Inspection on 02/02/06 for Finch Manor

This inspection was carried out on 2nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Finch Manor 21/01/09

Finch Manor 03/04/08

Finch Manor 25/10/07

Finch Manor 02/11/06

Finch Manor 08/05/06

Finch Manor 27/07/05

Finch Manor 21/01/05

Finch Manor 19/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Finch Manor Finch Lea Drive Dovecot Liverpool Merseyside L14 9QN Lead Inspector Les Smith Unannounced Inspection 2nd February 2006 09:30 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 Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 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. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Finch Manor Address Finch Lea Drive Dovecot Liverpool Merseyside L14 9QN 0151 259 0617 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) Moorshield Ltd Mrs Julie Archer-Moran Care Home 89 Category(ies) of Dementia - over 65 years of age (54), Old age, registration, with number not falling within any other category (35) of places Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of 89 older people may be accommodated of whom no more than 75 shall be in the category DE (E) and 14 in the category of OP. To accommodate four service users aged 55 to 65 years old on DE (E) unit 27th July 2005 Date of last inspection Brief Description of the Service: Finch Manor is a purpose built, single storey home situated in the Dovecot area of Liverpool. It is set in its own grounds with gardens to the front and rear and with two internal courtyard-sitting areas. The home provides care and support in four units. One is for the general care and support of older people. Another is an older persons’, residential EMI unit and the two remaining units provide nursing care and support to older people with dementia. All of the residents accommodation is provided in single bedrooms with en-suite WC and wash hand-basin. Lounge and dining areas are located in each of the units and a central kitchen prepares food that is delivered in hot cupboards for care staff to serve to residents. An internal security system of keypads on connecting doors prevents residents from wandering out of the home. The home is within walking distance of local shops and there are public transport routes nearby. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of eight hours in the presence of the operations manager. The inspector examined care records and associated documents, and had discussions with staff of all grades, residents and visitors. The inspector discussed concerns with the operations manager and he addressed several issues of concern immediately. There had been five incidents involving protection of the vulnerable adult since the last inspection of which one was found to be unsubstantiated and investigations are ongoing into the remaining incidents. What the service does well: 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. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 6 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 Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Pre-admission assessments are carried out with all prospective residents, their representatives and involved health care professionals to help ensure that the home is able to meet individual assessed needs EVIDENCE: Finch Manor has a combined Statement of Purpose and Service Users Guide. The document is well-presented, easy to read and contains all the information required in schedule 1. Copies of the document are given to all residents or their representative on admission and is available to prospective residents when assessing the home for suitability before making a decision as to whether to accept a place at the home. Contracts for self-funding residents and sent out by the head office for signing and return to the home. There is however no mechanism in place to ensure that they are returned and one file was seen without a contract. Statements of Terms and Conditions for funded residents are signed on admission and copies of these were seen. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 8 A random selection of care files was examined on the day of inspection and all included a detailed pre-admission assessment document. The homes manager or senior nurse completed the pre-admission assessments and included details of cognitive ability and any challenging behavioural problems. The information gathered was appropriate in quantity and quality to enable construction of an initial care plan. The home has all the appropriate equipment and facilities to meet residents’ needs. Evidence was seen that the services and expertise of the multidisciplinary team was utilised when required. The inspector was informed that two of the trained nurses were currently working towards obtaining the additional knowledge and skills to enable them to care for and support older people with dementia. One carer spoken to had been at the home for a long time but has received no training in dementia or challenging behaviour and a registered nurse said that she had received no training in abuse or challenging behaviour. The inspector was initially informed that there were three EMI units within the complex with two units taking residents with dementia and nursing needs and one mixed with residents needing nursing and residents with dementia and personal care needs. The inspector later learnt that all three units were mixed. This mixing of residents who by definition have differing care needs is not best practice and may compromise the care being delivered. Visits to the home are encouraged and may be made at any time and prospective residents and their family can visit for as long and as often as they wish. