Care Home: Eden Mansions Nursing Home

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What the care home does well What has improved since the last inspection? As this is a new service this is the first key inspection. What the care home could do better: Training and policies relating to safeguarding adults need to be improved so people living in the home are protected from possible abuse. Many staff need to undertake fire safety training so they know what to do if there is a fire. A number of staff need to do training in moving and handling so they are safe practitioners and so people living in the home are protected. CARE HOMES FOR OLDER PEOPLE Eden Mansions Nursing Home Station Road Styal Cheshire SK9 2HD Lead Inspector June Shimmin Unannounced Inspection 09:30 14 and 15th January 2009 th 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 Eden Mansions Nursing Home DS0000072416.V373887.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. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eden Mansions Nursing Home Address Station Road Styal Cheshire SK9 2HD 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) 01625 524276 01625 533830 Barker Care Ltd Pauline Parker Moore Care Home 101 Category(ies) of Dementia (77), Mental disorder, excluding registration, with number learning disability or dementia (3), Old age, not of places falling within any other category (24), Physical disability (1) Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with nursing - Code N To people of the following gender: either 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 number of places: 24) Dementia - Code DE (Maximum number of places: 77) Mental disorder, excluding learning disability or dementia – Code MD (Maximum number of places: 3) Physical Disability Code PD (Maximum number of places: 1) The maximum number of service users who can be accommodated is: 101 Date of last inspection This is the first inspection of the new service Brief Description of the Service: Eden Mansions is a purpose built home situated in Styal, on the outskirts of Wilmslow, Cheshire. It has recently been taken over by Cedar Care, which is the brand name for Barker Care Limited. It is registered to provide both personal and nursing care and accommodation for up to one hundred and one people. Eden Mansions comprises four units: Stanneylands, Capesthorne, Styal and Norcliffe. Norcliffe Unit is currently closed whilst major refurbishment work takes place. Most of the people who live at the home have single bedrooms, and each unit has its own lounge and dining room. There is wheelchair access to the home and a variety of aids and adaptations around the building so that the people who live in the home can move about as independently as possible. There are open gardens to the front and enclosed gardens around other parts of the building. The weekly fee payable at Eden Mansions ranges from £354.39 to £595. This Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 5 does not include the additional payment of £103 for nursing care, where this is applicable. Hairdressing, chiropody, toiletries and sundry items such as newspapers are available at an extra charge. Further information regarding fees can be obtained from the registered manager. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. This key unannounced inspection visit took place over nine and a quarter hours over two days. Two regulatory inspectors carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the registered manager was asked to provide information about the home as part of this inspection process. We talked to people living in the home as well as a number of relatives and gained their views about the care and services provided at Eden Mansions. We also spoke to a number of staff members and two visiting health professionals during the visit. Their views are incorporated into the findings of this report. During the visit various records and the premises were looked at. Records of care plans, medication, maintenance and staff training records were also examined. What the service does well: Staff at Eden Mansions are highly regarded. A relative commented, “I’ve got peace of mind and confidence, I would recommend it to anyone” and another, “staff maintain nice, quiet demeanour – very calm, gentle and quiet environment.” A health professional said, “they have time for residents and relatives – good relationships.” Staff demonstrate person-centred ways of working so that people are treated as individuals and this is backed up by care plans, which are well written and of a good standard. The change of ownership has brought improvements to how the home is managed and run. One relative commented, “there are new owners now who have promised improvements in food, activities and to employ lounge assistants. The lounge assistants would be a big asset.” The new manager is particularly highly thought of by both relatives and staff. One relative said, Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 7 “professional, sincere, very genuine and competent” and a GP, “very approachable, calm, strong.” Staff refer people living in the home to health professionals in a timely way so they receive the care they need. Medication is also well managed so people receive their prescribed medication. Recruitment practices are thorough so people living in the home know they are protected. Staff have received training in dementia so they are more knowledgeable about how to meet the needs of people with dementia. Most people have achieved a NVQ qualification so they are competent to perform their role. Eden Mansions is well maintained with high levels of cleanliness so people live in a comfortable and pleasant environment. What has improved since the last inspection? 