Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/02/07 for Riversway Nursing Home

Also see our care home review for Riversway Nursing Home for more information

This inspection was carried out on 12th February 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents are provided with a good standard of care and staff work hard meeting their needs and wishes. Residents` plans of care are generally informative and demonstrate needs are met. Residents are cared for by staff provided with a good range of training and development opportunities. Residents are provided with a good standard and variety of food as well as a varied range of social and therapeutic activities both in and out of the Home. Mrs Rackham and Mrs Glover manage the Home effectively and put residents needs and wishes central to management decisions that are made.

What has improved since the last inspection?

There is now a very high number of staff who have obtained National Vocational Qualification awards. This includes care staff, catering staff and domestic staff. The Home has introduced a staff `council` with different members of staff from different areas of the Home, who have been voted for by the team. The staff council meet with the managers of the Home on a regular basis to discuss and address relevant staffing matters they wish to bring to the managers attention. This enables staff to feel involved in the running of the Home, and to feel that their views are important. A quality monitoring survey has been completed by the Home, based on the Commissions own outcome approach to what is important for residents in a Care Home. Residents have been consulted about a range of matters in the home that they consider to be important.

What the care home could do better:

It would benefit the resident identified at the inspection if the persons care plan to support them was expanded and more detailed. It would be beneficial if a record of the date that cooked food is stored in the fridge is kept so that it is used within a safe timescale. All cleaning fluids should be stored in a secure place when not in use and not on an open kitchen shelf, to ensure they are not misused.

