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Inspection on 28/11/08 for St Judes Residential Home For The Elderly

Also see our care home review for St Judes Residential Home For The Elderly for more information

This inspection was carried out on 28th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a stable group of staff that help to ensure continuity of care for people who use the service. The home is actively involved in the local community with the majority of people who use the service taking part in any social occasions and gatherings. People who use the service are able to take part in a wide variety of activities and several people were taken on holiday this year. The staff in the home make sure that external professionals are actively involved in peoples care and the staff will always obtain advice and support when necessary. The Registered People have a system in place to make sure they have obtained a full assessment of the needs of any potential people to make sure they can meet their needs. The home is able to adjust the staffing levels to make sure peoples needs are met and that people can attend any activities that are planned. People who were spoken with like this home as it is small and more personalised and the staff are very friendly and helpful. The home exceeds the recommended 50 percent of care staff with an NVQ 2 or above in Health and Social Care. The home has been awarded 4 stars from the local Environmental Health Department in relation to their kitchen and how they manage food.

What has improved since the last inspection?

The Registered People have added an extra dining table and chairs to make sure all people can have their meals in the dining area if they so wish. The Statement of Purpose has been updated regarding the use of the homes facilities by people from the sheltered accommodation. A staff duty rota is now being kept.

What the care home could do better:

The home needs to improve on their staff training as some staff have not had any further training or updates since 2006. Some improvement is needed with the medication systems used by the home to make sure people are not put at unnecessary risk. The home should look at undertaking a number of health and safety checks to make sure people who use the service are kept safe.The care records are not always reflecting the care that is actually being given as the staff have good knowledge of peoples needs. The home should update their Statement of Purpose to reflect how they meet the needs of people with a learning disability.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Judes Residential Home For The Elderly Front Street Nympsfield Nr Stonehouse Glos GL10 3TY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sharon Hayward-Wright     Date: 2 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: St Judes Residential Home For The Elderly Front Street Nympsfield Nr Stonehouse Glos GL10 3TY 01453860682 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Paul Anthony Morgan Name of registered manager (if applicable) Mrs Winifred Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: To accommodate 1 named service user for category LD(E). Condition to be removed when service user leaves the home. Date of last inspection Brief description of the care home St. Judes is a small, family run care home providing personal care for older people. The accommodation is on two floors. The home does not have a lift so people living on the upper floor must be mobile. All but one room is single occupancy and the majority have en-suite facilities. There are bathrooms on each floor with the ground floor bathroom offering an electric bath hoist to assist with bathing. The communal areas consist of a lounge and dining room. The outside area is accessible, however, people who have limited mobility will require assistance from the staff in the home to access the steps to the terrace. The fees range for this home is 348 pounds to 475 pounds. 0 Over 65 10 care home 10 Care Homes for Older People Page 4 of 28 Brief description of the care home This information is available in the Service User Guide. Extras not included in the fees are newspapers, hairdressing and chiropody. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection took place over one day in November 2008. Prior to the inspection we sent the home an Annual Quality Assurance Assessment (AQAA) to complete. This was returned to us on time and was detailed. Some of the information from the AQAA has been used in this report. We looked at a number of systems the home has in place and this included; care plans, medication, activities, complaints, staff duty rotas and training, health and safety records and quality assurance. A number of people who use the service were spoken with and their comments have been used in this report. We also spoke to staff. We sent the home questionnaires for people who use the service and staff but none Care Homes for Older People Page 6 of 28 were returned. What the care home does well: What has improved since the last inspection? What they could do better: The home needs to improve on their staff training as some staff have not had any further training or updates since 2006. Some improvement is needed with the medication systems used by the home to make sure people are not put at unnecessary risk. The home should look at undertaking a number of health and safety checks to make sure people who use the service are kept safe. Care Homes for Older People Page 8 of 28 The care records are not always reflecting the care that is actually being given as the staff have good knowledge of peoples needs. The home should update their Statement of Purpose to reflect how they meet the needs of people with a learning disability. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has systems in place to make sure that any prospective person is assessed prior to admission to make sure the home can meet their needs. Evidence: The home has addressed a requirement issued at the last inspection in relation to updating their Statement of Purpose about how people who live in their sheltered accommodation use the homes facility. The home should also consider adding to their Statement of Purpose that they provide day care for one person and how they meet the needs of older people who have a learning disability. Since the last inspection the home has had one admission. This person was well known to the home as they previously lived in one of their sheltered accommodation facilities before moving into the home. Information about this persons care needs on admission were available along with care plans. When speaking to this person they were happy Care Homes for Older People Page 11 of 28 Evidence: with moving into the home as they were very familiar with the staff and other people who live in the home. Intermediate care is not provided by St Judes. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care people receive is based on their individual needs, however the care records do not always reflect this. Improvements are needed with the medication systems to make sure people are not put at risk. The principles of respect, dignity and privacy are put into practice. Evidence: The care of one person was examined in detail and this involved examining care records, speaking to the person, speaking to staff and observing any interaction between the person and staff. Three care plans for other people were examined for specific care needs. The home uses computer generated care plans that incorporate an assessment of a specific activity of living. Reviews take place on a monthly basis and any changes are recorded in red. The care plan format is based on aspects of the activities of daily living. The care plans belonging to the person whos care was examined in detail were personalised and contained their choices. The home needs to add how often this person is bathed and what assistance is needed from the staff. This person confirmed the the care they require is the same as their care plans. Any risks Care Homes for Older People Page 13 of 28 Evidence: are identified in peoples care plans but if it is a specific need then a separate risk assessment is devised. One person has a risk assessment in place due to specific need with sensory impairment. This risk assessment would benefit from more detail about how the home helps to minimise the risk to this person. The home had contacted The Community and Adult Care Directorate to ask if a Social Worker who specialises in this area could visit and advise them on their care and if any aids would help. The Social worker visited the home during the inspection. A moving and handling assessment was also in place for this person. Another person has a care plan in place for their catheter but more information is required about the infection control procedures they have in place and how often they change and empty the bag. From discussing the care of these three people with two members of staff they had very good knowledge of peoples needs but the amount of care actually provided is not always being documented in care records. The Registered Provider explained that people are asked what gender of care staff they would like to assist them with bathing and in some instances all personal care tasks. This is recorded in care records and at the time of the inspection all people had requested the same gender as themselves for bathing and if people specifically request it for washing and dressing. The home is able to meet this need as they have both female and male care staff. The home maintains records of external professionals visits and these include GP, Community Nurse, Chiropodist, Optician and Social Workers. A Social Worker was spoken with following this inspection and they said the home is very good at contacting them if they have any concerns and the home is able to meet the needs of people who they fund who use the service. They also said that the people they have recently reviewed are very happy at the home. Medication systems used by the home were examined. They now have weekly blister packs in place and the Registered Provider said he now has a checking procedure in place to make sure the prescribed medication is ordered and received by the home. The home devises their Medication Administration Records (MAR) on the computer and these are checked by another member of staff. On checking the MAR several gaps were found in the recording of medications administered, however on checking the medication it was found that they were administered. The home needs to make sure that all staff sign the MAR once the medication has been administered. A review of their administration procedure is needed to make sure people are not put at risk and good practice is followed by taking the MAR to the person with the medication. records were in place for medication received into the home and on the whole for administration and for medication returned to the local pharmacy. Consideration should be given to the staff recording oramorph 10mg/5mls as a controlled medication, obtaining up to date guidance from our website about medication process and looking to provide staff that administer medication with a training update. The home has it own policy for medication. Care plans are required for people who are receiving prn or as required medication to make sure all staff follow the same Care Homes for Older People Page 14 of 28 Evidence: instruction for their administration. The staff should also record the time that prn medication is administered to make sure the required time scale has lapsed before the next dose. At this inspection none of the people who use the service were selfmedicating. Staff were observed treating people with respect and were observed to maintain their dignity. People who were spoken with expressed no concerns in this area. As mentioned previously the home is able to offer people the choice over which gender of care staff they would like to help them with bathing and in certain cases for all personal care tasks. