Inspection on 11/10/05 for Petersham Centre Care Home

This inspection was carried out on 11th October 2005.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 24 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Petersham Centre Care Home 16/09/08

Petersham Centre Care Home 31/10/06

Petersham Centre Care Home 02/05/06

Petersham Centre Care Home 19/05/05

Petersham Centre Care Home 08/12/04

Petersham Centre Care Home 20/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Petersham Centre Care Home Petersham Road Long Eaton Nottingham NG10 4DD Lead Inspector Bridgette Hill Unannounced Inspection 11th October 2005 09:30 Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 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 Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 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 Adults 18-65. 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. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Petersham Centre Care Home Address Petersham Road Long Eaton Nottingham NG10 4DD 01629 580000 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) Derbyshire County Council Vacant Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2005 Brief Description of the Service: Petersham Care centre is a purpose built single storey building located in a residential area.It is run by Derbyshire County Council and provides personal care for residents with learning disabilities. The home is separated into 3 units each with a separate entrance leading off the main entrance hall. Some service users reside in the home on a long-term basis whilst other service users access the home for short-term respite care. The home has established links with day services located nearby. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced one which took place over 6 hours. During the inspection 2 staff members were spoken with along with the Homes Service Manager. Various records including care planning records were examined the findings are recorded in the body of this report. The main purpose of this visit was to assess progress made in meeting previous requirements and recommendations and assess key standards which have not already been assessed this inspection year. Where previous requirements have not been checked they remain listed as part of this report. This report should be read alongside the inspection report dated 19th May2005 where many of the standards that are required to be assessed each inspection year were examined. The lead inspector was accompanied on this visit by a second inspector who was on induction. What the service does well: What has improved since the last inspection? What they could do better: There were many examples of poor record keeping evident throughout the range of documents examined. This included a lack of date and signatures. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 6 There were not procedures in place to identify when staff training updates were due nor systems in place to ensure these were completed promptly. This is likely to be attributed to poorly recorded staff training records. Personal service plans were not always comprehensive in detailing care delivery, were not always reviewed and did not contain fully documented risk assessments and supporting plans. There are a number of requirements that have previously been given two timescales for completion that have not met and remain outstanding. It therefore appears that managerial processes are not in place to ensure that actions to meet the requirements of the Commission for Social Care Inspection are carried through. Some of these relate to aspects directly affecting service users such as the safety of medicine administration and staff training. This must be rectified. 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. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5 The staff team at Petersham Centre have worked positively as a team with other healthcare professionals to ensure that service users needs can be met at the home. EVIDENCE: A sample of two service users care files were examined. Both of these contained Terms and conditions of residency contracts. The contracts were different according to whether service users were in the home on a short term basis or on a long term basis. Where service users needs had changed that potentially affected the suitability of the service users placement at the home considerable work had been undertaken to address the difficulties encountered. This has involved multi agency meetings on a monthly basis. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8,9 There was a lack of completeness in the assessment of needs, risks, and detailing of care delivery instructions which had the potential for service users care needs to remain unmet or inappropriate care be given. EVIDENCE: A sample of two personal service plans were examined. Record keeping within service user plans was found to be poor with many documents being unsigned and dated. It was therefore not possible to establish the validity of documents within a timeframe. Staff recorded daily records of ongoing progress. The detail of how care was to be delivered by staff was not always specific for example there were no instructions as to how staff care for a service user who was experiencing a seizure. From documents available it was observed that there continued to be differing systems of recording assessed care need. These had potential for staff to have a disjointed or incomplete knowledge of the service users assessed needs. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 10 One personal service plan of a long term service user had not been reviewed for above a year. Some service users had signed their personal service plan to confirm they had been consulted. Photographs of service users were available. From the two files examined it was not possible to establish dates of admission. This is an outstanding requirement from previous inspections. Service user meetings were held on an approximately monthly basis. Service users views were recorded but there were not records to demonstrate that any actions had been taken to support the views and choices aired by service users. Service user questionnaires were available and some infrequently completed exampled were seen. These were in a picture format which was suited to the service user group being cared for. It was established from personal service plans that not all potential risks to service users and staff had been assessed nor were they supported by a personal service plan. This included risks of potential verbal and physical abuse to other service users and staff. Some risk assessment formats were found to be incomplete. This is an outstanding requirement from previous inspections Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No Standards within this section were formally assessed at this visit. Please refer to the inspection report dated 19th May 2005 EVIDENCE: General discussions regarding day services provided were held with staff. These confirmed that a range of services was available and these were tailored according to service users assessed needs. Some of these were in walking distance of the home which allowed exercise for service users and and enhanced communication between staff at the home and day centres. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 The provision of healthcare services for service users was established however record keeping practices for regularly required health checks were not robust EVIDENCE: There appeared from records examined to be a wide range of healthcare professionals involved in service users care. This included Speech and language therapists, community nurses (including nurses trained in learning disabilities) and psychologists. The system for recording daily healthcare interventions such as GP visits and dentists was included in daily logs it was therefore difficult to establish a clear overview and ascertain if there were any overdue checkups or visits required. Service users were supported by staff to use community facilities when accessing healthcare services. Some services promoting good health were accessed such a ‘Well Man’ clinic. One personal service plan identified potential weight loss ongoing monitoring of weights for this service user were not being recorded to establish if this required a plan of care. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 13 Personal service plans detailed service user capabilities and how care was to be delivered regarding personal hygiene needs. A key worker system was in place for each service user. A range of technical aids including hoists, shower seats, two variable height beds, and a staff call system was fitted throughout the building. The storage and administration of medicines was examined. A system was established for ordering, receipt and returns of medication. A drug reference book dated March 2004 was available. One topical preparation was not named or dated on opening and there was inconsistent recording of the dates of opening of topical preparations. Staff had received training in the storage and administration of medicines some of this training had been completed in 2003. There was one medication administration record which had an instruction transcribed for a drug which was not accurate to the instructions recorded on the pharmacy label. Since the last inspection two drug errors had occurred. One spelling error on a medication administration records was evident, this had been signed by two staff members. The drugs storage areas were found to be hot on the day of this visit and this was confirmed by staff as being a consistent problem it is recommended that this be monitored. One paracetamol based product had been personally purchased by a service user and was listed on the medication administration record it was clearly identified to staff as being paracetamol based and therefore there was the potential of overdose if other products containing paracetamol were administered. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 There has been some progress made to ensure staff are trained in the Protection of vulnerable adults however more is required to ensure that staff are conversant with procedures and allegations are handled correctly. EVIDENCE: Previous requirements and recommendations were examined as listed in the report dated 19th May 2005. Some staff training in the Protection of vulnerable adults had taken place but not all staff had completed this. The Deputy Manager said that more training for remaining staff was planned for January 2006. A sample of service users monies were examined the balances and records were accurate. Not all transactions had double signatures. There was an inconsistent approach as some did have double signatures; the service user had signed some of these. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26,28,29,30 There is ongoing work on the environment being undertaken to ensure that service user s are accommodated in comfortable surroundings. EVIDENCE: The home is divided into 3 units with each unit having its own lounge/dining space. All bedrooms in the home have less than 10 square metres of space. One of the units for long-term service users had recently been refurbished with new carpets, furnishings and curtains. The communal areas in the long stay units’ demonstrated evidence of personal effects and preferences. The toilet/ bathroom areas identified on previous reports as needing replacement flooring have been completed. Some units had been removed from a kitchenette area this left uneven flooring exposed and required making good. This is an outstanding requirement from previous inspections. Some bedrooms being used by service users were partially decorated this needs to be addressed. Staff spoken to did not appear to know when these were to be completed. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 16 Some household cleaning agents were found in one of the service users kitchen areas, for service users safety these cleaning agents should be stored in a locked cabinet. One toilet was stained with dried faeces on the toilet seat. The seating available in the short term unit was not suitable for those requiring support due to physical disability, discussions revealed that this is being reviewed. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,34 (Not able to check previously listed requirement), 35 Staff training records were poorly kept and there were not managerial structures in place to ensure staff received bi/annual and annually required training. EVIDENCE: There is 7 long term service users and up to 9 short term /respite service users admitted to the unit at any one time. Staffing levels were examined and showed that generally four staff were rostered on the morning shift, five staff on the afternoon shift and one waking staff and one sleeping in staff were rostered on the night shift. The rota examined also demonstrated that additional staffing was in place at the weekends when service users were not attending their respective day opportunities; five staff was rostered on shift both in the morning and afternoon. Named Key workers were identified for individual service users within the personal service plans. Night staff had not received accredited medication training, however the deputy manager confirmed that sleep- in staff had completed accredited medication training. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 18 Recruitment files were not accessible on the day of inspection; therefore this standard was not assessed and the requirement relating to this remains listed. Staff’s training records were found to be incomplete and moving and handling training for 5 staff was out of date 8 staff had received moving and handling training in August 2005 and the deputy manager confirmed that further training was planned, however the date for this training could not be confirmed. This is an outstanding requirement from previous inspections Protection of vulnerable adults training had not been completed by 12 of the staff team. The information taken from the pre-inspection questionnaire indicated that 65 of the staff team held an NVQ (National Vocational Qualification) Level 2 or above in care. This exceeds the required 50 . All staff had up to date training in specialist techniques for the management of service users with challenging behaviour. Fire training was recorded as 2004; further training was planned for the 27th October 2005.Six monthly fire training for night staff was not in place. This is an outstanding requirement from previous inspections. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41,42( Previous requirement only assessed) Managerial structures do not appear to be effective in ensuring that requirements are met and that staff are maintaining a satisfactory level of record keeping. EVIDENCE: There is no manager is in post at present, however a manager has been appointed subject to the relevant checks and references being completed. Staff had difficulty locating some documents for example the annual development plan. There was generally a poor standard of record keeping throughout the documents examined. This included lack of dates (including precision of dates included), signatures and lack of completeness. Aspects of poor record keeping are evident throughout many areas of this report. There were not any systems in place to audit records in order to ensure standards are maintained. There were no records available in the home to demonstrate that monthly visits on behalf of the provider had been completed in accordance with Regulation 26 since June 2005. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 20 Staff have not been receiving bi annual fir safety training as has been identified on previous reports. This is an outstanding requirement from previous inspections Meetings with service users were being held and recorded but there was not any records to demonstrate any action had been taken to address issues raised. An annual development plan was in place and examination of this indicated that this had partially been implemented. Service records have been examined at the inspection undertaken on 19th May 2005. Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x 3 Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 x 3 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x 2 3 2 2 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 2 2 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Petersham Centre Care Home Score x 2 2 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x 2 2 x DS0000035770.V250918.R01.S.doc Version 5.0 Page 22 YES Are there any outstanding requirements from the last inspection? 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 YA6 Regulation Schedule 3 15 15 Requirement Service users files must contain all the aspects listed in Schedule 3 Previous timescale 30/07/05 Where assessed needs are identified these must be supported by a detailed plan of haow care needs are to be met One single sytem of recording a service users assessed care needs and how these are to be met must be used Records must be available to demonstrate that all personal service care plans must be reviewed on a minimum 6 monthly basis Service user plans must include risk assessments and plans for limiting risks Previous timescales 30/10/04 and 30/08/05 Service users must be weighed regularly to ensure any significant weight changes are addressed through needs assessed care plans The pharmacy label on the DS0000035770.V250918.R01.S.doc Timescale for action 31/12/05 2 YA6 31/12/05 3 YA6 15 31/12/05 4 YA6 15 31/12/05 5 YA9 13 31/12/05 6 YA19 15 30/11/05 7 YA20 13 30/11/05 Page 23 Petersham Centre Care Home Version 5.0 medication and the MAR chart must match. If instructions are different from that on the label it must be made clear on the MAR chart why they are different. Prescriptions for new supplies of medication must be checked to ensure that all details, including the administration instructions, are correct. 8 YA20 13 Previous timescale 30/07/05 Topical preparations must have the name of the person for whom they are prescribed recorded and have a date of opening stated Previous timescale 30/07/05 Where homely remedies are paracetamol based this be clearly recorded to limit the risk of accidental overdose All staff must receive training in the protection of vulnerable adults Previous timescale 30/09/05 Financial transactions must contain double signatures. It is good practice if one of these is the service user where they are able to sign meaningfully Previous timescales 30/01/04 and 30/07/05 Service users must not be accommadated in partially redecorated bedrooms The flooring in the kitchenette area must be made good, this is a trip hazzard Previous timescale 30/07/05 The provider must ensure that suitable seating is required for service users who has a phtsical disability 30/11/05 9 YA20 13 30/11/05 10 YA23 18 30/01/06 11 YA23 13 30/11/05 12 13 YA26 YA28 16 16 31/10/05 31/12/05 14 YA29 14 31/12/05 Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 24 15 16 YA30 YA30 13 13,16 17 YA35 18 All substances potentially 30/11/05 hazzardous to service users must be locked away Toilets must be cleaned regularly 30/10/05 to ensure standards of hygiene which do not place the service user at risk of cross infections Annual updates must completed 31/12/05 for Moving and Handling training Previous timescales 31/01/04 and 30/08/05 A system must be in place to ensure staff must receive regular training updates as required (for example basic food hygiene) Previous timescale 30/09/05 The Provider must apply to formally register a Manager for the home within the next 3 months Records must be available to demonstrate that monthly visits made on behalf of the provider are being completed Records must be available to demonstrate that actions are taken to issues raised at service users meetings The provider must ensure that quality assurance audits are introduced to ensure record keeping standards are maintained All records must be maintained and kept up to date as required by Schedules 3 & 4 18 YA35 18 31/12/05 19 YA37 9 31/01/05 20 YA39 26 30/11/05 21 YA39 35 30/11/05 22 YA39 35 31/01/05 23 YA42 17 30/11/05 24 YA42 23 Previous timescales 30/06/04 and 30/07/05 Staff undertaking night duty 31/12/05 must receive bi annual fire safety training Previous timescale 30/08/05 Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 25 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 3 4 5 Refer to Standard YA2 YA20 YA30 YA35 YA35YA41 Good Practice Recommendations A pre admission assessment format should be developed It is recommended that the temperature of the drugs storage areas are monitored to ensure a temperature of 25°c is not exceeded Dirty linen should not be carried through lounge/dining areas The system for recording staff training should be revieweed to ensure precise dates are recorded not just the year. Staff should receive training on record keeping Petersham Centre Care Home DS0000035770.V250918.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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