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Inspection on 02/12/05 for Rivington View Nursing Home

Also see our care home review for Rivington View Nursing Home for more information

This inspection was carried out on 2nd December 2005.

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

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

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

The discreet manner in which staff members care for residents means that they feel that their privacy is upheld. The manager and staff spoke with, and about, residents in a respectful way. Residents said that staff members treated them with respect, and were always courteous. One resident said, "Staff are belting" They look after you well". Residents` preferences are taken into account when planning their care. For instance, residents said that they could choose what time they get up or go to bed, there were food choices, and they could eat either in their rooms or the dining room. The safety and protection of residents is promoted by means of thorough preemployment checks on staff members. The health and welfare of residents is also promoted by various means such as safe medication handling, the ongoing monitoring of their health needs, and by ensuring that the home is clean and hygienic.

What has improved since the last inspection?

Since the last inspection, the home has met several requirements that were made in order to promote the welfare and best interests of the residents. These included amendments to some written records, and the regular checking of residents` weights. The home has re-introduced residents` meetings, and invited residents, relatives and others to complete anonymous questionnaires to try and find out about their opinions of the standards in the home. In order to protect residents, more thorough pre-employment checks are being carried out. A number of health and safety requirements have also been dealt with. The Service Users` Guide has been updated and it contains useful information about the home which will help people to decide whether the home is suitable for them.

What the care home could do better:

There is a need to offer individual and group activities every day so that residents can add more interest and variety to their lives. In order to promote the welfare of residents, the home needs to make sure that there are enough staff on duty at all times. There is also a need to ensure that any allegations are thoroughly investigated, and the outcomes recorded. The opinions of residents, relatives and others, have been sought to help the home to review quality, and improve standards. However, the home has yet to produce a written plan that will show residents, and others, how their views are being used to improve the service. In order to promote the safety of residents and staff, the home needs to attend to several health and safety matters. Residents and staff gave their own suggestions for how the service might improve, and these included more outside activities, more staff, and an activities worker.

