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Inspection on 12/08/08 for Rivelin Residential Care Home

Also see our care home review for Rivelin Residential Care Home for more information

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staff are very friendly and open about the care they provide in the home to individuals. They appear to be very knowledgeable about each person and their approach is very caring and respectful to each individual. The home ensure that adequate checks are made prior to them commencing employment and they are then trained to do their jobs. The records kept on each person are clearly written and accurate about the care each person has received. There is good evidence to support that health care professionals are asked for their assistance when required to ensure that people`s current needs are being met. All concerns of each person are dealt with promptly and feed back given to ensure all parties are satisfied with the outcomes. The home is cleaned to a high standard and care taken to ensure the environment is safe to live and work in and meets individuals needs and tastes.

What has improved since the last inspection?

Since the last inspection the Company has ensured that the records kept on each individual have improved. These are now more accurately written and evaluated on a regular basis. This will then ensure that people`s current needs are being met. This has also occurred with the drug administration records, which reflected more accurately the medication given. The storage areas have changed making it easier to store all medication and had been cleaned to a better standard. The cleanliness in the kitchen area had improved with a company employed to deep clean this area to ensure it is a safe area in which to prepare food.

What the care home could do better:

The home must ensure that adequate social and cultural activities are provided to suit people`s tastes and needs and that everyone`s expectations can be met. This must involve access to local community events which should be arranged for both inside and outside the home. To make every one feel part of the local community. During the major refurbishment and building, which is to take place, care must be taken to ensure that the rest of the building is maintained to an adequate standard and is safe to live and work in. To help this maintenance plan still has to be produced to plan on going work. This must include the laundry area, which is in a poor state of repair. A new medication storage room has been provided in the home but temperature records of this room and the newly acquired drugs fridge must be recorded to ensure medication is stored at the correct temperature and is safe to use. Most commodes were found to be not fit for purpose and people could be at risk of cross infection. A programme must be in place to renew them. Due to some reorganisation within the Company the quality assurance programme in the home has not been kept up to date. This ensures that the Company knows whether the home is being run correctly and for the benefit of people using its services. A failure to check systems in place could result in the building not being used for the benefit of each person and put them at risk from unmet needs to being actioned. This includes the adequate supervision of staff, who should be monitored on a regular basis to ensure they can do their jobs and not put people at risk.

