Inspection on 16/04/08 for Frodsham Christian General Care Home

This inspection was carried out on 16th April 2008.

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

Frodsham Christian General Care... 11/07/07

Frodsham Christian General Care... 27/09/06

Frodsham Christian General Care... 09/02/06

Frodsham Christian General Care... 03/08/05

Frodsham Christian General Care... 21/03/05

Frodsham Christian General Care... 27/07/04

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

CARE HOMES FOR OLDER PEOPLE Frodsham Christian General Care Home Chapelfields The Main Street Frodsham Cheshire WA6 7BB Lead Inspector Joan Adam Key Unannounced Inspection 16th April 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 Frodsham Christian General Care Home DS0000018744.V362696.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. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Frodsham Christian General Care Home Address Chapelfields The Main Street Frodsham Cheshire WA6 7BB 01928 734743 01928 734745 frodsham@schealthcare.co.uk www.southerncrosshealthcare.co.uk Trinity Care Limited 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) Post Vacant Care Home 70 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (30), Old age, not falling within any other of places category (40), Terminally ill (3) Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 70 service users to include: * Up to 40 service users in the category of OP (old age not falling within any other category) * Up to 3 service users in the category of TI (terminally Ill) * Up to 30 service users in the category of DE(E) (dementia- over 65 years of age) * Up to 1 service users in the category of DE (dementia) 11th July 2007 Date of last inspection Brief Description of the Service: Frodsham Christian Care Home is a purpose built care home with separate units providing nursing care for 40 elderly frail people, and 30 people who have dementia. The home has two storeys and all bedrooms are single rooms with en suite facilities. There is a choice of lounges with a communal dining room on the ground floor of the unit for elderly people, and lounges and separate dining facilities on both floors of the dementia unit. In addition there are accessible ground floor gardens, and a large patio area, both of which are enclosed. The home is situated within a very short walk of the town centre. Public transport services, i.e. trains and buses are accessible close to the home. Trained nursing staff are on duty twenty-four hours a day. The weekly fee payable at the home ranges from £353.91 to £719. The acting deputy manager provided this information. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is one star. This means that the people who use the service experience adequate quality outcomes. This unannounced visit took place on 16th April 2008 by two inspectors and lasted nearly seven hours. The visits were just one part of the inspection. Other information received about the home was also looked at. The home was not informed of the date the visit was to take place, but a few weeks before the visit an acting manager was asked to complete a questionnaire to provide the inspector with some information about the service. The acting manager was also asked to distribute CSCI questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. Responses were received from one resident, three relatives and one staff member. These were positive about the care in the home but all commented that the home did not have adequate staffing to meet the needs of the residents living there. During the visit the inspector spoke with the manager, staff, residents and visitors. She toured the premises and looked at various records held by the home. During the inspection a group of residents were observed for two hours. The observation was carried out in a small lounge where people who use the service have dementia and mainly no verbal communication. These observations along with other information collected during the visit helped to assess the quality of the care environment, and gave an opportunity to represent the experiences of care for people who struggle to speak out for themselves. After the last key inspection the provider was asked to submit an improvement plan identifying the action they were going to take to address the requirements. This was received and the work identified in this plan has been completed, however, the home manager has been absent from the home for some time. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The care plans for each person who lives at the home must cover all their identified care needs and describe the actions to be taken by staff to meet those needs. The management of medicines must be improved so that people living at the home are not put at risk through poor practice. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 7 All people working at the home should receive regular training in fire safety and take part in fire drills so they know what to do if there is an emergency. All staff involved in moving and handling should undertake training in this subject so that they are able to move people safely. No member of staff can start working at the home unless full employment histories are obtained so that people who live in the home can be confident that staff are suitable to work with them. The manager must apply to the CSCI to become registered, as required by law. 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. Frodsham Christian General Care Home DS0000018744.V362696.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 Frodsham Christian General Care Home DS0000018744.V362696.