Inspection on 22/02/07 for The Riverside Nursing Home

This inspection was carried out on 22nd February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Riverside Nursing Home 27/04/06

The Riverside Nursing Home 28/11/05

The Riverside Nursing Home 27/06/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Riverside Nursing Home 9 Church Street Littleborough Rochdale Lancashire OL15 8DA Lead Inspector Bernard Tracey Unannounced Inspection 22nd February 2007 09:30 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 The Riverside Nursing Home DS0000061887.V315942.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. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Riverside Nursing Home Address 9 Church Street Littleborough Rochdale Lancashire OL15 8DA 01706 372647 01706 372372 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 Shabnam Arshad ** Post Vacant *** Care Home 25 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (25) of places The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 25 service-users, to include: Up to 25 service-users in the category of OP (over 65 years of age). Up to 15 service-users in the category of DE(E) (Dementia over 65 years of age) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. The Registered Person must ensure that a full assessment is undertaken of the Managers training needs and that of the care staff in relation to caring for service-users with Dementia. Any ensuing training plan must be implemented and regularly reviewed. The service should at all times employ suitably qualified and experienced members of staff, in sufficient numbers to meet the assessed needs of the service-user group, including at least 6 hours Registered Mental Nurse input each day. The Registered Provider must ensure that any future service-user, or their representative, make a positive and informed choice in respect of choosing to stay in either Room 20 or Room 21. 27th April 2006 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Riverside Nursing Home is located in the centre of Littleborough close to shops, Post Office and other amenities. It provides easy access to Rochdale and Todmorden. Originally a private house, the stone building has been extended and adapted to provide nursing care and accommodation for 25 people aged 65 years and over. Within this number, up to 15 people with dementia over the age of 65 years can be accommodated and cared for. The home provides 23 single and 2 double bedrooms. Level access is provided to the home. Accommodation is on two floors, a passenger lift is provided. A small patio area is provided and is used by residents in fine weather. Parking for approximately 8 cars is provided in the forecourt of the home. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £7.00 Hairdressing £4.50 Men £4.00 - £18.00 Ladies Newspapers and Magazines The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 5 Fees charged by the home provided in February 2007 are as follows: General Nursing range of 353.01 to £600.00 per week Dementia Nursing range of 353.01 to £600.00 per week The home also says in its Statement of Purpose that it charges a £20.00 per week ‘Top Up’ charge but does not describe what this charge is made for. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The home was not made aware that this inspection was going to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The home was also asked to fill in a questionnaire. Where appropriate these comments have been included in the report. The Inspector spent 5 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A full tour of the building was undertaken and time was spent looking at records regarding safety in the home. He also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. The Inspector spent time speaking to 7 residents as well as speaking to 2 relatives, 4 staff, the manager and the owner. What the service does well: The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. Meals and mealtimes were considered to be an important part of the residents’ day. The dining rooms are nice places to sit, eat and meet with other residents. The residents said that they really enjoyed their meals. They were satisfied with the choice of meals and the way they were cooked and served. They were particularly good at providing the care for people who moved in for a short time. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 7 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. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 8 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 The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 9 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. Standard 6 does not apply Quality in this outcome area is good The system for ensuring that all prospective residents had a detailed assessment undertaken before their admission to the home gave an assurance both to residents, relatives and staff that a resident was only admitted if the home could meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, either by a senior member of the nursing staff from the home or from the professional i.e. Rapid Response Nurse requesting their admission. The assessment documents of three residents were looked at. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents as well as the involvement if any, of their relatives. The Inspector spoke with the relatives of a resident who had recently been admitted, who stated that the manager had been out to the residents’ home to undertake an assessment of her needs and also provided The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 10 information that helped them to come to the decision that the home would be able to meet her needs. All of the questionnaires returned to the Commission confirmed that each individual felt that they had received enough detailed information prior to making a decision to come into the home. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 11 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 10 Quality in this outcome area is adequate Care plans do not always fully demonstrate how aspects of health, personal and social care needs would be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager who had been in post since November was in the process of reviewing the care plan documentation and a selection of new and old documentation was examined. It is intended that all resident care plans would be in the new format within six weeks of the inspection. Refinements to the new format were suggested including the identification of residents’ interest and how the home intended to meet these needs as well as changes to the language used to refer to protection of the residents. Risk assessments were in place and covered such areas as moving and handling, nutrition, pressure sores, the use of bed rails and falls. Feedback from GPs returning comment cards were mixed, with one GP satisfied with care The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 12 provision at the home. whilst another felt that the staff did not staff communicate clearly and was dissatisfied with the working partnership with them. Residents and relatives said the home called their GP when they needed them and considered health needs were well met at the home. Staff said the chiropodist, optician, physiotherapist specialists visited the home and the community dentist visited, as and when necessary. The continence advisor had been consulted and appropriate aids had been provide as a result. Care plans also recorded involvement of other health care professionals as necessary e.g. speech therapist, dietician. Residents were weighed monthly; their weights monitored and appropriate follow on action taken. The home has received information and training from the dietetics department in relation to nutrition and this assessment tool needs to be incorporated within the care plan. The medications system was on the whole safe, though hand transcribed medications should be witnessed by two members of staff to reduce the possibility of errors occurring. Medications were securely stored; the prescription administration sheets were filled in accurately and there was an accurate record of medicines received into the home. Appropriately trained staff administered medicines. The home has a contract with a licensed firm that undertakes safe disposal of unused medication. A discussion with the residents and a relative identified that they feel their privacy is respected and that they are treated with kindness. Of the 4 questionnaires received from the residents all stated that their privacy was respected. Staff spoken to gave examples of how privacy and dignity were promoted. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 13 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 15 Quality in this outcome area is adequate Provision of social activities and integration into community life is limited and does not provide a stimulating environment within the home. The dietary needs of the residents were well catered for with a balanced and varied selection of food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The choices residents made each day varied, dependent upon their physical or mental frailty but residents generally chose what time to get up, go to bed, what clothes to wear, where to spend their day, what food to eat, whether to participate in activities. Overall, residents considered they were encouraged to do what they could for themselves and make appropriate choices through the day. No formal activities programme is in place with activities arranged more on an ad hoc type basis Previous inspection reports have referred to the need for a more structured activity, with staff available for one to one activities to take The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 14 place. Provision of social activities and integration into community life is limited and does not provide a stimulating environment within the home. Activities were not recorded on residents’ files and there was little evidence to indicate that staff are working with residents on both a group and individual basis. Residents told the Inspector that they are able to have visitors at any reasonable time and they can see their visitors in private. One relative told the Inspector that the staff at the home always made him very welcome. Meals are served in the dining room by the care and catering staff. The dining room tables were attractively laid and the home offers three well balanced meals day with light refreshments at other times. A choice is available at each meal time and the menu is displayed. The residents gave very good feedback on the quality and quantity of meals and the contact they have with the cook each day. Residents are asked each day what they would like from the menu. The home receives nutritional support and advice from a dietician and all meals served are assessed ensure they are well balanced. The storage areas evidenced a good supply of fresh fruit and vegetables. Survey forms makes reference to the food being always or usually good and comments from residents and relatives include: “The food is very good” “The food is served on time” “The food is fresh” The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 Quality in this outcome area is good Residents and relatives have confidence that their concerns will be dealt with. Abuse policies and procedures are in place to protect the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s complaint procedure is on display and residents and relatives interviewed were satisfied with all arrangements in the home but were aware of how to make a complaint if needed. A staff member said, “If a resident wanted to make a complaint, I would go to the nurse in charge”. The complaint log was seen and no complaints have been received. The staff on duty displayed a good understanding of the vulnerable adults procedure. They are confident about reporting any concerns and certain that any allegations would be followed up promptly and the correct action taken. Information in the staff training record showed that they all have received Protection of Vulnerable Adults training in line with Rochdale Inter Agency Abuse Procedures and that this was an ongoing part of the homes staff development programme. The Riverside Nursing Home DS0000061887.V315942.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 26 Quality in this outcome area is good The standard of the environment within this home provides residents with an attractive and homely place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home confirmed that the home was well maintained, clean and free from any offensive odours. Ramped access was provided to the front door and level access throughout each of the two floors. A passenger lift was provided and handrails fitted to corridors throughout. Everyone spoken with thought the home was a safe place to live and work in. The home had a planned maintenance and renewal programme for the re-decoration and refurbishment of the home. New carpets were being fitted to the lower lounge area when we visited A maintenance worker and decorator were employed and staff and residents said they addressed matters as they The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 17 were raised with them. A door restrictor is needed on the door leading from the dining room to the kitchen. Grounds were seen to be safe, tidy and accessible. Residents said they looked forward to sitting outside in the good weather. Four residents spoken to were very pleased with their individual rooms and one resident said that she had “brought in a number of personal possessions, pictures of grandchildren and family mementoes that help remind me of places I have visited”. Residents said staff kept the building clean and odour free, inspection of the premises supported this view. Discussion with the domestic staff verified that sufficient staff and equipment were provided to ensure the home was maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. Staff spoken with described safe infection control practice. Satisfactory practice was in place with regard to disposal of clinical waste. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Five residents said that they were satisfied with the laundry system at the home and that there was a quick turn around on the clothes sent for cleaning. The Riverside Nursing Home DS0000061887.V315942.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 28 29 30 Quality in this outcome area is good The deployment of staff throughout the day is sufficient to meet the needs of residents. There are appropriately trained and experienced nurses and care staff employed so that residents feel supported and that their needs are understood and met. The home’s recruitment policy is generally robust to protect the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From discussions with manager and staff, and from an examination of duty rosters, sufficient staff are employed within the home. There is a settled staff team with many having worked at the Home between 5 and 10 years. One resident said she felt the staff “are very caring and they look after me well” Staff said that they were clear about their role and work well as a team to ensure the individual and collective needs of the residents are met. The home has a comprehensive recruitment policy and procedure and when three staff files were checked it was evident that the manager follows the procedure, and ensures the interview process, police/CRB checks, written references, health checks and past work history are all obtained and satisfactory before the person starts work. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 19 Nurses at the home undergo registration audits with the Nursing and Midwifery Council to ensure they are able to practice. One newly appointed nurse said that she had been given a thorough induction to the home. The home has a rolling staff-training programme offering staff access to mandatory training and some specialist subjects linked to the needs of the residents. Five care assistants are about to complete a course in caring fro people with a Dementia. The manager oversees the training and discussion with him during the inspection identified that there is a training plan for the home and staff are notified of the available training dates and when they are expected to attend. Up take of the training is very good. One staff member said that ‘the training here is excellent. Another member of staff was pleased that “the home helps us to retain our nursing registration by offering courses to keep up our Registration with the Nursing body”. The Riverside Nursing Home DS0000061887.V315942.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 33 35 36 38 Quality in this outcome area is adequate The manager has the experience to manage the home. Policies, practices and procedures are in place to safeguard the health, welfare and safety of residents and staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been in post for approximately four months. The manager was made aware that he must apply for registration with the Commission of Social Care Inspection and obtain a management qualification. The manager is a qualified nurse who has experience in caring for residents. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 21 There are some good quality initiatives that ensure residents’ views are instrumental in the running of the home. Residents and relatives regularly attend meetings and are provided with survey forms to establish what they think of the home. Residents and relatives interviewed were satisfied with the overall management of the home and were pleased with the support offered by the manager and staff. Feedback is sought from the residents and relatives through a system of satisfaction questionnaires. A selection of these questionnaires was examined during the inspection and in the main was found to be complimentary. The manager collates the comments on a quarterly basis and the results are presented to the owner of the home. Policies and procedures are up dated and reviewed as an ongoing practice and action is taken to ensure the requirements of the inspection reports are met. Staff have formal meetings with the manager. The staff agreed that they are able to express ideas, criticisms and concerns but at times the management team do not take the necessary action to bring about positive change, particularly in relation to good communication between the manager and staff on a day to day basis. Staff supervision files show that individuals receive formal supervision with their manager on a regular basis. Records required for the protection of residents and the running of the business are in place, reviewed and up dated as required. The Riverside Nursing Home DS0000061887.V315942.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 3 X 3 The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 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 (n) Requirement To give residents interest and stimulation, they must be asked about activities they would like to take part in. Once this consultation has been made the people who use the service should be involved in the planning of a programme of activities. (Outstanding requirements from the last two inspections) Care plans must be accurate complete and regularly updated to reflect residents changing needs and current objectives. A restrictor must be fitted to the dining room door to avoid unnecessary noise that can alarm residents when the door bangs shut The home’s manager must apply to the Commission for Social Care Inspection to become registered. The home’s manager must demonstrate he has the skills and qualifications needed to manage a service by DS0000061887.V315942.R01.S.doc Timescale for action 30/05/07 2. OP7 15 30/04/07 3. OP19 23 (2) (a) 30/03/07 4. OP31 9 (1) (2) (a) (b) 9 (1) (2) (a) (b) 30/03/07 5. OP31 30/03/07 The Riverside Nursing Home Version 5.2 Page 24 commencing and undertaking training that equips him to achieve a recognised qualification equivalent to NVQ Level 4 in care and management. 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 OP9 Good Practice Recommendations When medications are hand transcribed two members of staff should witness the entry to ensure that the correct details are entered so that the resident receives the right drug. The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 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: 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 The Riverside Nursing Home DS0000061887.V315942.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!