Inspection on 03/08/06 for St George`s Ltd

This inspection was carried out on 3rd August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

St George`s Ltd 09/08/07

St George`s Ltd 27/01/06

St George`s Ltd 03/03/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE St George`s Ltd Croxteth Avenue Liscard Wallasey Wirral CH44 5UL Lead Inspector Les Smith Key Unannounced Inspection 12:00 3rd August 2006 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 George`s Ltd DS0000060055.V296530.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 George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St George`s Ltd Address Croxteth Avenue Liscard Wallasey Wirral CH44 5UL 0151 630 6754 0151 638 8721 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) St George`s (Liverpool) Ltd Colin John Moore Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 60 nursing beds, with up to 18 OP/E PC within the total number. Accommodate six (6) named service users under the age of 65 years, within the total number of 60. 27th January 2006 Date of last inspection Brief Description of the Service: St Georges is a two storey converted building located in the Liscard area of Wallasey and close to local amenities. The home is registered to provide nursing care for 60 older persons and 18 of the beds may accommodate clients who require personal care only. The large reception area is welcoming and the reception desk is staffed during office hours. A large lounge, a dining room and a visitors room are provided on the ground floor and a second lounge/dining room on the first floor. There are also quiet sitting areas in various parts of the building. Televisions, videos, music centres and an in house library are provided. Both single and shared accommodation is available. A selection of bathrooms and toilets are provided and assisted bathing facilities are available however, en suite facilities are not available. A large lift serves both floors. There is an enclosed rear garden area, which is currently undergoing renewal. There is parking for some cars at the front of the building and a car park at the rear. Fees at St Georges range from £334 to £522 per week dependent on the level of service required. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place over two days for a total of 9 hours. During the visit time was spent examining records, policies and procedures and a tour of the home was undertaken. Discussions took place with visiting relatives, residents, members of staff and the manager. Members of staff were observed to be going about their work in a cheerful manner and clearly had good relationships with the residents. Questionnaires were sent to a random selection of relatives and General Practitioners the results of which indicate a high level of satisfaction with the service provided at the home. Responses to questionnaires sent to a random selection of relatives / representatives of residents Yes 1 2 3 4 5 6 7 8 9 10 Do staff welcome you in the home at any time Can you visit your relative/friend in private Are you kept informed of important matters affecting your relative/friend If your relative /friend is not able to make decisions, are you consulted about their care In your opinion are there always sufficient members of staff on duty Are you aware of the homes complaints procedure Have you ever had to make a complaint Are you made aware of forthcoming inspections Do you have access to a copy of the inspection reports on the home Are you satisfied with the overall care provided 13 10 13 11 11 8 3 3 7 13 No 0 3 0 2 2 5 10 10 6 0 Responses to questionnaires sent to a random selection of General Practitioners with patients residing at the home Yes 5 5 5 5 5 5 5 0 5 5 No 0 0 0 0 0 0 0 5 0 0 1 2 3 4 5 6 7 8 9 10 Does the home communicate clearly and work in partnership with you Is there always a senior member of staff to confer with Are you able to see your patients in private Do staff demonstrate a clear understanding of the care needs of service users If you give any specialist advice is this incorporated into the service users plan Is service users medication appropriately managed in the home Do management/staff take appropriate decisions when they can no longer manage the care needs of the service user Have you received any complaints about the home Is the inspection report made available to you on request Are you satisfied with the overall care provided to service users within the home St George`s Ltd DS0000060055.V296530.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: 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 George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 7 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 George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents or their representatives have sufficient information to make an informed decision on were they wish to live and may be confident that their needs will be fully assessed and that those needs can be met prior to accepting a place at the home. EVIDENCE: The home has a combined Statement of Purpose and Service User Guide that is well presented, easy to read and contains all of the required information. Whilst readily available when requested it is required that all residents or their appointed representatives have a copy to refer to as needed. The previous requirement for production of the Statement of Purpose in alternative languages for the two non-English speaking residents’ has been met in so much as both families concerned have confirmed that they do not wish such translations to be provided. The manager has confirmed that relevant translations would be provided should