Inspection on 26/02/07 for St Georges

This inspection was carried out on 26th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Georges 25/09/07

St Georges 11/04/07

St Georges 29/11/06

St Georges 28/02/06

St Georges 30/06/05

St Georges 13/01/05

St Georges 25/08/04

St Georges 10/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE St Georges Abbey Hey Lane Gorton Manchester M18 8RB Lead Inspector Helen Dempster Unannounced Inspection 26th February 2007 2:50pm 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 DS0000021580.V331104.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 DS0000021580.V331104.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Georges Address Abbey Hey Lane Gorton Manchester M18 8RB 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) 0161 220 8885 F/P 0161 220 8885 Mr Haile Kidane Ms Margaret Beech Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2006 Brief Description of the Service: St Georges is a privately owned residential care home providing accommodation for up to 10 people aged 60 and above. The home is situated in the Gorton area of Manchester, close to public transport links into Manchester City Centre and Hyde. The home is a three-storey property, next to a church, and was previously used as a rectory. The accommodation is provided in one double bedroom and eight single bedrooms located on two floors. Access to the first floor is via a passenger lift and a central staircase. The third floor provides office space and a staff sleep-in room. None of the bedrooms have en-suite facilities. All bedrooms have a washbasin and vanity mirror. Accessible toilet and bathroom facilities are provided on the ground and first floors close to the living accommodation. There is a lounge on the ground floor with a separate dining room. A kitchen and laundry are also located on the ground floor. The fee for living at the home is £373.83 per week. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted by gathering lots of information about how well the home was meeting the National Minimum Standards. The inspection also included carrying out an unannounced site visit to the home on 26th February 2007 from 2:50pm to 6:30pm. During this visit, lots of information about the way that the home was run was gathered and time was taken in talking with the residents, the manager and the staff team about the day-to-day care and what living at the home was like for the residents. Other information was also used to produce this report. This included reports about events affecting residents that the home had informed the Commission about. The main focus of the inspection was to understand how the home was meeting the needs of the residents and how well the staff were themselves supported by the home to make sure that they had the skills, training and support to meet the needs of the residents. This inspection was conducted to find out what the home had done to meet requirements made at earlier inspections conducted on 29th November 2006 and 12th January 2007. Therefore, during this inspection, only a selection of the key National Minimum Standards were assessed. Because of this, in order to gain a full picture of this home this report should be read with the previous reports and any future reports. What the service does well: What has improved since the last inspection? Since the previous inspection, the home had fitted safety chains to windows, fitted safety covers to all radiators and fitted temperature control valves to water outlets to make the home safer for resident. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. St Georges DS0000021580.V331104.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 Georges DS0000021580.V331104.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Failure to consistently obtain/complete and record an assessment of residents’ needs on admission means that the home may accept a resident whose needs cannot be fully met. In addition, residents’ rights need to be respected by providing residents with terms and conditions of their stay and information about the cost of their care. EVIDENCE: As noted at the previous inspection, residents had access to had a copy of the Service Users Guide, but it did not contain all of the information required. The recommendation made at the previous inspection, to the effect that the Service Users Guide is updated was therefore repeated. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 9 At the previous inspection, it was noted that the home did not use a statement of terms and conditions for residents whose care was being funded by the local authority or a contract for residents who funded their own care. These had not been developed and the recommendation made at the previous inspection was repeated. The files for the 2 residents who had been admitted to the home most recently were seen. One of these residents was admitted on 9/02/07, yet the manager stated that the home had only just received the care manager’s assessment for this person on the day of the inspection, 17 days after this person was admitted. The home had completed a pre-admission assessment visit for this person, but the needs of this person had not been fully recorded on the home’s pre-admission form. This resident’s care management assessment noted that the person had lost weight and that “encouragement was needed for fluid intake”. It also noted that the person was “afraid