Care Home: Ridgeway House

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What the care home does well The residents are treated with respect and warmth by the staff team The residents can expect to receive a good standard of care from the staff team as they can experienced, well qualified and demonstrate a sound understanding of their needs. The residents are protected by robust policies and procedures in the home.The residents enjoy a varied and stimulating programme to suit their individual preferences. The residents are well supported as the staff team have good relationships with other professionals from other agencies. What has improved since the last inspection? The bathroom has been decorated and a resident who has found it difficult to use the stairs now has a bedroom downstairs. The office has been moved upstairs. What the care home could do better: The residents would enjoy a more homely environment if the fence in the garden is repaired and the rubbish next to this fence cleared. The residents would be more assured that the staff team were working consistently if staff supervision took place at more frequent intervals. The residents would be safer if the hoist in the downstairs bedroom were always stored safely. CARE HOME ADULTS 18-65 Ridgeway House 143 Highridge Green Bishopsworth Bristol BS13 8AB Lead Inspector Jacqueline Sullivan Unannounced Inspection 12th November 2008 13:00 Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 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 Ridgeway House DS0000026614.V373144.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 Adults 18-65. 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. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ridgeway House Address 143 Highridge Green Bishopsworth Bristol BS13 8AB 0117 964 5054 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) ridgeway.house@virgin.net Ms Elaine Leslie Miss Alison Louise Cooling Mrs Alivia Susan Harvey Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Ridgeway House DS0000026614.V373144.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 providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who can be accommodated is 7. Date of last inspection Brief Description of the Service: Ridgeway House is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care to seven adults with a learning disability aged between 18-64 years of age. Mrs Elaine Leslie owns the home, with Ms Alivia Peacock as the registered managers. Ridgeway House is situated on the outskirts of Bristol. There are local amenities close by including shops. The home can be accessed by public transport. The home is in keeping with the local neighbourhood. There are seven single bedrooms arranged on the first and second floor. The fees for the home at the time of publishing this report are in the region of £750.00 to £1,800 per week. Ridgeway House DS0000026614.V373144.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 two star this means the people who use this service experience good quality outcomes. This was an unannounced site visit following the visit in November 2007. The purpose of the visit was to monitor the progress to the requirements and recommendations made at that inspection and to review the quality of the care provided to the individuals living in Ridgeway House. The home has been keeping the Commission for Social Care Inspection informed of incidents that affect the wellbeing of the individuals living at the Ridgeway House and the provider has sent monthly appraisals of the service. This information was used to plan the inspection process. The inspection was conducted over a total of 3 hours. The inspector had an opportunity to meet with three residents, two members of staff and the assistant manager. The methodology used during this inspection included viewing care records and other relevant documents required of a care home and a tour of the home. A pre-inspection questionnaire was completed by the registered manager was also received and this information assisted with the planning of the site visit. The registered provider described the homes’ ethos as being” treat every one as you would like to be treated yourself.” What the service does well: The residents are treated with respect and warmth by the staff team The residents can expect to receive a good standard of care from the staff team as they can experienced, well qualified and demonstrate a sound understanding of their needs. The residents are protected by robust policies and procedures in the home. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 6 The residents enjoy a varied and stimulating programme to suit their individual preferences. The residents are well supported as the staff team have good relationships with other professionals from other agencies. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 1,2,4 Resident’s needs are assessed to ensure that the home is suitable to meet their individual requirements. Prospective residents can be assured that they have good information about the service provided at Ridgeway House. Residents can be assured that they can they have made the right choice of home as they have the opportunity to visit the home prior to admission. EVIDENCE: The statement of purpose and the service user guide were seen at the last inspection to contain the required information. It was noted that these documents were accessible to residents and were written in plain English and contained symbols and photographs and clearly described the service that was available. Ridgeway House is registered to accommodate and provide personal care for younger adults with a learning disability. Several residents also have complex physical, psychological and communication needs. The staff team were able to demonstrate a multi-disciplinary approach to the