Inspection on 23/05/07 for Risedale At Lonsdale Nursing Home

This inspection was carried out on 23rd May 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 Lonsdale Nursing Home 15/02/06

Risedale At Lonsdale Nursing Home 02/11/05

Risedale At Lonsdale Nursing Home 14/10/04

Risedale At Lonsdale Nursing Home 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Risedale At Lonsdale Nursing Home Albert Street Barrow In Furness Cumbria LA14 2JB Lead Inspector Jenny Donnelly Unannounced Inspection 09:30 23rd May 2007 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 Lonsdale Nursing Home DS0000006151.V329866.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 Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Risedale At Lonsdale Nursing Home Address Albert Street Barrow In Furness Cumbria LA14 2JB 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 870050 01229 822955 Risedale Estates Limited Mr Graeme Redshaw Care Home 45 Category(ies) of Old age, not falling within any other category registration, with number (45) of places Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 45 service users to include: up to 45 service users in the category of OP (Older people over 65 years of age) 15th February 2006 Date of last inspection Brief Description of the Service: Risedale Estates Limited operates Risedale at Lonsdale Nursing Home. The registered manager is Mr Graeme Redshaw. Lonsdale is a 45 bed nursing home which shares the site with its sister home, St Georges. Both homes are registered and managed separately, but share the main kitchen and laundry. It is situated in the town of Barrow in Furness, a short distance from the main shops and amenities. Lonsdale is purpose built over two floors and has a passenger lift. There is a mixture of single and double bedrooms, each with en-suite toilet and wash hand basin. There is a large dining/lounge on each floor, a conservatory and a small sitting room. There are five bathrooms with specialist bathing facilities. There is a planted garden with seating and a water feature. The weekly fees at the time of this inspection are £407.00 plus any registered nursing care contribution entitlement. Information including the statement of purpose, service user guide and inspection reports can be obtained from the care home. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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 23rd May 2007 between the hours of 09.30 and 17.00 hours. During this visit I toured all areas of the building. I spoke with 14 people who live in the care home, interviewed the manager and 6 staff. I inspected care and medication records, staff records, and observed the mealtimes and the day’s activities. Prior to this visit I had received written information from the manager and sent out survey forms. I received 9 completed surveys from people who live in the home, and 14 from visitors. The information gained in the surveys is included in this report. What the service does well: What has improved since the last inspection? Since the last inspection work has been taking place to improve the environment. New flooring has been laid in the communal rooms, and new armchairs have been bought. There has been some decoration, and work had started on upgrading the bathrooms with new equipment. New menus have been introduced and are being tried out. Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 6 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. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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 Lonsdale Nursing Home DS0000006151.V329866.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): 3, 4 and 5 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. These contained copies of pre-admission assessments of those persons care needs. Assessments had been competed by the manager or senior nurse, and by the persons’ social worker if appropriate. The assessments were comprehensive and included all aspects of personal and health care needs. A copy of the assessment was provided to the person, or their family if appropriate, along with a letter confirming if Lonsdale could meet their 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 Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 9 evidence of assessment by the community nurse for free nursing care entitlement. The manager stated he was receiving more requests for emergency admissions now, where the initial referral, the needs assessment and admission took place within 24 hours. The senior nurse was called out today to assess a potential new client for admission tomorrow. In these cases, the signing of contracts and other paperwork was completed as soon as possible afterwards. People are welcome to visit the home to look around and talk to staff, but may people rely on families to do this for them as time allows. 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 service does have an intermediate care facility. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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, 10 and 11 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 three people in detail, 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. The completed survey forms from visitors stated, “I’m happy with the care they give”, “the staff treat each person to their own requirements”, and “the individual attention given is second to none”. People who live in the home echoed these views, saying, “the care is very good”, and “we are very well looked after”. Each person was allocated a keyworker, a member of care staff responsible for paying particular attention to them and their belongings. Each person also Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 11 had a primary nurse, responsible for overseeing his or her care planning and healthcare needs. Health care records showed people had good access to the doctor, dentist, optician, physiotherapist and chiropodist, either via the home staff or by private arrangement. One person said, “the GP would be quickly sent for if needed”. There were detailed records of wound care, which included photographs taken with consent and clear treatment plans. There was evidence that specialist staff, both within the Risedale group, and externally, had been asked for advice where