Care Home: The Riverside Nursing Home

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What the care home does well Before new people come to live at the home, the manager makes sure he has all the right details about them, so that he and they are clear that the home is the right place for them to live and that their needs will be met. The residents at the home felt the care they received was good. Comments such as the staff are "kind" and "lovely" were made to us frequently. The residents` personal and health care needs were being well met. All the residents looked well cared for and if they were ill, the G.P or district nurse is immediately sent for.Training is very good, the manager makes sure that everyone is well trained for the job they do so that the people living at the home benefit from a well trained staff group. The recruitment procedure is good; the manager does not employ anyone until all the checks have been done. This means he is sure he is employing the right people. The premises are kept safe, comfortable, and warm. What has improved since the last inspection? Record keeping has improved a lot. The manager can now demonstrate more clearly to us the care provided at the home. Care plans are well ordered and easy to read. This makes it a lot easier for staff to keep up to date with resident`s changing needs. CARE HOMES FOR OLDER PEOPLE The Riverside Nursing Home 9 Church Street Littleborough Rochdale Lancashire OL15 8DA Lead Inspector Bernard Tracey Unannounced Inspection 15th October 2007 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 Riverside Nursing Home DS0000061887.V351527.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 Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Riverside Nursing Home Address 9 Church Street Littleborough Rochdale Lancashire OL15 8DA 01706 372647 01706 372372 biju@greatnurse.com 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) Mrs Shabnam Arshad ** Post Vacant *** Care Home 25 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (25) of places The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 25 service-users, to include: Up to 25 service-users in the category of OP (over 65 years of age). Up to 15 service-users in the category of DE(E) (Dementia over 65 years of age) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. The Registered Person must ensure that a full assessment is undertaken of the Manager’s training needs and that of the care staff in relation to caring for service-users with Dementia. Any ensuing training plan must be implemented and regularly reviewed. The service should at all times employ suitably qualified and experienced members of staff, in sufficient numbers to meet the assessed needs of the service-user group, including at least 6 hours Registered Mental Nurse input each day. The Registered Provider must ensure that any future service-user, or their representative, make a positive and informed choice in respect of choosing to stay in either Room 20 or Room 21. The Registered Person must ensure that suitable screening is supplied and fitted around the bed and washbasin area in Room 16 prior to the room being left as a double. 22nd February 2007 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Riverside Nursing Home is located in the centre of Littleborough close to shops, Post Office and other amenities. It provides easy access to Rochdale and Todmorden. Originally a private house, the stone building has been extended and adapted to provide nursing care and accommodation for 25 people aged 65 years and over. Within this number, up to 15 people with dementia over the age of 65 years can be accommodated and cared for. The home provides 23 single and 2 double bedrooms. Level access is provided to the home. Accommodation is on two floors, a passenger lift is provided. A small patio area is provided and is used by residents in fine weather. Parking for approximately 8 cars is provided in the forecourt of the home. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £7.00 The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 5 Hairdressing £4.50 Men £4.00 - £18.00 Ladies Newspapers and Magazines Fees charged by the home provided in February 2007 are as follows: General Nursing range of 353.01 to £600.00 per week Dementia Nursing range of 353.01 to £600.00 per week The home also says in its Statement of Purpose that it charges a £20.00 per week, although it is not clear what the ‘Top Up’ charge is for. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection which included two unannounced visits to the home. The staff at the home did not know these visits were going to take place. We looked around parts of the building, checked the records kept on service users to make sure staff were looking after them properly, as well as looking at how the medication was given out. The files of members of staff were also checked. In order to obtain as much information as possible about how well the home looked after the service users, the owner, manager, five residents, three staff, 2 visitors and a visiting physiotherapist were spoken to. Before the inspection, comment cards were sent out to residents and relatives/carers asking what they thought about the care at the home. One relative filled the card in and returned it to us. Information from this has also been used in the report. The manager has recently been registered with us to become the registered manager. The owner works in the home around 3 or 4 days per week. Prior to the inspection we recevied 2 concerns from the local authority about care practice in the home. We looked at these during our inspection and were satisfied with the arrangements in place. We have told the local authority this. We have also received 3 complaints in April, May and November. All were anonymous and were investigated at our request by the owner. All the complaints