Inspection on 27/06/05 for The Riverside Nursing Home

This inspection was carried out on 27th June 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.

Other inspections for this house

The Riverside Nursing Home 22/02/07

The Riverside Nursing Home 27/04/06

The Riverside Nursing Home 28/11/05

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, OL15 8DA. Lead Inspector Diane Gaunt Announced 27 June 2005 th 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 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, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Riverside Nursing Home, Address 9 Church Street, Littleborough, Rochdale, OL15 8DA. 01706 372647 01706 372372 Telephone number Fax number Email 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 Arshad Care Home with Nursing 25 Category(ies) of Old Age (OP) up to 25; Dementia Elderly registration, with number (DE(E)) up to 15 of places The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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) 2. The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 3. The Registered Person must ensure that a full assessment is undertaken of the Manager`s 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. 4. 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. 5. 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. 6. The Registered Person must ensure that suitable screening is supplied and fitted around the bed and washbasin area in Room 16 to ensure that the service-user`s privacy is maintained by 31 October 2004. 7. The Registered Person must ensure that a programme of re-decoration, replacement carpets and renewal of fabrics and furniture and fittings is provided to the Commission for Social Care Inspection by 30 November 2004. To include : replacement of furniture in the lounges and dining rooms; replacement of vinyl flooring in the smoking lounge; the provision of suitable dining chairs for service-users; the supplying and re-fitting of bedside lights; the re-carpeting of Bedroom 22 and the fitting of safe locks to service-users` bedroom doors. Date of last inspection 22nd March 2005 The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 5 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 accomodation 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 accomodated and cared for. The home provides 22 single and 3 double bedrooms. Level access is provided to the home. Accomodation 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 approximatley 8 cars is provided in the forecourt of the home. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 11¼ hours. The inspector looked around the building and looked at a number of records. Four of the fourteen residents, four visitors, three care assistants, the cook, a care manager, two GPs, the acting manager and the registered owner were spoken with. Care practice was observed. Comment cards asking residents and visitors what they thought about the care at Riverside had been given out a few weeks before the inspection. Six relatives, two visiting GPs and one care manager filled the cards in and returned them to CSCI. Their opinions are also included in the report. What the service does well: What has improved since the last inspection? The building had improved since the last inspection. Four bedrooms had been decorated and new flooring provided. Two more were being decorated at the time of the inspection. Most of the misted double glazing units had been replaced. There was no longer an odour throughout the home and a suitable lock has been fitted to the front door. More activities had been introduced and suitable training for staff had begun. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 7 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, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 standard(s) 1 and 3. As intermediate care is not provided at Riverside, standard 6 is not applicable. The Statement of Purpose and Service User Guide whilst providing prospective residents with important information about the home, also contained some inaccuracies which could be misleading to prospective residents. Residents were assured their needs would be met at the home following assessment prior to admission. The mix of categories of people cared for at the home on occasion created problems for some residents. EVIDENCE: A Statement of Purpose was written and 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/or their relatives to inform them about the home prior to admission, one relative interviewed recalled having received them. The documents contained a number of inaccuracies, neither did they include all necessary information e.g. terms and conditions and standard form of contract. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 10 Individual records were kept for each resident. Four files were inspected, 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, although relatives said they had been involved. Positive comments were made by relatives on the manager’s willingness to travel a long distance to assess needs prior to admission. Detailed care plans which in most instances recorded resident and/or relative involvement were held on file. Good practice was in place with regard to regular review of needs. Riverside provided emergency placements for Rochdale’s joint Social Services/Health Rapid Response Scheme, appropriate assessment was seen to be held on file. Feedback from a Rapid Response care manager indicated satisfaction with the care provided by Riverside whose staff were effectively meeting individual care needs. Although not raised by Rapid Response residents and relatives, Rapid Response scheme staff informed the inspector that some residents had expressed concerns about the mixed categories of care at Riverside which affected them because of the regular wandering and sometimes noisy behaviour of a minority of residents with dementia. The acting manager had taken action and decided to use the small lounge for residents receiving nursing rather than dementia care, but not all of them wished to sit in this room. There is no dedicated bedroom area for people with nursing needs however. Whilst people living at Riverside at the time of the inspection were satisfied with the situation, the provider may at some time in the future need to consider provision of separate facilities from which both client groups would benefit. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 10 Residents and their relatives were consulted about required care, and involved in reviews to discuss changing care needs, ensuring health and care needs were appropriately met on an ongoing basis. Residents were treated with respect and their right to privacy upheld by staff, although on occasion the provision of care to mixed categories of residents reduced the privacy afforded them. EVIDENCE: Individual care plans were written for every resident and four were inspected. They clearly recorded care required and, where life histories were included, enabled staff to have a more person-centred approach. Collection of life histories for every resident would enhance their care. The care plans had been regularly reviewed by staff but six monthly reviews with the resident, relative and care manager had not been held, although staff attended reviews if care managers called them. Relatives returning comment cards considered they were sufficiently consulted and kept informed with regard to the residents’ care and well-being. They were all satisfied with the care provided, as were the residents and visitors interviewed during the inspection. Care plans recorded GP involvement. 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 The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 12 partnership with them. Although two commented that there was not always a senior staff member to hand when they visited. Inspection of rotas showed that a nurse was always on duty, the acting manager agreed to remind carers of the need to find the nurse to speak to GPs when they visit. Residents and relatives said the home called their GP when they needed them and considered health needs were well met at the home. The incidence of pressure sores at the home was low, the use of food and fluid monitoring charts, turn charts and regular pressure relief ensured residents were given the care they needed to make a speedy recovery from pressure sores. Appropriate mattresses and cushions were in use. 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. Risk assessments were held with care plans and were regularly reviewed. They addressed areas such as nutrition, moving and handling, skin care, falls and smoking. Staff interviewed said they were given sufficient information on handover to ensure they met residents’ needs, they accessed care plans to supplement this information. Observation and feedback from the majority of residents, relatives and visitor showed that residents were treated with respect and privacy/dignity needs upheld. One exception to this feedback was a letter from a relative of an exresident who expressed some concerns about practices at the home which impacted on the resident’s dignity. These were investigated by the Rapid Response team and unsubstantiated in the main. Privacy, dignity, independence and choice are all listed as aims of the home in the Statement of Purpose. Staff interviewed were able to describe good practices in these area. As stated on page 11 above, feedback from Rapid Response indicated that residents’ privacy was reduced by a minority of residents who wandered. Locks had been fitted to bedroom doors and staff locked the doors during the day to reduce the occurrence. However none of the residents had a key and the locks were such that one key would open all doors. Agreements regarding keyholding were on file, but not all were completed. Four visitors interviewed and two returning comment cards considered the home cared for residents well. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13, and 15 Provision of social activities had improved since the last inspection but should be further developed to ensure they meet each residents’ needs. Contact with family, friends and community was maintained ensuring residents did not become isolated. A nutritious, varied and balanced diet was provided and enjoyed by residents. EVIDENCE: Written information about appropriate activities for people with dementia was available and had been given to care staff who facilitated activities. Those interviewed understood the need for regular exercise as well as stimulation and on the day of the inspection were using a soft ball with residents in the lounge who were seen to be enjoying the activity. Activities were recorded on residents’ files and included dominoes, dancing, playing and listening to music. Staff were working with residents on both a group and individual basis and gave examples of person-centred activities they had undertaken. This good practice did not extend to all residents however. 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. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 14 Other Two residents regularly went into Littleborough unaccompanied. residents went out with relatives or occasionally to local shops with staff. Religious services were not held at the home, although one resident said they had been asked if this was something they would enjoy. It was agreed the local Anglican church would be approached to ask if they would be able to make such provision. All relatives interviewed and returning comment cards considered they were well received when visiting the home. They could see their relative in either communal areas or the privacy of their rooms. Those residents who went out regularly did so with relatives. 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. Food served during the inspection was sampled, it looked, smelt and tasted appetising. Little wastage was seen at the end of meals. 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. Some amendment had been made to the menus in response to resident likes/dislikes but the whole menu had not been reviewed for some time. The cook planned to do this in consultation with residents. . 