusual or emergency admissions to the home, to ensure they are operating within their registration categories. The service does have an intermediate care facility. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People were receiving good quality health and personal care, in accordance with their wishes. EVIDENCE: I looked at the care plans of four people and these were up to date and had been audited by senior staff on a regular basis. There was evidence that people who live in the home and/or their families had been consulted over their care plan. One lady said her personal care was “done very nicely”. Preferences about gender of care staff, the provisional of personal care and social choices were recorded, and known by staff. One lady said, “ I was asked if I minded male staff bathing me, and they check each time”. People said, and wrote the following comments on the surveys; “staff are respectful and kind”, “the nurses and excellent”, “you couldn’t find a better place than this”, there is a “high level of attention to needs of residents”, and a “feeling of genuine caring and respect”. People were allocated a keyworker, a member of Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 11 care staff responsible for paying particular attention to them and their belongings. Each person also had a primary nurse, responsible for overseeing his or her care planning and healthcare needs. Although there was a general focus on dignity and respect, there was one incident of inappropriate labelling of clothes drawers, which was brought to the managers’ attention. Health care records showed people had good access to the doctor, dentist, optician and chiropodist, either via the home staff or by private arrangement. There were detailed records of wound care, which included photographs taken with consent and a clear treatment plan. Staff were able to access specialist advice on wound care, continence and other subjects, through the use of the companies “skills register”. This is a list of nurses across the Risedale group who have advanced skills and knowledge in specific areas of care. One person said, “I see my GP, dentist and get eye tests regularly”. Staff also call on outside specialist support as necessary and have built good links with the local primary care staff to facilitate this. People were consulted on their healthcare, and enabled to make choices. For example one person, who was strongly advised to lose weight, chose not to, and staff therefore did not restrict that persons’ menu choice or portion size. The care home was well equipped with aids and adaptations, and people who needed to use hoists, bed rails and other equipment had up to date risk assessments on file along with clear guidance for staff. I looked at the storage and management of medicines. The home had clear guidelines for the nursing staff, who had been trained in the companies medicine management procedures. Records showed that great care was taken with ensuring people received their medication as prescribed. I checked a number of peoples’ medicines in detail, and the amounts of medicine received into the home matched what had been administered against what was left in the packet. There was a clear system for recording medicines prescribed for occasional use, and where medicines were prescribed “every 72 hours” or “weekly” this was being correctly and safely managed. People who wanted to manage some, or all of their own medicines, were able to do within in a safe risk assessment framework. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People were enabled to maintain contact with their family and friends and to engage in a variety of activities both within and outside of the care home, which enhanced peoples’ quality of life. Some people said the provision of meals was disappointing. EVIDENCE: A new activity organiser was appointed in October and works 31 hours a week over five days including weekends. The new manager has been working to raise the profile of activities and entertainment in the home, through the use of clearer advertising boards and photographs of recent events. There was a programme of regular weekly in house events as well as outings and visiting entertainers. People who live in the home said they were asked for their opinions on the visiting entertainers, and for outing suggestions. People said they took turns to go on the outings and seemed content with this arrangement. The activity organiser said she took a few people at a time out for lunch, shopping or to a local visitor attraction. Each trip was repeated until everyone who wished to go, had done so, and two venues were often run Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 13 consecutively. Roughly 20 people liked to go on outings. On the day of inspection, three ladies went out for a pub lunch, leaving the home at 11am and returning at 2pm. The manager said they had also run a very successful pub outing for gentleman only recently. The home had a hair salon and a visiting hairdresser came each week. There were arrangements in place for people to join in religious services of different faiths. The activity organiser ran “chill out” sessions using music, massage and light therapy, which was particularly helpful in settling one person prone to agitation. People said the daily life of the home was flexible in terms of getting up and going to bed when you pleased, and spending the day where you liked, but meal times were inflexible. Some people had very set routines which staff knew, whilst others changed from day to day and staff accommodated this. People had been able to bring their own belongings into the home with them, including items of furniture. People were able to manage their own finances if they wished. Visitors said they were made welcome in the home at all times, and offered drinks, snacks and meals. Visitors were able to make themselves drinks in the beverage area, and some kept their own special mugs there. One visitor said, “staff always make a fuss of the children who visit and get them drinks and