care of the residents. The care documentation showed that the staff team work closely with the Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 10 Community Learning Disability Team including the consultant psychiatrist and a behaviour team. Resident’s need assessments and care plans are written from a “person centred prospective” involving the individual and where relevant relatives. Assessment information had been regularly reviewed and updated which shows staff closely monitor residents changing needs. The registered provider explained the admission process and this was confirmed in the care files and in the admission policy. Prospective residents are supported to visit the home and the length and frequency of the visits is tailored to the preferences of the individual, in addition a trial period is offered. To ensure that they are compatible with the existing residents. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents can be assured that their changing care needs will be met by the staff team. Residents have some level of involvement in aspects of life in the home, which varies to the ability of the individual. Residents are supported to take risks by the staff team. EVIDENCE: We looked at two residents files and found that residents care needs were clearly described in the individual’s plan of care. These were seen to be person centred and reflected the preferences and care needs of the individual .The information their personal care needs, a health needs and an activity needs. Residents also have a diary. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 12 The information was well organised and gave staff useful enabling staff members to provide the appropriate care to support their health and social needs. The registered provider described one resident’s changing needs and the work that is being undertaken to meet these. This involved consultation with other agencies. The resident’ care plans are regularly reviewed and reflect the residents changing needs Residents, relatives and professionals were involved in these reviews. Where residents are able they had signed the plan of care. We looked at the risk assessments and saw that they were in place for residents’ safety both in the community and the home for a variety of activities. A member of staff was able to describe the risks involved for one resident in using the bath. Resident meetings have recently discontinued. It was felt that they had no value due to the complex communication needs of residents. It was seen that resident’s views are sought on a regular basis informally and formally through their care reviews and an annual questionnaire. Consideration should be given to regularly checking out with residents that they no longer wish to have residents’ meetings. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that they will be supported to attend a wide range of activities. Residents are supported and encouraged to maintain contact with families and friends. Residents enjoy a healthy and well balanced diet. EVIDENCE: We looked at the care files for the residents and saw they were supported to take part in appropriate leisure activities. These were varied to suit the Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 14 individual and their preferences. The rota provided evidence that additional staff are roistered to enable residents to access activities and the community. Each resident had a structured timetable, which included a variety of activities including attendance at day centres, hydrotherapy, and dance voice, horse riding and visiting a local sensory relaxation centre. A sensory room is available in the garden. Members of the staff team confirmed that this is well used by one particular resident. A resident stated that they go to college twice a week and visit relatives, go for walks and shopping trips. They stated that they liked living in the home. The responses to the questionnaires that were completed by relatives confirmed that they were happy with the level of activity available The home has access to transport to enable residents to make full use of the community. Discussions with staff, the residents and evidence seen in the care documentation confirmed that trips out took place regularly. These include trips to Chew Valley, shopping trips and visits to Aston Court. Annual holidays include trips to Weymouth, Exmouth, Cornwall and Centre Parcs. In addition weekend breaks and day trips have been organised. Questionnaires sent to relatives confirmed that they were made welcome and all comments received were positive. As noted at the last inspection, the home organises social functions and all relatives are invited to attend. Staff members described the mealtimes and said they sat with the residents. The menus confirmed that residents were given choice with two different meals being prepared. There was a record of the food that the residents ate and this confirmed that the residents were eating a variety of healthy foods. As did the food seen in the fridges and freezers. A staff member stated that one resident has specially prepared meat in keeping with their cultural needs. Information in the homes diary and the care documentation confirmed that dieticians had been consulted about the choice of food for the residents. When asked about the food one resident said he liked “fish and chips” and the menus confirmed that he ahs the opportunity to eat these. He said, “ I like the food” Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s can be assured that their personal and health care needs will be met by the staff team. Residents are safe guarded by the homes procedures and practices in the administration of medication. EVIDENCE: Discussions with staff members, observations at inspection and evidence in the care documentation confirmed that residents’ health needs are being met by the staff team. Referrals were seen to appropriate health professionals within a multi disciplinary team. All residents are registered with a General Practitioner and visits to these and any other professionals like Consultants and the CLDT (Community Learning Disability Team) recorded. Care plans clearly documented the personal and health care needs of the residents. These were being kept under review and demonstrated a person Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 16 centred planning approach. Each individual had a health action plan that detailed how to ensure an individual’s well-being is maintained. As noted at the last inspection, plans of care included individual assessments for manual handling. Training for staff was in place. There were clear records detailing the personal care support needs of the individual and a daily record of care given. The home has a “Privacy and Dignity” Policy. Residents are offered a choice of who they would kike to assist them whenever possible. As noted at the last inspection, the home is committed to a high standard of care for residents who experience epileptic seizures. On the day of inspection the Assistant manager was attending this training and the staff files show there is a lot of training in this area. Staff training records indicated that staff members had received training in “supporting residents who have epilepsy, supporting residents with challenging behaviour, manual handling and First Aid and mental capacity training, We looked at the policies and procedures for receiving, storing, administering and disposing of medications. These were seen to be appropriately maintained. Training records was seen for staff that administer medication. A designated person within the team completes routine stock checks. The prescribing general practitioner provides six monthly medication reviews. We looked at the responses from relatives in their questionnaires and there were no concerns raised about any issue relating to medication. The registered provider has a good commitment to ensuring that the residents are safe. She told us that if any staff does not follow the administration of medication procedure then they face disciplinary action. Records in the staff files confirmed that appropriate action has been taken on the rare occasions errors have occurred. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that the home will respond appropriately in the event of a complaint or an allegation of abuse. EVIDENCE: A pictorial complaints procedure was seen. The home has a robust complaints procedure in place. Responses to the questionnaires from relatives confirmed that they felt this procedure to be robust. The home has not received a complaint in the last year. Residents concerns are logged in individual care files. The policy and procedure is available for visitors in the home. We asked one resident what they would do if they were concerned about something at the home and they pointed to the staff and said they would tell them. As noted at the last inspection, due to limited communication skills of those living in the home the staff rely on their expertise and knowledge of the residents to recognise if they are unhappy and may have concerns. It was evident that staff had built good relationships with residents from discussions with the staff, the registered manager and the home manager. The home has procedures for the protection of individuals living in the home including an abuse, bullying, anti-racism, financial, gifts and a whistle blowing Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 18 policy. Staff were aware of the procedures to safeguard residents. There was a strong awareness of the individuals’ rights. Staff could demonstrate a good awareness on abuse and how to respond to an allegation. There is a system in place to ensure that all Staff attended training with the local authority on “raising awareness on abuse. The registered provider stated that there had not been any safeguarding concerns in the time since the last inspection. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ridgeway House provides a homely and safe environment ensuring the resident’s needs are met. However this would be improved if there were some work on the garden. EVIDENCE: As noted at the last inspection, Ridgeway House is in keeping with the local neighbourhood overlooking a green space. The home is partly accessible to individuals in a wheelchair and has two ground floor bedrooms. Stairs accesses the first floor. There are two separate seating areas and one doubles up as the dining area. Residents have access to a communal music centre, television and DVD; in addition some of the residents had these in their bedrooms. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 20 The home has three bathrooms, two on the first floor and one on the ground floor and a separate toilet/shower room. The ground floor has been especially adapted to assist residents who have mobility issues with a walk in shower and other equipment to assist with manual handling. One resident has recently moved downstairs and the office relocated upstairs. In one of the downstairs bedrooms the hoist suspended from the ceiling was in the centre of the room and was a hazard. A staff member said it is usually over the bed and moved it. However a recommendation has been made that staff members check this is in a safe position. Discussions with staff members and records in the care documentation confirmed that where resident’s needs were changing the home would respond appropriately including seeking the advice of specialist professionals who can advise on further aids and adaptations. The home was well maintained, clean and tidy. The repair book provided evidence that the home responds quickly to repairs. Residents have access to a large outside space. The fence around the garden was broken and there was garden rubbish piled alongside it. A recommendation has been made that the fence is repaired and the rubbish removed. Decking has enabled a resident who uses a wheelchair access to the outside space. There is a sensory room in the garden, which is used by the residents. Discussions with the staff and residents confirmed that that this space was fully utilised in the summer. Staff were responsible for the keeping the home clean and tidy, residents are also involved with domestic tasks. We were told that one resident cleans their room and puts away their laundry. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence Residents are supported by a qualified and competent staff team. Residents are protected by a thorough recruitment process ensuring their safety. EVIDENCE: Evidence at this inspection confirmed that the home had sufficient staff to meet the care needs of the residents living at Ridgeway House. The home employs a minimum of two staff during the day and one waking and one sleep in member of staff cover the nights on a daily basis. Additional staff are employed to enable residents to attend regular hydrotherapy sessions twice weekly and other social activities. The home uses agency care staff to cover staff vacancies from a core bank of to provide residents with consistency. The manager stated that she could recruit staff easily but she waits until she finds the right staff with the skills and competence for the job. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 22 As noted at the last inspection, recruitment information was available for staff case tracked. There were good recruitment procedures in place to ensure the safety and protection of the residents, from initial advert through to interview, and ensuring all documentation is in place prior to commencing in post. The assistant manager stated that all of the workforce has an NVQ 2 (national vocational award) in care. The home manager has a NOVA 4 in management and the assistant manager has a wide range of Qualifications. These include a degree in dementia care The staff have attended training relevant to the care needs of the residents. Records and conversations with staff confirmed this. Training includes safeguarding, epilepsy management, fire safety and manual handling. The home has communication systems in place including daily handover records. Three staff meeting minutes were available for this year and staff supervision notes seen showed that staff supervision is about three times a year including the staff appraisals. A recommendation has been made that supervision is more frequent. Staff spoken to were able to demonstrate a good understanding of the needs of the residents. They were seen to communicate with the residents in an informal and relaxed manner. A staff member explained that one resident liked to sit and read catalogues and several times during the inspection a staff member was seen sitting with this resident going through these catalogues. This resident said, “ I like the staff” Consideration should be given to including issues of equality and diversity at the staff meetings so that it is regularly discussed. Staff members were able to give some examples of the ways they are proactive about meeting the resident’s diverse needs but this could be further developed. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident in the management arrangements in the home. Resident’s safety is assured by the home’s procedures and practices. EVIDENCE: Ms Alivia Harvey and Ms Cooling are the registered managers for the home. At the time of inspection Ms Cooling maternity leave and Ms Peacock on Annual leave. The home was being managed by the assistant manager and the registered provider. Staff rotas confirmed it was unusual for both managers not to be present at the home. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 24 If a manager is not present at the home the line of deputisation in their absence is the coordinator. The role of the coordinator was described by a staff member as being” ensuring that every thing runs smoothly”, “giving out medication“. On the day of inspection the assistant manager was attending an epilepsy course but he joined the inspection in the afternoon. Staff members on duty at the time of inspection described the management of the home as “good people to work for”, “easy to talk to “, and efficient “and said of the new assistant manager” he fits in well. Both managers and the assistant manager are appropriately qualified. Policies and procedures have been reviewed in light of changing legislation namely the Health and Safety Policies including risk assessments relating to fire. Annual questionnaires are given to residents, their relatives and staff to appraise the service. We read the responses and noted that the response was positive about the service and management. Fire Records were examined and found to be in order in relation to the checks on the fire safety equipment and training. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 26 No 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. 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 2 3 Refer to Standard YA24 YA24 YA36 Good Practice Recommendations The registered manager should ensure that the fence in the garden is repaired and the rubbish next to this fence cleared. The registered manager should ensure that the hoist in the downstairs bedroom is stored safely. The registered manager should ensure that staff supervision takes place at more frequent intervals. Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Ridgeway House DS0000026614.V373144.R01.S.doc Version 5.2 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. 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