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. Eden Mansions Nursing Home DS0000072416.V373887.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 Eden Mansions Nursing Home DS0000072416.V373887.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): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given information, and have their needs assessed before deciding to move into Eden Mansions so they know that their needs can be met. EVIDENCE: The new owners, Cedar Care, took over management of the home at the end of September 2008. Since the change of ownership the home has a new name, Eden Mansions. They have provided information for people and their families who are thinking about moving into the home. There is a handbook called ‘Cedar Care – Adding Life to Years,’ which gives people information about the organisation and the services and facilities provided in all its homes. In addition to this the registered manager has drawn up a Statement of Purpose, (SOP) or information leaflet, which includes specific information about Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 10 Eden Mansions. The information is detailed and informative and gives people a clear understanding about care, staff and facilities at Eden Mansions. There is also information about the terms and conditions so that people know what their rights are and the rights and responsibilities of Cedar Care. We looked at the information gathered about people wanting to move into the home. The registered manager said that she is currently taking sole responsibility for assessing people’s care needs before they move into the home. We looked at six assessments, three of which took place before the change of ownership to Cedar Care. The three assessments, which the registered manager completed were of a good standard and included enough information about the people so that a care plan could be drawn up. One relative commented, “very anxious when my relative was admitted – made me feel comfortable, relaxed – walked away feeling very relieved – no hesitation about deciding that my relative should stay – was given lots of reassurance.” The registered manager provided us with information about the home before the inspection (AQAA). The AQAA stated that, “Relatives and where possible residents are encouraged to visit the home at the time that is convenient for them to experience first hand the services that we provide. There is always a senior member of staff available to show people around the home. The resident and/or family are allowed access to the room 2 or 3 days prior to admission, where possible, to enable them to personalise their room before they arrive.” Eden Mansions Nursing Home DS0000072416.V373887.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Eden Mansions have their needs met and their care is provided in a manner that protects their privacy and dignity. EVIDENCE: We looked at the care plans of six people living in Eden Mansions. This included the care plans of people living on Stanneylands, Capesthorne and Styal units so that we were able to look at a cross section of care plans. The care plans were well written and included the identified care needs of people living in the home as well as any potential risks to their welfare. The care plans had usually been written within several days of the person’s admission to the home so that staff would know what the care needs of people were and could take appropriate action to meet those needs and monitor any risks. The care plans had been kept under review and evaluated so that any changing Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 12 needs were noted and so staff would adapt their actions to meet the needs of people living in the home. The way in which the care plans were written indicated that the home understands the importance of person-centred care and which focuses on the individual needs of people. Care plans also demonstrated that the principles of privacy, dignity and independence were important and taken into account by staff. We observed the interactions between staff and residents on the units, which were open and these indicated that staff behaved in a sensitive, kind and respectful manner with residents. Relatives made various complimentary comments about staff, “respectful – knock on door” and “already aware of term – person-centred, is definitely person-centred.” A GP and health care professional who were visiting the home were also positive about standards of care at Eden Mansions, “some very good staff, very caring” and “nurses are very conscientious with a professional manner and attention to detail.” Care plans indicated that care staff made appropriate referrals to health care professionals in a timely way so that people living in the home would know that staff acted in their best interests. Staff were taking action to prevent people from developing pressure ulcers and also acted quickly where a person was not eating enough, thereby preventing further deterioration in the person’s health. The management of medication was reviewed on Capesthorne unit. Medication was well managed and no issues were noted during the inspection in relation to medication. Eden Mansions Nursing Home DS0000072416.V373887.