Inspection on 07/02/07 for Riverside

This inspection was carried out on 7th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Riverside 01/02/06

Riverside 27/06/05

Riverside 04/10/04

Riverside 05/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Riverside Ramsgate Road Louth Lincs LN11 ONJ Lead Inspector Sue Hayward Key Unannounced Inspection 7th February 2007 09:55 Riverside DS0000002410.V327901.R01.S.doc Version 5.2 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 Riverside DS0000002410.V327901.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 Adults 18-65. 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. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Address Ramsgate Road Louth Lincs LN11 ONJ 01507 608311 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) staff@ramsgate.freeuk.com Linkage Community Trust James Harry Kilner Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/02/06 Brief Description of the Service: Riverside is a purpose built home for eight people with Learning Disabilities. It is situated in the market town of Louth and is near to the towns many amenities. The home forms part of the long stay residential project operated by the voluntary organisation known as Linkage Community Trust. The organisation provides transport for accessing work placements, day centre facilities and social outings. Riverside shares a large garden area with another Linkage home, Seaton House. One manager manages both homes and although there are close links as neighbours, the homes retain their individuality. The close unison with each is mainly in relation to leisure activities and transport; especially as some service users share the same interests, such as; swimming, football and music concerts. The home is built within a hollow, which affords it privacy. Some car parking is available at the front of the home. Accommodation is provided in eight single rooms, one with en-suite facilities. During the week service users attend an extensive variety of off site activities of their own choice, ranging from day centre facilities, vocational interests and work placements. The home was fully occupied on the day of the visit. Information about the day-to-day operation of the home is available in the home. Information about the fees as at August 2006, confirmed by manager, indicated that the weekly charge ranges from £493.00 - £538.00 per week. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and took place over 5 ½ hours. It formed part of a “key” inspection. This is the checking of those standards considered to be “key” in terms of the health, safety and welfare of service users. The manager had completed a questionnaire prior to the visit giving important information about the home. Questionnaires had also been returned from eight service users. Information from both these sources as well as information, which the Commission for Social Care Inspection (CSCI) holds about the service was used to plan the visit and produce this report. “Case tracking” was the main method of inspection used. This included looking at the care and support of two service users with differing needs in detail, through sampling the records held about them and discussion with them both. Other service users were seen very briefly as they were on their way to their daytime activities. Three bedrooms, one that has had an en-suite facility added since the last site visit, the sitting rooms, kitchen, dining room, laundry room and two bathrooms and a toilet, were seen on this occasion. A staff member on duty was interviewed. The manager was present throughout and general comments about the outcome of the visit were discussed with him at the end of the visit. What the service does well: This is a well managed home with care being provided by a consistent staff team. There is a good training programme provided for staff to receive the knowledge and skills to provide care, which meets service users needs. A relaxed and friendly rapport was noticed between staff and service users and there are good systems in place to enable service users to make their views known. Service users are supported to participate in a range of recreational, educational and vocational opportunities which meet their individual needs and enables them to lead as independent and fulfilled lives as possible. They are actively involved in the planning of their care and are supported to achieve their goals The home is clean and comfortable and provides service users with safe accommodation. . Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good procedures for introducing new residents to the home, and a thorough assessment takes place to ensure their needs can be met. EVIDENCE: The statement of purpose and service users guide gives satisfactory information about the service. The manager said that it is available in symbol and widget form in the home. If needed the organisation have the facilities to provide it in other forms such as on audiotape. Information is also provided through discussion with service users when they visit the home. The manager said that all service users are invited to visit and stay for a meal if they wish. This enables the opportunity for service users already in the home to meet any persons wishing to move in and vice versa. He also confirmed when there is a vacancy in the home this information is passed on to other service users within the organisation who can apply if they wish. Service users records checked demonstrated that there was a satisfactory assessment procedure in place. Information had been obtained from other professionals such as social services. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 9 Some information about the home is also contained on service users personal files. A service user who agreed to share her personal file was aware of the information contained in it and explained how she had been involved. Records checked on this occasion demonstrated that there is a good assessment procedure in place, which includes assessing any potential risks. From this information care plans are developed identifying how individual needs are to be met. Seven service users who had completed questionnaires said they received enough information about the service to decide it was the right place for them. One had not answered the question. Additional comments made were “my parents and I were happy with what we saw when we looked around”, “I visited twice, once with my parents and once with my support worker”, “I knew I liked it when I looked around it with the manager” and “I was given information and was able to talk to staff” Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans contain detailed information to ensure service users needs and personal preferences are identified. Service users are actively involved in the planning of their care and supported to make decisions about their lifestyles. Their independence is promoted. EVIDENCE: Records checked demonstrated that service users had been involved in the development of their care plans, which are reviewed on a monthly basis. If able service users complete them themselves, for example it was noted that a service user had completed her monthly review report. Discussion with the service user also confirmed that she is actively involved in the more formal review held at which relatives and other professionals are invited to attend. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 11 Care records contained information to demonstrate that individual risk assessments had been completed in relation to aspects of daily living or activities that service users participate in. Any outcomes of these are identified and included in care plans, although an instance was noticed relating to a risk assessment that needed reviewing which the manager agreed to do at the time of the visit. Discussions held with staff on duty indicated that they had a good knowledge of the needs of service users. Service users indicated that they felt able to make their own decisions as to their lifestyles in the home and community and if needed staff supported them to make decisions and choices. This was also confirmed in the questionnaires completed by service users as three commented that they “always” made decisions about what they did each day, four said “usually” and one said “sometimes”. All said they could do what they wanted during the day, in the evening and at weekends. A service user said “I can go out or stay in anytime”, another that she had a choice as to which staff member she chose to be her “key” worker, which is a specific member of staff who has specific responsibilities for particular service users. Service users also made comments, which indicated that staff respected their rights. Information was seen on service users personal files explaining where they could go to for independent support if needed. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users independence is promoted within the home and community through the educational, recreational and social activities that are available. Service users are supported to maintain and develop contact with family, friends and the community. A well balanced diet based on residents individual preferences and dietary needs is provided. EVIDENCE: Discussion with staff, comments from service user questionnaires and from a sample of records checked it is clear that service users have a choice and are able to participate in a range of activities, work and leisure interests which meets their individual needs and preferences. For example service users Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 13 talked about the different holidays they had last year. Leisure sheets are kept demonstrating the activities that service users choose to do. Service users are also able to attend Church if they so wish. Records and discussions held confirmed that service users are able to receive visitors when they wish and make visits to friends and family. Observations during the visit and discussions indicated there are opportunities for service users to develop skills to enable them to be as independent as possible. For example being involved in domestic tasks. From the monitoring reports that the commission receive on a monthly basis from the organisation, service users have had opportunities to go on various trips such as to the pub, cinema and swimming. A service user is also on a course at an equestrian centre. There is a minibus bus, which was being used on the day to take some service users to day services also operated by the organisation. There is some flexibility with staffing arrangements to enable service users to have a choice as to what they participate in, however discussion with staff and the manager indicated that staff shifts finish at 22:00 hours which, could affect service users if they wished to stay out after this time although current service users had not indicated a wish to do so. Comment’s from a service user was complimentary about the meals and said chicken curry was one of her favourites. This was noticed to be included on the menus seen. Records checked and discussion with a staff member confirmed that staff has basic food hygiene training in order to prepare meals in a hygienic and safe way. Service users comments indicated they are involved in food shopping and meal preparation and it was observed during the visit that a service user was emptying the dishwasher. Meals at the home are planned in advance using a rota for menus, and are put together using feedback from service users. Minutes kept of service users meetings demonstrated that they wished to follow a healthy diet and gave their ideas for menus. The menus submitted prior to the site visit demonstrated a healthy and varied diet is provided with opportunities of having meals out as well. The previous inspection report made references to nutritional assessments being undertaken by the team at the time of admission. The manager confirmed that with service users consent their weight is monitored. This is another means of ensuring their health and welfare. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users individuality, privacy and dignity are respected and personal care is delivered in a way, which enables them to develop their independence and promotes their health and welfare. There are satisfactory systems in place in relation to how medication is managed in the home, which promotes service users independence. EVIDENCE: A comment from a service user indicated that she had a choice as to who became her “key” worker. Service users were noted to have good relationships with staff, which demonstrated trust. For example a service user, unprompted, requested a staff member to accompany him when showing the inspector his bedroom. It was noticed that service users had keys to their room and were able to come and go as they pleased around the house. Service users also gave examples of how their independence is promoted and their rights respected. Staff are currently undergoing training relating to Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 15 equality and diversity matters. The manager had a good understanding of such matters and during discussion gave an example of how the staff team had recognised, respected and sensitively supported a service user. Records checked demonstrated that service users health and welfare is well monitored. For example records detailed when service users had attended medical appointment such as chiropody, well man and woman clinics and dental appointments. The organisation also employs the services of a psychiatrist and psychologist. A comment from a service user indicated she was able to attend appointments as and when needed. The manager has overall responsibility for ensuring the organisations policy and procedures for medication are followed. There are satisfactory arrangements in place to store medicines safely and procedures in place for service users to independently administer medication after assessment. Staff confirmed that they had participated in medication administration training and the manager, that he had booked an appointment with the local pharmacist to visit and review the systems in place. Medication records were well maintained and up to date. The pre-inspection questionnaire completed by the manager prior to the visit indicated that there had been no change to the medication policies and procedures since the last inspection Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by accessible policies and procedures, which enable them to raise concerns or issues. They benefit from an environment, which welcomes their views about the service. EVIDENCE: The complaints procedure is available in different forms such as written, symbol and on DVD. Service users all said they knew who to speak to if they were unhappy and how to make a complaint. Comments such as “I can talk to all the care staff at Riverside or Seaton” (Seaton is the other home in Louth operated by Linkage Community Trust) and “ I would speak to James Kilner or a “house parent” (This is the preferred term which service users refer to care staff by). Of the eight questionnaires completed by service users prior to the inspection four said that staff “always listened and acted on what they said, three said “usually” and one said “sometimes”. Service users have various means of raising any concerns such as individually, at meetings and through independent advocates if they wish. Staff comments indicated that they were fully aware of their responsibility to remind service users there is a complaints procedure and support them to raise a