Inspection on 20/06/07 for Riverlea House

This inspection was carried out on 20th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Riverlea House 27/06/06

Riverlea House 03/08/05

Riverlea House 20/04/05

Riverlea House 19/01/05

Riverlea House 02/09/04

Riverlea House 06/02/04

Riverlea House 13/11/03

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Riverlea House 105b/107 Lower Road River Dover Kent CT17 0QY Lead Inspector Brenda Pears Unannounced Inspection 20th June 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 Riverlea House DS0000023537.V343247.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. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverlea House Address 105b/107 Lower Road River Dover Kent CT17 0QY 01304 823935 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) diment58@aol.com Choicecare 2000 Limited Post Vacant Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (44) of places Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Six (6) rooms for dementia care to be redecorated within 3 months. Date of last inspection 28th February 2007 Brief Description of the Service: Riverlea is a large detached 44-bedded care home for the elderly, situated in the village of River, on the outskirts of the town of Dover. The home is situated close to village shops and public houses, and public transport is easily accessible. The home is sited on two floors, and there is a passenger lift giving access to the first floor. On the ground floor there are four pleasant communal lounges, a dining room and dining area. The grounds of the home are small, with two patio areas, and two lawned areas that back onto the river. There is a small parking area at the front of the property and to the rear of the property. There is some on road parking available close by. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. A rough guide to the level of fees charged is around £312.81 to £485.00. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was undertaken on the 20th June 2007 and started at 10.30am. The focus of this inspection was on the previous requirements, on the core national minimum standards and on the quality of life for those living in the home. The methods used to complete this inspection consisted of a review of records, discussions were undertaken with the acting manager, six service users and three members of staff. A tour of the building was carried out plus observations and previous findings all inform the outcomes in this report. At the time of this inspection there were 24 people living in the home. What the service does well: What has improved since the last inspection? Most of the previous requirements have been addressed since the last inspection and work has included updating all staff training, reviewing and redesigning care plans, issuing new contracts for each service user that are up to date and contain required information. This information is needed to support service users in the correct way. More information of areas of improvement is contained in this report under the appropriate headings. The external pathway in the garden has been made safe with a guide rail that prevents any falls to the side of this walkway. The steps leading down to a Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 6 grassed area now have been painted with white nosing that ensures the health and safety of service users when using this area. 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. Riverlea House DS0000023537.V343247.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 Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,6 Quality in this outcome area is good. All new admissions are undertaken following a pre admission assessment, appropriate contracts are issued and independence is encouraged and supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People are supported to be as independent as possible and this is evidenced by the fact that only recently, one person had improved and progressed to the point where they were able to return to their own home. Pre admission assessments are carried out by the acting manager of the home to ensure all placements are appropriate. Assessments from care managers are available on service user records and visits to the home and trial periods can be undertaken before any decision is made to move into the home. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 9 New contracts have been issued to all service users and these have been signed by the individual, or an advocate/representative and with other relevant people present who have been chosen by the service user. Contracts also now clearly state the allocated room number and details of what the fees cover and any additional fee charges that may be made. The manager explained that those living in the home have been pleased to review contracts and discuss these matters with staff and family members. Riverlea House DS0000023537.V343247.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 Quality in this outcome area is good. Care plans have been improved, are orderly and reviewed regularly. Healthcare needs are met and are fully recorded on care plans. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three care plans were seen at this time and these were up to date, reviewed regularly and maintained in good order. Files contain an index that enables specific information to be easily found. There is a healthcare section that contains information of all healthcare needs, appointments and visits. Records contain information that details moving and handling risk assessments, communication needs, mobility, sleep patterns and what signs to look for in one person who often may need to remain in bed longer than usual. Assessments were seen for the prevention of pressure sore areas and other healthcare information covering risk of falls and risk of infection. