Inspection on 13/12/06 for Riverside Rest Home

This inspection was carried out on 13th December 2006.

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

The inspector 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 Rest Home 02/12/08

Riverside Rest Home 11/10/05

Riverside Rest Home 28/04/05

Riverside Rest Home 16/11/04

Riverside Rest Home 10/06/04

Riverside Rest Home 22/07/02

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Clover House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Riverside Rest Home 17 West Beach Lytham Lancashire FY8 5QH Lead Inspector Mrs Lesley Plant Unannounced Inspection 12.45 13 December 2006 th 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 Rest Home DS0000009717.V298709.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 Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside Rest Home Address 17 West Beach Lytham Lancashire FY8 5QH 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) 01253 737317 01253 737317 carron@ccayley.fsnet.co.uk Mr Peter Fenton Warwick Mrs Carron Lesley Cayley Care Home 26 Category(ies) of Learning disability (3), Old age, not falling registration, with number within any other category (26) of places Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 26 service users to include up to 26 service users in the category OP (older persons 65 and over) and up to 3 service users in the category LD (learning disability) -over 55 11th October 2005 Date of last inspection Brief Description of the Service: Riverside is a family run home for older people registered to accommodate 26 residents of both sexes, aged 65 years and above. Mr and Mrs Warwick are the registered providers and their son and two daughters run the home on a daily basis, with the eldest daughter being the registered manager. The home offers accommodation in 3 double and 20 single bedrooms, most of which have en-suite toilet facilities. There are 2 lounges, one smoking and one nonsmoking as well as a dining room on the lower ground floor. All floors are serviced by a passenger lift. The home continues to provide permanent care and short stay holiday care. Most of these short stay service users come from the Burnley area and the home operates a free transport service collecting and returning residents to and from home. The home has now earned a reputation for providing holiday type care and prides itself on the variety of activities, entertainment, outings and trips they provide. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and looked at all the key national minimum standards, plus supervision arrangements for staff. At the time of the inspection there were 22 service users residing at Riverside. The inspector spoke to the registered manager, four staff members, three relatives, five service users and another member of the senior management team. Records were viewed and a tour of the building took place. . Comment cards providing feedback about the service were received from two service users and 21 relatives. Information was also gained from a pre inspection questionnaire completed by the registered manager. What the service does well: What has improved since the last inspection? All the written policies for the home have been reviewed, giving the management team opportunity to look at procedures and working practices. A new shower has been installed on the lower ground floor and the kitchen flooring has been renewed. Excellent progress has been made with qualification training for staff and now the majority of care staff have achieved NVQ level 2 or above. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 7 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 Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 8 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): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process helps to ensure that service users are only admitted to Riverside if their needs can be met. EVIDENCE: Three service users files were viewed, with each one containing appropriate assessment information. Documentation included hospital discharge information for service users admitted to the home from hospital. Service agreements between the funding authority and the home were also viewed. The home carries out risk assessments as part of the general assessment/admission procedure. Risk assessments address such areas as, mobility and medication. Information from the assessment is then used to develop the care plan for each service user. Files also show that good assessments also take place for individuals coming to the home for respite care. A number of service users are repeat visitors to the Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 9 home, coming for regular periods of respite care. The relatives spoken to confirmed that staff have a good understanding of individuals’ needs. The home does not provide intermediate care. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 10 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 using available evidence including a visit to this service. Health and personal care needs are met in such a way as to promote the dignity and privacy of service users. Staff training, policies and good practice help to ensure that medication is handled appropriately. EVIDENCE: The service user files viewed showed that care plans are in place and are reviewed regularly. Four senior staff have responsibility for the reviews, which take place monthly, or more often if needs change. Risk assessments are also reviewed regularly. Each care plan is discussed with the service user and/or their relative, who also sign the plan. Staff keep good daily records and each service user has a named key worker. Feedback from comment cards included; “I cannot praise the home enough, my father is a changed man since living there because of all the wonderful care and love he has been shown” and “my mother could not have been looked after or cared for better.” The files viewed showed that staff keep good records of healthcare appointments. Service users are weighed regularly, with records being Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 11 maintained and significant weight changes being responded to. Records are kept of all GP, district