Care Home: St Clair House Care Home

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What has improved since the last inspection? Most staff have attended adult safeguarding training. Any incidents, which need to be reported to the commission, appear to have been notified to us. What the care home could do better: Key inspection report CARE HOMES FOR OLDER PEOPLE St Clair House Care Home 32 Basset Road Camborne Cornwall TR14 8SL Lead Inspector Ian Wright Unannounced Inspection 14th April 2009 09:00 DS0000041642.V375118.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Clair House Care Home Address 32 Basset Road Camborne Cornwall TR14 8SL 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) 01209 713273 01209 610699 stclaircare@yahoo.co.uk stclaircare@yahoo.co.uk St Clair Care Limited Mr David William Maund Mr David William Maund Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st April 2008 Brief Description of the Service: St Clair provides care and support for up to eighteen elderly people. The registered provider is St Clair Care Limited. Mr David Maund, the owner of the home, is also the registered manager. The home is a two storey Georgian building, which has been extended at the rear. The home is situated close to the town of Camborne where a range of amenities and facilities are available. The home generally has satisfactory access for people who experience physical disabilities. Bedrooms are situated on both floors and a passenger lift is also provided. The ground floor provides two homely communal sitting rooms at the front and rear, and an attractive dining room. The building is maintained to a good standard. There are very attractive and well-maintained gardens are at the rear of the home. A copy of the full inspection report is available from the registered provider, and it is suggested a copy is requested from them or CSCI if required. The range of fees at the time of the inspection is £380 to £700 per week. There are additional charges e.g. for hairdressing, chiropody, and newspapers etc. St Clair House Care Home DS0000041642.V375118.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 two star. This means the people who use this service experience good quality outcomes. This unannounced key inspection took place over seven hours in one day. All of the key standards were inspected. The methodology used for this inspection was: • To case track four people who use the service. This included interviewing the people who use the service about their experiences and inspecting their records. • Interviewing staff about their experiences working in the home. • Informal discussion with other people who use the service and staff. • Observing care practices. • Discussing care practices with management. • Inspecting records and the care environment. • Completing a postal survey of people who use the service, and staff who work in the service. Other evidence gathered since the previous inspection such as notifications received from the home (e.g. regarding any incidents which occurred) were used to help form the judgements made in the report. What the service does well: St Clair House offers a pleasant environment for the people who live there. Facilities are currently to a high standard. People who use the service spoke highly of the support offered to them by staff, and said they are happy living at the home. Food is to a good standard. People who use the service are offered a range of activities if they wish to participate in these. What has improved since the last inspection? What they could do better: Five requirements have been made as a consequence of this inspection. Suitable action must be taken under the Care Standards Act (Care Home Regulations 2001). In brief: • One member of staff needs to have a Criminal Records Bureau check, as there was no record this had been completed. Two written references prior to individual staff commencing employment must be obtained. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 6 • • Some improvement is required to staff training provision. Health and safety precautions require some improvement. For example a test certificate regarding the electrical circuit must be obtained. Emergency lighting needs to be regularly tested. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. St Clair House Care Home DS0000041642.V375118.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 Clair House Care Home DS0000041642.V375118.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Suitable information about the service is provided to people who use the service and their families regarding rights, responsibilities and the service they should expect. Assessment procedures are satisfactory for example the registered provider ascertains people’s needs can be met before a service is offered to them. EVIDENCE: Copies of the registered provider’s statement of purpose, service user guide and terms and conditions of residency were inspected. These are satisfactory. The registered provider said a copy of the service user guide is sent out to all people who make an enquiry about moving to the home. Copies of pre-admission assessments were contained on the files of people who use the service. Copies of social services assessments have been obtained for some people. Some people who use the service who the inspector spoke to, St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 9 said they remember an assessment being completed before they moved to the home. It is important that all pre admission assessments are signed and dated, as this had not been done in some cases. St Clair House Care Home DS0000041642.V375118.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is generally good. