Care Home: Riverside & Roseberry Lodge

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Blenheim House
• Prince Bishop Court
• Park View (15)
• Craigmore House

What the care home does well The home provides a high standard of accommodation; the building has been well designed and provides excellent private and communal facilities for the people living there. The flexibility of the design will allow the building to be adapted to meet changing physical needs e.g. reinforced ceilings in bedrooms will allow the installation of ceiling tracking systems and height adjustable working surfaces in kitchens will facilitate use by wheelchair users. Bedrooms had been individualised by the inclusion of personal belongings and clearly reflected the interests and personality of the occupant. This is a well managed home with an enthusiastic and competent staff team who benefit from a comprehensive training programme and good management support. Staffing levels are good and allow individual support to be given to people living in the home. Good management systems are in place and records are well maintained and up-to-date. Care plans showed how service users were consulted about all aspects of their life and were encouraged to be as independent as possible. Despite having only recently opened there was a warm and homely atmosphere in the home and the people living there were clearly happy; those who could communicate verbally said they enjoyed living there and got on well with the staff. What has improved since the last inspection? This is the first inspection of a new home that opened in September 2007. What the care home could do better: All of the assessed standards have been met and it is commendable that no requirements or recommendations have been made as a result of the inspection. The manager has identified a number of areas that would improve the lives of the people living in the home and has detailed these in the Annual Quality Assurance Assessment and has developed action plans to implement the improvements. CARE HOME ADULTS 18-65 Riverside & Roseberry Lodge North Ormesby Road Middlesbrough Cleveland TS4 2AF Lead Inspector Ray Burton Unannounced Inspection 4th March 2008 10:00 Riverside & Roseberry Lodge DS0000070517.V360692.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 Riverside & Roseberry Lodge DS0000070517.V360692.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. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverside & Roseberry Lodge Address North Ormesby Road Middlesbrough Cleveland TS4 2AF 01543 416106 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) londonroad@tiscali.co.uk Milbury Care Services Ltd Mrs Diane Mary Croves Care Home 12 Category(ies) of Learning disability (4), Physical disability (12), registration, with number Sensory impairment (2) of places Riverside & Roseberry Lodge DS0000070517.V360692.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 only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Learning Disability, Code LD, maximum number of places 12 Physical Disability, Code PD, maximum number of places 4 2. Sensory Impairment, Code SI, maximum number of places 2 The maximum number of service users who can be accommodated is: 12 N/A Date of last inspection Brief Description of the Service: Riverside & Roseberry Lodge is registered to provide support to twelve people with learning disabilities. The home has been designed to provide an environment fully accessible to wheelchair users or people with mobility problems; it comprises two bungalows each with its own entrance but connected by a communicating door. The weekly charge for living at the home ranges from £1050 to £3000 Riverside & Roseberry Lodge DS0000070517.V360692.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 the people who use this service experience good quality outcomes. This was the first inspection of a home that opened in September 2007; it covered all of the key standards of the National Minimum Standards for Care Homes for Adults. The inspection took place over two days – 4th and 5th March 2007. During the inspection a tour of the building was conducted, records and care plans were examined and the inspector spoke to people living in the home as well as to the manager and members of staff. An “expert by experience”, whose comments have been used in writing this report, accompanied the inspector for part of the inspection. The term “expert by experience” describes people whose knowledge about social care comes directly from using services. What the service does well: The home provides a high standard of accommodation; the building has been well designed and provides excellent private and communal facilities for the people living there. The flexibility of the design will allow the building to be adapted to meet changing physical needs e.g. reinforced ceilings in bedrooms will allow the installation of ceiling tracking systems and height adjustable working surfaces in kitchens will facilitate use by wheelchair users. Bedrooms had been individualised by the inclusion of personal belongings and clearly reflected the interests and personality of the occupant. This is a well managed home with an enthusiastic and competent staff team who benefit from a comprehensive training programme and good management support. Staffing levels are good and allow individual support to be given to people living in the home. Good management systems are in place and records are well maintained and up-to-date. Care plans showed how service users were consulted about all aspects of their life and were encouraged to be as independent as possible. Despite having only recently opened there was a warm and homely atmosphere in the home and the people living there were clearly happy; those who could communicate verbally said they enjoyed living there and got on well with the staff. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 7 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 Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 8 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): 2 People who use this service experience good quality outcomes in this area. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home is divided into two units – Riverside and Roseberry. The six people living in Riverside all have high dependency needs and had all previously lived in a Milbury Services home that had been scheduled for closure. To maintain friendship links and to provide a continuous and familiar service they, along with most of the members of staff, transferred together into Riverside Lodge when it opened in September last year. Great care was taken to prepare the service users for the move and to minimise distress; all had opportunity to visit their new home prior to moving in. During the transition period staff at the home worked closely with professionals from other agencies to ensure the best interests of the people using the service. The people living in Roseberry have lower dependency needs and had been individually referred by local social services departments. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 9 Conversation with the registered manager and examination of the personal files of four people who use the service showed that following the initial referral a detailed assessment was received from a social worker; this was followed by the homes own in-depth and extended assessment to gauge the suitability of the placement and the ability of the home to meet the persons needs. The manager visited potential service users in their own homes and spoke to parents, carers, staff at colleges and day care services as well as other appropriate professionals. Opportunity was provided for potential service users to visit the home to meet members of staff and the people already living there; overnight stays were encouraged. Following admission there was a trial period after which a review was held to determine the suitability of the placement and for the service user to decide if he/she liked the home and wished to continue living there. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 10 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, 9. People who use the service experience good quality outcomes in this area. The homes care planning process ensured the needs of the people living in the home were identified and met. Users of the service were placed at the centre of the care planning process and were supported to make choices amd to take control of their lives at a level appropriate to their skills and abilities. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Observation during the inspection, conversation with the manager and members of staff and examination of care planning documentation and daily records evidenced that each person living in the home received good individual support and was encouraged and helped to make choices about things that affected their lives. Four care plans were examined each was well organised and provided a comprehensive and detailed picture of all aspects of the service user’s life and showed how each was placed at the centre of the care planning process and Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 11 was involved at an appropriate level in the development of his/her own plan; where possible involvement and agreement was indicated by signature. Assessments had been carried out and action plans devised covering all areas of daily living and personal need, including social need. Staff recognised the importance of promoting independence and of encouraging people using the service to make choices whilst ensuring their wellbeing and safety. Each care plan contained risk assessments and risk management strategies to eliminate or reduce the risk; there was evidence that these had been developed in conjunction with other professionals such as psychiatrist, specialist nurses etc; and that users of the service were involved at a level appropriate to their understanding. Constant monitoring was undertaken to ensure changing needs were identified and appropriate action taken. Any limitations that had been imposed in the person’s best interests had been documented and, where possible, agreed by the person concerned. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16, 17. People who use this service experience good quality outcomes in this area. People living in the home were treated with respect and presented with opportunities to lead fulfilling lives. They were encouraged by staff to take part in appropriate leisure activities and supported when engaging in communitybased activities. Staff promoted the maintenance of family and friendship links. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: There was a relaxed and friendly atmosphere in the home; and the people living there appeared at ease with members of staff who, it was observed, treated them with respect and addressed them appropriately by their preferred name. Daily routines were flexible and promoted independence, individual choice and freedom of movement (subject to their individual plan). Care plans contained a Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 13 “preferred daily routine” that showed what the individual liked to do during the day, what time he/she liked to rise and go to bed etc. Conversation with members of staff and the people living in the home and examination of care plans and daily records showed the right of the people living in the home to lead a normal and satisfying life was promoted by staff who encouraged and supported them to develop their skills and achieve as much independence as possible. Opportunity was provided for each service user to take part in various appropriate activities both inside and outside of the home. Each had an activity plan/diary that showed activities undertaken; these varied greatly depending upon the ability level and interests of the individual and ranged from sensory activities such as foot spa, leisure baths and relaxing in the sensory room to part-time work in a local shop, computer studies at a local college of further education, attending a drama group and watching the Boro play football at the Riverside Stadium. People living in Roseberry Lodge had, with the assistance of a member of staff, completed an “Activities & Interests” questionnaire in which they indicated the sort of activity they wished to be involved in either as a participant or as a spectator. The care plan of one service user showed how, with staff support, he was choosing his own holiday. The plan showed how he was visiting travel agents to collect brochures and going on the internet to compare holidays. The “expert by experience” made the following comments: “I found out the residents take part in activities during the day and on evenings and weekends if they wish to. The activities that the residents have been involved in are: cinema, shopping, football matches, bowling, walk, local parks, theatre, go out for meals, DVD’s, disco at local club. The staff told me that residents go out once a day unless they choose not to. A resident told me that he could go out on his own with staff. I also found out that residents go on holiday to Edinburgh, Lake