CARE HOMES FOR OLDER PEOPLE
St Martins House St Martins Crescent Camborne Cornwall TR14 7HJ Lead Inspector
Lynda Kirtland Announced Inspection 12 & 13th October 2005 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 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 Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service St Martins House Address St Martins Crescent Camborne Cornwall TR14 7HJ 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) 01209 713512 01209 711444 Cornwall Care Limited Mrs Susan Margaret Crouse Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (8), Physical disability (12) St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 8 adults of old age (OP) Service users to include up to 12 adults with a physical disability (PD) Service users to include up to 20 adults aged over 65 with a mental illness (MD[E]) Total number of service users not to exceed a maximum of 40 Service users to include up to 20 adults aged over 65 with a dementia (DE[E]) 25/04/05 Date of last inspection Brief Description of the Service: St Martins House is one of eighteen care homes owned by Cornwall Care Ltd. It is registered to accommodate forty older people in need of personal care and who are over retirement age. St Martins House provides three core services: residential home, rehabilitation unit and day care provision. The residential home provides long term care to service users who are in need of personal care and are over retirement age. Admissions are planned and emergency admissions are avoided whenever possible. The rehabilitation unit; referrals are made by health professionals to St Martins House for service users who due to a physical health need are needing a period of rehabilitation before they return to their own homes in the community. St Martins House provides twelve places in this unit. The length of stay is around six weeks. The ideal is for admissions to be planned but this cannot always be achieved. Day care is available at St Martins House for 1-3 service users a day. The majority of St Martins House is on a single floor, which is accessible to all service users. All service users rooms are for single occupancy with access to a variety of lounge areas and toilet facilities. Service users can access a secure garden area. The full range of community health care professionals visit the home on an as need basis or routinely. St Martins House is near to local facilities and has good transport links to the local town. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspector visited St Martins Residential Home on the 12 and 13 October 2005 and spent 2 days at the home, totalling 13 hours at the home. This was an announced visit. The purpose of the inspection was to gain an update on the progress of compliance to the requirements that were identified in the last inspection report dated 25 April 2005. In addition the inspector focused on the following key areas of care: choice of home, care planning, health care, leisure, complaints, staffing and some management areas. On the day of inspection 39 service users were resident in the home. The methods used to undertake the inspection are to meet with a number of residents, their representatives, staff and the registered manager to gain their views on the services that St Martins offer. The registered manager also completed the pre inspection questionnaire, which is similar to a survey asking for information on what services/facilities the home provide. St Martins records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. For the purposes of this report the term ‘residents’ refer to those who are provided a care service from the residential care home, rehabilitation unit and day care service unless otherwise stated. What the service does well:
Service users and their representatives from the residential home and rehabilitation unit stated that St Martins provides good quality care and accommodation. Service users attending day care facilities stated they enjoyed their day visits to the home. Comments about staff that were made by residents included; they are ‘kind’, ‘caring’ and ‘nothing is too much bother’. Residents commented that they felt that they were consulted about their care needs which staff ‘ met at all times’. Residents and staff commented that there are sufficient staffing levels on duty. Residents commented that the welcome to the home was a positive experience and ‘relieved anxiety’ about moving into either the residential or rehabilitation unit of the care home. Residents commented that they have access to health care and felt that all their health needs were met to a ‘good’ standard. Records demonstrated that appropriate referrals are made to health professionals and that the staff listened to their advice and put it into action. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 6 In the rehabilitation unit a full time post for an Occupational therapist and Physiotherapist is on site. From their assessments rehabilitation care staff are able to follow their individual plan of care, which includes treatment and provide an intensive programme of rehabilitation. Rehabilitation residents stated that this is completed professionally and ‘builds up our confidence to return home’. Support packages of care are identified by the rehabilitation team and organised prior to the resident returning to their home in the community. Residents confirmed that there was a varied and stimulating programme of activities that is provided by the home and local community. These were observed during the inspection. Residents felt their visitors were welcomed to the home. Residents, relatives and staff stated that if there were any issues they felt able to approach the registered manager directly and that their ideas would be listened to and where appropriate acted on. St Martins has a stable staff team that allows staff and residents to get to know each other well and provide consistent care to residents. Residents were complimentary about staff skill and attitude. Staff supervision occurs on a regular bases. Cornwall Care prioritises staff training and is keen to continue to develop staff skills. Staff were complimentary about the training they receive and support from the management team. What has improved since the last inspection?
