Inspection on 14/05/07 for Risedale Retirement and Residential Home

This inspection was carried out on 14th 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 Retirement and... 16/01/06

Risedale Retirement and... 29/09/05

Risedale Retirement and... 02/02/05

Risedale Retirement and... 22/09/04

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Chirnside House

Chirnside House

Keer Sands Residential Home

Rosehill Residential Home

Ruskin Lodge

Ruskin Lodge

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

CARE HOMES FOR OLDER PEOPLE Risedale Retirement and Residential Home Abbey Road Barrow In Furness Cumbria LA14 5LE Lead Inspector Jenny Donnelly Unannounced Inspection 14th May 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 Retirement and Residential Home DS0000022704.V333707.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 Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Risedale Retirement and Residential Home Address Abbey Road Barrow In Furness Cumbria LA14 5LE 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 839669 Risedale Estates Limited Mrs Pamela Harper Care Home 68 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (68), of places Physical disability (2) Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 68 service users to include: up to 68 service users in the category of OP (Old age, not falling within any other category) up to 13 service users in the category of DE(E) Dementia over 65 years of age) up to 2 service users in the category of PD (Physical disabilities under 65 years of age) may be accommodated within the intermediate care unit only. The home is registered for a ten bedded intermediate care unit which provides nursing care. 16th January 2006 3. Date of last inspection Brief Description of the Service: Risedale Retirement and Residential Home is run by Risedale Estates, which operates four other care homes in the area. The registered manager is Mrs Pamela Harper. The home is a two-storey building, which has been extended and modernised to suit its present use. It is situated on Abbey Road in Barrow in Furness, with easy access to public transport and local shops. The full town centre amenities are quite close by. The home has sixty one single and three double bedrooms, mostly with full ensuite facilities, including an assisted bath with shower attachment. For the rooms without private facilities there were ample communal bathrooms and toilets. The home has been divided for the different categories of residents; general elderly, those with dementia and those undergoing short term rehabilitation. Nursing care is provided in the rehabilitation unit only. There were a number of dining and lounge areas, available for residents to use. There is a nicely landscaped garden with pleasant seating areas. The weekly fees currently range from £415.00 to £425.00 per week, and detailed information about the service is available by request from the care home. Risedale Retirement and Residential Home DS0000022704.V333707.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 14th May 2007 between 09.30 and 16.30 hours. During this time I toured the building, reviewed a sample of care and medication records, and checked staff files. I spoke with 10 residents in detail and a number of others more generally. I interviewed 6 staff plus the manager. I observed lunch being served in all areas of the home, and saw some afternoon activities in the Abbey lounge. Prior to this visit I had gathered written information from the manager and sent survey forms out. I received 14 completed surveys from people who live in the care home, and 11 from visitors. The findings of the surveys are included in this report. What the service does well: What has improved since the last inspection? What they could do better: No recommendations or requirements were made following this inspection. The manager continues to monitor the quality of the service provided through regular consultation with people who live in the home. Risedale Retirement and Residential Home DS0000022704.V333707.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 Retirement and Residential Home DS0000022704.V333707.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 Retirement and Residential Home DS0000022704.V333707.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, 3, 4, 5 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. The intermediate care unit provides an excellent service. EVIDENCE: I looked in detail at the files of three people admitted to the care home since the last inspection visit. These people were placed in different areas of the building, each receiving a different kind of service. The files contained detailed assessments of each person’s needs, completed by one of the senior staff prior to the person being offered a place in the care home. These assessments had been used in conjunction with information from other professionals such as the person’s social worker, to make a decision about whether Risedale was the Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 9 right place for that person. People wanting to live at Risedale, or their families, were given a copy of their assessment, along with a letter confirming the home could meet their assessed needs, or explaining why they could not. The manager is keen to ensure new clients “fit in” with current clients and is cautious to safely manage their capacity to meet the needs of all clients. The process for admission into the intermediate care unit (Maple Unit) is different, and is operated by the Intermediate Care Team within the local hospital. The team works