CARE HOMES FOR OLDER PEOPLE
Rivelin Residential Care Home 17/21 Albert Road Cleethorpes North East Lincs DN35 8LX Lead Inspector
Mrs Jane Lyons Unannounced Inspection 14th September 2005 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.V250140.R01.S.doc Version 5.0 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.V250140.R01.S.doc Version 5.0 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 J and LD Hayes Limited Mrs Linda Diane Hayes Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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. 22nd February 2005 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 and serviced by two passenger lifts. 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. The home is owned by Mr J and Mrs LD Hayes, the registered manager is also Mrs LD Hayes. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over one day in September 2005. During the visit the inspector spoke to the manager, four staff, ten residents and four visitors to find out how the home was run and if the people who lived there were satisfied with the care and facilities provided. The inspector looked at a number of bedrooms, bathrooms and communal rooms such as the dining room and lounge areas during the visit. Paper work relating to staff recruitment, staff training, activities, accidents, care plans and health / safety checks were looked at to make sure it was all in place and up to date. What the service does well:
The home was welcoming and had a relaxed and homely atmosphere. Residents were observed to be very settled and comfortable in their surroundings. All the residents spoken to during the visit said how satisfied they were with the staff and the care provided; comment cards completed by residents included comments such as: “ well looked after, very settledexcellent care”, “happy and settled here its very homely and relaxed, the staff are polite.” And “happy with everything 10 out of 10”. The inspector spoke to a number of visitors who expressed their satisfaction with the facilities and services provided by the home; comment cards returned by relatives detailed “The family have absolutely no complaints, only compliments” and “I am so delighted to know my relative feels he couldn’t be at a better care home. Everyone is so kind and thoughtful too”. There was a good staff team, many of them have worked there for a long time and have built up good relations with the residents and their families. When the inspector spoke to them they said that they enjoyed working at Rivelin, the atmosphere was very friendly and the residents always came first. The home provided well-balanced meals of very good quality. Most of the residents took their meals in the dining room; the meals were served promptly and staff demonstrated a good understanding of the resident’s individual food choices and support needed. The majority of comments about the meals were very positive; one resident said she thought the choices offered for the lunches were very good and another commented that the food was excellent. One resident commented that the meals were satisfactory however could not tell
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 6 the inspector how improvements could be made other than his preference for tinned vegetables which was passed on to the chef. The staff team manage the daily activities and entertainments well providing opportunities for residents to join in with activities both inside and outside the home. All the residents spoken to were pleased with the variety and choice available and in particular their regular trips out to the sea front or to the local shops. What has improved since the last inspection? What they could do better:
The majority of carpets in the communal areas required more regular cleaning; carpets in the sun lounge, middle lounge and dining room were noted to be heavily stained in areas. The management have not fully put in place a quality assurance system which would provide a better picture of all the checks and questionnaires that are carried out. Regular reviews of aspects of the “homes” performance through a good programme of self review and consultations, which includes the views of residents, staff, relatives and others must be fully completed and evidence of action taken in respect of deficiencies identified, must be recorded. The home has not yet provided all the residents with privacy locks for their rooms.
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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.V250140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 4 Good progress has been made to improve the admission procedure to ensure that there is a very detailed assessment prior to people moving into the service; residents are given enough information about the home and its facilities before admission, for them to be confident that their needs can be met by the service. EVIDENCE: Three case files were case tracked; thorough assessments were completed by the deputy manager/ manager prior to admission and these were seen by the inspector. All files of newly admitted residents contained a copy of the letter sent by the manager confirming that following assessment the home could meet the potential service users needs. All case files examined contained a copy of the local authority needs assessment and care plan. Staff at interview confirmed the admission process; there was clear evidence that they were well informed of service users needs on admission and all specialist equipment was in place if required. Two relatives spoken to confirmed that they were given sufficient information about the home and its facilities prior to admission, to enable them to be confident that their relatives needs could be met by the service.
