Inspection on 07/01/07 for River View Day Care & Respite Centre

This inspection was carried out on 7th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

River View Day Care & Respite... 24/03/09

River View Day Care & Respite... 22/02/06

River View Day Care & Respite... 23/05/05

River View Day Care & Respite... 13/12/04

River View Day Care & Respite... 20/07/04

River View Day Care & Respite... 05/03/04

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

CARE HOMES FOR OLDER PEOPLE River View Day Care/Respite Centre Astor Drive Mount Gould Plymouth Devon PL4 9RD Lead Inspector Helen Tworkowski Key Unannounced Inspection 7th January 2007 10:30 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 River View Day Care/Respite Centre DS0000003455.V311270.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. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service River View Day Care/Respite Centre Address Astor Drive Mount Gould Plymouth Devon PL4 9RD 01752 253974 01752 251618 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) Plymouth Age Concern Mrs Denise Margaret Gregson Care Home 6 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (6) of places River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Respite only Age 50yrs Date of last inspection 22/2/06 Brief Description of the Service: Riverview provides day and respite care for older people who require this service due to dementia. Riverview as the name suggests has uninterrupted views over the Plym River. The service is run by Plymouth Age Concern. The building is located next to The William and Patricia Venton Centre, also an Age Concern establishment. The day centre occupies the ground floor of Riverview, the respite residential unit occupies the first floor and the administrative centre occupies the second floor. Those Service Users resident in the respite unit are invited to attend the activities organised in the day centre. The respite residential unit has a lounge/diner, kitchen (used for cooking simple meals and snacks), a shower room, a bathroom, four single and one double bedroom. Laundry is done in the Patricia Venton Centre. The current charge is £463 per week, and service users are expected to pay for their own hairdresser, for chiropody and for newspapers. Copies of the Service User Guide, including complaints procedure, are provided to each Service User as part of their initial assessment. Additional copies of the Service User Guide and Statement of Purpose are kept in the office at Riverview. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included site visits on Sunday 7th January 07 (10.30 am to 4.00 pm) and Monday 8th January (9.30am to 5.30pm). During these visits the inspector spoke with two service users, and spent time sitting with service users during an activity session. The inspector ate lunch with a group of service users. The visits also included a tour of the building, inspection of files relating service users, staff, and safety. The inspector spent time talking with care staff and the manager about the service. Surveys were sent to 21 service users who had used the service, 12 were returned; to ten Riverview staff of which seven were returned, and to 21 Social Service staff, two were returned completed. What the service does well: What has improved since the last inspection? Improvements have been made to ensure that each service user gets information about what they can expect from the service, each time they use it. Each persons needs are now reviewed each time they come to stay at Riverview, this is recorded in the Service User Plan. This is important to ensure that staff have up to date information and know what help to give, however further improvements could be made in this area. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 6 A new system for recording money that is held for service users has been set up. However the amounts recorded are not always accurate. The views of service users and their carers are now being sought after each stay at Riverview, so that Mrs Gregson and the staff can know what they are doing well and what needs to change. Checks on the fire system are now being routinely made, and a fire risk assessment has now been completed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users know what to expect from a stay at Riverview and be confident that their needs will be known. EVIDENCE: Nine out of the ten people completing service user surveys stated that they had sufficient information about Riverview before a stay. The vast majority of people who stay at Riverview overnight for respite have already been attending the day centre and are familiar with the staff and part of the building. Files looked at during this inspection contained copies of terms and conditions that had been sent to Service Users or their representatives, explaining about what they might expect at Riverview. Mrs Gregson, the manager, said that whilst these were sent for each stay, they were not always returned signed. Before a person stays at a care home, an assessment of needs must be carried out to ensure that the home is able to meet the person’s needs. As most of the River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 9 people who stay overnight are attending the day centre on a regular basis their changing needs are being assessed during these stays, and up dated on the day care plans. In addition there were records of contacts with carers to clarify changes of medication. The Inspector discussed with Mrs Gregson how Riverview should be checking with carers and service users about changes to any needs other than medication. Each file seen had a Care Plan review sheet where changes and up dates to care plans are recorded. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users needs are well met by care staff and service users are treated with respect. The documents that record this care are lacking in detail in some areas, and this could affect the quality of care provided. Medication is generally well managed. EVIDENCE: Each person who stays in a care home must have a Service User Plan that states, in detail, how needs are to be met. The service user plans for five people were looked at during this inspection. Each of these documents contained information about how needs are to be met by staff- the amount of detail included varied. Improvements could be made to the documents by ensuring that all aspects of care are covered. For example there was no section on communication. Also information that had been provided in a Social Services assessment had not be included in the plan. The Inspector found the layout of these documents difficult to read, the print was small and the layout complex. Service Users should be able to have access to their own plans, so River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 11 this needs to be taken into account. Mrs Gregson the manager said that plans are discussed with Service Users and their representatives. Riverview is a service for people with dementia, and so it is important that staff have information about the person’s history and background that would help them provide a service tailored to the individuals needs, as they may not be able to explain this themselves. The five files looked at contained little information about each person, their background, culture and preferences. The Inspector discussed with Mrs Gregson that two separate files are kept for each person, one for day services and one for respite services. The