biscuits”. Another visitor was very grateful for lifts to and from the care home by a staff member. I received mixed comments about the provision of meals, both verbally and in the survey forms. Whilst some people said the meals were lovely, there was a good menu choice, and plenty of food. Others said the meals were often not hot enough, and the timing of meals was wrong, with breakfast too late and lunch too early. Drinks and snacks were said to be available at all times. I observed breakfast, lunch and the evening meal and saw there were plenty of staff serving and helping people to eat. Staff were allocated to work in specific areas and appeared well organised. Some people were having breakfast at 10am, and one of these people stated she always gets up at 6am. Lunch was served at 12.45 and the evening meal at 4.45pm. Food arrived from the kitchen in hot trolleys; the roast meat was served cold with hot gravy added, and the vegetables were not in the hot trolley and may have cooled for those people served last. The manager said she was aware of concerns about the food temperature, from her own quality surveys. The cook had done a temperature audit, following the trolley from the kitchen to the dining room, and temperature probed the food at the point of serving. A residents meeting about food was planned to take place, and the cook was to attend this. The regular cook was on leave on the day of my visit. It is recommended that the home review the provision of meals in line with peoples’ comments. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who live in the care home had confidence in the staff, said they felt safe and had access to external advocates. EVIDENCE: There was a complaints procedure on display and each person who lived in the care home, or their family, had been given their own copy. Survey forms and direct discussion showed that people knew how to complain about the service if they wished to. Since the last inspection no complaints had been to the Commission for Social Care Inspection, although one had been made directly to the care home. Records showed that the people concerned had met with the Risedale senior managers, and a satisfactory outcome had been reached. The company has a history of handling complaints in a constructive way, acknowledging shortfalls where they exist, and working to improve the service. People were able to access their families, solicitors, or other advocates external to the care home, for independent advice. A small number of people managed their own financial affairs, whilst the majority received support from people outside of the service. The care home operated sound safeguarding procedures, and all grades of staff attended compulsory annual update training in safeguarding people. This included prevention and detection of abuse, reporting procedures, safe management of aggression and protection of peoples’ privacy and dignity. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 15 Restraint, including the use of bed rails and recliner chairs was fully examined within the safeguarding framework; risk assessments and consent were completed and clearly recorded in the care plan. Staff were clear about their individual responsibilities, and people who live in the home said they felt safe and protected living there. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People live in a well equipped and well maintained home, with ongoing refurbishment planned. There were some shortfalls in the management of personal laundry. EVIDENCE: Risedale at Aldingham is an imposing grade II listed building over looking the estuary. Accommodation is provided over three floors accessed by passenger lifts. Bedrooms vary in size and shape, and there are 20 single and 10 shared rooms, each with toilet and hand basin. People had been able to bring their own belongings, including ornaments and furniture to make their bedrooms homely. Communal areas comprise of two smaller and one large room which are connected, plus a separate conservatory. There is beverage area for staff and visitor use. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 17 The care home meets the requirements of the fire and environmental health officers. The ongoing maintenance of the building is good, although some areas are in need of upgrading. The new manager has been reviewing this, and intends to undertake a full audit of every room. New seating for the pay phone area and four new roll-about armchairs have been ordered. There is a new wall mounted TV in the large lounge. There are plans to redecorate one lounge/ dining room. New dining tables and the professional re-polishing of dining chairs are being considered. Since the last inspection, one of the five bathrooms has been fully refurbished with all new equipment and decoration. Another bathroom will be similarly refurbished in May, and third one at some later date. There are spacious toilets sited near the day rooms. The central staircase tower is still awaiting decoration. The home is well provided with specialist equipment including, hoists, grab rails, profiling beds, specialist mattresses and nurse call bells. The provision of heating and lighting was good. People have good access to pleasant gardens and seating areas, provided with tables, benches and sunshades. People who live in the home said the standard of cleaning was good, and commented, “the staff are always cleaning and polishing”, and, “they clean everywhere everyday”. One survey card commented that the standard of cleaning was not good enough, and the manager said she had received similar comments and was going to concentrate on the domestic service. The laundry service received a high number of negative comments in the survey forms and in direct discussion with people who live in the home. People said the “laundry is very poor”, “nothing is ironed” and “clothes come back crumpled”. Some people said their family took their clothes home to launder so they would be look nice. The laundry is staffed all day every day, and staff said every item was ironed either with a hand iron or using a roller. Inspection of peoples’ wardrobes did show a variance in the state of personal clothing, and it is uncertain whether this is a lack of ironing or lack of care with putting items away afterwards. It is recommended that the care of peoples clothing be reviewed to improve the service. Infection control procedures were sound, although the company were updating with these in line with new national guidance. