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Riverview Nursing Home Requires improvement

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Inspection report

Date of Inspection: 8 May 2012
Date of Publication: 30 July 2012
Inspection Report published 30 July 2012 PDF | 49.89 KB

People should be cared for in safe and accessible surroundings that support their health and welfare (outcome 10)

Meeting this standard

We checked that people who use this service

  • Are in safe, accessible surroundings that promote their wellbeing.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 08/05/2012, looked at records of people who use services and talked to staff.

Our judgement

People who use the service, staff and visitors are protected against the risks of unsafe or unsuitable premises as the provider is working to improve the environment through a systematic refurbishment programme.

The registered care provider was meeting this standard.

User experience

We used different methods to help us understand the experiences of people using the service, because the people using the service had complex needs which meant that they were not able to tell us their experiences. We found that the premises were secure and provided adequate protection of peoples' rights to privacy, dignity and choice.

Other evidence

The provider was taking appropriate actions to address a compliance action following an inspection in February 2012. People who use the service, staff and visitors were protected against the risks of unsafe or unsuitable premises.

We completed a full tour of the home including a review of the refurbishment work which was underway when we visited. The whole fourth floor was unoccupied and extensive works were being completed. However, the progress of the work had been delayed by requirements to repair the roof following flooding. The very wet weather during the few weeks prior to our visit had slowed progress even further. Despite this it was apparent that work had progressed since the visit in February 2012 but not as much as expected.

We were accompanied by the trainee manager on our tour of the premises and they told us about the plans to address each of the concerns we raised from the inspection in February 2012. This was not however supported by a documented plan or strategy for the management of these major works. The operations manager agreed to forward a plan to us following the visit and this was done.

During the tour of the premises, which included the majority of the rooms, we saw that some rooms were shared but contained personal affects which gave each persons space an individual feel. Old furniture was being replaced with new and a full refurbishment was underway on the top floor but these rooms were vacant.

The trainee manager explained to us that one person using the service was having to use the toilet facilities in an unoccupied room at night as the bathroom on that floor was out of order at the time of our visit. The persons route to these facilities was clearly marked and a night light had been situated appropriately to ensure the person could see their way safely.

However, we also saw that some routine maintenance was not being done. For example, in one room the ceiling tile directly over one of the beds was damaged and cracked, any loose matter would have fallen directly onto the persons' bed. We saw that the top step on one of the stairways was loose and could have caused someone to lose their footing and fall down the stairs. These concerns were addressed during the visit but we have not been able to test that this compliance has been sustained.

We also identified a number of minor concerns about the electrics in the lounges of the first floor and ground floor. The operations manager made the appropriate adjustments as requested to reduce the risk to the people using the service. This included removing one of the heaters from the wall and fixing trailing wires of extension leads and the TV whilst we were there but we have not been able to test that this compliance has been sustained. Arrangements were made for new electrical sockets and a new radiator to be installed the next day and following the visit the provider confirmed that this had been done.