Care Home: St Anthonys Court

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What the care home does well St Anthony`s Court provides a high standard of care to its residents, who say they are happy with the service they receive and are content with their daily lives. Staff have a good awareness of peoples needs and treat the resident`s in a respectful manner. Resident`s benefit from a varied activities programme, which is both enjoyable, stimulating and varied. Meals are well presented and menus evidence a healthy well balanced diet for residents who benefit from variety and choice. The home is comfortable and provides a safe and well maintained environment for the residents. Staffing levels ensure that residents needs are met. The home is well organised and managed by an effective and stable management team that promotes the views and interests of the residents. What has improved since the last inspection? Regulation 26 inspections take place and reports are written What the care home could do better: Enhance the person centredness of care plans in particular the social care part to improve the quality of life for residents. Delegate a member of staff to take responsibility for health and safety issues and become a demonstrably competent person in relation to load handling to enhance the well being of residents and staff. Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Anthonys Court 26 Lower Bristol Road Weston Super Mare North Somerset BS23 2PP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Andrew Pollard     Date: 2 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: St Anthonys Court 26 Lower Bristol Road Weston Super Mare North Somerset BS23 2PP 01934629378 Telephone number: Fax number: Email address: Provider web address: admin@stanthonys.demon.co.uk Name of registered provider(s): Type of registration: Number of places registered: European Care (Combined) Limited care home 35 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is 35. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary crae needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home 0 Over 65 35 Care Homes for Older People Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection visit conducted as part of the annual inspection process. Prior to the visit the inspector spent some time examining documentation accumulated since the previous inspection, including the Annual Quality Assurance Assessment, notified incidents (Regulation 37 reports) and the reports of inspections conducted by the Registered Providers (Regulation 26). The inspector sent questionnaires Have your say to residents in the home prior to the inspection. Surveys were also sent to staff and visiting health professionals. Information from these has been collated and is detailed throughout the report. Care Homes for Older People Page 5 of 26 The inspector spent time during the visit in discussions with the registered manager Ms Wheeler and a number of residents and staff. Residents care plans and care files were examined. Records and files relating to the day to day running and management of the home were examined. The inspector toured the premises. Feedback was given as the visit progressed on the outcome of the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A thorough assessment of prospective residents care needs is carried out. More detailed assessment of social care needs are needed. Prospective residents and their families are given relevant information in written or verbal form about the home. Contracts and terms and conditions of residence are provided to all residents or their families. Evidence: The new Registration certificate was on display in the hallway. The Statement of purpose and Service user guide are standard European Care documents and will need to be revised to include detail of the homes criteria for admission and the care needs and services that are provided, which are specific to St Anthonys court. The pre-admission assessments were fully completed and informative. The manager or a senior nurse meets with prospective residents prior to admission. Medical and Care Homes for Older People Page 9 of 26 Evidence: personal care needs are recorded prior to admission and expanded following admission. Pre admission material is also collected from other agencies when applicable. Where possible detailed information is gathered with regard to personal histories and social and recreational wishes and desires. The existing personal history documents are to be expanded into brief biographies if possible by consultation with the residents and their family. Assessment is an ongoing process and a full detailed assessment of the residents care needs are established over the initial few days and weeks and regularly reviewed. This information forms the basis of the Care Plan. Assessments had been regularly reviewed and updated, this includes risk assessments. We discussed the value of annual full re-assessment and re drafting of elements of the care plan by the named nurse with the resident and key worker. The named nurse and key worker system will be fully re-instated within the next few months. All residents stated in their surveys that they and their families had received information about the home prior to admission. People spoken to felt their admission was well managed. Contracts were seen in case files and extras were clearly stated, charges are made for extras such as hairdressing and chiropody. Newspapers are purchased free of charge for the residents to read if they wish. Care Homes for Older People Page 10 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have a good awareness of peoples needs and treat the residents in a respectful manner. Care plans are detailed and relate to residents care needs but some improvements Can be made with the person centred approach. Clear care directions are set down for staff. The staff provide appropriate personal and nursing care to