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Eden Mansions are offered a range of activities to prevent them becoming socially isolated and the standard of catering is good so people are well nourished. EVIDENCE: Eden Mansions employs two staff members to provide activities during weekdays. They said that they work flexibly so ensure that activities take place at weekends and evenings on special occasions. A programme of weekly events is displayed on notice boards and indicates that the home provides a range of group and 1-2-1 activities depending on the needs of the individual. One relative said, “lots of activities at Christmas – parties, entertainment, stayed for lunch on Boxing Day.” The registered manager said that the home is introducing ‘lounge assistants’ who will work seven days a week and whose principal responsibility will be to provide activities and support people living in the home at meal times so that these important aspects of residents’ daily lives are given importance. Eden Mansions asks relatives to assist the person Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 14 coming to live in the home to complete a life history so that staff can provide care that is person-centred and focused on the individual needs of people living in the home. Relatives confirmed that they had been asked to supply this information and also said that they were asked to provide information about people’s choices and preferences in relation to their daily lives such as food. One visitor noticed, “that TV’s are off and more appropriate background music is playing.” Eden Mansions also ensures that the spiritual needs of people living in the home are met by regular visits from people representing local churches. Although most relatives were satisfied with the change of ownership of the home, one relative was concerned that there was currently no hairdresser available. This issue was brought to the attention of the registered manager who undertook to take urgent action to rectify the situation. The registered manager said that the home has sourced new suppliers of food to improve standards of food provided at Eden Mansions. We observed mealtimes at Styal on the first day of the visit and on Stanneylands on the second day. On both occasions the meals were not rushed and people were given appropriate support in a calm and relaxed environment. Eden Mansions Nursing Home DS0000072416.V373887.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that people are able to make a complaint. A lack of training in safeguarding procedures means that staff may be unaware about what to do so people living in the home may not be fully protected from abuse and harm. EVIDENCE: Eden Mansions has received two complaints since it took over ownership of the home. The registered manager demonstrated that both complaints had been investigated and a response sent to the complainants within a 28 day timescale. The complaints procedure was displayed at various locations in the home so that people would be aware of their rights. The complaints procedure was also included within the information pack [SOP] given to people when they came to live in the home. The information pack [SOP] did not include the telephone number and email address of the CSCI and the registered manager undertook to add these to the information pack [SOP] so people could contact us more easily if they wished. The registered manager showed us the safeguarding adults policy for Eden Mansions. The content of the policy was quite brief and needed to provide more information about whom to contact about any allegation and what to do Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 16 if they suspected someone was being abused. Training records also indicated that a number of staff had not recently undertaken training on this topic so may be unaware of their role and responsibility. However, the registered manager had started the process of updating the safeguarding adults policy during the second day of our visit and said that training on this topic would be arranged in the near future. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 17 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): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Eden Mansions provides a safe and comfortable home that is well maintained and decorated and furnished to a good standard. EVIDENCE: The registered manager sent us information before the visit, which indicated that Eden Mansions is well maintained and that services and installations at the home are serviced on a regular basis. The registered manager also told us, “the home is to have a major refurbishment in 2009. This will include restructuring the home to include 4 twenty-bed houses, a new kitchen and laundry. Beds within the home will be reduced from 101 to 80.” At the time of our visit Norcliffe unit was closed in preparation for work to upgrade the home. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 18 The registered manager also said that the doors on units will be colour coded to help people with dementia find their way back to their room or to the toilet. We noted that on Capesthorne unit there were familiar photographs on the doors of several residents, which also helps people to identify their own room. Whilst walking around the home we found that all areas were kept clean, tidy and free of offensive odours. Several relatives commented about the good standard of cleanliness at Eden Mansions, and another visitor said, “rearranged furniture to make it more homely and smaller sitting areas.” The registered manager said that the new owners are receptive to the purchase of items to improve the home’s environment. Recent changes include new flooring on Styal unit, a new washing machine and new bedding/towels/duvets/pillows. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 19 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements, recruitment and training ensure that people are well cared for. EVIDENCE: We looked at the recruitment records of two new employees. These included all necessary information to demonstrate that Eden Mansions carries out thorough recruitment procedures to ensure that people who live in the home are protected. These records included initial and full security checks of people wishing to work at the home. We spoke to one staff member who was working under supervision until a full security check was received. The staff member was settling in well and enjoying work at the home. Staffing levels at Eden Mansions appeared to be satisfactory during the visit. The relatives we spoke to said that the staffing levels appeared to be adequate so that people were not kept waiting if they needed immediate care. Although comments about staff were generally positive one relative wrote, “in the past there has been a hard core of staff with these qualifications. At present there is a new group of staff who do their best but lack the experience of the individual Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 20 clients.” However, we noted that many staff who worked for the previous owners were still working at the home. Staff we spoke to were very positive about the change of ownership and felt that staff morale was improving. In relation to training the registered manager said that virtually 50 of care staff have achieved NVQ2 in care or its equivalent. Eden Mansions is now accredited by the City & Guild organisation as a training centre for NVQ 2 and 3 so will be able to provide training in this area more easily in the future. Staff said that they had been given training in dementia and moving and handling since the change of ownership and that they felt supported in this regard. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 21 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Eden Mansions is well managed so that it is run in the best interest of the people who live there. EVIDENCE: The manager of Eden Mansions has been through the process to become registered with the CSCI as required by law. The manager is a first level registered nurse and has been employed as Operations Manager with another Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 22 care home provider. The manager worked for a month with the previous manager of the home to ensure a smooth transition to the new organisation. The new manager is already highly regarded by both staff and relatives. A staff member said, “things are much better – more structured, ie management of home” and a relative commented, “very good, speaks to you, not aloof.” The manager said that there will be a new management structure in the home whereby a named nurse will be appointed to lead each of the units. At present only one appointment has been made but the manager is hoping to fill these positions in the near future so that she will be supported in her management role. Fire records were seen and showed that the emergency lighting has not been checked since the change of ownership so that any faults might not have been detected. They also indicated that not all staff have taken part in a fire drill or been through refresher training in fire safety in the last year so staff may be unaware of what to do in the event of fire. A number of staff have also not done refresher training in moving and handling in the last year so may be putting themselves and people living in the home at risk. The registered manager said that training will be organised to cover this deficit. We reviewed how small amounts of money are managed at the home. The administrator showed us receipts and said that in all cases families are invoiced directly from the organisation’s head office. The registered manager has established various mechanisms to find out whether the home provides a good service and to involve residents and relatives in the running of the home. For instance meetings have been held with relatives and a further meeting was planned for the following week. A senior representative of the organisation visits the home on a regular basis to find out about standards of care at Eden Mansions and to talk about planned developments at the home. The registered manager has started to carry out audits into aspects of care such as accidents to people living in the home so that she can monitor how care is being delivered and how it can be improved. The registered manager has set up a system to ensure that staff receive supervision and this will be implemented in the near future. Eden Mansions Nursing Home DS0000072416.V373887.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 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 X 3 X 3 X X 2 Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 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 Refer to Standard OP18 Good Practice Recommendations The policy on safeguarding adults should be amended to give full and clear guidance about what to do if abuse is suspected so that people living in the home are protected. Staff should undertake training in safeguarding adults so they know what to do if they suspect someone is being abused and so people living in the home are protected. The emergency lighting should be checked on a regular basis so that any faults can be detected and put right. All staff should take part in fire drills twice a year so they know what to do in the event of fire. All staff should undertake an annual fire safety refresher course so they know what to do in the event of fire. 2 OP18 3 4 5 OP38 OP38 OP38 Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 25 6 OP38 All staff should undertake annual refresher training in moving and handling so they know how to move people safely and protect themselves from possible injury. Eden Mansions Nursing Home DS0000072416.V373887.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Central Registration 9th Floor Oakland House Talbot Road, Old Trafford Manchester M16 0PQ 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 Eden Mansions Nursing Home DS0000072416.V373887.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. 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