closely with the home manager and the Maple Unit staff, to ensure people admitted for intermediate care meet the criteria and will benefit from a rehabilitation service. A number of people living in the care home had stayed for a short respite, or had experience of the Maple unit before moving in permanently. People said this experience had “taken the fear” out of moving into residential care, and made the transition easier for them. People living in the care home had been provided with a copy of their contract of residency, which detailed the fees and who was responsible for payment. They also had copies of the laundry and TV licensing agreements, and consent to occupy a shared room where applicable. The Maple unit is a 10 bed intermediate care unit specialising in rehabilitation. Since October 2006 the unit has also provided 24 hour nursing care. Admissions to the Maple Unit are arranged through the Intermediate Care Team, who plan and oversee peoples’ rehabilitation programme. One person receiving intermediate care stated her daily programme consisted of supervised breakfast preparation, walking practice throughout the day and supervised practice of managing her own medicines. This person said she had gained greatly in confidence during her short stay and hoped to return to her own home in due course. People within this unit were accompanied on “home visits” to practice independent living skills in their home environment, as part of the discharge planning process. Bedroom furniture and equipment was provided and arranged to match what the person had at home to make their rehabilitation practice specific to their needs. The social work team leader and two therapy assistants were seen working with people in the unit during my visit. Risedale Retirement and Residential Home DS0000022704.V333707.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 with very different needs were receiving good quality individual health and personal care, in accordance with their wishes. EVIDENCE: Risedale cares for people with very different care needs in different sections of the building, and manages all of them well. I looked at the care plans of three people in detail; one person in the dementia unit, one in the intermediate care unit, and one in residential. The care plans were up to date and had been audited by senior staff on a regular basis. There was evidence that people, and/or their families, had been consulted over the content of their care plan. People had been allocated a keyworker, a special member of staff responsible for planning and managing their care. Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 11 Health care records showed people had good access to the doctor, dentist, optician and chiropodist, either via the home staff or by private arrangement. Where nursing care was provided on Maple Unit, there were detailed records of wound care, which included photographs taken with consent and a clearly prescribed treatment plan. There was evidence that specialist wound care advice had been sought as necessary, along with assessments and advice from the community continence nurse specialist, memory clinic nurse and consultant psychiatrist for people receiving dementia care. People spoke very positively about the care they received saying; “the staff really encourage me”, “I feel very safe here”, “I’m very happy with all aspects of care”. In relation to healthcare arrangements people said “residents are all very well looked after”, “we get all the help we need” and “staff fetch the GP if there are any little worries.” People said their personal care was delivered in a respectful and dignified way, which made them feel comfortable and avoided embarrassment. Staff confirmed there was a high importance placed on customer relations and they were expected to always be cheerful, polite and respectful. There was a strong focus on person centred individual care, and staff managed this very well across all areas of the home. I looked at the storage and management of medicines across the home. There were clear guidelines for 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. People who wanted to manage some, or all of their own medicines, were able to do within in a safe risk assessment framework. People had individual plans set out according to their level of medicines management and these were kept under regular review. One person had just started to manage her own medicines and was being supervised very closely whereas other people were handed their own supplies weekly or monthly as agreed. Risedale Retirement and Residential Home DS0000022704.V333707.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 to engage in a variety of activities both within and outside of the care home, enhancing their quality of life. People were frequently consulted about the provision of meals and enjoyed a good quality, varied and nutritious diet. EVIDENCE: The people who live in the care home told me they enjoyed great freedom and flexibility in how they spent their time, and were encouraged to exercise choice. People in the residential unit said there were “no house rules” and they could come and go as they pleased. I saw that people moved freely between their bedroom and the communal areas as they wished. The people living in the dementia care unit had less freedom, as the unit was secure. However, staff were seen accompanying small groups of people out into the garden as it was such a warm day. People stated they could get up and go to bed when they liked, and a number of people made their own arrangements to book taxis and go out. Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 13 The majority of bedrooms have a private telephone point, and there is a public pay phone. Visitors were able to visit at any time and felt they were made very welcome by staff. One person commented that the reception staff were very helpful and always courteous. There was an activity organiser who people said “is really great, he motivates us” and, “there are plenty of activities and entertainment going on”. The activities organiser was seen engaging people in games and conversation throughout the afternoon. There was a programme of in-house activities, visiting entertainers and outings. The activity organiser also used his time to have quiet one to one conversation with people who chose not to join group activities. There were arrangements in place for people to practice their religious observance, and one survey form said, “staff ensure my mother has communion”. In the dementia unit the care staff carried out activities themselves, as they could best judge the optimum time to do so. That afternoon there was a “memory lane” session, using local historical photographs to generate a discussion. The provision of meals in the home was highly praised. With the exception of one comment, “food is good in parts”, people said, “you couldn’t fault it”, “it is very good”, “the cook is most skilled” and, “we are very well catered for”. The cook was a visible presence in the dining rooms every day, asking people about the quality of their meal and taking on board their comments. She also attended residents meetings to discuss menu options. Lunch was a choice of two main courses and the evening meal a choice of hot and cold dishes. The cook said as many people had a cooked breakfast, some ate less at lunch, so she had increased the hot options in the evening, although soup and sandwiches remained popular. Risedale Retirement and Residential Home DS0000022704.V333707.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 said they felt safe and that staff listened to them. People felt confident that any complaint would be well managed and put right. 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, or to the home manager. People said they were encouraged to speak up in residents meetings, or privately, and felt the manager and staff were pleased to hear their views, good or bad. The company has a history of handling any complaint 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 number of people managed their own financial affairs, whilst others received support from people outside of the service to do this. Risedale Retirement and Residential Home DS0000022704.V333707.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 training included prevention and detection of abuse, reporting procedures, safe management of aggression and protection of peoples’ privacy and dignity. In discussion people who live in the home said they felt very safe and protected living there. One lady commented that she “was a bag of nerves, and very frightened” when she arrived, but found “everything to be wonderful” and was reassured and becoming much more confident. Staff were clear about their individual responsibility to safeguard and protect the people in their care. Risedale Retirement and Residential Home DS0000022704.V333707.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, 29, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a very well maintained and comfortable home, with plenty of space and natural light. There were sufficient aids and adaptations to assist people with infirmities, and bedrooms were made private and individual. EVIDENCE: Risedale is a purpose built care home that is decorated and maintained to a very high standard. Inspections by the fire and environmental health officers earlier this year had satisfactory outcomes. Corridors are named so people can have an in house address for their post. There is plenty of shared space for people to use. The residential unit has two dining rooms and three lounges/seating areas. The dementia care unit and the Maple unit each have two dining/lounges. There are beverage areas Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 17 people can use, and the Maple unit has a domestic kitchen for food preparation practice. People had been consulted on a recent change round of communal rooms, and this was still under review. There is access to a very attractive garden and part of this is secure from the main entrance and road. The provision of bathing and toilet facilities is excellent, with the majority of bedrooms having an ensuite toilet and basin, and many having an assisted bath with an adjustable seat. There were also generous shared bathrooms and since the last inspection two baths in the dementia unit had been replaced with newer models and a shower room had been created. There were plenty of aids and adaptations around the home to assist people with mobility problems, and these included handrails, hoists and other specialist equipment such as pressure reducing mattresses and electric profiling beds were provided as needed. The home has 61 single and 3 shared bedrooms, for which people sign their consent to share. Bedrooms on the whole had been nicely personalised by the occupants and made into their private space. There were door locks fitted and a number of people did lock their doors when they left the room, or left the building. Bedrooms doors were supplied with a framed notice, for people to put their name or a picture in, as they chose to identify their room. The heating and lighting throughout the home was good, and many areas benefited from having plenty of natural light. All areas of the home were clean, tidy and comfortably furnished. The laundry arrangements were good, with sound infection control practices in place. People said the standard of laundry for their personal clothing was good, although some people said they had lost things in the laundry. Laundry staff did have facilities to name clothes for people, and frequently set out unnamed items for people to re-claim. Risedale Retirement and Residential Home DS0000022704.V333707.