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 10 From observation and discussion with the staff there was evidence that there are approximately six service users residing in the home with mild to moderate needs associated with dementia. It was clear that the service users had developed these needs following admission and that the staff were managing these needs well. Advice was given to the registered providers to apply to the Commission to vary their current registration to include the category dementia which would cover those service users residing in the home with those needs and also enable the home to admit future service users with those needs. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8, 10 and 11 Good progress has been made to improve care documentation to ensure that the health, personal and social care needs of residents are identified and met. The needs of service users in their terminal phase were seen to be met. EVIDENCE: The home had developed and implemented new style care programme documentation with very positive results. Three case files were examined which evidenced that the care programmes were very detailed, well organised and had been consistently maintained. All care needs had been identified from a detailed assessment. From case tracking the inspector was able to evidence that the documentation cross-referenced well and all problems had been updated to reflect current needs. All programmes were regularly evaluated. One of the plans had not been signed by the service user/ relative to demonstrate agreement which the manager said she would follow up. Service users spoken to confirmed that they were aware of the care programmes but had no interest in reading them. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 12 There was appropriate use of risk assessments; assessments for moving/ handling, falls, tissue viability, nutrition and general issues were in place and reviewed regularly. All high-risk areas had associated plans of care in place. Two residents said that there is good access to their GP’s, chiropody, dentist and opticians, with records of their visits maintained. Two relatives said that the home always accessed healthcare and always kept them informed of appointments and changes to health. Service users stated that their care needs were met and described how care was provided in a way that respected their privacy and dignity. They described the staff as lovely, really kind and couldn’t do enough for you. Staff were observed knocking on doors prior to entry; service users were able to have visits from friends and family in private in their rooms, and when the G.P. visited he saw them in private. Policies and procedures for event of death and care of the dying were evidenced and up to date. A care plan was examined for a service user who had recently passed away; there was clear evidence that the documentation had been updated to identify all the changing needs. Staff confirmed that they were able to spend time with service users at this time and that they received excellent support from the G.P’s and district nursing staff. Many of the longstanding staff had previously accessed courses in bereavement; advice was given to access further training in palliative care. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 and 15 The service users were seen to experience a full life with opportunities to take part in varied activities. The meals in the home offered both choice and variety. EVIDENCE: Service users stated that they were able to exercise choice in relation to routines of daily living, leisure/ social activities and meals/ mealtimes; one service user commented how much he enjoyed having a “lie in” sometimes. Service users described a variety of activities that they participated in such as bingo, games and music; a volunteer comes to the home twice a week to support these activities. There was an activity and entertainment programme in place and staff maintained records of individual service users participation in the sessions provided. It was clear from discussions that many of the service users particularly enjoyed the frequent trips out to places such as the shops in St Peters Avenue, the sea front and the local library. Church services were held in the home monthly and visiting entertainment provided monthly. All the residents spoken to said how they liked the resident cat and the deputy managers two small dogs that visited daily. The manager told the inspector
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 14 how much one resident had benefited from her close contact with the dogs and that she enjoyed having them in her room in the afternoons. The home maintains good relations with the resident’s families and friends; it was pleasing to see during the inspection visit how well the home accommodated one resident’s relatives who had travelled over from America to celebrate her birthday and anniversary. The resident was very pleased with her birthday cake. Menus have been changed to a two week rota, which appears to be working well. Two main meals are always offered at lunch time and service users are able to make their choice of meal at the time. Each service user is offered three full meals a day, the food was hot and attractively presented with time given between courses to ensure everyone was able to eat at their own pace. The service users in describing the meals said that they were always very good, there was lots of variety and good portions. The majority of service users take their meals in the main dining room or the sun lounge; staff were observed assisting service users sensitively and on a one to one basis. In the kitchen area there was evidence of good food stocks; the chef does a lot of home baking which is very popular with all the residents spoken to. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Adult protection training and procedures are available and it is clear that residents are being protected from abuse. They are able to voice concerns without fear of repercussion. EVIDENCE: The home had policies and procedures to cover adult protection and prevention of abuse, whistle blowing, restraint and management of service users money and financial affairs. The registered provider had reviewed the wording of the homes abuse policy which now tied in with the multi agency document. The manager and all staff have had Protection Of Vulnerable Adults (POVA) training. The staff on duty displayed a good understanding of the vulnerable adults procedure and two residents spoken to said they ‘felt safe at the home’. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The standard of the décor and furnishings within the home provides residents with an attractive and homely place to live in however more regular cleaning of carpets in the communal rooms would provide a more hygienic and comfortable environment. EVIDENCE: The management have developed a programme of routine maintenance and renewal for the home. Since the previous inspection areas such as the outside woodwork and most of the white interior paintwork has been repainted. Communal areas such as the entrance hall, smoking lounge and rear link hall have been redecorated. The wooden French window in the large lounge area has been replaced with uVPC type and 54 radiators fitted with covers. An outstanding requirement to provide all service users room doors with privacy locks remains outstanding. The majority of areas seen were very clean and tidy however a number of the communal area carpets were seen to be heavily stained and more regular
