Inspection on 04/09/06 for Care ( Stanley Grange)

This inspection was carried out on 4th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Care ( Stanley Grange) 19/08/07

Care ( Stanley Grange) 07/12/05

Care ( Stanley Grange) 21/06/05

Care ( Stanley Grange) 10/12/04

Care ( Stanley Grange) 22/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Care Stanley Grange Samlesbury Preston Lancashire PR5 0RB Lead Inspector Christopher Bond Unannounced Inspection 4th September 2006 09:30 Care DS0000005873.V309106.R01.S.doc Version 5.2 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 Care DS0000005873.V309106.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 Adults 18-65. 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. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Care Address Stanley Grange Samlesbury Preston Lancashire PR5 0RB 01254 852878 01254 851154 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) www.care-ltd.co.uk CARE (Cottage and Rural Enterprises Ltd) Miss Kelly Estelle Livesey Care Home 42 Category(ies) of Learning disability (42) registration, with number of places Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for up to a maximum of 42 service users in the category of LD (learning disability). The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 7th December 2005 Date of last inspection Brief Description of the Service: Stanley Grange is located in a rural setting half a mile from the A 675, which is one of the main roads linking the towns of Preston and Blackburn. Because of its rural setting, access to local facilities such as post office, shops, public house is via the half-mile walk for the service users or an escort is provided from the home. The service does have a number of vehicles, which are available to be used for transport for the service users. Stanley Grange is one of eight communities run by the CARE organisation and provides a range of accommodation and day care facilities for people with a learning disability. The residential accommodation is provided in four units: 1) Stables accommodates fourteen service users; 2) Fountains for thirteen service users; 3) Pendle for six service users and 4) Weavers for seven service users. Each of the residential units has communal lounges and dining areas, kitchens, laundry, bath/shower facilities and WCs. There are also five flats that are used for the service users. Service users live in the flats with agreed support networks, to develop their independence living skills. The Residential units are all separate buildings and are situated around a central garden area along with the community hall, day-care facilities and administrative blocks. At the time of this visit, (04/09/06) the information given to the Commission showed that the fees for care at the home are £600.00 per week. Care DS0000005873.V309106.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 inspection that took place over a total of two days. A tour of the homes included bedrooms, lounge and dining areas, and bathrooms. Administration records for the residents and staff were examined. Safety records and training records were also examined. The inspector spoke to the manager, care and administrative staff, and several residents. Chorley and South Ribble Advocacy Service assisted eight of the residents to fill out comment cards. What the service does well: It was good to see that there was a strong emphasis on ensuring that the residents use lots of community based activities and resources in the local towns. This is very important because this is a rural community and the residents could easily become segregated from society. This regular contact also helps the residents grow in confidence and improved their skills and abilities. There is a warm, friendly and homely atmosphere around Stanley Grange and the residents have lots to do during the day. The specialist knowledge provided by the manager and care staff is very good. The support and activities provided reflect this specialist knowledge. The care offered by the home is very well planned and structured, to the benefit of the people who live there. Everyone had an individual plan that was tailored to his or her specific needs. One of the residents commented, “I really like living here, this is my home and I’ve got lots of friends here.” Training offered by the organisation is good. Care staff are trained through a nationally recognised induction to learning disability services (the Learning Disability Award Framework). All of the staff have the opportunity to complete mandatory safety courses (moving and handling, food hygiene, first aid, infection control and fire safety). There is also training in specialist areas such as exploring the link between Downs Syndrome and Dementia. Stanley Grange hopes to specialise in this area of care in the near future. The care staff also have mandatory training in safeguarding vulnerable adults. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Care DS0000005873.V309106.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Care DS0000005873.V309106.R01.S.doc Version 5.2 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 the following standard(s): 1, 2, and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough admittance procedures and careful assessment ensures that the home can meet people’s needs. Written information provided to prospective residents is good enabling an informed decision about admission to the home to be made. EVIDENCE: There was a lot of information available for those wishing to find out more about Stanley Grange and whether or not the service would be right for them. There was an illustrated Service User Guide and a Statement of Purpose that held information about what the service was all about and what a person could expect if they chose to live there. There were also pamphlets available in the reception area about the residential service and the day service. There was also a CD-Rom available to give lots of current information about the services that Stanley Grange provides. Each of the residents had been assessed before coming to live at the home so that a decision could be made as to whether the home could care for them appropriately and address their specific needs. The residents’ personal files held a copy of this assessment and the manager described how she would visit those wishing to live at Stanley Grange to asses their needs. Prospective Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 9 residents also had visits and overnights stays to sample the service and to find out whether or not they were comfortable living at Stanley Grange. Care DS0000005873.V309106.R01.S.doc Version 5.2 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 the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good planning is helping the residents to enjoy fuller lives. Good communication training helps the staff to promote individual choice and help decision -making. The residents are supported to take controlled risks to help their development. EVIDENCE: All of the residents had a plan of care, which held important information about their needs and abilities. All of the plans held individual goals where the residents could achieve set tasks that would