Inspection on 27/06/06 for St Johns House

This inspection was carried out on 27th June 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 Johns House 18/02/08

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE St Johns House 1 Westwell Road Approach Streatham London SW16 5SH Lead Inspector Lynne Field Unannounced Inspection 27th June 2006 08:45a 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 Johns House DS0000067463.V299802.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 Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Johns House Address 1 Westwell Road Approach Streatham London SW16 5SH 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) 020 8679 7849 www.sanctuary-care.co.uk Sanctuary Care Ltd *** Post Vacant *** Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (0) of places St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: The home provides care for 20 older people and is set over five floors in total, although only four are used by the service users. The top floor is given over to office space and sleep-over accommodation. The home is located opposite Streatham Common off the main road between Streatham and Thornton Heath. Parking is available in a small car park to the rear of the home and public transport routes and shops are near by. The aims and objectives of St John’s House are stated as being to provide ‘a ‘home for life’ within a warm, caring Christian environment. We aim to enable our service users to live their lives to its full potential, treating them with respect and dignity at all times. We provide them with privacy, freedom of choice and involve them in decisions concerning their rights, personal welfare and the running of the home’. The manager said the current range of fees is charged from £432-62 to £54503 per week. Additional charges are made for things such as hairdressing and newspapers St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out in one day on the 27th June 2006. The manager was present and took part in the inspection process. The organisation that owned the home has been taken over by Sanctuary Care. The inspector saw evidence and spoke to service users and staff that there had been a consultation period. The management, service users and staff were all very positive about the change. There were 18 service users in residence on the day of the inspection. The inspector spoke to four care staff, a senior carer and two domestic staff as well as meeting individually with six service users. The manager said she would be making an application to the CSCI to become the registered manager. The inspection included a tour of the home and examination of records on care plans, staff records and the service users financial records. During the inspection staff interaction with service users was observed to be very regular and conducted in a respectful manner. What the service does well: What has improved since the last inspection? What they could do better: The manager must make an application to become the registered manager. St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 6 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 Johns House DS0000067463.V299802.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 Johns House DS0000067463.V299802.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 good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and Service users’ guide are good at providing service users and prospective service users with details of the service the home provides. Long-term service users have their needs assessed by senior staff before they move to the home and know that staff have decided that the home can meet their needs before they move there. Prospective service users and their relatives can come and look around the home and meet staff before they decide to move there. Standard 6 is not applicable as this home does not provide intermediate care. EVIDENCE: The inspector was told copies of the home’s statement of purpose and service users’ guide, had been updated since the new company had taken over. These St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 9 were inspected and contained all the information to meet this standard. The inspector was told by the manager that a copy of these are given to each service user at the time their assessment is done to help them decided if the home is able to meet their needs. One copy of each stays on the service user’s file and one copy of each is given to the service user or their representative. There had been three admissions since the last inspection and the inspector spoke at length to two of the service users who said they had come to look at the home together and spent the day at the home to help them make a decision about coming to live at the home. They had been together for a long time and wanted to continue to be together. They said they had been given all the information they needed to make a decision about whether the home could meet their needs by visiting the home and from the statement of purpose and service user guide that was given to them as well as a copy of the complaints policy. The manager told the inspector that she went with another member of staff to visit service users in their home and carried out a full assessment before it is agreed the home could met their needs and they could come to live at the home. The service users told the inspector they had asked their families to visit the home with them before they moved in and they were happy with the home. The inspector checked the three new service users files and who noted the service user, social worker and the manager had all signed the contract. Standard 6 is not applicable as this home does not provide intermediate care. St Johns House DS0000067463.V299802.