Inspection on 24/08/05 for 1 Cranwell Grove

This inspection was carried out on 24th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

1 Cranwell Grove 14/03/07

1 Cranwell Grove 26/01/06

1 Cranwell Grove 07/09/04

1 Cranwell Grove 14/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Cranwell Grove Whitchurch Bristol BS14 9QR Lead Inspector Karen Walker Unannounced 24 August 2005 10:00 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 1 Cranwell Grove Address 1 Cranwell Grove Whitchurch Bristol BS14 9QR 01275 540115 0117 9699000 info@brandontrust.org The Brandon Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Stuart Michael Robbins Care Home only 4 Category(ies) of LD Learning disability, for 4 registration, with number LD(E) Learning dis - over 65, for 4 of places 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Stuart Robbins to achieve NVQ level 4 in Management and Registered Managers award. Date of last inspection 07/09/2004 Announced Brief Description of the Service: 1 Cranwell Grove is a voluntary care home registered with the Commission for Social Care Inspection to provide accommodation and personal care to four residents with a learning disability. Currently there are four men living at the home. The home is situated in a residential area of the city, close to local amenities and bus routes. The Brandon Trust operates the home. The home has access to major bus routes into the city centre and the surrounding areas. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met with two staff members and 3 residents. Records were examined relating to those residents. Records relating to health and safety procedures and policies were also examined and the appropriate requirements made. Discussions were held with the Clinical Service Manager and the temporary manager for the home. Residents were non-verbal but communicated to the inspector through body and facial gestures. What the service does well: What has improved since the last inspection? Residents now benefit from receiving the appropriate healthcare checks including the optician. The optician is able to monitor sight and the onset of eye disease thus ensuring early treatment. The complaints recording system has changed ensuring all necessary information is recorded and the appropriate action is taken within the required timescales. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 6 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. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,5 Cranwell Grove does not adequately meet the assessed needs of the current resident group and residents are not empowered to reach their goals and aspirations. EVIDENCE: Assessments were in place carried out by social services it was noted that they contained the following information; Mobility needs Personal care needs Mental and emotional healthcare needs General health care needs Social and spiritual needs Housing and education The inspector saw that some of the initial assessments linked to the residents current plans of care and the essential lifestyle plans. Unfortunately the ‘planning for life packs’ were not completed and tracking information was difficult. Policy states that perspective residents can not move into the home without an initial assessment to ensure the needs of the resident can be met. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 9 One resident’s assessment and reviewed plan of care highlighted the importance of attending church every Sunday where he knew the congregation and the vicar well. However daily records show that these visits had not taken place. The staff member who aided the inspector in this inspection said that it was not a planned outing in the summer because he had to use his transport and this impacted on the other residents and there were often a lack of drivers available. Staff are reminded that this resident receives an allowance for his own transport and his assessed needs must be met. It is a requirement that this person has his spiritual needs met in that he is empowered to attend his church with support from staff. Staff shortages are a management issue and should be dealt with according to the needs of the residents. Contracts were in place as was updated information regarding the fees paid. Whilst it was noted that these documents were not in a ‘user friendly format’ it is also noted that all residents have differing communication needs and all are non-verbal. At the last inspection one staff member said they had tried to provide accessible contracts and had produced an audio version. A video version was also tried but the residents showed no interest in either option. It is recommended that advocates be sought for residents. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 Residents are able to be involved in the decision-making processes regarding choices made in every day living. Whilst residents are supported to take risks these risks must be recorded and adequately reviewed to ensure they make a difference to independent lifestyles. EVIDENCE: The key-worker to one resident was able to describe his care needs and his likes and dislikes. The planning for life folder had been started but lacked specific information required to adequately support him. This has also been covered in standard 20. Risk assessments were varied and covered many aspects of daily living however some were written 7 years ago and would benefit from being rewritten completely. Care Plan reviews have taken place and work needs to be done around ‘wishes for the future’ and ‘wishes in the event of death’. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 11 More detailed risk assessments are needed around accessing the community in light of one resident that went missing for a number of hours whilst at his day centre. It is a requirement that a detailed risk assessment be put in place and shared with the appropriate day centre. The inspector was told that staff have found different strategies for offering residents choice, these include using pictures to offer food and drink choice. The inspector saw that one communication folder has pictures of all sorts of activities and the resident is encouraged to use this as a communication tool. When decisions have been made on behalf of the resident by another person this has been recorded in the form of a risk assessment. One example of this is the inability of residents to manage their own finances. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,15, Residents have the opportunity to visit places of interest and to become a part of the local community. EVIDENCE: Records show that residents are supported to maintain close family contacts. Relatives are involved in care plan reviews and one relative brings along her own advocate for support and advice. There was evidence of attendance to colleges and day centres suited to the individuals’ interests and abilities. Residents have opportunities for personal development whilst at the day centre. Staff members said community facilities were used that included local shops and amenities and leisure facilities. One resident is not having his needs met in respect of attending the church of his choice and this subject has been discussed fully in standard 3. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Residents are not adequately protected by the homes medication policies and procedures currently in place. Residents’ benefit from the positive relationships forged with staff. EVIDENCE: The medication administration sheets were examined. The following issues of Serious Concern were identified. 1. Medication administration sheets were unclear and it was noted that: 2. Medication was not signed as administered 3. PRN medication was not stock checked and thus difficult to track 4. Medication used for ‘sleepless nights’ was not mentioned in the appropriate care plan 5. Medication was listed on medication administration sheets that staff were unaware of 6. Out of date medications were stored 7. Rectal diazepam was stored when staff have not received the appropriate training 8. Prescribed creams to relieve irritated sore skin is not being administered 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 14 Immediate requirements were left with the home and the clinical service manager was informed of the expected outcome. As stated in the Notice of Immediate Requirement for action issued at the time of this visit it is required that immediate action be taken to address the issues identified. It was clear when examining various records that residents receive the appropriate specialist support and advice where needed. This includes input from the continence advisor, physiotherapist, occupational therapist etc. There was an Occupational Therapy assessment in place regarding sensory integration for one resident. Where there was a need an assessment had been carried out regarding Podiatry input. The inspector saw that residents were able to choose the clothes they wore and accompanied staff on shopping trips to purchase clothes. Staff were observed knocking on residents doors and speaking respectfully to them. There were positive relationships observed between staff and residents. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Residents are supported by some staff members who have little or no knowledge of the policies that have been put in place to protect them. EVIDENCE: The complaints recording format has been changed as a result of recommendations made at the last inspection. It is now clear who will do what and when. Residents are unable to verbalise their concerns or complaints and staff are mindful of this. The complaints procedure is in a picture format but staff feel this is still difficult for some residents to understand. Staff members must therefore act as advocates and when they become aware of concerns they must be recorded and acted upon. It is again strongly recommended that advocacy services be sought. One staff member spoken with was unaware of the ‘whistle blowing’ policy or of the ‘No secrets’ in Bristol DOH guidance on reporting suspected abuse. There were no copies of the General Social Care Councils Codes of Conduct in the home. This was later discussed with the community services manager and the temporary manager who said they would take measures to ensure all staff were informed of the relevant policies and would implement a ‘check list’ where staff will be expected to sign policies as read and understood. One staff member said protection from abuse training was booked for himself and one other staff member. It is recommended that protection from abuse training take place on a regular basis as part of the rolling programme of statutory training. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 25,30 Hand washing equipment is not available to residents thus impacting on their independence and choice. There is also a risk of the spread of bacteria if hand washing is not encouraged or supported. Bedrooms are individualised and comfortable. EVIDENCE: These standards were not fully assessed although the inspector was invited into two residents’ bedrooms and these were found to be clean and tidy. Both rooms were individualised and contained adequate furniture and personal touches. It was noted that there was no soap or towel available in the upstairs bathroom. This was a requirement of the last inspection and has not been carried out. If there is a reason as to the lack of appropriate hygienic facilities this must be fully recorded and alternatives found i.e. quick drying hand antibacterial hand wash etc. This will be assessed at the next inspection. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35,36 Residents benefit from a staff team that seek training and guidance on issues relating to the needs of the resident group. EVIDENCE: One Staff member spoken with was aware of his skills and limitations and confirmed he had worked through the Learning Disabilities Award Framework (LADAF). He was also completing the NVQ 2. He confirmed he was planning a ‘positive communication’ training day that would be beneficial in the way residents are supported. Another staff member confirmed she had carried out some statutory training and training relevant to the needs of the current resident group. At the last inspection the manager said he had access to the staff records maintained at the Brandon Trust HQ and has completed a checklist of the required documentation. However it remains a requirement that all of the documentation required by regulation 17, schedule 4 is held on the premises. The Brandon Trust and the Commission are currently in ‘negotiation’ regarding this continued requirement. Although supervision records were not examined staff confirmed supervision sessions were held on a regular basis. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,40,41,42,43 Residents do not benefit from adequate health and safety risk assessments in that a fire risk assessment is lacking. The Brandon Trust policies and procedures ensure staff and residents best interests are protected however to enable them to work efficiently staff must be aware of and understand them. EVIDENCE: The registered manager has taken a position in another Brandon Trust home and the acting manager has been on long term leave. There is a temporary manager now in place who has been drafted from another home to support the team and residents. This manager is both registered with the CSCI and has significant experience of supporting residents with learning disabilities. She is also a qualified learning disability nurse. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 19 This arrangement is on a short-term basis only and an alternative measure must be found. The Brandon Trust are keeping the CSCI informed of management changes and support mechanisms in place. There are a number of changes to be made to the running of the home and many of the requirements made on the day of the inspection have been actioned. A health and safety audit takes place on an annual basis; the Brandon Trust carries this out. Regulation 26 visits were confirmed as taking place on a monthly basis. Copies of these reports are sent to the Commission for Social Care inspection. The inspector spoke with the service manager responsible for the home and she is ensuring extra support is given to staff at this time. There was evidence in daily entries and care plan reviews that the views of relatives are sought and that they are involved in the essential lifestyle plans and care plan reviews. Policies and procedures were briefly examined and as mentioned in this report staff members were not always fully conversant with the essential policies put in place to safeguard residents best interests. The inspector took the opportunity to examine the residents’ financial records. Four balances were checked and found to be correct at the time of inspection. It was noted that receipts for the residents’ purchases were kept and numbered. Records of a confidential nature were locked away. Records required by regulation were in place apart from the staffing records, which has already been addressed, in standard 34. Record keeping issues have been addressed throughout this report. The fire logbook was examined and it was noted that there was not an adequate fire risk assessment in place. There was however an unfinished brief assessment relating to a ‘fire at night’ written in December 2004. This is not adequate and it is a requirement that a risk assessment be put in place that has been agreed by the Avon Fire Brigade. Records show that portable appliance testing takes place annually. The home has a locked COSHH cupboard and all substances were locked away at the time of the inspection. Product data sheets are in place. Staff members confirmed they have received first aid and manual handling training there was evidence of this in the training records. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 20 The inspector noted that there was a disaster plan in place this covered night time emergencies, on call arrangements, health care arrangements and individual resident information, accidents, gas leaks, missing persons etc. The Brandon Trust is a large organisation with overall responsibility for the home. There is a business plan in place that is produced annually; this then feeds into the homes annual plan. The inspector saw the liability insurance document was displayed along with the registration certificate. There are clear lines of accountability throughout the Trust that the staff are aware of. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 1 x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x x 2 Standard No 11 12 13 14 15 16 17 3 x 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Cranwell Grove Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 2 3 Version 1.40 Page 22 D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation Requirement Timescale for action 4/09/05 2. 20 3. 20 4. 5. 6. 20 20 20 12(3)(4)( residents spiritual needs must b)16(2)(m be met and one resident must be )16(3) empowered to attend his church with support from staff schedule A record must be kept of all 3(3)(a)13 medications in the home (2) including the date and time administered, the stock balance and whether medication is for long term or PRN use. 15(i) Where staff administer medication on a PRN basis this must be included in a plan of care with clear guidelines as to how and when it should be administered. Use must be adequately recorded and reviewed. Reg 15(i) 13(2) Return out of date medication to the issuing pharmacist. 13(2) Ensure prescribed creams are administered as instructed. 18(1)c (i) All staff who administer medication must receive the appropriate training either by the pharmacist or an alternatively qualified person. Records must be kept and training updated on a regular basis. Reg 18(1)(c)(i) Timescale for action 29/08/05 D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc 29/08/05 29/08/05 29/08/05 29/08/05 31/08/05 1 Cranwell Grove Version 1.40 Page 23 7. 9 13(4)(b) 8. 6 15(1)12(3 ) 9. 30 12(4)(a)1 3(3) 10. 34 schedule 4 6a-f 11. 42 13(4)c 12. 13. 42 23 23(4)(d)( e) 18(4) a detailed risk assessment must be put in place regarding safety in the community this must be shared with the appropriate day center. Care plans must be completed and contain all relevant information to support an individual including wishes in the event of death. this requirement was made at the last inspection and has not been met. Residents must be provided with hand washing equiment, soap and towels in toilets and bathrooms. If there is a reason as to why this is not practical this must be recorded and alternatives must be found i.e. quick drying hand wash etc. all of the documentation required by schedule 4 relating to staff records to be held on the premises. This is a repeated requirement. it is a requirement that a fire risk assessment be put in place that has been agreed by the Avon Fire Brigade. All staff to recieve adeqate fire training within timescales set by the Avon Fire Brigade Ensure staff have access to and understand the whistle blowing policy, the No Secrets in Bristol policy and the General Social Care Council Codes of Conduct. 31/08/05 30/09/05 24/08/05 1/01/06 14/09/05 1/09/05 14/09/05 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 Version 1.40 Page 24 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc 1. 2. 5 23 It is recommended that advocates be sought for residents. It is recommended that protection from abuse training take place on a regular basis as part of the rolling programme of statutory training. 1 Cranwell Grove D56_D05_S26575_CranwellGrove_V243777_120805_Stage 2.doc Version 1.40 Page 25 Commission for Social Care Inspection 300 Aztec West Almondsbury Bristol BS32 4RG National Enquiry Line: 0845 015 0120 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. 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