St Martins continually invest in the environmental aspects of the home, so that a continual redecoration and refurbishment of the home is ongoing. Residents and visitors felt this made St Martins ‘homely’. Cornwall Care Ltd has implemented the ‘Appetite for life’ project to ensure that residents receive a nutritious diet in a relaxed atmosphere. St Martins are gradually implementing the ‘food project’. Feedback from residents was positive in the quality and provision of food. It was observed that meal times were an unrushed social occasion. The last inspection identified two requirements in respect of reviewing staffing levels, and ensuring that fire door notices are adhered too. During this inspection it was evident that these requirements have been met. In addition one recommendation to repair a broken window has been completed. One recommendation in respect of catering staff gaining an intermediate food hygiene certificate remains in progress. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 7 Cornwall Care Ltd is continuously looking at how to develop the service they provide further. They have been changes to Cornwall Care ltd management team and the registered manager felt that this has influenced positive changes within the organisation. For example an up to date computer system will be installed in all Cornwall Care homes in the near future. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,3,4,5,6 The home completes an assessment of prospective residents to make sure they are able to meet the person’s needs. St Martins provide a planned trial period of stay at the home. Staff are experienced and competent to meet resident’s needs. The rehabilitation unit provides a separate service to residents who are admitted for intermediate care. EVIDENCE: From discussion with residents in the care home, they confirmed that they were consulted about their care needs prior to admission to the home, and in some their involvement was recorded. From inspection of three residents files it was evident that pre admission assessments occur. Care needs identified by the referring professional assessments were incorporated in the assessment process and transferred to care plans. This assessment identifies the residents individual physical, emotional, social, educational and leisure needs and how the home would aim to address them. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 10 A month’s trial period is offered to all new residents after which a review is held with all parties present to consider if the placement is appropriate and if so a long-term placement will be provided. From records inspected and in discussion with residents they commented that the preadmission and ‘moving in period’ are carried out sensitively by staff and could not see how this process could be improved. They also stated that this was undertaken with their participation and that their care needs were identified accurately. Intermediate care is provided in the rehabilitation unit. This is a separate unit, and has a multi disciplinary staff team. Three service users files were inspected which evidenced that detailed assessments by the therapists are undertaken and in consultation with the resident an individual care plan to meet their needs is drawn up. This plan will meet the resident’s health and social needs. In discussion with residents all felt that their care needs were ‘met to a high standard’ and that care staff were ‘very able’. In discussion with service users who are currently residing in the rehabilitation unit all stated that they felt the introduction and ‘settling in’ period was carried out in a positive way and minimised the anxiety of moving into the rehabilitation unit. All felt they were aware of their daily work programme. Some acknowledged that there were unaware of when they will go home but realised that plans are made in some cases on a daily bases as it is dependent on improvements in the individuals physical health and arranging support systems within the community to allow a planned discharge home. The rehabilitation coordinator stated that consulting resdients about their discharge home is on going. Information to the residents GP following their return home is detailed. From observations of staff, plus inspection of forthcoming training programme and records it was evident that the staff team are experienced in the area of older peoples care and receive training to update their knowledge in this area. Throughout the inspection the inspector observed staff that displayed great skill in communicating and providing personal and emotional care to residents. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 11 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Residents and their representatives are consulted in the implementation and subsequent reviews of their individual care plans. Health care needs are met to a satisfactory standard but some areas could be improved on. Medication is administered by trained staff and stored securely. The staff at the home builds positive relationships with residents that are based upon the residents dignity and privacy. EVIDENCE: From discussion with residents, staff and inspection of documentation it was evident that individual care needs are identified appropriately and that residents and their representatives are encouraged to express their views in the formation of their care plans. Care plans clearly identify service users care needs and from this specify what actions staff should take to ensure that the care need is approached in a consistent manner. Residents commented that health needs are met by the staff at the home and by external professionals to a good standard. Detailed records of all health professional visits to individual residents further evidenced this i.e. CPN, speech and language therapist, chiropodist, dentist, optician and physiotherapist.