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 good. This judgement has been made using available evidence including a visit to this service. Service users’ health and personal care needs are fully addressed in their care plans and action is in place to describe how staff will meet needs and manage or minimise risks. Service users’ social care needs are well met. Medication administration was clear and found to be well documented. Service users administer and control their own medication where appropriate and are protected by the homes policies and procedures for dealing with medicines. Service users are treated with respect and their privacy is protected at all times. EVIDENCE: The inspector viewed the three service user files who had been admitted to the home since the previous inspection of December 2005. Each service user admitted to the home on a permanent basis had pre-assessment information, St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 11 which was used on admission to draw up a care plan. This is an interim care plan and risk assessments drawn up for six weeks. These are reviewed after six weeks with the service user, their family, social worker and key worker. A full care plan is developed and signed by the service user and /or their family after six weeks. The inspector saw there were good concise histories, which included pen pictures of the service user’s life history and needs. This includes a section where the service users wishes are recorded of what they want to happen in the event of their death. Copies of daily routines and tasks for each service user were clear and set out for morning, afternoon, evening and night. The home works at protecting and respecting service users’ privacy and dignity. There are no shared rooms and all rooms have en-suite facilities. Service users and their relatives talked about how staff are good and take care of them properly. Staff were seen to knock on service users doors before they entered on the day of the inspection. Staff addressed service users by their preferred names and talked to them respectfully. The home uses the Medication Dispensing System. Staff induction includes medication training and medication administration records. The home has moved the medication cupboards into the small day rooms on each floor which are securely locked. These were seen to contain the morning and night time medication. Lunchtime and teatime medication is stored in the dining room in a suitable cupboard. This ensures that medication is not carried around the house between dispensing and administration. The inspector observed a team leader dispensing the medication and noted the medication charts are signed as the medication is given out. The inspector was told one service user administers his or her own medication. The risk assessment that had been carried out was shown to the inspector and the inspector noted this had been reviewed. The inspector inspected one service users medication from each of the four floors at random as well as checking the same four service users medication stored in the dining room. All medication stocks checked were in order. There was a copy of all staff signatures that dispense medication and information about the medications in use. The inspector was told by the manager that the staff do a visual check of all the medication and sign to say they have done this so there is a hand over because the home takes the dispensing of medication very seriously. The manager said she does a spot check of two-service users medication on each floor each week and a full audit every two weeks. The inspector was shown a copy of the local pharmacist six monthly check and there were no concerns raised. St Johns House DS0000067463.V299802.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 good. This judgement has been made using available evidence including a visit to this service. Service users are supported to access the local community and maintain contact with family and friends as they choose. Service users are supported to retain control over their lives in areas such as finance as long as possible and their families are encouraged to support and assist them. Meals are nutritious and well balanced. Service users are consulted about menus and expressed preferences are current and up to date. EVIDENCE: The manager told the inspector the home hoped to be able to employ an activities coordinator in the near future. The home has activities such as bingo, dominos and movements to music. The inspector was told the home was organising outing to places such as Richmond Park. Service users files had a section that contained information regarding social, leisure and religious support needs. One service user the inspector spoke to said she did not want to go out of the home, she enjoyed the activities provided by the home such as the quizzes. St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 13 Visitors said that they are allowed to come and go as they wish and are always made welcome. They can use the kitchenettes on each floor to make drinks and small snacks but are always offered a drink by the staff. Service users are able to have visitors in their own rooms and rooms are large enough for this purpose. Service users retain control of their finances as far as possible and when not possible relatives are used to manage their money. The home is not an appointee for any service user. The home holds small sums of money for service users but is not allowed to keep more than £100-00 per person on the premises. The inspector checked the financial records of service users’ money, which were all correct. Receipts are given for all money issued and for all money received on behalf of service users from family or social services. The checking systems of these accounts are robust and open. Service users have breakfast served to them in the small day rooms on each floor. Main meals are served in the communal dining room on the ground floor of the home. Service users are given a copy of the menu each week to choose what they would like to eat and each morning they are able choose their meals from the menu, which is shown to them again each morning