concern. Records of any concerns or complaints are kept. This showed that two had been made since 31/01/06. In one instance it had been clearly recorded what Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 17 the outcome was and that it had been resolved. In the other the outcome was not recorded although the manager confirmed it had also been resolved. Service users were observed to have a good rapport with the manager and staff on duty. Adult protection training is included as part of staff training and records were available to demonstrate this. A copy of Lincolnshire Social Services Department Adult protection procedures was available in the home. Staff comments indicated they felt well supported by the management arrangements in place and confident that they would receive appropriate advice should any issues arise. No adult protection issues have been raised with the home or commission in the past twelve months Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides comfortable, clean, wellpersonalised and safe accommodation for service users where their independence can be promoted. EVIDENCE: The rooms of three service users were seen on this occasion. All were clean, comfortably and individually furnished and decorated. There is an on-going programme of redecoration and refurbishment and records confirmed this. Since the last visit the ground floor bathroom has been refurbished and an ensuite facility has been added to a service users room. An upstairs bathroom will benefit from a planned refurbishment scheduled for the new financial year. The manager confirmed that all baths and showers had been fitted with hot water temperature regulating devices and these were also planned to be fitted to wash hand basins. This reduces the risk of service users being scalded. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 19 Any maintenance issues are reported and records demonstrated when they had been addressed. As this is a property, which is a large domestic style home, the communal rooms are also furnished as such and were well decorated and maintained with no obvious safety issues noticed. Seven out of the eight service users who completed questionnaires indicated that the home was fresh and clean “usually” or “always”. Service users are able to increase their independence by helping with the household tasks and a service user commented “ I like to help clean the house so I don’t get bored or fed up”. The manager said that he had a recent visit by a fire safety officer although he had not provided a written report. Fire safety equipment was in place and had been checked. Risk assessments had been documented in relation to the environment and fire safety. Staff comments and records checked indicated that training about infection control is part of the organisations programme. Gloves were also seen available for staff to use to promote good hygiene practices. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 25 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a satisfactory recruitment procedure and by a well-trained, knowledgeable and supportive staff team. EVIDENCE: There is a consistent staff team. No new staff have been employed and therefore no records of recruitment were checked on this occasion. Previous reports have indicated that there is a satisfactory recruitment procedure in operation and staff have been recruited safely using policies and procedures developed by the organisation. The manager confirmed that service users are involved with the process of recruiting staff and are part of the interview panel. Services users made positive comments about their relationships with staff and a good rapport was noticed. Comments indicated that they felt able to raise any concerns and that carers treated them well. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 21 There are records available to demonstrate various training sessions that staff attend. This includes a range of topics, some which are updated periodically to ensure staff have up to date knowledge and skills and others that are more specific to the needs of service users. For example records checked indicated that since 14/03/06 there had been training relating to food safety, adult abuse awareness, manual handling, infection control, challenging behaviour, autism and equality and diversity. The information provided by the manager prior to the site visit demonstrated that all care staff had had first aid training and 50 of them had achieved a nationally recognised vocational qualification (NVQ) at level II or above. A staff member also confirmed that she had attended a wide range of training opportunities and confirmed the training that she would be doing in the future Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well-managed and service users health, safety and welfare is promoted by the policies, procedures and record keeping systems in place. The systems in place to monitor the quality and the development of the service ensure the involvement and participation of service users. EVIDENCE: There has been no change to the management arrangements of the home. The manager has a lot of experience working with adults with learning disabilities and relevant training. Service users knew who was in charge and comments and observations made during the visit indicated that they were comfortable to ask for support from the manager. Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 23 Staff felt valued and supported by the systems in place such as staff meetings, supervision and appraisal. A comment made was “it is a good company”. There are various ways in which the quality of care is monitored and the views of service users obtained to develop the service. For example regular meetings are held in the home with service users and notes are kept. There are monthly visits from a senior manager who monitors the quality of the service. There is a formal quality auditing system “European Foundation for Quality Management” (EQFM) which uses surveys with staff and service users to obtain their views and there is a “Pointers” committee. The manager is involved with the latter. It is a committee, which is run by and for service users, and people who use the organisations wider services. Such groups enable service users to influence the development of the service. A copy of a newsletter, which is produced from the “pointers” group was seen and is circulated to all services. The organisation has a range of policies and procedures to promote the safety of service users. Staff signatures had been obtained to demonstrate that they had read these. Some such as the procedure to be taken in the event of a fire occurring was on display. There are also risk assessments in place relating to maintaining a safe environment as well as a fire risk assessment of the premises. Staff confirmed as did training records that they have training relating to health and safety issues. There are also records in place to demonstrate that health and safety matters are regularly checked and monitored for example records were available to demonstrate that the fire alarms were being tested weekly, fire evacuations were held monthly. Records had been dated demonstrated for example when portable electrical items had been tested and the central heating system serviced. Riverside DS0000002410.V327901.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 Adults 18-65 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 3 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 3 X Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? 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 Riverside DS0000002410.V327901.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Riverside DS0000002410.V327901.R01.S.doc Version 5.2 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!