CARE HOMES FOR OLDER PEOPLE
Canadia 41 Pearson Park Hull East Yorkshire HU5 2TG Lead Inspector
George Skinn Key Unannounced Inspection 09:30 31st May 2007 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 Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Canadia Address 41 Pearson Park Hull East Yorkshire HU5 2TG Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01482 341434 Mrs Heather Feeney Mrs Nicola Jayne Owens Jennifer Rose Watson Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th August 2006 Brief Description of the Service: The Canadia is a three story semi-detached building situated in Pearson Park close to the centre of Hull. It is a period property and the front of the house still gives that impression. The home is on a bus route to the city centre and a short walk from Newland Avenue shopping area. Service users can access a small area to the front garden in warmer months and there is parking space to the side of this for two cars. Service user care only is provided, to a maximum of sixteen service users and mostly in double rooms; 7 of the 9 rooms are double accommodation. Only one bedroom has en-suite facilities of a toilet and a shower. Two lounges offer a pleasant environment in each, while the dining room is extremely small, resulting in some service users having to eat at tables in the lounges and others finding it difficult to get into their places at table. The laundry is sited in a wooden garage at the side of the house. Current weekly fees are £278 per week. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced sit visit undertaken over 8 hours. Prior to the inspection the person who owns the home was asked to provide written information and surveys were sent to the home for the service users to fill out; surveys were sent for the staff to fill out, surveys were sent to health acre professional who have contact with the home. During the site visit service users were interviewed, written records were looked at and the general daily practise of the staff was observed. The building was looked at. All this information has helped to shape the judgments made in this report. What the service does well: What has improved since the last inspection? What they could do better:
The registered person needs to make sure the any one who is thinking about living at the home gets the right information to make a proper choice.
Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 6 The registered person needs to make sure that any one who lives at the home has a contract so they know their own and the owners responsibilities. The registered person must make sure that anyone who is moving into the home has been assessed so everyone knows that the home will be able to meet his or her needs properly. This is an outstanding requirement from previous inspections. The registered person must make sure that all of the service users have a plan of care which has been agreed. This is to help staff care for the service user properly. This is an outstanding requirement from previous inspections. The registered person must make sure that the staff who give out medication have received the proper training to ensure the safety of the service users. The registered person must make sure the service users have the opportunity to participate in activities and those who are more dependent on staff are not sat for long periods of time un-stimulated. This is an outstanding requirement from previous inspections. The registered person must make that any complaints received are dealt with properly and that people are consulted about the outcome of investigation to ascertain their satisfaction. The registered person must make sure that the home is redecorated on a regular basis and any broken or worn furniture is replaced, so that the service users live in nicely decorated and a well maintained home. This is an outstanding requirement from previous inspections. The registered person must make sure that the driveway is made safe to eliminate any risk of injury to service user or visitors. The registered person must make sure that there are enough staff on duty at all times of the day and night to make sure the service users are cared for properly. The registered person must make sure that the staff have received the proper training to care for the service users. This is an outstanding requirement from previous inspections. The registered person must make sure that they support the manager and that she attends regular training so that the service users live in a home which is properly managed. The registered person must make that all the proper employment checks are made before anyone is employed at the home, this is to protect the service users and ensure they are safe. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 7 The registered person must make sure that the service users, relatives, friends and any visiting GPs or nurses are consulted about the running of the home, this will ensure that the service user live in a home which is run in their best interests. The registered person must make sure that they visit the home regularly to make sure that home is being run properly by the manager and consult with service users to gain their opinions, from this they have to complete a report which indicates any areas for improvement, or development. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 8 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 Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 9 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience poor quality outcomes in this area. Assessment of service user is not always undertaken prior to admission Service users do not always receive information prior to or on admission about the home and the services offered. Service user do not always agree a contract/terms and conditions when entering the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three service users have been admitted to the home since the last inspection. Two of these service user had care plans in place which had evidence of assessments being undertaken one did not. She had been in the home for almost a week and staff no personal information on which to formulate a care plan or direct them on how to care for her. The newly admitted served user did not remember receiving any information prior to being admitted about he home or agreeing a contract with the home. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience poor quality outcomes in this area Not all of the service users have a plan of care which has been agree and sets out their needs. Service users have regular access to health care professionals. The service user are protected by the home medications procedures, staff lack accredited medication training. Service users are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three-service user care plans were looked at these had much improved since the last inspection. The plans contained risk assessments, regular reviews and evidence of regular monitoring by the registered manager. The completion of documentation was variable and there were inconsistencies in the completion of weight charts and nutritional screening. Agreements between service users and the home concerning the care provided was variable. One newly admitted service user did not have a care plan. Service user have access to health care professionals some service user visit their own GP independently others are supported by the home. Service users confirmed that they could see the GP at any time and the home would arrange
Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 11 this for them. There was evidence of other health care professionals visiting the service users and consultation is undertaken with them in formulating a plan of care. The home medication is handled appropriately and records were up to date and accurate. There no evidence which would indicate that the staff have not received accredited training regarding the handling of medication. The staff were observed to treat the service users with dignity and respect, they were courteous and addressed the service users using their preferred form of address at all times. Conversations were relaxed and respectful and service user seemed to be used this interaction responding appropriately to the staff. Some concerns had been raised in one of the pre-inspection surveys that the staff had difficulties communicating with a service user who has been deaf from birth. This was observed during the site visit and the staff were communicating with him very well, they commented that he did not use British Sign Language but communicated his needs very well to them. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience poor quality outcomes in this area Service users do not have the opportunity to partake in any meaningful activities. Those service users who are dependent on the staff have limited opportunities to experience activities in the community. Service user can exercise choice in their daily lives. Service users receive a well balanced diet and have a choice of meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The level of stimulation has declined since the last inspection. Those service users more dependent on the staff were observed to be sat for long periods of time alone in the lounge; interaction between the staff and these service users was task orientated and no opportunity was provided for any meaningful interaction or activities. Those service users who were more able and independent were engaging well with the staff and were able to go about their daily lives and exercise choice. Those service users who were able to leave the building independently were supported to do this and service users were going out with relatives. The opportunity for those service users who were dependent on the staff to undertake activities is limited and dependent on staff availability.
Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 13 Some concerns had been raised prior to the site visit about the quality and quantity of the food. Observation made during the site visit indicated that there was plenty of food available in the home and the main meal of the day was well presented and plentiful. Service user commented that the food was of a good quality comments included “ the food can’t be faulted” “there’s always plenty of it” “I do have a choice and the staff make sure they ask me what I want”. During the site visit the staff were undertaking the cooking, they had received basic food hygiene training. Some concerns were raised about the staff undertaking cooking as this could have an impact on the staff availability to care for he service users especially at tea time. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 14 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience adequate quality outcomes in this area Service users knew who to complain to. Service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home have a complaint procedure and this is posted around the home. A service user file indicated that a relative had made a complaint; this had been recorded in the service user’s daily notes. There was no indication if the complainant was satisfied with the outcome of the homes investigation or action taken. Service users spoken with during the site visit knew whom to complaint to one said he would “see the boss”. During the site visit staff were spoken with and they understood the importance of reporting any instances of bad practise or abuse they witness at the home; they were aware of who to contact if the home were not prepared to take the allegation seriously. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 15 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience poor quality outcome in this area Service users live in a home which is generally clean and tidy. Service users do not live in a home which routinely refurbished or pleasantly decorated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is now looking shabby. Carpets in the lounges and entrance hall are dirty and worn. Furniture in the lounges is also shabby and worn, chair arms are ripped and furniture is broken. The service users have access to the garden to the front of the building. The garden is generally tidy, however the drive is made up of uneven paving slabs which cause a trip hazard to the service user and visitors. There was no evidence of a routine maintenance record to ensure the building is maintained and refurbished as required. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 16 The home was generally clean and tidy laundry facilities are located outside of the building in a shed. Staff were seen to be using protective clothing when entering the kitchen and dealing with the needs of service users. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 17 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience poor quality outcomes in this area Service users are not supported by staff who trained to meet their needs. The homes recruitment and selection procedure does not protect the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home must provide a minimum of 373 care hours per week, not including any ancillary staff, as calculated using the Residential Staffing Forum Guidelines issued by the Department of Health; examples of rotas provided as part of the pre-inspection process indicated that this is complied with. Some concerns were raised that the care staff have to undertake other duties such as cooking which takes them away for caring for the service users. Concerns were also raised about staff taking lunch breaks leaving the home short staff for periods of time. This had particular impact on the night staff as there are only ever 2 staff on duty, consequently leaving the home staffed by 1 member of staff for 2 hours during the night. There was some confusion about which contract the staff were working to. Old contracts agreed with the previous registered person stated that the staff must take a lunch break for 1 hour and leave the building; new contracts agreed with the current registered person did not stipulate this but there was still an expectation that staff take a lunch hour which they are not paid for. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 18 Files for all staff employed at the home were looked. The majority contained the required information including Criminal Records Bureau checks (CRB) and references. Some files included photocopies of CRB checks undertaken by previous employers, one file contained no evidenced of a CRB check. There were no records available for one member of staff. The registered person stated that these records were held at the other home which she owns and she would bring them to be looked at, this was not done. The registered manager has audited the staff training and those areas which need updating have been identified; she is intending to access the local authorities training programme. One member of staff has been trained to NVQ level 2; the manager stated that 7 staff have been registered to undertake this training. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience poor quality outcomes in this area. Service user live in home which is managed by someone who is fit to be in charge. The home is not run in the best interest of the service users. The health and safety of the service users is not promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is registered with the CSCI, she has limited experience is managing a residential home but has managed some changes within the home well, she currently does not hold the Registered Managers Award equivalent to NVQ level 4. There was no evidence that the registered person undertakes regular supervision with the manager or undertakes visits in line with the requirements of Regulation 26 of the Residential Homes Regulations 2001. The manager has developed a limited Quality Assurance system within the home, there was no evidence that this included the views of other stakeholders
Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 20 for example visiting GPs and other health care professionals or that there is an annual development plan for the home. There was no evidence that the home policies and procedures are updated in line to changes in legislation or good practise guidelines issued by the Department of Health, local health authorities, and specialist professional organisations. There was no evidence that the staff have received regular mandatory training and that this had been updated as required. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 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 2 1 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 1 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 22 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 OP1 Regulation 4, 5 & 6 Requirement Timescale for action 30/08/07 2 OP2 3 OP3 The registered person must ensure that all prospective service users are given information about the home which is up to date and helps them make an informed choice. 