Inspection on 07/06/07 for Risedale At St George`s Nursing Home

This inspection was carried out on 7th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 St George`s Nursing... 12/01/06

Risedale At St George`s Nursing... 26/09/05

Risedale At St George`s Nursing... 19/01/05

Risedale At St George`s Nursing... 02/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Ruskin Lodge

Bushell House

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Risedale At St George`s Nursing Home Albert Street Barrow In Furness Cumbria LA14 2JB Lead Inspector Jenny Donnelly Unannounced Inspection 7th June 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 St George`s Nursing Home DS0000006152.V334764.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 St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Risedale At St George`s 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 lonsdale.reception@risedale.carehomes.co.uk Risedale Estates Limited Mrs Alison Knagg Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47), Physical disability (47) of places Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP Physical disability - Code - PD The maximum number of people who can be accommodated is: 47 Date of last inspection 12th January 2006 Brief Description of the Service: Risedale Estates Ltd runs Risedale St George’s, and the registered manager is Mrs Alison Knagg. The home is situated in the town of Barrow-in-Furness, a short distance from the shops and amenities. The home is purpose built with accommodation on two floors served by a passenger lift. All bedrooms are single with en-suite toilets. There is plenty of lounge and dining space and there are six bathrooms with specialist equipment. There is a pleasant garden area, with seating and a water feature. The home is twinned with Risedale at Lonsdale, and they share kitchen and laundry facilities, although the homes are managed separately. St Georges provides general nursing care, has three intermediate nursing care beds, and also cares for highly dependant people in receipt of continuing health care funding. The general weekly fees at the time of this inspection were £407.00 to £500.00 plus any registered nursing care contribution entitlement. The home also caters for people in receipt of continuing health care funding where individual fees are set in accordance with the specific number of care hours contracted. Information including the statement of purpose, service user guide and inspection reports can be obtained from the care home. Risedale At St George`s Nursing Home DS0000006152.V334764.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 7th June 2007 between 09.30 and 17.00 hours. During this visit I toured all areas of the building. I spoke with people who live in the care home, their visitors, and I interviewed the manager and staff. I inspected care and medication records, staff records, and observed meals and the day’s activities. Prior to this visit I had received written information from the manager and sent out survey forms. I received 3 completed surveys from people who live in the home, and 8 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 new flooring has been provided in the dining/lounges and in a number of bedrooms, and a new shower chair has been purchased. One large lounge has been divided to create a quieter area. Work has been done to improve the laundry service and provision of activities, in line with what people asked for. The menu has been updated, again in accordance with people’s wishes. Some of the people living in the care home now have very complex needs, and the management have planned ahead and made sure they have enough staff with specialist skills to meet these needs. Risedale At St George`s Nursing Home DS0000006152.V334764.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 St George`s Nursing Home DS0000006152.V334764.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 St George`s Nursing Home DS0000006152.V334764.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 6 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 three people who live in the care home. These contained copies of pre-admission assessments, which 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 the care home 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 evidence of assessment by the community nurse for the level of any free nursing care entitlement. Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 9 Some people had continuing health care funding arrangements in place to provide individually tailored care packages, and the details of these were recorded. In these cases there was generally a longer and much more detailed admission process to ensure staff were trained in the necessary skills required for each person. 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 has three intermediate care bedrooms, used for people undergoing short-term rehabilitation, and the community intermediate support team manages admission to these beds, along with the home manager. Risedale At St George`s Nursing Home DS0000006152.V334764.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 very high quality health and personal care, in accordance with their personal wishes. EVIDENCE: Risedale St Georges accommodates people with very differing care needs. The ground floor unit cares for people with highly complex needs, including people in receipt of individual continuing health care funding. This may mean one carer to one person for 12 hours each day, or 2 registered nurses to one person for specific care interventions. The first floor provides general nursing care for frail older people. I looked at the care plans of three people with different care needs. The care plans were very detailed, up to date and had been audited by senior staff on a regular basis. There was evidence that people had been consulted over their care plan, and made their own contribution to it. The completed survey forms from relatives and visitors stated, Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 11 “They care, respect and look after everyone as if