Inspection on 10/05/07 for Chevy Chase

This inspection was carried out on 10th May 2007.

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

Other inspections for this house

Chevy Chase 16/04/08

Chevy Chase 27/06/06

Chevy Chase 09/02/06

Chevy Chase 14/10/05

Chevy Chase 21/02/05

Chevy Chase 11/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Chevy Chase Percy Arms Hotel Otterburn Northumberland NE19 1NR Lead Inspector Elaine Charlton Key Unannounced Inspection 10th and 22nd May 2007 10:00 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 Chevy Chase DS0000000527.V338132.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. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chevy Chase Address Percy Arms Hotel Otterburn Northumberland NE19 1NR 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) 01830 520057 01830 520567 percyarmshotel@yahoo.co.uk Mrs A Emerson Mr C Emerson Mrs Marie Elizabeth McStay Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th June 2006 Brief Description of the Service: Chevy Chase is a care home attached to the Percy Arms Hotel in the centre of Otterburn, a rural village in Northumberland. Community facilities are limited. There is a post office and general store, a coffee shop, community centre and social club. There home are 15 single bedrooms, four of which share two small, private sitting rooms. Two of the bedrooms have en suite toilet and washing facilities. One bedroom is registered for double occupancy. There is a passenger lift to the first floor floor. Nursing care is not provided. The weekly charges are £409.40. Additional charges are made for toiletries, personal newspapers and professional hairdressing. Information kept in the reception area includes the homes service user guide and a copy of the last inspection report. The file is kept on a shelf under the signing in book. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made on date the 10 May 2007, with a further follow up visit on the 22 May 2007. The manager was on holiday for the first visit so the senior person in charge took part in the inspection. The inspection lasted for 7 ½ hours. Before the visit we looked at: Information we have received since the last visit on 27 June 2006; How the service dealt with any complaints and concerns since the last visit; Any changes to how the home is run; The provider’s view of how well they care for people; The views of residents, their relatives, staff and other professionals who visit the service. During the visit we: Talked with eleven residents, four staff, the manager, proprietor and visitors; Looked at information about residents and how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills and training to meet the needs of the people they care for; Looked around the building/parts of the building to make sure it was clean, safe and comfortable; Checked what improvements had been made since the last visit; “Have your say” questionnaires were sent out for service users, health care professionals and relatives to complete. Nine out of thirteen residents returned a questionnaire as well as one health care professional and two relatives. We told the manager and proprietor what we found. What the service does well: Staff know residents well and are able to support their different needs. Residents live in a homely, clean and fresh environment. They can spend time socially or privately. People are kept informed about important issues that affect the lives of residents living in the home. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 6 Residents are given a good choice at meal times and food is of a very good standard. A resident said: “I cannot complaint about anything. I’m very content.” Relatives said: “The home meets the needs of different people”. A health care professional said: “They know the patients well.” What has improved since the last inspection? What they could do better: The homes statement of purpose must be reviewed and references to nursing care/matron removed. Access to information and inspection reports should be highlighted. The visiting policy should be expanded. The quality of care plans must provide a more proactive approach to the delivery of care. Health care checks identified in care plans must be carried out and the outcomes recorded. Care plan evaluations must be outcome based and reflect the benefit or not to residents. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 7 Moving and handling assessments supporting care plans must be expanded. Risk assessments must be in place to support areas of residents risk identified in their care plans. Care staff must be supported to meet the needs of residents. The quality of staff recordings must be improved. Staff must be able to audit medication held within the home. Medication must be checked and used in date order. The complaints policy and procedure should be updated. Application forms must be obtained for all new employees and appropriate fitness checks carried out. Staff contracts should include reference to cautions/convictions received after employment commences. A training matrix should be produced to identify and gaps in the training provided. Staff would benefit from training to help make recordings and deal with equality issues. All records must be dated, signed and kept up to date. A new premises fire risk assessment must be completed. 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. Chevy Chase DS0000000527.V338132.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 Chevy Chase DS0000000527.V338132.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): 1, 3 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are given good information to help them decide about moving into the home. Their needs and wishes are assessed before they are given the chance to move in. The home does not admit people for intermediate care. EVIDENCE: The home has a small brochure, service user guide. Each resident has a copy of the service user guide and complaints procedure in their bedside locker. Information about the home and a copy of the last CSCI report are kept in the reception area on a shelf, underneath the signing in book. The information file is not easy to find. Nine residents sent back questionnaires. Eight said they got enough information before they moved in. Six said they had a copy of their contract. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 10 The file for a newly admitted resident was seen. All the basic information, including a list of valuables brought into the home, was in place. A warning sticker had been placed on the file to alert staff that there was another resident with a similar name living in the home. Assessment information was good. One health care professional who returned a questionnaire said that staff know the residents well. Two relatives said that they got enough information and were kept informed about important issues. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 11 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): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home are asked how they wish their personal care to be provided, and by whom. They are supported and helped to be independent with medication and can see health care professionals as their health needs dictate. EVIDENCE: Nine residents sent back questionnaires. Eight residents said they always got the care they needed. One said they usually did. All nine said that staff listened to them, and seven said staff were always available when they needed them. All of the residents who responded said that they got the medical support they needed. A health care professional said the home usually seeks advice, usually meets residents health care needs, and usually respects a persons privacy and dignity. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 12 They said that residents were always supported to look after their own medication. The files for two residents were looked at. Assessments for both residents were on file. Evidence was seen that residents have access to a range of health care professionals. The home has an agreement for residents to sign about who information can be shared with. The resident did not sign one agreement seen. Some documents seen during the inspection still refer to “nursing” and/or “matron”. Care plans were not signed and dated by the assessor or the resident. A nutritional screening tool detailed that the resident needed weekly weight checks. Checks were only been carried out on a monthly basis. Monthly evaluation recordings give limited information and some only record “no change”. Other records seen showed that the resident had seen the GP, District Nurse, Chiropodist and Optician. Moving and handling plans are basic and do not give clear advice/guidance about how residents should be moved and what equipment should be used. A risk assessment for the use of cot sides had not been signed and dated by the person carrying out the assessment. There was no smoking risk assessment for a resident who requires support with this. Staff recordings in some records were insensitive. A resident was described as being “lazy”, and “very naughty”. One member of staff was not being supported, despite recording in records “I can’t cope”, to deal with a resident who continually causes problems whilst she is on shift. Medication checks were carried out on both days the inspector visited the home. It was not possible to easily audit medication kept in the home. Medication Administration Records (MAR) do not show the number of tablets carried forward from the previous month. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 13 Insulin kept in the refrigerator was not being used in date order. The manager was waiting for some training material to be supplied so that the number of staff trained to support residents with medication could be increased. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 14 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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to be as independent as they wish. They access social opportunities within the home and the wider community. Choice and rights are promoted as well as healthy living. EVIDENCE: Four residents said there were always activities they could take part in. Five said there usually were. Eight people said they always liked the meals and one said they sometimes did. Everyone spoken to during the inspection was complimentary about the food. Two relatives said residents were always given the support they needed. A health care professional said residents were usually supported to live the life they choose. The home has an “open” visiting policy but this does not include reference to residents having the right to refuse to see someone. The policy that supports residents to have relationships is limited. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 15 Residents enjoy indoor activities such as cards, dominoes, skittles, Velcrodarts, chair aerobics, books and chess. People also visit the local social club, woollen mill/coffee shop, and pub. Some residents are going on the local Redewater Care day trip. Entertainers are brought into the home. A local gentleman and his wife come to the home each week to hold a hymn singing and prayer meeting. Residents were heard joining in with this event. A policy on control and restraint refers to “minimum force and optimum numbers of staff”. This needs updating to meet current guidance. Residents have a choice of food at meal times and all spoke highly of the quality of food served. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 16 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views of people who live in the home are listened to. They are protected from harm through policies, procedures and staff training. EVIDENCE: All nine residents who returned their questionnaire said they knew who to speak to if they were unhappy. Eight said they knew how to make a complaint. Both relatives who sent back questionnaires said they knew how to make a complaint and that concerns/complaints were always treated seriously. A health care professional said the home usually responded to concerns/complaints in an appropriate way. The home’s policies and procedures promote the protection of residents and their right to make a complaint or disclose a concern. Staff have access to policies and procedures that are kept in the office. Residents have a copy of the complaints procedure in their bedside cabinet. The home had received one complaint that had been well recorded and investigated. No complaints have been received by CSCI. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 17 References to “matron” and NCSC have not been removed from the complaints procedure. Staff have completed training in the Protection of Vulnerable Adults (POVA). Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 18 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): 19, 22 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely environment that promotes their independence and the chance to spend time privately. Everywhere is clean and tidy and hygiene routines are good. EVIDENCE: The senior carer in charge on the first day of the inspection showed the inspector around the home. Everywhere was seen to be clean, tidy and odour free. The home does not have a domestic assistant at the moment but a member of the care staff has taken on this additional role. Five bedrooms and a bathroom have been redecorated since the last inspection. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 19 Policies, procedures and training promote the control of infection and good housekeeping/hygiene routines. All bathrooms and toilet areas are fitted with soap and towel dispensers. Protective clothing is available to staff. Throughout the inspection staff were seen taking time out to wash their hands and using disposable gloves and aprons. Equipment fitted in the home for the protection and support of residents was in good condition and well fitted. The washing machine had broken down on day one of the inspection but a new one was in place on the second visit. The majority of bedrooms have a door to the outside and views over the garden and Coquet valley. Some commodes were seen to have rusty frames. The manager said these were on order to be replaced. Fire posters are displayed throughout the home and door guards have been fitted so that residents can have their doors open and be safe in the event of a fire. A cordless telephone has been provided so that residents may speak to friends or relatives in private. Thermometers were available in the bathrooms so that staff can check water temperatures. A random check of water temperatures was carried out. These were within the recommended levels of 37 – 43 degrees centigrade. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 20 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): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by recruitment and selection procedures that are properly followed. Staff are supported through training and supervision to provide care to people in a way that meets their individual needs. EVIDENCE: Residents, relatives and a health care worker said that staff always or usually had the skills to meet needs. Duty rotas showed that enough staff were on duty to meet the needs of residents living in the home. Both the proprietor and manager are aware that additional staff would have to be provided if any new residents were admitted to the home. The records of two newly recruited members of staff were seen. These were up to date and showed that Criminal Record Bureau (CRB) enhanced checks had been carried out. A person who had previously been employed in the home had returned to work there again. No new application form had been completed or references sought. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 21 Staff are employed in accordance with the General Social Care Council (GSCC) Code of Conduct. Appropriate checks had been carried out and recorded to verify the work permits for some staff from abroad that have joined the team. The staff contract does not include the need for staff to advise their employer of any new cautions or convictions received after they are employed. Some refresher training in mandatory training areas is due later this year. The District Nurse is also booked to deliver sessions on Parkinson’s disease, dementia, catheter and diabetic care. New staff complete the National Training Organisation (NTO) induction and foundation course. Seventy per cent of staff have a National Vocational Qualification (NVQ) at level 2 or above. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 22 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): 31, 33, 35, 36, 37 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run in a way that benefits the people who live there. They are consulted about what goes on in the home through surveys and meetings. But some records were not dated and policies are not up to date with current best practice. EVIDENCE: The home’s certificate of registration and certificate of insurance cover were displayed in the reception area. Staff have access to a range of policies and procedures to support them in their work. The policies are generally not dated and would benefit from a thorough review. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 23 There is no specific policy covering equality and diversity and staff have not had any training in this area. Staff supervision levels meet the minimum required. Sessions are used to update staff on a specific area of competency. Subjects covered include hand washing, aims and objectives, medication, POVA, data protection and access to records. The fire log was examined. Checks are carried out and recorded at intervals set down by the Fire Officer. The Fire Officer visited the home in February 2007, and discussed the need to complete a new style fire risk assessment for the home. This still needs to be done. The inspector was able to see a business plan dated April 2007. Included were an analysis of occupancy levels, an evaluation of the homes strengths, weaknesses, opportunities and threats. The last staff meeting was held in February 2007. At least four meetings were held in 2006 and the discussions were recorded. The manager, staff, a relative, a district nurse and a local authority reviewing officer meet annually to review quality within the home. Residents were asked if they wished to have a representative on this committee but they said no. Quality assurance surveys completed by residents appeared to have had the date changed. This was not the case, the manager had made use of questionnaires not filled in the previous year. The down falls of doing this were discussed. Chevy Chase DS0000000527.V338132.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 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 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 2 2 Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 25 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 Requirement The homes statement of purpose must be reviewed and references to nursing care/matron removed. THIS REQUIREMENT WAS OUTSTANDING AT THE LAST INSPECTION ON 27 JUNE 2006. Previous timescale of 31 March 2007 not met. 2. OP7 15 The quality of care plans must provide a more proactive approach to the delivery of care. Health care checks identified in care plans must be carried out and the outcomes recorded. Care plan evaluations must be outcome based and reflect the benefit or not to residents. Moving and handling assessments supporting care plans must be expanded. Risk assessments must be in place to support areas of DS0000000527.V338132.R01.S.doc Timescale for action 30/09/07 30/12/07 3. OP7 15 30/07/07 4. OP7 15 30/12/07 5. OP7 13 30/07/07 6. OP7 13 30/07/07 Chevy Chase Version 5.2 Page 26 residents risk identified in their care plans. 7. 8. 9. 10. 11. OP8 OP8 OP9 OP9 OP29 18 17 13 13 19 Care staff must be supported to meet the needs of residents. The quality of staff recordings must be improved. 30/08/07 30/12/07 Staff must be able to audit 30/07/07 medication held within the home. Medication must be checked and used in date order. Application forms must be obtained for all prospective employees and fitness checks carried out. All records must be dated, signed and up to date. A new premises fire risk assessment must be completed. 30/07/07 30/07/07 12. 13. OP37 OP38 17 24 30/07/07 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. 2. 3. 4. Refer to Standard OP1 OP12 OP16 OP29 Good Practice Recommendations Access to information and inspection reports should be highlighted. The visiting policy should be expanded to support residents refusing to see someone. The complaint policy and procedures should be updated. Staff contracts should include reference to cautions/convictions received after employment DS0000000527.V338132.R01.S.doc Version 5.2 Page 27 Chevy Chase commences. 5. 6. OP30 OP30 A training matrix should be produced to identify any gaps in the training provided. Staff should receive training to help them with recording and equality issues. Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Chevy Chase DS0000000527.V338132.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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