by the staff at breakfast time. This is displayed on the notice board and showed that a range of food is available which includes fresh fruit, vegetables and home made cakes. Those service users who are diabetic are given a choice of food that is suitable for them. The inspector was told if there is not anything on the menu the service user likes they are able to ask for something else they would prefer. Records are maintained of service users’ choices. The inspector spoke to four service users, who spoke highly about the quality of the food provided. The manager told the inspector she likes the service users to comment on the menu and uses the comments to ensure the menu reflects the tastes of the service users. Service users are able to have meals in their rooms if they choose. There is a healthy living group, which included discussions on healthy eating. One service user who had just moved in, told the inspector the food was well cooked and so good, she was worried about putting on weight. St Johns House DS0000067463.V299802.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. Service users and their families are given information on how to complain to the home and to independent bodies and their complaints are taken seriously and investigated fully. Complaints within the home are handled properly and service users feel confident that their concerns will be listened to. Service users legal rights are adequately protected. Service users are protected from abuse. EVIDENCE: The complaints policy has been updated to reflect the new provider details and procedures. There is a separate Adult Protection policy and Whistle Blowing policy, which is made available to service users and their representatives, at admission. The manager told the inspector staff have had POVA training and this is ongoing. The manager told the inspector during the recent local elections service users were given all the information they needed to make a choice of who to vote from if they wanted to. Staff took two service users to the polling station, who had expressed a wish to go to the polling stations. Other service users used their postal votes. St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 15 All the complaints were taken seriously and appropriate action taken to ensure service user needs were addressed. The home’s register of complaints showed that one complaint being has been reported and investigated. The manager told the inspector this had been made about the night staff not answering the bell. The service user complained verbally and has put it in writing and has signed it. The manager told the inspector she was investigating it in accordance with the homes complaints policy and procedure. The inspector was told that the manager has interviewed several staff and was to interview the member of staff concerned that afternoon. This all is documented and the outcome will be fed back to the service user and their family member. Service users are protected from abuse by the home having policies and procedures in place, by staff being trained in them and by staff understanding what they have to do if they suspect any form of abuse. . St Johns House DS0000067463.V299802.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): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is safe, well maintained and comfortable. There are enough bathrooms and they are decorated in a non-institutional manner. Bedrooms are large enough and all have en-suite bathrooms. Service users have personalised their rooms to their own tastes and can bring in some of their own furniture if they choose. The communal areas are bright and airy and the whole home is clean and free from unpleasant smells. EVIDENCE: St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 17 The home is located in a residential street within walking distance of shops and public transport. The inspector was given a tour of the home and noted it is well decorated and maintained. Service user’s accommodation is on four floors and there is a lift to provide access to all levels. There is a dining area and large sitting area on the ground floor. The large central kitchen where all meals are prepared leads off the dining area. The dining areas provided tables and chairs for individuals to eat their meals in groups of four. The furnishings are of good quality and overall the communal areas are pleasant places to sit. On each floor there is a lounge/dining area and kitchenettes that have recently been refurbished. Each service user’s room had an en suite toilet, level access shower and wash hand basin. All service users’ rooms are wheelchair accessible. Toilets are fitted with grab rails. There are handrails on all corridors. A call bell system is provided. All the bedrooms meet the minimum space requirements and had at least 12 sq m, which also ensured that there was adequate space for those using wheelchairs. There are no shared rooms. Service users have personalised their bedrooms and they contain photographs, pictures and ornaments. The standard items of furniture are provided. A number of adaptations were made for one service user before she came to live in the home to enable her to be more independent. These were identified when she came for her assessment visit before moving to the home. The home has door guards for all the bedroom doors. Each bedroom has a water temperature chart and the water temperature is taken and recorded daily. On the day of this inspection the standard of cleanliness within the home was high. The inspector toured the building and it was clean and free from offensive odours. The laundry facilities are satisfactory. St Johns House DS0000067463.V299802.