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 11 Daily records were fully completed and contained information that clearly showed what the person had been like during the day. The acting manager explained that monthly development plans are regularly being completed and will be further developed to include agreed goals for each service user. Staff have worked hard to ensure care plans provide appropriate information and are set out in a way that ensures the safety and well being of service users. The allocated key worker reviews care plans on a monthly basis. This was shown on care plans seen at this time and care plans were signed and dated to evidence this. Reviews clearly state ‘No change’ if this is this case and reviews are carried out with the service user, advocate or family members who have been chosen by the individual. Any changes in care plans are agreed with all parties prior to being implemented. Records clearly show that healthcare professionals also provide support, appointments are recorded on care plans as are the outcomes of these. If care needs change, this automatically triggers a care review with appropriate healthcare professionals. The manager explained that one person has recently had care needs reviewed due to changes that have occurred. As this person’s needs are now high, demanding an alternative care setting, an appropriate placement is now being arranged by the care manager. Two service users spoken to at this time confirmed that staff do provide care and support health needs. The medication room was seen to be tidy and orderly, with locked cupboards and lotions and creams stored in a separate cupboard from oral medication. The medication trolley is affixed to the wall for security. All medication was clearly labelled, stored neatly and in a clean condition. The acting manager explained that prescriptions are no longer ordered on a three monthly basis. All medication is now ordered monthly and this ensures medication is renewed regularly and supports appropriate stock control. Controlled drugs are appropriately stored and administered by two members of staff at all times. Hand wash dispensers, with antiseptic gel, have been installed along corridors around the home to encourage regular hand washing and to ensure the control of infection. Discussions with service users and one visitor, plus observations, confirmed that staff do treat service users with respect and with due consideration for dignity. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 12 Riverlea House DS0000023537.V343247.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. Service users are given choices in their daily lives, meals are appetising and there is always a choice. There is an activities organiser in place and staff are working to develop some new activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A visitor explained how spiritual needs are regularly met in the home. There is also an activities organiser who undertakes regular activities including horse racing, keep fit, bingo and music. The inspector was also told how a new room is being developed for hairdressing to be undertaken. This room will also enable such treatments as manicures, massage therapy and other relaxing treatments to be enjoyed. Service users have previously confirmed that they are offered a variety of activities, although some choose not to participate. Visitors to the home were clearly being welcomed at this time. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 14 Lunch was served during the course of this inspection and meals being enjoyed consisted of vegetables, potatoes and some people had chicken, or beef and one person had a sandwich. Adapted plates and utensils were being provided to support independence. All meals provided appeared to be nutritious, colourful and appetising. Service users have previously confirmed that they have a choice of meals and enjoy their food, this was clearly evidenced at this time. Lunch was a calm and unhurried time for service users who appeared to be enjoying their meals. The kitchen was seen to be clean and orderly while meals were being served. A new dishwasher was being installed therefore the kitchen area was not closely inspected. However, the recent environmental check stated ‘exemplary standard of cleanliness is achieved’. The daily menu could be displayed on the notice board in the dining room for those wishing to check what is for lunch. This would be useful for visitors/family members, to support discussions and routines in the home, as well as for the benefit of individual service users. The home plans to undertake two summer fetes during July and the local community will be invited to visit the home and enjoy the celebrations. Access is available through the garden area, which enables those service users who do not want to participate to enjoy quiet relaxation. Key worker discussions are also providing information for additional, more individual, activities to be introduced and developed in the home. Riverlea House DS0000023537.V343247.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): 16,18 Quality in this outcome area is good. Service users are protected by the complaints policy and procedures and by training and awareness on abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Service User Guide contains full information about who to complain to and who could assist outside the home if necessary. These documents are in all service user rooms and displayed in the entrance hall, should there be any matters needing addressing. The complaints procedure is also on display in the dining room as are details of how to obtain an advocate if a person needs extra support. The manager had also obtained information leaflets on how to make contact with an advocacy service and these had also been left in the entrance hall for information. All staff have recently undertaken adult protection training. There are also two trainers within the organisation who carry out refresher training sessions on adult abuse awareness. The acting manager also explained that since taking up her post in the home, she has contacted families and visitors to ask for their comments about the quality of the care being provided in the home. The home continues to develop strong relationships with families and visitors, this Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 16 ensures that any areas requiring attention are highlighted and dealt with