Inspection on 06/03/08 for The Magna Care Centre

This inspection was carried out on 6th March 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Magna Care Centre 07/11/07

The Magna Care Centre 28/02/07

The Magna Care Centre 20/10/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Magna Care Centre (The) Arrowsmith Road Canford Magna Wimborne Dorset BH21 3BQ Lead Inspector Amanda Porter Key Unannounced Inspection 6th March 2008 11:00 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 Magna Care Centre (The) DS0000067493.V360386.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. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magna Care Centre (The) Address Arrowsmith Road Canford Magna Wimborne Dorset BH21 3BQ 01202 601831 01202 691503 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) www.concensusupport.com Caring Homes Healthcare Group Ltd Vacant Care Home 69 Category(ies) of Old age, not falling within any other category registration, with number (69) of places Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 69 persons over the age of 65 may be accommodated as follows: In Segovia, 24 older persons who may require nursing care. In Granada, 24 older persons who do not require nursing care. In Canford, 21 older persons who do not require nursing care. One named person (as known to CSCI) who is under the age of 65 may be accommodated in Segovia unit. 7th November 2007 2. Date of last inspection Brief Description of the Service: The Magna Care Centre is located in a rural setting approximately two miles from the local shops and amenities of Broadstone. It is a care home offering both nursing and residential care to Older people and provides long and short-term care as well as respite care. The home has 69 registered beds and can provide nursing care to a maximum of 24 people. The home is divided into 3 units; two provide residential care and are staffed with trained care staff and the third provides nursing care and has a qualified nurse on duty at all times. The majority of rooms are on the ground floor, there are twelve rooms on the first floor and these can be accessed by a through floor passenger lift. All rooms are for single occupancy and most have en-suite facilities. The home has two dining rooms, three lounges and a large conservatory as well as specially adapted bathrooms and a hairdressing salon. It sits within beautiful, well-maintained gardens, which have ample parking and a quiet courtyard and summerhouse. Weekly fees range from, approximately £650 to £800 at the time of inspection. Additional charges are made for hairdressing and chiropody. See the following website for further guidance on fees and contracts www.oft.gov.uk (Value for Money and Fair Terms in Contracts). Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 0 star. This means the people who use this service experience poor quality outcomes. Two inspectors carried out the unannounced key inspection over approximately five hours on the 6th March 2008. This was a statutory inspection and was carried out to ensure that the residents who are living at the Magna Care Centre are safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit were also reviewed. Since the last inspection the manager has resigned and a peripatetic manager, Mrs Caroline Dunegan, has been managing the home since the beginning of February 2008 and was on hand throughout to aid the inspection process. The premises were inspected, records examined and the daily routine observed. Time was spent in discussion with a number of residents, visitors and staff. Comments received included: “Some staff are first class.” “Good care but not enough staff.” “Mum waits ages for staff to toilet her.” “Staff come and go-just as you’re getting used to them they leave.” “Caroline Dunegan has been great since she came here and is very supportive. She is getting things right.” The home had submitted an improvement plan since the last inspection, which showed the work intended to be undertaken to ensure the services for residents will get better. What the service does well: Residents at the Magna Care Centre continue to be cared for by staff who treat them with respect and uphold their right to privacy. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 6 Residents are supported to maintain contact with family and friends, enabling people living in the home to continue to enjoy relationships that are meaningful to them. The house and gardens are generally well maintained which provides residents with a comfortable place to live. Residents are encouraged to personalise their rooms with small items of furniture, pictures and a variety of mementos. Financial procedures within the home also ensure that residents’ interests are protected. What has improved since the last inspection? What they could do better: The Registered Provider has identified a number of shortfalls, which they are putting a great deal of effort into rectifying. At the time of inspection Mrs Dunegan had only been in the home for four weeks but was already making improvements to services. However there are still shortfalls in the following Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 7 areas, which means that residents cannot be assured they will get the care and support they require at all times: • All residents must have their health and social care needs assessed fully prior to admission so that the home can be sure that they can meet needs fully. An effective method of nutritional screening needs to be put in place and followed through to ensure each resident’s dietary requirements is met appropriately. To ensure that all medications are handled safely and residents are protected a clear audit trail of medicines in the home must be maintained so that it is clear what stock is held and handwritten instructions on medication administration charts must be countersigned. Medicines must be stored at the correct temperature. Satisfactory levels of care staff must be maintained to meet the needs of residents living in the home. The programme of training staff members in the specialist needs of people entering and living in the home, including meeting the needs of service users who are suffering from dementia or who have palliative care needs must continue, to ensure that residents’ needs are fully met. The Registered Provider must submit an application to the Commission for Social Care Inspection to register a manager. • • • • • 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. Magna Care Centre (The) DS0000067493.V360386.