Inspection on 06/07/05 for Riverslie

This inspection was carried out on 6th July 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Riverslie 23/03/10

Riverslie 18/08/09

Riverslie 31/07/08

Riverslie 28/08/07

Riverslie 15/03/07

Riverslie 19/05/06

Riverslie 09/11/05

Riverslie 02/02/05

Riverslie 13/10/04

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Riverslie 79 Crosby Road South Waterloo Liverpool L21 1EW Lead Inspector Julie Garrity Unannounced 30 June 2005 & 6th July 2005 th 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 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 and 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. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Riverslie Address 79 Crosby Road South Waterloo Liverpool L21 1EW 0151 928 3243 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Innocare Limited Mrs Marie Elaine Williams Care Home 30 Category(ies) of Old Age (30) registration, with number Learning Disability (1) of places Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Where the registered manager is not a 1st level nurse, the registered provider/responsible individual must at all times employ a suitably qualified and experienced 1st level nurse who has clinical responsibility for service users at the home who are in need of nursing care. The registered provider/responsible individual must notify the CSCI without delay if this 1st level nurse gives notice to leave their employment at the home, or ceases to be employed at the home. The registered person/responsible individual must keep the CSCI advised of the progress of their recruitment and selection. Service users to include up to 30 OP and up to 1 LD. Maximum No. Registered - 30, of which a maximum of 18 N (Nursing) and up to a maximum of 12 PC (Personal Care). Aspects of the enviroment need to be improved. This was identified at an unannounced inspection in February 2004. A list will be provided to the new owners with timescales. Date of last inspection Brief Description of the Service: Riverslie is a Care Home with nursing and personal care only. In total the Home provides care for 30 service residents over retirement age. Riverslie is situated in the Bootle area near to the local parks and the docks. The surrounding area is mainly residential. The Home is set back from a dual carriageway. Riverslie is a converted building on 3 storeys and provides a passenger lift to all floors. There are 22 single rooms, none with en-suite facilities, and 4 double rooms, none with en-suite. Bedrooms are situated on all floors. There is a single lounge located on the ground floor and a dining area that has two separate sittings for lunch and dinner also located on the ground floor. There are gardens to the rear of the Home that are accessible from the ground floor. All areas of the Home are accessible to the residents and there are handrails and ramps provided throughout Riverslie for this purpose. Parking is available to the front of the building and there are main travel routes that provide easy access to Riverslie. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 days and was a total of 8 hours. It was a routine unannounced inspection. A tour of the premises took place, eight care staff were spoken with and care records reviewed. Interviews were held with the manager and three senior members of staff. Fifteen residents were spoken with and four family members were involved in the discussions. CSCI questionnaires were left with manager. What the service does well: What has improved since the last inspection? What they could do better: Staff have a lot of knowledge regarding the residents much of which is not written down but passed on verbally from staff member to staff member this runs the risk of staff giving each other inaccurate information. Although attempts have been made to keep accurate information by rewriting care plans, the plans miss vital information such as social needs, pressure area care and any wound dressings. Staff need to make sure that the decision made for residents are based on the written knowledge available and not on assumptions. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 6 Medication administration in the Home is unsafe as records of administration are inaccurate, medication is inappropriately stored and a care staff who are not trained in administration of medications were giving out medications. Accurate records must be maintained and staff will need to make sure that they remain up to date in the administration of medication. The owner is redecorating Riverslie, however progress in this area has been slow. areas needing urgent improvement have not been addressed.This includes the bathroom on the top floor, furniture in bedrooms, dining room and day room and carpets throughout the Home many of which are stained and worn. The last two inspection reports have made a requirement that a plan is produced to inform residents as to the redecoration schedule, This has not been done. The areas identified for improvement are a condition of the Homes registration. Therefore in order to meet the regulations the owner must produces a redecoration and refurbishment plan. The communication between the owner and the manager is in need of improvement as there is information that the manager needs in order make sure that a quality service is maintained. There have been occasions when this lack of communication has resulted in things needed for the residents care have been delayed. Staff have a good understanding as to the ways to protect residents, however this is not put into practice and a recent incident that should have resulted in a formal investigation to determine if the concerns expressed by staff had any basis was not undertaken. This incident highlights the gaps in the senior staffs knowledge and their understanding of their role. 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. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Residents receive a full and proper assessment prior to moving into the Home. This practice makes sure that all potential residents and their families can have confidence that staff will be aware of individual care needs. EVIDENCE: The manager makes sure that a senior member of staff assesses all potential residents before they move into the Home. Residents and families recalled assessments and were clear that in general their needs were constantly reviewed and updated. Staff on duty spoken with were able to discuss and understand a variety of complex needs of the residents in their care. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 9 Care plans have been changed, however this has resulted in Care plans that do not fully reflect resident’s needs. This will result in staff not fully understanding the needs of residents.