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 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. A competent and caring staff team support the people who live in the care home. EVIDENCE: The home is registered to accommodate 40 people, and operates with 2 registered nurses and 7 care staff, reducing to 2 nurses and 5 care staff later in the day. The home had sufficient ancillary staff to support the hotel and maintenance needs of the service. Several people thought the home needed more staff, although the service was operating to the higher levels agreed because of peoples’ high dependency. Staff were highly regarded by the people who live in the home and by visitors. Comments received included, “staff are respectful and kind”, “the nurses and excellent”, “there are good levels of staffing at all times, and it is easy to access and speak to staff”, “the staff are good and pleasant in every way”, “they do a wonderful job”, and, “their patience and understanding has immeasurably helped the whole family”. The company places a great emphasis on staff training and development. All new staff undergo a Care Sector Alliance Social Care Programme, with 10 full teaching days and credits towards National Vocational Qualification. Risedale’s own trainer delivers the programme, with input from each of the Risedale Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 19 home managers on their specialist area. Attendance at training is tightly monitored. There are annual compulsory updates for all staff on safe moving and handling, fire safety, infection control, safeguarding adult and managing aggression. Shift supervisors undertake three yearly updates in first aid. Registered nurses have good access to ongoing professional development and are encouraged to undertake specialist qualifications. The service encourages care staff to undertake NVQ, and 70 have achieved this, which is excellent. The company has sound procedures for the safe recruitment of staff, and inspection of three staff files, showed these had been adhered to. Preemployment checks included applications forms, interview notes, references and criminal records bureau (CRB) clearance. All new staff undergo a probationary period. The evidence of CRB clearance would be better kept in individual staff files, as well as on the companies central register. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care home is safely managed and demonstrates a strong commitment to excellence based on the views of the people who live there. EVIDENCE: The registered manager, Mrs Julie Alexander, came to Aldingham from another Risedale care home in December 2006, and is suitably qualified and competent to manage the service well. People who live in the home, and visitors, knew the manager by name and said they could speak with her at any time. The manager held regular staff meetings, and had a meeting with residents planned. The manager had also sent out her annual quality survey forms, and had started to receive some responses to this, from which she would draw an Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 21 action plan for the year. The manager said the quality surveys helped her focus on areas of importance to residents and visitors. Other quality checks included regular audits of care plans, medicines, environment and the kitchen. The home manager was well supported by the company directors with strategic and financial planning, and did not work in isolation. There was a system of formal staff supervision which operated at all levels, and ensured that all staff understood and worked to the companies procedures and expectations. The manager held spending money on behalf of some people who lived in the home. I checked the records and money of three people, and found them to be correct. There was a system of recording every transaction with two signatures, and receipts were held for all spending. The records were audited, and people were aware of how to access their money. The Risedale group employs a highly qualified health and safety manager, who is also a senior nurse at Aldingham. This person has protected time to carry out her health and safety audits and provide staff training. All training was up to date on fire, moving and handling, infection control and safe use of chemicals. The health and safety manager worked with the maintenance staff to ensure the building complied with health and safety legislation, and to ensure all services and equipment were in good working order. Accidents were recorded and monitored so that preventative action could be taken where appropriate. Risedale At Aldingham Nursing Home DS0000006149.V330199.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 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 X 4 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 3 3 3 4 3 X 3 2 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 4 X 4 Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 23 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. 2. Refer to Standard OP15 OP26 Good Practice Recommendations It is recommended that the provision of meals be reviewed, to provide people with food that is hot enough for their liking, at a time agreeable to them. It is recommended that the laundry arrangements be reviewed so that peoples’ clothes are returned to them ironed and neatly stored. Risedale At Aldingham Nursing Home DS0000006149.V330199.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Risedale At Aldingham Nursing Home DS0000006149.V330199.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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