Inspection on 03/07/07 for Riverside Park (12)

This inspection was carried out on 3rd July 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside Park (12) 30/06/08

Riverside Park (12) 07/06/06

Riverside Park (12) 05/01/06

Riverside Park (12) 23/08/05

Riverside Park (12) 17/01/05

Riverside Park (12) 12/08/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Riverside Park (12) South Hylton Sunderland SR4 0RT Lead Inspector Mrs Elsie Allnutt Key Unannounced Inspection 3rd July 2007 10:00 Riverside Park (12) DS0000015757.V340191.R02.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 Park (12) DS0000015757.V340191.R02.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 Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Park (12) Address South Hylton Sunderland SR4 0RT 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) 0191 534 6695 0191 534 6695 www.c-i-c.co.uk. Community Integrated Care Catherine Lauder Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: Riverside Park is a service run by Community Integrated Care, a registered charity, and has been opened since 1995. The home is registered to provide a residential service for four adults with learning disabilities. The home is situated amongst other new and varied housing near to the river in the South Hylton area of Sunderland. It was built as a domestic building and still retains that appearance. There is a large garden at the back and a drive at the front, which is spacious enough to allow four cars to park. There are local shops and other resources nearby. Each person has a single bedroom that locks, and the use of the communal areas of the building that includes a lounge, dining room, kitchen and two bathrooms. Staff are available 24 hours per day, seven days a week to support people in their daily lives and to provide sleep in night cover. A consistent approach to all areas of service users needs is achieved by a key worker system. The aim of the service is to offer the people who live here a good quality of life by promoting independence as far as possible and a valued lifestyle through access to community based activities. The home has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. The fees charged by the home are £817.08 per week. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took 8 hours over one day in July 2007. The judgements made are based on the evidence available to the inspector during the inspection. Discussions took place with four service users and five members of staff as part of the inspection process. As some of the service users do not have effective verbal communication their satisfaction of the service was interpreted through the observations of body language, interaction with staff, discussions with staff and the examination of records. This showed that all were satisfied with the service and the care and support given by staff. A tour of the building took place, and a sample of staffing and service users’ records was inspected and the inspector took a light lunch with service users. What the service does well: Each service user living here has a care plan that is written in a way that promotes their privacy and dignity and describes in detail how personal tasks are to be carried out. This ensures that each member of staff supports individual service users in the same and their preferred way. This home is nicely decorated and has comfortable and attractive furniture. Any repairs needed are seen to directly and staff and service users carry out good cleaning routines that keeps the home clean and tidy and free from any risk of infections. Service users were pleased to show their individual rooms that were decorated attractively and according to their wishes. One service user proudly said that their room had recently been decorated and they had chosen their favourite colour for the walls. All of the staff attend training that has given them qualifications. This has helped them to understand and carry out the relevant level of support people living here need. Service users and staff now know each other well and get on well together. This makes a friendly and warm feeling in the house. Staff support service users to live interesting lives and encourage and support them to use facilities in the local area where they live. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 6 During the inspection process everyone in the house was involved in some sort of activity. One service user enjoyed helping out in the kitchen and another was writing at a desk in their room, while another watched TV while knitting. Activity programmes pinned to the notice boards in individual bedrooms remind service users what they are doing each day. What has improved since the last inspection? What they could do better: So that service users and other interested parties are informed about the fees charged by the home these with the terms and conditions of the home must be included in the Service User Guide. To enable service users to have further power over their lives annual planned reviews should take place, where service users have the opportunity to invite important people in their lives to discuss their current plan of care and aspirations. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 7 The manager should aim to complete the Registered Managers Award and the NVQ4 in Care within the next 12 months. This will mean that service users are living in a home led by a fully qualified manager. So that service users and staff are kept safe doors must not be kept open with anything other than a electronic mechanism that is connected to the fire alarm system so that when the alarm sounds the door automatically closes. 