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 Magna Care Centre (The) DS0000067493.V360386.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): 3 & 4. Standard 6 in not applicable to this service. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The quality of preadmission assessments is improving. However not all staff, who undertake such assessments are sufficiently trained to undertake the task, which means that not all prospective residents will have their needs fully considered. EVIDENCE: The pre-admission assessments for some new residents were examined. The quality of the assessments was variable. Where the peripatetic manager had undertaken one it was of a good standard and all areas of health and social welfare were examined. One undertaken by another senior member of staff was brief and did not contain sufficient detail so that staff were fully equipped with all the information they needed to care for the resident. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 10 Mrs Dunegan gave assurances that only she would undertake any further assessments until other members of staff were suitably trained. Residents spoken with confirmed that a member of staff visited them before they were admitted. Some said that their families had visited the home prior to them moving in. Training still needs to be put in place so that all staff have a good awareness of palliative care needs, dementia care and nutritional requirements so that they can meet the needs of the residents in the home. Magna Care Centre (The) DS0000067493.V360386.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): 7, 8, 9, 10 & 11. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The residents all have a care plan however shortfalls in detail and clarity means that their health, personal and care needs are at risk of not being fully met. EVIDENCE: The care documentation for six residents were reviewed. Each had a variety of assessments and care plans. Assessments included: • MUST – a tool used to assess the nutritional needs of residents. • Pressure sore risk assessment. • Monthly weights, blood pressure and pulse. • Moving and handling. • Risk of falls. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 12 The MUST nutritional assessments were generally completed incorrectly and did not clearly establish the level of malnutrition the resident was at risk of. One file showed that there was weight loss of more than 10kgs in the last year yet there was no evidence of referral to a dietician. One pre-admission assessment indicated that the prospective resident was a diabetic, who was diet controlled. However this information was not used in their care plan so that staff were not made aware that this resident was diabetic, which was potentially very dangerous to their wellbeing. One care plan for a resident with a pressure area was written on 3/2/07 and states that there should be a weekly review yet there was no review and no entry in daily notes since. There was some evidence that residents and their families were involved in drawing up and reviewing care plans. Residents and staff spoken with confirmed that residents had access to their GPs, district nurses, chiropodists and opticians. Information was given to Mrs Dunegan as to how to access the dietician and tissue viability specialist nurse. The medications policies and procedures were reviewed on the nursing unit. The home has a well-written and informative medicines policy and procedure including reference to self-administration and associated risk assessment and arrangements for ordering, administration and disposal. There was no clear audit trail to identify how much medication was held by the home. Where instructions for medications were handwritten on the medication administration records they were not countersigned. The medication fridge temperatures were recorded daily but where they fell either too high or too low to be acceptable there was no evidence that action was taken to ensure the fridge was performing appropriately. Examination of records indicated that medicines are properly administered in accordance with the prescriber’s instructions. Through observation of care practices and speaking with residents it was apparent that they were generally happy with the care they received and staff treated them with respect and were supportive and kind. However the shortage of staff meant that some residents had to wait before they received the help they needed. Through our observation is was obvious that some residents had to wait a time before their call bells were answered. As previously mentioned, staff had not received appropriate training to meet the needs of residents with palliative care needs. Magna Care Centre (The) DS0000067493.V360386.