CARE HOMES FOR OLDER PEOPLE
St Mary`s Haven St Marys Street Penzance Cornwall TR18 2DH Lead Inspector
Stephen Baber Unannounced Inspection 22nd October 2007 10:00 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 Mary`s Haven DS0000008905.V353408.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 Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service St Mary`s Haven Address St Marys Street Penzance Cornwall TR18 2DH 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) 01736 368585 01736 368585 mountthehaven@hotmail.com The Presentation Sisters Denise Susan Maggs-Paulton Care Home 26 Category(ies) of Dementia - over 65 years of age (3), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (26) St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP - maximum 26 places Dementia aged 65 years and over on admission - Code DE(E) maximum 3 places Mental disorder, excluding learning disability or dementia, aged 65 years and over on admission - Code MD(E) - maximum 3 places The maximum number of service users who can be accommodated is 26. 23rd July 2007 2. Date of last inspection Brief Description of the Service: St Marys Haven is a residential care home registered to accommodate twentyseven residents over sixty-five years of age. The home is also registered to accommodate three older people who experience dementia. Sanctuary Housing Association along with the home is run by the Presentation Sisters of Penzance and the Sanctuary Housing Association owns the building. Within the grounds is another registered home for nine residents, a day centre for up to fifty older people as well as a group of terraced flats. St Marys Haven is an inter-denominational home working in a Christian atmosphere. Opportunities are provided for regular Christian services, Catholic, Anglican and Methodist Ministers may also attend to the spiritual needs of the service users. St Marys Haven is located near the town centre of Penzance and has access to local amenities with good transport links. The home is furnished and maintained to a good standard and is accessible for people who experience disabilities. A passenger lift is also provided at the home to allow easy access throughout. Communal space is situated on the ground and first floors. There are twenty single rooms and three shared rooms and a high percentage of the bedrooms have en-suite facilities and been personalised by the occupants. In July this year Mrs D. Maggs Paulton was registered as the manager. Current weekly fees range from £350 to £450.
St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) have made changes to the way we inspect services. Known as Inspecting for Better Lives (IBL). We are now more proportionate when reporting our findings, and more focused on the experience of people using services. The purpose of the inspection was to ensure that resident’s needs are appropriately met, with good outcomes provided to them. We carried out the key inspection on the 22nd October 2007. The inspection lasted for approximately 7:1/2 hours. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus is on ensuring that residents’ placements in the home result in good outcomes for them. The inspection included interviews, some held privately in residents’ rooms and some in the communal area of the home, with residents and visiting relatives. Several members of staff were interviewed and there were opportunities to directly observe aspects of residents’ daily lives in the home and staff interaction with them. Other activities included an inspection of the premises, examination of care, safety and employment records and discussion with the manager. The principle method of inspection was “case tracking”. This involves interviews with a select number of residents; staff caring for them and/or their representatives, and examination of records relating to their care. This provides a useful impression of how the home is working overall. At this inspection three residents files were case tracked, with particular reference to their individual and diverse needs relating to their age, culture and ethnicity, religion, gender, sexual orientation and disabilities. The current registered management arrangements at the home have finally been formalised after fourteen months without a registered manager. The manager was registered with the Commission in July 2007. What the service does well:
In all fairness to the manager she has only been registered for several months and has yet to implement all the ideas she has which will hopefully improve outcomes for residents that live at the home. St Marys Haven provides a comfortable, safe and well-maintained home for older people. The service provides well-presented written information about the home to enable people to make a decision about whether the home can
St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 6 meet their needs and suits their preferences. The residents I spoke with said “the atmosphere is different since Sister Francis passed away but the manager and staff were doing their best to make them comfortable and well cared for”. Residents report that they have confidence in the manager who has worked her way up from being a care assistant. Many of the staff have been working at the home for several years and offer the residents continuity of care. The home is kept in good decorative with a continuing programme of maintenance and refurbishment of the premises and equipment. There are arrangements in place to ensure compliance with health and safety legislation and promote the health and safety of staff and residents. We look forward to seeing the improvements at the next inspection. What has improved since the last inspection?
