Care Home: The Rise Care Home

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What the care home does well Good admission procedures and relevant information ensures that people know what to expect from the home and that their needs will be met. Everyone living at the home has a care plan that is reviewed regularly and tells staff how to meet the needs of the individual. There is evidence that the home works with other professionals to ensure the health care needs of people are satisfactorily met. People are supported in a caring and respectful manner by a well trained stable staff group. Staff are available in sufficient numbers to be able to meet the needs of individuals.There is a good range of activities and entertainments of offer to stimulate and occupy people and visitors are welcomed into the home. Good food is provided, that is nutritious and offers people variety and choice. Complaints are well managed and people feel confident that any concerns will be taken seriously and acted upon. Staff are aware of their duty to report any bad practice. People live in an excellent environment that is comfortable and well maintained. There is a good quality assurance programme in place that ensures the quality of care provided at the home is monitored and maintained. What has improved since the last inspection? The Statement of Purpose for the home has been reviewed to ensure it sets out the home`s aims and objectives and lets people know what they can expect from the home. People continue to be offered choices at meal times and the home does its best to meet everyone`s requests. CARE HOMES FOR OLDER PEOPLE The Rise Care Home The Rise Care Home Luscombe Hill Dawlish Devon EX7 0QL Lead Inspector Sue Dewis Unannounced Inspection 10 July 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Rise Care Home Address The Rise Care Home Luscombe Hill Dawlish Devon EX7 0QL 01626 863245 01626 863245 therisecarehome@hotmail.co.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Michael Raven Mrs Julia Christina Raven Mrs Tracey Elizabeth Phillips Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2007 Brief Description of the Service: The Rise is located approximately half a mile from the seaside town of Dawlish with its range of shops and amenities. It is a large detached property set in its own park-like attractive grounds, which include patios and gardens. The home is registered to provide accommodation and personal care for up to 24 older people, both male and female. The Rise was previously used by a religious community, initially as a care home for elderly members of that community, latterly run by nuns for elderly people who need care from the wider neighbourhood. The building retains a few features which characterise its former use. Accommodation is provided over 3 floors, ground, mezzanine and first. There is a passenger lift between the ground and first floor and a ramped walkway connecting the first and mezzanine levels. The Rise has 3 communal assisted bathrooms, 3 showers and many of the bedrooms have ensuite facilities. The home has 2 lounges and a dining room as well as another large corridor area with seating. The main entrance hall also has a seating area. A copy of the CSCI inspection report on the home is available on request from the manager. The fees range between about £375 and £521 per week dependent on the size and other amenities of the bedroom. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at http:/www.oft.gov.uk . The Rise Care Home DS0000068434.V365646.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 unannounced visit took place over nine and a half hours, one day at the beginning of July 2008. The home had been notified that a review of the home was due and had been asked to complete and return an AQAA (Annual Quality Assurance Assessment). This shows us how the home has managed the quality of the service provided over the previous year. It also confirms the dates of maintenance of equipment and what policies and procedures are in place. Information from this document was used to write this report. During the inspection 3 people were case tracked. This involves looking at peoples’ individual plans of care, and speaking with the person and staff who care for them. This enables the Commission to better understand the experience of everyone living at the home. During the inspection 3 people living at the home were spoken with individually and 3 in a group setting. We also observed the interaction between staff and people living at the home throughout the day. We spoke with 3 staff and the manager and the owner. A full tour of the building was made and a sample of records was looked at, including medications, care plans, the fire log book and staff files What the service does well: Good admission procedures and relevant information ensures that people know what to expect from the home and that their needs will be met. Everyone living at the home has a care plan that is reviewed regularly and tells staff how to meet the needs of the individual. There is evidence that the home works with other professionals to ensure the health care needs of people are satisfactorily met. People are supported in a caring and respectful manner by a well trained stable staff group. Staff are available in sufficient numbers to be able to meet the needs of individuals. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 6 There is a good range of activities and entertainments of offer to stimulate and occupy people and visitors are welcomed into the home. Good food is provided, that is nutritious and offers people variety and choice. Complaints are well managed and people feel confident that any concerns will be taken seriously and acted upon. Staff are aware of their duty to report any bad practice. People live in an excellent environment that is comfortable and well maintained. There is a good quality assurance programme in place that ensures the quality of care provided at the home is monitored and maintained. 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. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admission procedures at the home ensure people have sufficient information on which to base a decision and assessment procedures ensure that their care needs can be met. EVIDENCE: There is a detailed Statement of Purpose available, that sets out the Aims and Objectives of the home, and tells people what can be expected from the home. Four people’s files were looked at, including that of the most recently admitted person. All of the files contained detailed pre-admission assessments. The manager (Mrs Phillips) told us that she normally goes to visit people to obtain as much information as she can. However, if this is not possible, for example if The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 9 the person lives out of the area, then she will obtain the information from family or other carers. The manager also told us that people and their families are always invited for lunch or tea, prior to their admission, and that she will collect them if they do not have their own transport. The manager said that she also likes to make sure people have as much information as possible on which to base their decision to move into the home, including telling people about the service they are buying and what is included in the fee. The home does not provide intermediate care. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to continue to review existing policies and procedures. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are well formulated and give clear information to ensure the consistency of care is maintained. Medicines are stored securely and administered appropriately to ensure the safety of people living at the home. EVIDENCE: Four care plans were looked at. They had been regularly reviewed and showed evidence of some involvement of the person and/or their representatives. Care plans are currently being changed over to a new recording format. The plans are produced from the pre-admission assessments and adjusted as people’s needs change. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 11 The care plans set out the personal care needs and preferences of the individual and how these are to be met. The plans also include a social history and details of hobbies or interests. Daily recordings are usually made by senior staff from reports given to them by care staff and were generally objective and descriptive. Staff said that they received a good handover each time they came on duty. Good records are maintained showing the involvement of healthcare professionals and it was possible to see where they had been called in for advice. For example a Community Psychiatric Nurse is involved in the care of one individual. The home currently uses a monitored dose ‘blister pack’ system for the administration of medicines. Only senior staff administer medicines and they have received appropriate training that tested their knowledge. Administration records were well maintained and all medicines were stored securely. There is a sample list of the signatures and initials of staff who administer medicines, so it is easy to identify who administered any one dose. Staff were seen offering personal care in a discreet manner, they spoke with people in a friendly and respectful way, and always knocked on doors before entering. All bedrooms, toilets and bathrooms have suitable locks fitted to the doors to ensure people’s privacy is maintained. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to provide ongoing staff training. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a suitable range of activities and entertainments to stimulate and occupy people. Links with visitors and the community are good, giving opportunities to support and enrich people’s social life. Meals provide nutritious variety and choice for individuals. EVIDENCE: Four people were spoken with in private and several others were observed and spoken with in the lounge and dining room. All appeared happy and relaxed, and good interaction that promoted wellbeing was seen between staff and individuals. Regular activities and entertainments are on offer, and the manager told us that they are always looking for something to stimulate people’s interest. Regular quizzes are held and a pianist and a harpist have visited recently. The home is planning to have a garden party where there will be a display of birds The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 13 of prey. We were told by the manager, and saw many photographs, that last time the birds of prey were brought to the home, everyone thoroughly enjoyed it. Regular church services are held, and a member of staff has developed a questionnaire to find out in detail, if individuals have any particular spiritual needs. We spoke with one representative who said that they were always made to feel welcome, but that as it was so far away from where they lived, it would be nice if there was somewhere for them to stay at the home. They said that they felt their relative was very well cared for and that they often praised the staff to them and never had any complaints. However, they would like to see their relative encouraged to leave their room more. We were told by staff and also observed through the visit, that people are regularly offered choices. Choices include what time people get up and go to bed, what they want to eat and where they sit. People told us that the food was very good. There is a choice for breakfast and tea and an alternative is offered when people do not want the main lunch. The cook told us that everyone knows the likes and dislikes of individuals very well and that if they do not like something on the menu an alternative is always available. The manager told us that there are still some people who are not entirely happy with the food, but that the home always does its best to meet their needs. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to look into the possibility of employing an activities organiser. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are confident that any complaints would be dealt with appropriately. People are protected by staff that are able to recognise abuse and know their duty to report poor practice. EVIDENCE: There is a simple complaints procedure contained in the ‘Statement of Purpose’, and displayed in the hallway and dining room. Although people were generally not able to tell us anything about the ‘complaints procedure’, they were able to say who they would talk to if they had any concerns, and felt that if they did they would be dealt with immediately. Staff said that they would try to deal with any concerns right away, but would pass it on to the manager if they couldn’t deal with it. No complaints have been received by the Commission since the last visit. Staff said that they have received training in recognising and dealing with abuse. They were able to describe a variety of differing kinds of abuse, including ignoring someone who is asking for help or unexplained bruising. Staff were aware of the correct procedures for reporting any suspicions to The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 15 someone within the home and said that they would involve other agencies such as the police if they felt they needed to. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to provide ongoing staff training. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides people with an excellent place in which to live, being clean, safe, comfortable and homely. EVIDENCE: We made a full tour of the communal areas of the home and saw some bedrooms. We saw that the home is safe, comfortable and well maintained. There are several communal areas around the home for the use of everyone. These communal areas are homely, with many ornaments and pictures around them. They are decorated and furnished in a very comfortable and pleasant manner to an excellent standard that meets the needs of individuals. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 17 There are beautiful grounds all around the home which can be easily accessed by the people living there. There is a very pleasant patio area that someone was enjoying during the visit. Some bedrooms were looked at, each had the individual’s possessions displayed and reflected the personalities of the occupant. The rooms contained all the items that people require in order to have their needs satisfactorily met and had suitable locks fitted to the doors to ensure their privacy. The stairs between the first floor and mezzanine level have been removed and ramps have been installed to make access easier for staff and people living at the home. Radiators have been risk assessed and some have been covered, with a programme in place to ensure all with be covered in the near future. This is to minimise the risk of burning. There is a good range of aids and adaptations available to meet the needs of people living at the home, including a hoist and an adapted bath. The laundry is well equipped to deal with the washing from people living there, and has an impervious floor covering to prevent cross infection from soiled laundry. Staff confirmed that they have access to disposable gloves and aprons, and were aware of good basic hygiene procedures. Staff were seen to be wearing disposable gloves and aprons where necessary. The home was clean, tidy and well maintained throughout, and there were no unpleasant odours. We were told that there is a regular programme of maintenance and upgrading and a maintenance man is employed to ensure any issues are dealt with straight away. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to continue to refurbish areas of the home as needed. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment and numbers of well trained staff available throughout the day and night are sufficient to meet the needs and numbers of the people currently living at the home. The procedures for the recruitment of staff are robust and offer full protection to people living at the home. EVIDENCE: During the morning of the visit there were 3 care staff on duty, including a senior, plus a cook, a house keeper and the manager. During the afternoon there are usually 2 staff on duty with one staff awake and another sleeping in at night. The manager told us that she can call increase staffing levels if needed. People and their representatives that were spoken with said that they felt there were generally sufficient staff on duty to meet their needs. However, one person told us that sometimes staff were very busy and they had to wait quite a while for their bell to be answered. The care staff said that they did not feel rushed at any time and had time to spend chatting to individuals. There was a relaxed and unhurried atmosphere The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 19 around the home, with staff meeting the needs of individuals in a quiet and competent manner. Staff were well aware of the individual care needs of people living at the home and were able to describe these and how they are met on a day to day basis. Staff spoke with enthusiasm about the individuals and their work with them. Staff files were available for inspection and six staff files were looked at. All contained proof of identity, recent photographs of the staff member, and evidence that satisfactory police checks had been obtained. All files for recently employed staff contained two written references. There is a high emphasis placed on training at the home and all staff have a training portfolio which contains evidence of training that they have attended. This training included, medication administration, first aid, infection control and moving and handling. Training on the new Mental Capacity Act is planned so that staff will be aware of their duty of care under this legislation. Staff are also encouraged to obtain NVQ’s (National Vocational Qualifications), and currently 83 of staff have either achieved or are working for NVQ level 2 or above. The manager told us that there was a very stable staff group at the home and that they always worked as a team. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to continue to provide training for staff. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed resulting in practices that promote and safeguard the health, safety and welfare of people living and working at the home. EVIDENCE: The owners, Mr and Mrs Raven and their manager Mrs Phillips have worked with older people for many years. Mr and Mrs Raven own another home in a different part of the country and Mrs Phillips worked at the home for several years prior to Mr and Mrs Raven purchasing it. The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 21 There is a detailed quality assurance system in place to monitor the quality of care provided at the home. Regular questionnaires are sent out to people living at the home and their representatives. The manager completes monthly checks on the fabric of the building/maintenance and training. She also produces a monthly report on accidents, complaints and staffing levels. She has just completed a review of policies and procedures and is in the process of producing an action plan for further improvements. There was a discussion with Mrs Phillips about the importance of fully completing the AQAA (Annual Quality Assurance Assessment) that is required each year, as this helps us form a judgement about how the home is being managed, and may be the only contact we have with the home. The AQAA that was submitted this year prior to the visit, contained little information and did not reflect the quality of care provided at the home. The home does not manage any money on behalf of individuals. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit, provided evidence that The Rise complies with health and safety legislation in relation to maintenance of equipment, storage of hazardous substances, health and safety checks and risk assessments. The fire logbook, record of fire safety training and accident and incident records were found to be accurate and up to date. Policies and procedures are not always inspected during the visit but the information provided on the AQAA helps us form a judgement as to whether the home has the correct policies to keep people living and working at the home safe. Information provided by the home, evidenced that policies and procedures are in place and along with risk assessments are reviewed regularly and updated where necessary, to ensure they remain appropriate and reduce risks to people living and working at the home. Staff confirmed that they receive regular training in fire precautions as well as Health and Safety. The manager told us that so that the risk of burning from hot surfaces is minimised, some radiators within the home have been covered, and there is a programme to ensure that they are all covered. She also said that all windows above ground floor level are fitted with restrictors, in order to minimise the risk of anyone falling from these windows and that so that the risk of burning from hot water is minimised temperature controls are fitted to bath taps. The AQAA (Annual Quality Assurance Assessment) submitted prior to the visit indicates that in order to improve the service the home intends to continue to review and improve all areas of information about the home. The Rise Care Home DS0000068434.V365646.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X 4 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Rise Care Home DS0000068434.V365646.R01.S.doc Version 5.2 Page 24 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. 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