they were their own relative” • “The level of care is considered excellent” • “The staff are observant and have good antennae, they are quick to pick up if something is needed or if a residents mood has changed”. One family stated they know their relative “is very difficult and demanding, but staff are lovely with her”. People who live in the home echoed these views, and one lady said she had only come for a short respite stay, but decided to give up her flat and move in permanently. • “I was brought here very ill, but the care and attention I have got is the best in the land, so good I decided to stay.” • Records showed that people had good access to healthcare professionals such as doctor, dentist, optician, physiotherapist, dietician and chiropodist, either via the home staff or by private arrangement. A number of people were receiving highly complex care including the management of oxygen, suction, tube feeding and tracheotomy care. There were also people with complex wound care needs. The care records of all these interventions were detailed and highly specific to each person. There was evidence that specialist staff, both within the Risedale group, and externally, had been asked for advice where appropriate. The care home was well equipped with aids and adaptations, and people who needed specialist equipment were provided with it. One person commented on the “excellent new shower chair” which supported her head well, and helped keep her body upright as well as being comfortable. The company has “charter of rights” for dying people, and works to the NHS Gold Standards Framework and the Liverpool Care Pathway, in caring for people who are dying. This helps people to remain in the care home if they wish, rather than be moved to hospital, and ensures people have the symptom control and comfort they need planned in advance. 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. I looked at the storage and management of medicines on both floors of the 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 handled 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 St George`s Nursing Home DS0000006152.V334764.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 described as excellent. EVIDENCE: The service employs a full time activities organiser who presents a varied programme of activities and events for people. There are music and film afternoons, trip to the shops and local places of interest, and some one to one activities with people. The manager said with the change in the client group, large organised activities were not so popular and more individual and small group work was taking place. One survey form commented, “a lot of the staff give that extra bit of time and effort, for example taking residents out on trips in their own time”. Some visitors commented that there should be more activities. A number of people in the home were too ill to join in activities and events, and preferred to have individual time to chat with staff, others were able to go out independently to the shops and meet friends, whilst some had individual care throughout the Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 13 day and were supported to do what they liked. The staff worked hard to accommodate these different needs. The home had a hairdressing salon and a visiting hairdresser came each week, and there was a trolley shop for people to make purchases of toiletries and confectionary. 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. 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. One survey form said, “they give support and make welcome all families and visitors”. Staff helped people maintain contact with families and friends and one person said, “My father is welcome to use the phone to ring me”. I saw lunch being served on both floors. The menu was pork steak with gravy and vegetables or spaghetti bolognaise, followed by apricot sponge and custard, or ice cream. One person had fish, which had been provided as an alternative to the main menu. 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 group of visitors said they always visited at lunchtime to help their mother eat, and stated “look at that dinner, the meals are excellent”. Several people said the meals were excellent, and one said, “the food menus are varied and the quality is good”. A number of people were on high calorie and high protein diets and staff understood this. Risedale At St George`s Nursing Home DS0000006152.V334764.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, 17 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 great confidence in the staff, and said they felt very safe living there. 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. They said, • “I talk to any of the nurses and they help me” • “All staff are extremely professional and want to sort out any issues as soon as possible” • “ We’ve never had to raise a concern” • “Staff respond quickly to comments and suggestions”. Since the last inspection no complaints had been to the Commission for Social Care Inspection, or to the care home. The company has a history of handling complaints in a constructive way, acknowledging shortfalls where they exist, and working to improve the service. The manager thought the lack of complaints stemmed from the good relationship the senior nurses built up with people, and the nurses’ availability to speak with people daily. People were able to access their families, solicitors, or other advocates external to the care home, for independent advice. Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 15 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 individual responsibilities, and people who live in the home said they felt safe living there. Risedale At St George`s Nursing Home DS0000006152.V334764.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 excellent. 