Inspection on 26/01/07 for Riverside House Residential Care Home

This inspection was carried out on 26th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside House Residential Care... 23/01/06

Riverside House Residential Care... 20/10/05

Riverside House Residential Care... 07/12/04

Riverside House Residential Care... 14/06/04

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

CARE HOME ADULTS 18-65 Riverside House Residential Care Home 337a Seven Sisters Road Hackney London N4 1QR Lead Inspector Yemi Adegbite Unannounced Inspection 26th January 2007 10:15 Riverside House Residential Care Home DS0000010284.V328244.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 House Residential Care Home DS0000010284.V328244.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 House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside House Residential Care Home Address 337a Seven Sisters Road Hackney London N4 1QR 020 7503 5978 020 7503 5978 dymphnacaulheld@hotmail.com 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) Mr & Mrs Despo & Jim Gopalla Nelson Svosva Gudza Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Riverside House is a care home offering care and support to service users who have mental health support needs. The home offers support for service users preparing to live within the community, offering accommodation, supervision and assistance. The home operates a key worker system; service users receive guidance with regard to managing their personal care, health needs and finance. The home has adopted a multidisciplinary approach to working with service users, liaising regularly with external professionals. The home is a three-storied house on Seven Sisters Road, a main road, near Manor House Station in the London Borough of Hackney. The home is nicely furnished and decorated with a homely appearance. Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by one inspector over the course of a day. The Inspector met with the homes Registered Manager, the Responsible Individual and spoke privately with one service user and two members of staff. In addition the Inspector sampled service users personal files, staff personnel files and other documentation relevant to the running of the home. The focus of this inspection was to look at key standards and to establish the progress with the requirements from a previous inspection on the 23rd January 2006. Verbal feedback was given at the end of the inspection. The inspector would like to thank service users and staff for their assistance with this inspection. What the service does well: The managers and staff team were committed and dedicated to their job. The home obtains relevant information from other professionals as part of their referral process. It also carries out its own assessment on potential service users. The home develops with service users a plan that details their personal, social and healthcare needs. Service users are also supported to be independent with their finances where appropriate. Service users are involved in the day to day running of the home by regularly holding weekly meetings. The home was welcoming and the service users had the freedom to come and go as they please. Health and safety records required by legislation and regulation were appropriately maintained and available for inspection. The home obtains pre employment checks for new staff including a Criminal Records Bureau check, two satisfactory references, and photocopies of qualifications and proofs of identity. The home has an induction programme for new staff members to follow. The staff and service users were relaxed and comfortable throughout the inspection. The staff knew the service users well and were able to discuss any issues with the inspector freely. Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: In order to ensure that the home’s users, the home must ensure that the recorded at all times with evidence registered manager was also given Pharmacist Inspector. medication policy protects the service temperature for the medication fridge is of this available for inspection. The further advise on this issue by the The responsible person must ensure that the complaint policy is updated to refer to the Commission for Social Care Inspections rather than the National Care Standards. 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 House Residential Care Home DS0000010284.V328244.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 House Residential Care Home DS0000010284.V328244.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): 1,2, 3 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of prospective service users are assessed prior to their moving in, and the home has evidenced that it is able to meet these. There is comprehensive information in place to enable a prospective service user to make an informed choice about where to live. All service users have a statement of expectations & rules. EVIDENCE: The home has had one new admission (23rd March 06) since the last inspection. The Inspector sampled their personal file and found that a range of information had been obtained as part of the referral process, which included referral details from the placing authority, and a comprehensive detailed assessment carried out by the home. The inspector saw evidence that the referral process was undertaken with the involvement of the service user and other professional. The home does not accept emergency admissions. Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 9 Discussion with service users and cross tracking of files evidenced that the home was endeavouring to meet the assessed needs of the individual service users. Both the service users guide and the statement of purpose were available. These were comprehensively written documents, which contained all the relevant information required in the National Minimum Standards. It was also positively noted that the newly appointed manager was in the process of updating the statement of purpose to reflect the management changes. All service users have a statement of expectations & rules and these were seen on file. Riverside House Residential Care Home DS0000010284.V328244.