CARE HOMES FOR OLDER PEOPLE Riversway Nursing Home Crews Hole Road St George Bristol BS5 8GG Lead Inspector Melanie Edwards Key Unannounced Inspection 09:00 11 and 13th February 2007 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 Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riversway Nursing Home Address Crews Hole Road St George Bristol BS5 8GG 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) 0117 9555758 0117 9540145 riversway@btconnect.com Riversway Care Limited Mrs Angela Glover Care Home 68 Category(ies) of Old age, not falling within any other category registration, with number (68), Physical disability (6) of places Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 68 people aged 65 years and over requiring personal and/or nursing care. May accommodate up to 6 people with physical disability aged between 40 years and 65 years requiring personal and/or nursing care. Manager must be a RN on parts 1 or 12 of the NMC register Staffing Notice dated 12th June 1998 and CSCI notice of proposal letter effective 7th October 2004 re revised staffing levels apply. 7th December 2005 Date of last inspection Brief Description of the Service: Riversway is registered as a Care Home for a maximum of 68 residents requiring nursing care including young physically disabled residents. The Home is situated in a residential area of St George, occupying a riverside site, with easy access to local community facilities and is less than 2 miles to Bristol city centre. It can be accessed by car, by bus with a short walk. The Home is purpose built, providing a mix of double and single en-suite rooms. Care is offered over two floors and divided into 4 wings. Each wing offers bedrooms, lounge-dining room and bathroom facilities. There are also pleasant gardens to the front and side of the property, a conservatory and a balcony accessible from the upper floor. There is a passenger lift providing access to all resident areas. All parts of the home are accessible to wheelchair users. The fees charged for staying at the Home range from £535 for a shared room to £560 a week for a single room. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Eighteen residents and a number of visitors were consulted to find out their views of the Home and the service provided. The registered manager, Mrs Mary Rackham who is the responsible individual, the deputy manager, two registered nurses, and three care assistants were consulted about their roles and responsibilities, training needs, and how they assist and support residents. Staff were observed assisting residents with their needs. A selection of records relating to the day-to-day running and management of the Home were inspected. A range of resident’s care records and care plans were reviewed. The majority of the environment was seen with the only areas not viewed being a small number of resident’s bedrooms. There were a number of pre inspection feedback forms sent to the Commission for Social Care Inspection area office, from residents, and relatives. This information has been used to help form the judgments in the report. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. Melanie Edwards carried out the inspection over two days. Sue Fuller, the pharmacist inspector, inspected the handling of medication in the home on the second of these days. Her report is available by contacting the Commission directly. What the service does well: Residents are provided with a good standard of care and staff work hard meeting their needs and wishes. Residents’ plans of care are generally informative and demonstrate needs are met. Residents are cared for by staff provided with a good range of training and development opportunities. Residents are provided with a good standard and variety of food as well as a varied range of social and therapeutic activities both in and out of the Home. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 6 Mrs Rackham and Mrs Glover manage the Home effectively and put residents needs and wishes central to management decisions that are made. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Riversway Nursing Home DS0000020285.V320071.R02.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 Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessed needs are well met by the Home. Prospective Residents and their representatives have the information they need to make an informed choice about living at the Home. EVIDENCE: To find out how prospective residents and their representatives are helped to find out about the Home a copy of the service users guide was reviewed. Each resident is given their own copy of the guide so they have access to helpful information about life in the Home. The guide includes information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. The complaints procedure is in the document so residents know how to complain about the service. A number of residents were also asked how they were told about the Home before they had moved in. Residents said that Mrs Glover had been to see them and explained to them what life was like at the Home. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 9 Six residents assessment records were reviewed to find out how well residents’ needs are assessed. The assessment records were reasonably informative, and showed the residents had been consulted with, to find out about their range of physical, mental and social needs. The assessment records also linked clearly to each resident’s care plans, and showed a detailed assessment of the persons needs had been carried out and that plans of care had been devised from the initial assessment. There were many comments of satisfaction expressed by residents and relatives about the care they receive and how they feel their needs are being met Examples of comments made included, ‘the staff are not bad at all, ’ ‘the staff are quite good, ’ and, ‘they are all kind and helpful’. These comments were reflective of many comments made, and demonstrate residents are satisfied with the service. Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ care plans generally demonstrate how needs are met. Residents are treated with respect and their privacy is upheld. EVIDENCE: Six care plans were reviewed, to find out how residents are supported by staff to meet their care needs. The care plans were reasonably informative and detailed how to meet the care needs of the person. The care plans stated what actions staff must follow to assist the resident to meet their needs. They had been written from an initial assessment of what the person’s needs were and what support and help they need. This assessment process helps ensure residents’ needs are clearly identified. However after meeting one identified resident, and discussing with staff how they help the person meet their needs it is clear their care plan should be more detailed. This is because the care plan needs to show very clearly how to support the person with their very complex psychological needs. Care plans had been reviewed and updated regularly by registered nurses. This demonstrates residents’ health needs are being monitored and kept under review. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 11 The residents consulted said that staff are helpful, kind and caring, when they assisted them with their needs. Several residents said that, “staff sometimes seem very busy”, (see staffing section of this report). Staff were observed assisting residents in a polite and friendly manner. Staff knocked on bedroom doors before entering bedrooms to help to protect residents’ privacy. There are curtains provided in the shared rooms to help ensure the privacy of the residents occupying them. Two registered nurses and the deputy manager were consulted about how they support residents to meet their health care needs. The nurses explained they assess and monitor residents’ health needs, and registered nurses will call a GP if required. There was supporting information in residents’ care plans that demonstrated residents are well supported with their physical health care needs by the GP, the dentist, and the chiropodist. A G.P was observed attending to resident’s health care needs on the second day of the inspection. This is good evidence demonstrating how residents’ health needs are monitored by the Home. Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a varied nutritious diet and a range of social and therapeutic activities that are suitable for their needs. EVIDENCE: An activity co-ordinator works three days a week with residents. A member of the administration staff also acts in an activities co-ordinator role specifically to engage residents who are cared for in bed, and residents with limited communication, in one to one activities. A copy of the timetable of social activities is circulated to residents throughout the Home to ensure they are aware of current activities taking place. Residents can take part in a range of social activities as well arts and craft classes and regular trips out into the local community. A hairdresser service is also provided during the week, and a number of residents have their hair attended to on a regular basis. Residents’ meals are served to them from two dining rooms, one on each floor, or in their rooms if preferred. At meal times dining tables are covered with linen tablecloths and there are table settings and condiments at each table. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 13 The Home operates a rotating menu, and menu choices were well balanced and varied. All of the residents who were consulted commented positively about the quality of meals that are offered. To inspect the quality of food provided a portion of both lunchtime meal choices were tasted. These consisted of either roast pork roast potatoes and two fresh cooked vegetables, or ratatouille. There was a choice of homemade pudding, fresh fruit salad, ice cream, or yoghurts for dessert. The meals were tasty and satisfactorily presented. Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ are protected from abuse and complaints are responded to thoroughly. EVIDENCE: All residents are given a copy of the complaints procedure so that they know how to complain if they so wish. There is a copy of the complaints procedure on display in the reception area. This includes the name of the Commission for Social Care Inspection for anyone who wishes to contact the Commission directly. The contact details of the registered provider of the Home are included, if residents or representatives wish to contact them to complain. The record of complaints received was looked at to see how the Home responds when complaints are made. There had been one written complaint received since the last inspection relating to care practices. There was information to show Mrs Glover had responded promptly to address the complaint. There are regular residents meetings held, and residents are encouraged and supported to set their own agenda for the meetings. This is also a good opportunity for residents to complain if they need to. There is a Bristol City Council procedure in place relating to the issue of protection of vulnerable adults from abuse, which follows the Department of Health `no secrets’ guidance document when responding to allegations of Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 15 abuse. The Home also has a `whistle blowing policy’ for staff to be supported, and to feel confident to raise allegations of poor practise in the Home .All staff are given a copy of the policy, to ensure they know their rights, and are `protected’ if they do raise legitimate concerns. All staff attend regular training sessions to help them in understanding the principle of the protection of vulnerable adults from abuse. Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19-26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is safe and well maintained and suitable for their needs. EVIDENCE: The Home is located close to private houses, a short distance from local shops and nearby bus stops, making the Home part of the local community. The building is wheelchair accessible; and there is a passenger lift servicing the upper floor. The Home is a purpose built nursing home, designed around the needs of residents for whom it is intended. There are adaptations in place throughout the Home to assist residents who may be disabled. The majority of the building was viewed both inside and out. The only areas that were not seen were a small number of bedrooms. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 17 Two full time maintenance workers are employed to address general maintenance and they were observed carrying out their duties during the inspection. The environment is maintained to a good standard, and the standard of the fixtures and fittings are also very high. Residents were observed sitting in all of the communal areas, and in bedrooms. All Residents looked relaxed and comfortable in their surroundings. There is a spacious sized room on the first floor that is used for regular religious services and can be also used by residents for quiet contemplation. Each bedroom includes a television, as well as a telephone line that is provided by the Home. The service records were seen for the fire fighting equipment and for the lift. The records showed that external contractors had serviced equipment in the last twelve months. This helps demonstrate the Home is safe and well maintained. There are also regular thorough health and safety audits of the whole environment carried out by the maintenance manager. The records seen demonstrate that the environment is monitored and checked on a very regular basis to ensure it is safe and well maintained for residents staff and visitors. Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from sufficient number of staff who are skilled and competent and are working hard to meet individual’s needs. EVIDENCE: The staff were observed on both days of the inspection assisting residents with their care needs. Staff were warm and friendly in manner, and residents evidently enjoy friendly relationships with them. The number of nursing and care staff on duty was reviewed to find out if residents’ benefit from a sufficient number of staff to meet their needs. There is a minimum of two registered nurses on duty at all times and fourteen care assistants in the morning, with ten care assistants and two registered nurses in the afternoon. At night there are two registered nurses and four care assistants on duty. There is an additional staff member employed on a daily basis to serve drinks and assist with meals for residents. The number of staff on duty is above the legally required minimum staffing levels that are conditions of the Home’s registration. The manager works nine to five hours and the deputy manager works shifts alongside the registered nurses and care staff to ensure they are up to date with matters in the Home. The deputy manager said that she and Mrs Glover have a good working relationship and there is very good communication between them. This demonstrates good management and leadership in the Home. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 19 Mrs Rackham is the full time operations manager and she manages non-care related matters in the Home. There are full time catering, domestic and laundry staff also employed although the number of these staff was not reviewed at the inspection. There are staff who are trained up to work as internal trainers in the Home. Staff have also attended a range of relevant training outside of the Home. There are also outside speakers who come to the Home regularly and talk to staff about a range of relevant clinical and general issues relevant to residents needs and the running of the Home. One relative of a resident had attended one recent talk; at their request to help them better understand their relative’s health needs. The training records of three registered nurses and two care assistants were reviewed to see if registered nurses are keeping up to date with their clinical knowledge and practice. There was evidence that demonstrated registered nurses had attended clinical training sessions, and updating over the last twelve months. The care assistant’s records demonstrated staff had attended training sessions over the last six months. Also there is now a very high number of staff in the Home who have obtained National Vocational Qualifications (NVQ). This includes care staff, catering staff and ancillary staff. Catering staff and ancillary staff have completed NVQ qualifications in subjects relevant to the work that they do. The Home is also an accredited placement for student nurses and this helps to demonstrate that it is a thriving learning environment To find out if the Home operates safe recruitment practises a sample of staff files were inspected. There are two written professional references taken up for all new staff prior to offering work at the Home. In addition, all staff completes a Criminal Records Bureau check before commencing employment. These checks are a further safeguard for vulnerable residents. In discussion with registered nurses and the care staff the staff it was evident they have a good understanding and awareness of residents range of needs. Staff also spoke very positively about the commendable range of training and development opportunities that they are able to take part in. Riversway Nursing Home DS0000020285.V320071.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,37,38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Home is well run, with residents’ and staffs’ views actively taken into account by management. The health and safety systems and procedures in place generally help protect the health and safety of residents, staff and visitors. EVIDENCE: Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 21 Residents who were consulted spoke extremely positively about the registered manager and Mrs Rackham. Comments made by residents included Mrs Glover ‘She sorts out problems and is very kind’, ` and ‘she goes out of her way to help people’. Residents also said they would happily speak to Mrs Glover or Mrs Rackham at anytime. A number of residents also said that Mrs Glover made her presence known in the Home every day she was on duty, and she regularly walks around the Home to see them. This helps demonstrates Mrs Glover is keen to keep in daily touch with residents and staff. The Home have just introduced a staff ‘council’ with different members of staff from different areas of the Home, who have been voted for by the team .The staff council meet with the managers of the Home on a regular basis to discuss and address relevant staffing matters they wish to bring to the managers attention. This is a very good way for staff to feel involved in the running of the Home, and to feel that their views are important. One recent decision that has been taken is to offer staff massages after work to assist them if they are feeling stressed. There are regular residents meetings held and all residents are invited and senior managers also attend. Residents are encouraged to set their own agenda and discuss what they feel matters in the day-to-day running of the Home. Residents are also given their own copy of the minutes of the meetings, this should help residents keep up to date with the day to day running of the Home, and help ensure their views are listened to and acted upon. Mrs Rackham and the team have undertaken a detailed quality monitoring survey, based on the Commissions own outcome approach to what is important for residents in a care home. Residents and their representatives, and relatives have been consulted about a range of matters in the home that they consider to be important. An action plan has been put in place to address any relevant matters raised by residents. The environment looked satisfactorily maintained throughout. The Home carries out a health and safety audit of the whole environment on a three monthly basis. A copy of the document that is used to carry out the audit was inspected, and was very detailed and aimed to address health and safety areas through the Home. The kitchen was clean and tidy and in good order. All kitchen staff undertake regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. However it would be beneficial if a record of the date cooked food is stored in the fridge is kept, so that it is used within a safe timescale. There was a bottle of bleach stored on an open shelf under a sink. This item should be stored in a secure place when not in use, so that is not misused Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 22 There is a health and safety policy for staff to follow to try and help ensure the safety of residents is maintained. All staff attend regular health and safety training in range of areas including food hygiene, fire safety, and infection control. This helps ensure staff have a good understanding of health and safety principals and practises Riversway Nursing Home DS0000020285.V320071.R02.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 3 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 3 3 3 3 3 4 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X X X 3 3 Riversway Nursing Home DS0000020285.V320071.R02.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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP38 OP38 OP7 Good Practice Recommendations A record should be kept of the date cooked food has been stored in the fridge. All cleaning fluids should be stored securely when not in use. The identified residents care plan should show in more detail how to meet the person’s psychological needs. Riversway Nursing Home DS0000020285.V320071.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Riversway Nursing Home DS0000020285.V320071.R02.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. 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!