appropriate. A leg ulcer specialist visited today and recommended a new treatment plan for one lady. Staff immediately contacted her doctor to request the items required. Staff are able to access other areas of specialist advice including continence, nutrition, diabetes, pain and palliative care needs, 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. There was evidence that people were consulted on their healthcare, and enabled to make choices. For example one person had an agreed plan for weight loss, whilst another had a plan for weight gain. The care home was well equipped with aids and adaptations, and people who needed to use hoists, bed rails, specialist mattresses and other equipment were provided with them. There were up to date risk assessments on file along with clear guidance for staff in using the equipment. The company has “charter of rights” for dying people, and uses the NHS Gold Standards Framework for caring for people who are dying. This along with “the preferred place of care” programme helps people to remain at Lonsdale if they wish, rather than be moved to hospital. There was evidence that people had been asked, at an appropriate time, about their views on being resuscitated in the event of a sudden collapse, and asked about their after death wishes. Staff were appropriately qualified in delivering palliative care. I looked at the storage and management of medicines in part of the care home. There were clear guidelines for the nursing staff to follow, and all nurses had been trained in the companies’ medicine management procedures. The training included a theory session, and a practical assessment. Records showed that great care was taken with medication. I checked some peoples’ medicines and records in detail, and found all to be in order. The disposal of medicines no longer needed was carefully and safely managed. People who wanted to manage some or all of their own medicines, were able to do so within in a safe risk assessment framework. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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 excellent. 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 engage in a variety of activities both within and outside of the care home. The provision of meals was good and people felt they had a good quality of life. EVIDENCE: The service employed an activities organiser who worked jointly with the activity organiser at Risedale St Georges’ next door, to present a varied programme of activities and events for people. The Lonsdale activity organiser was not present on the day I visited. However staff said there had been a film show that morning at St Georges’, which some people had attended. During the previous week there had been a sing-a-long and a visiting entertainer. People told me they enjoyed the visiting entertainers and felt the provision of such events was very good. One survey form commented, “staff went to a lot of trouble to provide suitable activities” for their relative. A visitor said she “likes the ability to sit in the garden with her mother when the weather is nice”. One survey form said, “more activities are needed”. Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 13 People I spoke to confirmed they were able to go out of the home either with friends, family or staff and could access local amenities. One man said he visited the supermarket daily to make small purchases and get out and about. There was a regular “trolley shop” for people that couldn’t easily get out to buy sweets and toiletries. The home had a hairdressing salon and a visiting hairdresser came each week. There were arrangements in place for people to join in religious services of different faiths. 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. Some people regularly used the lounges whilst others chose to stay in their rooms unless there was a special event on. People said they were told about events by the activity organiser so they knew what was happening. People had been able to bring their own belongings into the home with them, including items of furniture, and 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. I saw lunch and the evening meal being served on both floors. There were plenty of staff around at meal times to serve food and drinks, and to assist people as necessary. Staff were knowledgeable about people who needed special diets and those who needed assistance to eat. Assistance was given patiently and sensitively. One visitor said she always visited at lunch time to help her mother, and have a chat with the other ladies at the table. Lunch was seen to be quite a sociable occasion. People told me that the meals were good, there was always a choice and the menu was varied. A number of survey forms said the “meals are good” and “the diet is excellent”. The cook had a note of peoples likes, dislikes and special dietary needs, and worked closely with staff to meet any changes in people’s needs. The manager had undertaken additional training in nutrition, and was very involved with menu planning. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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, and said they felt safe. 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 made to the Commission for Social Care Inspection. 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. 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. 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 Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 15 individual responsibilities, and people who live in the home said they felt safe living there. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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, 24, and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People lived in a well maintained and comfortable home, with sufficient aids and equipment to assist those with infirmities. EVIDENCE: Risedale at Lonsdale is a purpose built care home. There are two floors, separately staffed and served by a passenger lift. The building has been well maintained and kept in a good state of decorative repair. There was a planned programme of general maintenance, decoration and equipment checks. Inspections by the fire and environmental health officers earlier this year had satisfactory outcomes. The home has plenty of space, comprising of two large lounge/diners, a conservatory and a small sitting room. Both lounge/diners have a beverage area where staff and visitors can make drinks. There is a separate Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 17 hairdressing salon, with backwash basins. The spacious rooms and wide corridors are good for people using wheelchairs. However this does make the building appear less “homely” and the number of notices and instructions for staff on display adds to a slightly clinical feel. The manager said he would address this within his redecorating plans. The furniture and furnishings are of a good standard. New armchairs had been purchased since my last visit and people said these were comfortable as well as nice to look at. New flooring had been laid in the communal rooms. The manager was planning to redecorate some areas of the home, which had become “un-coordinated” over time. The garden and patio areas were well maintained, seating and sunshades were provided for use during nice weather. There are five assisted bathrooms, which are being gradually updated and provided with a new design of specialist bath. There are 31 single and 7 shared bedrooms, called “companion” rooms. These are adequately divided with screens and curtains to maintain peoples’ privacy. People sign their agreement to occupy a shared room, and there is a waiting list for people wishing to move to a single room as they become available. All bedrooms have an ensuite toilet and hand basin. Many people had personalised their bedrooms, with their possessions and photographs and made them individual. The home is well equipped with electric profiling beds, pressure reducing mattresses, grab rails and a variety of hoists and slings. The standard of hygiene throughout the building was very good, and people said staff were “always cleaning”. The management of laundry was good and followed sound infection control guidelines. There were some comments on the survey that “laundry could be better”, but many people told me they happy with the laundry arrangements and the clothes I saw looked clean and tidy. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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 highly skilled and caring staff team support the people who live in the care home. EVIDENCE: The home is registered to accommodate 45 people, and operates the two floors separately. On the morning of my visit there were 2 registered nurses and 4 care staff on the ground floor, and 2 registered nurses, a student nurse and 4 care staff upstairs. This was extra to the agreed staffing levels in response to the number of highly dependant people living in the home. There were sufficient ancillary staff to support the hotel and maintenance needs of the home. Staff were highly regarded by the people who live in the home and by visitors. A large number of the surveys received stated, “the nurses are excellent” and others said, “staff treat each person to their own requirements” and “my mother has settled in well with the patience and care of staff”. People I spoke to confirmed staff were friendly, helpful, caring and kind. Risedale puts a lot of work into staff training and development. All new staff undergo a Care Sector Alliance Social Care Induction 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 Lonsdale Nursing Home DS0000006151.V329866.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 adults and managing aggression. This year all staff had attended a session on equality and diversity, and some staff were completing a course in this. 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 59 have achieved this, which is very good. The company has sound procedures for the safe recruitment of staff, and inspection of files, showed these had been adhered to. Pre-employment checks included application forms, interview notes, references and criminal records bureau (CRB) clearance. All new staff undergo a probationary period to make sure they are proving suitable. The evidence of CRB clearance would be better kept in individual staff files, rather than just on a central register. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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, 34, 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, Mr Graeme Redshaw, came to Lonsdale from another Risedale care home in October 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 him at any time. The manager has a highly visible presence around the home and clearly knew each person living there personally. Risedale At Lonsdale Nursing Home DS0000006151.V329866.R01.S.doc Version 5.2 Page 21 There was a quality monitoring system that included a range of quality checks. Annual questionnaires were sent to people living in the home and their relatives; these were due to be issued in the summer, and the results would be included in the managers’ improvement plan. Other quality checks included regular audits of care plans, medicines, accidents, and the general environment and 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. Financial planning and money handling procedures were sound. The Risedale group employs a suitably qualified health and safety manager, who conducts health and safety audits and provides 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 along with the home manager, works with the maintenance staff to ensure the building complies with health and safety legislation, and to ensure all services and equipment are in good working order. Accidents were recorded and monitored so that preventative action could be taken where appropriate. Risedale At Lonsdale Nursing Home DS0000006151.V329866.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 X 4 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 3 3 4 4 3 3 X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 3 X 4 X 4 Risedale At Lonsdale Nursing Home DS0000006151.V329866.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. Refer to Standard Good Practice Recommendations Risedale At Lonsdale Nursing Home DS0000006151.V329866.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 Lonsdale Nursing Home DS0000006151.V329866.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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