Inspection on 27/01/06 for Rivelin Residential Care Home

This inspection was carried out on 27th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rivelin Residential Care Home 02/07/09

Rivelin Residential Care Home 19/01/09

Rivelin Residential Care Home 12/08/08

Rivelin Residential Care Home 13/11/07

Rivelin Residential Care Home 17/11/06

Rivelin Residential Care Home 14/09/05

Rivelin Residential Care Home 22/02/05

Rivelin Residential Care Home 10/11/04

Rivelin Residential Care Home 17/02/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

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 27th January 2006 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.V280100.R01.S.doc Version 5.1 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.V280100.R01.S.doc Version 5.1 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 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.V280100.R01.S.doc Version 5.1 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. 14th September 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.V280100.R01.S.doc Version 5.1 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 January 2006. During the visit the inspector spoke to the manager, three staff, nine residents and three 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, supervision, 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. The standard of care support remains very good with residents looking well groomed and cared for; they informed the inspector that they were very happy in the home. One service user said, “ the staff are very kind and helpful, they always come quickly and have time to spend with me.” Many of the residents told the inspector how lovely the staff were and how much they liked the deputy manager’s dogs who visited the home daily. Relatives told the inspector that their relatives were very settled and happy at the home; and that the management always kept them informed of any changes. 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 maintains positive relations with outside agencies; a district nurse told the inspector that the communications with the home were very good, staff were very helpful and the standards of care very good. The management confirmed that support from the CPN team was very good. Although meals and activities in the home were not looked at in detail, from comments made by service users there was good evidence that the home has maintained high standards in these areas. Service users told the inspector that Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 6 the meals were always good with plenty of choice and that the staff always had time to take them out. What has improved since the last inspection? What they could do better: A number of carpets in the communal areas required more regular cleaning; carpets in the sun lounge and middle lounge were noted to have a stale odour. The home has not yet provided all the residents with privacy locks for their rooms. The staff need to make sure that all accidents are recorded on the appropriate documentation which is a legal requirement. Although the management have made a start on developing and implementing a formal quality assurance programme, more work is required to fully implement the programme of audits and surveys which in turn will require analysing and actioning to provide a clearer picture of the quality of services at the home. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 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.V280100.R01.S.doc Version 5.1 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.V280100.R01.S.doc Version 5.1 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): 3,5and 6 Service users are informed of the home of their choice, are able to assess the quality, suitability and facilities of the home and know these will meet their needs. EVIDENCE: Pre- admission assessments were evidenced, and service users confirmed that they were either assessed in their own homes or in hospital. Some service users said that families were included in the choice of home. Service users told the inspector that they had chosen the home for a variety of reasons such as: reputation, locality, smoking facilities and that they had liked the atmosphere when they looked round. 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. The management had actioned advice given at the previous inspection visit to vary the homes registration to accept persons with mild/ moderate dementia needs which covers those service users residing in the home with needs Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 10 associated with dementia and also enables the home to admit future service users with these needs. The home does not provide intermediate care support. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 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 and 9 There is a clear and consistent care planning system in place that provides staff with the information they need to satisfactorily meet the service users needs. Service user’s health needs were monitored and reviewed appropriately. The systems for administering medication are good; although review of the procedures and storage arrangements would provide safer systems in general. EVIDENCE: Three case files were examined which evidenced that the care programmes were 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. Service users spoken to confirmed that they were aware of the care programmes but had no interest in reading them. There was appropriate use of risk assessments; assessments for moving/ handling, falls, tissue viability, nutrition and general issues were in place and Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 12 reviewed regularly. The majority of high-risk areas had associated plans of care in place; one service user was receiving support from the district nurse regarding his tissue viability needs and therefore a more detailed plan of care should be in place to support the care staff interventions. There was evidence that service users needs had been formally reviewed, with the home accessing support form outside agencies as