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: Each unit of the care home is staffed separately which ensures that staff have the skills specific to their client group. Each person who lives in the care home is allocated a special carer called a keyworker, to pay particular attention to his or her needs. Staffing levels were sufficient to meet peoples’ personal and social care needs, and allow time for the niceties. Survey forms commented that “staff are always cheerful, positive and polite” and, “all staff are exceptional and cannot be faulted”. In discussion, people told me staff were wonderful and will do anything for you. The company places a great importance on staff training and supports staff to achieve appropriate qualifications. 83 of the care staff have an National Vocational Qualification (NVQ) in care which is excellent for such a large staff group. All new care staff undergo a thorough induction programme comprising of classroom teaching, completion of a written workbook and practical work based assessments. Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 19 There is a programme of compulsory update training for all staff in fire safety, safe moving and handling, infection control, food hygiene, and safeguarding people. In addition to this staff had received training pertinent to their role, including dementia care, meeting equality and diversity needs, management of medicines, supervision and appraisal, compression bandaging and taking blood samples. There is a training plan in place, which is linked to the changing needs of people who live in the home. Visitors to the home were aware of the level of staff training taking place and commented that, “staff training is up to date and they study for NVQ”. Another person said “staff give equal treatment to people of different ages, gender and disability”. The company has sound recruitment procedures and inspection of a number of staff files, showed these had been adhered to. Checks on new staff include written references and a criminal records bureau disclosure along with a check against the PoVA list (a government list of people deemed unsuitable for working with vulnerable people). All staff undergo a probationary period, and attendance at mandatory training is strictly monitored. This process ensures no unsuitable people are able to work in the care home. Risedale Retirement and Residential Home DS0000022704.V333707.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 people who live in the home benefit from having an experienced and committed manager, who continually looks to improve the service based on their views. EVIDENCE: The registered manager Mrs Pam Harper has been in post for many years and is suitably qualified and competent to manage the service well. She is supported by an experienced team of senior carers and team leaders. The people, who live in the home, and visitors, know the manager and seniors by name and say they can speak with them at any time. The manager holds Risedale Retirement and Residential Home DS0000022704.V333707.R01.S.doc Version 5.2 Page 21 regular meetings with residents, to gain their feedback on the service provided. People told me they speak up at meetings and said, “staff want to hear our moans as well”. The manager also sends out periodic quality survey forms, from which she draws up an improvement plan based on any suggestions received. 25 surveys had recently been completed with a few showing an interest in a relatives support group, which the manager had tried to accommodate. Other quality checks included regular audits of care plans, of which 30 had been checked this month. Accident and incident records were also audited monthly, trends examined, and action taken to reduce falls by individual people. The home manager was well supported by the company directors, who assist with strategic and financial planning. 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. Senior staff had received appropriate training in carrying out supervision and appraisal. Regular staff meetings ensure good communications and sharing of ideas are encouraged. 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, 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 responsible for the company’s health and safety procedures and delivers much of the staff training. All staff training was up to date. 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. Risedale Retirement and Residential Home DS0000022704.V333707.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 3 3 3 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X 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 3 3 3 3 3 STAFFING Standard No Score 27 3 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 3 X 4 Risedale Retirement and Residential Home DS0000022704.V333707.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 Retirement and Residential Home DS0000022704.V333707.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 Retirement and Residential Home DS0000022704.V333707.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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