Care Home: Richmond Heights Nursing Home

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What the care home does well What has improved since the last inspection? The service had been working closely with the Older Peoples Reviewing Team (OPRT) to improve standards within the service, which had lowered, since the last inspection by us. The service had complied with the requirements list in the last inspection report. CARE HOMES FOR OLDER PEOPLE Richmond Heights Nursing Home Woodhouse Road Intake Sheffield South Yorkshire S12 2AZ Lead Inspector Ivan Barker Key Unannounced Inspection 6th August 2008 10:00 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 Richmond Heights Nursing Home DS0000021800.V370138.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. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richmond Heights Nursing Home Address Woodhouse Road Intake Sheffield South Yorkshire S12 2AZ 0114 253 1992 0114 253 1994 richmond.heights@craegmoor.co.uk 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) Speciality Care (UK Lease Homes) Limited Mrs Angela Kaye Care Home 55 Category(ies) of Old age, not falling within any other category registration, with number (55) of places Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category. The maximum number of service users who can be accommodated is: 55 21st May 2007 2. Date of last inspection Brief Description of the Service: Richmond Heights is a purpose built, 55 bedded home for older people. There are 53 single en-suite rooms and one double room. It is built over two floors all accessed by a lift. The home has a number of lounges and dining rooms. The gardens are landscaped and it has a car park. It is in a residential area of Sheffield with good access to public services and amenities (e.g. bus and tram services, shops, libraries etc). The weekly fees are: £385 to £653. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. The Statement of Purpose and Service User Guide were available within the entrance to the home. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means people who use the service experience good quality outcomes. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the ‘key standards’), and the previous requirements. The manager stated above has left and an acting Manager is in post. The person present at the inspection was: J Ridge, acting manager. Within this site visit, which occurred over a four and a half hour period, we toured the building, examined requirements relating to the previous inspection, case tracked 3 people (Case tracked means looking at the care and service provided to specific people who use the service living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people who use the service; viewing their personal accommodation as well as communal living areas). Spoke with other people, relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaint files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality assurance Assessment) a self-assessment document, telephone contacts, letters, and notifications. People who use the service will be referred to within this report as ‘people’. What the service does well: People’s needs were known to the service prior to admission. The two assessments ensured that the service have sufficient information to assess if the service was able to meet the person’s needs. Accurate care plans will contribute to the delivery of care. People were satisfied with the care they received. People and relatives expressed their views, during the inspection, and in the surveys. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 6 Their opinions were: We looked at 9 homes before choosing this one, and also mother knew a lady in the home. We looked at 13 homes before choosing this one. Social Services only gave us a list. I am very satisfied with the standard of care provided and would not hesitate to recommend it to others. ‘Richmond Heights made me feel I belonged from the day I visited’. ‘They really care about residents in here’. ‘The care is good’. ‘I’m satisfied with the care’. Activities were organised and people were able to exercise their rights of choice within the service, therefore this provided stimulation and enhanced their quality of life. On discussing the activities with the people, and relatives and reading the surveys their opinions were that: Regarding activities, the mornings are well covered with Bingo – twice a week, Chair aerobics on Friday, but afternoons and evenings there is nothing unless an entertainers comes in. Because my mother is physically and mentally impaired such activities are difficult, but recently chair ‘keep fit’ and musical entertainment have been arranged. ‘We are busy most of the day with meals, activities and other things’ ‘We go on outings when it’s nice’ ‘My mum prefers to stay in her room, she’s not bothered about activities’. On discussing the meals with the people, and relatives and reading the surveys their opinions were that: Since the appointment of the new manager the quality of meals has improved and there is a more varied menu. ‘The food is ‘very good’. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 7 ‘We get plenty’. The service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made staff aware of their responsibility regarding the protection of vulnerable adults. People lived in an environment that had been maintained to a good standard to provide a safe, homely environment. Comments were received from the people and the relatives regarding the environment and the service, during the inspection and from surveys. The general comments were that: ‘It’s good here every one is so friendly’. ‘Its nice and clean and well maintained’. ‘Its lovely’ The manager was able to provide evidence that staff had received all necessary training, which reflected on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. The comments from people and relatives were: Richmond Heights were short of staff and had no manager, but staff worked themselves into the ground to give us care. Since the new manager arrived there is a marked improvement. Staff are now able to have a little chat with us. ‘The staff are very good’. ‘They (staff) come when I want them’. ‘They (staff) are always friendly and welcoming’. An experienced manager was in post. This contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that assisted the managers and company to measure the service against expected outcomes. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 8 The comments regarding the management from the people and relatives were: The new manager does seem to listen and tries to improve the situation. The situation has changed dramatically since the new manager Jane has been installed. She is hard working and has made several changes for the better. What has improved since the last inspection? What they could do better: The service has clearly worked with the Social Services and us to maintain the standards within the service, but they need to be more proactive in keeping the environment up to a good standard. People and relatives expressed their views, during the inspection, and in the surveys. Their opinions were the service could do better were: Antibacterial hand wash should be available to staff and visitors. When we operate the call system, we have to wait for some one, when they are short of staff. Activities should be more varied. The quality is poor, there needs to be more choice. They are a poor value for money. I would like the stairwell carpets to be replaced, as they are stained. My mother’s room has never been decorated and there are some repairs. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 9 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. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 10 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 Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 11 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): Standards 3 and 6. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs were known to the service prior to admission. The two assessments ensured that the service have sufficient information to assess if the service was able to meet the person’s needs. EVIDENCE: On examination of the care management assessments within three care plans, it was established that there was no assessment from care management in one of the plans. On discussing this with the manager, she advised that the service received either faxed copies of the assessment as seen in the care plans or she took verbal information over the phone. The manager provided evidence that she had recorded the information that was given over the phone. These assessments detailed the person’s social and health needs. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 12 It was discussed that this practice could be improved by receiving written assessments. The manager or senior staff had undertaken extensive assessments of each person prior to their admission. These assessments fully detailed the person’s needs. The information provided within both assessments assisted in providing sufficient information for the staff to decide if the service could meet the person’s needs. It also provided sufficient information for care plans to be drawn up. The manager advised that intermediate care was not provided within the service. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 13 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): Standards 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate care plans will contribute to the delivery of care. People were satisfied with the care they received. EVIDENCE: On examination of the care plans, from three people, it was established that all three care plans were up to date, and had been evaluated on a monthly basis. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis. Comprehensive risk assessments were included within the documentation and included moving and handling, nutrition, skin integrity, and other risk factors. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 14 The manager advised that they had been working closely with the Older Peoples Reviewing Team (OPRT) of Social Services. Also she had raised the importance of accurate record keeping, with the staff. Because of both of these factors, the care plans had improved. People and relatives expressed their views, during the inspection, and in surveys. Their opinions were; We looked at 9 homes before choosing this one, and also mother knew a lady in the home. We looked at 13 homes before choosing this one. Social Services only gave us a list. Antibacterial hand wash should be available to staff and visitors. When we operate the call system, we have to wait for some one, when they are short of staff. I am very satisfied with the standard of care provided and would not hesitate to recommend it to others. ‘Richmond Heights made me feel I belonged from the day I visited’. ‘They really care about residents in here’. ‘The care is good’. ‘I’m satisfied with the care’. Whilst touring the building it was observed that many people were in a frail condition and in bed. All the people who were observed to be in bed appeared to be comfortable and well cared for. The organisation of staff was discussed. The manger identified that Older Persons Reviewing Team (OPRT) of Social Services had indicated that it was expected that one member of staff should be in the lounge / dining room at all times. This practice was causing some difficulty within the care practices. Others ways of delivering care and supervising people was discussed. The manager agreed to re look at the work practices. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 15 There was a signature-checking document, which contained the initials as written on the medication administration document and the member of staff’s signature. On examination of this document it was established that the record was out of date and did not contain the signatures of some staff. On examination of medication administration records it was found that there were no omissions of signatures. All medication records had been signed when being checked in from the pharmacy. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 16 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): Standards 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were organised and people were able to exercise their rights of choice within the service, therefore this provided stimulation and enhanced their quality of life. EVIDENCE: The manager advised that an activities co-ordinators was employed and worked 25 hours a week, mainly Monday to Friday for 5 hours a day but would work Saturday or Sunday should there be a special event. There was a notice board, which displayed information regarding activities, entertainers visiting the service, and outings that were planned. The activities co-ordinator recorded her activities and it showed which activity occurred and who attended. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 17 On discussing the activities with the people, and relatives and reading the surveys their opinions were that: Activities should be more varied. Regarding activities, the mornings are well covered with Bingo – twice a week, Chair aerobics on Friday, but afternoons and evenings there is nothing unless an entertainers comes in. Because my mother is physically and mentally impaired such activities are difficult, but recently chair ‘keep fit’ and musical entertainment have been arranged. ‘We are busy most of the day with meals, activities and other things’ ‘We go on outings when it’s nice’ ‘My mum prefers to stay in her room, she’s not bothered about activities’. Regarding the meals, the manager advised that the care staff asked the people for their meal order for dinner and tea, after the breakfast. There was a board on the wall, in the dining room, which stated the two choices of meal for that day. The meals on the date of the visit were being prepared according to this menu. On discussing the meals with the people, and relatives and reading the surveys their opinions were that: The quality is poor, there needs to be more choice. They are a poor value for money. Since the appointment of the new manager the quality of meals has improved and there is a more varied menu. ‘The food is ‘very good’. ‘We get plenty’. There was evidence of the monthly meeting for the people. This meeting was titled ‘ Your voice’ and comments from the meeting were used as part of the quality assurance. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 18 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): Standards 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service had a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon to address any shortfalls in care or service provision. Safeguarding adults training made staff aware of their responsibility regarding the protection of vulnerable adults. EVIDENCE: The complaints procedure was available within the Service User guide. A copy of the procedure was not displayed at the entrance. On discussing complaints with the manager, she produced the complaints book. Within the book it that showed that the complaints and the action taken had been recorded. It also showed that the complaints had been acted upon and resolved within a 28-day period. Regarding safeguarding adults, the service had policies and procedures which were available to staff. Staff had undertaken safeguarding adults training, and the manager was able to evidence this by showing training records and certificates. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 19 There was a procedure, which was displayed with the nurses offices, which informed the staff which senior manager to contact if a complaint or allegation of abuse was raised during out of hours. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 20 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): Standards 19, 24 and 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in an environment that had been maintained to a good standard to provide a safe, homely environment. EVIDENCE: On touring the building, the home was again found to have reasonably decor in most areas but some areas of the service looked ‘tired’ and will require redecoration in the near future. This was expressed in the last inspection report. Both managers agreed that the external windows were in need of painting and several areas within the service. The manager offered to produce a plan to cover the next 12 to 18 months on the redecoration and refurbishment of the service, and to send a copy to us. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 21 There had been compliance to the previous requirement within Regulation 16 and Standard 24.5, that locks should be fitted to the bedroom doors. However Standard 24.6 regarding the provision of keys has not been taken into account. The locks had a turn handle on the inside and a slot operation on the outside. Therefore people could not secure their own rooms with keys, if they wished. This was discussed with several people, particularly those who had valuable items on display in their rooms. Two individuals stated that they would like to have a key. It was discussed with the managers that they speak with each person and should they wish to have a key then the lock would be changed. The managers agreed to undertake this exercise. The action of discussing the availability of the key and the person’s decision should be recorded in all the care plans. Comments were received from the people and the relatives regarding the environment, during the inspection and from surveys. The general comments were that: I would like the stairwell carpets to be replaced, as they are stained. My mother’s room has never been decorated and there are some repairs. ‘It’s good here every one is so friendly’. ‘Its nice and clean and well maintained’. ‘Its lovely’ The people’s rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or the family had provided. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 22 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): Standards 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was able to provide evidence that staff had received all necessary training, which reflected on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. EVIDENCE: On examination of the staff rotas and examination of staff on duty, the following was established. Am shift Pm shift Night shift Plus. A manager, Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 23 2 qualified nurses and 9 care staff. 1 qualified nurse and 9 care staff 2 qualified nurses and 3 care staff. A clinical manager An activities co-ordinator. Ancillary staff included; domestics, catering staff and maintenance staff Caring for a present occupancy of 51 people. A full assessment of the dependency levels of the people was not undertaken and compared with the indicated staffing levels. On examination of the three staff files, all contained the required documentation. Except for the Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks that were recorded on the computer system, accessed by managers and password protected. On examining the computer files, all the records checked had Criminal Records Bureau and POVA checks. On examination of the staff training records there were records that indicated all staff had received moving and handling, and other relevant training. However the training records on computer indicated that only 50 of the staff had received the fire training. Only further analysis of this figure, it was found that staff who had left the company were included within the number. When it was recalculated it was nearer 75 of staff who had undertaken the training. The manager contacted the training department of the company, and a firetraining course was set up for the 12th August 2008. The manager has since contacted us to confirm that the training has occurred. The comments from people and relatives were: Richmond Heights were short of staff and had no manager, but staff worked themselves into the ground to give us care. Since the new manager arrived there is a marked improvement. Staff are now able to have a little chat with us. ‘The staff are very good’. ‘They (staff) come when I want them’. ‘They (staff) are always friendly and welcoming’. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 24 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): Standards 31,33,35, and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced manager was in post. This contributed to the effective organisation and operation of the service. Extensive quality assurance systems were in place that assisted the managers and company to measure the service against expected outcomes. EVIDENCE: There is not a registered manager in post. However we have received an application from the manager to apply to be the registered manager. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 25 The manager advised that she had 10 years experience in management and 35 years experience in the provision of care. The comments regarding the management from the people and relatives were: The new manager does seem to listen and tries to improve the situation. The situation has changed dramatically since the new manager Jane has been installed. She is hard working and has made several changes for the better. Regarding Quality Assurance, the manager provided evidence that she had undertaken her monthly quality audits. The operations manager monitored these. The clinical governance department of the company undertook an Annual audit of the service. Regulation 26 documentations, which are a record of the registered person’s monthly visits, up to date. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). The information showed that appropriate action had been taken. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 26 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 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 X X 3 Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP31 Good Practice Recommendations There should be a registered manager within the service. Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Richmond Heights Nursing Home DS0000021800.V370138.R01.S.doc Version 5.2 Page 29 - 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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