help enhance their lives and develop skills. These individual support plans helped the staff to work methodically towards assisting the residents to achieve the set goals. The plans were reviewed monthly to make sure that each resident had achievable goals set. There was lots of evidence to show that the plans were in regular use. The inspector looked at six plans that showed how information was recorded and developed. Three of the residents spoke of how they were involved in developing their own plans and how the plans were individual to each person. They were also able to confirm that they were involved in making Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 11 decisions about their lives and what they did on a day-to-day basis. The plans were held in each of the houses and the residents had access to them whenever they wished. Individuality was paramount and each plan was person centred, and reviews were held in a location of the persons choice. Each of the houses had residents’ meetings where important aspects of daily life could be discussed and concerns addressed. The minutes of these meetings were available. Risk taking is important when people are undertaking new challenges. It is important that risk taking is assessed correctly to ensure that residents are not put in any danger, and that the risks can be controlled. Each resident had risk assessments to show that every effort was being made to minimise danger and to control risks. Stanley Grange had a specific person who was responsible for assessing the risks of each individual and also the risks that were evident in their daily lives, both within the grounds and outside in the community. The inspector viewed several risk assessments and all were informative, easily understood and served the purpose that they were intended for. Care DS0000005873.V309106.R01.S.doc Version 5.2 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 the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given the opportunity to use community facilities and resources to ensure community participation and widen their experiences. Family contact is encouraged and promoted to maintain valuable relationships. EVIDENCE: Because Stanley Grange is a rural community it is important that activities and resources in the community are accessed regularly. This would enable all of the residents to enjoy the facilities that others in society take for granted. A regular bus service had recently become available to help residents travel into the nearby towns to enjoy these resources. Some residents had their own ‘motability’ cars that were wheelchair friendly. There were also people carriers that helped the residents’ to travel in groups to fulfil their interests. The care plans held lots of evidence that people were given the opportunity for personal development. Residents were enjoying hydrotherapy, bowling, trampolining, swimming, trips to the cinema etc. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 13 Stanley Grange also had a day service attached and people came from the surrounding community to enjoy gardening and crafts along with the residents. Several residents were spoken to as they made Christmas decorations and pottery. All said that they really enjoyed the activities on offer. Stanley Grange had its own cycling group. Some of the residents completed the Manchester to Blackpool bike ride in July. There was also a walking group which met on a weekly basis. Special activities were available for one gentleman who had autism and he had sufficient support available to ensure that the service was inclusive. There were no visitors to Stanley Grange during the inspection. The manager confirmed that visitors were always welcome and that friendships and relationships were positively encouraged. Two of the residents who were spoken to said that they had regular visitors. There were frequent family days arranged where visitors were able to look around the facilities on offer. There was also a family forum that met every three months to discuss issues around the services on offer at Stanley Grange. One of the residents commented, “I really like living here, this is my home and I’ve got lots of friends here.” Evening meals were prepared and eaten in each of the homes. There were menu’s available and the residents helped to prepare meals. The menu’s looked healthy and appetising. All of the residents that were spoken to said that they enjoyed their food and looked forward to mealtimes. During the day most people ate in the communal dining room where the food was prepared centrally. The meal was sampled by the inspector who found it wholesome and appetising. One resident said, “The food here is really good and tasty, I look forward to mealtimes.” Care DS0000005873.V309106.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well trained staff handle medication safely. The health needs of the residents are attended to properly by medical professionals and appointments recorded for good continuity. EVIDENCE: There was lots of information in each of the care plans to show that everyone was receiving adequate health support from other agencies such as the GP, opticians, dentist, chiropodist, community nurse and LD nurse support. Visits to the doctor’s surgery were recorded properly. There had been some training for the staff about how to give medication properly. There was evidence in staff files to show that this had occurred and the senior carer confirmed this. Regular training means that the care staff are more confident in giving out medication and they are less likely to make errors. The medication was stored safely and there were policies and procedures to help staff. Some residents were able to administer their own medication with relevant risk assessments in place to promote independence and confidence. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 15 In one of the houses a resident had been prescribed controlled medication. There are special procedures to follow regarding the storage recording and administration of controlled medication and these must be followed at all times by the care staff. Tablets were not being recorded numerically within the controlled medication book. Eight comment cards were received from the residents. An independent advocacy service had helped people to fill out the cards. All of the residents who filled in a card said that the staff were helpful and always treated them well. Care DS0000005873.V309106.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Residents are protected by robust safeguarding procedures. EVIDENCE: Each home within the community had a residents meeting monthly where concerns could be expressed. There were minutes available for these meetings. There was an illustrated complaints procedure, which was available in large type. The complaints log showed that there had been one recent complaint that had been dealt with correctly and resolved satisfactorily. Three of the residents were able to say that they knew what to do if they were unhappy about the service that they received. All of the care staff that were spoken to were aware of the correct procedure and who to approach regarding complaints about the service. Regular training was available to all staff regarding protection issues and abuse awareness. Care staff files held evidence of this and the area manager of the service confirmed that regular training took place. The home had good protection procedures and policies. This meant that the residents were safer. All of the care staff that were spoken to had a good knowledge of protection issues. Eight comment cards were received from the residents. An independent advocacy service had helped people to fill out the cards. All of the residents Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 17 who filled in a card said that they knew who to speak to if they were not happy and that they knew how to make a complaint. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 18 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 the following standard(s): 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a comfortable, clean and hygienic environment and bedrooms were personalised. This means that residents will feel at home with their belongings around them. EVIDENCE: The residential accommodation was provided in four units: Stables accommodated fourteen residents; Fountains for thirteen residents; Pendle for six residents and Weavers for seven residents. Each of the residential units had communal lounges and dining areas, kitchens, laundry, bath/shower facilities and WCs. There were also five flats that were used for the service users. Service users live in the flats with agreed support networks, to develop their independence living skills. The Residential units are all separate buildings and are situated around a central garden area along with the community hall, day-care facilities and administrative blocks. The larger units (stables and fountains) were due to be demolished and residents moved either to smaller units built on site or to houses within the community. There were issues around the decoration in the larger units. The Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 19 paintwork needed renewing and rooms needed smartening up. Otherwise the houses seemed well maintained. All of the bedrooms had personal possessions such as photographs, soft toys, music collections, and memento’s around. This made each room personal and homely. There were central lounge areas that were well furnished and spacious. All of the areas that were seen by the inspector were clean, hygienic and fresh smelling providing a pleasant environment for people to live. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 20 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 32, 34 and 35 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, 32, 33, 34, 35, and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good recruitment practices meant that residents were protected from unsuitable staff working in the home. Staff were trained and competent to do their jobs. Residents were well supported by a large staff team. EVIDENCE: The residents were well supported by a competent staff team. The staffing rota’s showed that the assessed needs of the residents were being attended to properly and professionally. Training records showed that appropriate and frequent training was taking place. This training included medication awareness and abuse awareness. Stanley Grange has a training coordinator who ensures that training and development takes place for all staff on a regular basis. Specialist training had taken place regarding the link between Dementia and Downs Syndrome. This was supplemented by core safety training such as health and safety, fire safety, first aid, food hygiene and moving and handling. Staff records showed that new carers had been properly checked before starting their jobs. This helped to make sure that the residents were safer. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 21 There was a good induction process to help ensure that new care staff were competent before commencing their role. Stanley Grange is an accredited centre for the Learning Disability Award Framework, which is a nationally recognised introductory qualification. Records showed that care staff were being supervised properly and regularly. This one-to-one support showed that care staff were valued, and encouraged to do their jobs properly and efficiently. Some staff had achieved a national qualification in care (National Vocational Qualification level 2 or 3). Others would be commencing this training shortly which would bring the total amount of trained staff to well over 50 . This means that the staff are well trained to perform caring tasks. Eight comment cards were received from the residents. An independent advocacy service had helped people to fill out the cards. All of the residents who filled in a card said that they were able to do what they want most of the time because there were enough care staff to help them. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 22 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported by a competent manager and there are quality systems in place to make sure that they are protected. EVIDENCE: The manager was soon to register to complete a nationally recognised qualification in care (National Vocational Qualification level 4). This will mean that she will be well qualified to manage the home. She had already completed her Registered Managers Award in November 2005. The community was being run competently and professionally with the interests of the residents at heart. The manager spent time in all of the houses on a weekly basis to ensure that things were running smoothly. There were full team briefings every three months, which helped to ensure that all of the staff had the same information. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 23 Care staff had been trained in ensuring the safety of residents. This included learning how to move people safely and ensuring that food was prepared and served hygienically. Good records were being kept of safety checks within the homes. These showed that tradesmen were checking the lift, electric and gas equipment and the fire alarm system regularly. This helped to ensure that the residents lived in safe homes. It was clear that the residents’ financial issues were being protected. There were systems in place to ensure that their money was being handled properly and the management team regularly made checks. Finances were also audited by the caring organisation. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 2 3 X X 3 3 Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 (2) Requirement Controlled medication must be recorded correctly to ensure safe administration. Timescale for action 30/09/06 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 YA24 YA38 YA32 Good Practice Recommendations All of the bedrooms should be well decorated and maintained. The registered manager should complete the National Vocational Qualification level 4 in management and care. At least 50 of the total care staff team should be trained up to National Vocational Qualification level 2 or 3. Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Care DS0000005873.V309106.R01.S.doc Version 5.2 Page 27 - 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. 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