Inspection on 27/04/06 for The Riverside Nursing Home

This inspection was carried out on 27th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 22/02/07

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 27th April 2006 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.V289214.R01.S.doc Version 5.1 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.V289214.R01.S.doc Version 5.1 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 Mrs Nomalungelo Lucille Lugayeni 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.V289214.R01.S.doc Version 5.1 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. The Registered Person must ensure that suitable screening is supplied and fitted around the bed and washbasin area in Room 16 prior to the room being let as a double. 28th November 2005 2. 3. 4. 5. 6. 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.V289214.R01.S.doc Version 5.1 Page 5 Fees charged by the home provided in April 2006 are as follows: General Nursing range of 358.01 to £600.00 per week Dementia Nursing range of 358.01 to £600.00 per week The following Nursing Care Enhancements need to be added to the above figure: High Dependency £129.00 per week Medium Dependency £80.00 per week Low Dependency £40.00 per week The above Dependency Level is decided by a nurse not employed by the home but who works for the Health Authority 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.V289214.R01.S.doc Version 5.1 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 district 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. The Inspector spent 6 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 3 residents as well as speaking to 2 relatives, 3 staff, the nurse in charge and the owner. Time was also spent with a visiting nurse. All of the key National Minimum Standards were looked at on this visit to the home. What the service does well: What has improved since the last inspection? The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 7 Most of the previous requirements and recommendations from the last inspection have been complied with. The care plans had improved. They gave a much clearer picture of how the health and social care needs of the residents were to be met. More work needs to be done however, to include in the plan what the residents are able to do, as well as what they are less able to do. Staff have attended training and more is planned so that staff will be better able to provide care for the residents and develop themselves within their job.. The staff and owner have worked very hard to improve the environment in the home and the owner says she is committed to continue to improve the standards in the home. The improvements have led to a more homely and comfortable setting. 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 Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 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.V289214.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 3 4 (Standard 6 does not apply) Quality in this area is good. This judgement has been made using the evidence available including a visit to the service. Admissions are not made to the home until a full needs assessment has been undertaken. The home are then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the Statement of Purpose. Evidence confirms that a skilled and experienced member of staff always undertakes the assessment. Where the assessment has been undertaken through Care Management arrangements the registered person has obtained a copy of the plan and received a summary of the assessment. 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. All residents receive a contract which apply to admission to the and home describes the terms and conditions The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 10 EVIDENCE: Before any resident was admitted to the home an assessment of their needs was undertaken, either by a senior member of staff from the home or from the professional i.e. care manager, requesting their admission. The assessments were kept within the residents care plans, these were detailed and gave a clear indication of their needs and their capabilities. The home has recently introduced a new assessment form that is very detailed and looks at the physical and mental and social care needs of the residents as well as the involvement, if any of their relatives. The owner said that this form was going to be used from now on for all new admissions to the home. A Statement of Purpose was available at the entrance to the home. In addition, an ‘A – Z’ Service User Guide was provided for each resident in their room, along with a copy of the complaints procedure. The home’s policy is to give copies of the documents to prospective residents and their relatives to inform them about the home prior to admission; one relative interviewed recalled having received them. The documents have recently been reviewed and on examination were seen to be complete and gave the additional information required such as terms and conditions and standard form of contract. Individual records were kept for each resident. Three files were examined, each contained an assessment addressing all area of needs. Where care managers were involved in the admission these were supported by external assessments also. Not all files contained evidence of the resident’s/relative’s involvement in completion of the document. Riverside provides emergency placements for Rochdale’s joint Social Services/Health Rapid Response Scheme. Appropriate assessment was seen to be in place. Feedback from the Intermediate Care Nurse who was present during the Inspection, indicated satisfaction with the care provided by Riverside whose staff were effectively meeting individual care needs. Comment cards received prior to the inspection indicated that two relatives had not received a contract from the home however this could not be substantiated as the inspector checked six files and each contained a copy of a contract signed by the representative or the resident The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 Quality in this area is adequate. This judgement has been made using the evidence available including a visit to the service. Each resident has a care plan, but there is no evidence of practice of involving residents or their relatives in the development and review of the plan. Evidence of updating information and changing actions appear in the care plans. Residents have access to health care services that meet their assessed needs both within the home and in the local community. Some residents are able to choose their own GP and all have access to dentists, opticians and other community services. The home works to an efficient Medication Policy supported by procedures and practice guidance. There is evidence that the staff respond to residents sensitively and their care practice reflects the homes policies procedures and guidance on privacy and dignity. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 12 EVIDENCE: Individual care plans were in place for each resident. The care plans of 3 residents were examined. They gave clear instructions and guidance on how the care needs of the residents were to be met when problems had been identified. To ensure that all health, personal and social care needs are met the care plans should also include the positive aspects and capabilities of the resident. The care plans did include information about the residents’ routines in relation to their daily living. The care plans were reviewed monthly and any changes were noted and acted upon. None of the care plans had been signed by a relative or resident. A discussion with one relative identified that whilst she was kept continually informed about her relatives’ condition she had not been involved in the drawing up of the care plan. Residents and relatives must be involved to ensure that important and relevant information is obtained, thereby ensuring an accurate and agreed care plan is in place. 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 interviewed and returning comment cards were satisfied with care provision at the home. They considered staff understood residents’ care needs, communicated clearly and worked in 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 chiropodist, optician, physiotherapist specialists visited the home and the community dentist was visited, as and when necessary. The continence advisor had been consulted and appropriate aids provided 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 recently received information and training from the dietetics department in relation to nutrition. The medications system was safe. 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. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 13 Staff spoken to gave examples of how privacy and dignity were promoted. They also gave good practice examples of how they would care for a resident who was terminally ill. The Intermediate Care Nurse who was visiting the home during the inspection stated that the home worked in partnership with her and that the staff had a clear understanding of the care needs of the residents. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 14 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 13 14 15. Quality in this area is adequate. This judgement has been made using the evidence available including a visit to the service. Provision of social activities and integration into community life was limited and did not provide a stimulating environment within the home. Family and friends of residents were encouraged to visit and made to feel welcome. Residents were enabled to exercise choice and control over their lives. The dietary needs of the residents were well catered for with a balanced and varied selection of food. EVIDENCE: Activities at the home had not developed since the last inspection despite information being made available at the home, copies of which were provided for the Inspector to examine. Interviews with staff highlighted their need to receive more help and guidance from the manager in this respect. Staff encouraged residents to play dominoes, answer quiz questions, and listen to music. Musical entertainment was provided by an organist on a regular basis. The home had purchased some art materials and puzzle books which one resident was enjoying during the inspection. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 15 In both lounges the T.V was on but it was difficult to follow the programme as the reception was poor, a fact the owner accepted and said was to be remedied that day by a visiting engineer. Some residents were observed initiating interaction and expressing their views and feelings but others spent a considerable time sleeping or sitting without occupation. The need for further person-centred activities for residents remains. A previous inspection report has referred to the need for a more structured activity, with staff available for one to one activities to take place. Written information about appropriate activities for people with dementia have been obtained by the owner but care staff who facilitate activities need training in how to implement these ideas. 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. One resident said she regularly went into the village and spent time in the betting shop. She said no restrictions were placed on her but the staff did like to know when she left and when she returned. Feedback from relatives was positive with regard to arrangements for visiting. They said they could visit whenever they wished through the day and evening and were made to feel welcome. This was consistent with the visiting policy stated in the Statement of Purpose and in the A to Z Service User Guide. Visitors had a choice of where they met with relatives – either in their bedrooms, the lounges or the dining room. Menus inspected were seen to provide a balanced, nutritious and varied diet over a 4 week period. All food was ‘home-cooked’ which residents said they appreciated. Little wastage was seen at the end of the lunchtime meal. Residents spoken with all said they enjoyed the food. Observation when meals were being served showed that the cook knew individual’s likes and dislikes. . Suitable provision was made for those needing special diets i.e. diabetic and soft diets. The cook ensured diabetics were offered as much choice as other residents by using sweeteners in desserts. Staff gave appropriate assistance to those needing it. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 16 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 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were confident that complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse. EVIDENCE: The home had a complaints procedure which was displayed on the notice board in the entrance area and included in the Service User Guide. Staff interviewed were familiar with the procedure. Residents and relatives knew who to speak to if they had a complaint but said that matters were usually dealt with straight away so there was no need to complain. These smaller issues were not recorded, the manager may wish to do so for monitoring purposes. The Commission had received no complaints about the home since the last inspection. One complaint had been made to the manager during this time and was recorded in the complaints book. This was with regard to a request for a GP to visit the home. Paperwork examined indicated that the matter was appropriately dealt with through discussions with the home and the surgery. The home was informed that this occurrence should have been reported to the Commission for Social Care Inspection office. The policy and procedure used by the home for the Protection of Vulnerable Adults (POVA) was the Rochdale Inter-agency procedure. A whistle-blowing procedure was also in place and staff interviewed showed their understanding The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 17 of it. All staff had received POVA training and residents spoken with felt safe living at the home. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 18 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): 19 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst environmental provision had improved, it was in need of further upgrading. Hygiene practices were of a satisfactory standard. EVIDENCE: Discussion with the manager, staff, residents and relatives regarding the environment clearly showed that improvement was ongoing at the home with regard to the premises. Residents and staff said that the manager had good taste and this was reflected in the total refurbishment of bedrooms stairwells and lounges. A handyman is employed and inspection of the maintenance book and checking of last 3 entries showed that each item had been addressed. The premises were inspected and improvement noted. Two new TVs and DVDs had been purchased and the owner was expecting a repair man that day as there was an ongoing problem with the reception. Radiators were covered, and rooms The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 19 lighter and brighter. Although some have been varnished all of the worn commodes must be replaced or refurbished. Sufficient and suitable aids and adpatations were provided throughout the building to meet resdients needs and bedrooms personalised. Residents were able to bring small items of furniture with them. There was a choice of sitting areas in the home and a choice of bath or shower. All rooms were single and used as single occupancy. New curtains were due to be fitted throughout the home on the day of the inspection. There was furniture and cardboard for disposal on the lower landing near to the fire escape which was removed during the inspection. The Laundry had sufficient equipment and was clean and tidy. There was an orderly system for returning clothes to bedrooms. A Laundry assistant is employed. The home was clean and all people spoken with said it was kept clean at all times. Staff spoken with were clear as to good infection control practice and had done the training. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 20 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 29 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are well trained to ensure they have the competencies to meet residents needs. The deployment of staff throughout the day is sufficient to meet the needs of residents. EVIDENCE: The Inspector examined the rota and found that the staffing levels were sufficient for the number of residents in the home and to meet their needs. Training is very high on the agenda and comprehensive records of the training undertaken by staff are kept. Staff spoken to, informed the Inspector of the training that they had done. They stated that they are encouraged to attend courses and given the time and support to do this. Staff spoken to 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 Inspector examined the duty sheets and found that the staffing levels were sufficient for the number of residents in the home and to meet their needs. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 21 Training is high on the agenda and comprehensive records of the training undertaken by staff are kept. There is also a plan for future training for all staff to undertake. Staff spoken to, informed the Inspector of the training that they had done. They stated that they are encouraged to attend courses and given the time and support to do this. The majority of residents and relatives spoke well of staff. Relatives particularly commented on the staff’s clear communication with them and all those returning comment cards said that they thought staff kept them informed and consulted appropriately. One said that “My mother is always treated with respect.” The Inspector examined four staff files and found that all of them did not contain information required, confirming that the recruitment procedures had been followed. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 22 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 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was well managed and run in the best interests of residents by a manager who since her appointment had demonstrated a clear sense of direction and leadership. Whilst provision of health and safety training had improved, some practices did not promote and protect health, safety and welfare of residents. EVIDENCE: The manager is a qualified nurse who has many years of experience in caring for residents. The manager is aware that she must obtain a management qualification. The Inspector was informed that she hopes to finish the Registered Managers Award, for which she has been studying, this June. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 23 All residents and relatives interviewed were happy with the arrangements regarding personal monies. The registered owner acted as appointee for one resident. Arrangements had been made for personal allowance monies to be paid weekly. Where the home had involvement with residents’ monies, appropriate and accurate records were maintained and receipts were held. There was furniture and cardboard for disposal on the lower landing near to the fire escape which was removed during the inspection. Evidence was seen that indicated that fire extinguishers, alarms, lifts and hoists are all serviced and maintained as required. Water temperatures were seen to be checked and recorded. Staff confirmed that they had undergone training in relation to health and safety, such as Fire safety, moving and handling and first aid. The home fails to keep the Commission for Social Care Inspection informed of significant events in the home including matters affecting service users and complaints received in the home. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 24 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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 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 3 18 3 2 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 3 X 3 X 3 X X 2 The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 25 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 OP7 Regulation 15 Requirement All care plans must be drawn up with the involvement of the resident and their representative. Evidence of involvement in the drawing up and review of care must be obtained. Following consultation with service users, a programme of activities must be arranged, to include person-centred activities (Previous timescale of 11/05/05 not met). Worn commodes must be replaced or refurbished. (Previous timescale of 31/01/06 not met Evidence of induction for all new starters msut be completed and held in the Personel file. The Registered Person must ensure that the Commission is notified of all significant events that occur within the home Timescale for action 30/06/06 2. OP12 16 30/07/06 3. OP24 16 30/07/06 4. 5. OP29 OP38 19 (Schedule 2) 37 30/06/06 30/06/06 The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 26 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 OP7 Good Practice Recommendations To ensure that all health, personal and social care needs are met the care plans should include the positive aspects and capabilities of the resident. The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 27 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 The Riverside Nursing Home DS0000061887.V289214.R01.S.doc Version 5.1 Page 28 - 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!