related to the manager, 2 of which said he was not a nurse and did not have a valid PIN number. The manager is a qualified nurse and he does have a valid PIN number and this has been verified by us and the owner. The 3rd complaint related to his management style, this was investigated by the owner who felt there was no case to answer. What the service does well: Before new people come to live at the home, the manager makes sure he has all the right details about them, so that he and they are clear that the home is the right place for them to live and that their needs will be met. The residents at the home felt the care they received was good. Comments such as the staff are “kind” and “lovely” were made to us frequently. The residents’ personal and health care needs were being well met. All the residents looked well cared for and if they were ill, the G.P or district nurse is immediately sent for. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 7 Training is very good, the manager makes sure that everyone is well trained for the job they do so that the people living at the home benefit from a well trained staff group. The recruitment procedure is good; the manager does not employ anyone until all the checks have been done. This means he is sure he is employing the right people. The premises are kept safe, comfortable, and warm. 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 Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 8 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 Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 9 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 and 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The assessment process in place ensures that only people whose needs can be met are admitted to the home. EVIDENCE: The service user guide and the statement of purpose have been updated and reflect accurately the services provided in the home. A copy of the information is given to each person on admission and is also kept on display in the entrance hall. We looked at the assessment arrangements in place and selected 3 files to look at. The manager told us that either he or a member of his nursing staff visit people prior to agreeing admission to the home so they could be sure they are able to meet people’s needs. The manager or one of the nurses The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 10 completes a pre-admission assessment form. Two of the three files we looked at confirmed that this process had taken place. The third file was for a person admitted through the rapid response team. The provider has a contract in place with the local PCT to provide a number of beds for the rapid response team. This is a service operated by the local PCT for people to be admitted to residential care quickly to avoid unnecessary time in hospital. In these instances because of the nature of the referral to the home being one of needing to make a placement quickly, the manager is not able to undertake his own assessment prior to admission. He often may only get a few hours notice that someone needs to be admitted. On such occasions, he does take the details over the telephone and receives written confirmation of the person’s needs via a fax sent through to the home. The manager was clear that without this information he would not agree to anyone being admitted to the home. On the file we looked at, assessment information was in place. We spoke to a relative who confirmed the assessment process had taken place and that she had received sufficient information from the home to allow her to make a decision about admission. Staff we spoke to said they felt to receive sufficient information about new people through handovers, speaking with the manager and looking at the care plans. Intermediate care is not provided in this service. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 11 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, 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care practice in the home which is well supported by good record keeping ensures that people’s health and social needs are met. EVIDENCE: We looked at the files/care plans for 3 people – the selection included a permanent person and a person admitted through the rapid response team. Each file has a comprehensive care plan in place personalised to the residents needs. The care plans show the identified problem, goal and the planned care. Daily notes on the resident’s progress are made by the nursing staff for each shift. Assessments for nutrition, moving and handling, wound care, and weight records were all seen to be in place and up to date. Health needs and social needs are documented. A record is kept on each file detailing the visits from GP’s, district nurses etc. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 12 We spoke to the Physiotherapist from the rapid response team who was visiting a resident. She confirmed that the staff followed her instructions, which she adds to the care plan, although on occasion she feels they could add a little bit more detail confirming what they have done. She expressed satisfaction with the care provided, and felt that the staff were good and kind to the residents, and particularly gave them time. Residents we spoke to felt their health needs were well met; in particular one resident said it was a “brilliant place”. We also spoke to a relative who was very satisfied with the care provided, saying that the staff communicate well with her, and will often give her mum the mobile phone to use to ring her daughter. She said that staff are very good at reassuring her mum when she is feeling “troubled”. The home has 2 lounges and residents are free to move around the home as they wish and this was observed on the day. Staff were observed respecting resident’s privacy in conversations with visitors and when assisting with toileting. We looked at the medication records for the 3 people we were looking at. Photos are in place for each resident to ensure that staff know who they are giving medication to. This is particularly important when people are admitted quickly through the rapid response team. Records we looked at and the medication we checked showed that the arrangements in place provide residents with the medication as prescribed by the GP. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 13 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, 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents were encouraged and supported to exercise choice in their daily routines in relation to lifestyle and to maintain contact with their relatives but social stimulation was lacking and could leave some residents feeling bored. EVIDENCE: Information supplied to us prior to the inspection by the manager told us that the manager has identified that social activities could be better and that he plans to recruite a social activities co-ordinator. We discussed the provision of activities and we were told that some activities do take place and this was confirmed in discussions with residents, and with staff. Activities such as going to the pub, playing bingo, and having a brass band in where mentioned. A number of residents also receive a religious visitor on Sundays for communion or indeed go to church assisted by their family/friends. The manager told us The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 14 that he has now recruited someone and is waiting for the necessary checks to be completed and then an activities co-ordinator will be in place at the home for around 6 days each week. Records supported that some activities were taking place, and residents we spoke said they could join in or not, however, the provision of an activities coordinator will greatly improve the social scene for people living at the home. A 4 weekly menu is in place which covers a range of food, and we observed the food served to residents during the lunchtime period. Residents we spoke to said they enjoyed the food, that they receive enough to eat and drink, and that they are offered 2nds. We observed staff being attentive during the lunchtime period, asking if people had finished their meal before they removed their plate, asking if they wished for some more and offering a choice of main meal and dessert. One resident described the food as “brilliant” and another told us how much she had “ a boiled egg this morning and really enjoyed it”. Good-sized plates were seen to be used; hence residents received a good portion size of food. Residents were seen to have a choice of eating the dining room or staying seated in the lounge. Appropriate height tables are provided in the lounge areas to aid people who do not wish to use the dining room. One relative we spoke to said that she is “welcomed” by staff and offered hospitality when she visits. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 15 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. An effective complaints system was in place which relatives and residents were familiar with and staff training and care practices ensured that residents were protected from abuse. EVIDENCE: The complaints procedure is on display and in the information given to residents and/or their relatives on admission. Everyone we spoke to from relatives, to residents, to staff were clear that they could make a complaint and who to. Most said they would complain to the manager although a number did identify other staff they would speak to as well. A log is kept of complaints received by the manager, how they were investigated and the outcome. On looking at the log it was clear that the manager puts into place actions to prevent a repeat of a complaint. Training has been provided to all staff in respect of abuse, and the 3 staff members we spoke to were conversant with the procedure they would follow. The manager was also clear about his responsibilities and had identified in the information he supplied us with prior to the inspection the improvements he had made in this area. Certificates on file confirmed this training. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 16 At the time of this inspection, the local Social Services Department had two concerns which they told us about 1) regarding how a resident had been able to leave the premises unnoticed. This was discussed with the manager, and the exit concerned has now a lock fitted to prevent this occurring again. And 2) regarding the locks to bedroom doors. This was also looked into by us on this inspection, and discussed in depth with the manager and the resident concerned and we were satisfied with the arrangements in place. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 17 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 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The premises were clean and provided a safe, hygienic and homely setting for residents to live. EVIDENCE: The Riverside provides warm and comfortable accommodation. The home has 2 lounge areas and a dining area. Residents are free to move around most of the areas as they wish and spend time in their bedrooms as they wish. Entry The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 18 to the home is via a key coded door, and the home has this type of lock on a number of doors internally. On activation of the fire alarm these locks are released. A recent incident involving a resident leaving the premises unnoticed by staff has resulted in an external door being fitted with a padlock (rather than a key coded lock). As this lock may potentially restrict people from leaving the home quickly in the event of a fire it is recommended that the fire officer is consulted on the fitment of this lock. The home was clean and in the main odour free whilst we were there. The domestic had shampooed a bedroom carpet earlier, which had an odour, and it is possible that the odour originated from that room. We looked at a number of bedrooms, all were clean and comfortable and several were well personalised. Locks are fitted to bedroom doors, and keys kept by staff. The manager confirmed that none of the residents had their own key and this was said to be mainly due to the mental fragility of many of the residents. We discussed the provision of locks to doors and the different types which are now available and may be of better use for some of the residents. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 19 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, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was adequately staffed to ensure the needs of the residents were being met and a thorough recruitment process meant that the staff employed were safe to work with vulnerable people. EVIDENCE: From checking the staff rotas and from speaking to the residents, it was evident there were sufficient staff on duty, both during the day and at night, to meet the needs of the people currently living at the home. The manager was a qualified Registered General Nurse and he worked on the floor on an almost daily basis. Ancillary staff are also employed. The multi-cultural staff team was small and there had been little turnover of staff over the last few months. This meant that the residents had got to know the staff well and the staff knew the preferred routines and likes/dislikes of each person. Feedback from the residents was very positive about the management and staff team. Residents indicated the staff were competent, efficient and committed to providing good care to them. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 20 Inspection of three staff files showed that the home’s recruitment and selection procedures were being followed. Each file contained application forms, two satisfactory written references and Criminal Record Bureau checks. The manager told us in information he supplied us with prior to the inspection that he will be looking at shift patterns in the next 12 months to make sure that they are appropriate to continue meeting residents needs, or whether he needs to have additional staff at peak times. He said he will do this process in consultation with staff and with residents. Residents and the relative we spoke to described staff as “lovely” and “kind”. Staff we spoke to said they felt they had a good team of staff around them and they worked well together. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 21 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, 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Management of the home had greatly improved which had been reflected in the outcomes for residents with regard to the quality of care they were now receiving. EVIDENCE: The manager of the home is a qualified nurse with a valid PIN number. Since the last inspection he has successfully gone through the process with the Commission For Social Care Inspection to be the registered manager. He has now commenced the Registered Manager’s Award. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 22 The manager and the owner have made many improvements to the home and to the service provided to the residents, and this was evident to us on the day by the many positive comments we received from people living here and visiting. The manager receives good support from the owner as she works at the home around 3 or 4 days per week. The manager does spend time on the floor supervising staff, and also being the nurse on duty. At other times he is supernumery to the rota when another nurse is on duty. Such supernumery hours allow him to carry out his management responsibilities. Staff meetings are held regularly and staff encouraged to bring forward ideas on how to make things better. We saw minutes to support this and staff also confirmed these meetings. A resident/relative meeting has not been held for some time, although satisfaction questionnaires are also used. The owner told us that she did intend to arrange for a meeting with residents/relatives shortly after Christmas. Residents, staff and visitors said they found the manager to be approachable and would not hesitate to bring any concerns to his attention. Training has been a priority and the manager ensures that core training of fire, moving and handling, abuse and health and safety is provided to everyone. Records we looked at supported this, as did staff discussions. Other training is also provided such as NVQ2, dementia care, wound care, peg feeds, although this is on a more selective basis. Servicing records were in place and looked at confirming that equipment and facilities provided to the home were safe. The 5 yearly electrical check is now due. The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 23 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP38 Regulation 23 Requirement The 5 yearly electrical check for the premises must be undertaken to ensure that people’s safety is assured. Timescale for action 31/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP38 Good Practice Recommendations The fire officer should be consulted on the type of lock fitted to the door (leading to the balcony) to ensure that this lock does not unnecessarily prevent people from leaving the home quickly in the event of a fire. The provision of locks to bedroom doors should be kept under review, with greater consideration given to fitting (as needed) different types of locks suitable to people’s needs. DS0000061887.V351527.R01.S.doc Version 5.2 Page 25 2 OP19 The Riverside Nursing Home The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 The Riverside Nursing Home DS0000061887.V351527.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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