The biggest improvement since the last inspection in July is the appointment of a registered manager. She is working hard at building an effective working relationship with the registered providers (trustees) so that by working together she hopes to provide a commitment to continuous improvement, quality services, accommodation and facilities, which assure a good quality of life and health for residents. The manager has introduced new detailed assessments, which she completes and considers carefully if the home can meet the needs of prospective residents. The manager and staff consult residents individually and obtain their views about the services provided. They intend to regularly evaluate the service provided and follow this up with planned improvements. There is a structured training programme, which covers induction and NVQ at levels 2 and 3. The residents’ healthcare needs are effectively monitored and addressed. The manager of the home is trying to be effective and ensures that the aims and objectives as set out in the statement of purpose are met. New assessments for residents consider their personal, health and social care needs, including their needs in relation to their background, religion and culture, so that they and the home’s staff can be sure that the home will be suitable for them New care plans have been introduced. Staff said to me that they provide sufficient guidance that informs and guides them. The new care plans addresses residents individual needs and wishes, including those relating to their background, religion and culture. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 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 Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 and 4 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prior to admission the manager fully considers residents needs so that they can be confident the home will be suitable for them. Residents should participate in the assessment process. Staff should be trained so that they can effectively meet resident’s specialist needs in accordance with the home’s registration. EVIDENCE: New assessments have been introduced and these were samples for the new admissions to the home. The assessments addresses resident’s personal, health and social care needs in line with the National Minimum Standards, including needs relating to their background, religion and culture. The manager should now encourage residents or their representatives to agree to the care to
St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 10 be offered and sign the care documentation to indicate their participation in and agreement with the information. It is important that the manager and staff are able to demonstrate the homes capacity to meet the assessed needs (including specialist needs) of individuals admitted to the home. The home’s manager and staff team should undertaken training in caring for people with dementia. Training in caring for older people with mental health care needs still needs to be arranged. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7,8,9 and 10 were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The new care plans address residents personal, health and social care needs, including needs relating to their background, religion and culture. Residents and their representatives need to agree to the care to be offered and sign their care plans and assessment, which they participate in drawing up and are regularly reviewed. Specific improvements are needed to protect service users from risks associated with medication errors. Improvements are needed to provide service users with a greater degree of choice as to the level of privacy they wish to enjoy. EVIDENCE: St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 12 New care plans have been introduced which inform and direct staff in the care to be offered. The manager is working on improving all the care plans in the coming months. The manager needs to build into this evidence of regular, ongoing reviews of resident’s needs and participation by residents in the care planning process. Only senior staff that are trained in the safe handling of medicines assist residents with their medication. There are safe facilities for storage and the administration of medicines, but the written policies and procedures to guide staff need to be updated and amended so that they reflect good practice for this particular home. It was noted that there were several omissions on the MARS medication recording sheets. Handwritten entries on residents’ medication charts should be counter-signed and referenced back to the original prescription to protect residents from medication errors. Most of the residents who were interviewed stated that they are satisfied with the care the home provides, including arrangements for maintaining their privacy. However I noted one resident who was sat in the lounge at 3:30 in the afternoon in a dressing gown only. She felt embarrassed to talk with me dressed the way she was. This was brought to the attention of the manager who put the matter right immediately. Residents are provided with lockable storage space in their bedrooms and residents are able to lock their rooms which have safety over-rides for staff should they need to enter. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,14 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s cultural and religious needs are fully recognised and met. Residents are very happy with the meals they receive which are nutritional and provide a balanced diet. EVIDENCE: Most of the residents who were interviewed were satisfied with the activities provided to them. There are records of residents likes and dislikes and preferences with regard to activities, which includes consideration of their religious and cultural needs as part of their assessment and care planning to ensure that they can be met. There are notice boards around the home with the events and activities available. This information is very helpful for the residents. All of the residents interviewed at the time of the inspection stated that they are very satisfied with the meals provided to them at the home. They are able to choose whether or not to have their meals served in their bedrooms or in the home’s dining room. There is a four weekly menu, but there is not always a choice recorded for every meal and individual records need to indicate
St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 14 whether or not have received satisfactory levels of nutrition. This was discussed with the cook who was very helpful and agreed to put this matter right immediately St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that ensures complaints are listened to and acted upon and arrangements are in place for the protection of Systems to protect service users from abuse need to be improved EVIDENCE: There is a suitable complaints procedure available to staff, residents and visitors. All of the residents confirmed that they feel safe in the home and most were satisfied with the care they receive. There is a “Safeguarding Adults” policy. This includes staff training, written procedures to guide them on what to do should they suspect abuse of a resident and maintenance of records about staff to demonstrate that they are safe to work with vulnerable people in a care setting. It is recommended that a flow chart or simplified procedure be compiled for staff to reference easily. It needs to be clear on who to report to and state that CSCI must be notified. St Mary`s Haven DS0000008905.V353408.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19 and 26 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained with an ongoing improvement plan in place. There are sufficient numbers of lavatories and washing facilities to meet residents’ needs. Good hygiene practice is evidenced and observed in the home. EVIDENCE: There is evidence of ongoing maintenance of the home as part of a plan to improve the home’s environment. Mobile telephones have been given to staff so that staff working in situations away from the main office can summon assistance quickly, if they need it. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 17 There are sufficient numbers of toilets and bathrooms in the home to meet resident’s needs. We observed good hygiene in the home with staff wearing disposable aprons and gloves. The laundry is away from the home within the curtilege of the grounds. The home employs a laundress who launders personal clothes and some of the homes laundry. Sheets and go out to contractors. Throughout the home there is provision of suitable facilities to encourage good hand washing in all of the residents toilets and suitable training in infection control for all staff is provided from induction. St Mary`s Haven DS0000008905.V353408.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 27,28,29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of qualified staff who are deployed to ensure that residents are in safe hands at all times. There is evidence that staff are recruited on the basis of fair, safe and effective recruitment policies and practices and are suitable to be employed in a care setting. There is evidence that staff are trained and competent to do their jobs. EVIDENCE: Records of staff on duty show that there are qualified staff (NVQ level 2 or level 3) available to support residents at most times of the day and night. Most of the care staff either have or are working towards completing qualifications to at least NVQ level 2 in care. 18 of the 21 care staff hold an NVQ which is an average of 86 . The manager evidences that recruitment is demonstrably fair, with records of selection procedures and interviews retained. The manager ensures that checks are made to ensure that staff are suitable to work with residents in a care setting and effective in that staff are selected on the basis of their
St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 19 competence to meet residents needs and suitability, with records to back this up. The manager should evidence the last ten years of employment for all staff. Evidence that staff are trained and have regular training updates so that they can work safely, skilfully and effectively with residents needs to be improved. There should be a whole team staff training plan in place, so that training needs can be readily identified and prioritised for the protection and welfare of the residents. St Mary`s Haven DS0000008905.V353408.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31,33,35,36 and 38 were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The new home’s registered manager was appointed in July 2007. In the meantime there is sufficient evidence to demonstrate her suitability to undertake this role. Formal quality assurance systems have been set up to demonstrate that the home is run in the best interests of the residents but other interested stakeholders should be encouraged to contribute. Responsibility for the home’s accounting and financial systems should not be left to the manager as she has responsibility for the day to day care of the residents and staff. Formal systems for supervising staff are in the process of being set up so that their skills and competence to work with residents are monitored on an ongoing basis. The home is safe for residents and staff. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 21 EVIDENCE: The new registered manager is experienced in working at the home and was previously employed as a senior carer. She is qualified to NVQ level 3, has her registered managers award and is a qualified assessor. She has only been registered for four months and has a big job ahead of her to make the homes successful. She is currently establishing a working relationship with the trustees of the homes and introducing new resident paperwork that will inform and direct the staff. There are formal quality assurance procedures in place. A quarterly exercise takes place. It is recommended that there is an annual development plan for the home based on a systematic cycle of planning-action-review, reflecting the aims and outcomes for residents. The Responsible Individual regularly visits the home, but needs to submit formal reports to the Commission on the conduct of the businesses on a monthly basis, with sufficient detail to provide assurances that the home is in safe hands. The manager is aware that individual staff supervision has to be introduced. This will give staff the opportunity to discuss any issues they have all aspects of care and career development opportunities. Improvements have been made to record storage and records relating to the business, so that service users can be assured that their confidences will be maintained. The acting manager confirmed that residents’ personal care records are kept safely in the home. There is a lockable office and sufficient storage space for them. The management endeavour to make sure working practices are safe. Statutory training is provided for staff. All staff have recently attended a fire training update. The manager advised that a health and safety consultancy advises on health and safety, food safety, infection control and fire safety and residents records. The responsibility for fire matters has been delegated to the administrator who has taken staff through the fire procedures for the homes. Improvements are going to be made to the fire alarm system throughout the home. A range of policies and procedures are in place to promote safe working practices. Where any situations arises that could compromise the health or safety of residents or staff it is the policy that a risk assessment takes place. However there are occasion when the risk assessment or risk management plans do not provide adequately detail any information that would inform and direct the staff. This could result in compromising the health safety and wellbeing of residents, staff and visitors. St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 22 All necessary service and equipment checks are undertaken regularly. Accidents are recorded and reported appropriately St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 23 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 X 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x 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 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X X 1 X 2 St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The registered person must ensure that the medication recording sheets are fully signed and that written medication policies and procedures to guide staff need to be updated and amended so that they reflect good practice. Also handwritten entries on residents’ medication charts should be counter-signed and referenced back to the original prescription to protect residents from medication errors The registered Responsible Individual must submit formal Regulation 26 reports to the Commission on the conduct of the businesses on a monthly basis, with sufficient detail to provide assurances that the home is in safe hands. The manager is aware that individual staff supervision has to be introduced. This will give staff the opportunity to discuss any issues they have all aspects of care and career development opportunities
DS0000008905.V353408.R01.S.doc Timescale for action 30/03/08 2. OP33 26 30/01/08 3. OP36 18(2) 30/03/08 St Mary`s Haven Version 5.2 Page 25 4. OP38 13(4)(a-c) Individual resident risk 30/03/08 assessments must be regularly reviewed to make sure that every reasonable step is taken to safeguard the resident and staff. Renotified RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP3 OP18 Good Practice Recommendations The registered person should encourage residents and their representatives to agree to the care to be given by inviting them to sign care documentation. The registered person should compile a flow chart or simplified procedure for staff to reference regarding an incident when a suspicion of abuse is suspected. It needs to be clear on who to report to and state that CSCI must be notified. The registered person should evidence in the application form the last ten years of employment for all staff The registered person should evidence that staff have regular training updates so that they can work safely, skilfully and effectively with residents. There should be a whole team staff training plan in place, so that training needs can be readily identified and prioritised for the protection and welfare of the residents. The registered person should implement an annual development plan for the home based on a systematic cycle of planning-action-review, reflecting the aims and outcomes for residents. 3 4 OP29 OP30 5 OP33 St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Mary`s Haven DS0000008905.V353408.R01.S.doc Version 5.2 Page 27 - 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!