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Lack of some elements in an otherwise satisfactory care planning process means that not all health, personal and social needs being identified. Medication management is not compliant with current good practice requirements and guidelines. EVIDENCE: A selection of care plans was examined on the day of inspection. In the care files seen care plans were in place and appeared to address all identified needs. Also in the care files seen by the inspector were the care plans provided by social services from their initial assessment or the hospital discharge information. Care plans were reviewed monthly and evaluations of care delivered were satisfactory. The resident or their representative signed initial care plans on a separate communications sheet. Daily diary sheets contained appropriate and relevant details of care delivered. Risk assessments were in place for moving and handling, falls and pressure area care. There were no risk assessments seen for either nutrition or continence and these should be developed and incorporated into the care profiles. Files for two residents who had pressure sores had no wound assessment records in place. Full mapping of sores must be undertaken to ensure that improvements and Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 10 deteriorations can be identified in the early stages to further plan the treatment to be given. The deputy manager when asked about the lack of wound assessment records said he knew about them but didn’t know why they were not used and did not see the need for them. The clinical room containing the drug trolley and other medications was found to be left open in an area were residents were wandering around. Examination of the MAR sheets showed all drugs administered were signed for or a reason given for non-administration. Two members of staff did not sign handwritten transcriptions on MAR sheets for items prescribed between monthly cycles as required. The medication policy was available in the clinical room but needs updating to reflect recent changes in disposal of unwanted medications. Disposal of unwanted drugs is via a registered organisation for the disposal of special waste. Vials of eye drops were kept in the drug fridge when refrigeration was not required and were not annotated with the date of opening to allow for disposal 28 days after opening as required in the manufacturers directions. Temperatures for the drug fridge were recorded on some days and not on others indicating that not all staff are complying with this requirement. The temperature of the clinical room was not recorded at all despite a room thermometer being on the wall. There was no awareness on the part of the staff for the need to store drugs within the optimum temperature ranges to maintain drug stability. Residents spoken to in the residential unit all said that they were happy with their care and that their privacy and dignity were always respected. In the EMI units the inspector observed staff both directly and indirectly giving personal care in private maintaining dignity and respect. However, in one lounge the majority of residents had no shoes or slippers on. A lack of attention to the smaller details of care fails to demonstrate a commitment to maintaining respect for the individual. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 As far as possible residents have choice and flexibility in how they spend their day in the home, and participate in leisure and recreational activities according to their choice and preferences thereby promoting independence and individuality for each resident. Meals at Finch Manor are good, offering choice and variety whilst catering for residents dietary needs or cultural preferences EVIDENCE: There is an activities co-ordinator in post and a second person has recently been appointed. There is a range of social activities available which include group activities such as bingo and sing a longs and themed events for special days such as Valentines Day. The operations manager informed the inspector that he felt that too much time was being spent in arranging the larger events to the detriment of one-to one interactions. During the day of the inspection the residents in the residential unit had played bingo but there was little evidence of any activity or interaction in the EMI units. The inspector spoke to several visitors to the home and members of staff and all the visitors made comments that ‘all they do is sit here all day, there is nothing for them to do’, ‘there is no stimulation for them’ or similar comments. Two members of staff made comments about the lack of activities and they felt that there was a lack of stimulation. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 12 Visitors are welcome at the home at any time and evidence of this was seen with visitors arriving at the home from early morning. Visitors are requested to liaise with the home if they wish to make a late evening visit for security reasons. Links with the community are limited but the inspector was informed that tensions with the local population have lessened with the appointment of a second security man at the home. Residents in the residential unit are positively encouraged to make decisions and choices about their lives and conversations with residents in the unit confirmed this. The home has strong links with Age Concern who assist with Advocacy services. Many of the residents in the EMI units are unable to make decisions and choices for themselves in many aspects of their daily lives. The inspector observed staff talking and encouraging residents whilst carrying out their duties i.e. taking an individual to the toilet but observed little one to one interaction on a social level. Meals at Finch Manor are based on a four-week menu cycle that is regularly reviewed and offers alternatives to the main choices. The chef was knowledgeable about those residents who required special diets. Temperatures of the refrigerators and freezer were recorded. The dry food store was clean and well stocked. Fresh produce is brought into the home several times per week. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 A policy and procedure is in place for management of complaints and Protection of the Vulnerable Adult, however lack of knowledge, awareness, and compliance with these policies places residents at risk of harm and injury. EVIDENCE: There is an appropriate policy and procedure in place in place for the management of complaints and the procedure is included in the Service Users Guide and displayed in a prominent place at the home. There have been five reports of alleged abuse at Finch Manor since the last inspection. Following investigation by the inspector one case was found to be unsubstantiated and four are ongoing. It was a concern at the last inspection that staff members were not aware of the correct procedures to follow when raising concerns about a resident who may be experiencing any form of abuse. The inspector spoke to both trained and untrained staff and found a lack of knowledge and awareness of types of abuse, recognition of abuse and procedures to follow in cases of alleged or suspected abuse. It will be a requirement of this report that all staff members receive appropriate training in abuse, challenging behaviour and caring for individuals with dementia. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 The standard of furnishings within communal areas of this home has deteriorated and does not provide residents with comfortable and safe environment potentially putting residents at risk of harm or injury. EVIDENCE: A tour of the home was conducted with the operations manager. Carpets in the corridors whilst clean are badly stained and worn and need to be replaced. Cushion covers on many of the armchairs seen by the inspector had shrunk and did not fit. This is unacceptable for several reasons; the exposed zip fastenings and the exposed foam inners place residents at risk in relation to skin integrity, infection control and increased risks in the case of fire. Many of the chairs looked at demonstrated a lack of cleaning with food debris and other items found when the cushions were lifted. Pressure relieving cushions were found to have the outer covers badly ripped and need refurbishment or replacement. Many of the over bed tables seen in use in the communal areas and in some rooms were in very poor condition and need to be replaced. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 15 Toilets and bath/shower rooms were all found to contain various amounts of toiletries including razors. The use of communal toiletries is a significant risk. In one bathroom a large amount of residents clothing, shoes and slippers were found deposited in a corner. Sluice rooms were found open in areas accessible to residents. Several rooms were seen that require replacement floor coverings. Residents rooms were well furnished and a redecoration was of rooms was clearly evident. New furniture in some individual rooms was also evident. The inspector was informed that a new dryer in the laundry is required. Trolleys in use in the kitchen were of an old design of wooden construction and damage to the laminated surfaces prohibited effective cleaning. The inspector was informed that all the trolleys were being replaced with stainless steel trolleys. Cups that had been assembled for taking out of the kitchen were seen to be badly stained and in some cases dirty as were a stack of small trays. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 There are sufficient staff employed to meet the assessed needs of the residents but compliance with recruitment policies has not always been present potentially placing residents at risk of harm or injury. EVIDENCE: Care staff are deployed in sufficient numbers and with an appropriate skill mix ratio to meet the assessed needs of the residents’ throughout the day and night as evidenced by examination of the off-duty. As mentioned in the previous report whilst sufficient staff are deployed to meet the needs of residents in total consideration must be given to allocating staff to individual units and providing cross cover and the need to keep staffing levels under close review remains. The newly appointed manager of the home is a dually registered in general and mental health nursing. Of the eight trained nurses employed none are registered in mental health nursing but two are currently working towards gaining the additional qualification. It is strongly recommended that recruitment of more appropriately trained staff be undertaken. Random selections of personnel files were examined and included recent starters at the home. Whilst the home has clear policies on recruitment it was clear that these policies have not always been adhered to. Employee A No references, No CRB disclosure (although note applied for), No Pova first clearance, No PIN verification, No induction, No contract. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 17 Employee B One reference, No CRB disclosure (although note applied for), Pova First dated 02/02/06 but started work on 23/01/06, no contract. Two other files examined had all the required checks and documents. 