this change or another nonSt George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 9 English resident speaking resident be admitted. The complaints procedure in the Statement of purpose gives the name of a previous inspector with the address of the CSCI and it is recommended that this be removed. Relevant contracts and Statement of Terms and Conditions address are not always available in residents’ files. The home does have a summary document, which refers to the main contract with Social Services. It is required that all residents have a Statement of Terms and Conditions or contract if self funding. The manager or another senior nurse carries out pre-admission assessments before a place at the home is offered. Pre-admission documentation is comprehensive and covers all aspects of personal, nursing and social care. Wherever possible members of the multi-disciplinary team and family are involved in the pre-admission assessments to help identify needs and establish the homes ability to meet those needs. The home is fully equipped with appropriate aids and has a well motivated and trained workforce equipped with the necessary knowledge and skills to care for residents within the homes registration category. St Georges encourages prospective residents and their representatives to visit the home as often and as for as long as they wish. Residents are offered the opportunity of a four-week trial to enable them to assess the care before making a final decision. The home is not registered for intermediate care. St George`s Ltd DS0000060055.V296530.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 at least once during a 12 month period. 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. There is a clear and consistent care planning process and documentation in place but lack of compliance with the homes policies in relation to completion potentially compromises residents’ health and personal care. EVIDENCE: Care files examined during this visit showed that all residents have an individual care plan based on the Henderson model of care. Pre-admission assessment and a full assessment of care needs carried out on admission to the home form the basis of the care plan. The homes policy states that a full care plan is to be in place within seven days of admission. It is essential that care staff has clear direction in relation to care required from the date of admission and best practice indicates that care plans should be in place within 48 hours of admission. One file examined had no care plan in place seven days after admission and this is not acceptable. Care plans are evaluated and reviewed on a monthly basis by trained staff. The standard of evaluation varied from good with some staff recording a good St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 11 level of information supporting any changes or otherwise whilst others showed no detail at all. The regular evaluation of care plans is essential to monitor the effectiveness of the care delivered and therefore the evaluation must detail the effectiveness or otherwise of care delivered thereby justifying any changes or no change to the plan. The findings of the last care plan audit carried out by the manager confirm the need for a greater adherence to the policies and procedures in place. Care files showed that risk assessments were carried out for mobility, falls, continence, skin integrity and nutrition with additional risk assessments included as required on an individual basis. The standard of daily reports was good with details of care delivered and how the resident spent the day being included. Wound records were present when relevant and documented an acceptable level of information. Care plans showed that residents’ health care needs were being met with visits from GPs, specialist nurses and other health care professionals documented. Medication management was in accordance with best practice guidelines. As with the care plans it is clear that not all relevant staff members are compliant with the homes policies e.g. recording of residents pulse when giving Digoxin and signing for administration of medications. Direct and indirect observation confirmed that residents are treated with dignity and respect and privacy was maintained at all times when personal care was being given. Conversations with residents confirmed that both their person and privacy were respected. Policies and procedures for different faiths and cultures are in place in relation to care provision to the service user and their family at the time of their death. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. As far as practicable residents have choice and flexibility in how they spend their day at the home but are limited in the choice of social and recreational activities that are required to promote individual independence and wellbeing. EVIDENCE: There is no dedicated activities coordinator and at present a carer is rostered for activities on a 12 to 6 shift for three days per week. Activities are however very limited consisting mainly of television, video/DVD and one lounge with a large selection of books. The local RC priest who brings communion every two weeks provides spiritual care for those residents of the RC faith but there is no input for the C of E residents or any other faiths. Birthdays and other themed days are celebrated. Plans are in the early stages to celebrate Diwali (celebration of lights) with input from the family of the resident of Indian origin. There are board and floor games available for use. The lack of a dedicated activities coordinator severely limits the activities available and promotion of links