CARE HOMES FOR OLDER PEOPLE Rivelin Residential Care Home 17/21 Albert Road Cleethorpes North East Lincs DN35 8LX Lead Inspector Theresa Bryson Key Unannounced Inspection 12th August 2008 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 Rivelin Residential Care Home DS0000002844.V370107.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. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Rivelin Residential Care Home Address 17/21 Albert Road Cleethorpes North East Lincs DN35 8LX 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) 01472 692132 P/F01472 692132 J and LD Hayes Limited Manager post vacant Care Home 42 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (42) of places Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accept specified service user CH under the age of 65 years and this will apply until they reach the age of 65 years or they terminate the contract with the home if prior to that date. 13th November 2007 Date of last inspection Brief Description of the Service: Rivelin Residential Care Home is situated in the centre of the attractive seaside town of Cleethorpes, close to all local amenities. These include a library, post office, local shops and the seafront promenade. Local buses provide frequent services to all areas of the town and also to Grimsby town. The home provides residential care for up to forty- two service users in the category of older people. The accommodation consists of four adjoining houses covering three floors. There are communal bathrooms, shower rooms and separate WC facilities situated on each of the three floors. The service users have the use of four lounges (one of which is a smoking room) and a large dining room, all of which are located on the ground floor. There is a small courtyard to the rear of the building and three small car parks. Parking is also available on the road. Weekly fees are: £329 reviewed annually. Additional charges are made for the following: toiletries, newspapers/magazines, hairdressing and chiropody. Information on the service is made available to prospective and current service users via the statement of purpose, service user guide and inspection report. Documents are made available prior to and following admission, copies are available on request. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that the people who use this service experience adequate quality outcomes. Prior to the site visit the home submitted its Annual Quality Assurance Assessment (AQAA). This gave us a lot of statistical data plus details of work completed in the home and what the Company plans are for the future. We also sent out surveys to people who use the service (7 were returned) and staff (4 were returned). We looked at the information the home had given us in the last year and any concerns or problems, which may have arisen. During the site visit we spoke to 9 people living in the home and 8 staff. We also looked at records of people and other documentation in the home. The Acting manager was present through out the visit and the Provider present for part of the visit, along with an outside management consultant. What the service does well: Staff are very friendly and open about the care they provide in the home to individuals. They appear to be very knowledgeable about each person and their approach is very caring and respectful to each individual. The home ensure that adequate checks are made prior to them commencing employment and they are then trained to do their jobs. The records kept on each person are clearly written and accurate about the care each person has received. There is good evidence to support that health care professionals are asked for their assistance when required to ensure that people’s current needs are being met. All concerns of each person are dealt with promptly and feed back given to ensure all parties are satisfied with the outcomes. The home is cleaned to a high standard and care taken to ensure the environment is safe to live and work in and meets individuals needs and tastes. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home must ensure that adequate social and cultural activities are provided to suit people’s tastes and needs and that everyone’s expectations can be met. This must involve access to local community events which should be arranged for both inside and outside the home. To make every one feel part of the local community. During the major refurbishment and building, which is to take place, care must be taken to ensure that the rest of the building is maintained to an adequate standard and is safe to live and work in. To help this maintenance plan still has to be produced to plan on going work. This must include the laundry area, which is in a poor state of repair. A new medication storage room has been provided in the home but temperature records of this room and the newly acquired drugs fridge must be recorded to ensure medication is stored at the correct temperature and is safe to use. Most commodes were found to be not fit for purpose and people could be at risk of cross infection. A programme must be in place to renew them. Due to some reorganisation within the Company the quality assurance programme in the home has not been kept up to date. This ensures that the Company knows whether the home is being run correctly and for the benefit of people using its services. A failure to check systems in place could result in the building not being used for the benefit of each person and put them at risk from unmet needs to being actioned. This includes the adequate supervision of staff, who should be monitored on a regular basis to ensure they can do their jobs and not put people at risk. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 7 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. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 6 were checked. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are given concise information about the service to enable them to make informed choices before entering the home. EVIDENCE: The Statement of Purpose and Service Users Guide had been updated since the last key inspection to reflect the new ownership of the home and detailing current services it can provide. This enables people to make informed choices about the home and whether it can meet their needs prior to admission. Prior to coming into the home people are assessed by the manager to ensure the home can meet their needs and fit into the family atmosphere in the home. A very comprehensive assessment tool is used which looks at each person in a holistic manner ensuring all aspects of their needs are covered. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 10 The home does not provide intermediate care and therefore Standard 6 is not applicable. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 were checked. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are documented accurately and evaluated regularly to ensure current needs are being met. EVIDENCE: Prior to the site visit the home submitted its Annual Quality Assurance Assessment (AQAA) which gave us detailed information about people who use the home and how the Company intends to improve its services to those people. We also sent out surveys to people using the home (of which 7 were returned) and staff (of which 4 were returned). During the course of the visit 9 people were spoken to who were resident in the home and 8 staff. People using the home made very positive comments about the care they receive. Such as “they do everything for me and well” and “they speak to me kindly”. And another commented on the meetings they have regularly and said how useful it was to discuss, for example a change in menus. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 12 We were able to track in detail 3 peoples care plan documentation. This appeared to be very accurate from details people told us about their care. The records have improved since the last inspection and were clearly written and legible. There was good follow through in the documentation seen. For example when someone required attention from the district nursing service this was documented in the daily report sheet and also in the advice sought from professionals and where necessary the care plan had been amended. This was then used to meet that person’s current need. 2 new documents are now in use to help staff to assess each person’s needs. The needs assessment for older people gives staff a general over view of a person’s needs and expectations. The second document, the mental capacity care planning tool, looks at someone’s capabilities and whether they can make informed decisions about their care and if not how this is going to be achieved. The older format of the one sheet quick reference guide appeared to be a good idea for staff to use for example hospital admissions or for inducting new staff but the key workers must ensure this is kept up to date and dated when reviewed. A senior member of staff escorted us when the drug administration records were checked. These have improved since the last inspection with more accurate recording on the administration sheets; ensuring people are given the correct medication as prescribed. A new room has been created for the storage of medication which staff stated has helped them when new medication is received to count this in correctly and ensure all medications are kept in one area. At the time of the site visit the temperature was not being recorded in this room and must be done to ensure medication is stored correctly and is safe to use. A new drugs fridge had been delivered recently and temperature control recoding must also be completed for this for the same reseaons as above. During the course of the visit staff were observed assisting people with a variety of tasks including personal care, meals and generally talking to people and their visitors. Each task was completed calmly and with respect to each person’s individual needs. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 were checked. People who use the service experience poor quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. There was a lack of variety in activities provided and they did not fulfil people’s expectations and needs. EVIDENCE: There was insufficient evidence to show that a good variety of social activities were on offer to people living in the home. The ones which had been documented were very repetitive and gave very little detail as to what events had taken place. For example many records had entries of “one to one”. But gave no detail of what this meant for that person and staff appeared to have little understanding of what needed to be recorded. For example were photographs looked at, was a newspaper or book read to them. In some instances when the care plans were tracked alongside the activity planner entries were made suggesting that peoples needs and/or expectations had changed due to their physical or mental state changing. For example someone needing more reminisce and reality orientation to take place due to a deteriation of their mental state, yet no activities or events listed to say this Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 14 was taking place. This could result in people’s needs not being met and the service falling below their expectations. Although there was some documented evidence in the personal allowance records kept by the home that people do go out to visit and shop with relatives or together there was little evidence that much community life was brought into the home or accessed regularly with events outside the home. This could result in people becoming isolated in the home and lower their self worth of living in the wider community. Staff, however had taken care to ensure that peoples individual bedroom areas were personalised to their needs and tastes and people spoken to stated how this had helped them settle into the home. A tour of the kitchen took place with the assistance of a senior member of the kitchen staff. There had been a good improvement in the cleanliness of this area. A company had recently been used to deep clean the main kitchen and cleanliness and storage of food had also improved. The head cook was liaising with other cooks in the group of homes to discuss the menus, which are corporate, but need to be adapted to suit individual needs in each home. People spoken to made very positive comments about the provision of meals. Written evidence was seen that a meeting had recently occurred where meal times and menus had been discussed with people living in the home, which they felt was of value. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were checked. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A robust system is in place to ensure peoples concerns are dealt with promptly and all outcomes recorded. EVIDENCE: On the AQAA received by us, the home detailed what concerns had been raised since the last inspection. This was then checked in the complaints log during the site visit. The method of investigation and outcomes appeared to be accurately recorded with satisfactory outcomes for all parties. 1 concern had been raised to The Commission since the last key inspection but this was dealt with promptly by the home and a policy change made after the outcome had been reached. The home had been very prompt in replying to us and detailed in their response. Since the last key inspection the policies for complaints and safe guarding adults had been reviewed and staff have attended updated safe guarding adults training. This will ensure people are free from harm and staff know how to respond to such issues. Rivelin Residential Care Home DS0000002844.V370107.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): Standards 19 and 26 were checked. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in an adequately maintained environment suited to their needs and tastes, with improvements being made all the time. EVIDENCE: During the site visit the owner of the Company made a visit and was able to inform us about the planning permission, which had been granted for the home by the local council. This will involve some extensive work and a plan will need to be put in action to prevent as little disruption to people resident in the home. Because of this work, which is due to commence soon some outstanding work, like the laundry area has not yet been completed. A maintenance plan needs to be in place to ensure that all areas of the home are still maintained to ensure it is a comfortable and safe place to live and work. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 17 Some work has taken place such as replacement carpets in bedrooms, new furniture in some areas, some redecoration work in bedroom and lounge areas and some new soft furnishings such as bed linen, towels and curtains bought. People resident in the home said they felt it was “ like their own home” and “appreciated how clean every thing is kept”. The home was cleaned to a very high standard and the domestic staff should be praised for they’re hard. During a tour of the home quite early in the morning the home looked fresh and clean and was free from hazards. Some work had also taken place in outside areas. A new front wall had been built making the entrance smarter looking. A small part of the garden had also been relandscaped, with the help of choices made by people who use that area of the garden. The only pieces of equipment seen which were not fit for purpose were most of the commodes in use. These must be safe to use to prevent cross infection. Rivelin Residential Care Home DS0000002844.V370107.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): Standards 27,28,29 and 30 were checked. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A robust system is in place to ensure staff are safe to work with people in the home prior to commencement of employment and are then trained to do their jobs. EVIDENCE: Staff surveys returned and those staff spoken to felt that they could approach the management team and raise concerns if the need arose and be assured that everything was done in confidence. Details were submitted on the AQAA returned by the Company and some details checked on the staff records when on site. 4 staff records were tracked during the visit and all had sufficient evidence to show that safety checks had been made prior to them commencing employment. After employment a skill matrix is completed by the manager to track what training is required, what has been completed and what is in progress. This was seen at the site visit for all staff and showed the planning, which was also taking place for training topics to be met. This will ensure that staff are trained to do their jobs and have the latest information to ensure they can meet the needs of people living in the home. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 19 Service users made no indications that their basic needs were not being met by staff during a 24-hour period. Making such comments as “staff will go out of their way for me” and “bells are answered promptly night and day”. Staff themselves said that at times the work was “challenging” and “some days were busier than others”, but generally felt there was suffiecnt staff. All rotas were seen and the dependency levels and matrix for skill mix seen. This appeared to follow the Residential Forum Matrix for numbers of staff. Staff rotas for domestic and laundry duties were more than required, which was reflected in the high standard of cleanliness in the home. Any shortfalls of staff hours were identified, normally well in advance and requests made on the rotas. This will ensure there are always enough staff to meet the needs of service users at all times. Rivelin Residential Care Home DS0000002844.V370107.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): Standards 31,33,35,36 and 38 were checked. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Adequate safe guarding measures are in place to ensure people live in a safe and secure environment, but more evidence needs to be in place to ensure all aspects of the home are monitored to ensure it is run for residents benefit. EVIDENCE: Due to some reorganisation within the Company structure since the last key inspection the home is still without a Registered Manager, but this matter was well on the way to being addressed by the Provider. This does not appear to have compromised the running of the home and the new Acting Manager is currently being supported by an outside management team. The Company has kept us informed at all stages of the new Company procedures and changes Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 21 and documented evidence was seen that the major changes were also explained to people living in the home and staff. The changes have meant that quality assurance work has not been completed in the home and there was no documented evidence to support that views of people living in the home had been sought often enough in the last year and that other checks had been made. This could result in people’s needs and expectations not being met and cause them harm. There was some evidence to support that supervision had been given to staff but this through discussion and no evidence to support that practical application of their work had taken place. This must take place to ensure that people are being cared for correctly. People living in the home said they felt the current management team was approachable and felt they could raise any concerns, knowing they would be dealt with in depth and outcomes related to them. Staff also had the same views, which has resulted in an open and transparent management style in the home. Rivelin Residential Care Home DS0000002844.V370107.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 3 X x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 1 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 X 3 Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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. 1 Standard OP9 Regulation 13.1.2. Requirement Temperature records must be kept in the drug storage room and drug fridge to ensure medication is safe to use. Activities must be arranged to meet the diverse needs of the client group and be accurately recorded. (Previous time scale of 30/03/08 not met). Research must be completed to ensure people living in the home can access local Community events to suit their needs and they feel an integrated part of the Community. A maintenance plan must be in place and work detailed to ensure people live in a comfortable environment. (Previous time scale of 30/05/08 not met). The laundry must be refurbished to allow staff to work in a safe and clean environment to enable them to provide a good service to people living in the home. DS0000002844.V370107.R01.S.doc Timescale for action 07/12/08 2 OP12 16.2.m.n. 07/12/08 3 OP13 16.2.m.n. 07/12/08 4 OP19 23.2.b. 07/11/08 5 OP26 23.2.b. 07/11/08 Rivelin Residential Care Home Version 5.2 Page 24 (Previous time scale of 30/03/08 not met). 6 7 OP26 OP33 23.2.b. 24.1. All commodes in use must be fit for purpose and safe to use to prevent cross infection. A quality assurance programme must be in place to ensure the home is being run for the people living their, it is safe and their views have been taken into consideration. (Previous time scale of 30/05/08 not met). All staff must receive supervision, which must be a balance between discussion and supervision to ensure they are capable of doing their jobs. 07/02/09 07/02/09 8 OP36 18.2. 07/12/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP7 OP31 Good Practice Recommendations If a quick reference guide is to be used in the care plans this should be dated when evaluated to ensure it reflects current needs. The Registered person should ensure that the application for the Registered Managers’ position is submitted in a timely manner to the Commission. Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Rivelin Residential Care Home DS0000002844.V370107.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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