immediately. There has been one complaint received since the last inspection that was regarding a lost item. This was fully investigated and following a search, the item was later found. Staff confirmed they have undertaken training on abuse and are aware of treating service users with respect and consideration for their dignity. This was also evidenced by observations made by the inspector at this time. Staff also stated that service users do discuss anything they are not happy with or any problems they may have. The inspector saw how open the staff were when interacting with service users and service users appeared confident and relaxed when speaking to staff and the inspector. One service user said how staff do listen and understand problems . Forms were seen on files that ask the service user if they wish to have a key for their room, if they wish to deal with their own post and other questions that ensure support is given, choices are offered, allowing independence and control where this is appropriate. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 17 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): 19,20,21,23,24,25,26 Quality in this outcome area is adequate. While decoration, new carpeting and other improvements have enhanced areas of the home, some areas remain in need of attention before the home reaches an acceptable standard throughout. While a programme for covering radiators is in place, service users remain at risk until radiators are covered in all service user rooms. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Redecoration and refurbishment continues to improve the internal areas of the building. Rooms were seen to be very individual and personalised, with bright and domestic soft furnishings. Rooms continue to be redecorated and new furniture and soft furnishings are being bought as this programme continues. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 18 The corridor on the first floor is currently being decorated with new lighting also being installed. A section at a time will be redecorated and bathrooms and toilet areas are also being totally upgraded throughout the home. The programme to cover radiators has continued, with high risk and communal areas being addressed in the first instance. Individual rooms are now having radiators covered and this programme will be completed by the end of August 2007. Individual temperature control valves are also being fitted to radiators at the rate of five per month. The acting manager stated she continues to be vigilant and observe service user routines to ensure their full safety during this improvement pan. The laundry area, while being orderly, is not complying with requirements to ensure the control of infection. The flooring in the drying area needs to be replaced with impermeable covering that does not allow any build up of dust or dirt in this area. The washing area also needs reviewing to ensure all appropriate measures are in place for the control of infection. The external pathway in the garden has been made safe with a guide rail that prevents any falls to the side of this walkway. The steps leading down to a grassed area have been painted with white nosing that ensures the health and safety of service users when using this area. There was a gazebo and table and chairs set out in the garden for use by service users and a slope is available for easy access by wheelchair or walking frame users. The exterior hard standing used for clinical waste currently opens directly onto the street. While the waste bin is locked, this area needs to be screened from public access to meet with set guidance. The internal doors to the conservatory are to be replaced and the conservatory provides another comfortable area in which to relax and a fan was provided in this area to cool the air. Some external redecoration is required and the acting manager explained that this has been put onto the ongoing plan of improvement for the home. Toilet and bathroom areas are to be upgraded, this will not only brighten these areas but will also provide areas that support relaxation and assist independence. There are now temperature control valves on all baths and washbasins throughout the home. This controls the water temperatures and ensures the safety of service users and staff. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 19 Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 20 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. Staff do consider the dignity of service users and staff are trained and supported to meet the needs of those living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff on duty at this time consisted of two care staff, the acting manager was also assisting with care duties along with one person who was on induction. Another staff member came into work to cover for the manager and allow her to assist with this inspection. There was also an administration person assisting in the home at this time. There is currently a vacancy for one senior carer for the home. The acting manager explained that she is supporting current care staff and hopes to recruit from existing staff. There is a low turn over of staff in the home and the staff team do support each other and willingly cover any gaps on shifts. One housekeeper and one domestic member of staff have been recruited since the last inspection and the home is now recruiting a weekend domestic. All staff have undertaken refresher training over recent months for all core areas. A full induction programme is in place that covers anything from three Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 21 to six months depending on the abilities and experience of the member of staff. The acting manager carries out this induction and assesses competencies throughout this programme. The acting manager is to undertake a ’Training the Trainer’ course regarding risk assessment. This training will then be passed to other staff in the home as well as to staff in other homes in this group. Half the current care staff have undertaken palliative care and bereavement and loss training. Almost all staff have had training in care