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are experienced in the care of the elderly and are of sufficient numbers and abilities to meet service user needs. There is an effective staff team, who have access to training that supports the service users. Policy relating to the recruitment of staff is good. EVIDENCE: The manager told the inspector the home had one staff vacancy and no new staff had started to work at the home since the previous inspection in December 2005. On the day of the inspection there were adequate numbers of staff on duty to meet the needs of the service users. The inspector examined three staff files. The home operates a good recruitment process, which includes formal interview, taking up two references, CRB checks and POVA checks prior to appointment. All staff has an employment contract, which include details of their terms and conditions of employment and has been signed by them. The home protects service users by obtaining references, CRB checks, and obtains employment histories. St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 19 Staff told the inspector they had access to a range of training and are encouraged to attend training courses. Each staff has a training file that indicated that staff receives adequate training to equip them to meet the needs of the service users of the home. Recent training has included POVA, Fire Training, Food Hygiene, Manual Handling and Infection Control. Certificates for these are kept in the training files. Staff training records, which were confirmed by the manager, show that three of the fifteen care staff have completed level 3 NVQ in care, and that five other care staff are in the process of completing NVQ 2 in care. The manager told the inspector the NVQ assessor comes in each Monday to help the staff complete their NVQ more quickly. There is only one staff remaining to start to take the NVQ course. There is an annual training programme, which is given to each member of staff and their personal and professional development is discussed in monthly supervision where staff are encouraged to reach their potential. The home’s records show that there have been no referrals under POVA to date. St Johns House DS0000067463.V299802.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): 31,32,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well managed by an manager of good character, long standing experience in care of the elderly. However, the manager must apply to CSCI for registration. The manager is a qualified nurse and also has a Certificate in Management Studies and has completed the Registered Managers Award. She is also an NVQ assessor. Working practices and associated records ensure that the service users finances are safe guarded. EVIDENCE: St Johns House been transferred from Ashley Homes, the company that owned it, to a company called Sanctuary Care. Since the previous inspection, in St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 21 December 2005 because of the change of ownership, the manager has returned from being on secondment within the company. The manager is a qualified nurse and also has a Certificate in Management Studies and has completed the Registered Managers Award. She is also an NVQ assessor. The manager told the inspector now she had returned to the home she was applying to be the registered manager. She had been the registered manager at another home in the group before transferring to St Johns House. The manager must apply to become the registered manager, as this has been an ongoing issue since before the manager went on secondment. Service users, the manager and staff told the inspector they had all been consulted about the transfer and the inspector was shown some of the documents provided to consult with the different groups. Local authorities and CSCI were kept informed during the transfer process and all appears to have gone smoothly so far. Regular staff meetings are held and recent minutes were examined and found to reflect a variety of relevant issues. There is a formal staff supervision system in place which is recorded and staff receive supervision on a regular basis. The four service users personal finance records that the home has responsibility for, were checked and were correct. Service users money is kept in a locked safe in a separate named locked cash box. Each service user has a personal financial recorded in separate books. The manager said when the service users capital builds up it is transferred to the service users’ own named bank account. All financial transactions need two staff signatures and the service user will sign if they are able to. The inspector was told the home had been checked for asbestos and shown the report which showed the home had no adverse issues that need to be dealt with. The summery reported there was “low risk” to the service users. The inspector checked the fire records and noted different floors are checked each week. There is a fire evacuation program in place and the fire evacuation is done every six months at a different time of day and one is done with the night staff. All other health and safety checks were inspected and there is a range of certificates available to show these are being properly addressed in the home. The organisation completes the monthly monitoring required by the National Minimum Standards and sends copies of these reports to the Commission. St Johns House DS0000067463.V299802.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 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 3 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 3 18 3 3 3 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 2 3 3 X 3 X x 3 St Johns House DS0000067463.V299802.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 OP31 Regulation 13(2) Requirement The manager must make an application for the registration of a Manager of the home to the Commission for Social Care Inspection. Timescale for action 15/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection SE London Area Office Ground Floor 46 Loman Street Southwark SE1 0EH 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 Johns House DS0000067463.V299802.R01.S.doc Version 5.2 Page 25 - 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!