Inspector confirmed that this separation is not a requirement of the Commission. Each of the five files looked at during this inspection had risk assessments. These documents record the process of identifying risks and how they may be minimised or managed. The risk assessments looked at had identified risks, however they had not included all the relevant issues- for example that someone who was at risk of falling had osteoporosis and therefore was at additional risk of injury. Staff spoken with during this inspection said that they read individual files, and that they were alerted to any changes in the care plans. All ten of the people responding to the service user survey said that they always or usually received the care that they need. Nine out of the ten people responding to the Service User survey said that staff listened and acted upon what was said. One of the comments made by a Service User was that staff were unfailingly polite, other comments included “there is good co-operation between the staff and myself, they listen to any new developments there might be in my husband’s illness and equally while he is with them they tell me about his behaviour and anything out of the ordinary they may have noticed”, and “high standard of care when unwell”. Staff were observed speaking to Service Users with respect and involving and consulting with them. Service Users are generally referred to as “guests” at Riverview. Bedroom doors in the respite unit have door locks, which can be locked from the inside. The Inspector discussed with the Manager the need to provide Service Users with the option of having a key, unless this is recorded as being a particular risk and inappropriate. Medication is kept securely in a locked cupboard. There are records of medication being received by care staff at the care home and being returned, after a stay. Some of the medication is in bubble pack systems, which are preprepared by pharmacists. There was an out of date book on medication, up to date information should be available to staff on the medication they are administering. One person had recently been prescribed “as required” medication for pain relief, up to four times per day. The information on this River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 12 medication administration had not been properly transferred to the medication sheet, and the individual was not been offered this medication as frequently as prescribed. The Inspector discussed with the Manager the need to ensure that there are clear directions to staff on the administration and recording of all “as required medications”. River View Day Care/Respite Centre DS0000003455.V311270.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): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are offered a good standard of food in pleasant surroundings, though are not always given the type of help they may need. Service Users are given the opportunity to be involved in a range of activities during their stay at Riverview and they are able to make choices about how they spend their time. EVIDENCE: Service users who use the respite care service are encouraged to participate in the activities on offer at the day centre. When the inspector first arrived at Riverview a group of Service Users were playing a ball game, which from the laughter they seemed to be thoroughly enjoying. Other group activities observed included quizzes and word games, staff were also seen spending time with Service Users on an individual basis. Eight out of the ten people replying to the survey said that they always or usually enjoyed the activities arranged for them. The Service at Riverview is a respite service, and some people may have limited contact with their carers or relatives during their stay. There were a number of visitors for people staying at Riverview, one relative wanted to look River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 14 at her mother’s room to reassure herself, and staff were happy to do this and answer questions. One service user spoken with confirmed that there were no particular rules at Riverview. He could get up and go to bed when he wished, and on a previous night had chosen to go to bed at 11.30 pm, the night staff were around all night to help. The Inspector discussed with the manager the security system that is used to ensure that people who might be confused do not wander from the building and place themselves or others at risk. There are two double handled doors on a corridor and buzzers that go off when a door in the respite area is opened. This means that service users are able to move freely between all the rooms in the day centre, and that there is a continual noise of bells. No service users may be unnecessarily restricted, and where this is necessary then there should be a record of this and the discussions that have taken place. This should be for every person affected by such restrictions. Respite Service Users generally eat their lunch in the day centre dining room, and their breakfast and evening meal in the dining room of the respite unit. The respite dining room is small, and only four people are able to eat at the table at any one time. This is not ideal. There is a set menu for lunch and there is a choice of meals. On the first day of the inspection the meal was a roast pork dinner. Two service users had omelettes and two people had salads. The inspector sat with Service Users whilst they ate their lunch, and identified a number of ways where improvements could be made: individual staff did not sit and support service users who needed assistance to eat, support was only offered in passing. Service users were left to try and sort out their own cutlery, and were not given plates that might have been more suited to their needs. All ten of the people responding to the Service User survey said that they always or nearly always like the meals. The Manager told the inspector that there were plans to improve the menu and the meals offered, better taking into account the needs of people with dementia. River View Day Care/Respite Centre DS0000003455.V311270.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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users and their representatives’ views are listened to, and staff are aware of their duties to protect Service Users from abuse. EVIDENCE: Nine out of ten people competing a Service User survey said that they always or usually knew who to speak to if they needed to make a complaint. Comments from Service Users included: “I can always speak to someone who will help with a problem”, and “If I have any problems I should not hesitate to call them they are always available to help”. Mrs Gregson said that they now always contact people after a stay in respite for feedback, and any issues can be picked up then. Riverside, part of Plymouth Age Concern, has a complaints procedure that is used to investigate complaints. Mrs Gregson said this is given to Service Users at their initial assessment. The Commission for Social Care Inspection has received no complaints about the service. The Inspector talked to staff about their responsibilities about reporting abuse and they were very clear as to what they needed to do. Staff training records confirmed that they received training in relation to the Protection of Vulnerable Adults. There was a copy of the local guidance available for staff, if they should have concerns. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23, 25, 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Riverview provide comfortable and clean accommodation, which is need of redecoration. EVIDENCE: The respite service accommodation is on the first floor of Riverview, and can be accessed by stairs and a lift. As has already been noted service users generally spend part of their day in the day centre on the ground floor, going back upstairs around 4pm. The lounge dining room in the respite service is small to accommodate the six service users and two care staff. All of the accommodation at Riverview looks tired and in need of re-decoration. The Manager, Mrs Gregson, said that the decorations had been due this year but had been delayed till after April 07 due to unforeseen expenditure. Mrs Gregson said that the colour schemes used would take into account current thinking on what is helpful to people with dementia. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 17 Each of the bedrooms has a wardrobe and bedside cupboard, there is no lockable space. This should be provided. In the double room there is only one wardrobe, which means the people sharing this room share the wardrobe. Each person should have his or her own storage space. The bedrooms have good views over the river Plym, however two of the double glazed windowpanes in bedrooms have lost their seal and are now misted up, and obscure the view over the river. Service Users should be able to see out of their windows. Issues concerning security of the service users and the building are discussed in other areas of this report. Service Users are given a choice of bedding: blankets or duvet, however there is no under blanket on the mattress, which is likely to be less than comfortable. The accommodation was clean and there were no offensive smells, all eleven of the people responding to the service user survey said that Riverview was always or usually fresh and clean. Aprons, gloves, liquid soap and paper towels were available in all of the bathrooms, and staff confirmed that this was always the case. Laundry is done in the basement of the Patricia Venton Centre, next door. Thermostatic valves are fitted throughout the building, however checks on these devices were not being regularly carried out to ensure that the maximum temperature for hot was not exceeded. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are well supported by well trained, competent and well supervised staff. EVIDENCE: Staff at Riverside work in both the day centre and in the respite unit, so that when an individual who has been attending the day centre needs to stay overnight they are familiar with the people who will care for them. On the first day of the inspection on Sunday twelve people were attending the day centre and there were four care staff on duty. Later in the day seven of the people returned home leaving five people in the respite unit with two care staff on duty. There are two care staff awake overnight. This is a high level of staffing however this is appropriate given the nature of the service, and that staff are involved in working with groups of people who change from day to day, and who must be admitted and discharged home. Eleven of the people responding to the service user survey said that they felt that staff were always or usually available when they were needed. Feedback from the staff survey included comments that “Care Home staff support and help each other as well as the service users”. “ Staff and clients get on well together”. And “I have not been employed by the care home very long but I am enjoying my work, the staff, the management and service users and there families are all great people to work with”. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 19 The recruitment of new staff is organised centrally by Plymouth Age Concern. Three staff files were looked at during this inspection. There was evidence that prospective employees had completed application forms, had been interviewed, that references had been taken and checks made of criminal records and of lists of people who should not be working with vulnerable people. However not all of the references and Protection of Vulnerable Adults checks had been completed before employment. Such checks are required to be made before employment commences. Application forms contained information about the persons work history, though these were not always comprehensive. Mrs Gregson explained that all new staff received a basic induction on their first day- and there was a checklist on file for this. They also receive an organisational induction that includes moving and handling training. Mrs Gregson said that Age Concern are setting up a new data base to better record all training, however from the information available and from discussions with staff, there is a range of training available to staff. Staff receive training in relation to dementia and other aspects of care – such as heart conditions. All seven of the staff responding to the survey said that they received regular supervision, and all but one of the staff said that they had enough support to do their job well. The Inspector met with two care staff and talked with them about their work, they commented how well they were supported, and that managers always had an open door. One person said that it was the best job she had ever had. River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users benefit from a well run and managed service at Riverview. EVIDENCE: Riverview is managed by the Registered Manager Mrs Denise Gregson, who has run the unit for a number of years. Given that the service includes a day centre that runs seven days per week and a respite service, the task of management is more complex that a more static group of service users. Feedback from service users and staff indicate that the service is well run. Riverview has a formal quality assurance system that is being used to check the standards in the organisation. In addition the inspector was shown letters that are sent to all users after a stay at Riverview. These letters ask for River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 21 feedback, and comments made are recorded on file. The vast majority of comments were very positive. At the last inspection a requirement was made that Riverview improve the records of valuables and cash held. A new system has been set up, but checks of the records showed that these records were not accurate. The inspector discussed with the manager how the system could be improved. As has already been noted in the section on staffing, staff are receiving regular supervision from the manager and the deputy, there is a record of planned supervisions on the wall in the office. A fire risk assessment had been completed and the fire records seen were up to date, fire checks had been made, and staff had received training. Mrs Gregson explained to the inspector that each member of staff has a questionnaire to complete every two months, to check their knowledge of the fire procedure and the building. Other risk assessments had not been completed, for example in relation to Legionella, and to trip hazards. Such assessments help to ensure that staff, service users and visitors are not exposed to unnecessary risks. River View Day Care/Respite Centre DS0000003455.V311270.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 2 X 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 River View Day Care/Respite Centre DS0000003455.V311270.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!