Care Home: St Catherines Home

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well Service users are assessed prior to their admission to the home and only offered accommodation if their assessed needs can be met. The personal care needs of service users are met in a way that respects their privacy and dignity. Service users and relatives express satisfaction with the care provided by staff at the home and speak highly of the staff group. Spiritual care is especially good. Service users are supported and encouraged to be as independent as possible, and to continue to live their chosen lifestyle. St Catherine`s provides a pleasant homely environment for the people who live there with high standards of cleanliness throughout the home.Staff are well trained and supported. Managers and staff have a good understanding of the needs of service users which assists in their assessed care needs being met. The home makes sure that the staff are properly checked before they start work at the home. What has improved since the last inspection? The programme of fitting automatic door closers has now been completed. Monthly summaries of the care plan are now completed consistently and records of visits by health care professionals are now more thorough. A record is now made of any returns of medication to the Pharmacist. Complaints forms now includes the contact details for the Commission for Social Care Inspection (CSCI). The home has undergone extensive refurbishment and the service users` bedrooms are all being decorated to their choice. New furniture is also being bought for the bedrooms, as and when rooms become vacant. What the care home could do better: The home need to make sure that the staff who give out the medication have received the proper training to protect the service users. CARE HOMES FOR OLDER PEOPLE St Catherines Home 146 Southcoates Lane Hull East Yorkshire HU9 3AJ Lead Inspector George Skinn Key Unannounced Inspection 14th April 2008 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Catherines Home Address 146 Southcoates Lane Hull East Yorkshire HU9 3AJ 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) 01482 375164 01482 718139 margaret@stcatherines.karoo.co.uk The Trustees of the Institute of Our Lady of Mercy Margaret Audrey Jackman Care Home 34 Category(ies) of Dementia - over 65 years of age (34), Old age, registration, with number not falling within any other category (34) of places St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2007 Brief Description of the Service: St Catherine’s is owned by The Institute of Our Lady of Mercy. It is registered to provide accommodation and personal care for up to 34 adults over the age of 65 of either gender, including those with dementia. Information about the home is provided to service users and others in the home’s statement of purpose and service user guide. Although the home is owned by a Catholic religious order, people of other faiths (or no faith) are welcome to move into the home. St Catherine’s is situated in the east of the city of Hull. It is a large property that is set in its own grounds, and there is ample car parking space. It is close to public transport and to local amenities such as shops, banks and cafes. Fees paid range from £296.50 to £338.00 per week and there is an additional charge for hairdressing, private chiropody, toiletries and newspapers. Accommodation is provided over three floors; private accommodation comprises of 34 single bedrooms, twenty-two of which have en-suite facilities. Communal areas of the home include a tea bar/lounge on each floor, a large dining room and a lounge. A small smoking lounge and a hairdressing room are also provided. All areas of the home are accessible to service users via the provision of a passenger lift. The attractive garden has been specially designed to meet the needs of the people living at the home and is easily accessible. The home has its own chapel which forms a part of the main building. There is a copy of the last inspection report available at the home or use the information provided below to obtain a copy. St Catherines Home DS0000000872.V361533.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 2 star. This means that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on a pre inspection questionnaire; Comment cards returned from service users, relatives and staff A visit to the home carried out by one inspector. A site visit was carried out which lasted 8 hours. Service users, relatives and staff were spoken with. Records relating to service users, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. The Manager was available to assist throughout the day. What the service does well: Service users are assessed prior to their admission to the home and only offered accommodation if their assessed needs can be met. The personal care needs of service users are met in a way that respects their privacy and dignity. Service users and relatives express satisfaction with the care provided by staff at the home and speak highly of the staff group. Spiritual care is especially good. Service users are supported and encouraged to be as independent as possible, and to continue to live their chosen lifestyle. St Catherine’s provides a pleasant homely environment for the people who live there with high standards of cleanliness throughout the home. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 6 Staff are well trained and supported. Managers and staff have a good understanding of the needs of service users which assists in their assessed care needs being met. The home makes sure that the staff are properly checked before they start work at the home. 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. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 8 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are confident that they are supported by the home. 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, what they hope for and want to achieve, and the support they need. EVIDENCE: Newly admitted service users’ files were looked at. These included a full needs assessment, a medical profile, a social profile and a record of daily living needs. This is used by the manager to establish if the home can meet the needs of the service user. When service users are funded by the Local Authority, a copy of a community care assessment and care plan is also obtained from Care Management. The home’s admission process makes provision for introductory visits for meals, or half day visits for prospective service users. The overall admission process allows for a trail period of 6 St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 9 weeks for all newly admitted service users then the Local Authority hold a review of the placement to ascertain the appropriateness. The manager stated that the Local Authority have informed her that they are no longer obliged to assess people who are privately funded. She was quite concerned about the implication of this for people whose money may not last as long as their stay at the home. She is to pursue the issues with the Local Authority. The home does not admit service users for intermediate care. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 10 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Every person has a plan of care which he or she or someone close to them have been involved with. People are treated with dignity and respect because the home has procedures for staff to follow and training has been given. People are protected by the way the home handle medication but staff need more training EVIDENCE: A selection of care plans was looked at during the site visit. The sample case tracked included service users who were dependent on the staff to meet all of their needs; service users who were independent and needed minimal help and newly admitted service users. All of the care plans included a copy of the home’s own assessment, a community care assessment and care plan provided by the Local Authority Social Services Department, where appropriate. Key workers record a monthly summary of the care provided to each service user, these were all up to date. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 11 The plans included written evidence of formal reviews for all of the service users by the home and the Placing Authority. The manager has now completed a new care plan for each service user. A record is kept of all contact with health care professionals and appointments made at clinics and local Hospitals. Those service users spoken with confirmed that they could see their GP when they wanted and could be examined in private. One relative said, “It gives me peace of mind to know my mother is good hands and being closely monitored”. The service users’ files contained evidence of risk assessments being undertaken around falls, nutrition and pressure area care; service users are provided with pressure relieving equipment. The home has formulated risk assessments around the use of bedrails using the guidance issued by the Department of Health. A new call bell system has been fitted in the home; this is a wireless system that will allow service users to summon assistance wherever they are in the home or grounds. The storage and administration of medication continues to be well maintained. All medication is checked into the building and a record is kept of any returned to the pharmacist. The home has recently changed their supplying pharmacist and are very happy with the service provided. When interviewed the senior staff commented that they had received no accredited training with regard to the administration of medication. Although there had been plenty of in house training and training provided by the pharmacist this did not meet the principles of accreditation. Observation made during the site visit indicated that the staff treat the service users with dignity and their right to choice is upheld. Service user spoken with on the day of the site visit confirmed that they could choose their own daily routines one said, “I just come and go as I please”. The interaction between the service users and the staff was relaxed and pleasant. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 12 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. People who use this service good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Each person is able to take part in activities that are appropriate to their personal interests. People are able to keep in touch with family, friends and the local community. EVIDENCE: Service users’ care plans continue to contain written details of a their previous lifestyle and daily routines; this includes information about likes and dislikes and specific interests. Service users confirmed they are able to exercise choice in relation to routines of daily living including where to spend their day, where to take their meals and whether to take part in social activities. Two of the Sisters from the attached convent assist with activities; one arranges a weekly bingo session and the other plays the piano for service users to have a ‘sing along’. There is a hairdressing room and a hairdresser visits the home every week. The home origanally only catered for people who are of the Catholic faith, however as time has gone on the home now admit those people who are not of the Catholic faith. Some of the service users continue to attend mass every St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 13 morning in the homes chapel, this is taken by one of the service users who is a Priest; those who do not wish to partake in this are helped to pursue different interests. Most remain in their rooms to spend the afternoon as they choose undertaking activities including reading, letter writing, watching the TV, listening to music or seeing visitors. There are very pleasant gardens surrounding the home and some service users like to take a walk in the grounds. This has now been made safer as the new alarm system is wireless so enabling service users to take a hand set with them to summon help if they encountered any difficulties. Observation made during the site visit indicated that service users continue to be supported and encouraged to maintain their level of independence and to live their chosen lifestyle. Some service users had a visitor on the day of the site visit and the inspector observed that they were made welcome by staff. The visitor stated that she visited her mother daily and the that “the staff are always welcoming”. The manager stated that most of the service users continue to have breakfast in their own room. Observation of the main meal indicated that it was well presented and wholesome. The service users continue to have a choice of main meal. The dining room is still being refubished so the service users continue to take their meals in the ‘tea bars’ around the home. Observation of the meal time showed that it was relaxed and service users were generaly chatting amongst themselves, singing songs and talking about the food. When asked service users commented positivly about the food provided one said “the food is always good, they haven’t made a special effort just because you’re here you know”. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 14 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. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. EVIDENCE: The home continue to have in place a complaint record in which all complaints are logged. The record also indicates whether the complainant was happy with the outcome of the investigation. In addition to the complaints record the home uses a niggles/concerns book and provides a suggestion box. Those service users and relatives who were spoken with during the site visit confirmed they knew whom to complain to and were confident that these would be taken seriously. The service users, staff and relatives confirmed that the manager was approachable. During the site visit one relative raised an issue with the staff about some bedding. This was dealt with courteously and a satisfactory outcome was achieved. One visitor said that she had approached the manager with some concerns when her mother had first moved into the home and that “all of my concerns were dealt with quickly and with the minimum of fuss”, “I am confidant that my mother is safe here”. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 15 The home continue to have polices and procedures in place for the staff to follow about how to make a safeguarding adults referral. When spoken with staff were able to describe the procedure and what action they would take if any forms of abuse were witnessed or reported to them. The home has recently been the subject of a safeguarding adult investigation undertaken by the he Police due to the nature of the allegations made. The manager stated that the investigation was now over and the Police were not pursuing the matter further. The member of staff who the allegations were made against no longer works at the home. A letter had been received by the Commission for Social Care Inspection (CSCI) expressing concerns about the way the home had handled the allegations. We looked at the documentation and the evidence provided by the home and it was clear that they had followed the correct procedures once the allegations were made, making the correct referral to the Social Services Safeguarding Adults’ team. St Catherines Home DS0000000872.V361533.