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 them. EVIDENCE: Risedale at St Georges 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 communal space, comprising of a large lounge/diner on each floor, and one small sitting room. Since the last inspection the ground floor lounge/diner has been divided to make two separate areas, and this was working extremely well. There are beverage areas where staff and visitors can Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 17 make drinks. The garden and patio areas were well maintained, with seating and sunshades provided. People were impressed with the environment and said, “the layout of the sitting/dining room works well”, “the bedrooms are very nice” and “just look at this (bed) room, its lovely”. St Georges has 47 single en-suite bedrooms. All bedrooms meet the minimum size requirements, and some of them are much larger and are equipped with overhead tracking hoists. Many people had personalised their bedrooms, with their possessions and photographs and made them individual. The home is well equipped with electric profiling nursing beds, pressure reducing mattresses, grab rails and a variety of hoists and slings. There are six assisted bathrooms with specialist baths and showers. The manager said showers had become much more popular, and she had recently purchased a new Crescendo shower chair, which people thought was “superb”, and 2 new shower rooms were planned. The standard of hygiene throughout the building was very good, and people said it was “always clean”. The management of laundry was good and followed sound infection control guidelines. People said they happy with the laundry arrangements and the clothes I saw looked clean and nicely pressed. Risedale At St George`s Nursing Home DS0000006152.V334764.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 47 people, and operates the two floors separately. The ground floor caters for people with higher dependency and is therefore more heavily staffed. On the day of my visit the total care staff on duty comprised of the manager, 2 senior nurses, 4 registered nurses (later reducing to 3), and 11 care staff (later reducing to 9). These staffing levels are in generous excess to the minimum agreed, but reflect the individual care being provided for some individuals. However, a number of survey forms still commented that the home “needed more staff”. There were also 3 domestics, 3 kitchen staff and 1 laundry person on duty. 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, • “the staff are good and willing to help” • “staff are caring and friendly” • “the staff are very observant and are good at noticing when something is needed” • “the staff are very friendly to residents and visitors”. Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 19 People I spoke to confirmed staff were friendly, helpful, caring, kind and very good at their jobs. Risedale puts a lot of work into staff training and development, which is really reflected in the quality of service people receive. All new care staff undergo a Care Sector Alliance Social Care Induction Programme, with 10 full teaching days and credits towards National Vocational Qualification. 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. Registered nurses have good access to relevant ongoing professional development and are encouraged to undertake specialist qualifications. There is an excellent mix of skills amongst the St Georges nursing team with people holding qualifications in general, mental health and learning disability nursing. The nurses told me, • “I am really well supported by the manager but am also given the amount of freedom I want to run my unit” • “I feel the company really supports staff to extend their skills” • “I feel able to provide high standards of care here”. The service encourages care staff to undertake NVQ, and 60 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. Risedale At St George`s Nursing Home DS0000006152.V334764.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, 33, 35 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 Alison Knagg, came to St Georges from another Risedale 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 her at any time. Although the manager left the senior and lead nurses to manage the day-to-day needs of their units, she clearly knew each person living in the home personally, and was aware of their needs. Risedale At St George`s Nursing Home DS0000006152.V334764.R01.S.doc Version 5.2 Page 21 There was a quality monitoring system that included a range of quality checks on care plans, accidents, the kitchen, medicines, staff supervision and training. Annual questionnaires were sent to people living in the home and their relatives; these were last issued in November 2006, and there were 23 responses. These were mostly very positive, and there was evidence that any negative comments or suggestions had been acted on. As a result of comments made, the home had purchased a clothes name labelling machine, the activity organiser had met with people to discuss their wishes and started running 2 activities at once, the menu had been altered, the staff photo boards had repositioned for easier viewing by people in wheelchairs. People had indicated that they did want to attend large “residents meetings”, so the senior nurses make sure they have daily contact with people to gather their views and hear their suggestions. This seemed to be working very well. 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. There were safe systems for holding peoples spending money, if people wanted this service. I checked the records and money of several people and found them to be correct. 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 St George`s Nursing Home DS0000006152.V334764.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 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 3 18 4 4 4 4 4 4 4 X 4 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 X 4 X 3 4 X 4 Risedale At St George`s Nursing Home DS0000006152.V334764.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 St George`s Nursing Home DS0000006152.V334764.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 St George`s Nursing Home DS0000006152.V334764.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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