with the local community and should be addressed as a priority. The use of carers for activities is not best practice and can be disadvantageous. In view of the size of the home and the differing St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 13 requirements there is a need to establish the likes and preferences to provide a fully inclusive activity programme. It is strongly recommended that consideration be given to employing a full time dedicated activities coordinator and provision of specialist training in activities for this client group. This would enable more to be done to provide stimulus for all residents and particularly those who can only for whatever reason participate in one to one activities. It is also strongly recommended that participation in activities be recorded in the care files. This would help to develop a profile of likes and dislikes of individual residents. The home has a policy of open visiting with friends and family welcome at any reasonable time and to stay as long as they and the resident wishes. Visitors were observed to be arriving at the home throughout the day and residents were able to see their guests in one of the communal areas or in their own rooms as they wished. Daily routines are kept as flexible as possible in order to maximise individual choice and autonomy. Residents spoken to were complimentary about the assistance they received from the staff in relation to their personal choice, which was encouraged in many aspects of the daily routines. Menus seen demonstrated a varied and nutritious choice with alternative meals available if required. The practice of liquidising all elements of a meal together is not acceptable. The stimulation of colour and different textures is an integral part of food enjoyment and should not be lost because the meal is liquidised. Residents’ have the choice of taking their meals in their own room, the lounge or the dining room as they wish. The kitchen was clean and organised with relevant temperatures recorded and the food stores were well stocked. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 14 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): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of complaints has improved and residents or their representatives can be confident that any complaints will be taken seriously and that systems are in place to protect residents from abuse. EVIDENCE: The home has received three complaints since the last inspection. There have been no complaints made directly to the CSCI. The complaints made to the home were resolved in a timely and effective manner in accordance with the homes complaints policy. Two of the three complaints investigated were partially substantiated. It is recommended that informal verbal complaints also be recorded in the complaints log together with details of actions taken to promote an open and transparent approach to complaint management. All residents are registered on the electoral roll and assistance is provided as required to enable residents to exercise their rights. The home has policies and procedures in place in relation to Protection of the vulnerable Adult including Whistle Blowing and the ‘No Secrets’ document. Staff training records showed that staff had received training in adult abuse, its various forms, recognition and procedures to follow. This was confirmed by conversations with members of the staff who were able to demonstrate awareness of adult abuse and appropriate procedures. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25.26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment at St Georges is improving with a continuing programme of decoration and refurbishment promoting a safe, homely and comfortable place to live. EVIDENCE: A tour of the home was conducted accompanied by the manager. The manager gave details of chairs and carpets that are being replaced by the end of October 2006 and these will make a significant difference to the overall environment. Toilet roll holders in two bathrooms had not had the covers replaced leaving a metal catch exposed. The extractor fan in toilet 21 was not working. Two residents in the home were prescribed and using oxygen and neither had ‘oxygen in use signs’ displayed on the door of the room. Whilst storage facilities are acknowledged to be an ongoing problem the storage of continence pads in the switch room is not good practice and must be St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 16 discontinued. One room was very malodorous and it was explained that this was due to the resident’s severe cognitive impairment. The home is currently looking at ways to reduce the number of double rooms, which account for 50 of the places available at the home. Privacy screens are available in all double rooms. Rooms do not have en-suite facilities but there are sufficient bathrooms and toilets situated throughout the home to meet the needs of service users. Residents’ are enabled to maximise their independence via a range of specialised equipment and relevant aids. Handrails, hoists and assisted bathrooms are available together with a call system available in rooms and all areas of the home. During the tour of the home it was evident that residents are encouraged to personalise their rooms with their own memorabilia and personal possessions. The large garden area at the rear of the home is protected by mature trees and is currently being redesigned and has recently had a new flagged patio laid. On completion of the work a very pleasant and private area will be available for residents to use. The laundry was clean and well organised with appropriate equipment in place. At the time of this visit the home was clean, tidy and free from any odours other than the one room mentioned earlier. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members are recruited via robust policies and procedures, are well trained and deployed in sufficient numbers and skill mix to support and protect the residents. EVIDENCE: Examination of the off duty rosters showed that there were sufficient staff on duty at all times to meet the assessed care needs of the residents. Out of a total of 26 care staff 11 (42 ) have NVQ 2 or above with another 10 currently registered and working towards the qualification. A total of 81 will have the NVQ qualification when staff members complete their current courses. In addition to mandatory training the home has provided specialist training in care planning, Parkinson’s disease, Dementia awareness, Elder abuse, nutrition and care of the dying. A selection of staff personnel files including most recent starters was examined. All required items with relevant certificates were seen to be present including two references, copies of Terms and Conditions, PovaFirst clearances and Criminal Record Checks. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Georges is well managed with good leadership and open management promoting the health, safety and welfare of service users. EVIDENCE: The manager at St Georges is a first level nurse, a qualified NVQ assessor, holds the registered managers award and has been registered by the CSCI as a fit person to manage the home. The manager has a clear vision and sense of direction and his management style is open and transparent as evidenced in conversations with staff and relatives whilst maintaining a focus on managing the home in the best interests of residents. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 19 Policies and procedures are in place and regularly reviewed by the manager who is responsible for ensuring that any changes are notified to relevant staff. Staff meetings are held on a regular basis every three months. The home regularly surveys residents and their relatives in relation to the quality of the service provided. The last of these surveys was conducted in May 2006 and gave a satisfaction level ranging from 73 to 95 . The manager submits monthly reports to the provider and a copy is also forwarded to the CSCI. The home has clear policies in relation to patients’ monies and receipts are kept for all expenditure. Performance management is carried out for all staff every six months. This falls short of the National Minimum Standard, which is that staff supervision should be carried out six times a year, which equates to every eight weeks. Both home and individual records are securely stored and in good order, stored securely and used in accordance with the Data Protection Act 1998 thereby promoting and protecting the health, safety and welfare of both residents and staff. Fire alarm and emergency lighting checks are appropriately done and recorded. COSHH assessments had been undertaken and cleaning materials were stored in an appropriate place. On the day of this inspection the home was displaying a valid public liability certificate in a prominent place. All relevant safety and inspection certificates for Fire alarms, Gas, Electricity, portable appliance tests, lift and hoists were seen and were valid. St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 3 3 St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP1 Regulation 5 Requirement The registered person must ensure that the Service User Guide is provided to all current residents or their representatives and thereafter on admission to the home The registered person must ensure that all residents have a contract or Statement of terms and Conditions. The registered person shall – (b) keep the service users care plan under review The registered person shall having regard to the size of the care home and the number and needs of service users – consult service users about the programme of activities arranged by or on behalf of the care home, and provide facilities for recreation including, having regard to the needs of service users, activities in relation to recreation, fitness and training The registered person shall having regard to the size of the care home and the number and needs of service users – provide, DS0000060055.V296530.R01.S.doc Timescale for action 30/09/06 2 OP2 5 30/09/06 3 4 OP7 OP12 15(2)(b) 16(2)(n) 30/09/06 30/09/06 5 OP15 16(2)(i) 31/08/06 St George`s Ltd Version 5.2 Page 22 6 OP36 18(2) in adequate quantities, suitable, wholesome and nutritious food which is varied and properly prepared and available at such time as may be reasonably be required by service users. (Refer specifically to preparation of liquidised diets) The registered person shall ensure that persons working at the care home are appropriately supervised. 30/09/06 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 OP1 OP12 Good Practice Recommendations It is recommended that the name of the CSCI inspector be removed from the relevant page(s) of the Statement of Purpose. It is strongly recommended that the employment of a dedicated activities coordinator be considered and provision for specialist training in activities for the older person be provided. It is recommended that informal verbal complaints together with actions taken be recorded in the complaints register. 3 OP16 St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St George`s Ltd DS0000060055.V296530.R01.S.doc Version 5.2 Page 24 - 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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