Inspection on 13/05/05 for 26 Beltinge Road

This inspection was carried out on 13th May 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

26 Beltinge Road 19/01/09

26 Beltinge Road 25/03/08

26 Beltinge Road 26/07/06

26 Beltinge Road 16/10/05

26 Beltinge Road 21/09/04

26 Beltinge Road 29/04/04

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Thorndene

Insight - Eastchurch

Southfields

Magenta

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33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 26 Beltinge Road 26 Beltinge Road Herne Bay Kent CT6 6DB Lead Inspector Kim Rogers Unannounced 13/05/2005 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. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 26 Beltinge Road Address 26 Beltinge Road, Herne Bay, Kent, CT6 6DB 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) 01227 375210 01227 740371 info@cmg_corporate.com Care Management Group None CRH 11 Category(ies) of Care Home for Younger Adults x11 registration, with number of places 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to provide personal care and support to up to 11 younger adults, between 18-65 years who have a learning disablility. Date of last inspection 21/09/04 Brief Description of the Service: 26 Beltinge Road is a care home providing personal care and support to 11 adults from 18 to 65 years with learning disabilities.The Home is owned and managed by the Care Management Group who own two smaller homes close by and others throughout the southeast.The property is a large Victorian detached building with gardens to the front and rear. Parking is restricted to the road at the side and front of the property. Accommodation consists of single rooms on various levels accessed by stairs making the home unsuitable for people with limited mobility.The Home is situated close to Herne Bay town centre where there are shops, bus stops and a railway station. Other local amenities are easily accessed. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and carried out on a Friday afternoon and evening. There are currently 10 Service Users living at the home. All of the Service Users were at home during the visit. The Inspector spoke to Service Users on an individual basis and as a group. Service Users appeared happy and well cared for. A Service User showed the Inspector their room. The Inspector spoke to the Deputy Manager and staff, viewed some records and made a tour of the home. The Manager, Audrey Emmett was not at the home during the visit. The Inspector sampled Service User plans and watched medication being administered by staff. The home was generally clean and orderly. There were three staff on duty with the Deputy Manager. Service Users were arriving home from day centres and colleges during the visit. After dinner Service Users relaxed either in their rooms or by watching television in one of the two lounges. One Service User spent time on the computer and another went out to the local shops. Service Users said ‘ Audrey is a good Manager ‘, ‘The staff care for me’ ‘I like the new shower’’ and ‘The food is good’ Staff said they enjoy their jobs and that the Manager is approachable and supportive. The Inspector was unable to assess the progress towards all of the previous requirements as staff were unable to access some records. These requirements will be assessed at the next inspection. The Manager has produced an action plan detailing how the requirements will be met. The house is a large Victorian house set over several levels situated in a conservation area. Most of the requirements made at this and previous inspections relate to the building and environment. What the service does well: What has improved since the last inspection? 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 6 Staffing vacancies have been filled; this means there has been no use of agency staff. Staffing is more consistent leading to more continuity in the care provided. The home has a new washing machine. Some bathrooms and toilets have been decorated. The laundry walls have been made washable. The Statement of Purpose and Service User Guide are now in line with the standards. 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. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 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 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 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 Service Users know their needs will be assessed. Service Users are aware of their roles and responsibilities. EVIDENCE: The Manager carries out assessments before a person moves into the home. Assessments by Care Manager may also be received. These assessments form the basis of the Service User plan. The Inspector sampled some Service User plans. Initial assessments are held in a Service Users main file in the Managers office. Up to date Service User plans are held in the staff duty office and are used as a ‘working document’. The Inspector noted that Service Users are issued with a contract of terms and conditions of residency. The contracts included pictures and symbols making them more accessible to Service Users. The information contained was in line with the National Minimum Standards. Service Users or their representatives had signed the contracts seen. The home works closely with health professionals and the local community team to ensure the home can meet a persons needs. No Service User has moved into the home since the last inspection. The home is intended for longterm care and support. Some Service Users use alternative forms of communication. The Deputy Manager said that some staff have Makaton skills to enable them to communicate with Service Users. Staff spoke with knowledge ad understanding of Service Users communication needs. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 9 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 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) 6,9,10 Service Users know that their personal goals are reflected in their individual plans and that potential risks are identified and managed. EVIDENCE: The Inspector sampled Service User plans. Each Service User has an individual Service User plan. Service Users needs and goals are identified and recorded with actions taken by staff detailed to support these needs. Regular formal reviews are held and detailed records are kept. Service Users are supported to invite their families and representatives to their reviews. Each Service User has a key worker. Key workers complete monthly reviews of Service User plans, which were included in files seen. Service User plans were clear and up to date and stored securely in the staff duty office. Any restrictions on choices and freedom made in the best interests of Service Users are detailed in Service User plans. Staff spoke with knowledge of diffusion and distraction techniques they use when a Service User may become anxious or aggressive. Following support from the home, a Service Users aggressive behaviour has significantly reduced since the last inspection. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 11 Assessments of potential risks are included in Service User plans with action taken to eliminate and reduce these risks. Risk assessments are regularly reviewed. Records seen were up to date and clear. Records are stored securely by the home. The home has a statement on confidentiality. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 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) 11,12,13,14,15,16,17 Links with the community are good and support and enrich Service Users social, spiritual and educational opportunities. EVIDENCE: The home has links with local colleges, day centres, adult education facilities and churches. The home is situated near the centre of Herne Bay within easy reach of these facilities. One staff member told the Inspector that they felt this was a strength of the home. A Service User said they like going to college where they are developing their literacy skills. Another Service User said they like cooking and computing at college. Another Service User told the Inspector they go to church every Sunday with a friend. Staff support Service Users to access community facilities and can use the home’s vehicles. Each Service User has an activity planner in their Service User plan. Activity plans included daily living skills for example, ironing and cleaning. One to one time with staff was detailed on these planners. Service Users have support to access local clubs, pubs, shops etc. One Service User went to the shops during the inspection. Service Users have had support to 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 13 plan and book their holidays. Two Service Users were preparing to go abroad with two staff the following week. The Care Management Group has a finance officer who can give advice on benefits and finances. The Inspector noted that Service Users were supported to vote in the recent general election. Service Users hobbies and interests are supported by the home. Relationships with families and friends are supported. One Service User was supported to telephone his parents during the visit. Relatives are invited to reviews where appropriate. The atmosphere during the visit was quite relaxed. Service Users were choosing where to spend their evening. Some spent the evening in their room; others watched television in one of the two lounges. Service Users told the in they like to watch the soaps on television. During the visit the evening hot meal was served. This was fish cakes, chips and baked beans. Care staff prepare and serve the meals at the home. All Service Users ate with staff in the dining room. The atmosphere was relaxed with Service Users given the time and support they need. The Deputy Manager said that Service Users help plan the menu on a fortnightly basis. Service Users are able to help prepare meals in the kitchen depending on their needs. Weight is monitored in Service User plans. One Service User said ‘the food is good. I like sausage and chips and chicken curry’ Two Service Users said they like buying their own lunch at college. The Inspector was disappointed to note that the kitchen still requires some attention especially the floor. This is outstanding since the last inspection. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 14 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 The health and personal care needs of Service Users are met with evidence of good multi disciplinary working taking place on a regular basis. The medication at this home is well managed promoting good health. EVIDENCE: Personal care needs are recorded in Service User plans. Preferences about how Service Users wish to be supported are also recorded. The home has two bathrooms and one shower room, which are all fitted with indicator locks for privacy. A Service User told the Inspector that they liked using the shower. Service Users were all dressed in their own clothes with individual styles. The Deputy Manager said that the home would seek advice about adaptations and equipment to promote independence where necessary. Heath needs are detailed in Service User plans. Health is monitored and advice from professionals sought when necessary. Health needs are reviewed and discussed at formal reviews. All Service Users are registered with a GP. Staff support Service Users to arrange regular heath checks including dental checks and visits to the optician. The home has worked closely with health professionals in respect of one Service User who was challenging the service. Medication is stored securely in the staff duty office. The office is kept locked and the window is opaque. The medication cupboard was orderly and not overstocked. The medication administration records were in order. The 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 15 Inspector observed medication being administered by the senior staff. Staff said they only administer medication after completing training and a competency appraisal. No Service User at the home self medicates. This decision follows a risk assessment carried out by the Manager. Service Users are asked to come to the office one at a time where their medication is administered in private. Correct procedures were followed. Service Users have their medication reviewed regularly. The home has a medication policy and procedures and protocols relevant to the home. The home’s medication protocol has been developed since the last inspection. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 16 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) 23 Staff have knowledge and understanding of adult protection issues which protects Service Users from abuse. EVIDENCE: When questioned staff could tell the Inspector about different types and signs of abuse. Staff said they would report suspected abuse to the Manager or Deputy Manager. The staff member remembered covering adult abuse during their induction but could not remember attending subsequent refresher training. At this part of the visit the Deputy Manager was not available to open the Managers office to check the records. Following the inspection the Inspector spoke with the Manager who agreed to audit staff records to ensure that all staff have attended refresher training and are competent in abuse procedures. The home has an adult abuse and whistle blowing policy. Since the last inspection issues about Service User savings accounts have been addressed. Three current permanent staff including the Manager and Deputy Manager are now signatories, with two having to sign to withdrawal funds. Neither the home nor the Commission has received a complaint about the home since the last inspection. The home has a suitably detailed complaints procedure, which is displayed around the home and included in the Statement of Purpose. One Service User said ‘ If I have a problem I go to Audrey. She listens to me’ 