maintains residents health, well being and dignity. The staff properly store, administer and record medication on behalf of residents. Evidence: Case files examined during the inspection were up to date and in good order. A more holistic approach is being taken in the preparation of care and documentation following the rewriting of care plans in accord with European Care requirements. It is intended that the recording of peoples health and social needs including, psychological, emotional, and cultural needs will be enhanced to demonstrate that the home takes a person centred approach to the provision of care, the manager has commenced this process. Care Homes for Older People Page 11 of 26 Evidence: Health Care needs were clearly detailed in the care files and included, wound care, nutritional, and pressure area risk assessments. Care review meetings take place regularly for each resident with the involvement of the resident, family members and key worker where possible. The reviews allow opportunities to discuss and evaluate residents care plans and any concerns they may have. End of life Care Plans are becoming established in the home whereby residents are encouraged to think ahead about the care they would like to receive if their health deteriorates. The Gold standard documentation is to be introduced in due course. The manager has delegated lead nurse responsibility for groups of residents and their documentation to registered nurses working in the home who will take responsibility for key workers and family liaison to further enhance person centred care. Staff were seen to respect the residents privacy and dignity they were seen to knock on doors and wait for a response before entering. Residents and visitors spoken with confirmed that residents were treated with respect. Each resident is referred to a General Practitioner (GP) on admission and an initial first visit is arranged. The GP conducts a weekly visit to the home and will visit on request. All residents stated in their surveys that they receive good medical support. Records of the GP visits and those from other professionals were evidenced in care files including, chiropodists, opticians and dentists. Policies and procedures for receiving, storing, administering and disposing of medications are in place. The receipt, administration, disposal and controlled drug records were up to date and in order. The pharmacist who supplies the medication also receives unwanted medication for disposal. One of the current residents is able to self medicate at present and appropriate policies and risk assessments are in place. Care Homes for Older People Page 12 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A range of social and recreational activities is arranged,which are varied and stimulating that seek to enhance the quality of life for the residents. Residents families are informed of issues related to their relatives and are invited to take part in activities running in the home. The food is of a high standard and provides a balanced diet for residents. Evidence: A carer has been delegated responsibility to develop a varied calendar of activities to enhance the quality of residents social life. A copy of the weekly programme is placed in communal areas throughout the home. The manager is to provide a copy for each person to ensure that residents and visitors are aware of planned activities. The staff are to undertake the development of a more detailed residents biography and social profile which will provide interesting facts and life history information about each resident and is beneficial in delivering person centred care. Residents meetings take place approximately four times a year to which relatives are also invited. Care Homes for Older People Page 13 of 26 Evidence: Regular entertainment is provided in the afternoons including singers, guest speakers and passive exercises, Tai Chi and beauty therapy. Special events are arranged throughout the year and residents and visitors are sent invitations to attend. Special events are arranged such as visiting theatre groups, summer fetes and fashion shows. A new craft group is soon to start and a film club is ongoing. The residents have free use of a mini bus for trips out. The surveys returned and conversations with residents indicated that there were always activities arranged that they could take part in. Comments included, There is always good humour, care and support given to residents and families and Good all round services, good events, helpful and friendly staff. There are attractive terraces and gardens at St Anthonys Court and the residents take advantage of sitting on the terrace enjoying the views when the weather permits. The local parish priest conducts services and communion on a regular basis and makes pastoral visits on request. At present there are no residents from other faith backgrounds. There are details of individual likes recorded for the kitchen staff. The rotational menu offers traditional food and choice is available at each meal. The menus are reviewed to reflect seasonal trends and in response to residents views expressed in meetings and surveys. Special menus are provided for birthdays and other occasions. Fresh fruit and vegetables are available and bowls of fruit are on offer in the home. Lunch was served in the two dining areas, the tables were attractively laid and the meals nicely served. Residents can eat in their rooms if they choose to. Surveys confirmed that residents were satisfied with the meals provided people indicated they always liked the meals. Comments included, The home is blessed with an excellent cook and The meals are excellent. Care Homes for Older People Page 14 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place for staff training and awareness related to safeguarding of adults.There are robust and comprehensive policies in place to protect residents investigate complaints or manage