CARE HOMES FOR OLDER PEOPLE Rivington View Nursing Home Albert Street Horwich Bolton Lancashire BL6 7AW Lead Inspector Sue Evans Unannounced Inspection 2nd December 2005 09:05 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 Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 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. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rivington View Nursing Home Address Albert Street Horwich Bolton Lancashire BL6 7AW 01204 694325 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) Rivington View Limited Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (4), Terminally ill (3) of places Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Within the maximum registered number 33, there can be up to 33 OP, 3 TI, 4 PD The service should at all times employ a suitable qualified and experiencd Manager who is registered by the CSCI One named service user (SW) may be accommodated in the category of PD. The home`s categories of registration to automatically revert back once SW is no longer accommodated at the home. 16th June 2005 Date of last inspection Brief Description of the Service: Rivington View is a privately owned care home providing 24 hour care for up to 33 older people, most of whom need nursing care. Within that number, the home can accommodate a small number of people who are terminally ill or physically disabled. A qualified nurse is on duty at all times. Rivington View is a purpose built, two-storey home, situated in the centre of Horwich, close to bus routes, shops, and other community facilities. The home has 21 single bedrooms and 6 doubles. There is a lounge on each floor, a dining room and a meeting room on the ground floor, and bathrooms and toilets on both floors. The home is fitted with suitable adaptations and equipment such as a passenger lift, assisted baths, portable hoists, and grab rails. In addition to nursing and care staff, the home also employs cooks, kitchen assistants, domestic assistants, and a maintenance worker. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took 7½ hours. Most of this time was spent watching what went on in the home, talking at some length with 4 residents, and more briefly with 4 others, and talking to 2 care assistants, 2 domestic assistants, 2 nurses, and the manager. The inspector also looked round some parts of the home, and examined some key records. This inspection was the second to take place in the current inspection year. In order to gain a fuller picture of the home, this report needs to be read in conjunction with the report of the previous inspection of June 2005. A condition of registration for this home is that it employs a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. However, there has been no registered manager for the home since Vivienne Foster left in April 2005. An experienced nurse became acting manager following the departure of Ms Foster. Ms Foster has now been re-appointed and needs to re-apply for re-registration. What the service does well: What has improved since the last inspection? Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 6 Since the last inspection, the home has met several requirements that were made in order to promote the welfare and best interests of the residents. These included amendments to some written records, and the regular checking of residents’ weights. The home has re-introduced residents’ meetings, and invited residents, relatives and others to complete anonymous questionnaires to try and find out about their opinions of the standards in the home. In order to protect residents, more thorough pre-employment checks are being carried out. A number of health and safety requirements have also been dealt with. The Service Users’ Guide has been updated and it contains useful information about the home which will help people to decide whether the home is suitable for them. 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. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 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 Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 The Service Users’ Guide contains useful information about the home. It gives prospective residents, and others, information that can help them decide whether the home is suitable. The thorough assessment process, enables a decision to be reached as to whether the home will be able to meet a person’s needs. EVIDENCE: Standard 1 was also assessed in June 2005. Standard 6 is not applicable as this home does not provide intermediate care. It was noted that residents had copies of the home’s Statement of Purpose and Service Users’ Guide in their rooms. At the time of the last inspection, the Statement of Purpose had contained all the necessary information so it was not looked at this time. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 9 The Service Users’ Guide had been updated. It contained useful information about the home including the terms and conditions of residence. Records showed that the home carried out its own detailed assessments before anyone moved into the home. The assessments included medical and social histories, moving and handling, pressure areas, and nutrition. The manager said that she visited prospective residents in their own homes or hospital to assess whether the home could meet their needs. She said that compatibility with the existing resident group was considered. She gave an example of a situation where a request for a place in the home had been refused. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Residents’ care needs are set out in their individual care plan. Health needs are kept under review so that any changes can be dealt with promptly. Medication storage and procedures promote good health and safety. Care practices in the home mean that residents feel that they are treated with respect and that their privacy is upheld. Dying and death are approached in a way that ensures that residents and their families are treated with care, sensitivity and dignity. EVIDENCE: Standards 7, 8 and 10 were also assessed in June 2005. Records showed that the care plans were reviewed every month. Staff members were asked about the needs of three of the residents. They were consistent in their descriptions of how they helped and cared for them and this matched with the information given by the residents, and the information contained in care plans. One of the residents who was spoken Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 11 with said that she knew about her care plan, and knew that she could see her written records if she wanted to. Risk assessments covered areas such as moving and handling, falls, nutrition, pressure sores, use of bed rails, and general health and safety. Records and discussions with staff showed that the home monitored health care needs, and contacted specialist services if necessary. One care assistant described the guidance she had received in respect of looking out for skin changes, and the importance of completing documents such as “turns charts”. She said that if a resident fell or was found on the floor, it was expected that care staff would summon a nurse. At the time of the last inspection, a requirement was made for residents’ weights to be checked at least monthly. Staff members said that this was being done, and records confirmed this. Medicines were securely stored. There was separate storage for any controlled drugs. Medicines needing cold storage were kept in a refrigerator that was used solely for that purpose. Fridge temperature records were kept. A sample of Medication Administration Records (MAR) were checked, and they had been