of falling and (was) very frail”, was “registered blind”, had “loss of hearing”, and suffered from “hypertension”. Concern was expressed that this resident, who had extensive needs and a variety of risks, had been admitted without the home being aware of the issues contained in the care management assessment and without the home recording a detailed assessment which encompassed the risks. In addition, the care plan for this person was not completed and no risk assessments had been completed to advise staff on how to minimise the above risks. The other resident did have a copy of the care management assessment, and the home had completed their own assessment. However, this resident’s care management assessment identified a number of risks including, weight loss, significant risks relating to skin integrity, and risks relating to reduced mobility. These had not been fully addressed in the home’s own assessment and no care plan or risk assessments had been completed for this person. In the light of the above issues, requirements made at the previous inspection concerning assessments and care planning were repeated and a requirement was made about the need to ensure that the home has a care management assessment for residents placed and funded by the local authority. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents needs had not been properly assessed and identified with the necessary plans in place to meet the residents needs. This has the potential to put residents at risk. EVIDENCE: The files of 2 of the residents who had been admitted to the home most recently were seen. As noted earlier, care plans and risk assessments had not been drafted for these residents who had extensive needs and a variety of risks. (See Choice of Home for details). Concern was expressed that failure to complete care plans and risk assessments for residents to advise staff on how to meet their individual needs could put residents at risk. Requirements made at the previous inspection concerning care planning and risk assessments were repeated and must be addressed without further delay. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 11 All the residents at the home had prescribed medication. This was kept in a locked cabinet, which was secured to the wall in the dining room. Medication practice was poor and concerns included the following: • • • One of the residents had been self-administering medication, but the risk assessment was incomplete and was not signed or dated. There were gaps in the medication administration record, where it was unclear whether medication had been administered or not. Medication administration records were not clear. In particular, staff signatures, which denoted the administration of medication, had been scribbled out. The manager said that some staff had got “mixed up” about when one resident had a pain-killing patch applied. There were no clear instructions about the administration of Warfarin for one resident. • A requirement was made about these issues and the Commission’s pharmacist inspector will be making a visit to the home to follow up the outcomes of these concerns. St Georges DS0000021580.V331104.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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed during the last key inspection and the outcomes were found to be good. These standards were not assessed during this inspection. EVIDENCE: St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has appropriate policies and procedures in place to ensure that residents can raise concerns and to ensure that the residents at the home are safeguarded from abuse. However, staff training in the protection of vulnerable adults needed updating. EVIDENCE: A copy of the complaint procedure was kept in a folder by the main entrance to enable all visitors to have access to it. There had been no complaints since the previous inspection and the manager had a record in which she could record any complaints. Certificates were seen which demonstrated that staff had received training in the protection of vulnerable adults. However, the training had taken place in 2005 and needed updating and staff had not received training in the application of the local authority’s protection of vulnerable adults procedure. A recommendation was made about this. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Not maintaining appropriate hygiene arrangements and having damaged furniture, floor-coverings, equipment and fittings could put residents and staff at risk. EVIDENCE: Since the previous inspection, the home had fitted safety chains to windows, fitted safety covers to all radiators and fitted temperature control valves to water outlets in response to requirements made at the last inspection and enforcement notices served by Manchester City Council’s Environmental Health Department. However, concern was expressed about the following aspects of kitchen hygiene and health and safety in the home: St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 15 • Trip hazards in the kitchen, identified at the last inspection, remained. The manager said the person sent in to repair the holes in tiling had not completed the work well. Therefore kitchen wall and floor tiles were still in need of repair as they were loose or uneven. The kitchen was not clean. Fridges, freezers, work-surfaces and the floor were all in need of cleaning. The manager said that