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): 19 and 26. People who use this service experience good quality outcomes in this area, This judgement has been made using available evidence including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. EVIDENCE: The home is comfortably and attractively decorated and furnished, and is well maintained. The grounds are kept tidy, safe, attractive and easily accessible to service users and allow ample access to sunlight – the lounge, dining room and bedrooms look out over garden areas. Toilets, bathrooms, lounges and tearooms are clearly signed, and some of the service users’ bedrooms have their names and pictures on the door. Some service users have chosen not to do this. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 17 The home was clean, hygienic and free from offensive odours on the day of the site visit; domestic staff are employed to ensure that hygiene standards are maintained. Laundry facilities are satisfactory and a new tumble dryer has been installed; there are plans in place to further improve laundry facilities. The laundry room is situated away from communal and private accommodation to reduce the risk of cross infection. Staff have undertaken training on infection control. Since the last inspection the home has undergone extensive refurbishment and all service users’ bedrooms are being redecorated on rolling programme. Service users commented on being able choose the colour their bedrooms would be painted. New furniture is also being purchased for all of the bedrooms. The home has it’s own chapel, which has been recently refurbished, where service users can worship if they choose to. St Catherines Home DS0000000872.V361533.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): 27, 28, 29 and 30. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are supported by staff who have been trained and are provided in enough numbers to meet their needs. People are safe because the home makes the proper check before someone is employed. EVIDENCE: There is a satisfactory staff rota in place that records the role of each member of staff. The staffing level are based on the needs of the service users. There is a cook on duty each day as well as a kitchen assistant, and there are one or two domestic staff on duty each day. This enables care staff to concentrate on assisting service users with personal and social care activities. There is a separate rota for night staff – this records that there are two staff on night duty and that an additional ‘sleep in’ staff member is arranged if required. It also records the name of the manager who is ‘on call’ overnight. Training records indicated that that more than 50 of the staff are trained to NVQ level 2 which includes training on equality and diversity and an awareness of abuse. The recruitment and selection procedures remain robust and all checks are undertaken prior to staff commencing work at the home. The staff files looked St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 19 at contained references from previous employer; an application form which identified gaps in employment and a completed Criminal record Bureau (CRB) check. The application form has been changed since the last inspection; any information about age, gender or health is now kept confidential and not used as part of the selection process. A private training company provides induction training at the home. Evidence seen indicated that this company use the Skills for Care training programme. There is a training and development plan in place that records that all staff undertake core training and that some staff undertake more specialised training such as Challenging Behaviour and Dementia and Palliative care. Staff records include information about individual training achievements and a copy of training certificates is retained. Staff have refresher training as appropriate to ensure that their skills and knowledge are kept up to date. All staff have received mandatory training. St Catherines Home DS0000000872.V361533.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 and 38. People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People live in a home which is managed and run in their best interest. The home has mechanisms in place to monitor they way it is run and change or review practice if necessary. The environment is safe for people and staff because health and safety practices are carried out. EVIDENCE: The manager has a post-graduate certificate in management and is a registered general nurse. She keeps her practice up to date by reading information on the Internet and by attending training courses alongside staff. All those spoken with during the site visit said that the manager was approachable and friendly. St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 21 Policies and procedures are being updated and entered into a ‘document control system’. This records when policies have been updated and when the next review is due. A new care tracking system is to be introduced – this is a system that will score the success of care practices within the home and will identify any shortfalls or needs for improvement so that they can be addressed by the management team. Questionnaires have been sent out to service users and these had been collected and a report will be formulated which will identify areas for improvement. The manager has started to produce a quarterly newsletter and intends to include the outcome of any surveys in this publication. When these systems are fully operational service users and others will be able to affect the way in which the service is operated. Staff meetings and service user meetings are held; minutes of these meetings were seen. In house fire alarm tests are carried out every week and fire training/drills are carried out on a regular basis. Evidence that the fire alarm system and fire extinguishers are serviced by a contractor annually was seen. At the last inspection it was noted that the service users’ bedroom doors were being propped open by unsafe means; this has now been addressed and all doors which are propped open are held in place with a suitable devise accepted by the fire safety officer. There is an electrical installation certificate in place, a new passenger lift has been installed and hoists have been serviced on a regular basis; there is a current gas safety certificate in place. Staff undertake training on health and safety topics and the manager has provided a written statement of the policy, organisation and arrangements for maintaining safe working practices, including risk assessments. This is designed to protect the health, welfare and safety of service users and staff. The manager sends the CSCI the appropriate notifications and the registered person undertakes the required visits. St Catherines Home DS0000000872.V361533.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13, 18 & 19 Requirement The registered person must ensure that those staff who administer medication have received accredited training. Timescale for action 30/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI St Catherines Home DS0000000872.V361533.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!