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their daily lives and take part in activities to meet their social and recreational needs. People are also able to participate in the local community life. Evidence: The home offers people a varied selection of activities to meet their needs. A record is maintained of all social events provided by the home and ones provided externally. People are given the choice of whether they wish to join in. Two people have been on holiday this year with a member of staff and another person was going to visit their family and go on a holiday with the Registered Manager. People spoken with discussed the activities they take part in and one person said they enjoy going to the supermarket and other shops with the staff. The Registered Provider said that people who use the service are having their spiritual needs met both by visits to the home or by the home taking them to Church. Since the last inspection the home has purchased a people carrier to help them take people out. Visiting to the home is not restricted but no visitors were seen at this inspection. The home is actively involved in the local community and people who use the service are part of local groups for example The Golden Age Club. With Christmas approaching the people who use the service had Care Homes for Older People Page 16 of 28 Evidence: been invited to attend a number of functions taking place in te village. The Registered people have also lived in this village for a number of years and are well known. People spoken with confirmed they are able to make choices about their daily lives as one person prefers to spend all the time in their room. Information about advocacy services is available in the home. A number of rooms belonging to people were seen during the inspection and people were able to display their personal belongings. Since the last inspection the home had improved their dining facilities by providing extra seats and a dining table. People said they are able to choose where they have their meals. People said they enjoy the food provided by the home and the Registered Provider said they are aware of peoples likes and dislikes and will always provide an alternative. No special diets are catered for at the time of the inspection but the home does have a diabetic but they are able to eat the same food as the other people on the advice of health professionals. The home has been awarded 4 stars from the local Environmental Health Department which is excellent, however the home needs to make sure that staff wear protective clothing whilst working in the kitchen at all times. The home is completing health and safety checks as per the guidance they have been given. The home has menus in place but they are not always following these, therefore the home needs to look at recording the actual food they provide to people for all meals and any alternatives. This will then allow the home the freedom of changing the menu at short notice to suit the choices of people who use the service. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to the complaints procedure. Systems are in place to help safeguard people from possible harm or abuse. Evidence: The homes Annual Quality Assurance Assessment (AQAA) and Registered Provider said the home has not received any complaints. A copy of the homes complaints procedure is displayed in the home. People spoken with said they have no complaints about the home and would speak to the Registered Manager if they had any concerns. The systems the home has in place for safeguarding people were examined. The Registered Provider has completed a one day training course provided by the local Council about abuse and the deputy manager has completed the half day alerters guide training provided by the local Council. Consideration should be given to all staff attending this training. The home has a copy of the Alerters guide in the dining room and policies and procedures are provided for staff. These include no secrets and whistle blowing. The home has not made any referrals to the local Councils Adult Protection unit. Care Homes for Older People Page 18 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a comfortable environment but improvements are needed with the overall cleanliness of the home to help make sure people live in a pleasant and safe home. Evidence: A tour of the home took place with the majority of rooms belonging to people seen. The rooms seen upstairs all had en-suite facilities. Since the last inspection the Registered Provider said the outside of the home has been painted, the kitchen has been upgraded with new cupboards and work tops and new laundry equipment has been purchased. During the tour of the home some of the upstairs rooms felt cold and the Registered Provider checked the boiler and turned up the thermostat, no one had complained about feeling cold. Some issues were identified with the cleanliness of the home but people who use the service were happy with the cleanliness. The Registered Provider said he has further plans in mind to improve the environment for people who use the service. The staff in the home must make sure that when they are working in the kitchen they have protective clothing on to prevent people who use the service from being put at risk of cross infection. New laundry equipment has been purchased and people were happy with their Care Homes for Older People Page 19 of 28 Evidence: clothing. Care Homes for Older People Page 20 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is confident that the staffing numbers meet the needs of people who use the service, however staff skills and knowledge can be improved with an up to date training programme. Evidence: From discussions with the Registered Provider the home is able to adjust the care staffing numbers depending on what activities are taking place. The home does have a minimum staffing number for the day shifts. The Registered Provider said that following the last inspection the home now has one waking member of staff instead of one