the fridge is wiped over every week, but there was no method in place to monitor cleaning in the form of a hygiene-monitoring tool in place. In addition, there did not appear to be any more informal way of checking that cleaning is being done. At then time of the visit, there were sheets drying on kitchen radiators, which were trailing on the floor. The manager said that these were dustsheets used for tiling, which they had washed and were drying. Food in the fridge was uncovered and was not dated. Equipment was dirty and the home did not appear to have appropriate colour coded equipment. Storerooms and all work surfaces were cluttered with decorating equipment, newspapers, shoes, clothing, an old sewing machine etc. Bathrooms and toilets were also dirty and unsafe, including having bleach in an unlocked downstairs bathroom, a bath full of commode pans (which was therefore inaccessible to residents), used razors and scissors and broken tiles and a broken handrail in the upstairs bathroom. • • • • • Requirements made at the previous inspection about health and safety and hygiene arrangements, which had not been met, were repeated and further requirements were made about the above issues. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Staff in sufficient numbers met the needs of the residents. However, poor recruitment practice could put residents at risk. EVIDENCE: A random inspection of the home took place on 12th January 2007. At that time, the manager had not obtained a POVA First check or CRB check for 3 staff and the application form template did not have a criminal declaration. In addition, one member of staff had an application form which was incomplete with no employment history and no references and the other application forms did not appear to have complete employment histories. At the time of this visit, the appropriate checks had been made for these staff but the home had not yet received the CRB checks. The home had recruited another member of staff since this visit. The application form for this person was incomplete and the name of the referee was not noted on the application form. The manager said that she was about to make an application for a CRB check. The manager said that she believed that the person could start employment before the CRB check was received providing that a POVA first St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 17 check had been made. The need to obtain the CRB check before the person was employed was discussed. Some training certificates were seen. However, the home does not have a training audit to aid planning of staff training and staff were not being provided with induction or supervision. A recommendation was made about this. St Georges DS0000021580.V331104.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 38. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The management arrangements were in need of review and the health, safety and welfare of the residents living at the home was not fully protected. EVIDENCE: At the time of this visit, the manager stated that she planned to retire on Friday 2nd March. The manager stated that a member of the existing staff would be promoted. This person had worked as a care assistant at the home since August 2006 and did not have any management experience. These matters will be discussed in a separate meeting with the proprieter. St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 19 As noted at the previous visit, the location of documents, including recruitment information, was not accessible with ease due to the managers ill health and staff had to bring documents downstairs to assist the manager. A requirement made about reviewing management arrangements at the home was repeated. The fire log book was seen and weekly checks of the fire alarm, means of escape and the emergency lighting had not been completed consistently. A requirement was made about this. In addition, fire drill records were incomplete and did not list the full names of staff that took part and the staff response time. A recommendation was made about this. St Georges DS0000021580.V331104.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 1 1 X X x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 1 X X X X X X 1 STAFFING Standard No Score 27 3 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X X X X X X 2 St Georges DS0000021580.V331104.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 OP3 Regulation 14(1) (a) Requirement The registered person must have a copy of the care management assessment for residents placed and funded by the local authority to ensure that they can meet that person’s needs on admission. Care plans must be formed by using the information contained in the Social Worker’s needs assessment and the home’s own needs assessment, so that the home can demonstrate that it can meet the resident’s individual needs. All residents must have a care plan and care plans must be reviewed when residents’ needs change taking account of their views. (Previous timescale of 5/02/07 not met). Risk assessments must Timescale for action 09/04/07 OP7 15. (2) (b) (b) 13. (4) St Georges (c) DS0000021580.V331104.R01.S.doc Version 5.2 Page 22 (b) and (c) be in place to assess all risks applicable to an individual resident. This must include nutritional assessments. These must be subject to consistent review to take account of any changes. (Previous timescale of 5/01/07 and 5/02/07 not met). The registered person must make appropriate arrangements for the recording, handling, safekeeping, safe administration and disposal of medication. (Previous timescale of 5/02/07 not met). This includes: • Completing risk assessments concerning self-administration of medication. Maintaining an accurate record of the administration of medication. Providing staff with clear instructions about the administration of drugs, including Warfarin. 