District, York and Rosedale.” Each person living in the home, at a level appropriate to their ability and skills and within the framework of individual plans and risk assessments, was encouraged to participate in the day-to-day running of the home: dusting hoovering, taking responsibility for their own room, simple meal preparation, accompanying staff when doing the household shopping. Menus showed a varied and balanced diet was offered with plenty of individual choice and alternatives being offered should someone not wish to have the dish of the day. One service user, living in Roseberry Lodge, spoke of how staff Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 14 were helping him to be independent; he said he looked after his flat, did his own laundry and prepared his own meals – he said he enjoyed cooking and could make: spaghetti bolognese, scrambled eggs and could bake cakes. The “expert by experience” said: “I found out that residents go food and clothes shopping with staff. Staff told me that it is staff who choose the food that is purchased for residents who cannot communicate verbally and that they choose the food that residents seem to like. Staff told me that they choose food for mealtimes but if residents don’t eat it they offer them something else. Staff also told me that there is always a healthy choice and that staff do all of the cooking.” The manager said that people living in the home were encouraged to develop and maintain family and friendship links and that family and friends were encouraged to visit the home. A service user told the expert by experience that he could have friends and family visit and that staff would always make them feel welcome. Riverside & Roseberry Lodge DS0000070517.V360692.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, 21 People who use this service experience good quality outcomes in this area. Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual. There were appropriate policies and procedures in place to deal with the illness and death of a service user. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Care plans contained detailed information about general health, dietary requirements and details of any specific ailment or medical condition. People living in the home had access to community-based health services as well as more specialist services when necessary. Conversation with members of staff revealed an awareness of the importance of providing personal support and care in a sensitive and flexible manner that ensured dignity and privacy were maintained; and of consulting with service users and encouraging them to maintain as much independence and control over their own lives as possible. None of the people currently living at the home was able to control his/her own medication and all medicines were Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 16 administered, according to the homes policies and procedures, by staff who had received appropriate training in the administration of medicines and had been assessed as being competent. All medicines were stored securely and appropriate records of administration maintained. The home had a suitable policy to deal with the ageing, illness and death of a person living in the home. There was evidence in care plans that discussions had taken place with next of kin, and where appropriate with service users, about arrangements in the event of terminal illness and death. One care plan contained a detailed statement from a service user in which he had given very clear and precise instructions about his wishes in the event of his death. The statement had been signed by the service user and his key worker. Riverside & Roseberry Lodge DS0000070517.V360692.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 People who use this service experience good quality outcomes in this area The home has a suitable complaints procedure and policies and procedures to safeguard people using the service from abuse. Staff had received training in adult protection. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home had an appropriate complaints procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter was handled. All users of the service and their next of kin had been provided with an accessible version of the “letting us know what you think” policy. There had been no complaints received since the home opened in September 2007. One of the people living in the home said: “The staff are great I have no complaints at all. They can see when I am upset, even before I know myself. They will always make time to sit down and talk to me and sort things out.” The expert by experience said: “I liked the fact that residents feel they can talk to staff if they have any problems or concerns.” Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 18 Policies and procedures were in place to ensure the safety and protection of users of the service and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff who had all received appropriate training during their induction into the service and were able to demonstrate an understanding of what constituted abuse and knew what to do in the event of such an incident being brought to their attention. Riverside & Roseberry Lodge DS0000070517.V360692.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): People who use this service experience excellent quality outcomes in this area. The home provides comfortable, homely and safe accommodation and meets the needs of the people who live there. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Riverside & Roseberry Lodge is a single storey building divided into two separate self-contained units. Externally there is an attractive raised patio and an enclosed garden. Riverside provides accommodation for six people with high dependency needs. The single bedrooms were spacious and each had an en-suite facility. Roseberry provides apartment-style living for six people with lower dependency needs. Each apartment comprises: lounge, kitchen/dining area, bedroom and en-suite bathing and toilet facilities. Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 20 The home had been equipped to a very high standard with furniture that was domestic in nature, of good quality and suitable for purpose. Specialist disability equipment had been provided and ceilings had been strengthened to allow the installation of overhead tracking systems to access bathing facilities should this be required. All areas of the home and gardens were accessible to wheelchair users. Each unit had a fully equipped sensory room. Décor throughout was pleasant and cheerful and pictures had been hung in communal areas. The manager said that staff were working with service users to make the building more homely by the addition of posters, photographs etc that had special meaning for the people living in the home. Private accommodation had all been individualised by the inclusion of personal effects such as pictures, posters, photographs, TV, CD player etc. The expert by experience said: “I found the home very welcoming and very clean and tidy. It was decorated very nicely. I looked into one bedroom as the staff member told me she had permission from the resident to show us his room. The bedroom was very well decorated and was full of the residents personal belongings.” “Staff told me that they use picture cards with some residents to help them communicate. While I was looking around the home I did not see any pictures or symbol cards giving residents information.” The manager explained that additional user-friendly information and communication aids, particularly in Riverside, were being devised to help people without verbal communication make choices e.g. stick-on pictorial menu boards. Riverside & Roseberry Lodge DS0000070517.V360692.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): People who use this service experience good quality outcomes in this area. People living in the home were protected by a competent staff team and by the policies and procedures on recruitment and training. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: On the days of the inspection there were sufficient numbers of staff on duty to meet the needs of the people living in the home. Examination of the staffing rosters revealed that there were usually four support workers on duty at all times in each of the units. The home followed corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of personnel files revealed all required information was in place and that prior to commencement of employment the home obtained two suitable references and conducted all necessary checks including Criminal Records Bureau (CRB). Training records revealed the home had a good training policy and all members of staff had received thorough induction training and were encouraged to undertake ongoing training that would aid their professional development and help them meet the needs of the people using the service. Currently 18 Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 22 members of staff were qualified to a minimum of NVQ level 2. In conversation staff revealed an in-depth knowledge of the needs of the people living in the home and were able to say how those needs could be met; they said that in addition to mandatory training courses they received training that would help them to understand the needs of individual service users and enable specific needs to be met. The expert by experience said: “I found the staff to be very friendly and helpful. Staff appeared to be very supportive to residents and looked like they got on well and had good relationships with residents and knew the residents individual needs.” There was a supervision policy in place ensuring all members of staff received formal supervision on at least six occasions a year. Riverside & Roseberry Lodge DS0000070517.V360692.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, 38, 39, 40, 41, 42, 43. People using this service experience good quality outcomes in this area. This is a well managed home with an enthusiastic and competent staff team. The health, safety and welfare of people living there are protected by the homes record keeping and policies and procedures. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager has the required qualifications, experience and knowledge to manage the home and provides strong leadership. She has an open management style that is empowering for people living in the home and for members of staff. Staff spoken to during the inspection were enthusiastic about their work and said they received good management support and felt that their contribution Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 24 toward the running of the home was appreciated. They were aware of their role and responsibilities, including their responsibilities under Health & Safety legislation. Regular checks of the building and equipment was undertaken and maintenance and servicing undertaken to ensure a safe and comfortable environment. All required safety certificates e.g.: gas safety, portable appliance testing etc were in place and up-to-date. A random sample of maintenance records was looked at and found to be in order and up-to-date. The home had appropriate policies and procedures that complied with current legislation and recognised professional standards and recommendations. Records were kept to safeguard resident’s rights and best interests and to ensure the effective running of the home; these were up-to-date and stored appropriately. The home had various systems both formal and informal to measure success in meeting its aims, objectives and statement of purpose and to ensure the rights and interests of people living in the home were safeguarded: staff meetings; service user meetings; staff supervision and appraisals; individual service reviews; monthly service review; annual service review (to include views of individual/family/professionals) and subsequent development/improvement plans; monthly Regulation 26 visits by Service Manager; regular contact with people living in the home and their relatives during which their views were sought. The annual quality assurance assessment (AQAA) that had been completed by the manager gave all of the information we had asked for. It showed that a very person-centred service was being provided and that the needs of the people using the service were being met and that they were encouraged and supported to make decisions about things affecting their daily lives. The AQAA presented a balanced picture showing what was good about the service but acknowledging areas that could be improved and showed how it was intended to achieve the improvements. Riverside & Roseberry Lodge DS0000070517.V360692.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 X 2 3 3 X 4 X 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 4 25 4 26 4 27 4 28 4 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 4 3 3 3 3 3 3 3 Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Riverside & Roseberry Lodge DS0000070517.V360692.R01.S.doc Version 5.2 Page 27 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 Riverside & Roseberry Lodge DS0000070517.V360692.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!