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are generally met to a good standard, although improvement is required to the management of medication and care planning. People who use the service can be generally assured health and personal care needs are fully met. EVIDENCE: Care plans for several people who use the service were inspected. These contained generally satisfactory information for staff to provide care, but could contain more detail to inform and guide staff. There should also be more detailed information regarding when people last saw medical practitioners (e.g. general practitioners, dentists, chiropodists, district nurse, optician etc.) It should be possible to easily ascertain when a person last saw any medical practitioner so staff can ensure people are getting correct and regular medical input. However, people who use the service said they had suitable access to health care professionals. There is satisfactory evidence that care plans are reviewed. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 11 The inspector was able to speak with several people who use the service regarding the care they receive. People said they were very happy with the support received. All people who use the service, who the inspector spoke to, said staff tried to do their best and were very caring. This was apparent from the inspector’s observations. People who use the service said staff were always respectful and treat them with dignity. For example staff always knock on doors and speak to people who use the service in a respectful manner. The medication system was inspected. Medication is stored to a satisfactory standard. Medication is administered via a monitored dosage system. Administration and recording procedures regarding medication appear generally satisfactory. Some medication was still in the blister pack although it was signed to state it had been administered. One of the senior care staff said this had been administered from a separate box of medication we were shown. This should have been clearly recorded as it could have caused staff confusion, and ultimately the medication being administered twice. Staff appear to have received suitable medication regarding medication. St Clair House Care Home DS0000041642.V375118.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate arrangements are in place so people who use the service can enjoy a lifestyle that meets their needs. Food provided is to a good standard so people enjoy good quality meals that meet nutritional needs. EVIDENCE: People who use the service, who we spoke to, said they could get up and go to bed when they wish. Some activities are provided for example there is a keep fit group, quizzes, cooking sessions, and a tea dance. Staff assist people to obtain library books if they want these. People can order newspapers and magazines. Religious ministers regularly visit the home. There are resident’s meetings. People who use the service said they could receive visitors at any time. People who use the service said staff encourage them to make choices regarding how they live their lives. For example people can spend their time how they wish, spend their time in their bedrooms or in the communal areas or garden. People told us that food provided is to a good standard, staff cater for individual needs and some choice is available. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and adult safeguarding procedures are in place. However, both procedures need some updating and additions. However we have no concerns regarding poor practice. Subsequently people who use the service should be able to be assured that any concerns, complaints or allegations are taken seriously, and dealt with effectively should they arise. EVIDENCE: The registered provider’s policies regarding complaints and adult safeguarding were inspected. These appear to be generally satisfactory. However, policies need to be updated with the name of the ‘Care Quality Commission’ and our new contact details. The ‘adult protection’ policy should now be referred to as ‘adult safeguarding’, with correct details of the new Cornwall Council unitary authority (as the coordinating authority for any safeguarding alerts), and their new contact details. The registered provider said people who use the service have all received a service user guide which contains information how to make a complaint. The registered provider said no complaints had been received, and the commission has also not received any concerns or complaints. There have also not been any safeguarding alerts. People, we spoke to, said they had confidence that staff and management would take matters seriously if they had any concerns, and would deal with matter appropriately. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 14 Most staff have received training regarding the prevention of abuse either delivered internally or via training delivered by Cornwall County Council. Staff, and people who use the service, who the inspector spoke to said they were not aware of any abuse or bad practice. Management said there had not been any referrals to the Department of Adult Social Care regarding adult safeguarding issues since the last inspection. One referral has been made to the Protection of Vulnerable Adults Register regarding an ex member of staff, who the provider believes is not fit to work with vulnerable people. This referral has been dealt with appropriately following a concern raised at the last key inspection. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A high standard of accommodation is provided to people living at the home so they can enjoy a comfortable home life. EVIDENCE: The building was inspected. St Clair House is situated centrally in the west Cornwall town of Camborne. The building is very pleasant and well maintained. Internal decorations are also maintained to a high standard. There is a very pleasant garden which people who use the service can use for recreational purposes. The registered provider is planning to extend the building, and plans of this have been shared with various stakeholders including people who use the service. Bedrooms are pleasant and individualised according to people’s wishes. Bathroom and toilet facilities are satisfactory. The downstairs shower is currently not used, and people go upstairs for a bath / shower. There will be a St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 16 more appropriate communal facility on the ground floor once the extension is completed by the end of 2009. No requirement has been issued to improve downstairs facilities. However the current downstairs shower room should be made available, and its use should be offered; if people have suitable mobility, and they wish to use it. There are two downstairs lounges, and a dining room. All rooms are decorated to a good standard. All facilities were clean and hygienic on the day of the inspection. Laundry facilities are satisfactory, and people who use the service said the laundry service works well. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels are satisfactory. Some improvement is required to recruitment procedures, personnel documentation and staff training, so people living in the home can be more assured staff employed are deemed suitable to work with them. EVIDENCE: The rota was inspected. Currently there is three care staff on duty in the morning, and between two and three care staff on duty in the afternoon, and evening. At night there is a waking night member of staff and one person who ‘sleeps in’ and can be woken for example in an emergency. The manager is on duty during the day, and the registered provider is based at the home. The registered provider said staffing levels would be reviewed and increased when the new extension is commissioned. Personnel files were also inspected. All staff should have suitable records required by regulation. For example an application form; proof of identity; a Protection of Vulnerable Adults ‘First’ check (POVA First-this checks the person against a list of people deemed unsuitable to work with the vulnerable); a Criminal Records Bureau check(CRB-this is a check to ascertain if someone has a criminal record which may mean they are not suitable to work with the vulnerable); two written references including one from the person’s previous employer, and other documentation outlined in the Care Homes Regulations 2001. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 18 Records were assessed for 10 people employed at this home (i.e. those on duty during the 24 hour period on the day of the inspection). These staff have an application form, the majority have two references (although two references were not received for two staff), most staff have a POVA First check and/ or a CRB check before they commenced employment (however one member of staff had no record of a CRB-this person had been in post in an ancillary role for many years), there was an absence of documentation verifying identification for some staff (although this must have been seen when a CRB was applied for). Basic information verifying medical fitness is included on the application form; although it is advisable that this is more detailed. Training records were also inspected for the same group of staff. By law all staff must have: • Regular fire training in accordance with the requirements of the fire authority. This training should occur at least annually. • There must always be at least one first aider on duty (at appointed person level). • All staff must have manual handling training. • All staff must have basic training in infection control. • If staff handle food they must receive training regarding food hygiene. • All new staff must have an induction and there should be a record of this. The registered provider has produced generally good records including a table with an overview of training delivered. There are some gaps in training required by regulation. For example: • Fire Training. Records show eight people in the sample appear to have received some training since December 2007 regarding this matter. This training should be delivered at least annually (for example at least via internal training). • First Aid. There were a satisfactory number of first aiders on duty, although not all staff had received this training. • Food Handling; Three staff have received this training. Staff require to be trained in this area if they handle food (e.g. making a sandwich). At least training via the Food Standards Agency manual ‘Safer Food, Better Business’ should be completed if staff handle food. Kitchen staff should have a food handling certificate. • Infection Control- two staff in the sample had evidence of this trainingalthough the home’s overview chart points to a higher proportion of staff that have received this training. • Induction-Three staff did not have a written record of this-although staff and management who we spoke to said induction procedures were comprehensive. We are issuing a statutory requirement regarding outstanding training required by law. St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 19 The provider has a good approach to assisting staff to have a national vocational qualification in care. The registered provider stated 10 people have an NVQ at least at level 2. The home’s training chart also shows that some staff have also attended training regarding health and safety, dementia, palliative care, the Mental Capacity Act, diabetes, deprivation of liberty, continence and Parkinson’s Disease. St Clair House Care Home DS0000041642.V375118.