Inspection on 05/02/06 for Abbey Grove

This inspection was carried out on 5th February 2006.

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

Abbey Grove 18/07/07

Abbey Grove 19/06/06

Abbey Grove 12/11/05

Abbey Grove 30/11/04

Abbey Grove 15/07/04

Abbey Grove 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Abbey Grove 2-4 Abbey Grove Eccles Gtr Manchester M30 9QN Lead Inspector Sylvia Brown Unannounced Inspection 5th February 2006 1:30pm X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Abbey Grove Address 2-4 Abbey Grove Eccles Gtr Manchester M30 9QN 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) 0161 789 0425 Coveleaf Ltd Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th November 2005 Brief Description of the Service: Abbey Grove is an established care home providing accommodation for 19 older people who require personal care only. The registered provider is Coveleaf Ltd. Abbey Grove is a detached property situated in a residential area of Eccles. The home is set in small, enclosed grounds, which provide parking facilities to the side, rear and front of the property, and a patio area leading to a formal lawn area to the side of the building. A ramp provides access to the patio area. Accommodation for residents is provided on the ground and first floor: a passenger lift provides access to all floors. The home offers accommodation in 13 single bedrooms and three double rooms. There is ample communal space comprising of two lounge areas, quiet sitting areas and a designated smoking area. The dining room is situated next to the kitchen. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Abbey Grove was unannounced and was undertaken on a Sunday, with a total of eight hours spent on the premises. Time was spent talking with residents and observing care staff practices and general routines within the home. An evaluation of records was undertaken, including care plans and health and safety documents. The inspector also assessed the home’s progress in meeting requirements and recommendations made at the last inspection and ensured that all the core standards have been evaluated within the inspection year. During the course of the inspection the new manager attended the home to introduce herself and facilitate the inspection. On concluding the inspection the inspector gave verbal feedback to the manager regarding the outcome of the inspection, including requirements and recommendations made. Comment cards were left at the home for both residents and relatives to complete at their leisure. None had been received at the time of writing the report. What the service does well: What has improved since the last inspection? Since the last inspection in November 2005, the then new manager has resigned. A new manager has been recruited and commenced employment nine days prior to the present inspection. As a consequence of the management changes, the home has had little opportunity to develop and improve its practices, or comply with all the requirements and recommendations made at the last inspection. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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 Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5. Standard 6 is not applicable to the home. Information provided to residents about the home is out of date and does not provide them with enough detail. The home has not ensured residents have the correct documentation in place at the point of admission. EVIDENCE: Inspection of two files for newly admitted residents identified that required documentation and processes had not been completed prior to or after admission. There was no evidence that the residents had been supplied with the home’s statement of purpose and service user guide. Furthermore, the statement of purpose and service user guide were out of date and inaccurate, as well as not detailing required information. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 9 The inspector evaluated the records for two recently admitted residents. There was no evidence of an admissions procedure being followed for either resident. Staff were unclear as to the dates of the residents’ admission and there was no record of residents’ belongings. The assessments of need evident were unsatisfactory, in that, they failed to specifically identify the care needs of the residents. Risk assessments were also absent. The residents did not have terms and conditions of residency on file and the home had no evidence to support that they had assessed themselves as able to care for the residents and that the place was suitable to meet the residents’ needs. The manager stated that she was fully aware of the home’s failing to have required documentation in place and was in the process of securing the required documents to ensure future admissions to the home were conducted appropriately. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 ,8, 9 & 10 Two residents did not have care plans in place and, as a consequence, could be at risk of having their care needs undetected or at risk of not having them met. Residents were placed at risk due to medication being administered by staff who were untrained. EVIDENCE: On arrival at the home, the inspector observed staff collating information which may eventually lead to the home compiling care plans for residents. As stated within the previous section, there were no care plans in place for two residents. Risk assessments had not been undertaken to ensure risks were known and identify management processes to manage or reduce further risk. Notwithstanding the lack of information, residents spoken with stated they received good support and were satisfied with the care and attention they received. They explained that doctors were called when required and that district nurse services routinely visited the home to care for them when they required treatment. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 11 The manager demonstrated she was familiar with what should be contained within a care plan and confirmed that, when completed, she will ensure they also contain plans for routine chiropody, optical, hearing and dental checks, and visits from health care professionals and details of any advice or action to be taken. Prescribed medication stored within the domestic refrigerator was found to be stored at the wrong temperature. Medication administration records were adequately maintained, however it became evident that some staff with the responsibility for administering medication were not appropriately trained to complete such tasks and were not included on the home’s list of authorised personnel. One senior member of staff stated that staff undertook shadowing procedures as a form of learning and were also observed for a period of time when they undertook administration of medication. Notwithstanding, all staff with responsibility for administering medication should be identified and receive appropriate training by a qualified person. In the interest of residents’ safety, untrained staff must cease administering medication. The manager was unfamiliar with the home’s medication administration procedures, including the procedure to be undertaken to support residents who wish to self medicate. Staff could not confirm they had seen the document or if it was periodically reviewed to ensure it contained accurate, up to date information. Residents informed the inspector that they felt well cared for and that staff treated them in a respectful manner. Staff were observed to be familiar with residents and had formed positive relationships. One resident was observed being supported to receive a phone call in private, whilst others were enabled to spend their time in their rooms, preferring privacy rather sitting in communal parts of the home. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 & 15 Most residents were satisfied with their lifestyles and are able to make their own decisions and choices. However, their daily routines could be enhanced by the provision of routine social stimulation and activities. EVIDENCE: The home’s statement of purpose states ‘a wide range of activities’ are offered and lists a substantial amount of daily activities which should take place. The home could not demonstrate that activities were provided as stated, nor could it be determined that residents were supported by them to visit outside places of interest, as stated within the statement of purpose. The manager indicated she was aware of this issue and was already initiating plans to consult with residents regarding activities and improve the home’s recording systems to ensure they detail when activities are undertaken and residents’ individual participation. Until records demonstrate accurately the social opportunities within the home, requirements made at the previous inspection continue. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 13 Residents spoken with stated many positive aspects of the home, one saying “we are very well looked after”, another “we have our own routine for going to bed and getting up, we do as we please”. Yet another stated “you can ask for anything and, if they can, they will get it you”. Most comments came from the more independent residents, however the newly admitted residents felt they had been well cared for and supported appropriately. Residents were observed having a late afternoon ‘tipple’ which was well received. The manager was able to demonstrate that she had observed direct care practices and had assessed a number of areas where the promotion of residents’ independence could be developed, as could enabling residents to make more choices and decision for themselves. Residents gave mixed opinions on the meals served, however the manager advised that a new cook had been employed and a new menu, although not yet implemented, had been devised. The new menu observed offered more variety and choice at every mealtime for residents’ pleasure. Evaluation of records identified that nutritional assessments are not undertaken and that residents’ weights are not consistently recorded. Care staff explained that, currently, the scales used at the home are not suitable for the more dependant resident and that weight cannot accurately be ascertained. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Adult protection procedures are in place. Not all staff have received training in adult protection procedures. EVIDENCE: Whilst the home has adult protection procedures in place, not all staff have received training in adult protection and whistle blowing procedures. Furthermore, the manager confirmed that she had not attended up to date adult protection training specifically designed for managers of care services. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 & 26 Residents live in a clean environment. appropriately maintained. EVIDENCE: The home has, since the last inspection, redecorated some bedrooms. They were observed to be brighter and offer a more inviting environment for residents. Lighting continues to be an issue, in that, fluorescent lighting is in parts of the home used by residents which is not advisable. Furthermore, tubing does not have safety diffusers as required. Long-life bulbs are used around the home, culminating in some bedrooms being initially darker than required. The manager was made aware that, for safety reasons, residents with failing eyesight required improved lighting as opposed to subdued lighting. Health and safety was not always Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 16 The last inspection identified that the home’s washing machines, although sufficiently large, did not have a suitable sluicing facility or disinfectant programme which are designed to support effective infection control procedures. Also it became evident that there was no specific management of soiled linens and clothing, in that, it was not kept separate. Staff were not aware of new washing machines being purchased or of any changes in the way laundry routines are completed. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 & 29 Poor recruitment and selection procedures place residents at risk. At times, staffing levels fall below the minimum standard and mandatory training is outstanding for some staff. EVIDENCE: The home could not demonstrate what training had been completed by staff within the previous 12 months or that they had received up to date mandatory training. The home could not demonstrate that 50 of its staff had completed NVQ training at level 2 or above. The manager stated her intention to develop records which will identify staff’s individual training requirements and when they are to be met. On the day of the inspection there appeared to be sufficient numbers of staff on duty, however the duty rota identified shortages at the weekend, between the hours of 5pm and 10pm, in that, only two staff are on duty. The manager stated she was currently reviewing staff practices and evaluating the rota with a view to changing duty patterns and improving numbers. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 18 Advice was give to the manager to refer to the Residential Forum ‘Care Staffing In Care Homes For Older People’ when working out how many staff should be employed and on duty. Housekeeping staff are not deployed at the home at weekends which further reduces the amount of care provision time to residents. Inspection of staff files again identified that robust recruitment and selection procedures were not followed. There was no proof of identity, references, current photograph or CRB check in place for three staff files. There was no evidence to support that the home had completed interview procedures for four staff. Furthermore, induction and foundation training were not undertaken. The manager stated that she was conscious of the home’s practices prior to her employment and that she was aware of her responsibility to protect residents through following correct recruitment and selection processes. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 36 Poor management and administration procedures have placed residents at increased risk. EVIDENCE: There is minimal information known about the current manager, as her employment records were not available and an application for her registration as a fit person to run a care home has not been completed by the home. The manager stated she has experience of managing care homes. Throughout the inspection, the manager demonstrated a good understanding of her role and responsibilities as a ‘fit person’ to run a care home. She felt sufficiently confident that, given time and support from the registered providers, she would develop the home to meet the required standard. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 20 The home does not currently complete quality assurance procedures as detailed within Regulation 24 or regularly consult with residents. The manager stated her awareness of the lack of consultation and explained that the home would be reintroducing residents’ meetings where residents would be collectively asked to share their views on the service provision of the home. The manager confirmed that the home was able to safeguard resident’s finances and that records are maintained where required. Staff have not received formal supervision as required. The manager confirmed that she was aware of this issue and has already implemented plans to rectify the matter. The manager was unable to locate the most recent fire safety report, therefore it is not known if the home has met all requirements and recommendations arising from the last inspection. The inspector observed the door leading to the central heating boiler may be below fire safety standards and that a second door between the boiler area and staff toilet may be required for safety reasons. A requirement has been made to seek advice from the fire authority regarding all these matters, as a matter of priority. Environmental health standards may also be compromised within the kitchen area, as the door to the staff toilet leads directly into the kitchen. A requirement has been made regarding consultation with the environmental health department as a matter of priority. The environmental health officers inspected the home in August 2005, the home could not confirm that it had met all the requirements issued or acted on advice given at that time. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 21 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 2 1 1 1 3 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X 2 2 STAFFING Standard No Score 27 2 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X 1 X 3 1 X 2 Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4&5 Requirement The registered person must ensure that the home’s statement of purpose and service users guide contain all the required information, are up to date and are provided to all current residents and prospective residents when required. The registered person must ensure that all residents have full up to date assessments in place, and that the home’s manager has completed an assessment of need with the service user prior to the point of admission. The registered person must confirm in writing to the service user that after assessment the home is suitable to meet the health and welfare needs of the service user. The registered person must ensure that all residents’ individual needs are identified within their care plans and the action required to meet those needs. (Timescale of 1/1/06 not met). Timescale for action 01/05/06 2 OP3 14 01/04/06 3 OP4 14 (d) 01/04/06 4 OP7 15 01/04/06 Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 23 5 OP7 13 & 14 6 OP9 13 7 OP9 13 8 OP2 5 9 OP3OP4OP 7 14, 17 The registered person must ensure that all residents have completed risk assessments in placed and identify the action required to manage and, as far as possible, reduce risk. (Timescale 1/1/06 not met). The registered person must ensue medication is stored within the manufacturers’ recommended temperature guides. Where regular medication requires refrigeration, a suitable refrigerator must be used for this purpose and records maintained of temperature. (Timescale 1/1/06 not met). The registered person must ensure that all staff with responsibility for administering medication are appropriately trained. Untrained staff should cease immediately administering medication. The registered person must ensure that residents have received, agreed and signed the home’s terms and conditions of residency at the point of admission or as soon as is reasonably possible The registered person must develop an admissions procedure which ensures that all the required information as detailed within Schedule 3 are in place in a timely manner. The registered person must ensure the home’s medication procedures are up to date and contain all the required information and that staff with responsibility for medication administration are familiar with the procedure. DS0000008331.V275454.R01.S.doc 01/04/06 28/02/06 06/02/06 01/04/06 01/04/06 10 OP9 13 01/04/06 Abbey Grove Version 5.1 Page 24 11 OP12 12 12 OP15 17 The registered person must ensure that the home provides suitable social stimulation and activities to meet their assessed needs and expectations. The registered person must ensure that residents have nutritional assessments in place, that they receive the nutrition required and that their weight is accurately monitored and routinely recorded. (Timescale 15/12/05 not met). The registered person must ensure that equipment is maintained in good working order and appropriate to meet the needs of the more infirm, including weighing scales where accurate recording are essential. The registered person must ensure that all staff receive up to date adult protection procedures and are aware of whistle blowing procedures and their responsibility to report all suspicions of abuse and or poor practice. (Timescale 01/02/05 not met). The registered person must, after consultation with the environmental health department, ensure that infection control procedures are maintained. The registered person must ensure that sufficient staff , including ancillary staff, are employed in the home to meet the needs of the residents and demands of the home. (Timescale 15/12/05 not met). The registered person must ensure that robust recruitment procedures are in place and strictly followed, including CRB checks at POVA. DS0000008331.V275454.R01.S.doc 01/04/06 15/12/05 13 OP3OP7OP 15 23(2)(n) 01/04/06 14 OP18 13 01/05/06 15 OP38OP26 13 01/03/06 16 OP27 18 15/12/05 17 OP29 18 7 Schedule 2 01/03/06 Abbey Grove Version 5.1 Page 25 18 OP31 8 19 OP33 24 20 21 OP36 OP38 18 23 The registered person must submit an application for the registration of the manager to CSCI. (Timescale 01/12/05 not met). The registered person must ensure that effective quality assurance procedures are completed, as detailed within regulation 24. The registered person must ensure that staff are appropriately supervised. The registered person must after consultation with the fire safety authority ensure that all fire safety doors meet fire safety standards. 01/03/06 01/06/06 01/05/06 01/03/06 Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 26 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 4 Refer to Standard OP20 OP28 OP30 OP33 Good Practice Recommendations The registered person should replace fluorescent tube lighting in areas used by residents with appropriate domestic style lighting. The registered person should ensure that 50 of staff complete NVQ training at level 2 or above. The registered person should ensure that staff complete induction and foundation training as set by Skills for Care The registered person should recommence residents’ meetings and offer residents opportunities to collectively and individually voice their views on the service provision and contribute to the development of the home. Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Abbey Grove DS0000008331.V275454.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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