Inspection on 30/06/08 for Riverside Park (12)

This inspection was carried out on 30th June 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverside Park (12) 03/07/07

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 17/12/2008.

CARE HOME ADULTS 18-65 Riverside Park (12) South Hylton Sunderland SR4 0RT Lead Inspector Key Unannounced Inspection 30th June 2008 10:00 Riverside Park (12) DS0000015757.V367739.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 Park (12) DS0000015757.V367739.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 Park (12) DS0000015757.V367739.R01.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) registration, with number of places Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registerd person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: 2. Learning disability - Code LD, maximum number of places: 4 The maximum number of service users who can be accommodated is: 4 3rd July 2007 Date of last inspection 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 and 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.V367739.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 30th June 2008. During the visits we: • • • • • • Talked with people who use the service, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: The 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. Some of the staff have worked at the home for many years and have attended training that has given them qualifications that have helped them to understand and carry out the relevant level of support people living here need. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 6 Service users and staff now know each other well and get on well together. This makes a friendly and warm feeling in the house. Service users are empowered to take ownership of the home. They help with domestic tasks in the home and independently greet visitors coming to their front door. Staff assist service users to live interesting lifestyles and encourage and support them to use facilities in the local area where they live. 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. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 7 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.V367739.R01.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.V367739.R01.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. Good information about the home is provided to service users so that service users’ can make informed choices about living here and so that the service is confident that they can meet service users’ needs, a comprehensive assessment process is in place. EVIDENCE: Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 10 The home has developed a comprehensive Statement of Purpose and Service User Guide. The Service User Guide has been tastefully developed into a format that is accessible to the service users with the use of photographs and illustrations. Both documents are regularly reviewed and adapted as needed. All but one of the service users living at this home have lived here since the home opened. One person has recently moved into the home and has settled very well. They stated that they visited the home on several occasions before they finally made the decision to move in and in addition to this they were given information about the service. A contract stating the home’s terms and conditions is in place with the breakdown of the full fees and how they are to be paid. A separate financial contract is in place regarding the use and running costs of the home’s vehicle and how the individual service user’s mobility allowance will be used towards this. Both documents are appropriately signed. Pre admission assessments, one received from the referring agency, were carried out prior to the service user moving into the home and the care plans in place reflect the assessed needs and risks identified during this process. The service user confirmed that their aspirations, recorded during the assessment process, are currently being met. Riverside Park (12) DS0000015757.V367739.R01.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 are the outcome of ongoing assessment, guide staff to appropriately support service users’ care needs, promote their independence by safely addressing risks and enable staff to support service users to make choices about their lives. EVIDENCE: A new care plan format is in place and the service continues to have an effective system that encourages and enables service users to play an active part in the developing of their care plans. Each file is identified by a distinctive colour and when requested a service user is able to collect the file from its storage area. The care planning system covers all health, welfare and social issues and information is written with a person centred approach. The addition of a picture format system gives service users access to information written about them. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 12 The guidelines in the care plans for staff to follow clearly identify the amount of support needed by service users with different tasks and provide a consistent approach. In one instance this related to maintaining personal hygiene independently. So this can be accomplished safely risk strategy plans have been put in place as an outcome of assessment. Certain risks for example, wet floors and water temperatures have been identified and guidelines in place prompt staff to support and verbally prompt the service user to be aware of these areas. With the same approach service users are supported to carry out and develop their independence regarding domestic tasks within the home. For example, guidelines are in place regarding ironing, making snacks and using the laundry facilities with an emphasis on reducing the risks identified and promoting the individual’s independence. Staff stated that service users are encouraged to be as independent as possible and to take control over their own lives. The amount of support needed to achieve this is assessed as an ongoing process. Each service user has an allocated key worker who meets with them each month to discuss the progress of their care plans. For example for one service user the action plans in place relating to making basic meals were discussed and the service user was able to comment on how they felt they were progressing. In this instance, “things were making good progress.” Another record demonstrated that the monthly events had been discussed including the individual’s finances, money spent that month and their requests for further purchases including the money needed for a planned holiday. Care plans are also reviewed annually when other people involved in their lives are invited. Riverside Park (12) DS0000015757.V367739.R01.