( Requirements/ Recommendations.) No progress has been made in appropriately handling resident’s medications. The documentation, storage of, monitoring of medications and appropriate risk assessments are poor. This places the residents at risk of receiving incorrect medications. EVIDENCE: Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 10 The residents care plans have been changed, the intention was to make a simple and easily accessible care plan. However some areas vital to the care of residents are missing, such as wound care and the prevention of pressure ulcers. Staff say that there is insufficient space for them to write all the care needs of the residents and some staff are not involved in the care plans of the residents at all. Very few of the plans have been written with the resident or their relative and although a number have been updated a significant number have not been updated in the last three months. On the day of inspection the Home had received its new medications stocks. These were not kept securely and several items were located in a box in the main corridor. Staff did not keep the medications secure when giving them out and medication keys were left in an unattended trolley. Recording medications arriving in the Home had not been completed and staff were not fully aware of when medications were to be discontinued. One member of staff was administrating medications without accredited training. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14, 15 The majority of residents are happy with the food available and the choices they can make. A number of decisions are made by the care staff on behalf of the residents based on what the staff think is in the best interests of the residents. Unfortunately there is no written record of resident’s choices or preferences. Without this information care staff are likely to make decisions for the residents based on inaccurate information and as such the decisions made will be inappropriate. EVIDENCE: The majority of residents and relatives in the Home that were spoken with commented positively on the food that was provided. One resident said, “the food is lovely, I always have more than enough to eat”. Not all of the residents Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 12 felt that the food was suitable on resident said it was “mundane” and another said “ same all of the time”. The menus available were not written from residents expressed choices and in general staff made selections for residents based on what they thought that they would like. A daily menu board that is meant to tell residents what food is available was completed, but unfortunately was for the previous day. There are two sittings for lunch and there is a tendency for these to be arranged in accordance with the needs of the residents, as determined by the staff rather than the residents expressed choice. On the day of inspection the dining room was poorly presented with tablemats that were covered in old dried food. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 The home has a full and appropriate complaints procedure, which means that residents and families will have any concerns dealt with. The records that detail how the investigation was undertaken and allows the manager to decided if its a valid complaint are not suitable. Although staff have received training in making sure that the residents are suitably protected, lack of specific knowledge and staff relying on the manager to address concerns place residents at risk. EVIDENCE: The Home keeps a record of most of the complaints received whether detailed verbally or in writing. Service users feel that any concerns that they express are dealt with appropriately and quickly. Although the records were clear as to the nature of the complaint, records were not always clear as to the investigation or outcome of the complaints. Staff detailed a complaint raised for which there was no investigation records. All staff have received training in Protection of Vulnerable Adults and each new staff member receives training regarding this area within their induction. The Home has suitable policies and procedures that would assist them in addressing this area. Staff detailed an incident that had occurred recently in the Home, the manager had been on annual leave and senior staff had not investigate the concerns raised by the staff. The records of the resident did not Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 14 reflect the incident and daily records contained no reference to the incident. In discussion with senior staff it was clear that they had not received sufficient training in investigating any potential allegation. Additionally their understanding of their own role was poor and did not reflect the Protection of Vulnerable Adults guidelines from Sefton Social. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The owner of Riverslie is investing in redecorating and refurbishing areas of the Home. However there are several areas of the Home that need addressing urgently and residents are unsure as to how the redecoration will occur or when they will be able to say what they want the Home to look like. There is limited communal space available and this has resulted in a lounge that is not homely in appearance and two sittings at mealtimes. EVIDENCE: The outside of the Home was being redecorated on the day of inspection. This will improve the general appearance of the Home. Residents spoken with were pleased that the owner was making the Home “look much nicer”. A number of Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 16 areas remain in need of addressing including, inappropriate dining room furniture, worn and damaged bedroom furniture, stained and worn carpets in several bedrooms and the main corridors, damaged paintwork and chairs in the day room. One bathroom is temporarily out of use, whilst it is being upgraded and as such there is not accessible bathing facility on the top floor of the Home. Several residents said that their bedrooms have been measured for new carpets. However they had not been consulted as to when the carpets would be replaced or what colour they would be. The Home has 1 lounge and 1 dining room. The dining room is not large enough to accommodate all of the residents at one time, therefore 2 sittings take place at meal times Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 30 Staff have a caring attitude and are confident that they take care of the residents properly. There are enough staff to meet the needs of the residents. The majority of the staff have the right skills to complete their job role. However the manager has not been given the information she needs from the owner to make sure that there are enough staff available. EVIDENCE: Residents were complimentary about the care that they received from the staff, comments included “lovely, kind, caring staff”, “always have time for me” and “happy, cheerful girls, who make me laugh a lot”. Staff demonstrated a genuinely thoughtful and enthusiastic attitude towards the care that they gave residents and were keen to learn new skills. All residents, relatives and staff said that there was sufficient staff to meet the needs of the residents. Although the home owner is monitoring the needs of the residents to make sure there is enough staff this information is not shared with the manager and as such the manager can not be confident that there is always enough staff to meet the residents needs. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 18 Staff undertake the correct checks before they are employed, this includes references, police checks and previous experience. However one long-term member of staff had not had a Criminal Records Bureau check (police check) the staff member had submitted this but it had not been checked to make sure this was returned. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 38 Resident’s health and safety is properly safeguarded, staff are assisted to make sure that they are aware of health and Safety issues and take the correct actions. The Home has progressed an independent assessment of quality. Unfortunately the opportunity to use this assessment to increase the quality of Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 20 the service provided has not been taken. There have been occasions when a lack of organisation and communication from the owner to the manager has affect the manager’s ability constantly provide a quality service.( Julie, isnt the fact the medications issues are not satisfactory lead you to conclude the residents health and safety is not properley safegaurded? EVIDENCE: The Home has undertaken a quality assurance assessment from a company independent to the Home and achieved good results from this. The manager has not taken the opportunity to undertake her own internal audits such as medications, care plans, resident’s choices to make sure that Riverslie can continue to maintain a good quality service. The owner has not undertaken monthly reviews of quality nor has a report been sent to the Commission for Social Care Inspection. There have been occasion when bills have not been paid on time and items needed to maintain the Home or to meet the needs of the residents have been delayed. Health & Safety policies and procedures are in place and these include risk assessments for activities such as moving and handling. The manager has put into place a monitoring system that is used to identify residents at risk of falls. All certificates for the Home such as electrical and gas were up to date and current. Staff have up to date mandatory health and safety training, such as fire and moving and handling. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 21 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 x 2 x 3 3 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 x x x x x x x Score Standard No 7 8 9 10 11 Score 2 x 1 x x Standard No 27 28 29 30 3 x x 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 2 15 3 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 2 34 x 35 x 36 x 37 x 38 3 Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 22 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 OP 7 Regulation 15 (1) (2) Requirement Residents care plans must detail the needs of the residents and how the staff are to meet these needs. They must be updated on a monthly basis and include residents, their relatives and care staff as appropriate to the resident. The manager must make sure that all staff are trained to administate medications. ( this aspect remains outstanding from the previous report). All medications must be given in accordance with the GPs prescription. All records relating to medications must be recorded in accordance with the Homes policy. The manager must make sure that all residents choices, preferences, likes and dislikes are asked for and recorded. This information should be used to determine the daily routine, residents activities, the Homes redecoration and the menus. A maintenance programme, that details timescales for ongoing maintenance must be produced with timescales for compliance. Timescale for action 30/09/05 2. OP 9 13 (2) 30/09/05 3. OP 14 16 (2) (m) 30/ 09/05 4. OP 19 23 2 (b) 30/08/05 Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 23 5. OP 18 18 (1) (c) 6. OP 30 19 (4) (5) 7. OP 33 24 (1) (2) (3) The maintenance programme must detail for residents the planned dates of individual room decoration and general refurbishment. (This requirement is now outstanding on three previous reports.) All senior staff must be aware of 30/08/05 their role in reporting and investigating allegations or potential incidents of abuse. All staff must have appropriate 30/06/05 checks and training in order for them to care appropriatly for residents. The owner must undetake 30/07/05 monthly visits to the Home. A report must be submitted to the manager and a copy sent to Comission for Social Care Inspection. 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. 3. 4. 5. 6. 7. Refer to Standard OP 7 OP 15 OP 15 OP 18 OP 19 OP 27 OP 30 Good Practice Recommendations Care staff should be supported to read care plans and to keep detailed records of the care provided to residents on a daily basis. The menu board in the dining room should be updated daily. Table mats in the dining room should be replaced. A copy of Seftons Social Services guidelines on protection of vulnerable adults should be made availiable for all staff to read. The bathroom on the top floor should be completed and made availiable for residents usage. The owner should make sure that the manager has the information neccessary to make sure that there is enough staff availiable to meet the residents needs. All staff files should be reviewed to make sure that the correct checks on staff have been completed. F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 24 Riverslie 8. OP 33 The owner should make sure that the manager is kept up to date with regards to payment of bills and that appropriate measure should be in place to alllow for bills to be paid in the abscence of the owner. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection 2nd Floor Burlington House Crosby Road North Waterloo L22 0LG 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. Riverslie F53 F03 S59055 Riverslie Care Home V238859 300605 Stage 4.doc Version 1.40 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. 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!