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, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents/relatives were confident that complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse, whilst management and staff were familiar with them, they had not attended training in this area. EVIDENCE: The complaints procedure was easy to understand and gave an assurance that complaints would be responded to within 15 days. A copy of the complaints procedure had been placed in each resident’s room along with the A-Z Service User guide. The procedure was also displayed in the reception area. One relative returning a comment card had made a complaint at the home and two relatives interviewed said that when they had raised issues with the acting manager, deputy or owner they were dealt with appropriately. A record of complaints received during the new ownership of the home was seen to contain two entries. One of the complaints had been made via CSCI but was later withdrawn. The other complaint was investigated by care management but was unsubstantiated in the main. The home had detailed policies and procedures in respect of identifying detecting and reporting abuse, along with a copy of the Rochdale Interagency Abuse procedure. The acting manager and staff interviewed were aware of the procedure to follow in the event of an allegation of abuse, but had not attended Protection of Vulnerable Adult training. Policies in relation to dealing with verbal and physical aggression and handling service users’ money and valuables were also available. Feedback from residents indicated they felt safe living at Riverside. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 Improvements had been made to the environment making the home more comfortable for residents to live in, but provision did not yet meet the standard throughout. The home was hygienic and odour free in the main. EVIDENCE: Since the last inspection the majority of misty double glazed windows had been replaced and a decorating/refurbishment programme had started. Four bedrooms had been completed and two bedrooms were in the process of being refurbished. Some furniture in communal areas had been replaced but the remainder was in need of replacement. Residents, relatives and visiting professionals spoke positively of the progress made in respect of the building. The provider had written a maintenance and renewal plan to meet the environmental requirements made at the last inspection. The water temperatures in an number of bedrooms were checked and found to be cool for residents to wash in. The resident’s designated smoking room had been changed into a staff room since the last inspection. The inspector was informed only one resident The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 17 smoked and enjoyed the company of staff. This reduced provision limited resident’s choice of sitting area; it restricted staff freedom of discussion at break times and may breach confidentiality dependent upon information available to staff in that room. This was also the only staff room and meant that non-smokers had to take their breaks/eat their meals in this room. The home had had a Health and Safety Executive inspection and Environmental Health (food safety) inspection in the 5 months prior to this inspection. The registered provider said requirements had been met, both agencies were monitoring compliance. A garden was not provided for residents although a small, pleasant patio area overlooking the river was available. Although the day of inspection was a warm sunny day, none of the residents were sat outside. Residents and relatives considered the home was kept clean in the main. The home was odour free apart from one localised area. Action was taken to address this area on the day of the inspection. Observation and discussion with staff and residents confirmed there were satisfactory infection control practices. Adequate equipment was provided in the laundry, plans were in place to increase this provision. A backlog of ironing was observed and a relative commented that she thought laundry had gone missing. The provider thought the ‘lost laundry’ was awaiting ironing but agreed to address the matter. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Whilst sufficient staff were employed for most of the day, insufficient available over the teatime period reducing the time care staff had to residents care needs. In the main, recruitment and selection procedures satisfactory, safeguarding residents living at the home. Staff had training but needed additional input to ensure their competence. EVIDENCE: Rotas for the week of the inspection and 2 previous weeks showed that minimum care hours were always provided and on occasion, an additional carer was on duty in the afternoon. However, kitchen staff did not work after 2.00pm and although the cook prepared tea, carers had to cook the hot meal as well as serve and clear away the food. It was further noted that insufficient cleaning hours were provided and care staff had to undertake basic cleaning duties on the domestic’s two days off. Observation showed that one resident with dementia became restless and quite vocal in the early evening, requiring 1 : 1 care to meet her needs. The regular change of short term residents via Rapid Response referrals was also demanding on staff time. Three relatives and one resident considered there were insufficient staff on occasion. The majority of residents and relatives spoke well of staff, although one resident said that whilst the majority were very good, some could be a bit impatient at times. Relatives particularly commented on staff’s clear communication with them and all those returning comment cards said that they thought staff kept them informed and consulted appropriately. were meet were basic The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 19 Inspection of 4 staff records showed that whilst a safe recruitment and