nurse and hospital visits. One service user was having regular treatment by a district nurse and staff were keeping accurate records of this. Her relatives also confirmed that they were being kept informed of the situation. Another relative stated, “I am kept informed of health and can ring at any time. My mother has been ill over the past 2 years on and off, but has been looked after better than I could have done.” Training records show that staff undergo training regarding incontinence and dementia and 12 members of the team hold a current first aid certificate. A chiropodist visits the home to provide regular foot care to residents. Medication policies have been reviewed earlier in the year and include guidance regarding home remedies and non-prescribed medication. The inspector met with the senior member of staff who has specific responsibility for ordering and monitoring medication within the home. Only senior staff administer medication and all have undertaken training in this area. Medication is safely stored and appropriate procedures are in place for handling controlled medicines, which are kept in a safe with only senior staff having the safe entry number. The pharmacist, who regularly visits the home to monitor and advise, supplies the majority of medication in blister packs. The latest pharmacy report was viewed. The three medication administration records viewed contained a photo of the service user and were all completed appropriately. Risk assessments are in place regarding individuals who choose to keep some medication such as creams in their bedroom. One person takes responsibility for her own medication and completes an administration record which acts as a reminder and allows staff to discreetly monitor that medication is taken as prescribed. The service users spoken to felt that they were treated with dignity and respect, with many positive comments about the kindness of staff. Staff were observed speaking sensitively to individuals and offering good clear explanations when asked questions by service users. Individuals are able to spend time in their bedroom or opt to sit in one of the lounges where activities take place. Service users were all nicely dressed, showing that staff take good care of peoples’ clothing. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 12 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 using available evidence including a visit to this service. The excellent variety of recreational activities helps service users to remain motivated and active. Visitors are made welcome and individuals are supported to maintain their independence. Service users enjoy the meals provided. EVIDENCE: Daily routines are flexible and take into account individual preferences. One person who likes to spend time in her bedroom explained how staff bring her meals and drinks upstairs. Most service users choose to have breakfast in bed, and enjoy this arrangement. The home has built up an excellent reputation for providing enjoyable and varied activities for service users. Information about forthcoming activities is displayed on the notice board. At the time of this unannounced inspection, this included a wide range of Christmas celebrations and activities. The home has their own minibus and service users spoke of a recent visit to Bury market and a trip to another local market was planned. Christmas activities included, parties, singing, entertainers and a Christmas production performed by the staff, who were rehearsing on the day of the inspection. Discussion with individuals confirmed that although service users are encouraged to join in, people may opt out if they wish. Comments from Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 13 service users included; “I join in sometimes, when there is a quiz, music or a singer comes” and “I like bingo, outings and walks with the staff.” A hairdresser and a chiropodist regularly visit the home. Two of the relatives spoken to, commented that there is a good blend of activities, to suit people who like to be active and also to suit individuals who prefer quieter pursuits. It was also observed that staff spend time with individuals, talking and listening. A pick up and drop off service is provided for residents staying on a short-term basis. Details of family and friends are recorded on personal files. Relatives are able to visit at any time and the home has also been able to accommodate visitors overnight. Staff were observed to be friendly and welcoming, with visitors being able to chat to their relative in their bedroom or in one of the lounges. Comment cards from relatives and discussions with visitors during the inspection all provided extremely positive feedback regarding the welcoming atmosphere of the home. Service users are supported and encouraged to exercise choice and maintain control of their lives. Preferences are recorded on files and staff appear to have built up close working relationships with service users, getting to know individuals’ routines, likes and dislikes. Advocacy information is available. Some service users manage their own finances and for others a relative takes on this responsibility. Individuals are supported to look after certain elements of their medication such as keeping prescribed creams in their room. Bedrooms are cosy and service users are able to bring possessions into the home and so personalise their room. One of the senior managers does the majority of the cooking, being supported by a kitchen assistant. Although there are no set menus, a record is kept of all the meals served. This record shows that a balanced diet is provided and service users confirmed that choices and different options are always available. Breakfast is normally served in bedrooms and the main meal is at lunchtime. People spoke highly of the quality of the meals provided and information from relatives also confirmed that meals are of a good quality. Comments from relatives included; “When I ask my mum about her meals she always says they are lovely”, “the food is excellent” and “plenty to eat, good food.” Service users spoken to during the inspection had clearly enjoyed the meals that day. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 14 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 using available evidence including a visit to this service. Staff training, policies and good practice promote the protection of service users and help to ensure that any concerns are responded to. EVIDENCE: There is a complaints procedure in place, which is made available to all service users and relatives and a copy is also displayed on the notice board. No complaints have been received since the last inspection. Feedback comment cards from relatives and service users indicated that staff would listen and respond to any concerns raised. It is clear that good relationships are formed with relatives who are kept well informed of any changes or other important matters. All policies have been reviewed earlier in the year, including those relating to abuse, aggression and whistle blowing. A number of staff have undertaken training regarding challenging behaviour. The inspector spoke to a relative of an individual who can display difficult behaviour. The relative stated that staff have a good understanding of the service users needs and are able to respond positively to her. The two senior managers, including the registered manager have both undertaken specific training regarding abuse and protection and understand the agreed procedures should any concern be raised. Abuse training forms part of the core-training programme for all staff and most of the Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 15 team have completed this. There are well-established protocols in place concerning service users finances. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 16 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 using available evidence including a visit to this service. Riverside is a clean and well-maintained home, providing a warm and comfortable environment for service users. EVIDENCE: The home has 23 bedrooms, with 19 providing ensuite facilities. The home is maintained to a good standard. Any maintenance problems are quickly addressed, with records being viewed by the inspector. The fire service visited the home in June 2006 and were satisfied with the fire safety arrangements in place. Bedrooms appeared warm and cosy, with service users confirming that they were happy with the accommodation provided. The separate lounges allow for one to be kept as a sitting room for service users who wish to smoke. The storage area for wheelchairs etc means that the home remains un cluttered. A new shower has been installed on the lower ground floor and the kitchen flooring has been renewed. Call bells are provided in each room. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 17 The home was warm, clean and free from any offensive odours. Staff receive training in infection control as part of the core-training programme. The laundry area is sited next to the kitchen, however soiled laundry is put into bags and taken to the laundry via another entrance, to prevent laundry being carried through the kitchen. Service users appeared smartly dressed, indicating that care is taken when laundering their clothing. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 18 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 using available evidence including a visit to this service. The staffing arrangements and well-organised training programme, which includes excellent opportunities for qualification training, help to ensure that a good quality of care is provided. Recruitment practices need tightening, to promote the protection of service users. EVIDENCE: Staff rotas show that there are three or four care staff on duty each day. Additional staff are on duty at certain times, which have been identified as particularly busy. This includes times of “changeover” for service users staying for respite care and for certain activities and trips out. The management team provide additional support to the three or four care staff on duty and there are also separate cleaning and kitchen staff. During the night there are two staff on working duty, with a manager on call and available should an emergency arise. The team of care staff are lead by senior carers, assistant managers and the managers of the home. Service users confirmed that staff are available when needed, with one person, who likes to spend time in her bedroom stating that, “they come really quickly when I need them, I use the bell.” Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 19 There is a strong commitment to staff training at Riverside and excellent progress has been made with qualification training for staff. The management team have forged good links with a local training provider and now has 10 of the 13 care staff qualified at NVQ level 2 or above. The files for three staff were viewed. Documentation included, a Criminal Records Bureau disclosure, application form, photograph, copy of driving license and copy of the terms and conditions of employment. The home has a well-established recruitment procedure, which includes obtaining two written references, however only one reference had been obtained for a newly recruited member of staff. The registered manager explained that there were difficulties in obtaining a second reference, due to the person being only 18 years old and with limited employment history. Whilst acknowledging the difficulties in these particular circumstances, the registered manager is reminded that two references must be obtained prior to appointing new staff. In this particular case a satisfactory character reference could take the place of an employment reference. Good arrangements for staff training are in place. The training matrix for the staff team shows that the core-training programme covers food hygiene, first aid, medication, health and safety, moving and handling and abuse. The majority of staff have completed this core programme. Good individual training records are also maintained. The files viewed showed that a thorough induction takes place, which includes fire safety and the use of the hoist. A number of staff have also completed the Learning Disability Award Framework induction programme. Staff have also had access to courses regarding dementia, challenging behaviour and incontinence. One of the staff spoken to explained that new staff work alongside experienced colleagues and that she was happy with the training provided and felt that it equipped her to carry out her duties as a care assistant. Information gained from comment cards and discussions during the inspection, clearly indicates that the personal qualities of staff are highly valued. Praise for the staff team included; “efficient and friendly staff”, “the owners and staff are there for you”, “the staff are very pleasant and attentive” and “all the staff are genuinely ‘caring’ for their clients and don’t treat the home and their work as just a job – a credit to the profession.” Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 20 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, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, with good quality monitoring systems, which promote the best interests of the people who live there. Service users’ financial interests are safeguarded. Staff supervision arrangements are excellent and help to ensure that a high standard of care is provided. The health and safety of service users is not always being given sufficient focus, meaning that individuals could be put at risk. EVIDENCE: Riverside is a family run home. Mr and Mrs Warwick are the registered providers and their son and two daughters run the home, one being the registered manager. Both the registered manager and her sister have gained the NVQ level 4 and Registered Manager Awards. Each family member has Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 21 specific management responsibilities and all have many years experience in the field of social care. An assistant manager supports senior managers in their work and there are also senior care staff who have additional responsibilities such as administering medication. There are internal and external quality monitoring in systems in place. The home has achieved the Investors in People award and this will be reviewed in the summer of 2007. Feedback sheets are given to all service users who stay at the home for respite care. A suggestion/ comments box is available in the hallway, giving opportunity for service users and visitors to air their views. Occasional residents meetings take place and there are also natural day-to-day opportunities for the management team to monitor the service provided and gain feedback from residents. Staff have regular supervision meetings, providing good opportunity to monitor and review work performance. Service users are involved in choosing the ‘employee of the month’, when they are asked to provide feedback or make a recommendation for the monthly award. All the written policies were reviewed earlier in the year. Some service users manage their own financial affairs or a relative may take on this responsibility on their behalf. Records are kept of incidental additional expenses, such as hairdressing costs and then the individual or their relative would be sent an invoice for the amount owed. Records were viewed regarding spending money held in safekeeping and these were well organised and clearly showed income, expenditure and the balance held. The registered manager only acts as benefits agency appointee if no other representative or relative is available. A safe is available for the storage of valuables, however this is not encouraged and where possible relatives would look after any valuables. There are excellent systems and practices in place to ensure that staff are supported in their role and receive regular supervision. Records show that staff receive formal supervision every one to two months. Supervision records include observations of work performance, such as responding to the call bell, or supporting someone with their meal. Staff appraisals take place twice a year and include a process of self-assessment. The registered manager and other members of the management team are available on a daily basis, meaning that there are natural day-to-day opportunities to supervise and support staff. The staff spoken to confirmed that the managers are approachable and that they feel supported in their role. The viewing of records and discussions with the manager and staff show that training in health and safety topics takes place. The core-training programme includes food hygiene, first aid, medication, health and safety, moving and handling and use of the hoist. Fire safety and infection control are addressed during the induction period. Records viewed included the recording of fridge and freezer temperatures, records of fire alarm tests, the testing of electrical equipment and accident records. Thermostatic temperature controls are fitted to all baths and showers, however it is still recommended that water Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 22 temperatures are monitored, with records being maintained. In addition the washbasins should also be fitted with thermostatic temperature controls. In general there are good measures in place to promote the health and safety of staff and service users, however a store room containing paint and maintenance materials was unlocked and could pose a risk to service users. The registered manager must ensure the safe storage of all substances hazardous to health. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 23 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 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 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 4 X 2 Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 24 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 2 Standard OP29 OP38 Regulation 19 13 Requirement Two written references must be made before appointing a member of staff. Hazardous substances must be safely stored. Timescale for action 06/01/07 06/01/07 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 OP38 OP38 Good Practice Recommendations Hot water temperatures should be regularly tested and records maintained. Thermostats should be fitted on washbasins. Riverside Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Rest Home DS0000009717.V298709.R01.S.doc Version 5.2 Page 26 - 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. 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