09/04/07 09/04/07 2. OP9 13. (2) • • 3. OP19 13. (4) and 23. (2) (b). The registered person must make sure that the premises is safe and well maintained. This includes minimising risks to residents by: 13. (4) (c) Locking cupboards, which contain chemicals. (Previous timescale of 5/02/07 not met) 13. (4) (c) Replacing damaged and missing tiles and damaged floorcoverings in bathrooms and St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 23 toilets. (Previous timescale of 5/02/07 not met) 13. (4) (c) Repairing or replacing damaged furniture and securing wardrobes that are too heavily laden, resulting in a risk of them falling. (Previous timescale of 5/02/07 not met). 13. (4) (c) Removing trip hazards in the kitchen and replacing damaged kitchen wall and floor tiles. 13. (4) (c) Ensuring that bathrooms are assessable to residents and keeping them free from hazards. 4. OP26 16. (2) (j) and 13. (3) 16. (2) (j) (a) All areas of the home must be kept clean and hygienic and systems must be in place to control the risk of infection. (b) The registered person must take action to improve hygiene levels in the kitchen in accordance with the advice given by the local Environmental Health Department. This includes: • Keeping the kitchen fridges, freezers, worksurfaces and the floor clean and ensuring that a method is in place to monitor cleaning in the kitchen. • • • Covering and dating food in the fridge. Keeping kitchen equipment clean. Ensuring that food storage areas are clean and that food is appropriately stored. Version 5.2 Page 24 09/04/07 St Georges DS0000021580.V331104.R01.S.doc • Keeping bathrooms and toilets clean to an appropriate standard of hygiene and in a fit condition. 5. OP29 16 Schedule 2. The Registered Person must 09/04/07 ensure that the recruitment and selection of staff is consistently appropriate and in line with the requirements of Schedule 2 of the Care Homes Requirements 2001. This includes obtaining a complete application form, making POVA First checks and obtaining appropriate references, so that residents are not put at risk at risk. (Previous timescale of 30/01/07 not fully met). The Registered Individual must review management arrangements at the home to ensure that alternative arrangements are made to provide leadership, support and guidance to staff when the registered manager is unable to fulfil these duties. (Previous timescale of 12/02/07 not met) The home must consistently complete safety checks of the fire alarm, means of escape and the emergency lighting. 09/04/07 6. OP31 9 7. OP38 23(4) 09/04/07 St Georges DS0000021580.V331104.R01.S.doc Version 5.2 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. Refer to Standard OP1 Good Practice Recommendations It is strongly recommended that the service users guide be updated to include all the information specified in Standard 1. It is strongly recommended that each resident is provided with a statement of terms and conditions of their stay and that contracts are used for residents who fund their own care, so that all residents are fully aware of the terms and conditions of their stay. It is strongly recommended that the home completes and fully records it’s own pre admission assessment for all residents, including those who have received a care managers’ assessment, so that the home is confident that it can meet the resident’s individual needs. It is recommended that the manager discuss food with each resident, to make sure that their preferences are being met. It is strongly recommended that staff receive updated training in the application of the local authority’s protection of vulnerable adults procedure. It is strongly recommended that liquid soap and paper towels are provided in bathrooms and toilets to minimise the risk of cross infection. It is also strongly recommended that a designated smoking area, other than the dining room, be provided so that the quality of life of residents who do not smoke is not affected. It is recommended that a training audit is completed for ease of planning of training and that staff are provided with induction and supervision. 2. OP2 3. OP3 4. OP15 5. OP18 6. OP26 7. OP30 St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 26 8. OP33 It is strongly recommended that the home reviews and develops their quality assurance system to provide a verifiable method, which involves residents, to audit the service and report on the findings. It is strongly recommended that the manager contacts the care managers of the residents for whom she is appointee for their financial affairs to request a review of the management of their financial affairs. Fire drill records should list the full names of staff that took part and the staff response time. 9. OP35 10. OP38 St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Georges DS0000021580.V331104.R01.S.doc Version 5.2 Page 28 - 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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