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 17 cleaning in these areas must be carried out. Odour management was evidenced as good with only one problematic room, which the staff were trying hard to manage effectively. Service users spoken to were happy with the home and their bedrooms. All the bedrooms seen had been personalised to the extent chosen by the service user. All the sitting rooms were well utilised. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 The deployment and number of staff is sufficient to meet the needs of the current service users. Staff recruitment and training promote the safety of service users in the home. EVIDENCE: Examination of rotas and staff interviews confirmed that the staffing levels in the home were consistently maintained; there were 32 residents currently residing at the home. Staff confirmed that enough staff were on duty to manage the current care needs of the service users. The majority of the staff have been employed in the home for some time which has ensured continuity of care for service users and promoted a good team ethic which staff reported was very good. Service users confirmed that the staff were lovely and kind; one service user said that “she couldn’t be in better hands and that the staff really care”. The deputy manager had developed and implemented a staff training programme which currently focused on mandatory training. A requirement was made at the previous inspection to provide staff with up to date moving/ handling training; the manager reported that the home had experienced problems in training providers cancelling arranged courses however this had now been rearranged for all the staff to attend in October and November 2005.Health and safety training had been provided in March for 24 staff; fire prevention training was held in the home in May for 21 staff;all care staff were
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 19 currently accessing food hygiene courses; appointed persons First Aid training was held in August 2004 for a number of staff and 24 staff attended in- house adult abuse courses in March. There was evidence that new staff had accessed in house induction programmes and external induction courses to NTO standard. The manager confirmed that the training priority had been to provide all the mandatory courses and continue with the NVQ programme which was going very well. Advice was given to include more general and service specific courses for the remainder of the year such as: dementia, palliative care, continence, tissue viability and common conditions to the elderly such as diabetes, arthritis and strokes etc. The deputy manager had also maintained individual staff training records. Recruitment files were evidenced and found to be robust. All necessary documentation was in place including two written references, identification documentation, health declarations and CRB clearance. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33 and 38 The manager is supported by a dedicated, well-supervised team who are protected by the homes policies and efficient record keeping. The health, safety and welfare of service users and staff are generally well promoted and protected. EVIDENCE: Service users and staff were very complimentary about the management and how the home was run. All the service users spoken to commented on how friendly and supportive the management team in the home were. Staff spoken to confirmed that the manager was very approachable, that she valued their opinion and took appropriate action to deal with issues promptly. One staff member said that although the atmosphere in the home was warm and friendly, it was a very “by the book” sort of place.
Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 21 Records showed that staff were up to date with mandatory training in fire safety, health / safety, basic food hygiene and first aid; gaps identified with moving/ handling training were being addressed. The fire safety equipment and checks were all in place and up to date. Fire drills were carried out regularly. Regular hot water temperatures were carried out; hot water checks carried out during the visit were satisfactory with the exception of one sink outlet in the shower room which recorded 48 Deg C which the management confirmed would be actioned immediately. The staff check the temperatures of all the bath water prior to resident’s baths and maintain records. Regular checks on bed rails when provided are now carried out with records maintained. Risk assessments were in place for all safe working practices. Records evidenced that service checks had been completed for all installations and equipment. The Environmental Health Officer had visited the home on the 10/08/05; recommendations around improving cleaning practises were made otherwise it was a very positive report. Comments from the EHO on the report included “The chefs displayed a knowledgeable and committed approach to food safety – well done” Accident reporting has improved with the home utilising records which fully comply with data protection legislation. The management of accidents in the home could be further improved by the management maintaining detailed records of further action taken by staff with regard to reducing the risks of reoccurrence especially with falls prevention. There was no evidence that any progress had been made towards the implementation of a formal quality assurance programme which has been an outstanding requirement since the NMS were introduced. Consultations with service users on the way the home is run has yet to be formalised; the management confirmed that they remain reluctant to arrange formal meetings as in the past there had been no interest, it was clear from discussions with service users that they regularly speak to the management however issues arising need to be documented. Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 3 3 3 X x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 1 X X X X 2 Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 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 OP24 Regulation 12(4) Requirement The registered person must ensure that privacy locks are fitted to all service users bedroom doors. Previous timescale 31/07/05 unmet The registered person must ensure that a system for monitoring the quality of care provided is developed and implanted. Previous timescale of 1/7/05 unmet. The registered person must ensure that a system for service users to influence the running of the home is formalised and documented. Previous timescale of 30/04/05 unmet The registered person must ensure that the carpets in the communal areas are kept clean and a regular cleaning schedule is put in place. Timescale for action 31/12/05 2 OP33 12(2)3 31/01/05 3 OP33 12(2)3 05/11/05 4 OP26 23(2)d and 16(2)j 10/10/05 Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 24 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 OP31 OP 1 Good Practice Recommendations The registered manager should plan for the completion of the RMA NVQ level 4 by the end of 2006. The registered person should apply to the commission to vary the homes’ registration to include the category of dementia. The statement of purpose should detail that the home will provide care for service users with mild dementia needs. The registered person should include more service specific training in the training and development t programme. The registered person should ensure that all recommendations made by the EHO regarding the cleaning practices in the kitchen are fully actioned. The registered person should ensure that records are maintained of all further action taken following accidents in the home; especially falls. 3 4 5 OP30 OP26 OP38 Rivelin Residential Care Home DS0000002844.V250140.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 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.V250140.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