planning, diabetes and insulin, those who have not had this training will be booked on the next course. Two staff have just completed medication training and another three staff are to start this training shortly. All staff are currently on NVQ training. Those who are nearing retirement have consented to complete the induction programme to ensure they have an up to date knowledge of current standards. Staff who do now administer medication also undertake medication training to provide in-depth knowledge to ensure they observe appropriate practices in the home and also to support their own development and training. There is now a maintenance person appointed who is undertaking redecoration and maintenance throughout the home. There is a gardener employed for the home and the garden area was seen to be tidy and in order at this inspection. The manager explained that she also undertakes care duties. This enables her to know each service user, to see if they have any change in their needs and she can also observe how staff are carrying out their duties. Staff spoken to at this time stated they regularly have supervision that identifies any additional training needs and personal development. Staff have been booked to attend training on insulin and all staff have undertaken training regarding medication. The acting manager explained that those staff dispensing medication have training but all staff are aware of acceptable medication practices and of any side effects of medication. All staff now have a CRB and POVA first check before starting work in the home. A previous review of staff files has shown that full employment history, application forms and identification are obtained and kept on files. Over 50 of staff now have obtained NVQ level 2 certification and an induction programme is in place that is in line with TOPPS. Two recently appointed members of staff confirmed they are being supported by a full induction programme and that this is currently still being undertaken. One person explained that they would not be writing care plans until the acting manager has explained these thoroughly and ensured the member of staff fully understands the process. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 22 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): 31,33,38 Quality in this outcome area is good. The current acting manager is a suitable and competent person to be running the home. While there are areas of the home that do require attention, the manager and staff group do consider the health and welfare of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current acting manager has worked for some years in the care field, working for 13 years as a manager with people who have learning disabilities and challenging behaviour. She then moved onto working in elderly care and also working with people in their own homes. She was previously worked as Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 23 the acting manager in another home within this group. She has also recently applied to become the registered manager of the home. Staff and service users stated they are able to speak to the manager about any matters. They felt she has an open management style and always listens. Questionnaires have been issued to families and visitors to identify any problem areas when the current acting manager took up her post. These have been reviewed and addressed. The inspector was informed that subsequent questionnaires will be issued on a six monthly basis to identify any areas requiring attention in the home. Meetings with service users and discussions with key workers also provide information for this ongoing quality assurance programme. Large and clearer signs have been purchased for fire exits to support the safety of service users, staff and visitors. All fire extinguishers are appropriately placed and serviced. There were no COSHH items in evidence and cupboards with materials posing a risk were appropriately locked at this time. The registration certificate does show the correct numbers of rooms available in the home and is displayed in the main entrance along with the complaints procedure. The service folder was maintained in an orderly manner with up to date service inspections for waste collections, shaft lift, gas appliances, small electrical equipment and pest control. The electrical servicing is up to date and the home is currently waiting for the certificate. A food hygiene report stated ‘ that cleaning standards are high and that temperatures are regularly recorded in the kitchen. Bedroom doors have small coloured squares affixed that staff call ‘traffic lights’. These colours assist in any case of fires, they indicate the support needs of the occupant. This clearly informs the fire brigade if the occupant is independent or if more that one person is needed to assist with evacuation, should this be found necessary. This further supports the safety of service users. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 24 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 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 2 X 3 2 2 3 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 3 X 3 X X X X 3 Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 25 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 OP19 Regulation 12,13,16 Requirement To insure the appropriate storage of waste disposal and the control of infection. The laundry rooms to fully comply with requirements in all areas to ensure the control of infection. (This brought forward from previous inspection. No action taken to-date). Timescale for action 31/08/07 2 OP26 12,13,16 31/10/07 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. Refer to Standard OP19 OP24 OP25 Good Practice Recommendations To continue the programme for upgrading all areas of the home, particularly with regard to covering of radiators, until standards are met throughout the home. Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 26 Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Riverlea House DS0000023537.V343247.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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