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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management arrangements are satisfactory although improvements are required to develop the home’s quality assurance policy and to improve health and safety precautions. This will help to assure people who live in the home that they can be more confident they live in a totally safe environment. EVIDENCE: The registered provider manages the home on a day-to-day basis. Mr Maund is based daily at the home, and is assisted by the manager of the home Ms L Crowley. Ms Crowley is currently not registered with the commission, and as Mr Maund is based full time at the home there is currently no requirement for her to do so. The registered providers Mr and Mrs Maund appear to have suitable skills, experience and knowledge to carry out the management of the St Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 21 home. The home seems well organised and care is provided to a good standard. The registered provider has a quality assurance policy. However, this is a purchased ‘off the shelf’ policy, which does not necessary, reflect the practices in the home. However, the quality assurance processes in existence seem generally satisfactory. For example maintenance standards are good, surveys have been completed with people who use the service and other stakeholders. There are also ‘resident meetings’ taking place. People who use the service, and the staff who we spoke to said they were happy living or working in the home. The policy should therefore reflect the practices in place, which achieve these good outcomes. The registered provider said no monies are handled on behalf of people who use the service. Any items e.g. toiletries or groceries, purchased by the home for people’s personal use are invoiced. The registered provider confirmed the company or any staff do not act as appointees of the financial benefits or other personal finances for any people who use the service. The registered provider has a health and safety policy, which appears satisfactory. Fire precautions are only adequate. Equipment has been serviced by appropriate contractors. There is a fire risk assessment in place. Fire alarm call points are tested weekly. However records show that the testing of emergency lighting is not as frequent as it should be. This is unsatisfactory and must be improved. Portable electrical appliances were tested (according to stickers placed by the contractor on plugs) on 27/3/09, but the registered provider needs to chase up the contractor so a schedule of equipment tested is available for inspection. The electrical ‘hardwire’ circuit was last tested on 26/3/2003. This needs to be tested at least every five years. The registered provider said he aims to ensure this is completed when the home’s extension is built. A copy of this needs to be forwarded to the commission. The registered provider should seek advice from a qualified electrician / and / or the health and safety officer (at environmental health who are the enforcing authority on this matter) that delaying the test will not put staff or people who use the service at risk. Moving and handling equipment has recently been tested in January 2009. There is a process of health and safety risk assessment. Gas appliances were tested as safe in July 2008. The nursing call system was serviced in May 2007. There is a risk assessment regarding the prevention of legionella and suitable precautions seem in place regarding this. The environmental health department health and safety officer last visited the home in May 2003. The environmental health department food safety inspector last visited the home in January 2009. There was an up to date insurance certificate displayed. St Clair House Care Home DS0000041642.V375118.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 3 3 3 X X X 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 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 St Clair House Care Home DS0000041642.V375118.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 OP29 Regulation 19 Requirement All staff must have pre employment checks as required by regulation (for example two written references, a Criminal Records Bureau check). This will help to ensure that people who work in the service are deemed suitable to do so. Staff must receive training required by regulation. For example as outlined in the body of the report This will help to ensure staff are equipped with the knowledge and skills to carry out their roles The registered provider’s quality assurance policy should be developed to reflect current procedures in the home. This will help to ensure there are satisfactory policies and procedures to assist in the continuous improvement of standards in the home. Emergency lighting must be tested at intervals recommended DS0000041642.V375118.R01.S.doc Timescale for action 01/06/09 2. OP30 18 01/11/09 3. OP33 24 01/08/09 4. OP38 13, 23 01/06/09 St Clair House Care Home Version 5.2 Page 24 by the fire authority. Regular testing will ensure equipment works, and will assist evacuation if there is a fire The electrical ‘hardwire’ circuit must be tested at least every five years. Testing will ensure the system is safe, and reduce the risk of electrocution or fire. 5 OP38 13, 23 01/11/09 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 Clair House Care Home DS0000041642.V375118.R01.S.doc Version 5.2 Page 25 Care Quality Commission South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. 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