Inspection on 16/01/07 for Riverswey

This inspection was carried out on 16th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Riverswey 07/12/05

Riverswey 21/06/05

Riverswey 24/01/05

Riverswey 03/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Riverswey Riverswey Newark Lane Ripley Surrey GU23 6DL Lead Inspector Sandra Holland Unannounced Inspection 16th January 2007 11:00 Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverswey Address Riverswey Newark Lane Ripley Surrey GU23 6DL 01483 224099 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) Care Solutions Limited Ms Louise Irene Palmer Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be under 65 years of age 7th December 2005 Date of last inspection Brief Description of the Service: Riverswey is a home accommodating up to three younger adults who have a learning disability. It is situated in a semi-rural position on the outskirts of Ripley village, a few miles from Guildford and Woking town centres. Care Solutions Limited, which is part of the Care UK company, operates the service and Hyde Housing Association own and maintain the building. The home is a single storey building set in level gardens with fields to the rear. The accommodation consists of two single bedrooms, a communal lounge, a spacious kitchen/dining room and a bathroom. Incorporated within the house is a single, self-contained flat. This enables a service user to have supported independence. An office, which is also used as a sleepover room for staff and a small laundry room, are provided. The home has a car to transport service users and staff as there is no public transport immediately accessible. The fees at this service range from £ 1726.72 to £ 1892.22 per week. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out by the Commission for Social Care Inspection (CSCI) using the “Inspecting for Better Lives” (IBL) process. Mrs Sandra Holland, Regulation Inspector for the service carried out the inspection over five hours. As the registered manager was on maternity leave, the deputy manager was taking the role of acting manager and was present representing the service. Two of the three service users and three staff were spoken with and a number of records and documents were sampled, including service users’ individual plans, medication administration record (MAR) charts and staff training records. A pre-inspection questionnaire was supplied to the home and this was completed and returned. Information supplied in the questionnaire will be referred to in this report. A number of the CSCI feedback cards were also supplied for distribution to service users, relatives or visitors and healthcare professionals, to obtain independent views as to how the home is meeting service users’ needs. Three feedback cards were received from service users, one from a visitor and one from a healthcare professional. The inspector would like to thank service users and staff for their hospitality, time and assistance. What the service does well: The service users are supported to be involved as fully as possible in the dayto-day running of the home. Staff members and service users were observed to have a relaxed, friendly relationship and there is a homely atmosphere in the home. The home successfully offers a high level of personal support that is specific to the needs of each individual. Service users are actively encouraged to be as independent as possible and to develop their skills, including working skills. The individual plans for service users are well written and regularly reviewed. Service users are supported to be part of their local community and there is a good range of activities in place. The home has its own vehicle to enable service users to get to their activities. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 6 Service users indicated that they are happy with the service provided, are very happy with their bedrooms and the home in general, and enjoy the activities on offer. The home actively supports and encourages service users to keep in contact with their family and friends. The healthcare needs of service users are very well met and a number of professionals are involved in their support. Service users are well supported by a stable team of staff and it is clear that staff are dedicated and committed to the needs of service users. Members of staff spoken with said that they are happy working at the home and many had worked there for a number of years. The home is effectively managed in an open way and it is clear that all aspects of the home are led by the wishes and needs of those living there. 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. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. Standard 2 was assessed. This judgement has been made using available evidence including a visit to this service. The needs of prospective service users would be fully assessed before they were admitted to the home. EVIDENCE: From information supplied in the pre-inspection questionnaire, it was noted that no service users had been admitted to the home since the last inspection. The deputy manager stated that a thorough and detailed process of assessing of the needs of any prospective service user would be carried out to ensure the home could meet those needs. This would be carried out in conjunction with the service user’s representatives, any advocate supporters and, or, their previous place of residence. A series of visits to the home would be arranged to enable a prospective service user to see the home and to meet other service users and staff. These visits would be of increasing length and would include staying for meals and possibly overnight. This would enable staff to more fully assess the needs of the service user and to assess the compatibility of a new service user with the existing group living at the home. The full assessment process was carried out Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 9 before the most recent service user joined the home, the deputy manager advised. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. Standards 6, 7 and 9 were assessed. This judgement has been made using available evidence including a visit to this service. A detailed individual plan has been drawn up for each service user to guide staff to their support needs and these include the support required to manage risks to service users. Service users are well supported to make decisions. EVIDENCE: Comprehensive individual plans have been drawn up for each service user to describe their support needs and the services and facilities the home needs to provide to meet these needs. The individual plans that were seen were in good order, contained the required information and had been reviewed. Staff advised that the individual plans are updated to reflect any identified changes in needs. Each service user had signed their individual plan to show their involvement. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 11 The deputy manager stated that a new style of individual plan is being introduced and the process of transferring information from the service users’ current plans is underway. The new plans are designed to be more service user friendly, with more areas in picture form. They will also be of a standard format across Care UK, the company which runs the home, for ease of use for staff. To enable service users to be as independent as possible, any risks to them have been assessed. The assessments were seen and included ways to prevent or reduce the risks. It was clear that service users are effectively supported to make their own decisions and are given a number of opportunities to express their views. Staff advised that monthly service user meetings are held to discuss anything that affects the group, to give information to service users and to obtain service users’ views. Individual meetings are also held on a monthly basis and a record is maintained in the service user’s individual plan of the discussions held, of any actions that are agreed and how these will be achieved. Service users were observed to be offered choices regarding meals, activities and being involved around the home. Staff respected service user’s choices and sensitively allowed time for service users to make their decision and respond. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. Standards 12, 13, 15, 16 and 17 were assessed. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in a range of activities and to be active members of their community. Service users are offered and supported to plan a well balanced diet. EVIDENCE: It was pleasing to hear service users talk about the number of activities they take part in and enjoy. Each service user’s preferred activities are recorded in their individual plan. The range of activities include those to develop service users’ skills, such a cookery and gardening at adult education classes, and leisure activities, including pottery classes, line dancing, bowling and aromatherapy. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 13 Service users were observed to be coming and going to their planned or spontaneous activities throughout the inspection. One service user was attending a pottery class with a member of staff, another service user was attending a cookery class at a local day. Another service user was having a day at home, and was dealing with household tasks such as laundry and helping around the home. Two service users have occasional jobs and go to work as and when their assistance is needed. The deputy manager stated that service users are actively supported and encouraged to maintain family contacts. Families are welcomed to visit service users and are occasionally collected by staff from the home if required, to make the visit possible. Staff also support service users to go to visit their families. One service user is being supported to keep in touch with relatives abroad, by phone calls and the use of e-mails. Staff advised that one service user lives in a separate supported living flat within the home and is supported to develop independent living skills. The service user was very willing and proud to show their home. Staff advised that a service user has made a new friend at a leisure class and is being supported to meet up with the friend to go on outings such as shopping trips, to enable the friendship to develop. From information supplied with the pre-inspection questionnaire, it was clear that service users are offered a well-balanced and varied selection of meals, which take their personal preferences into consideration. Staff stated that meals for the week ahead are usually discussed and planned at the weekend, to enable shopping for the required items to take place and service users confirmed that they take part in planning their meals. Staff stated that service users make individual choices for breakfast and evening meals, which are taken at a time of their choosing, and the main meal of the day is served at lunchtime. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. Standards 18, 19 and 20 were assessed. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way that they prefer and their healthcare needs are well met. Medication is appropriately managed. EVIDENCE: Each service user has an allocated key-worker to ensure they receive support in the way they prefer and the key-worker takes responsibility for maintaining and updating service user’s individual plans, staff advised. A secondary keyworker is also allocated to ensure consistency and continuity of support, as and when the key-worker is not available. Staff were observed to prompt service users with personal support very discreetly and in a manner that actively promoted service users’ independence, privacy and dignity. From speaking to staff and from records seen, it is clear that service users are supported by a number of healthcare professionals and that their healthcare needs are well met. Service users have received support from healthcare Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 15 professionals including dentists, general practitioners, community nurses, audiologist and hospital specialists. Records showed that in response to changes in service users’ needs, staff have taken appropriate action and promptly requested referrals to specialists. Feedback from a healthcare professional indicated that staff have a clear understanding of service users needs and that any specialist advice is acted upon. Staff stated that only two of the service users require regular medication and this is stored appropriately in a central, locked cupboard. The amounts of medication held were checked with the medication administration record (MAR) and were correct and no gaps in the MAR were noted. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. Standards 22 and 23 were assessed. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is accessible but no complaints have been received. Staff are aware of their responsibilities in the safeguarding of service users. EVIDENCE: The deputy manager stated that the home’s complaints procedure has been made more service user friendly, to include symbols and pictures, for ease of understanding. From information included in the pre-inspection questionnaire, it was noted that no complaints had been received during the last year. Staff advised that service users can raise any concern or complaint informally to a member of staff at any time and this would be addressed immediately. Staff would usually report this to the manager or deputy manager to ensure that appropriate support was provided and the relevant procedure followed. Service users are also able to raise complaints or concerns at their individual meetings with their key-workers. Service users’ feedback cards confirmed that they would speak to the deputy manager or staff if they were unhappy. From speaking to staff it was clear that they are aware of their responsibilities in safeguarding service users. Staff stated that they would have no hesitation in reporting any concerns or suspicions of abuse to the manager or person in charge. If needed, staff knew that they could also refer any concerns to the area manager or to other agencies outside the home. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 17 In the event of an allegation of abuse, the deputy manager stated the home would follow the Surrey Multi-Agency Procedure for the Protection of Vulnerable Adults and a copy of the procedure is kept in the home. Staff training records were seen to include the safeguarding of vulnerable adults, although this needs to be updated for a small number of staff. Service users’ monies for day-to-day use are securely held for safekeeping and individual records of these are maintained. Withdrawals of monies and the actual amounts spent are recorded and receipts are retained. Staff advised that service users’ monies are checked on a daily basis at the change of staff shifts. The amounts held were checked with the records held and these accurately matched. An assessment of service users’ support needs and any risks regarding their finances has been carried out and is recorded in their individual plan. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. Standards 24 and 30 were assessed. This judgement has been made using available evidence including a visit to this service. The home is well suited to the needs of service users and was clean and hygienic. Areas of the home and premises need to be maintained to a higher standard to ensure the comfort and safety of service users. EVIDENCE: The home is well suited to the needs of service users, was generally well presented in a homely style and was clean and tidy. It was noted that the decoration is some areas is tired and needs to be refreshed and a number of areas require attention as they have an impact on service users day to day lives and may present a hazard to the health, safety and welfare of service users. The sofas in the main lounge must be repaired or replaced, as they have been reported as broken on Regulation 26 visit reports for a long period. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 19 Regulation 26 visits are monthly, unannounced visits to the home by a person nominated by Care UK, the company that provides the service at the home. There are areas of damp on the lounge and bathroom ceilings which must be attended to, and the broken oven must be repaired or replaced. The heating in a service user’s bedroom needs attention as it does not appear to be operating effectively and the garden shed roof needs attention as the roof covering blew off in recent bad weather. The front garden gate needs to be replaced as staff advised that it is not possible to close it. Service users like to go into the garden but are not safe to do so if the gate is open to the road. The driveway also needs repair as there are a number of potholes, which present a hazard to service users or others walking on it. The deputy manager stated that where applicable, these have been reported to Hyde Housing Association who own and maintain the building. A surveyor recently visited the home to assess the reported problems and the deputy manager was advised that these would be addressed in the new financial year (2007). An emailed action plan was received by the deputy manager on the day of inspection, advising how and when repairs were to be carried out. The home was clean and appeared hygienic, with hand-washing facilities provided in appropriate places, equipped with liquid soap and paper towels. A requirement has been made regarding Standard 24. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. Standards 32, 34 and 35 were assessed. This judgement has been made using available evidence including a visit to this service. Service users are effectively supported by a stable team of staff who are appropriately recruited and trained. EVIDENCE: From the information supplied in the pre-inspection questionnaire it was clear that service users are supported by a very small team of staff, most of whom have been employed at the home for over two years. Staff advised that they provide support to service users in all aspects of running the home, including shopping, cooking, domestic and laundry tasks. Staff also provide support with transport and a wide variety of activities. Almost all of the staff have undertaken and achieved National Vocational Qualifications (NVQ) to level 2 or above, and the home meets the recommended target of fifty percent trained staff. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 21 Staff were observed to interact well with service users, listening to what they said and giving time for service users to respond. Staff were open, cheerful and welcoming. Although no new staff have been recruited since the last inspection, the deputy manager was able to give a detailed account of the recruitment process that would be followed. The deputy manager stated that applicants would not be permitted to work at the home until all the required checks including written references and a Criminal Record Bureau (CRB) disclosure, had been obtained. Information supplied in the pre-inspection questionnaire stated that staff have undertaken training required by law and training to develop their knowledge and skills. These included first aid, fire training, manual handling, health and safety, challenging behaviour, infection control and team building. As mentioned at Standard 23, a small number of staff need to receive updated training in the safeguarding of adults. The staff team consists of female and male staff and is predominantly British, which reflect the service user group. A recommendation has been made regarding Standard 35. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. Standards 37, 39 and 42 were assessed. This judgement has been made using available evidence including a visit to this service. Services users’ benefit from a well run home and the health, safety and welfare of service users is promoted. EVIDENCE: The deputy manager has taken the acting manager role for the past six months whilst the registered manager has been on maternity leave. The deputy manager has worked at the home for a number of years and is very experienced to carry out her role. The registered manager was due to return to work a week after the inspection and will resume the NVQ Registered Managers Award, which was started before the maternity leave absence. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 23 From the outcomes for service users, the stability of the staff team and the feedback received, it is clear that the service is effectively managed. The deputy manager stated that a survey to assess the quality of the service provided was carried out during the last year. This was supplied to service users, to their relatives and friends and to healthcare professionals. A summary of the results of the survey was provided at the inspection. It was noted that the majority of responses indicated that those surveyed were happy with the service and considered it to be a good service. CSCI feedback cards were supplied to the home and a number of these were completed and returned. Three feedback cards were completed and returned by service users, who had been supported in this by staff, one by a service user’s visitor and one by a healthcare professional. All responses were positive and the visitor and the healthcare professional both indicated that they were satisfied with the standard of support and care provided. The visitor made an additional positive comment on their feedback card. From information supplied in the pre-inspection questionnaire, it is clear that the required checks and maintenance on systems and equipment in the home are carried out appropriately and to the required frequency, to promote the safety and welfare of all who live and work there. The home’s insurance certificate and health and safety at work poster were displayed as required. As mentioned at Standard 24, a number of repairs need to be carried out or items replaced to ensure the safety and welfare of service users. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 X 3 X X 3 x Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The registered person must ensure that (a) the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally and (b) equipment provided at the care home must be maintained in good working order. Timescale for action 13/04/07 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 Refer to Standard YA35 Good Practice Recommendations It is recommended that staff receive updated training in the safeguarding of adults to ensure they are fully aware of current practice. Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Riverswey DS0000013765.V324939.R01.S.doc Version 5.2 Page 27 - 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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