required. Service users told the inspector that the staff always arranged visits with the G.P. promptly when required. Service users and relatives told the inspector that they were very satisfied with the level of care support provided in the home; they described the staff as “wonderful”, “very kind and caring” and “will do anything for you”. The medication systems were examined; advice was given to review and develop the policies to provide more detailed procedures for administration and storage of medication. The home utilises a MDS system, which staff reported worked very well. Administration records were checked and found to be satisfactory with no gaps in the signatures; advice was given to ensure the transcribing records detailed written records on the frequency of administration. Storage of medications requires some review to ensure all MDS cassettes can be securely locked away; also storage of internal and external preparations should be held separately. Storage of Temazepam medication was seen to be satisfactory. The management need to monitor the room temperatures where the medication is stored to ensure the temperature does not exceed the manufacturers guidelines. Staff confirmed that the majority of GP’s ensured the service user’s medications were reviewed regularly. All the senior care staff with the exception of one have completed the accredited medication course; management are currently arranging for the outstanding staff member to access this course. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 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): 14 The home supports service users to exercise choice and control over their lives. EVIDENCE: Policies were in place which covered: advocacy, data protection, confidentiality and management of service users finances. Service users at interview confirmed that the staff supported them to maintain their independence and exercise personal choices. There was evidence during the visit from staff interviews and observation that service users were always consulted about their care provision and supported to make decisions about their activities of daily living from care support, clothing to meals and activities etc. Service users rooms were seen to be personalised to the extent chosen by the individual. Information leaflets on advocacy and financial support were available in the hall. Standards 12, 13, and 15 were assessed as met/ exceeded at the previous visit; although these areas were not looked at in detail there was good evidence that the home has maintained these standards. Service users told the Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 14 inspector how much they enjoyed all the meals and their regular trips out to local areas. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 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): 16 The home provides an atmosphere whereby people feel able to make complaints. EVIDENCE: The homes complaint procedure was clear and displayed in the entrance hall: it had appropriate timescales for resolution and included contact details of other agencies. The service users and relatives spoken to felt able to make any complaints they may have either to the manager or staff members. Two anonymous complaints were received by the local authority the previous month which detailed a number of issues which were investigated under adult protection procedures by care management and CSCI in a joint visit. None of the issues were upheld. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 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): 19,22 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. Specialist equipment is provided to maximise their independence. EVIDENCE: The management have developed a programme of routine maintenance and renewal for the home. Since the previous inspection areas such as the smoking lounge had been redecorated and refurbished and a number of bedrooms redecorated. The programme includes future works to be carried out on the bay windows to provide UVPC type. An outstanding requirement to provide all service users room doors with privacy locks remains outstanding; the locks Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 17 have been purchased however the provider is experiencing some problems with the fitting. The majority of areas seen were very clean and tidy however the carpets in the small lounge and inner hall area had a stale odour and required cleaning. The registered manager confirmed that she was looking into providing more userfriendly carpet cleaning equipment. The management had replaced a bath hoist and purchased a number of transit wheelchairs. Staff at interview stated that there was satisfactory provision of moving/ handling equipment and pressure relieving equipment was accessed through the community team. Specialist equipment and facilities are provided to maximise their independence. 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.V280100.R01.S.doc Version 5.1 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, 28 29 and 30 At this home there is a good match of experienced staff offering consistency of care to 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 30 residents currently residing at the home. Staff confirmed that enough staff were on duty to manage the current care needs of the service users; they told the inspector that the current levels ensured that they were able to take out the residents regularly which the service users really enjoyed. 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 “all the staff were wonderful”. The staff training programme has focused in recent times on the mandatory courses and records evidenced that the staff were up to date with fire prevention, moving/ handling, food hygiene, health/ safety and first aid courses. General training in medication and adult protection had been provided. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 19 Advice was given to the deputy manager to focus this years training programme on more general and service specific courses such as; dementia, palliative care, continence, tissue viability and common conditions to the elderly such as diabetes, arthritis and strokes etc. The home remains committed to providing staff with NVQ training and has achieved the standard of ensuring 50 of the care staff have gained qualification at level 2. Five of the senior care staff have now achieved level 3 and five of the care staff have achieved level 2. There was evidence that new staff had accessed in house induction programmes and external induction courses to NTO standard. 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. The inspector advised the provider of the revised guidance from CRB whereby the disclosure can be kept in the home for up to 12 months for inspection purposes; a copy of the guidance will be forwarded to the home. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 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): 31, 33, 35,36 and 38 The health, safety and welfare of service users and staff are well promoted and protected. EVIDENCE: The registered manager is also one of the registered providers and is experienced in this care setting. The registered manager has no plans to complete the Registered Manager’s Award as she is nearing retirement age; possible plans of recruiting a manager for the home are currently being considered to enable the registered providers to have less responsibility for the day-to-day management of the home. Service users and staff were very complimentary about the management and how the home was run; one resident said that ‘if I am not happy with anything I would see the manager who is very nice and she sorts out any problems for me’. The manager was very knowledgeable about the residents at the home Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 21 and continually looks at ways of ensuring that the home is run in the best interests of the residents. Staff spoken to confirmed that the manager was very approachable, that she valued their opinion and took appropriate action to deal with issues promptly. There was evidence from records and staff interviews that the staff supervision programme had been well maintained. The home has in place a policy which covers management of service users money; the majority of service users in the home require support with the management of their personal monies. Two accounts were checked and found to be satisfactory with receipts corresponding to payments. One of the service users takes out £1 each day to spend in one of the arcades, she told the inspector how much she enjoyed these outings especially if she won. The management have made some progress towards the implementation of a formal quality assurance system; they have written aims and objectives for the programme and developed audits and surveys for seven specific areas. The audits and surveys now need to be fully implemented to identify any areas for improvement. There has been no progress in formalising arrangements for consultation with service users; advice was given to hold an informal residents meeting following an activity/ entertainment. Records showed that staff were up to date with mandatory training in fire safety, health / safety, basic food hygiene, first aid and moving/ handling. The fire safety equipment and checks were all in place and up to date. Fire drills were carried out regularly. Regular checks on hot water temperatures and bed rails were maintained. Risk assessments were in place for all safe working practices. Records evidenced that service checks had been completed for all installations and equipment. Cleaning practises in the kitchen area had improved in line with recommendations made at the previous EHO visit of the 10/08/05. Accident recording requires some review; one of the care programmes examined detailed a fall which had not been recorded on the accident form. Although the home now utilised the separate accident recording forms these were found to be held in one book and need to be filed in the individual service users records. Advice from the previous visit to record in more detail all further action taken to further reduce risks of accident/ falls reoccurrence had not been fully implemented. The inspector advised the management to contact the falls prevention co-ordinator for specific advice and support in this area. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 22 Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 23 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 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 1 X 3 3 X 2 Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 24 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 31/12/05 unmet The registered person must ensure that a system for monitoring the quality of care provided is developed and implemented. Previous timescale of 31/01/05 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 05/11/05 unmet The registered person must ensure that all falls are formally documented on the appropriate accident reports. The registered person must DS0000002844.V280100.R01.S.doc Timescale for action 31/03/06 2. OP33 12(2)3 31/03/06 3. OP33 12(2)3 31/03/06 4 OP38 17(1)a 27/01/06 5 OP26 23(2)d 27/01/06 Page 25 Rivelin Residential Care Home Version 5.1 and 16(2)j ensure that the carpets in the communal areas are kept clean and a regular cleaning schedule is put in place. Previous timescale 10/10/05 not met. 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 3 4 Refer to Standard OP31 OP30 OP38 OP9 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 include more service specific training in the training and development t programme. The registered person should ensure that records are maintained of all further action taken following accidents in the home; especially falls. The registered person should review the storage arrangements for the medications, further develop the policies for medication administration and storage, and monitor the room temperature where medication is stored. Rivelin Residential Care Home DS0000002844.V280100.R01.S.doc Version 5.1 Page 26 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.V280100.R01.S.doc Version 5.1 Page 27 - 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!