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment of people’s needs is carried out before they move into the home to make sure their needs can be met there. EVIDENCE: The admission details of two residents were looked at, one document on the frail elderly unit and one on the dementia care unit. These were detailed and contained adequate information so that staff were sure the needs of the resident could be met before they were admitted to the home. The content of the assessments was good and provided sufficient information about each person’s needs so that a care plan could be drawn up. The home does not provide intermediate care so standard 6 was not assessed. Frodsham Christian General Care Home DS0000018744.V362696.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): 7,8,9,10,11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans lack detail so that the care needs of people are not sufficiently detailed and people may not be receiving the care they need. Medication management must improve so that people who live in the home receive medication at the right time EVIDENCE: Care plans were looked at for people who live at the home. On the dementia care unit three care plans were looked at and these were of a poor standard. One resident had communication problems but the care plan in place was for challenging behaviour. The care plan folder was not in order and had old documents present that could be filed to enable the care plan to be more concise and so that staff could find up to date documents more easily. Some daily records were dated April 2007. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 11 The plan of care for mobility was out of date. A care plan in place for tissue viability dated 24/10/07 states that the dressing should be changed every two days but does not say where the dressing is situated or what it is for. A care plan in place for eating and drinking had a risk of choking added to it, a new care plan and risk assessment should be written for this problem. There was no social history recorded for this resident. An audit of this care plan which had taken place in July 2007 states that a photograph of the resident is needed but there was still no photograph present in the folder. There was, however a monthly meeting with the residents family that had been recoded on a monthly basis. The care plan had been reviewed monthly but the reviews were poor and repetitive. One care plan for a resident stated that they were a high risk of falls but they were walking unaided with no staff observation. When staff were spoken to they were aware of the needs of the residents they were caring for. On the frail elderly unit two care plans were looked at. One was detailed and gave good guidance to care staff looking after the resident as to what care was needed. This had been re written in a new format and the acting deputy manager stated that all care plans were to be re-written to this standard. Trained staff were to attend training sessions regarding the new care plans. One care plan looked at highlighted areas of need however this could be more detailed so as to guide staff as to the support needed. The daily record identified a visit from a GP who had changed some medication for pain and symptom control. The care plan had not been up dated to highlight the changing needs of the resident. During the inspection a group of residents were observed for two hours. The observation was carried out in a small lounge where people who use the service have dementia and mainly no verbal communication. These observations along with other information collected during the visit helped to assess the quality of the care environment, and gave an opportunity to represent the experiences of care for people who struggle to speak out for themselves. One nurse and two carers were on duty with another carer ‘floating’ between the two floors. The observations found that at most times there was at least one member of staff in the lounge and the activities organiser spent about half an hour playing ‘name that tune’ with residents. One resident joined in and sang to a lot of the music, another answered questions and had some small conversations. A third Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 12 resident who was rather withdrawn tapped his foot to the music on two occasions. All staff showed a positive attitude to residents and some very good interactions took place. Residents were asked ‘Would you like a drink?’ ‘Would you like to go to the toilet before lunch?’. Resident struggling’ trying to button up her cardigan was asked ‘Would you like me to help you with that?’ One person seemed unable to communicate verbally but made sounds. A GP came to see her (briefly) but did not engage with her. She was asleep for quite a lot of the time but on several occasions she reached out to staff but there was only one occasion when a member of staff (the nurse) spent any time with her. Staff squatted down or sat down when they spoke to residents or helped them with a drink. People were offered a second cup of tea. One person chose to have milk instead. The room is pleasant and light, pictures on the wall, different types of armchair to give support, plenty of small tables to put drinks on. One person had a newspaper although she didn’t seem sure what to do with it. Three ladies who were wearing skirts were also wearing coloured socks like bed-socks with slippers. None had tights or stockings or pop socks. This was also noticed on the first floor of the dementia unit. It detracted from dignity. One lady had difficulty walking and the slippers she was wearing appeared much too big for her and they were very soft and floppy and did not support her feet. Residents were taken to the dining room for lunch. Most were mobile with assistance and the staff handled them gently and did not rush them. One person was asleep and the staff came back several times to see if she was ready to go for lunch. The information gathered during the observation is be used to inform future practice and the caring process. The management of medications were looked at on both units. On the dementia care unit medications of two residents were prescribed on the medicine recording sheet (MAR) as to be taken twice daily but were recorded as being given once a day with no explanation as to why both doses were not being given as they were prescribed. Some medicines that were prescribed for four times daily were only being given when staff felt the resident needed them. The prescription for these medicines should be discussed with the GP and if need changed to a “when needed” prescription. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 13 On the frail elderly unit one medicine had been highlighted as being recorded on the Mar sheet the number of tablets left each day. This was not consistent as some staff were recording amounts left and some were not. A resident whose pulse was being taken and recorded on the MAR sheet before she received a medicine was not always recorded. These errors were discussed with the acting deputy manager and she said that trained staff were all to undertake an up date on medicine management. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 14 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): 12,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a range of activities for people living in the home to take part in so they can keep active and stimulated. EVIDENCE: An activities co-ordinator is employed by the home and residents and relatives spoken with said that activities take place on a regular basis. Activities are recoded in the activity records and arts and crafts are displayed within the home. Residents are taken to the local market and in to the main street shopping. Outside entertainers are booked to visit the home regularly. Visitors are welcome at any time and one visitor spoken with stayed at the home for most of the day and was encouraged to help the staff with the care of her husband. She said “ this is a very positive thing for me and I feel I am still involved in the care and decision making. ” Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 15 Menus are on display and choice is given to the residents. People spoken to said the food was lovely. On both units dining rooms were pleasant and tables were nicely set with tablecloths providing a pleasant place for people to eat Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 16 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are procedures in place at the home to ensure that complaints are handled well and action taken to protect people from abuse. However, not all staff have received training about safeguarding adults so may not know what to do if abuse is suspected or found. EVIDENCE: The complaints procedure for Frodsham nursing home is displayed in the entrance to the home. The complaints log showed that complaints had been dealt with within the appropriate timescales and that actions had been taken to put matters right. On looking at the training matrix at least half of the staff working at the home have received training regarding safeguarding adults. Frodsham Christian General Care Home DS0000018744.V362696.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): 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. A number of improvements have been made so that people live in more comfortable surroundings. EVIDENCE: The home has had some areas decorated since the last inspection. The entrance hall has been redecorated and tea and coffee making facilities have been installed so that relatives can help themselves to drinks. New furniture such as arm chairs, sideboards and footstools have been purchased for both units. In general the standard of decoration and furnishing is good. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 18 On the dementia care unit some attention is needed to a few bedrooms and this was discussed with the acting deputy manager at the time of inspection. Bathrooms and shower rooms are very bare and clinical; they could be made softer and more pleasant for residents. Bath panel badly knocked (first floor). The office on the ground floor had residents’ records on the floor under the desk and was generally untidy. Frodsham Christian General Care Home DS0000018744.V362696.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 poor. This judgement has been made using available evidence including a visit to this service. Staff do not receive training so they can maintain and develop their skills when providing care. Recruitment procedures are not thorough enough to make sure that new staff are suitable to work with the people who live at the home EVIDENCE: Care staff are well regarded by people living in the home and relatives. Comments were made such as, “very good, everyone is very kind.” Survey forms received from residents, relatives and staff said there had been staff shortages at some times during the last months. The acting deputy manager confirmed this and said agency staff was now being used to cover the shortfall. She had also recruited and employed new care staff and new kitchen staff. The trained staff cover on the dementia care unit from 2pm to 8pm was inadequate. One member of trained staff was covering two floors, separated by locked doors, which meant when they were working on one floor the other floor was without a trained member of staff. Discussion took place with the acting deputy manager about the need to ensure that there are sufficient qualified staff available with the necessary skills and experience to ensure the needs of the residents are met, in particular those people living on the dementia care unit. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 20 The acting deputy manager had highlighted this with the company and assured CSCI that the problem was to be addressed. The management of the home must provide adequate staff to met the needs of the residents living there. The training records for staff was looked at and there were only fourteen per cent of staff which had achieved NVQ level 2 in care. More staff were undertaking this training but the target of fifty per cent staff qualified was not being met. The staff at the home had not received mandatory training regarding fire safety, health and safety, moving and handling and food hygiene. The acting deputy manager has been in post since March 2008 and is addressing this issue by booking training sessions and accessing training from other homes providing transport so that staff could attend. Training records indicated that only five staff had attended a fire safety training course in the last year and that staff only did a fire drill on the day of the fire training. This means that staff may be unaware of what to do in the event of a fire The records also indicated that few staff have completed moving and handling training in the previous twelve months. This means that some people living in the home could be at risk of harm or injury through poor lifting practice. Although the home is registered to provide care for people with dementia there was no record about which staff have received training in this subject. This means that they may not have the knowledge and skills to care for people with dementia. The recruitment records of four staff were checked. Two files looked at contained all relevant information required to enable the management to be aware that the person could work with vulnerable adults. However, two files looked at contained application forms that weren’t fully completed with a full employment history so that the management were aware that the safety of the residents was maintained. Frodsham Christian General Care Home DS0000018744.V362696.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 adequate. This judgement has been made using available evidence including a visit to this service. A permanent manager structure needs to be in place to ensure that the home is run well and to ensure that the changing needs of residents can be met in full. EVIDENCE: The manager has been absent from the home since October 2007 and has not applied to be registered with CSCI. This is an out standing requirement from the last inspection. The home has had various acting managers from the company since that time, however consistent management of the home has not taken place. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 22 The home has had a high turnover of staff, sickness levels are high and staff morale is low. Agency staff are being used at present to address the shortfalls of staff vacancies and to cover sickness. Survey forms, residents, relatives and staff spoken with felt that the home was “ drifting” “ lacked leadership” “ had no direction” “ We have acting managers here for short times and they move on and another person comes we don’t know where we are” Records indicated that the maintenance man tested and checked fire safety equipment. There had been only five staff members who had undertaken fire safety training since June 2007 so staff might not be clear about what they had to do to protect residents and themselves if fire broke out at the home. The records also indicated that few staff have completed moving and handling training in the previous twelve months. This means that some people living in the home could be at risk of harm or injury through poor lifting practice. Recruitment files looked at showed that application forms that weren’t fully completed with a full employment history so that the management could be aware that the safety of the residents was maintained. The financial management of residents’ monies was satisfactory. The acting deputy manager had been in post since March but was unsure how long she was to remain at the home. She had addressed issues regarding staffing, training, care plan improvements, recruitment of new staff and had held staff meetings to keep staff up to date. She was being supported by a project manager and the operations manager for the region. Frodsham Christian General Care Home DS0000018744.V362696.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 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 2 28 1 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 15 (2)(b, c & d) Requirement Care plans must be kept under review to demonstrate that people’s changing care needs have been identified and effective measures taken to meet those changed needs. The registered person must ensure that there is an up to date written plan of care of each resident, to enable their changing needs can be met. All staff must receive to date moving and handling training so people living in the home are not placed at risk of possible injury. All staff in the home must undertake an annual refresher course in fire safety training so that people in the home are protected. Medicines must be administered safely in accordance with the home’s policy and procedures and the records must be clear and accurate. This means that people living in the home can be confident they will receive their medicines as prescribed. DS0000018744.V362696.R01.S.doc Timescale for action 30/05/08 2. OP7 17 (1)(a) 30/05/08 3. OP38 18(1)(c) 30/05/08 5 OP38 23 (4)(d) 30/05/08 6 OP9 13 30/05/08 Frodsham Christian General Care Home Version 5.2 Page 25 7. OP31 8 The registered person must ensure that the manager in post has made an application to be registered with CSCI. Unmet requirement from 12/09/07 30/06/08 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 2 Refer to Standard OP28 OP30 Good Practice Recommendations 50 of staff should achieve NVQ 2 or above so that staff are trained to perform their role. Care staff should undertake training in dementia care so that they can meet the needs of people with dementia. Frodsham Christian General Care Home DS0000018744.V362696.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Frodsham Christian General Care Home DS0000018744.V362696.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. Re-publishing this information is in breach of the terms of use of that website. 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