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): 6,7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to participate in the day-to-day running of the home and benefit from individual plans detailing their care. These are regularly reviewed and associated risks identified. Service users are involved in development of their care plans and have access to them if they wish. Confidentiality is respected. EVIDENCE: The Inspector sampled the personal files for two service users currently living at the home. This evidenced that the home develops and agrees with service users an individual plan that describes the services to be offered. Area’s addressed in the individual plan include care, health and financial needs. The care plans sampled by the inspector were reviewed accordingly and had been Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 11 signed by the service users to evidence their participation in their development. A daily record is kept for each service user and care plans are evaluated using this information. A key worker system is in place with service users meeting with their key worker for 1-2-1 sessions on a monthly basis or as often as needed. The inspector was informed that there were general health and safety risk assessments in place. Care plans seen by the inspector include detailed history and risk assessments for areas such as smoking, financial issues and the use of sharp tools whilst cooking. These include actions taken to minimise risk and are agreed with the service user and if appropriate, with the multi-disciplinary team, with whom the manager and staff work closely. The home organises weekly meetings for service users to participate in the running of the home. The proprietor stated that the home empowers the service users by supporting them to take the weekly minutes with minimal involvement of staff members. The inspector sampled recent minutes for these meetings and evidenced that matters such as choice of food, Christmas decoration and general maintenance of the home was discussed. The registered manager stated that each service user has a task list for the week, which indicates allocated slots for completing tasks such as room cleaning, shopping and laundry. Service users spoken to confirmed this statement and were generally happy with the arrangements in place. Four service users are supported to manage their own finances, and details of the support required are detailed in their individual plan. Each service user who is identified as requiring support to manage their finances has their own financial log where a record of all financial transactions is maintained. Two of these financial logs were inspected and deemed accurate. The registered manager stated that the home operates an open file system for all the service users ensuing they have access the their files when requested. There are policies in place with regards to confidentiality. Staff spoken to were aware of the need to maintain confidentiality and also in what circumstance they may need to share information with a more senior member of the team. The inspector also observed that service users information was securely kept in the staff office. Riverside House Residential Care Home DS0000010284.V328244.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): 12,13,15,16 &17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to identify and where possible, engage in, a range of community, leisure and occupational activities. They are also encouraged to maintain appropriate contact with their families and friends. Service users are encouraged to take responsibility for themselves and to further develop independent living skills. EVIDENCE: The inspector saw evidence that service users are supported to take part in appropriate activities with service users given opportunities to develop social and emotional skills. Records inspected such as individual care plans, risk assessments and daily logs showed that service users are encouraged and supported to develop and regain practical skills. Service users attend various Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 13 activities such as colleges, day centres, gardening, community outings, the manor house club and voluntary work placemat. It was positively noted on the day of the inspection that the registered manager offered help and assistance to a service user experiencing difficulties with his benefits payment. The inspector observed service users accessing the local community alone and with support from members of staff for example, the inspector saw a member of staff escorting a service users to the dentist. Service users are issued keys to their own bedrooms, food cupboards and the front door and are independent in using the facilities available in the community. Where support is required, this is agreed with the service user and documented. Service users mails are logged when received and signed for when staff passes it on. Throughout the course of the inspection, the inspector observed that service users are able to choose when to be alone or in company, and when to join in an activity and that staff talk to and interact with service users in a positive manner. Individual plans evidence that service users are supported to develop and maintain independent living skills, for example maintaining their own bedrooms, budgeting skills, undertaking weekly shopping and cooking for themselves. Staff will provide support and help to service users needing extra encouragement when required. The inspector was informed that while meal choice are entirely the decision of service users, staff encourage health eating options for example staff suggest health eating options to a diabetic service user. The home provides basic foodstuff and service users are given £20 per week for their weekly shopping in addition to their own monies. Service users spoken to stated that this amount was sufficient. The inspector viewed the kitchen premises, which were kept clean and hygienic. Records of fridge/freezer temperature charts were viewed and deemed appropriate. Riverside House Residential Care Home DS0000010284.V328244.