properly completed. In line with good practice, photographs were included with the MAR as an added safeguard in confirming the identity of a resident. There was a separate controlled drugs register which was appropriately completed with double signatures and running records of the quantity of medication Only trained nursing staff were authorised to give medication. Staff members gave examples of how privacy and dignity were promoted in the home, for instance attending to personal care behind closed doors knocking on bedroom doors, and not discussing residents’ personal information in front of others. Residents confirmed that their privacy was respected. During the inspection, staff members spoke with residents in a natural, friendly way. They were discreet in the manner in which they assisted residents. Residents said that that staff members were always polite and respectful, and treated them well. One resident said, “Staff are belting. They look after you well”. Another said that staff treated residents well and were courteous. From discussions with the manager it was clear that death and dying was handled with dignity and sensitivity. The wishes of residents and their families were respected. The manager said that the relatives of any resident who was close to death could stay with them in the home if they wanted to. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14, Residents are able to have some choice and control over their lives. They have choice about their daily routines, spending their time as they prefer. However, there is still a need to improve the frequency and variety of the activities offered so that residents can add more interest and variety to their lives. EVIDENCE: Standards 12, 13 and 15 were assessed in April 2005. Residents were able to make some choices about their daily lives. They said that they got up and went to bed at the time they chose. There were food choices at mealtimes, and they could eat either in their rooms, or in the dining room. Throughout the day, residents were able to choose whether they spent time in their rooms or in one of the lounges. Some said that they liked to spend their time reading, doing crosswords or watching television. However, most of the residents who were spoken with said that there wasn’t a great deal to do to pass the time. Some said they would like to get out more. The manager and staff said that, since the last inspection, a member of the care team had been given extra hours on 3 days per week to focus on activities. However, it was only possible to do this when care staffing levels Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 13 were sufficient (see also the section of this report under Staffing). Records showed that activities such as bingo, baking, singalongs, quizzes, and crafts did take place but not every day. Entertainers came in from time to time, and occasional outings took place, for example lunch out. A Christmas party for residents and relatives was planned. Representatives of local Churches visited regularly to offer Communion to residents. Residents were helped to make choices about their lives if they had the capacity to do so. The choices they made tended to be in respect of their daily lifestyles within the home. One resident described how she was included in reviewing her care needs. She said she knew that she could see her personal records if she wanted to. Relatives mostly tended to take control of residents finances, with small sums being passed to the home to cover day to day sundry expenses. Residents were able to bring some their personal possessions into the home with them. Information about independent advocacy was displayed on the home’s notice board so that residents could, if they wanted to, ask an independent person to act on their behalf. This could help them to have more choice and control over their lives. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 None of the above standards were assessed this time. EVIDENCE: Standards 16 and 18 were assessed in June 2005. The home’s complaints procedure included a statement about the right of the complainant to report any concerns direct to the CSCI. Written records in respect of one resident referred to an allegation of theft. There was no evidence to show how this had been followed up or whether the Police or the Adult Protection Co-ordinator had been informed. This needs to be addressed. All allegations must be appropriately and thoroughly investigated in conjunction with the relevant people. The incident should also have been notified to the CSCI. Any allegations or events affecting the welfare of residents must be reported to the CSCI. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 The home is clean and hygienic. EVIDENCE: Standards 19, 22, 25 and 26 were assessed in April 2005. The environment was not inspected fully this time. However, it was noted that, as required during the June inspection, the dining room carpet had been deep cleaned. Areas of the home that the inspector saw were clean and hygienic. The three domestic assistants shared the domestic tasks. One said that there was a written cleaning schedule. Good hygiene was promoted in a number of ways including the use of protective clothing, and safe hand washing. Bathrooms, toilets, and bedrooms Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 16 had hygiene hand rub dispensers to reduce the risk of MRSA. The home had a contract for the removal of clinical waste. Although there are no concerns about hygiene practices in the home, it is recommended that care staff are given some training in infection control to enable them to increase their knowledge and understanding in this area. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29 Care staffing levels do not always meet minimum requirements. To help ensure that service users are supported by skilled staff members, the home needs to encourage and support care staff with NVQ training with a view to achieving a target of having at least 50 of care staff trained to NVQ level 2. The required pre-employment checks are carried out in order to protect residents. EVIDENCE: Standards 27, 29 and 30 were assessed in June 2005. Rotas showed that a qualified nurse was on duty at all times and that, in addition to care staff, the home employed cooks, kitchen assistants, an administrator, and a maintenance worker. However, on arrival at the home, it was noted that care staffing numbers were below minimum requirements. This had also been the case the previous day. The nurse on duty said that a care assistant had telephoned in sick, and it had been too late to arrange Bank or Agency cover. Because the nurse was needed to assist care staff with residents’ personal care, she had fallen behind with her own duties. The manager and another nurse were therefore called in from their days off to assist with the inspection. It was observed that domestic assistants helped out with tasks such as taking residents’ meals to their rooms. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 18 Nevertheless, staff were pushed. One resident commented, “Staff are friendly but very busy”. Staff said that when the staffing complement comprised of the manager, a nurse, and 4 care staff, this was enough to attend to the health and personal care needs of the residents. Discussion took place with the manager about the home’s duty to keep staffing levels under review and ensure that staffing levels were sufficient to meet the changing needs of the resident group. At the time of the last inspection, evidence suggested that social care needs were not receiving as much attention as they should. The home had been asked to allocate a number of dedicated hours each week to activities provision to ensure that a range of individual and group activities were taking place each day. The manager and staff said that a member of the care team had been given extra hours on 3 days per week to focus on activities. However, this was only possible when care staffing levels were adequate (see also the section of this report under Daily Life and Social Activities). Of the 20 care staff employed in the home, 6 had achieved NVQ level 2, and 2 were actually doing the course. The home is therefore making some progress towards the target of at least 50 of care staff being trained to at least NVQ level 2. However, this target is not likely to be met by the end of 2005 and the registered person needs to encourage and support more staff members to enrol for the course. At the time of the last inspection a requirement was made in respect of recruitment records and the need to ensure that staff do not take up their posts without the necessary CRB (Criminal Records Bureau) disclosures and POVA (Protection of Vulnerable Adults) register checks (or POVA first checks). This requirement had been addressed. A sample of 3 staff recruitment files were looked at. They contained evidence of CRB checking, 2 written references, health declarations, criminal convictions declarations, proof of identity (including photograph) and application forms with full C.V. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The manager is qualified and experienced but she needs to apply for registration with the CSCI. The opinions of residents, and others, have been sought to help the home to review quality. However, the home has yet to produce a written plan that will show residents and others how their views are being used to improve the service. Residents’ personal allowances are looked after appropriately. To ensure that the health and safety of residents and staff is fully promoted, a number of health and safety matters need attention EVIDENCE: Standards 31, 33 and 38 were also assessed in June 2005. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 20 The manager is a trained nurse, having qualified in 1980. She has a range of nursing experience in the community, in hospitals, and in care homes. She has achieved the Registered Manager’s Award and ensures that her practice is kept up to date by attending training courses such as wound care. The manager commenced employment at Rivington View in August 2005, having previously managed the home for about 18 months until she left for a short time to take up another post . She has yet to submit an application for re-registration with the CSCI. It is a condition of the home’s registration that the home has a suitably qualified and experienced manager who is registered with the CSCI. The manager was therefore asked to submit her application. Staff members described the manager as being approachable and supportive. As advised during the last inspection, the manager has started to arrange residents and relatives meetings where people can air their views. The home had also carried out a satisfaction survey and identified areas for improvement. This information now needs to be summarised into an improvement plan, to show what the home plans to do about the things highlighted. A copy of the improvement plan should be supplied to the CSCI. A copy should also be available to residents, and others, so that they know that their comments are being noted and acted upon. In most cases, relatives looked after residents’ finances. The home looked after personal allowances for around 12 residents. These cash sums were securely stored. There were records of incoming and outgoing sums. The cash held on behalf of two residents was checked against their balance sheets and found to be in order. Several safety records were checked. These included electrical installation, servicing of nurse call system, servicing of fire alarms and emergency lighting, and servicing of fire extinguishers. Hoists were serviced in November 2005 but the certificates for 2 of them stated that remedial work was needed. The work needed to one of them was completed on the day of the inspection and a copy of the safety certificate was sent to the CSCI soon afterwards. However, the home needs to provide written confirmation that the work needed to the Arjo hoist has been done, and that it is safe to use. Portable appliance testing was due on 24/11/05 and was therefore overdue. The servicing of the passenger lift was due on the day following the inspection. The gas safety inspection report did not actually state whether it had passed or failed the inspection, and it advised some remedial work. The home needs to provide written evidence that the system is safe. A number of fire safety requirements that were made during the last inspection had been addressed. However, examination of the fire book showed that the alarms and means of escape were usually tested weekly, but there had been a gap in the records between 4/10/05 and 30/10/05. Also, there was no Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 21 evidence of a fire risk assessment having been carried out. It was also noted that the door to room 22 was still not closing fully to the rebate. Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16(2)(m) (n) 13(6) 22 37 Timescale for action The home needs to ensure that 31/01/06 individual and group activities are provided daily. (Timescale of 31/10/05 not met) Any allegations must be 02/12/05 thoroughly investigated, in conjunction with the relevant people, and the outcomes fully recorded. The CSCI must be provided with written notification of any occurrence that affects the welfare of residents (as required by Regulation 37). The registered person must 02/12/05 ensure that staffing levels are adequate. The registered person needs to 28/02/06 ensure that the manager applies for registration with the CSCI. Following the quality assurance 31/01/06 review, the registered person needs to produce a written improvement plan. The report must be made available to residents and to the CSCI. (Timescale of 31/10/05 not met) Fire alarm tests must be carried 02/12/05 out every week. DS0000005695.V263919.R01.S.doc Version 5.0 Page 24 Requirement 2. OP16 3. 4. 5. OP27 OP31 OP33 18(1)(a) 8 9 21,24 6. OP38 23(4) Rivington View Nursing Home 7. 8. OP38 OP38 23(4) 23(4) 9. OP38 13(4) 23(2) 10. 11. OP38 OP38 13(4) 13 23 (Timescale of 16/6/05 not met) The home needs to produce a fire risk assessment. The door to room 22 requires maintenance to allow it to effectively self close onto its relocates. (Timescale of 31/07/05 not met) The registered person must supply the CSCI with written confirmation that the remedial work to the Arjo hoist has been completed, and it is safe to use. The home needs to provide the CSCI with written evidence of the safety of the gas system. The registered person must arrange for the portable electric appliance tests to be completed. 31/01/06 31/12/05 16/01/06 16/01/06 31/01/06 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 OP26 Good Practice Recommendations Although the home promotes good hygiene practices, it is recommended that care staff be given training in infection control to enable them to increase their knowledge and understanding in this area. The home needs to continue to encourage care staff to complete NVQ level 2 so that at least 50 of them have achieved the qualification. 2. OP28 Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Rivington View Nursing Home DS0000005695.V263919.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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