14 (33 ) of the current 43 staff have NVQ qualifications and whilst this falls short of the 50 target there are a number of staff members currently working to gain the relevant qualifications. All grades of staff have received training in Fire Prevention, First Aid, Protection of the Vulnerable Adults, Dementia, Palliative Care, Wound Assessment and Challenging Behaviour in recent months. This training however is not inclusive of all staff and there is a need to ensure that the training programme is continued. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,36,37,38 A lack of leadership and guidance due to no registered manager being in post does not promote the health, safety and welfare of residents. EVIDENCE: Standards 31 and 32 were not assessed, as there was no registered manager in post at the time of this inspection. The inspector was informed that a new manager has been appointed and is a dually qualified registered nurse with many years experience. The previous manager held regular staff meetings and the operations manager carries out regular monthly-unannounced inspections of all aspects of the home. The inspector was informed that he had noted the deterioration in the home during the period since the previous manager had left. Copies of the monthly visit reports are forwarded to the CSCI. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 19 Staff had received formal supervision on a regular basis up to the time the previous manager left and records were seen to confirm this. Records for individuals and the home are kept securely and in accordance with the Data Protection Act 1998. Appropriate safety certificates were seen for required items except for a valid gas certificate. The inspector was informed that this will be forward to the CSCI. The inspector saw a fire risk assessment but this had not been reviewed since April 2004. Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 20 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 3 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 2 2 3 3 3 3 3 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 3 2 2 Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? YES 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 OP4 Regulation 18(1)(a) Requirement The Registered provider must ensure that all nursing staff have or undertake the appropriate qualifications and gain the knowledge and skills necessary to care for and support residents with dementia. The registered person must ensure that all patients care plans are kept up to date and reflective of the care delivered, and all recordings in the care notes are in accordance with current good practice guidelines. The registered person must ensure that records are kept in accordance with schedule 3 items k, m and n The registered person must ensure that the receipt, storage, administration and disposal of medications meet the requirements of the Medicines Act 1968 and The Royal Pharmaceutical Society guidelines for administration and control of medicines in Care homes. Timescale for action 31/03/06 2 OP7 15 31/03/06 3 OP8 17 31/03/06 4 OP9 13(2) 31/03/06 Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 22 5 OP10 12(4) 6 OP12 16(2)(n) 7 OP18 13(6) 8 OP19 13(4)(a) The registered person must ensure that arrangements are in place to ensure that respect for the individual is promoted and maintained at all times The registered manager must ensure that the activities made available are flexible and varied to suit service users’ expectations, preferences and capacities. The registered person must ensure arrangements are made by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse and that all staff are aware of the procedures to follow were any form of abuse is alleged or suspected. The registered person must ensure items of risk in bathrooms and shower rooms are securely stored and that communal toiletries are not used The registered person must ensure that a programme of maintenance and refurbishment is produced and implemented. 31/03/06 31/03/06 31/03/06 31/03/06 9 OP19 23(2)(d) 30/06/06 10 11 OP26 OP27 23(2)(d) 18(1)(a) 12 OP29 19 The registered person must 31/03/06 ensure that all parts of the home are kept clean. The registered person must 31/03/06 ensure that at all times suitably qualified, competent and experienced persons are working at the home in such numbers as are appropriate for the health and welfare of service users. The registered person must 31/03/06 ensure that a robust recruitment procedure is put in place and that all documents as per schedule 2 are obtained and kept in personnel files DS0000048861.V281841.R01.S.doc Version 5.1 Page 23 Finch Manor 13 OP31 8 14 OP37 17(1) 15 OP38 13(4) The registered person must ensure that an application for registration of the newly appointed manager is submitted to the CSCI The registered person must ensure that all records are kept up to date and available in the home at all times. The registered person must ensure the care home is well maintained and safe at all times - and must provide a valid Gas Safety certificate to the CSCI and up to date fire risk assessment within the stated timescale. 15/03/06 31/03/06 30/04/06 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 OP2 Good Practice Recommendations It is recommended that a mechanism be put in place to ensure that contracts are signed and returned to the home Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 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 Finch Manor DS0000048861.V281841.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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