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): 18, 19, & 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported where needed with their personal care and a record is kept of all healthcare appointments. However for these standards to be fully met, the manager must ensure that the home’s medication practice does not put service users are risk. EVIDENCE: Currently service users are generally self caring though some may require prompting at times. All service users are registered with a general practitioner and are encouraged and supported, as necessary, to attend appointments and to have an annual health review. Service users have an allocated key worker with whom they meet regularly to discuss among other things, any concerns or worries they may have. Both of the service user personal files sampled by the inspector contained a health appointment record. This included details of diabetic nurse, optician, Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 15 dental, and GP appointments with outcomes recorded on sheet and the individual log. The registered manager stated that the home offers support and advise in regards to a diabetic service, which includes menu suggestion/monitoring. The inspector saw evidence of a blood glucose chart in place for this service user with regular input from the GP and dietician. The home aims to meet individual service users needs, and times for getting up, going to bed, bath, meals and other activities are therefore flexible and tailored to the service user individual needs. Service users were observed exercising their individual choice throughout the inspection for example, accessing the local community, staying in their rooms and watching television. Members of staff were observed to interact with the service users in a supportive and dignified manner with service users stating to the inspector that they felt happy living at the home. The home encourages and support service users to be proactive in all aspect of their daily care for example, a service user was observed prompting staff for his medication at the appropriate time. Staff who administer medication are trained in-house and assess as competent to administer medication. The inspector was advised that medication is generally supplied by the pharmacy in individual dossett boxes and blister packs. The Inspector compared the available medication against that listed on the Medication Administration Record (MAR) for each service user. This was generally in order as all available medications were listed on the MAR. Medications were stored in a locked cupboard in the office. The home has a lockable medication freeze which is located in the staff office. This freeze contained a dosage of insulin however there was no records to indicated that the temperature of this freeze was recorded on a daily basis as expected. The registered manager was advised to ensure that appropriate measures is taken around the storage of medication in order to ensure the safety and wellbeing of service users. He specified that he was unaware of this requirement however; he stated that appropriate measure would be taken to ensure the situation is rectified. The CSCI Pharmacist Inspector also gave further advice to the registered manager in relations to medication storage. Riverside House Residential Care Home DS0000010284.V328244.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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All staff have received training in adult protection. There are policies and procedure in place to protect service users from abuse. EVIDENCE: The ethos of the home is one, which actively encourages service users to express their views and to be involved in the day-to-day operation of the home. Service users and staff spoken to during the inspection stated that they felt free to voice their opinions and felt sure it would be acted upon fairly. There is a clear complaints procedure which includes details of the responsible individual should service users wish to raise concerns to people outside the home. However these documents refers to the National Care Standards rather than the Commission for Social Care Inspection. The manager was advised to ensure that these documents are update. There have been no complaints since the last inspection. The home has adult protection and whistle blowing policy in place. Staff spoke to during the course of the inspection stated they have received relevant POVA training and were aware of their responsibilities and the necessary actions to be taken should they witness or suspect abuse taking place. Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 17 The inspector checked a random selection of service users finances and these were deemed appropriate. Service users money was securely kept in the office and is checked by staff during each handover. Riverside House Residential Care Home DS0000010284.V328244.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): 24,25,27&30 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 generally well maintained and comfortable home. EVIDENCE: The home is situated in a residential area of Stamford Hill, in the London Borough of Hackney. The home is close to shops, transport links and other local amenities, and is in keeping with other homes in the area. The home consists of nine single bedrooms, sitting room, kitchen, dining area, office, bathroom/toilet along with a rear garden. The inspector was satisfied that the premises are suitable for the stated purpose, and it is accessible to service users. Part of the home was recently decorated with evidence seen of service users having an input in the decoration process. The inspector visited three service users bedroom. These were noted to be generally well maintained and personalised to reflect their individuality. All Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 19 bedrooms have locks and service users have a key to their rooms. Service users are responsible for cleaning their own room with support and assistance of staff if required. Communal areas include a lounge equipped with satellite TV, large kitchen, dining room and a garden at the back. Bathroom and toilet facilities are sufficient to meet the needs of the service users. Laundry facilities is provided and was found to be clean with COSHH products appropriate stored. On the day of the inspection, the inspector observed that the home was clean, comfortable and free from offensive odours. Riverside House Residential Care Home DS0000010284.V328244.