Care Home: Riverview House

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What the care home does well The home is well run and run in the interest of the residents. We know this from what people told us and through our observations on the day of inspection. The home has flexible routines and residents` individual needs and wishes are accommodated as far as possible. Some residents like to get up early and one person likes to stay in bed until late. Residents are given the opportunity to take risks, associated with daily living. Staff were observed treating residents with respect and encouraging them to make decisions for themselves. Care plans were extremely well written and showed how residents rights and choices were promoted. Residents are encouraged to look at their care plans and be involved in there review. One Relative wrote, " Residents feel they are part of a large family living in a homely atmosphere where they can pursue their own activities to the best of their ability without being subjected to unnecessary rules and regulations." The manager and care staff on duty appeared very committed and positive. Interaction between staff and residents was excellent. The AQAA was extremely well written and informative. What has improved since the last inspection? We asked the manager what she thought had improved and she said that he home is fully staffed at the moment. Staff receive regular support and formal supervisions every six weeks. Routines in the home are relaxed and residents are encouraged to do as much for themselves as possible. Staff and residents spoken to expressed confidence in the management team. They said they felt able to raise concerns if they wanted to. We saw evidence in the home which showed that they were proactive in dealing with complaints and, or safeguarding issues. CARE HOME ADULTS 18-65 Riverview House 70 North Street Stanground, Peterborough PE2 8HS Lead Inspector Shirley Christopher Unannounced Inspection 28th August 2008 09:30 Riverview House DS0000072013.V370684.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 Riverview House DS0000072013.V370684.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. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Riverview House Address 70 North Street Stanground, Peterborough PE2 8HS 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) 01733 760757 01733 319201 Hereward Care Services Limited To be appointed Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories 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 The maximum number of service users who can be accommodated is 14 3 October 2007 2. Date of last inspection Brief Description of the Service: Riverview House’s registration covers two properties. Both are within easy reach of Peterborough city centre and local amenities. Riverview house is a detached, two-storey building, and the Cottage is a terraced two-storey house in the same road. The main house at 70 North Street is a large residential property that has been adapted to meet the needs of the residents. It has eight bedrooms, two bathrooms, a large lounge, separate dining room, kitchen, laundry and office. One bedroom has an en-suite toilet and washbasin and all other bedrooms have a washbasin. The Cottage at 121 and 123 North Street is situated approximately 50 metres away and has been converted into a five-bedroom house for residents with greater independence. Both houses have accessible gardens. People at the cottage also have a view of the river Nene that runs along the end of their garden. The houses are within walking distance of local shops, pubs and a post office. Peterborough city centre is about five miles away and there is a regular bus service. The weekly cost to the local authority for places at Riverview house range from £345.04 to £680.00. Inspection reports are available in the home. Riverview House DS0000072013.V370684.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. We, The Commission for Social Care Inspection carried out a key unannounced inspection to this home on the 28 August 2008. During the inspection we spoke to the manager, care staff and residents. We looked round the home and case tracked one resident, which involved looking at all their records and speaking to them and their key workers about their needs. We looked at other records the home is required to keep such as staff records, the complaints procedure, the statement of purpose, the service user guide and some maintenance records. Before the inspection we asked the home to complete an Annual Quality Assurance Assessment (AQAA), which we received before the inspection. This told us about what the home do well, where they need to improve and how they are meeting national minimum standards. We sent out surveys to staff, residents and relatives. 13 were returned in total. 5 from relatives, 6 from residents and 2 from staff. Comments from these are included in the report. What the service does well: The home is well run and run in the interest of the residents. We know this from what people told us and through our observations on the day of inspection. The home has flexible routines and residents’ individual needs and wishes are accommodated as far as possible. Some residents like to get up early and one person likes to stay in bed until late. Residents are given the opportunity to take risks, associated with daily living. Staff were observed treating residents with respect and encouraging them to make decisions for themselves. Care plans were extremely well written and showed how residents rights and choices were promoted. Residents are encouraged to look at their care plans and be involved in there review. One Relative wrote, “ Residents feel they are part of a large family living in a homely atmosphere where they can pursue their own activities to the best of their ability without being subjected to unnecessary rules and regulations.” The manager and care staff on duty appeared very committed and positive. Interaction between staff and residents was excellent. The AQAA was extremely well written and informative. Riverview House DS0000072013.V370684.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. Riverview House DS0000072013.V370684.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 Riverview House DS0000072013.V370684.