Inspection on 18/09/07 for Riverview Residential Home

This inspection was carried out on 18th September 2007.

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

Other inspections for this house

Riverview Residential Home 11/08/09

Riverview Residential Home 30/07/08

Riverview Residential Home 14/02/08

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Riverview Residential Home 1 Hayfield Cottages Tittensor Road Tittensor Stoke-on-Trent Staffordshire ST12 9HG Lead Inspector Dawn Dillion Key Unannounced Inspection 18th September 2007 01:45 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 Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverview Residential Home Address 1 Hayfield Cottages Tittensor Road Tittensor Stoke-on-Trent Staffordshire ST12 9HG 01782 374 451 01782 374 451 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) Mrs Rishpal Singh Maria Kerr Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - Code PC To service users of the following gender: either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is 8. 07 November 2006 2. Date of last inspection Brief Description of the Service: Riverview is a residential home located in Stoke On Trent, Staffordshire, providing a service for eight older people. The two-storey property is located in a rural area with picturesque views, eight single occupancy bedrooms are provided on the ground and first floor level, six of which are equipped with en suit facility. One bathroom having an assisted bath is located on the first floor, a separate toilet facility is also provided on the ground floor. The home also consist of a lounge/dining area located on the ground floor, equipped with essential furnishings and fitments to provide a comfortable area for relaxation and to interact with people living in the home. A kitchen and a separate laundry are in place. There is a stair lift to assist individuals who have limited mobility. Staffing is provided throughout the day, with one staff sleeping within the premises during the night. The fees chargeable for the service provided at Riverview is from £327.00p £365.00p per week. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced Key Inspection of Riverview was undertaken within five hours. The inspection methodologies that were used, to establish the quality of the care provided and the effectiveness of the management of the home, to promote equality, diversity and best practices, entailed the examination of records, relating to the homes policies, procedures and general practices. The Inspector interviewed six people who lived at the home, to establish their experience of what it is like to live at Riverview. During the inspection process two staff members were also interviewed and a relative. A tour of the property was undertaken to ensure that the environment and systems in operation, were safe and suitable to meet the needs of people using the service. This is the first inspection to the home, since the registration of the new Providers; the Registered Manager was present for part of the inspection. What the service does well: What has improved since the last inspection? Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 6 Discussions with the Registered Manager and the examination of records, confirmed that requirements that were identified within the last inspection report had been addressed. 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. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People wishing to access the service were provided with some level of information, to enable them to have an informed choice, to whether the home would be able to meet their needs. EVIDENCE: Discussions with the Registered Manager and the examination of three files pertaining to people living in the home, evidenced the undertaking of a Care Management Assessment (Pre admission assessment) before being admitted to the home. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 9 The Registered Manager confirmed that people wishing to access the service were able to visit the home prior to being admitted, giving them the opportunity to view the premises and facilities available. The Service User Guide did not reflect the new ownership of the home, it is recommended that this should be reviewed and also to ensure that information relating to the homes registration is accurate. The homes Statement of Purpose was not available for inspection on the day of the visit. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 11 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The lack of consistency in reviewing care plans and to ensure that risk assessments are robust, to ensure the safety and promote the independence of people living in the home, compromised the quality of care provided. EVIDENCE: Information obtained from the Care Management Assessment provided the foundation for the development of the care plan. Three care plans were randomly selected for examination. The Inspector raised concerns of the lack of consistency in reviewing care plans to reflect the changing needs of the individual. One care plan had not been reviewed since October 2006. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 11 The Registered Manager informed the Inspector, that during the admission process a continence assessment is undertaken, there was currently no involvement from a Continence Advisor. Risk assessments were not identified by the individuals name but by the room number, this was of great concern when the Inspector, established that one risk assessment in place, was pertaining to a person who had left the home and was being used for the new person occupying that bedroom. Records evidenced that people had access to health care services. A weight monitoring record was maintained, it is of concern that this was not maintained on a regular basis, in view of some individuals who had a low body weight. With reference to the homes medication practices, the monitored dosage system was in operation. The examination of records relating to the administration, storage, recording and practices were satisfactory. The Registered Manager informed the Inspector that one person living in the home self-administered his medication. There was a risk assessment in place but this was generic and was not specific to the individual. The risk assessment failed to provide sufficient information, relating to the persons sensory impairment or the level of support they would require to maintain their independence. The risk assessment had not been reviewed since 15/08/06. The Inspector also raised concerns that another risk assessment had not been reviewed since 28/01/05. Discussions with the Registered Manager regarding dying and death, confirmed that the home would make every effort to provide a service for the individual during such time. However, if regular nursing intervention were required, the home would not have the capacity to meet their needs. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general routine within the home, staffs approach and practices ensured that some people were able to live a lifestyle to reflect their interests and to promote their independence. The lack of emphasis focused on individuality with regards to specific needs could have a negative impact on some people. EVIDENCE: General observations during the process of the inspection identified that the daily routine within the home was relaxed, with people having freedom of movement throughout their home with very limited restrictions. There were no individuals in residence from the ethnic minority group; care plans identified that there were a number of people from various religious groups. The Registered Manager informed the Inspector that no one in the Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 13 home had expressed a desire for any specific assistance to practice his or her religious/spiritual faith. During the process of the inspection, six people living in the home were interviewed, comments of which were positive in relation to the service provided. One person informed the Inspector that, “I am happy living here, the food is good and the staff do their utmost for you.” Another person shared the same views but raised concerns about the lack of conversation within the home, due to the mental capacity of some people in residence. It was pleasing to see that staff provided this person with the necessary assistance to enable him to continue to have regular breaks away from the home, to maintain contact with his peers. There were no male staff employed within the home and discussions with one person who lived at Riverview, identified that there was evidently a need for male support in relation to the delivery of personal care, and conversation. General observations and discussions with staff confirmed that one person living in the home had some degree of confusion. This person appeared agitated at times, wandering around the home. The home does not have a registration category for dementia care. It is recommended that an assessment should be undertaken to ensure that this persons needs are being met appropriately. Activities provided by the home consisted of various social activities within the local community, such as visits to the park, dining out and shopping trips. On the day of the inspection, people were observed to engaged in pastimes of their choice. Discussions with people living in the home and a relative confirmed that they were able to receive visitors at anytime within reason. Minutes of meetings evidenced that people were able to contribute in the running of the home and to keep abreast of any changes that may have an impact on their lifestyle. The home operated a four-week menu, providing well-balanced nutritional meals, of which, included an alternative choice to reflect the likes and dislikes of the individual. The Registered Manager informed the Inspector that professional assistance was obtained from a dietician when developing the menu. There were no special dietary requirements in relation to cultural, religious or health needs. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home were able to access the complaint procedure to express any concerns. The homes recruitment process was not entirely robust to ensure that people would be protected from abuse. EVIDENCE: The homes complaint procedure was located on the wall within the main entrance of the home. The Registered Manager informed the Inspector that a welcome pack was issued to the individual during the admission process, which also included details of the complaints procedure. This information was not available for examination on the day of the inspection. The Service User Guide provided information relating to the homes complaints procedure and identified that complaints would be addressed within seven days. The Commission for Social Care Inspection have recently received concerns from a relative, about the lack of staff during the night, to provide continued Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 15 care and support to people living in the home. Enquires undertaken by the Commission for social Care Inspection, identified that the home were in breach of the Care Homes Regulation. The Commission for Social Care Inspection have also received concerns from Social Services in relation to level of care provided to one person who had previously resided at the home. This area of concern is still under enquiry. The examination of two staff files, to establish the homes recruitment practices, evidenced that a Criminal Record Bureau (CRB) and a Protection of Vulnerable Adults (POVA 1st) clearance had been completed in view of one person commencing employment. The file pertaining to one person who had commenced employment, on the day of the inspection, evidenced deficiencies in obtaining references and there was no application form in place. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The design and layout of the premises was suitable to meet the needs of the people in residence. The lack of emphasis on promoting the privacy of individuals and on health and safety could compromise the welfare of people. EVIDENCE: Riverview is located in Stoke On Trent, Staffordshire, the two-storey property is situated in a rural area with picturesque views, eight single occupancy bedrooms were provided on the ground and first floor level, six of which were equipped with en suit facility. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 17 Bathrooms/toilets were provided on both floors. The locking device on the bathroom door was not working properly and albeit people were able to lock their bedroom door whilst they were in their rooms, the locking device was not designed to enable the individual to lock their door when they vacated their bedroom. To promote the privacy and dignity of people living in the home, it has been identified as a recommendation that systems in the home should be reviewed to promote the privacy of people. One window located in a bedroom on the first floor did not have a restrictor in place. It was also identified that a radiator located in a bedroom was not guarded to protect the individual from the hot surface. The home also consisted of a lounge/dining area located on the ground floor, equipped with essential furnishings and fitments to provide a comfortable area for relaxation. A kitchen and a separate laundry were also in place. Appropriate sluicing facilities were provided. People living in the home had access to a well-maintained garden. The cleanliness and hygiene within the home was of a high standard. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Adequate staffing levels were provided during the day, to ensure that people needs were met appropriately. The failure to provide staffing during the night had a negative impact on the outcome of the service provided to individuals, to ensure their safety during this period. EVIDENCE: Riverview was registered to provide a service for eight people, on the day of the inspection seven people were in residence. Discussions with the Registered Manager and the examination of staff rotas confirmed that two staff members were provided throughout the day. As previously identified within the contents of this report, the Commission for Social Care Inspection received concerns from a relative about the lack of supervision of people during the night. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 19 It is of concern that due to the frailty of people using the service and the concerns shared with the Commission for Social Care Inspection. The home still failed to provide wakeful staff throughout the night. An immediate requirement was issued on the day of the inspection, to ensure that staffing is provided on a twenty-four hour basis, to ensure the total support and supervision of people living in the home. Two staff members were interviewed during the process of the inspection, both of who confirmed that they had received regular training, pertaining to their respective roles and responsibilities. One staff member informed the Inspector that, “the Manager works very closely with the staff and is very supportive.” Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35, and 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The management and administration of the home failed to provide evidence that people using the service were given the appropriate service based on their care needs to promote equality and diversity. EVIDENCE: The Commission for Social Care Inspection has recently registered the new owner of Riverview. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 21 The Registered Manager had several years experience in social care and demonstrated a sound knowledge of the care needs of people in her care. There was however, a lack of written evidence, that people received the appropriate level of care, due to the lack of consistency in reviewing care plans and risk assessments. The failure to address concerns identified by both a relative and Social Services compromised the health and welfare of people living in the home. Concerns were also shared with the Commission for Social Care Inspection, that the home did not have a telephone to enable people to maintain contact with their family and friends or for emergency contact. It is of concern that contingency plans were not put into place during this period and that the Commission were not informed of this. The telephone was reconnected on the day of the inspection. There was no evidence that the Registered Provider conducted monthly visits to the home, to monitor the quality of the service delivery. The Registered Manager informed the Inspector that the families of people living in the home managed the individual’s financial affairs. A limited amount of cash was maintained for safe keeping for people that lived at Riverview. The examination of three finances and records were found to be satisfactory. Receipts were maintained for any expenditure made on behalf of the individual. With reference to systems in operation to promote the health, safety and welfare of people accessing the service, the following were identified: There was a Certificate of compliance for Portable Appliance Testing (PAT) dated 26/04/07. The fire risk assessment was published in an audit format and was not specific to the environment. There was no fire evacuation plan in place; this is of concern due to the home not providing wakeful staff during the night. The last recorded fire drill was dated 05/04/07. The chair lift was repaired on 21/02/07 and had a general service on 06/06/07. Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 22 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 1 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 2 3 X X X X 4 STAFFING Standard No Score 27 1 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X X X 3 X X 2 Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15(2)(b) Requirement Timescale for action 30/12/07 2. OP8 3. OP27 4. OP19 OP20 There was a lack of consistency in reviewing care plans, to reflect the changing needs of people living in the home. The registered person should take the appropriate measures to ensure that care plans provide up to date and accurate information. 13(4)(b)(c Risk assessments provided very 30/12/07 ) little information and were not reviewed to reflect the changing needs of the individual. The registered person should take the appropriate measures, to ensure that risk assessments, provide a basis to promote the safety and welfare of people accessing the service. 18(1)(a) No wakeful staff were provided 18/09/07 throughout the night. The registered person must ensure that the necessary measures are taken to ensure the total supervision of people living in the home. 13(4)(a) A bedroom window located on 23/12/07 the first floor was not fitted with a restrictor, to ensure the safety DS0000070051.V352246.R01.S.doc Version 5.2 Riverview Residential Home Page 24 of the person occupying the bedroom. A radiator located within a bedroom was not fitted with a guard to protect the individual from the hot surface. The registered person should ensure systems are in place to maintain the health and safety of people living in the home. There was a lack of evidence; to demonstrate that peoples care needs were being met appropriately. The failure to ensure that staffing is provided on a 24-hour basis, left people at risk. The registered person should take the appropriate measures to ensure compliance with the Care Homes Regulations and Care Standard Act 2000. Schedule The examination of files 2 pertaining to staff working in the home identified the absence of references and an application form. The registered person should ensure that the homes recruitment procedure protects people living in the home. 23(4)(a)(c The homes fire risk assessment )(iii) did not incorporate an evacuation plan. The registered person should ensure appropriate instructions are in place relating to the homes evacuation plan. 13(2) The risk assessment relating to an individual who selfadministered their medicines was not robust. The registered person should ensure that staff are provided with sufficient information, to enable them to DS0000070051.V352246.R01.S.doc 5. OP32 21(1) 30/11/07 6. OP29 01/12/07 7. OP38 22/12/07 8. OP9 30/12/07 Riverview Residential Home Version 5.2 Page 25 assist the individual where appropriate, to promote their independence. 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. OP10 Refer to Standard OP1 OP1 Good Practice Recommendations To ensure that the homes Statement of Purpose is accessible to people living in the home. To ensure that the Service User Guide is reviewed, to reflect up to date information. The registered person should ensure that weightmonitoring records are maintained. The registered person should review systems in operation that promotes individuals privacy and dignity, for example to ensure that the locking device on the bathroom door is working effectively and to ensure that an appropriate locking device as recommended by the Fire Safety Officer is fitted to bedroom doors. The registered provider should conduct monthly visits to the home, to monitor the quality of the service delivery. It has been identified as a recommendation in this instance, that an assessment should be undertaken on the identified person living in the home, to ensure that the home do have the capacity to meet this persons needs. 5. 6. OP33 OP8 Riverview Residential Home DS0000070051.V352246.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection 1st Floor Chapter House South Abbey Lawn Abbey Foregate Shrewsbury SY2 5DE 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. 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