4, 5 & 6 The registered person must ensure that each service user has written contract/terms and conditions with the home. 12, 13, 14 The Person must ensure that no & 15 service users move into the home without having his/her needs assessed and that they have bee assured that the home will meet their needs including those privately funded service users. Previous time scales not met (30/04/06, 01/01/07) new time scale set. A service user plan of care must be produced for all service users, with their consultation. This includes those who are privately funded. Previous time scales not met 30/08/07 30/07/07 4 OP7 15 30/07/07 Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 23 5 OP9 13, 18 & 19 5, 12, 16 & 23 6 OP12 (30/04/06, 01/01/07) new time scale set. The registered person must ensure that all those staff who administer medication receive training which is accredited. The registered person must consult the service users about their social interests, and make arrangements to enable them to engage in local, social and community activities. Previous time scales not met (21/04/06, 01/01/07) new time scale. The registered person must ensure that service users are given the opportunity to participate in meaningful activities which are based on their abilities and assessed needs. The registered person must ensure that there is a record of complaints received detailing what action has been taken and whether the complainant is satisfied with the outcome. The registered person must implement a programme of routine maintenance and renewal of the premises is produced and implemented with records kept. Previous time scale not met (30/05/06, 01/01/07) new time scale set. The registered person must make, as priority, plans for renewal of furniture, carpets and redecoration of the lounges and hallway. The registered person must ensure that the drive is made safe and dose not pose a trip hazard to service users or
DS0000064770.V341516.R01.S.doc 30/11/07 30/08/07 7 OP12 5, 12, 16 & 23 30/08/07 8 OP16 17, 27 & 37 30/07/07 9. OP19 16, 17 & 23 30/07/07 10 OP19 16, 17 & 23 30/07/07 11 OP19 16, 17 & 23 30/07/07 Canadia Version 5.2 Page 24 12 OP27 18 13 OP27 18 14 OP29 18 & 19 15 OP29 18 & 19 16 OP29 18 & 19 visitors. The registered person must ensure that there enough members of staff at all times to meet the needs of the service users The registered person must ensure that the staff have received essential training to meet the needs of the service users The registered person must ensure that there is robust and effective recruitment and selection procedure to ensure the safety of the service users The registered person must ensure that all relevant recruitment checks are undertaken to ensure the safety and protection of the service users. The registered person must ensure that prior to employment a CRB check is undertaken for all staff, and a CRB is obtained for any current staff who do not have the appropriate checks. It is unacceptable for staff to be employed on the strength of a CRB check undertaken by a previous employer whatever the time scale. The registered person must ensure that the staff are clear about their roles a responsibilities and clear contracts of employment. The registered manager must demonstrate that he/she has undertaken periodic training to up their knowledge, skills and competency while managing the home including the registered managers award. The registered person must ensure that the manager
DS0000064770.V341516.R01.S.doc 30/06/07 30/07/07 30/07/07 30/07/07 30/07/07 17 OP29 18 & 19 30/07/07 18 OP31 4, 5, 18 & 19 30/08/07 19
Canadia OP31 4, 5, 18 & 19 30/06/07
Page 25 Version 5.2 20. OP33 receives appropriate supervision and support to enable the smooth running of the home. 4, 5, 6, The registered person must 14, 15, ensure that there is an effective 17, 21, 22 quality monitoring system based & 24 on the views of the service users, and that a report is produced and made available to all interested parties. Previous time scale not met (30/06/06, 01/01/07) new time scale set. The registered person must ensure that there is an annual development plan for the home, based on systematic cycle of planning-action-review, reflecting aims and outcomes for service users. The registered person must ensure that the views of families’ friends and of stakeholders in the community (GPs, chiropody, District Nurses) are sought on how the home is achieving gaols for service users. The registered must ensure that policies and procedures are regularly reviewed in light of changing legislation and of good practise advice form the department of health, local health authority, and specialist/ professional organisations. The registered person must ensure that visit required by virtue of regulation 26 of the Residential Care Homes Regulations 2001are undertaken and reports available for inspection. The registered person must ensure that all staff receive mandatory training. Previous time scale not met 30/08/07 21 OP33 4, 5, 6, 14, 15, 17, 21, 22 & 24 30/09/07 22 OP33 4, 5, 6, 14, 15, 17, 21, 22 & 24 30/08/07 23 OP33 4, 5, 6, 14, 15, 17, 21, 22 & 24 30/09/07 24 OP36 10, 18, 19, 24 & 26 01/07/07 25 OP38 10, 12, 13, 16, 17 & 37 01/11/07 Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 26 26 OP38 (30/05/06) new time scale set 10, 12, Environmental risk assessments 13, 16, 17 must be completed and reviewed & 37 on a regular basis. Previous time scale not met (30/05/06, 01/01/07) new time scale set. 30/09/07 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 Refer to Standard OP28 Good Practice Recommendations 50 of the care staff should be trained to NVQ level 2. Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Canadia DS0000064770.V341516.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