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): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides some individual and group activities and opportunities, which includes links with relatives and family members and respect for individual preferences promoting a good quality of life for residents. EVIDENCE: Since the last inspection the quality and variety of activities available to residents has improved. These include: • • • • • • • • • Holy Communion Manicures Skittles Film time Arts and crafts Sing a long piano Carpet bowls Discussion Down memory lane board games DS0000067493.V360386.R01.S.doc Version 5.2 Page 14 Magna Care Centre (The) A whiteboard also sited in the main communal area had: • Photo’s of residents enjoying Valentines lunch • Movie time advertising a Catherine Cookson film • Details of a planned country and western funday at the home • A copy of the last residents’ meeting minutes • A notice from the main activities organiser stating that any residents unable to join in with main activities would be seen in their room individually. The manager confirmed that Dial-a-Ride was now booked for two outings. The home accepts residents with different religious faiths and beliefs. Arrangements are always made for contact with appropriate representatives to visit residents if they wish. An interdenominational Christian communion service is also held in the home each month. Residents confirmed that visiting times at the home are unrestricted. Residents records and the visitors’ book demonstrate contact with family and friends as well as visits by professionals. A telephone is available for residents so they can keep in touch with relatives and friends etc and some residents have chosen to have their own telephones installed. A four-weekly menu is in use, which is regularly reviewed. Special diets are catered for and residents can take their meals in the dining room or in their own bedrooms. Drinks and snacks are offered during the day. Supplements such as milky drinks are given to boost nutritional intake where necessary, usually in the afternoon and evening. Pureed puddings have added single cream to boost calories where necessary. Magna Care Centre (The) DS0000067493.V360386.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): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems in place provide residents with the confidence that their complaints will be listened to and acted upon and they are protected from possible abuse. EVIDENCE: The home has a clear policy for staff to follow when dealing with complaints. A record of any complaints received is maintained and this showed that six had been investigated and dealt with since the last inspection. Discussions with residents confirmed that they would happily discuss any concerns they had with staff. Some staff in the home have received training in Adult Protection issues to ensure a proper response to any suspicion or allegation of abuse. Further training is scheduled for March. The home’s Adult Protection policy and procedure is readily available and a copy of the No Secrets guidance is accessible for staff. Magna Care Centre (The) DS0000067493.V360386.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment at the Magna Care Centre has improved and provides residents with a homely place to live. EVIDENCE: The home has a programme of ongoing maintenance. Since the last inspection the dining room has been refurbished and looks very attractive. However there are still areas in other parts of the home where the carpet is worn and has holes in it. This needs to be replaced to minimise the risks of trips and falls. Each resident in need of a hoisting sling for moving and handling purposes has one in their bedroom, which has reduced the risk of cross infection. Generally most of the areas seen during the inspection were clean and free from Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 17 unpleasant odours. However there were some malodorous areas in the Sergovia unit. One designated member of staff manages the laundry and provides a good service. Magna Care Centre (The) DS0000067493.V360386.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): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Current staffing levels and lack of adequate training fails to support the meeting of residents’ needs to ensure that people living in the home are in safe hands at all times. EVIDENCE: Since the last inspection the manager has ensured that there has been a better skill mix of staff on duty and more senior staff supported the junior staff. However there has been no increase in staffing levels, which meant that residents had to wait some time before their call bells were answered. The duty rota indicated that when staff had gone off sick replacements were not automatically put in place. The home is split into three distinct areas namely Sergovia, Granada and Canford Unit. Each area is set away from any other and needs staff in each unit to ensure the needs of the residents on that particular unit are met. They cannot rely on staff from another unit attending to them. Staff, residents and visitors complained that there was still a shortage of staff, which prevented staff meeting the needs of the residents in a timely fashion. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 19 The peripatetic manager confirmed that when more staff were recruited this would no longer be a problem as she intended that more staff be on duty during the day-time shifts. The home has an ongoing training programme, which includes NVQ level 2 in care. The home confirmed that at the time of inspection nearly 50 of care staff held this award with several more working towards achieving this. Five staff recruitment files were reviewed and they contained: • Completed application forms • Two written references • Enhanced CRB and POVA first checks • Terms and conditions of employments • Documentary evidence of any relevant qualifications • Proof of identity, including a photograph. Training files demonstrated that staff were receiving induction training and this was confirmed with staff spoken with during the inspection. Recent training included: • Fire safety • Moving and handling • Nutrition. However it was evident that staff still need further education on nutrition to enable them to complete the MUST nutritional assessment appropriately so that it would identify any nutritional needs. Staff still need training in dementia care and palliative care. The Registered Provider has recognised this and a programme of training over the following months should take place. Further information on available training can be accessed through the following websites: www.picbdp.co.uk www.skillsforcare.org.uk Magna Care Centre (The) DS0000067493.V360386.