selection procedure was followed in the main, in one incidence only one reference was taken, and documentary proof of qualifications was not held in respect of each employee. Induction training in line with Skills for Care standards had been undertaken by a number of staff, all new employees undertook the training upon recruitment. Staff interviewed said they found the information helpful with their day to day work. Foundation training was available but not operational at the home. A condition of registration is that training needs of all staff (including the manager) in relation to dementia care are identified and a training plan implemented and regularly reviewed. In-house training in the form of videos was available and had been undertaken by 8 carers. The manager is an RMN, she had not undertaken any additional training in dementia care since taking up her post at Riverside. Relevant, up to date information regarding dementia care was available in the home. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 and 38 In the absence of a trained registered manager, the provider was assisting the acting manager to deliver an adequately managed service. Satisfactory arrangements were in place to ensure service users’ finances were safeguarded. Lack of up to date health and safety training did not promote and safeguard health, safety and welfare of the people using the service. EVIDENCE: Since change of ownership of Riverside in November 2004, a registered manager had not been in post. Management responsibilities had been discharged jointly by the provider and acting manager. The acting manager had applied to be registered with CSCI as manager of Riverside and the application was being processed at the time of the inspection. The acting manager had no management qualification. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 21 Staff, residents, relatives and visiting professionals considered the acting manager to be efficient, open and approachable. 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 records and receipts were held. Records and discussion with care staff showed that since purchasing the home, the registered provider had made health and safety training available to staff. However, none of the staff had had all the necessary training. Staff working in the kitchen had not received food hygiene training but evidence was available this was to be rectified the week after this inspection. No health and safety hazards were noted during the inspection. A radiator on the ground floor fire escape corridor was uncovered. The radiator was turned off and the inspector informed the corridor was not used. Observation on the day of inspection would support this statement. It was agreed that a risk assessment would be written and if the radiator was turned on in winter a cover would be provided. Risk assessments regarding the building and safe working practices had been written following the Health and Safety inspection. Regular maintenance checks were undertaken in line with legislation. The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 1 x x x x x x 2 STAFFING Standard No Score 27 1 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 2 x x x 3 x x 2 The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 23 Yes Are there any outstanding requirements from the last inspection? 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. 2. 3. Standard 20 20 20 Regulation 16 16 16 Requirement The furniture in the lounges and dining rooms must be replaced. Dining chairs suitable for the service users must be provided. The vinyl flooring in the designated smoking lounge must be replaced. The floor covering must be fire retardant. All service users’ personal accommodation must be redecorated. Rooms occupied by service users must have adequate furniture, bedding and other furnishings including curtains and floor coverings. Following consultation with service users, a programme of activities must be arranged, to include person-centred activities (Original timescale 11 May 2005). All damaged double glazed units must be replaced. (Original timescale 01 June 2005) The Statement of Purpose and Service User Guide must be amended and copies made available/provided to service users and CSCI as required by regulation. Timescale for action 01.09.2005 01.09.2005 01.09.2005 4. 5. 24 24 23 16 01.09.2005 01.09.2005 6. 12 16 31.08.2005 7. 8. 25 1 23 4&5 01.09.2005 31.07.2005 The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 24 9. 27 18 10. 29 19 (Schedule 2) 9 11. 31 Sufficient care and anciliary staff must be provided at all times to ensure the needs of residents are met. Safe recruitment and selection procedures must always be followed and required documentation held on file. The manager must enrol on an NVQ 4 management course. 31.07.2005 31.07.2005 30.09.2005 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 10 Good Practice Recommendations Following risk assessment, locks operated by individual keys should be offered to residents in place of current locks and agreement regarding the issuing of keys held on each residents file. The acting manager and deputy should attend Rochdale MBC Protection of Vulnerable Adults training and cascade the information down to all staff. The provider should write an ongoing maintenance and renewal plan to begin once outstanding environmental requirements have been met. Water temperatures in bedrooms should be maintained at 43 degrees centigrade. A separate smoke room should be provided for residents and a smoke free staff room for non-smoking staff. Laundry worker hours should be reviewed to ensure an efficient service. All staff should undertake foundation training within 6 months of employment. 2. 3. 4. 5. 6. 7. 18 19 19 20 26 30 The Riverside Nursing Home, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 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, F06 F56 S61887 Riverside V227372 27.06.05 Stage 4.doc Version 1.30 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. 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