St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 12 Cornwall Care Ltd has produced a detailed corporate policy in the ordering, administration, storage and disposal of medication. Designated staff attends annual training in this area of care. In addition the home has a contract with the local pharmacist to ensure that medications are ordered, administered, stored, disposed of correctly, and will provide a audit of their practice. From a tablet count all medication in the MAR system tallied. However in the loose medication an audit was difficult to undertake as the number of tablets carried over was not recorded. The registered manager agreed to amend this so that a clear audit trail of all medications is kept. Medication kept in the fridge was inspected. Daily temperatures of the fridge are monitored. Permission from residents is sought in the administration and storage of their medication. Some residents self-administer medication at St Martins, this is monitored by staff. All residents spoken with stated that staffs display a high standard of respect in their daily interactions. Residents stated that staffs ensure that their privacy and dignity is maintained and could not see how this area of care could be improved. The inspector noted that the atmosphere of the home and residents appeared to be relaxed. Residents commented staff ’ were ‘kind’. Residents confirmed that they have a choice as to when to rise/ retire to bed, receive their mail unopened, have access to a private phone and can receive visitors in private. In addition the inspector observed staff interacting with residents in a professional manner at all times, alongside a sense of humour when appropriate. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 St Martins provide a programme of activities to promote and encourage the pursuit of residents social, educational and leisure needs. Flexible visiting arrangements are in place and visitors are welcomed at the home. A varied and nutritious diet is provided to all residents in a relaxing atmosphere. EVIDENCE: From discussions with residents they commented that there is ‘enough to do’ during the day. The inspector noted during the inspection a variety of activities taking place; socialising in lounges, flower arranging, crafts, films, music and receiving visitors. Activities are advertised around the home so that residents can choose whether to participate. Some residents commented that they prefer to spend time in their own company and this is respected. Residents were able to recall a list of activities that occur such as exercises, monthly communion, games, talking books to name a few. Individual interests are recorded in service user pre admission information and their ‘life story book’. There is a flexible visiting policy and residents determine where they meet with their guests. Residents felt their visitors were welcomed to the home positively and could not think of improvements in this area. Visitors echoed this. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 14 Cornwall Care Ltd has introduced the ‘food project’, which ensures that a varied and appealing diet is provided to residents in a relaxed atmosphere. In discussion with the catering staff they stated that this is being gradually introduced at St Martins. The catering staff have reviewed their 4-week menu and residents were satisfied with this. From observations it was noted that residents had a choice of meal and enjoyed them with their choice of liquid refreshments. Residents made positive comments to the inspector in the variety and quality of food provided. They can also choose where to have their meals, either in their room or in the dining area. The dining area was observed to be a relaxed and social occasion. In discussion with the catering staff they confirmed that the recommendation to commence the intermediate food certificate has been discussed with them and they aim to start this soon. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 15 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 St Martins has an appropriate complaints and whistle blowing policy. Residents, their representatives and staff are confident to raise any concerns. EVIDENCE: Cornwall Care Ltd has completed corporate policies in respect of the complaints procedures. St Martins and CSCI have not received any complaints about the home. From the inspectors discussions with residents all stated that they had no concerns about the care or facilities that were provided by the home. Staff likewise commented they had no current concerns. All felt able to approach the management team if they had any concerns. CSCI have met with Cornwall Care Ltd management team to discuss reviewing the adult protection policy and procedure, which they are in the process of doing. Therefore a recommendation to this effect has been made and this was not inspected further. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 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): EVIDENCE: This standard was inspected in detail at the previous inspection and was viewed to offer a safe and comfortable home to all who live, visit or work at the home. From a tour on this occasion this was seen to continue and it was noted that a refurbishment and maintenance programme is ongoing. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Suitable trained and experienced staff are employed in sufficient numbers at all times to meet residents care needs. Robust recruitment procedures are put into practice to ensure that residents are protected in the home. Cornwall Care Ltd ensures that staff have access to ensure staff are trained to undertake their work. EVIDENCE: Residents, relatives and staff all commented that they felt there were sufficient staffing levels on duty at all times. During the inspection the shift pattern was noted as a ratio of 1:5 for the majority of the waking day in the residential home. For the rehabilitation unit the ratio is 1:4 in the mornings and 1:12 in the evenings but with support from the residential care staff if needed. At night there are 2 waking night plus an on call member of staff available. The registered manager stated that the home has not needed to employ agency workers recently and there are no staff vacancies. Residents were satisfied with the level of staffing in the home and all were complimentary about the care and approach they receive from the staff team. From discussion with staff they all commented that they felt that there is sufficient staff on duty and that they ‘work as a team’. The registered manager stated that if cares needs become more complex then she would review staffing levels and increase where needed. The inspector observed staffs that were competent in their work.