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): 31, 33, 35, 36 & 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management systems in the Magna Care Centre are improving so that residents can be assured the home is run in their best interest. However not all staff receive the support and supervision they need to be able to deliver the level of care each residents needs. EVIDENCE: The home has been without a registered manager for some time. However a peripatetic manager had been in place by the time we visited and had already made improvements. The registered providers have indicated that they are making every effort to recruit a permanent manager. Until such time Mrs Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 21 Dunegan will be at the home to provide support, guidance and stability to the home. The quality assurance systems have continued to develop and the registered provider has identified areas of weakness and strategies have been put in place to ensure improvement. Residents confirmed that they either deal with their own finances or have appointed a responsible representative to do so. This is frequently another family member. The manager confirmed that the home does not hold any money on behalf of residents. The supervision of all care staff and nursing staff is being developed by Mrs Dunegan and will take some time for all staff to be involved so that they will received feedback on their performance and development. From touring the premises, looking at records and discussions with staff and residents, for the most part, it is evident that measures are in place to promote the health and safety of residents and staff, e.g. equipment, such as lifts, hoists, portable electrical appliances, gas appliances, alarm call system etc are regularly serviced and maintained. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 3 11 2 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 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 3 X X 2 X 3 Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 06/06/08 1. OP4 12(1) The registered person must ensure that the care home is conducted so asto promote and make proper provision for the health and welfare of residents; to make proper provision for the care and, where appropriate, treatment, education and supervision of residents. (This must include ensuring that staff are suitably trained to meet the needs of residents with dementia and palliative care needs.) 2. OP7 15(1) The previous timescale of 07/02/08 has not been met. The registered person must, 06/06/08 after consultation with the service user, or a representative of his, prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met. (This must include all aspects of physical, psychological and social welfare and give accurate information to staff as to how needs are to be met.) DS0000067493.V360386.R01.S.doc Version 5.2 Page 24 Magna Care Centre (The) The previous timescale of 07/02/08 has not been met. 3. OP8 12(1)(a) The Registered Person must ensure that the home promotes and makes proper provision for the health and welfare of residents. (There must be full nutritional screening, care needs identified and the appropriate care given to the resident). The previous timescale of 07/02/08 has not been met. 4. OP9 13(2) The registered persons must make arrangements for the recoding, handling, safekeeping, safe administration and disposal of medicines received in the care home. There must be a clear audit trail for all medications coming into and leaving the home. Handwritten instructions on the medication administration records must be countersigned by a second person. When the medication fridge registers a temperature too high or too low action must be taken to rectify this so that medicines are stored in an appropriate temperature, The Registered Person must ensure that the home makes proper provision for the care of residents. (There must be a thorough assessment of palliative care needs, a clear plan of care written and made available to staff to follow.) The registered person must ensure that at all time suitably competent and experienced persons are working at the care DS0000067493.V360386.R01.S.doc 06/06/08 06/06/08 5. OP11 12(1)(b) 06/03/08 6. OP27 18(1)(a) 06/05/08 Magna Care Centre (The) Version 5.2 Page 25 home in such numbers as are appropriate for the health and welfare of service users. Previous timescale of 07/01/08 has not been met. 7. OP30 18(1)(c) (i) The Registered Person must ensure that the persons employed by the Registered Person to work at the care home receive training appropriate to the work they are to perform including structured induction training. (Staff must have training in: Dementia care Palliative care Nutrition in the elderly. The Registered person must appoint an individual to manage the care home where there is no registered manager in respect of the care home. (1)The Registered Manager must not manage the care home unless he is fit to do so. (2)(a) he is of integrity and good character; (b) having regard to the size of the care home, the statement of purpose, and the number and needs of the service users— (i) he has the qualifications, skills and experience necessary for managing the care home; and (ii) he is physically and mentally fit to manage the care home; and (c) full and satisfactory information is available in relation to him in respect of the following matters— Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 26 06/03/08 10. OP31 8(1)(a) & 9 06/06/08 (i) the matters specified in paragraphs 1 to 5 and 7 of Schedule 2; Previous timescale of 07/02/08 has not been met. 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. 1. Refer to Standard OP3 OP19 OP36 Good Practice Recommendations All staff expected to undertake pre-admission assessments must be trained to do so. Where the carpet is worn and has holes it should be replaced to minimise the risk of trips and falls. All nursing and care staff should receive formal supervision at least six times a year. Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Magna Care Centre (The) DS0000067493.V360386.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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