sleep in. The home needs to consider that only having one member of staff in the building at night is safe and a risk assessment must be completed. The care staff do have to undertake ancillary tasks as well as care tasks. A domestic is employed for 3 days per week and the home also has outside help with the laundry. The home is owned and run by a family and some members of staff have worked at the home for a number of years resulting in continuity of care for people who use the service. Members of staff spoken with said they enjoy working at the home. People spoken with all said the staff are very good and friendly. The home exceeds the number of care staff with an NVQ 2 or above in Health and Social Care or undertaking this qualification. Care Homes for Older People Page 21 of 28 Evidence: Since the last inspection the home has not appointed any new staff but the Registered Provider said they are considering appointing another member of care staff. The Registered People must make sure that they follow the Care Home Regulations 2001 in relation to recruitment. The home will need to look at devising an induction programme if they plan to take on any new staff and this should be based on the Skills for Care Common Induction Standards. From examining training records and from speaking to the Registered Provider staff need training or updates in a number of areas to include moving and handling, infection control, heath and safety and medication. The home should also consider other training and not just mandatory subjects for staff to improve their knowledge and skills. Care Homes for Older People Page 22 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Competent people manage the administration of the home however some improvements are needed with health and safety to make sure people are not put at unnecessary risk. Evidence: There has been no changes to the management arrangements of the home. The Registered Provider has taken on the majority of the paper work side of the business. Both the Registered people have management qualifications. People spoken with praised the Registered Manager and Provider. The systems the home has in place for quality assurance were examined. A comments box is situated in the entrance hall of the home. Questionnaires are sent out several times per year to people who use the service and relatives. The home should consider sending questionnaires to external professionals for their views of the home. The Registered Provider said that he audits the care plans and records this on the care Care Homes for Older People Page 23 of 28 Evidence: record. Medication audits need to be recorded. The Registered Provider is very involved in the home and feels he is kept up to date with what is taking place, he has an ongoing improvement plan in place. The home manages one persons monies and they need to devise a system to record any transactions. The Registered Manager and Provider need to devise a system for staff supervision and maintain records of any sessions. The Registered provider said that regular staff meetings take place along with hand overs and these could be recorded as part of staff supervision. Records relating to servicing of equipment and some checks were seen. Fire equipment checks are taking place and a fire risk assessment is in place but would benefit from more detail. The home also needs to devise an evacuation procedure. The home needs to find out more details about Legionella checks as they have showers in the home. Monthly checks on water temperatures, window restrictors and wheelchairs should take place to make sure people are not being put at unnecessary risk. Care Homes for Older People Page 24 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 People who are prescribed 06/02/2009 as and when or prn medication must have a care plan in place for its use. This will help to make sure that all staff follow the same instructions for its use. 2 9 13 Accurate records must be maintained of any medication administered to people who use the service. This will help to make sure people are receiving their prescribed medication. 06/02/2009 3 30 18 The home must make sure that staff receive training in the tasks they are to perform. This will help to make sure people who use the service will have their needs met safely. 02/03/2009 Care Homes for Older People Page 26 of 28 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 7 9 Peoples care plans need to acurately reflect the care that the staff provide for people who use the service. The home should record the actual time that any prn medication is administered to make sure the required time has lapsed before the next dose is offered. Staff that administer medication should receive a training up date to make sure their practice is safe and they do not put people at risk. The home should maintain records of oramorph 10ml/5mls as a controlled medication. The home should review their medication procedure to make sure good practice guidance is followed in that the MAR are taken to the person when administering medication. The home needs to review the system they have in place for recording the meals they offer people. All staff in the home should attend the local Councils training in the Alerter guide to help make sure people who use the service are safeguarded. The home should review their night time staffing numbers to make sure people who use the service are safe. The home should devise an induction programme based on the Skills for Care Common Induction Standards. The home needs to devise a system for recording any transactions for peoples monies that they manage. Staff meetings and handover sessions where applicable could be recorded as some of the 6 recommended supervision sessions. The home should devise their fire evcuation procedure as a matter of urgency. 3 9 4 5 9 9 6 7 15 18 8 9 10 11 27 30 35 36 12 38 Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 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. 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!