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 Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 8 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 Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 9 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. Service users are provided with good information about the service. This is in a format that is easy to understand. This helps service users to make an informed choice about where they would like to live. A contract is in place that informs service users of the home’s terms and conditions and the fees to be paid. Good multidisciplinary preadmission assessments demonstrate residents’ needs and aspirations and assist the home to make an informed judgement as to whether they can meet these. EVIDENCE: The home has developed a Statement of Purpose and Service User Guide. Both documents have recently been reviewed and updated to ensure that they include up to date information about the service. So that the service users and people interested in the service are aware of the fees charged by the home these must be included in the Service User Guide with the Terms and Conditions Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 10 Each service user has a contract that describes the home’s terms and conditions and the full fees charged. A clear breakdown of the fees informs service users or their representatives of the contribution they need to pay and how the rest of the fees will be paid. There is also a separate contract in place in relation to the money paid towards the running of the home’s vehicle. This clearly explains how service users’ individual mobility benefit is broken down towards this cost. Both contracts are signed and kept in individual care files. The home has a policy that states that prior to anyone moving into the home a full assessment of need is carried out by the referring agency and by the home. Visits to the home by the prospective service user are arranged. This is so that the people living at the home can meet the prospective new service user and come to a decision whether the placement will be compatible to everyone. All of the people currently living at the home have lived here since it opened and multi disciplinary assessments carried out prior to their admission are in place. The care plans reflect these but have also been adapted to address changing needs and aspirations. The manager is currently carrying out an assessment of need for a prospective service user who has been referred to the home in response to a current vacancy. The referring agency has provided a full assessment and a current care plan. The manager of the home has also carried out an assessment both at the person’s home and the day centre they attend. A meeting is planned to take place with the Care Manager and a representative from the day centre. Depending on the outcome plans will then be put in place for the person to visit Riverside Park and to be introduced to the service users and staff. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 11 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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans that guide staff to appropriately support service users’ care needs and enable staff to support service users to make choices about their lives are in place and are an outcome of ongoing assessment. Service users are supported to develop their independence while at the same time they are supported to take risks safely. EVIDENCE: Care plans are in place for each service user. The information recorded in them is current and clearly guide staff in relation to addressing the personal, social and emotional care needs of individual service users. Although the care plans are monitored monthly and changing needs are addressed by the home, no annual review takes place that allows the service users to invite important people in their lives to discuss the plan of care in place. This issue was further discussed with the manger. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 12 The contracting agency reviews the placement with a tick box survey. An excellent pen picture at the beginning introduces the reader to the individual care plan and at a glance gives a quick but detailed outline of the individual person and their needs. The care plans are written with a person centred approach and they are illustrated with pictures so that service users have access to what is written about them. Service users know where they are stored and how to access them. The key worker system works effectively and gives consistency to service users. This was particularly evident for one service user who on occasions can demonstrate challenging behaviours. Guidelines are in place for all staff to follow in relation to addressing the behaviours and staff are requested to sign them when they have been read. The key worker monitors the effectiveness of this and records the outcome appropriately. Risks are identified and addressed appropriately. Risk management plans are put in place to reduce the risk of harm to the service user, however currently these are recorded at the back of the care file away from individual care plans. The manager discussed how these could be further improved and it was agreed that the risk management plans could be more effective if they were directly linked to the care plan. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to live appropriate and fulfilling lifestyles both in their own home and the local community. The service supports service users’ rights and promotes their independence, while it also successfully supports them in maintaining relationships with family and friends. Meals are healthy, nutritious and attractive, and are prepared to meet the individual dietary needs of each service user. EVIDENCE: All of the service users have individual weekly activity programmes that are evident in their care plans. These vary according to individual preferences but Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 14 confirm well-organised and active lifestyles. Some activities are mainly centred in the community while others are based in the home. The home is run and organised to promote the recognition of respect, privacy and the rights of service users. Service users move around the home with confidence and demonstrate ownership of their environment. So that individual activities are purposeful and successful care plans include clear guidelines for staff to follow in relation to them. Staff confirmed that by supporting service users to follow individual routines in the same way has resulted in greater success for the individual to learn new skills. Care plans confirmed that this has been particularly helpful for one service user who through a consistent approach is now more independent and in control of their life. Service users were observed clearing tables and washing dishes. Records confirmed that one service user is encouraged to iron their clothes and clear guidelines direct staff to be consistent in their approach when supporting this task. Service users discussed the holidays they had planned for later in the summer. These include a week in Cragg Tara Scotland for two service users and planned days away for another who prefers to make their holiday base from home. Staff support service users to maintain contact with families and friends. Bedrooms display photographs of family members and service users are encouraged and supported to talk openly about them. A varied nutritious menu is offered at the home that caters for individual preferences and needs. There are lists of food likes and dislikes in each service users care plan. A weekly menu sheet is kept for each service user so that individual diets can be monitored and individual preferences kept up to date. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 15 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 good. This judgement has been made using available evidence including a visit to this service. Service users’ personal and healthcare needs are met in a flexible but consistent manner, reflecting a healthy lifestyle. Medication arrangements are appropriate to the needs of service users and they are managed safely and appropriately, ensuring that the welfare of the service users is safeguarded. EVIDENCE: Service users are supported to register and attend healthcare practices in the local community. Visits to the GP, dentist’s opticians and other healthcare professionals are recorded in individual care files with the outcome of the visit. Staff support service users to access healthcare screening programmes according to their gender at appropriate regular intervals in their lives. Dates of the appointments and the outcomes are recorded. Staff and the healthcare officials involved in the lives of individual service users work closely together. Healthcare needs are clearly recorded in the care files Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 16 and developed as a care plan if needed. Any health or behaviour changes that are observed by staff are clearly recorded and if needed action is taken to gain specialist healthcare advice. The guidance given is recorded in the care plan. The improved communication skills of one service user have been particularly noted. The manager stated that this is largely due to staff taking a more positive and consistent approach. The outcome of more effective communication has meant that the service user now goes out more and has built up a portfolio of activities. All of the people living at this home currently have good mobility. Apart from a shower seat and grab rails in the bathrooms, service users do not need any special aids. Staff support service users with their personal tasks in a discreet and respectful manner. Medication is stored and administered appropriately. Staff and records confirmed that staff only administers medication after receiving specialised training. The home is currently developing basic information about different medicines into picture format, so that staff can give an explanation of the different medicines individual service users are taking. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 17 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. Appropriate arrangements are in place to protect service users from abuse and to seriously address complaints and concerns about the service. EVIDENCE: The home has a comprehensive Complaints Procedure that is also in picture format. Staff confirmed that service users are supported to address concerns on a daily basis and in key worker meetings. One service user said they are happy to talk to the staff about any worries they have about the service. They said or indicated that they are content and like living at the home and feel safe there. No complaints have been recorded since the last inspection. It was noted that the recent changes to the Commission for Social Care Inspection’s (CSCI) address and telephone number needs to be reflected in the Complaints Procedure. All staff have attended training in relation to the protection of vulnerable adults (POVA) and the local authority’s POVA procedures. A copy of the procedures is available in the home for staff to access. Staff were able to appropriately discuss the steps they would take if an incident of abuse was reported to or observed by them. . Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 18 The records and practices in place regarding the handling of service users finances, follows the home’s comprehensive policies, that aim to protect the service users from financial abuse. Clear guidelines are included in the individual care plans regarding how money is accessed from the bank and where it is stored. Records are kept of all transactions and receipts are kept when individual service users are supported to make purchases. Records confirmed that benefit payments to the individual service user and fees paid to the company correspond appropriately. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 19 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is homely, comfortable, clean, safe and decorated and furnished to a high standard. It therefore provides service users with spacious, private and communal spaces in which to live. EVIDENCE: The bungalow is set in its own grounds and surrounded by other privately owned houses. The neighbours and service users living here interact positively. This home is furnished and decorated to a high standard. There is a very high standard of cleanliness throughout that reflects effective cleaning routines. Although the washing machine is placed in the kitchen there are individual risk assessments and guidelines in place to guide staff to support service users to carry out individual washing tasks appropriately. This reduces the risk of cross contamination taking place when washing is in process. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 20 Individual bedrooms reflect the different personalities of the service users living there. Service users were proud and enthusiastic to show their rooms. One said, “My room has just been done out and I chose the colour, it’s my favourite.” The kitchen-cum-dining area allows for service users and staff to use the activity of preparing and cooking meals as a time for communication. The large dining table that accommodates both service users and staff together provides a focus where a mixture of serious discussion and light “chatter”, takes place. Here service users are given appropriate time and support to take part in discussions about the service and any future plans. All areas of the bungalow overlook attractively presented gardens that are well maintained and accessed by service users through a door at the rear of the building. Although the step into the garden is quite high the manager confirmed that no current service user finds this a problem. This is currently being monitored and a risk assessment is in place. The garden is well designed, attractively maintained and well used by service users. It is furnished with good garden furniture and a greenhouse where service users grow tomatoes and other plants. One care plan illustrates how one service user is responsible for watering the plants. Plans are in place to paint the internal areas of the home not yet complete and the outside of the building. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 21 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): 34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment & selection procedures and regular training opportunities ensure that service users are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: The staffing ratios employed at this home mean that the personal and emotional needs and daily lives of service users who live here are appropriately supported and encouraged. The staff team is well qualified with 67 having achieved NVQ 2 or 3. All staff are up to date with mandatory training. A new member of staff confirmed that they had attended all aspects of mandatory training that also includes person centred planning. All new staff follow a comprehensive induction training schedule based on the Skills for Care Induction standards. For the staff at this home these are accessed on the home’s computer network. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 22 One recently employed member of staff referred to his process and said: “It is really good to work through, you can do it at your own pace and it guides you to follow up the new learning with work based practice. For example after completing a topic it suggests now you look up your own home’s policies and procedures on that subject.” All staff were observed working enthusiastically and focussed in their role, supporting service users both sensitively and with interest. Regular staff meetings allow staff to discuss all areas of their work as a team and to address any current issues with the guidance of their manager. Examination of a sample of recruitment records confirmed that the company’s recruitment procedures are followed. Of the files examined all had completed application forms, 2 references and satisfactory CRB checks. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 23 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager, who is well supported by her staff team, provides good leadership and runs a service that has effective monitoring systems that are focussed on the best interests of the service users. EVIDENCE: The manager has managed this home for over a year and is now registered with the CSCI (Commission for Social Care Inspection). She has been a manager for the Company for the past 5 years. This includes managing supported living schemes. Currently the manager is working through the Registered Managers Award (the RMA) and has become familiar with the National Minimum Standards as part of this. On completion of the RMA there are plans to complete NVQ 4 in Care. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 24 The manager is up to date with mandatory training and is also a qualified instructor for CPI (Non violent crisis intervention) that is accredited through BILD (British Institute for Learning Disabilities). The manager recognises that it is important to attend training in relation to her role. Training recently attended includes: Stress Recognition, Understanding Medication, Food Hygiene, Quality Assurance and Monitoring Systems, Moving and Handling Facilitator, Supervisory skills and Risk Assessment. This service has a quality assurance system in place that includes the provision for asking service users their views on the service provided. The system is monitored internally monthly by the manager and annually by an external person. This ensures that the home’s policies and procedures are put into practice and that the service is led in the best interests of the service users. Health and safety procedures are in place and staff practices reflect acknowledgement of these however the following health and safety issues were brought to the manager’s attention: • • The fire log highlighted that the fire drill is currently a week over due. The manager confirmed that this was planned to take place later in the week. It was noted that chocks pushed under two doors kept them open. This is unacceptable practice as it could put service users and staff at risk. This was brought to the manager’s attention. If doors are to be kept open this must be achieved by an electronic mechanism that is connected to the fire alarm system that in the event of a fire and the alarm sounding the door would automatically close. Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 25 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 2 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 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X X X X 2 X Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 26 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. 1 Standard YA1 Regulation 5(1)(b) Requirement The registered manager must ensure that the Service User Guide includes the fees charged by the home. The manager must aim to complete the Registered Managers Award and the NVQ4 in Care within the next 12 months. The registered manager must ensure that any door needing to be kept open is done so by fitting an electronic mechanism to it, so that in the event of a fire and the fire alarm sounding the door automatically closes. Timescale for action 31/08/07 2 YA37 9(2)(i) 31/07/08 3 YA42 13(4) 31/08/07 Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 27 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 YA6 Good Practice Recommendations To enable service users to have further power over their lives consideration should be given to planning annual reviews, where service users have the opportunity to invite important people in their lives to discuss their current plan of care and aspirations. Consideration should be given to link the risk management plans directly with the care plans. The recent changes to the address of the CSCI should be reflected in the home’s Complaints Procedure. 2 3 YA9 YA22 Riverside Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Park (12) DS0000015757.V340191.R02.S.doc Version 5.2 Page 29 - 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!