CARE HOMES FOR OLDER PEOPLE
Cleveleys Park Rest Home 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP Lead Inspector
Mrs Ruth Edgington Unannounced Inspection 13th August 2007 09:15 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 Cleveleys Park Rest Home DS0000065275.V342510.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. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Cleveleys Park Rest Home Address 2 Stockdove Way Cleveleys Blackpool Lancashire FY5 2AP 01253 821324 01253 821324 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) Ms Sonal Solanki Vacant post Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (14), Physical disability (1) of places Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 15 service users in the category of OP (older persons over the age of 65 years) and one service user in the category of PD (Physical Disability). Only 1 named service user in the category of PD over the age of 60 years may be accommodated within the overall number of registered places. 5th July 2006 3. Date of last inspection Brief Description of the Service: Cleveleys Park Care Home is situated within easy access of Cleveley’s local shops and amenities. The home provides personal care for a maximum of fifteen residents of both sexes aged 65years and above. The accommodation, which is on the ground and first floor, consists of nine single bedrooms and three shared bedrooms. Four of the bedrooms have ensuite facilities. There are sufficient bathing and toilet facilities to meet the needs of the residents accommodated. The communal rooms provide sufficient space and comfortable surroundings for the residents. There is a passenger lift to assist residents to move between the ground and first floor, however the home does not have available any special equipment except for a specialist bath, wheelchairs and walking frames. There is a Statement of Purpose/Service User Guide, which is available for persons making enquiries about the home. There is also a copy in each bedroom for residents and their relatives to refer to. The written information explains the care service that is offered and what the resident can expect if they decide to live at the home. A copy of the most recent inspection report is located in the hallway for residents and visitors to read. Information received on the visit confirmed that the fees for care at the home are from £320.0 to £374.0 per week and this includes hairdressing and chiropody. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the home’s Key Inspection. The site visit commenced at 9.15am and took place over 4 hours. Prior to the visit the manager completed an Annual Quality Assurance Assessment document (AQAA), which provided information about the home and how the service provided was meeting the National Minimum Standards. Comments cards were sent to a number of residents, their relatives and relevant healthcare professionals persons. In total completed forms were returned by two residents, one relative and one healthcare professional, all of which provided views about the home. During the visit a number of residents, one relative, three members of staff and the manager were spoken to. A random selection of residents, staff and administrative records were looked at and a tour of the home took place From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well:
This is a care home where the residents are well looked after. They are encouraged to be individual and their personal routines and lifestyles are respected. One relative commented that the resident wanted to be comfortable and trouble free and the staff had seen to this. “They have made my relative’s life comfortable and pleasant in her final years.” The staff team work well together and were seen throughout the visit to be very caring in the way in which they looked after the residents and assisted with personal tasks in a sensitive manner. There was a good atmosphere in the home and the staff, and residents were very relaxed and interacted well. One resident said “I have never been happier and I like my bedroom”. From observations and discussions, evidence was gained to confirm that the manager and staff had a good understanding of equality and the diverse needs of the residents, which ensures that individual needs are met. The manager and staff are committed to enabling residents to live as independently as possible whilst ensuring their privacy, dignity and opportunity to make their own choices. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better:
The recruitment procedures in place should be followed correctly ensuring that no member of staff commencing work without the required documentation being obtained in order that the residents are protected from contact with unsuitable staff. The manager should undertake the recognised care qualification required for her position. An application to register the manager with the Commission for Social Care Inspection should be made. The home owner should ensure that the time spent in the home is sufficient to enable support to be given to the manager and to enable discussions to take place with regard to developing the service further to ensure that the needs of the residents continue to be met. The manager and staff are committed to the care of the residents and therefore every opportunity should be given to the staff to enable them to continue to provide a high level of care. This should include access to all relevant training course, which would further their knowledge and understanding of the needs of the elderly. Whilst the home is clean, safe and maintained to an acceptable standard the homeowner should produce an annual development plan, which includes a planned programme of upgrading and refurbishment to make sure that the physical standards of the home do not deteriorate and affect the wellbeing of the residents and staff. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 7 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. Cleveleys Park Rest Home DS0000065275.V342510.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 Cleveleys Park Rest Home DS0000065275.V342510.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment and admission procedures were clear to ensure the care needs of the residents are met. EVIDENCE: The records of three residents were looked at in detail and where found to contain full assessment information. The home’s admission procedure requires that a formal assessment is carried out before any resident is admitted in order to ensure that their needs can be met. The records of one resident showed that they had been admitted to the home in an emergency and therefore whilst information had been obtained about their needs, there was no opportunity for a formal assessment to be carried before admission. Evidence was gained that the residents and their relatives had been involved in the assessment and admission process.
Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 10 The members of staff on duty were able to demonstrate that they were fully aware of the needs of the individual residents and had access to the residents’ information. This home does not provide intermediate care. Cleveleys Park Rest Home DS0000065275.V342510.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 &10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, residents’ welfare is closely monitored and health needs were met. EVIDENCE: A care plan is devised for each resident from the assessment of his or her needs. A copy of their care plan is kept with the daily records of the care provided for staff to refer to at all times. Examination of the files of three residents clearly showed that the information included reference to their health, personal, spiritual and social needs. Information recorded for on resident made it very clear the name by which the resident wanted to be known. Another resident had indicted that they did not have any strong religious inclinations and staff confirmed that these wishes were respected. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 12 The care plans also included risk assessments especially in relation to moving and handling. The information clearly indicated if more than one member of staff was required to assist individual residents. Evidence was seen that the care plans were in the process of being reviewed and updated. The manager confirmed that all care plans would be reviewed on a monthly basis. Evidence was seen of involvement with other professional and a record was kept of all healthcare visits and appointments. Significant events had been recorded and daily entries made setting out the care given. Observations were made during the visit of the caring approach of the staff towards the residents. Practices in the home ensure that the residents are treated with respect and that their right to privacy is upheld. The manager stated that the privacy and dignity of residents is an issue that is discussed with staff on a regular basis to ensure that standards do not fall and that residents continue to be treated well. Comments received from residents were very positive, one said,” We are treated like royalty, the staff are fabulous and nothing is too much trouble for them”. Through examination of the medication records and observations made during the visit, evidence was found that confirmed that the medication practices were safe and good records had been maintained. All staff who administer medication had undergone training. Information was available to all care staff in relation to the medication being taken by residents in order that they could identify any possible risks or side effects. One resident keeps their own pain relief tablets and the appropriate documentation had been completed and safekeeping facilities provided. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 13 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, &15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service The social, cultural, religious, recreational and nutritional needs of the residents are well managed to meet their individual capabilities and those of the group. EVIDENCE: Each resident’s care file contains information about their social, cultural, religious preferences and likes and dislikes especially in relation to food. Staff spoken to confirmed that the residents were taking more interest in activities, including quizzes that some residents were very good at. Staff also said that residents had become more social especially at meals times when they were spending more time sitting at the table talking to each other. The manager acknowledged that there could further improvements made in relation to group activities such as trips out and entertainment being brought into the home, however activities are very much dictated by the wishes of the residents and many prefer reading and watching the television. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 14 One resident who goes out each day unaccompanied informed that staff that they were going out and that they did not want any lunch. The staff said that the resident would probably go to the local café for lunch but did not want anyone to know The manager confirmed that the home operates an ‘Open House’ policy and visitors are made very welcome. This was confirmed through observations made during the visit and from comments received. One visitor said that staff were always pleasant and very helpful. Concerns had been expressed previously in relation to the choice and quality of meals being provided to the residents. Since the last inspection two cooks have been employed, new menus have been devised to meet the needs and preferences of the residents. The daily menu is displayed outside of the lounge and staff ask residents what they would like for each meal. Residents who require a special diet due to a medical condition are catered for and this included two residents who had diabetes and one resident who required a low fat diet. The residents spoken to said that they enjoyed their food and evidence was seen of the good home cooking being provided. Residents are able to have their meals where they wish, two residents liked to have their meals in the lounge. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 15 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to, taken seriously and they will be protected at all times. EVIDENCE: The home has a detailed complaints procedure in place, which is made available to all residents and their relatives on admission. Comments received prior to the visit confirmed that people would know who to complain to if required. One resident stated that staff were most helpful if they were not happy with anything. The home keeps a record of any complaints and compliments made. Since the last inspection there have been two complaints made to the Commission for Social Care Inspection (CSCI), which resulted in a Random Inspection being made to the home on 25th April 2007 to check that the ‘Homes Regulations 2001’ were being complied with. The findings of this inspection were brought to the attention of the homeowner for them to take the appropriate action where required. Information received confirmed that all new staff are made aware of the complaints procedure. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 16 There is a procedure in place in the event of any allegation of abuse or neglect. The manager and members of staff spoken to had a good understanding of the procedures to be followed. Some staff had previously received training in relation to these issues, however the manager confirmed that she would look into accessing training in regard to Safeguarding Adults, in order that staff knowledge was updated and the residents continued to be protected. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 17 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 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home should have a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure that residents live in a comfortable, homely, clean and safe environment. EVIDENCE: Observations made during a tour of the home confirmed that it was clean and free from any obvious hazards. The manager stated that rooms were to be redecorated as and when they became empty. Residents spoken to said that they were very happy with the home and they had been able to bring in personal items to make their room feel like home. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 18 In the main the standard of decoration and furnishings was satisfactory, however the advice given in the previous report with regard to producing a written planned programme for maintenance and refurbishment had not been followed. Failure to budget for a planned programme could ultimately affect the condition of the home and wellbeing of the residents. An issue looked at on the Random Inspection visit was that of a replacement boiler as problems had been encountered in the past with the reliability of the central heating system. This matter requires attention to ensure the health and welfare of the residents. The office and laundry room are areas of the home that should be considered in any future improvements made to the home in order that they remain appropriate for use. Improvements have been made to the garden area since the last inspection in respect of the removal of rubbish. A discussion took place with the manager about the sighting of the large bin, which could clearly be seen from the lounge. The manager confirmed that she would look for an alternative place but given the size of the outside area, alternatives were very restricted. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 19 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 &30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in the recruitment and induction procedures could potentially put clients at risk. EVIDENCE: Examination of the staff rota showed that there were sufficient staff on duty to meet the needs of the residents presently accommodated. At the time of the visit there were two care staff, two domestics, the cook and the manager on duty. From examination of the records of three staff members it was clear that the recruitment procedures had not been followed correctly and therefore the clients could potentially have been placed at risk. In each case there had been only one reference received although one of the staff had been recruited before the manager was employed. Concerns were raised that the last two members of staff to be recruited had commenced work before clearances had received through the Criminal Records Bureau (CRB), which included a check under POVA (Protection of Vulnerable Adults). The manager was informed that this was not acceptable and she immediately took steps to resolve the situation. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 20 Evidence was seen that six of the fifteen care staff have gained a level 2 NVQ (National Vocational Qualification) and that two members of staff were in the process of undertaking this training. Other staff are to undertake this training though the foundation course. From information received it was confirmed that staff training had improved since the last inspection. This included moving and handling and medication training. Staff spoken to said that they were aware of the need for training to ensure that residents are cared for by competent staff and they were willing to undertake appropriate training. They also said that they felt supported by the manager and involved in all aspects of the residents’ care. Comments received from residents were very positive about the care that they received. One resident said the staff were good and the atmosphere was very happy. Observations made during the visit confirmed that staff practices followed the principles of equality and diversity in order that no client was disadvantaged in any way. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 21 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 & 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 the best interests of the residents. EVIDENCE: The manager, who is experienced in caring for the elderly in a management position, has been in post for just over six months. She had previously gained the Registered Managers Award and is to undertake level4 NVQ in Care. The manager confirmed that she was in the process of completing an application form for the post of Registered Manager. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 22 On the previous inspection visit concerns were raised in regard to the lines of responsibility in the home. During the visit the manager was able to demonstrate that she was confident in her ability to undertake her role. The home owner visits on a weekly basis, however the time spent in the home with the manager is very limited, resulting in very little time to discuss any issues that require attention and ensure that arrangements are in place for monitoring the performance of the service being provided. The homeowner completes a report on a monthly basis and sends a copy to the Commission for information. There was no evidence during the visit of an annual development plan having been produced for the home, which should include a planned programme for maintenance and refurbishment. Failure to budget efficiently and effectively could ultimately affect the condition of the home and wellbeing of the residents. Residents are encouraged to control their own finances and if they are not able to do so then their relatives or representatives are asked to take over this responsibility. The manager confirmed that the home was not holding any monies on behalf of the residents. Inspection of maintenance records confirmed faculties and equipment was being maintained as required by the health and safety legislation to provide a safe environment for the residents. Information received prior to the visit showed that the portable electrical equipment and the electrical circuits were due for servicing and the manager confirmed that arrangements were in hand for these to be done. Questionnaires were in place for residents and visitors to give their views on the service being provided. An external audit is also undertaken which was done in January 2207 and was due to be undertaken again very soon in order that the service continues to meet the needs of the residents accommodated. Since the manager came into post she has reviewed all the policies and procedures in place, which include those in relation to health and safety. Staff are made aware of the importance of ensuring that these are followed in order that the needs of the residents are met and that the care practices in the home protect the residents at all times. The manager confirmed that all mandatory training was to be updated in order that staff have the knowledge and ability to ensure the safety of the residents. The staff spoken to said that since the manager came into post improvements had been made in varies areas and they felt that the manager provided the leadership and guidance that they required to undertake their role for the benefit of the residents. Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 23 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 x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x 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 2 x 3 x 3 x x 2 Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 24 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 OP29 Regulation 19(1)(b) Requirement All information and documentation required by the regulations in respect of any person working at the care home must be obtained prior to appointment in order to ensure only suitable people are employed at the home. An application must be made to the Commission for Social Care Inspection to register a manager who is qualified, competent and experienced to ensure that the home is well run for the benefit of the residents. (Timescale of 30/06/07 not met) Timescale for action 30/09/07 2. OP31 8(1)(a) 30/10/07 Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 25 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 OP19 Good Practice Recommendations A planned programme of maintenance, refurbishment and redecoration of the home should be produced to ensure. that the residents live in a well maintained and homely environment. Training should continue to ensure that 50 of care staff achieve a minimum of NVQ level 2. The registered provider should ensure that staff have continual access to relevant training courses in order that they are able to meet the changing needs of the residents The manager should obtain level 4 NVQ in care to ensure that the care practices in the home meet the needs of the residents. 1. 2. OP28 OP30 3. OP31 Cleveleys Park Rest Home DS0000065275.V342510.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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
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