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): 32, 34,35 & 36 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 the home’s recruitment practices and benefit from appropriately trained staff. Staff are appropriately supervised. EVIDENCE: Staff’s working in the home on the day of the inspection were approachable and worked professional with service users. They appeared to have skills and knowledge necessary to carry out their duties effectively. The registered manager stated that staff roles and responsibilities are further discussed during team meetings. Staffing rotas evidence that two members of staff are on duty at all times in addition to the manager with one member of staff covering the waking night duties with a sleeping in member of staff. There is an on call emergency procedure in place. Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 21 It was the view of the inspector that staffing level in place at the present moment is adequate to meet the needs of the service users. It was observed that staffing level is increased dependent on service users needs for example, on the day of the inspection, the inspector noticed that additional staffing was provided to accompany a service user to a health appointment. It was positively noted that the requirement issued in the last inspection report has now been met. The home’s recruitment process is robust which protects service users from abuse. The manager stated that he is in the process of employing two new members of staff and has undertaken appropriate measures to ensure the protection of the service users. Service users spoken to were consistent in their praise for the home and had no complaints about staff. During the inspection staff records were looked at and all flies viewed contained all the information listed in Schedule 2 of the Care Homes Regulations. On the staff records, a number of training certificates were seen as well as supervision and induction records. At the time of this inspection the registered manager advised the inspector that the home was in the process of developing its training plan for the coming year. Staff training is facilitated mostly by the management team. The home has an induction programme for all new staff members, which was evidenced on the files sampled during the course of the inspection. Most of the care staff working in the home have achieved either NVQ level 2 or 3 qualification with the deputy manager currently undertaking the NVQ level 4 qualification. Riverside House Residential Care Home DS0000010284.V328244.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): 37,38,41&42 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 generally well run home. Records are well maintained and up to date. There is a policy and procedure in place for management of all aspects of health and safety. EVIDENCE: The home appointed a new manager in November 2006 and has undergone the registration process with the Commission for Social Care Inspection. He has the support and guidance of the proprietor to ensure an efficient management transition. He has been a registered manager since 2001 working with ex- Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 23 offenders with mental health issues. The deputy manager is currently studying for their NVQ level 4 award. Staff spoken to felt that the atmosphere within the staff team was generally good and said that they felt able to raise concerns with the manager should they need to. Service users spoken to sated their satisfaction with the service they receive. The inspector sampled a range of health and safety records that the home is required to maintain. Water temperatures are regularly recorded and these were found to be within acceptable parameters. The home also carries out weekly fire call point tests and records indicate that these are all in working order. Fire alarm test was carried out during the course of the inspection and the inspector positively observed that appropriate actions was undertaken to ensure the safety of the service users, staff and the visitor. The home has current health and safety certificates and incidents were recorded. There have been no accidents since the last inspection. The home records temperatures for its refrigerators and freezers daily, which were found to be within acceptable temperatures. Opened food was appropriate labelled. However to ensure that this standards is fully met, the registered manager must ensure that the temperature for the medication freeze is recorded on a daily basis with evidence of this available for inspection. The home holds staff meetings; service users meetings care plan reviews all of which contribute to the quality assurance in the home. However the home does not currently survey service users family members, professional visitors or other stakeholders. Records were found to be up to date and well maintained. The monthlyunannounced reports were available for inspection. All visitors to the home are required to sign the visitors singing in book. Riverside House Residential Care Home DS0000010284.V328244.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 3 3 3 4 X 5 3 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 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 X X 3 3 X Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 25 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. 1 Standard YA20 Regulation 13.(2) Requirement The responsible person must ensure that the medication refrigerator temperature is recorded within the appropriate parameter on a daily basis with evidence available for inspection. Timescale for action 16/02/07 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 YA40 Good Practice Recommendations It is recommended that all documentation referring to the National Care Standards are updated and changed referring to the Commission for Social Care Inspection. Riverside House Residential Care Home DS0000010284.V328244.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 House Residential Care Home DS0000010284.V328244.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. 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