Inspection on 05/10/06 for St George`s Hotel

This inspection was carried out on 5th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

St George`s Hotel 30/09/08

St George`s Hotel 10/01/06

St George`s Hotel 21/07/05

St George`s Hotel 24/01/05

St George`s Hotel 13/04/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

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

CARE HOMES FOR OLDER PEOPLE St Georges Hotel St Georges Road Truro Cornwall TR1 3JE Lead Inspector Diana Penrose Unannounced Inspection 5th October 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 St Georges Hotel DS0000041932.V311946.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. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Georges Hotel Address St Georges Road Truro Cornwall TR1 3JE 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) 01872 272554 01872 242162 Mrs Christine Elizabeth Little Mr Rolf Little Mrs Elizabeth Julie Coon Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: St. Georges Hotel is a care home that is within level walking distance of Truro city centre. The property originally belonged to the church and still has some ecclesiastical characteristics. The accommodation and facilities occupy two floors with a stair lift provided; the ground floor is wheelchair accessible. The home provides care and accommodation for up to twenty-two residents with low dependency needs who are over 65 years of age. An appropriate skill mix of staff provide care in a relaxed and friendly atmosphere. The home is decorated and maintained to a high standard and the grounds are tidy. The garden at the front is accessible to residents. Information about the home is available in the form of a residents’ guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from £330 to £375 per week; this information was supplied to the Commission in the pre inspection questionnaire received on 20/09/06. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An inspector visited St Georges Hotel Care Home on the 05 October 2006 and spent six and a quarter hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 10/01/06. All of the key standards were inspected. On the day of inspection 19 residents were accommodated in the home however 2 were in hospital. The registered providers were away and the registered manager was in charge of the home. The methods used to undertake the inspection were to meet with a number of residents, relatives, staff and the registered manager to gain their views on the services offered by St Georges Hotel Care Home. Records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. Residents and relatives expressed great satisfaction with the care and services provided at the home. Overall the home is providing a very good quality of care to the residents placed there and the registered providers strive to improve the standards achieved. What the service does well: The registered persons provide a very well managed service for residents. Residents are very positive about their care and facilities provided, they all spoke extremely highly of the registered manager and said she really cares and goes out of her way to help everyone. Staff are perceived as kind and caring and provide a friendly atmosphere for residents and visitors. Residents said they are able to live their lives as they choose and the daily routines are flexible. The home is very clean, warm and comfortable there are no unpleasant odours. It is furnished and decorated to a high standard. The building is well maintained and the grounds are tidy and safe. Records, policies and procedures are maintained to a good standard. Health and safety precautions are well maintained. There are suitable systems for dealing with complaints and abuse. Staff and residents said they could approach the manager if they had a problem. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The home meets most of the requirements laid down by legislation; the registered manager discussed issues with the inspector and agreed to meet any deficits. POVA checks must be obtained prior to staff being employed. The registered manager said that staff are already supervised prior to their CRB check being obtained however this needs to be evidenced. Risk assessments undertaken for individual residents need to be more detailed, and the registered manager agreed to address this, she said she would obtain the Tullamore scale to assess the risk of falls. The system for dispensing medicines to residents is not safe and must be changed so that medicines can be dispensed directly to the individual; the registered manager agreed to address this with the registered providers. The registered manager agreed to provide basic medicines training for all care staff and include this in the induction programme, at present only those administering medicines receive formal training. She also agreed to sign the medicine charts when printed and to get another carer to sign to witness that St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 7 the medicines recorded are correct. An individual sheet for each resident to record activities undertaken would be very useful to evidence what is provided. A sluice with a washer disinfector would be beneficial for the cleaning of commode pots and urinals. Paper towels are provided, by dedicated sinks, for staff to dry their hands, it would be very good practice to extend this to all sinks. There are some quality assurance systems in place but the registered manager stated that this is an area that needs to be developed and improved. It is recommended that a matrix be compiled for statutory training to demonstrate that staff attend according to the legal requirements. 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. St Georges Hotel DS0000041932.V311946.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 St Georges Hotel DS0000041932.V311946.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide suitable care. EVIDENCE: Evidence was provided in the form of records, interviews with residents and the registered manager. The home has a specific form for recording the initial assessment. The registered manager tries to visit all prospective residents to undertake the assessment; sometimes the resident visits the home. Information from Adult Social Care and hospital staff is obtained where appropriate. Residents spoke positively about the assessment process. Forms inspected were completed appropriately, dated and signed. An individual plan of care is compiled from the assessment. The registered manager said that reviews are undertaken by Adult Social Care regularly. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 10 St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individual care plans are generated for each resident that reasonably inform and direct staff in the care provision; improved risk assessments will provide further safeguards. Residents have access to health care services as necessary to ensure their assessed needs are met. There is a system and policy in place for dealing with resident’s medicines; some additional safeguards must be in place to ensure a safe system. Systems are in place to ensure that residents are respected and their privacy is upheld at all times. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives, staff and registered manager. Each resident has a written care plan that is reviewed monthly. Relevant risk assessments are undertaken but need to be more detailed this was identified at the last inspection. The registered manager agreed to improve the falls risk assessment by obtaining a document such as the Tullamore scale. The admission and care plan documents are compiled by the registered manager St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 12 with the individual resident. They are signed by the resident or their representative. Daily records are maintained by the care staff. Residents spoken with said their health needs are met and they have access to their GP or other health professionals when required. One resident attended a hospital appointment escorted by a member of staff, during the inspection. Another went out to a dentist appointment. Care practice was observed to be appropriate during the inspection and carried out in a calm, efficient manner. Pressure relieving equipment is supplied and there is appropriate equipment in the home for moving and handling. The registered manager said that links with doctors and specialist healthcare professionals is very good. The home has a medicines policy and there is a system in place for the administration of medicines. The policy was discussed with the registered manager and she said she would make some additions to it. Individual packets are used and the storage is safe and secure. Care staff that administer medicines receive training in the safe handling of medicines. The registered manager agreed to provide basic medicines training for all care staff and include this in the induction programme. At present the medicines are dispensed into pots labelled with the residents names and transported on a tray to the residents. This practice is unsafe; a lockable container such as a toolbox must be used to transport medicines around the home so that they can be dispensed directly to the individual resident. The registered manager said she would sort this out with the registered providers. Patient information leaflets are kept and there are reference books for staff. Administration and disposal records were satisfactory and up to date. The registered manager has a programme on a computer specifically for medicines. All medicines received are recorded on this computer, the registered manager agreed to record the number of medicines received on the order form and to sign this. The registered manager types the individual administration charts on the computer. She agreed to sign these when printed and to get another carer to sign to witness that the medicines recorded are correct. Residents’ privacy was upheld during the inspection. Residents said they are treated with respect and their privacy is upheld at all times. All residents have a key to their room and a lockable storage facility in their room. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a range of activities and aims to offer a lifestyle that meets individual residents needs. Links with family, friends and the community are good and allow residents the opportunity to socialise. Residents are helped to maintain control over their lives and staff respect their individual preferences and choice. Dietary needs of residents are well catered for with a varied selection of food available that aims to meet their taste and preference. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives, staff and registered manager. Activities and entertainment are on offer and residents talked about these. Activities include singers, musicians, bingo, games, painting and a Cornish storyteller. Residents said that trips out are organised and enjoyable. The care staff are responsible for activities, recording of activities was discussed and the registered manager agreed to include a sheet with each residents care documents for this. There is a record of visitors to the home and there were visitors in the home during the inspection. Residents said they could receive visitors in private and St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 14 at any time. Visitors spoken with said they are always made welcome in the home and can call when they like. Residents said there are suitable telephone arrangements in the home. Residents said they choose when they get up and go to bed. They choose what clothes to wear and how they spend their day. There are also choices on the menu. Residents’ rooms are personalised with their own possessions. One resident had moved his furniture around to suit him better. There is a varied menu that spans four weeks, this has just been reviewed with input from the residents, and fresh fruit and vegetables are included. Residents and relatives said the food is very good and residents enjoyed the lunchtime meal. Biscuits or cakes are served with afternoon tea. The cooks cover the lunchtime meal but care staff do breakfast and tea meals. Meals are served in two dining rooms or individual bedroom if preferred. Plenty of fluids were observed to be available for residents in all areas. Cakes are made for resident’s birthdays, Christmas, Easter and so on. One resident said she has a cake on her birthday and has a choice of fruit or sponge. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: Evidence was provided in the form of documentation, records and interviews with registered manager. There is a suitable complaints policy in the home that is available to residents. There have been no complaints to the home in the past year. Residents said there are no barriers to raising concerns with the management. The home has an appropriate adult protection policy. In house training, including induction, is in progress and the manager has a training video. The registered manager has attended the local training provided by Adult Social Care. Staff are required to read the providers policy regarding adult protection when they commence employment. There is a secure facility for the storage of money in the home. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 16 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 and 26 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is clean and every effort is made to eliminate unpleasant odours making it a pleasant place for residents to live in. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives, staff and registered manager. The home is very clean, warm and comfortable with no offensive odours. It is decorated, furnished and maintained to a high standard and decorating is ongoing. Some rooms have recently been decorated with new curtains and bedding supplied. Some rooms have been fitted with new vanity units. Assisted bathing facilities are provided and there are sufficient toilets. There are two lounges to sit and relax although some residents tend to stay in their bedrooms. One lounge is a quiet area while the other is equipped with a very St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 17 large screened television, a drinking water cooler is provided in this lounge. There is a large dining room and a dining table and chairs at the end of the quiet lounge. The tables are laid with tablecloths and napkins. The grounds are tidy with attractive flowers and shrubs. The front garden is accessible to residents and there is seating provided. One resident has a small courtyard outside her room and she does some gardening. Laundry is dealt with in house and residents said they are happy with the service. A sluice with a washer disinfector would be beneficial for the cleaning of commode pots and urinals. Paper towels are provided, by dedicated sinks for staff to dry their hands, it would be very good practice to extend this to all sinks. Alcohol cleansing gel is in use. Infection control training has been commenced. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels meet the needs of residents and staff morale is good. Residents are in safe hands and they benefit from the 48 of care staff trained to at least NVQ level 2 in care. Recruitment procedures are generally robust and offer protection to the residents; POVA clearance prior to employment must be addressed. The home provides appropriate training for staff to help them be more competent in their roles. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives, staff and registered manager. Residents said the staff are all kind and caring and they work very hard. There are on average 3 care staff on duty in the mornings until eleven o’clock, then 2 in the afternoons and 2 at night (one sleeps in from 11pm). Residents said there are enough staff and they answer the call bells quickly. Cooks and housekeeping staff are employed. 48 of care staff have an NVQ either at level 2 or 3 and copies of NVQ certificates are kept on file. Some staff are currently undertaking NVQ training. Two personnel files were inspected; the records required by legislation were included. Staff must not commence work until a satisfactory POVA check has been received, it is recommended that the registered manager print the POVA St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 19 confirmations from the e-mail for the files, she said she would do this and confirm in the records that staff are supervised prior to their CRB check being obtained. Staff are provided with two handbooks on commencement of employment, these are full of useful information about their employment conditions and the homes policies and procedures. There is a suitable induction programme for new staff with records maintained. Induction records inspected have been dated and signed. Individual training records are maintained for staff. There is information on courses available to staff and posters are displayed. The registered manager said that training needs are identified at interview, appraisal, and supervision and during meetings. Staff said there are opportunities to attend external courses if they wish and in house training takes place regularly. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager is a person of good character and fit to run the home. The home is run in the best interest of the residents and they benefit from the Quality Assurance systems in place. There is a suitable system in the home for dealing with residents’ money that ensures that the residents’ financial interests are safeguarded. Appropriate training and safety checks are undertaken to ensure the health safety and welfare of residents and staff; extra vigilance in respect of statutory training and staff attendance will ensure further protection. EVIDENCE: Evidence was provided in the form of documentation, records, observation, and interviews with residents, relatives, staff and registered manager. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 21 The registered providers were away on the day of the inspection. The registered manager was in charge and very competent in running the home. She has qualified to NVQ levels 2, 3 and 4 in care and has achieved the Registered Managers’ Award. She is an assessor for other staff undertaking NVQ’s. She keeps herself up to date on current issues by reading relevant magazines and using the Internet. She attends courses when she can and keeps up to date with statutory training in house. Recent training includes infection control and dementia. Residents, visitors and staff said the home is very well run they said the registered providers are approachable and listen to what is said. They all spoke extremely highly of the registered manager and said she goes out of her way to help everyone. An annual quality assurance survey is undertaken with the residents and some audits take place, for example catering and housekeeping. The records are not very well maintained. The registered manager said this is an area that she intends to develop, as it is important to keep improving. Staff and residents meetings take place and minutes are maintained. Residents said they only have to say if they would like something changed and the management try to oblige. The cook said that residents were involved in the development of the new menus. There is a policy and a suitable system in place for the handling of resident’s money. Some residents deal with their own money or have a representative to deal with it for them. Monies and valuables held on behalf of residents are stored securely with appropriate records and receipts kept. Individual residents money checked was correct according to the records. The management endeavour to ensure that working practices are safe and staff confirmed this. There are health and safety policies, procedures and risk assessments for the home. There is a fire risk assessment and fire safety procedures and checks are in place. Relevant service checks and maintenance takes place as required. Statutory training is provided for staff but it is not possible to ascertain that all staff have attended according to legislation, in particular fire training, this must be addressed. It is recommended that a matrix be compiled for statutory training to demonstrate that staff attend according to the legal requirements. The registered manager said she would do this. There is a person trained in first aid on duty at all times. The kitchen staff have received food hygiene training and moving and handling training takes place annually. The “Making food safely pack” has been well implemented. Appropriate cleaning takes place in the kitchen with records maintained and fridge and freezer temperatures are recorded daily. Accident reporting complies with data protection, the home has very few accidents, there were two in August and one in September. St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 22 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 3 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP9 Regulation 13 (2) • Requirement A lockable container must be used to transport medicines around the home so that they can be dispensed directly to the individual resident. • The registered manager must review the systems used for medications as discussed Staff must not commence work until a satisfactory POVA check has been obtained. Timescale for action 04/12/06 2 OP29 19 05/10/06 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 2 Refer to Standard OP7 OP38 Good Practice Recommendations Resident risk assessments should contain more detail e.g. moving and handling and falls A matrix should be compiled for statutory training to demonstrate that staff attend according to the legal requirements DS0000041932.V311946.R01.S.doc Version 5.2 Page 24 St Georges Hotel St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 St Georges Hotel DS0000041932.V311946.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!