Inspection on 30/11/06 for Riverside Residential Home

This inspection was carried out on 30th November 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Riverside Residential Home 06/11/07

Riverside Residential Home 22/11/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Riverside Residential Home Camborne Way Monk Bretton Barnsley South Yorkshire S71 2NR Lead Inspector Mrs Jayne Barnett – Middleton Key Unannounced Inspection 30th November 2006 10.30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Residential Home Address Camborne Way Monk Bretton Barnsley South Yorkshire S71 2NR 01226 296416 01226 296416 none 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) Park Lane Healthcare (Riverside) Limited Mrs Jaqueline Steeples Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Manager works full-time supernumerary (37 hours) over and above the hours provided for care. 22nd November 2005 Date of last inspection Brief Description of the Service: Riverside is a care home providing personal care and accommodation for 40 older people. The home is situated at the head of a cul-de-sac on Camborne Way, Monk Bretton, on the edge of an estate of modern houses and bungalows. Shops and other amenities, including a main bus route are close to the home albeit at the top of a steep incline. Accommodation is on one level and provides single and double bedrooms. The home stands in its own grounds and consists of a lawned area to each side and rear. There is a car park to the front. Mr Christopher Mitchell took over ownership of the home on 18 November 2005. The fees for care offered at the home at 22/11/06 are £315 per week. Items not covered by the fee include hairdressing and private chiropody. The homes statement of purpose, service user guide and complaints procedure are displayed within the entrance of the home and are available in appropriate formats. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection conducted by Jayne Barnett-Middleton. Prior to the visit contacts made to The Commission For Social Care Inspection, the homes service history and a pre-inspection questionnaire were examined. Letter surveys were received from six residents. A fieldwork visit took place from 10.30am until 18.30pm. Opportunity was taken to make a tour of the premises, inspect a sample of records including care plans and training records. The inspector spoke informally to most staff and in detail to four of the staff on duty about their knowledge, skills and experiences of working at the home, one visitor and to six of the residents about their views on aspects of living at the home. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. The inspector wishes to thank the manager, staff and residents for their assistance and time throughout the inspection process. What the service does well: The residents and staff continue to benefit from the management approach of the home. During the visit residents appeared comfortable and were observed to be following their preferred routine. The manager and staff were welcoming and relaxed to talk to the inspector about the service that they provided. Residents and one visitor spoke highly of the manager and staff team describing them as “very good”, “nice” and “approachable”. A good range of activities both within and outside the home was provided for residents should they choose to participate. Daily activities were taking place, which were displayed in the entrance of the home. During the visit some residents had gone out Christmas shopping and a sing-a-long was planned to take place later that evening. The complaints procedure was included in the service user guide and identified the procedure to be followed should anyone wish to make a complaint. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 6 Residents were confident that their complaints would be listened to and acted upon. Areas seen during the visit were clean, tidy and odour free presenting a hygienic environment. A good training and development programme was in place. Regular training opportunities were available enabling staff to keep up to date with practice and changing legislation. Excellent progress has been made in the staff achieving a National Vocational Qualification. Fifteen of the seventeen care staff now holds a NVQ level 2 or 3 in care. What has improved since the last inspection? What they could do better: Information was available and easily accessible for prospective residents. Some information needs to be included in the service users guide to enable prospective residents to gain a good overview of the service. Residents care needs were assessed prior to their admission. However, the home needs to ensure that the assessment that they receive reflects the residents current care needs. Daily records did require some improvement, to ensure that the health and wellbeing of the resident could be fully monitored. Regulation 26 visits need to be carried out at the required frequency. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 7 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. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is Adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Information was available and easily accessible for prospective residents. Some information needs to be included in the service users guide to enable prospective residents to gain a good overview of the service. Residents or their representatives were provided with a contract/terms and conditions of living at the home. Residents care needs were assessed prior to their admission. However, the home needs to ensure that the assessment that they receive reflects the residents current care needs. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Homes statement of purpose and service users guide was displayed within the entrance of the home. Copies were also available in the office should anyone request the information. The manager confirmed that anyone requesting a copy of the homes statement of purpose or service user guide would be given this within at least five days. The service users guide was detailed and included a brief description of the services and the homes complaints procedure. However, service users views of the home and a copy/summary of the homes most recent inspection report were not included. The homes most recent inspection report was displayed in the entrance of the home. However, this should also be included in the service users guide for the purpose of prospective service users who may not necessarily visit the home prior to their admission. Six residents, via the survey said that they had received enough information about the home before making a decision to move there. Three residents spoken to during the visit said that they had received a ‘brochure’ about the home detailing the services that they could expect to receive. Three residents’ files were inspected to ensure contracts/terms and conditions were in place. The contracts seen detailed the room to be occupied, the overall care and services provided and the terms and conditions of occupancy. Five residents, via the survey said that they had received a contract. Two residents said that a relative managed their finances. When their contracts were seen the fees that the local authority had agreed to pay and the top up fee that the resident should pay were included. The relative had signed the contract on the residents’ behalf. The manager said that residents or their representatives would be given at least 28 days notice, in writing, of any changes to their cost of care. One visitor spoken to during the visit confirmed this. Three care plans were checked all of which contained a full needs assessment. However, the full needs assessment seen on two files, which had been carried out by an appropriate professional, was completed two months prior to the residents admission and reflected that support that they required whilst still living in their own home. The staff from the home did visit prospective residents to carry out their own assessment, enabling staff to formulate a plan of care and confirming that the service was appropriate to meet the residents’ individual needs. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents’ assessed needs were reflected in their plan of care. Daily records did require some improvement, to ensure that the health and wellbeing of the resident could be fully monitored. Residents felt that they were treated with respect and that their dignity was maintained. The procedures in place for the storage, recording and administration of medication were good and systems in place promoted the safety and welfare of the residents. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three care plans were checked which detailed the residents individual physical, and emotional needs. The plans seen had been reviewed frequently to ensure that the staff was able to meet the residents changing needs. The staff maintained daily records of the care that they had provided to the resident. One daily record seen recorded that care had been offered. When tracked some staff had recorded that they had offered the resident extra drinks to prevent dehydration, due to a heat wave. The manager confirmed that this was not currently being offered, but that extra drinks had been offered to residents during the summer, when the weather was hot. Nutritional screening was undertaken for residents on their admission, which identified any dietary requirements and any eating difficulties. One residents care file seen did identify on their admission that they were underweight and their care plan did acknowledge that supplement drinks should be offered. The weight monitoring weight record seen did demonstrate that the resident had been weighed weekly, as per their care plan, and that they had gradually gained weight since admission to the home. As a result of this the staff were weighing the resident monthly. However, the care plan needed updating to reflect this. There was good information in the plan to detail the advice that the home had sought from the dietician. Information provided prior to the visit-demonstrated that a good range of healthcare professionals visited the home. These included general practitioners, district nurses, occupational therapist and community psychiatric nurse. The manager, via the survey, commented that the home received good support from visiting professionals acknowledging that ‘ they are always at hand’ and ‘ we have good relationships with all the general practitioners’. Five residents via the survey said that they always received the medical support that they needed. One said that they usually did commenting “ I sometimes have to ask, but the staff will deal with the problem straight away”. Residents spoken to during the visit said that their healthcare needs were met. One resident commented, “ When I have to go to hospital, the staff will go with me”. One visitor said that the manager always kept them “well informed” of their relatives’ health and commented that their relative “ always looks well”. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 13 Medication was checked on a sample basis. Medication received into the home was clearly recorded on the resident’s medication administration record and medication administered had been signed for. Records were in place to detail the reason why medication had not been administered. Staff responsible for administering medication had recently completed a refresher-training programme to ensure that they were conversant with the procedure for the storage and administration of medication. Medicines including controlled drugs were securely stored and two staff had signed to confirm that the medication had been appropriately administered. Residents were observed to be cared for in a manner that respected their privacy and dignity. Residents seen were clean, appropriately dressed and it was evident that residents who required help to wash and dress had been assisted with this in a manner that respected their dignity. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The routines within the home were varied and flexible which met the residents’ individual needs, promoting their choice and independence. A good range of activities both within and outside the home was provided for residents should they choose to participate. The mealtimes observed were relaxed and unhurried. A good choice of menu was offered and special dietary needs were catered for, promoting the resident’s health and wellbeing. Practice observed when staff are assisting residents to eat need some minor improvement. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 15 EVIDENCE: During the visit residents were observed to be following their preferred routine. Three residents spoken to said that they enjoyed spending the majority of time in the their bedroom and that they were able to socialise with other residents during the planned activities if they wanted to. The staff confirmed that there were “ no set routines” and described how they promoted choice by asking the residents when they wanted to get up, go to bed and when they wanted help to bathe. An activities coordinator was employed and activities took place on a daily basis. Activities included bingo, crafts, theme nights and keep fit. Weekly activities were displayed in the entrance of the home. The activities coordinator said that they regularly spoke to the residents about the activities that they may like to do. Trips outside of the home were planned to the theatre, garden centre and the coast. During the visit, several residents were supported to visit the town centre. After tea a sing-a-long session was taking place for residents who wished to join in. Six residents, via the survey, said that there were “ always” activities available at the home, should they wish to join in. Residents spoken to during the visit said that they enjoyed the activities available one commented “ I enjoy the bingo and the crafts”. Menus seen prior to the inspection demonstrated that a good choice of menu was offered for breakfast and a choice of a hot or cold meal was provided at teatime. Discussion with the cook and residents did demonstrate that a choice of meal was also offered at lunchtime. The residents said that they were asked their choice of meal on the day and that they could ask for an alternative if they wanted to. Three choices of a hot lunch were provided during the visit. Meals were served at two sittings to ensure that there was enough staff available to serve residents in a timely fashion and provide one to one support for residents who needed assistance to eat. The lunchtime meal observed was relaxed and the food offered was well presented and looked appetising. However, One member of staff was standing feeding residents rather than sitting beside them. Four residents, via the survey, said that they ‘always’ enjoyed the meals provided at the home. Two residents said that they usually did, one commented, “ The meals are very good and there are choices”. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. The complaints procedure was included in the service user guide and identified the procedure to be followed should anyone wish to make a complaint. Residents were confident that their complaints would be listened to and acted upon. The homes adult protection policy and procedure promoted the protection of residents from harm or abuse. EVIDENCE: The complaints procedure was incorporated in the homes statement of purpose and service users guide. Since the last inspection no complaints have been to the Commission For Social Care Inspection. The manager maintained a record of any complaints. One complaint made to the home had been dealt with by the manager and the action taken to resolve the complaint was recorded. Five residents, via the survey, said that they knew how to make a complaint and who to talk to should they be un-happy about any aspect of their care. One resident said that they did not know the complaints procedure, commenting that they would however speak to the staff in charge at the home, if they had any concerns. Three residents spoken to during the visit said that they would speak to the manager if they had any complaints. One resident said that there was also a ‘ comments box’ in the entrance of the home and that they could Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 17 use this facility to acknowledge any concerns or compliments that they may have in relation to their care. The staff had recently received refresher adult protection training and further training was scheduled to take place in February 07. The registered manager had dealt with one allegation of abuse immediately and the appropriate action had been taken to protect the residents. The staff spoken to was clear of the procedure that they would follow should they suspect any abuse at the home. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. The environment within the home was on the whole well maintained and clean, providing a comfortable environment for residents to live. EVIDENCE: In general the home was well maintained. The building was clean and free from offensive odours. There were a number of lounges and a large dining room for residents to use that were all on one level providing sufficient sitting and dining space. Since the last visit the majority of previous requirements in relation to the environment had been met. One lounge carpet had been replaced and new chairs had been provided. Adaptations had been completed to enable residents, who were independently mobile, to go outside without asking for assistance. The handrails in the corridor areas were in the process of being repainted. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 19 The manager said that the owner did intend to extend the home to provide extra rooms and that once completed there were plans to fully refurbish all areas within the home. Several bedrooms were seen, all of which were clean, tidy and had been personalised by the residents. Two residents said that on admission they had been able to bring some furniture with them enabling them to create a homely environment. Areas seen during the visit were clean, tidy and odour free presenting a hygienic environment. Five residents via the survey said that the home was always ‘ clean and fresh’ One said that it usually was commenting ‘ the cleaners do very well’. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The ratio of staff provided was sufficient to meet the needs of the residents. A good training and development programme was in place. Regular training opportunities were available enabling staff to keep up to date with practice and changing legislation. Almost all of the staff holds a National Vocational Qualification Level 2 or 3 in care, enabling them to develop their knowledge and promote good care practices. The homes recruitment procedures were improved promoting the protection of the residents. EVIDENCE: Residents and one visitor spoke highly of the manager and staff team describing them as “very good”, “nice” and “approachable”. Fours weeks rotas were checked which demonstrated that sufficient staff were provided to meet the general and specific needs of the residents. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 21 Four residents, via the survey, said that there was always staff available when they needed them. One commented that there usually was. A good training and induction programme was in place. The staff confirmed that had received support and guidance during their initial weeks of employment. This included fire and safety procedures and working with an experienced member of staff until they were confident to work independently. Training for all staff took place on a monthly basis. Records seen demonstrated that the staff had recently completed training in infection control, life support, moving and handling, adult protection and fire. From January 07 further refresher training was scheduled in moving and handling, adult protection and food hygiene. Excellent progress has been made in the staff achieving a National Vocational Qualification in care. The deputy manager said that fifteen of the seventeen staff held a NVQ level 2 or 3 in care. Several staff who had achieved the NVQ level 2 award were in the process of completing a level 3 award. Three staff files were checked, one of which was for a member of staff who had recently commenced employment at the home. The files seen contained a range of information including two references, declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. The file seen for a member of staff recently recruited evidenced that a POVA 1st check had been carried out prior to them commencing employment. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents continued to benefit from the management approach of the home. The manager has commenced to implement a formal quality assurance system. Records of the visits carried out by the provider, to check the standard of care provided, need to be completed monthly as required by the regulations. Systems were in place to safeguard residents’ financial interests. The homes policies and procedures promoted the health, safety and welfare of residents and staff. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 23 EVIDENCE: The staff spoke highly of the manager and the support that they received describing her as “firm but fair” and “approachable”. The residents spoken to during the visit were satisfied with the care that they received and felt comfortable to talk the manager if they needed to. Since the last visit the manager had commenced to implement a quality assurance system. Health and safety audits were in place and the manager said that she did intend to commence medication audits. Residents and their relatives had been consulted, via a questionnaire, to give their opinion of the service that they received for example the activities available, quality of food and the attitude of the staff team. Information from the questionnaires had been collated and areas of improvement identified. The manager was advised to include this information in the homes service users guide. The manager said that she did receive good support from the owner and that they regularly visited the home. However, records of these visits, to check the standard of care provided, need to be completed monthly as required by the regulations. Following the visit the responsible individual did contact the inspector to acknowledge that unannounced monthly visits to the home were scheduled to commence within the near future. Residents’ were able to maintain control over their finances if they wished and had the capacity to do so. The financial records of three residents’ were inspected. Written records of all transactions were maintained with a receipting mechanism and signatures of two persons. There was a secure facility for the safekeeping of monies and valuables on behalf of the resident. The manager confirmed that only herself and the deputy manager had access to the safe, but that a petty cash float was available for residents should they need any monies in the manager or deputy’s absence. Areas throughout the home were very generally well maintained and records of fire; water and temperature checks were kept. Information provided prior to the visit and records seen demonstrated that all major systems and equipment had been routinely serviced to promote a safe environment. The staff had received regular training to promote the health, safety and welfare of the residents and their colleagues. Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Riverside Residential Home DS0000064882.V315214.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 OP1 Regulation 5 Schedule1 14 15,17 26 Requirement The service users guide must include a copy of the homes most recent inspection report and service users views. Full needs assessments obtained by the home must reflect the residents current care needs. The daily record of care provided must link to the care identified in the care plan. A written report of the providers’ monthly visits must be completed and retained on site for inspection. Timescale for action 01/02/07 2 3 4 OP3 OP7 OP33 01/02/07 01/02/07 01/02/07 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 2 Refer to Standard OP15 OP19 Good Practice Recommendations Staff offering assistance in eating to residents should do so discreetly and sensitively. The outside door and window frames should be included in the programme of redecoration. DS0000064882.V315214.R01.S.doc Version 5.2 Page 26 Riverside Residential Home Riverside Residential Home DS0000064882.V315214.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 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 Residential Home DS0000064882.V315214.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. 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!