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 17 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) 24,25,26,27,28,30 Recent investment has improved the appearance of the interior of this home creating a comfortable environment for Service Users. Further improvements are needed to enhance Service Users quality of life and protect their health and safety. EVIDENCE: Accommodation at the home is set on a number of floors all accessed by stairs. There are three steps down to the kitchen and five steps down to the dining room. Due to the number of stairs, the home is unsuitable for Service users with limited mobility. Service users currently at the home can access all communal parts of the Home. The home has two lounges, a kitchen, dining room and eleven single bedrooms. All bedrooms have a wash hand basin. The home is not intended for short term or respite care, as there are no separate premises, facilities or equipment. Service Users have unrestricted access to the communal areas and gardens. A new kitchen has been fitted. However, at the last inspection the Inspector noted that the flooring was raised and split and needs replacing as it has become permeable. The Manager has gained quotes for new flooring but is waiting funding from the Care Management group who 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 18 owns the home. This is also the case with the flooring for the laundry, the replacement and repair of windows (some of which do not open) and the repair of external fascias, which are rotten. These necessary repairs to the building are detailed in the last inspection report. The Inspector will be monitoring the progress towards meeting requirements regarding the environment. Since the last inspection the laundry walls have been made impermeable as required. One WC, the shower room and one bathroom have been decorated. One of the WC’s was broken and out of use. The Inspector required this be repaired or replaced. The home was generally clean and suitably fragranced. Furniture was domestic in nature. Bedrooms are for single occupancy and are personalised with Service Users own possessions. One Service User showed the Inspector his room. The Service User said he was happy with his room. The Inspector noted that the bed base was broken and required that it be replaced. Staff said the home has a problem with pigeons. This has been reported to the maintenance department. The Inspector will monitor this problem. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 19 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) 31,32,33 After a period of instability in staffing there is now a good match of sufficient permanent staff offering consistency of care within the home. EVIDENCE: Staff spoken to during the visit were aware of their role and responsibilities. The line management of the home is clear. Vacancies have been filled so the home has not used agency staff since the last inspection. No staff have left since the last inspection. There are three staff on duty from 7am to 10pm, split into two shifts, seven days a week. At night there is one waking staff and a sleep in staff. There is always a senior staff on duty. The Manager and Deputy are on call. Staff said ‘ we can always get hold of Audrey (the Manager) when we need to’. Staff told the Inspector they have been given opportunities to develop. The Deputy Manager said he has been given some time to work alongside the Manager in the office. He said ‘ I have learned a lot, especially about recording and reporting’ ‘Audrey has shown me how risk assessments work’ and ‘Audrey has given the home stability’ Service Users said ‘the staff care for me’ and ‘staff are good for me’. Some staff are working towards a National Vocational Qualification. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 20 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) 37,38, Service Users and staff benefit from a well run home. EVIDENCE: Mrs. Audrey Emmett is the Manager of the Home and plans to apply to the Commission to be the Registered Manager. Mrs. Emmett was previously a Registered Manager at another Care Management Group Home in Kent. Mrs. Emmett transferred to 26 Beltinge Road at the beginning of July 2004. Mrs. Emmett has several years experience and has completed the City and Guilds Advanced Management in Care Award and is also a qualified teacher. Mrs. Emmett is required to consolidate her experience and qualifications by completing the required National Vocational Qualifications in Care and Management both at level 4. Staff and Service Users were complimentary about the management of the home. Staff said that the Manager is approachable and supportive. Staff said ‘ Audrey leads by example’ and ‘she gives lots of guidance and support’ A 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 21 Service User said ‘Audrey is a good Manager ‘ Staff said they attend regular staff meetings and have regular one to one supervision meetings with a line Manager. Staff said the home has felt more stable since the new Manager joined the home. The home has the required public liability insurance. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 22 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 3 x 3 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 2 2 3 x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score 3 2 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 26 Beltinge Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 x x x x x H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 23 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. 2. 3. Standard YA30 YA30 YA24 Regulation 23 23 23 Requirement The Registered person must ensure that the laundry floor is impermeable. The Registereed person must ensure that the kitchen floor is impermeable. The Registered person must ensure that windows and fascias are repaired or replaced in line with the homes action plan. The broken WC must be repaired. The broken bed in one Service users room must be replaced. The home must be free from pests. Timescale for action 31/10/04 31/12/04 31/12/04 4. 5. 6. YA27 YA26 YA30 23 16 16 30/08/05 31/05/05 13/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA37 YA32 YA23 Good Practice Recommendations The Manager should be qualifed to level 4 NVQ in care and NVQ level 4 in management by 2005. 50 of care staff should be qualified to at least level 2 NVQ by 2005. Staff should be competent in recognising and reporting H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 24 26 Beltinge Road abuse. The Manager should audit the records to ensure all staff are trained and competent. 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent, TN23 1HU 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. Extracts may not be used or reproduced without the express permission of CSCI 26 Beltinge Road H56 H05 S23302 26 Beltinge Road V225752 130505 Stage 4.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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