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 good. 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, while at the same time they are supported to maintain 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 recorded in their care plan. These are flexible but act as a structure to the individual’s week. They vary according to individual preferences but confirm well-organised and active lifestyles. Some activities are centred in the Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 14 community while others are based in the home depending on the needs and preferences of the service user. One person enjoys doing voluntary work as part of their weekly activity programme and spoke enthusiastically about it. The home is run and organised to promote the recognition of respect, privacy and the rights of service users. Staffs’ working practices reflect this. Service users’ rooms are respected as their private space and service users move around the home with confidence, demonstrating ownership of their surroundings. The care plans record the daily routines of the individual service users. Service users get up at their preferred time, sit where they choose and move around the home as they wish. Service users discussed the variety of activities that they enjoy including venues they hoped to go to for holidays away, they also discussed past holidays taken. Holiday venues are decided by the service users and this year will include a hotel holiday in Blackpool, a trip to London and various day trips away. Service users are encouraged and supported to keep regular contact with family and friends and related photographs are displayed in individual rooms and around the home as service users choose. A light lunch was taken with the service users and staff where much of the discussions took place. This was a pleasant experience where nutritious food that service users had chosen prior to the meal, was served at the dining table. Riverside Park (12) DS0000015757.V367739.R01.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, with the aim of allowing service users to take the lead. Medication arrangements are appropriate for the needs of service users and are managed in a safe manner. EVIDENCE: Service users are supported to register and attend healthcare practices in the local community and staff support them to address their individual healthcare needs by following guidelines in the care plans. Visits to the GP, dentist’s, opticians and other healthcare professionals are recorded in individual care files, with the outcome of the visit. Although all of the service users are independent in relation to some personal tasks, staff were observed to give prompts and support where needed. Clear information is recorded in the care plan clearly identifying what tasks are carried out independently and what tasks need support. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 16 Guidelines are in place in relation to one service user’s challenging behaviour and a letter from the consultant stated the positive progress made in relation to this. The changing needs of another service user have been clearly recorded and addressed and a referral has been made to a healthcare specialist for further advice. Apart from a shower seat and grab rails in the bathrooms, service users in the past have not needed any special aids, however the changing needs of one person has resulted in an assessment for additional aids being requested. The home has an effective medication policy supported by procedures and practice guidance, which staff understand and follow. Medication records are fully completed, contain required entries and are signed by appropriate staff. All staff have completed training regarding the safe administration of medication and the manager monitors compliance with the home’s procedures. One service user administers their medication independently and clear guidelines are in the care plan demonstrating how this process is carried out, while at the same time the risks involved and the strategies in place to reduce them, have been included. Riverside Park (12) DS0000015757.V367739.R01.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. Arrangements are in place to help 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 in picture format in an attempt to make it more accessible to the service users. Staff are aware of signs given by service users when they are not happy or are showing concern about something. This is recorded in individual care files and acted upon. Staff receive training regarding the local authority’s Protection of Vulnerable Adults (POVA) procedures and a copy of the procedures are available in the home for reference. Staff are aware of what action to take if abuse is reported to or observed by them, this also includes the awareness of institutional practice. Staff receive training in relation to Verbal and Physical Aggression and guidelines in individual care plans, when needed, guide staff to give a consistent approach with positive affect. There is a clear system for the recording of service users’ monies. Each service user has an individual locked money tin and records and receipts of purchases demonstrate how money is spent. In addition to this each service Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 18 user has a bank account where any money paid to them is deposited. Service users access this with support, all were aware of this practice. Riverside Park (12) DS0000015757.V367739.R01.