any allegations of abuse. Evidence: There have been no formal complaints reported to the provider or the Commission since the last inspection. The home has policies and procedures in place for adult protection, complaints and whistle blowing to protect residents from harm. Policies are held in the office and are accessible to all staff. A copy of the complaints procedure is on display in the hallway and in the service user guide. Residents asked said they would be able to raise any concerns they may have with the management of the home. All residents who completed a survey indicated that they knew who to talk if they were not happy and how to make a complaint. Comments included, Ive never had cause to complain but if I did I would speak to Ramona and it is lovely here. Relatives spoken with confirmed that they were aware of the homes complaints policy. The home promotes staff training and education in adult protection issues on induction Care Homes for Older People Page 15 of 26 Evidence: and by regular updates. A number of staff are undertaking the National Vocational Qualification in care award, and a component of the award addresses issues around the topic of safeguarding adults from abuse. The General Social Care Council code of practice has not been distributed to new care staff but the manager is taking steps to acquire further copies. The home has the relevant Local Authority procedures as well as a range of guidance information on the topic of protection from abuse It is planned for the manager to complete an update with the Local Authority to investigator level when a place can be booked. Care Homes for Older People Page 16 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable, well decorated and furnished. It provides a safe environment for the residents.The bedrooms and communal rooms and facilities are suitable and well presented for their purpose and meet the residents needs.The standard of cleanliness is good. Evidence: The building is an older spacious converted property, built over three floors, with a range of suitable adaptations in place throughout the home to assist people who may have limited mobility such as handrails in corridors, assisted bathing facilities and assisted toilet facilities. Pressure relieving equipment is also available as required. There is lift access to each floor. The home is well decorated, clean and maintained to ensure that all areas are homely Individual accommodation varies in size, all rooms looked well presented and many had been personalised with residents personal property. Residents seen in their rooms were satisfied with their accommodation and had their personal effects, pictures and photographs displayed. Resident surveys stated that the home was always fresh and clean. There are well-appointed lounges and dining areas and there are balconies and a Care Homes for Older People Page 17 of 26 Evidence: terrace to enjoy the out of doors on fine days. The home has an infection control policy and staff training is facilitated in this area. All areas had flip top waste bins for staff hand wash waste. A contract is in place to dispose of clinical waste. Two washer disinfector units are installed in the sluice areas. The recently refurbished kitchen was well equipped, clean and spacious. A recent Environmental Health check found everything to be in good order and awarded a five star rating. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment procedures and records are in good order to protect residents.The home is well staffed with appropriately trained and experienced staff for the number of residents.Training records and nurse clinical updating are in order.Good arrangements are in place to train staff for the benefit of residents. Evidence: The staffing levels appear sufficient to meet residents needs at present. Residents surveys state there are always or usually staff available and they receive the care and support they need. all comments on the day stated that residents receive the care they need. The manager ensures that staffing levels are related to the level of care required by the residents and is considering developing a dependency assessment to support these judgements. The manager works as supernumerary. The domestic, catering, admin and laundry staffing levels are satisfactory. Staff turnover rates are low. The home has a small bank of staff and agency staff are rarely used. Staff spoken with considered morale to be good in the home. Relative seen on the day all gave praise to the kindness and attentiveness of staff. The atmosphere in the home is warm and the staff resident interactions were respectful, caring and good-humoured. In conversation staff demonstrated a caring attitude to their roles and ensuring they provide quality of care to the residents. Care Homes for Older People Page 19 of 26 Evidence: At the last inspection in February 08 we viewed the personnel records for several new recruits. The files seen showed that employment procedures and records were in good order. The records were held in St Anthonys at this visit but will be stored in St Anthonys Court in future. Criminal Records Bureau Criminal Record Bureau disclosures are carried out prior to recruitment and we signed the recently received disclosures. Registered Nurse qualifications are validated annually. There is an induction programme for new staff and the home has a mentor system where new staff are linked with and shadow a senior staff member during shifts to enable continuity and continued training throughout the induction process. staff surveys indicated they received good and relevant training. There is an on going training programme, which covers all mandatory subjects, including Fire, Manual Handling, Health and Safety, the Protection of Vulnerable Adults, first aid, food hygiene and infection control. There is a clear commitment to staff training. Training opportunities are offered by the local Primary Care Trust PCT, Local Authority and other external providers. The home pays staff who attend training courses. Training for all staff is being provided to develop a more person centred approach to care delivery. The home continues to support their staff with their National Vocation Qualification (NVQ) training. Fifty percent of staff have attained NVQ level 2 and four staff are on programmes toward level 2 and 3 qualifications. There is one carer who has level 3 who is proposed to be a senior carer. The nurse training records showed learning related to clinical updating and were up to date. Training needs are identified at appraisal. Training is being introduced to adopt the Gold standard approach to end of life care documentation. Ms Wheeler is currently researching management courses to find the most suitable which she hopes to commence in the coming year. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run taking into account the views and wishes of the residents and relatives, as they are able. There are good arrangements in place to maintain and service the equipment and facilities in the home. The Home needs to take further steps to protects the health and safety of residents and staff. The staff supervision and appraisal arrangements are good. Evidence: Ms Wheeler the manager is committed to improving the quality of life offered to residents and encourage high standards within the team at St Anthonys Court. The manager is relatively new in post and this is her first managers job, however she has regular support from a European Care programme manager. Ms Wheeler is currently researching management courses to find the most suitable which she hopes to commence in the coming year. The home has a stable staff team that has a commitment to providing quality care for the benefit of the residents. Care Homes for Older People Page 21 of 26 Evidence: Residents indicated that staff listen to and act on what they say. There was a high degree of satisfaction with the quality of care expressed by residents and relatives spoken with. Residents and relatives were positive about all aspects of care, food, activities and the quality of staff were praised. Comments included, It is a very good home to be in and I feel well settled and I like the continuity of staff and getting to know them. Based on the comments made and through the inspectors observation it is evident that the home is run in residents best interests to ensure their needs are being met. the only negative comments were around the laundry service, the manager was already aware of this and has taken steps to improve the service. Quality Assurance auditing was undertaken earlier in the year and the results collated. The feedback from residents indicated that the service and care delivery is of high standard. All staff receive supervision roughly every three months and undertake an annual appraisal from which learning needs are identified. Regular staff meeting are held. The home has a Health and Safety policy and audits and relevant training is arranged. However at present the majority of staff require a fire safety update and training has been booked for January 09. Fire drills and maintenance of extinguishers and the alarm system have taken place. The manager is seeking the advise of the fire safety officer with regard to the frequency of training for night and day staff and to review the newly written fire plan. Generic and individual risk assessments are in place and kept under review. Since the departure of Ms Larkin there is no load handling assessor or trainer working in either St Anthony homes therefore no in house training can take place or handling risk assessments signed off by a demonstrably competent person. It was suggested that a member of staff undertake the competent person training. A number of handling assessments did not specify all equipment to be used or sling sizes for the hoists. It was also suggested that a nominated person attend update training in general health and safety management. the manager is to take both these suggestions up with the programme manager. Hot water outlet temperatures have been monitored and these have varied between 50 and 33 degrees centigrade. The manager states that work is planned to install or re- set mixing valves to ensure suitably hot but safe water is available to residents. The hoists, lift and electrical installation are properly maintained. The manager is to forward a copy of the gas safety certificate to the commission when it is printed. Care Homes for Older People Page 22 of 26 Evidence: All records seen were stored appropriately and safely. Accidents are recorded and notifications about incidents affecting the welfare of residents are sent to the Commission as required. Providers inspections are carried out monthly and reports written. Proper arrangements and records are in place for safekeeping of residents valuables and handling of personal monies. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 The manager should continue to enhance the care plans to ensure they are holistic and person centred and evidence the involvement of the resident or relative in their development. The manager should develop more detailed documentation with regard to end of life plans as residents or their representatives wishes become known. The manager will distribute The General Social Care Council code of practice to all new care staff. That the manager identify and undertake relevant management training related to her role during the next six months. The registered person should arrange for the training of a staff member to take delegated responsibility for health and safety and load handling training within the home. The registered person should send to the Commission a copy of the current gas safety certificate when issued. 2 11 3 4 18 30 5 38 6 38 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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