St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 18 Seventy eight percent of staff has achieved a minimum of NVQ level 2 or above. Some staff is in the process of obtaining their NVQ level 2. Eight staff have completed first aid training. Cornwall Care Ltd prioritises staff training and from discussion with staff and inspection of staff files this demonstrated a commitment to staff updating their training From inspection of recently recruited staff files they evidenced that in the main appropriate employment checks have been completed. The registered manager was reminded that she must request from HQ that all newly employed staff have a POVA first clearance before they can commence work at the home until their CRB has been completed. It was acknowledged that staff without this was being appropriately supervised. Cornwall care Ltd recruitment policies were not inspected on this occasion. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 19 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): 31,32,35,36,37 The registered manager is competent in her role to manage the home. The management approach creates an open, positive and inclusive atmosphere for residents and staff. Financial accounts are maintained to ensure viability of the home. EVIDENCE: Ms Crouse has experience in the care sector for thirty-five years. She has been the registered manager at St Martins House for 4 years. Ms Crouse has the HND in management of care services and dementia care certificates up to level 3. Ms Crouse is also a registered nurse. Ms Crouse is actively updating her training and knowledge and is keen to share her knowledge with the staff team. The staff team and residents spoke positively regarding the accessibility of the manager to voice any ideas as to how to improve/change the service. Staff
St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 20 stated that they meet with the management team approximately 3 monthly. Staff felt that these meetings were beneficial. Residents and their representative’s views are also gained on service provision. Cornwall care Ltd is a not for profit charity and accounts are maintained at Cornwall care Headquarters. The registered manager stated that the home is financially viable and has relevant insurance in place. Cornwall care Ltd have cooperate policies in the management of service users monies. Service users are encouraged to manage their own monies and hold their own accounts. However they can sign an agreement to request that Cornwall care assist them in the management of a small amount of their monies. From inspection of service users monies records were accurate and tallied. The inspector recommended that an inventory be kept in respect of the contents of the safe so that all personal belongings are accounted for. This will assist in identifying belongings for individuals and for insurance purposes. The administrator agreed to action this. The registered manager, confirmed by records and discussion with some staff stated that all staff receives at least six supervision sessions per year. Records held by the home are stored in a confidential manner and in the main are in line with the Data protection Act. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X x 2 3 3 x St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? 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. 2. Standard OP9 OP29 Regulation 13(2),17( 3) 18 Requirement The registered manager must audit the administration and recording of medications. The registered manager must ensure that all staff has POVA clearance before they are able to commence employment whilst their CRB is being processed. Timescale for action 30/12/05 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 Refer to Standard OP18 OP27 OP35 Good Practice Recommendations The adult protection policy should be expanded to include a timetable of initiating an adult protection referral and explain what procedure should be followed. A member of kitchen staff should complete the Intermediate food hygiene course. The registerd manager should ensure that a inventory of service users belongings being stored by the home is kept. St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Martins House DS0000008910.V258452.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!