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 excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment of this home is good, providing service users with a spacious, attractive, hygienic and homely place to live. EVIDENCE: This home maintains its high standards of décor and furnishings, recent redecoration, newly laid carpets and items of new furnishings reflect this. Service users bedrooms are attractively decorated to suit individual preferences and one service user with the support of staff discussed new furniture that was on order for their room. The gardens are extensive and well furbished to accommodate the individual interests of the service users. There is a green house where plants are grown and the large grass area allows different ball games to be played. The garden is also well equipped with garden furniture that has been renewed since the last inspection. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 20 The garden shrubs, plants and lawns are maintained to a high standard and are an attractive feature to the home as well as being an area that promotes a positive image of the people who live and work here. The step into the garden from the lounge is relatively high and although service users currently negotiate this safely, this is monitored regarding their safety. The kitchen is large and well designed, equipped with appropriate appliances and is a safe and hygienic area. Staff are aware of the measures to take to reduce the risk of cross infection due to having the washing machine sited in the kitchen area. Risk assessments in relation to this are in place as well as individual risk assessments related to service users carrying out individual laundry tasks. Staff have attended training in relation to the control of infection and domestic tasks carried out reflect this. Riverside Park (12) DS0000015757.V367739.R01.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): 33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment and selection procedures, regular training opportunities and supervision ensure that service users are appropriately supported and protected by a competent and qualified staff team. EVIDENCE: The number of staff designated to each shift is sufficient to meet the current needs of the service users, however the registered manager of the home is included in this number and can at times be called to address her managerial duties. The staff work with enthusiasm and are focussed in their role, all work with sensitivity when supporting service users and were able to discuss issues surrounding their work with competence and interest. Staff are guided in good care practice by the values and principles set in the GSCC’s Codes of Practice. Their work reflects this. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 22 Staff are up to date with mandatory training and all but one have achieved NVQ 2, some also have NVQ 3 and 4. This provides good skilled and experienced staff to address the needs of service users living here. Other training recently attended includes, the Mental Capacity Act, Food Hygiene, First Aid, Person Centred Planning and Diabetes. The home follows the company’s robust recruitment procedures and staff files include, completed application forms, 2 references and satisfactory CRB checks. Riverside Park (12) DS0000015757.V367739.R01.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 the necessary experience to run the home. She is registered with CSCI, has been in this post since March 2006 and was a manager 4 years prior to this, managing Supported Living schemes. She is also a qualified instructor for CPI (Non violent crisis intervention) that is accredited through BILD. Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 24 Although she is currently working towards NVQ 4 in Management she has not as yet achieved NVQ4 in Care or the Registered Managers Award (RMA). The importance of achieving these qualifications was discussed and the manager aims to achieve these as soon as possible. The home is managed well and good relationships have developed between the manager, the staff team and the service users. The manager is up to date with current issues surrounding learning disabilities and develops the service to reflect the principles of Valuing People. 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 being followed and that the service is lead in the best interests of the service users. Health and safety procedures are in place and staff practices reflect acknowledgement of these. The fire log and accident records are appropriately kept up to date. The manager ensures that staff follows the home’s and the organisation’s policies and procedures. She has a good understanding of her responsibilities as a registered manager and keeps CSCI informed of required issues. It is disappointing to note however that the Annual Quality Assurance Assessment (AQQA) was not returned as requested. There was no information therefore prior to this inspection that informed CSCI of the outcome of the home’s selfassessment or any plans for future development. Riverside Park (12) DS0000015757.V367739.R01.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 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 4 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 3 X X 3 X Riverside Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 26 Yes 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 YA37 Regulation 9(2)(i) Requirement The manager must aim to complete the Registered Managers Award and the NVQ4 in Care within the next 12 months. The previous timescale not met. The registered manager must ensure that the Annual Quality Assurance Assessment (AQAA) is fully completed and returned to CSCI as requested within the timescale set. Timescale for action 30/06/09 2 YA37 24 31/07/08 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 Park (12) DS0000015757.V367739.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region 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.V367739.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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