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): 1,2,3,4 Quality in this outcome area is good. Residents can expect staff to know how to meet their needs as these are clearly documented. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service user guide and statement of purpose have been updated this year. Staff showed a good understanding of meeting the different needs of residents including those from different cultures. The organisation uses ethnic monitoring forms as part of their equal opportunities employment policy. Different cultural expectations, religious beliefs and dietary needs are explored within the care plan. The home has made a good effort to ensure that documents are accessible to residents, using pictures and symbols. Staff and residents have learnt to use Makaton signs so they can communicate with one resident who communicates in this way. Another residents is partially sighted and the home has been proactive in accessing appropriate support and equipment for her. There are pictures on each room to show what room it is. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 9 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): 6,7,8,9 Quality in this outcome area is good Residents can expect their care plan to tell staff how to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We case tracked one resident, which involved looking at all their records and talking to them and care staff about their needs and how they were being met. Care staff sign to say they have read and understood the care plan. Records were comprehensive. They looked at the resident’s spiritual, cultural and ethnic needs. The care plan contained a life history and a personal profile, which covered physical and emotional well-being. It identified social needs and family support. It looked at communication skills. The home demonstrated that they were proactive in supporting residents with their communication skills through relevant communication systems including makaton, picture books and English classes. Information which is relevant to residents such as the complaints procedure is broken down using symbols and pictures. The care plan included pictures. The personal profile was linked to separate care plans for each area Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 10 identified. These were well written and identified what the residents needs were and how they were to be met. Care plans covered personal development and life skills. Risk assessments were in place to cover activities of daily living. The manager said that the key worker reviews care plans every month and then they are re written every twelve to eighteen months. Unfortunately the care plan inspected had not been reviewed monthly. The evaluation sheet showed that the care plan had been reviewed regularly up until January 2008 and then not again until August 2008. On this file there was an aspiration planning form, which had been completed by the resident, and identifies what goals they would like to achieve. It had not been reviewed so we were unable to see what progress had been made against the goals identified. The manager stated that most of the residents had already had an annual review by their respective care managers, or one planned for the near future. The resident we case tracked had not had a recent review. The last review were saw was dated 2005, although the manager thought a review had taken place since then. The last wishes in the event of death were not recorded of the file of the resident case tracked. The manager stated this has been discussed with some residents and their families and this would be recorded on their file. The resident’s daily notes for the month showed that they were engaged in a lot of tasks within the home and that their independence was being promoted. They were also attending day services and groups appropriate to their needs. Little was recorded about their opportunities to join in other social events. Care staff were spoken to about this and they described some of the things the person enjoyed doing and stated they often participated in activities outside the home. Throughout this inspection and from the AQAA we saw good evidence that the home encourage residents to make decisions for themselves. Residents are clearly involved in the running of the home. They participate in resident meetings and in their care plan reviews. Other agencies such as speech and language are involved to make sure written information is accessible. One resident showed us round the home and she knocked on doors before entering and asked other residents permission before showing up round. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 11 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 Residents can expect to fulfil a lifestyle, which suits their capabilities, aspirations and wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff stated that there were lots of opportunities for social activities both during the day and evening and weekends. Residents from both houses went on holiday together this year. The manager explained that although this was successful it was not ideal. Some thought has already gone into next years holidays, which will take place in smaller groups, or one to one holidays. Two residents are going on an extended holiday to Australia this year to stay with family. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 12 The care plan inspected gave details of what the resident liked doing and what their family support was. This resident had an advocate and attended groups appropriate to their needs. We met other residents who told us how they spent their time. Some residents attended a local college or were hoping to enrol. Several had supported employment. Residents were observed as they came home from their various activities. A number of residents were making tea and doing craftwork. One resident has her own things in the lounge for colouring, drawing and making things. Another resident was busy writing in his folder. Some residents were watching television, listening to music or having time alone All residents are supported in doing household tasks including making their own drinks and assisting with meal planning and preparation. A number of accident/incident records showed minor injuries from involvement in household tasks. Steps were taken to minimise risk but not to avoid risk. We spoke to two residents about their planned holiday to Australia. One resident told us about her college plans and was assisting the manager in the office. Residents where able were supported in dealing with their finances and medication. Another resident went shopping with staff. She went on the bus and came home in taxis. She was cooking tonight although she told us it was not her turn, but she was helping out another resident who had a visitor. She was cooking pasta bake. Residents were asked if they knew how to complain or could raise concerns. One resident said if staff shouted at me I would tell the staff. We asked if this had happened as she said no. One resident said he goes to church and the manager takes him. Another resident said the manager cuts the grass and maintains the garden. The manager confirmed it was everyone’s responsibility to do this but had agreed to bring in contractors to clear the garden to assist residents in keeping on top of it in the future. One resident said they access the community regularly. They use public transport and they all have bus passes. The AQAA stated that there is an activities folder and board which residents contribute to and find out what’s on giving them options of events to attend at weekends and in the evening. Residents contribute to the weekly shop and menu plans. Residents take turns in cooking for the evening and residents were observed making drinks and snacks for themselves. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 13 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 Residents can expect staff to support them appropriately to ensure that their health care needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident’s records were checked and these showed that they had regular health care check ups. Care plans were in place for assisting staff with resident’s personal care needs. Staff were observed throughout the day and were respectful of residents. The resident case tracked did have a nutritional assessment and weight records, but the assessment had not been reviewed. Some residents had lost weight and it was unclear if this was planned weight lost. This was discussed with the manager who stated that some residents had cut out high calorie foods. Any planned weight loss should be under the guidance of the dietician as one resident had lost nearly a stone in a month. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 14 The home has polices and procedures in place for the safe administration of medication. These were not inspected. The staff have medication training. The manager stated they have workbooks and there is an observation of their work practice. Medication records were inspected and contained no gaps. The care plan inspected looked at the safe administration of medication and gave very clear instructions. Medication records include a photograph of the resident. It would be helpful to have a profile of each resident’s medication giving a brief description of what it is and what its used for and any potential side effects. Internal medication audits are completed. Several residents administer their own medication but receive staff support in terms of observation. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 15 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 The home has clear polices and procedures for dealing with complaints and safeguarding issues so that residents and staff can feel confident in raising concerns. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which has been adapted so it can be understood by the residents. There was one recorded complaint from a resident since the last inspection. This had been recorded and appropriately dealt with. The home has been dealing with a number of safeguarding issues. These have been dealt with appropriately. They were recorded and the relevant authorities notified. Staff have received training in adult protection. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 16 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): 24,30 Quality in this outcome area is adequate Residents can expect to live in a comfortable and safe environment but some areas of the home require updating. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection some areas of the home have been decorated, including a number of bedrooms. We looked round both homes and noted that some areas of the home require redecoration. Woodwork was scuffed in some place and the houses although comfortable required updating. The physical lay out of both properties may not be entirely suitable for the currents needs of the resident. An example being the cottage, which offers large accommodation for five people who are more independent. There is one main living area and plenty of storage, but a large room is taken up as a staff office. The home is staffed but not 24 hours a day and most of the required records are kept at the main house. Care plans are kept at the cottage. It may be more appropriate Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 17 not to have an office in this house and convert one of the storage areas for the safe and confidential storage of records when not in use. In the other house the ground floor bathroom can only be accessed by going through the laundry room. Some staff are currently choosing to sleep in the spare bedroom when they are required to do a sleep in shift. When this room is not available staff are sleeping in the office on a futon bed and have no separate washing facilities. We were informed that the water pressure is low and affects the efficiency of the shower upstairs in the main house. The environment has been personalised, with photographs and pictures. There are ornaments and personal belongings around the home. Residents looked comfortable and relaxed at home. A requirement was made at the time of the last inspection with regards to health and safety. A comprehensive health and safety audit conducted and authorised by Herewood Housing identified 21 areas of concern. This was discussed with the manager who stated that a further audit was going to take place on the 2 September 2008 and she would send a copy of the report to us. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 18 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): 32,33,34,35,36, Quality in this outcome area is good Residents can expect staff to be properly vetted by the organisation. Staff can expect to receive a good induction and ongoing support and training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this inspection there were no staff vacancies. Two staff were spoken to and confirmed that they had completed all the necessary training required by the National Minimum Standards. Both showed a good understanding of care planning, the key worker system and how to meet residents’ needs. Both staff confirmed that they were supported by the manager and deputy manager and received supervision every six to eight weeks. They also attended regular staff meetings. The home operates an on call system, for additional staff support when required. Two staff files were inspected. These were satisfactory. The manager keeps records of any communication with staff as evidence of ongoing supervision of Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 19 performance. Two members of staff conduct staff interviews but these records had not been signed or dated. One resident confirmed that she had been involved in staff interviews. All the necessary pre requisite checks were in place before a staff member was employed. The manager was asked to ensure that there is a separate staff photograph on file and that references were explored at interview. On one file there were two references but one gave no information other than to state the dates of employment. As this was the only work reference a third reference should be sought. On a second file although there were references it was not clear who the referees were. Staff induction and training records were seen. We were concerned about staff sleeping in before they had completed their probationary interview and still had some mandatory training outstanding. At the moment there is a waking night staff in post but this is not a permanent arrangement. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good Resident’s benefit from a well organised and well managed service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has appointed a manager who will be applying to be registered as the manager shortly. She stated that she will be doing the Registered Managers award and has completed a national vocational course at levels 2 and 3. She has also completed courses relevant to her job role including conflict resolution, supervisory management and management and development. She said she was well supported by her manager and a monthly audit of the service is completed. Herewood Housing have other services in Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 21 Peterborough and the manager said they are able to give each other regular support. We asked the manager what had improved since the last inspection and she felt that changes to resident’s routines had made a big difference and there was now a lot more flexibility and resident’s choice is clearly promoted. She felt that staff support through regular, structured supervision had improved. She said the environment had been improved upon but accepted there was more to do. Feedback about the manager was good. One resident described her as marvellous and staff said she was supportive and they have confidence in her ability to manage. At the last key inspection a requirement was made around maintaining a record of hot water temperatures tests and service records for the hydraulic hoist. These records are in place. Water temperatures were being completed monthly and in most cases recorded water temperatures were below 43 degrees. The hot water tap in the kitchen was recorded as much higher and the manager was advised to complete a risk assessment because residents are encouraged to wash up dishes after their meal. We asked about quality assurance and the manager confirmed that surveys were routinely sent out to residents, relatives and staff by Herewood housing, but she was unclear if this had been completed this year or if the outcome of the quality review was made public. A requirement has been made. The home has regular staff meetings and residents have their own set meetings. Minutes are available. The home keeps records of any accidents and incidents and risk assessments were in place on the file seen. A number of maintenance records were inspected and included water temperatures, currently completed monthly. A record of recent maintenance carried out was seen. The home employs a maintenance person. Fire records, fire drills and some records relating to servicing of equipment were seen and were satisfactory. Staff and resident records were seen and were of a high standard, but resident’s records, should be audited to make sure the information is relevant and up to date. Accident and incident records were completed and we have been notified of incidents/ accidents, which adversely affect the well being of people using the service. Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 22 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 3 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 x 30 3 STAFFING Standard No Score 31 x 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 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 3 2 3 x Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 23 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. 1 Standard YA39 Regulation Requirement Timescale for action 30/10/08 2. YA41 24(1)(2)(3) There must be an effective quality assurance and quality monitoring system which seeks the views of residents and shows how the home are meeting its aims and objectives and statement of purpose. This will ensure that residents views are known and are used to improve the service provided. 17(1)(3)(a) Records must be kept up to date and reviewed as required. This is to ensure that care staff know how to meet residents needs and records highlight, met, current, changing or unmet needs. 30/10/08 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 Riverview House DS0000072013.V370684.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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