Inspection on 24/10/06 for Coachmans Drive (51)

This inspection was carried out on 24th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Coachmans Drive (51) 12/08/08

Coachmans Drive (51) 19/11/07

Coachmans Drive (51) 04/02/06

Coachmans Drive (51) 26/11/05

Coachmans Drive (51) 18/02/05

Coachmans Drive (51) 04/08/04

Coachmans Drive (51) 02/03/04

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 Coachmans Drive (51) 51 Coachmans Drive West Derby Liverpool Merseyside L12 0HX Lead Inspector Lesley Owen Unannounced Inspection 24 October & 9 November 2006 09:30 th th Coachmans Drive (51) DS0000025241.V305548.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 Coachmans Drive (51) DS0000025241.V305548.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. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coachmans Drive (51) Address 51 Coachmans Drive West Derby Liverpool Merseyside L12 0HX 0151 228 2295 0151 228 2295 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) None United Response Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th February 2006 Brief Description of the Service: 51 and 53 Coachman’s Drive are two bed-roomed bungalows situated in Croxteth Park area of Liverpool. The bungalows are identical in layout and are adjacent to each other. They have large lounge/dining area and recently refurbished kitchens. There are gardens to each of the properties. A small office is located in 51 Coachman’s Drive that serves for both properties. Staff sleep in a room located in 53 Coachman’s Drive. There is one manager for both services and the staff group are employed for both houses. 51 Coachman’s Drive is decorated and furnished to a high standard and provides a homely environment that is domestic in character. Coachmans Drive (51) DS0000025241.V305548.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 began at 3pm on the 24th October 2006 and took place over three hours. The inspector spoke with the senior support worker and agency worker who were on duty at the time, both service users were at home. During the inspection time was also spent examining records held for service users, a sample of maintenance records were also seen and a tour of the house was made. A second visit was made to the home on the 9th November 2006 to speak with the newly appointed manager, further staff and to examine staff records. In addition the manager completed a pre-inspection questionnaire which provided the inspector with additional information. Survey forms were left at the home for service users to complete if they wished. What the service does well: What has improved since the last inspection? Further improvements have been made to the environment to ensure service users live in comfortable and safe surroundings. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 6 A new manager has been appointed for the service and an application for registration is to be submitted. The inspector was informed that three of the four staff vacancies had been filled and as soon as all employment checks had been completed, the new staff will begin work. 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. Coachmans Drive (51) DS0000025241.V305548.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 Coachmans Drive (51) DS0000025241.V305548.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): This standard was not assessed on this occasion as both service users have lived in the home for a number of years and there have been no new admissions. However the organisation have the appropriate policies and procedures in place to ensure new service users needs are assessed prior to being admitted to the service. EVIDENCE: Both service users living at Coachman’s Drive have been resident in the home for a number of years. As a result assessment procedures have changed significantly. United Response have clearly identified procedures in relation to the assessment process and an assessment checklist that gives comprehensive guidelines as to who should be involved which would be used if a new service user were to be assessed in the future. The current charges at Coachman’s Drive are based on the individual care package of the service user. Additional charges are made for hairdressing, sports and leisure, clothing and footwear and other personal items . Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 9 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 and 9 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Care plans were in place to ensure the individual needs of service users are met. Service users were being supported as individuals and activities are chosen to meet their particular needs. Risk assessments were in place to support work with the service users. EVIDENCE: There have been no changes regarding the care plans for service users since the last inspection. Detailed essential lifestyle plans/ care plans were in place for both service users and the care plans for one service was examined in more detail. The plans identified how the service user needs were to be met and included information in relation to active support, preferred method of communication, day support, mobility, morning and evening routines, , medical profile, personal support, diet and medication. It was clear from the information available that service users were fully involved and consulted in planning all aspects of their care. Reviews of care plans are held approximately six monthly and all parties involved with the service user are invited to the review with their permission. A record of daily events are completed for each service user. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 10 Action is taken to minimise all identified risks and strategies are put into place to assist service users. At the time of this inspection work had begun to review all the risk assessments for service users’ as a number were no longer required and others needed to be brought up to date. Staff spoken to during both visits to the service demonstrated that they had a good knowledge of the individual service users needs and how these are communicated despite service users having little verbal communication. Good relationships were observed to have been developed between staff and service users throughout the time of this visit. Staff at the home actively supporting service users to participate in a number of aspects of home life e.g. choice of food, preparation of meals and doing the laundry. Residents are involved in team meetings, staff meetings and it is the policy of the organisation to actively support service users to be involved in staff selection if they wish. Staff inform service users of any changes that may be introduced to the service provided and keep them up to date about what is going on. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 11 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): 12, 13, 14, 15, 16 and 17 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The individual interests of service users are promoted whilst maintain their safety. The staff team ensure that service users are offered opportunities to take part in appropriate leisure and social activities in the local community. Meal times are provided in a relaxed and unhurried manner. EVIDENCE: Service users are supported to go out into the community as much as possible, they visit the local hairdressers/ barbers, go out for meals and accompany staff to the shops. They are encouraged to participate in all aspects of their home life where possible. Both service users usually go out during the day either with staff or they are supported by specific day support staff to undertake activities in the community if they wish to. One service user holds a season ticket for a local football team and undertakes voluntary work at a hospital. Personal goals and aspirations are identified in their Essential Lifestyle plans and are reviewed to ensure that these are achieved. It is the aim of the organisation and staff that all service users are encouraged and supported to participate in valued and fulfilling activities if they wish to. Staff have a good Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 12 understanding of the rights of individuals who have a learning disability to access facilities as any other citizen of the community. The staff team actively support and enable service users to undertake activities, go on holiday, to theatre and pursue their individual hobbies and interests. All activities undertaken are subject to risk assessment and service users are always supported by staff from the house or by individual day support workers. The service has had a number of staff vacancies for a considerable period of time although the organisation has actively sought to recruit. As a result the changes discussed at the last inspection to consider using day support staff to assist with evening activities had not been progressed, but it is still the intention of the manager to implement this. As a number of new staff have now been appointed and after full checks have been completed will be able to begin work this change should then be implemented. Once introduced this will ensure that more planned and unplanned activities can be provided in the evenings. The staff support service users to maintain family links, and family are actively encouraged to visit the home. There are no restrictions around visitors coming to the house. Life in the home is based around what service users want to do, unless there is a particular activity they have to attend. Service users can get up when they wish, spend time in the lounge or in the privacy of their own rooms. Service users are assisted by staff to prepare meals, go shopping for household products and to buy food. Where a service user requires assistance to eat the appropriate support is given by staff. Records are kept and specialist advice from the dietician is sought when required. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 13 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 The quality in this outcome area is good. The judgement has been made using available evidence including a site visit to the home. Care plans give clear guidance to staff to assist service users in the way that meet their personal care needs. Medication practices are within a safe framework and arrangements are put into place to ensure that service users healthcare needs are met EVIDENCE: Both service users require assistance with personal care and how this should be provided is clearly laid out in their care plans. All personal care is provided in service user’s bedrooms or in the bathroom and staff respect their privacy as much as possible whilst maintaining their safety. Service user files inspected included specialist assessments undertaken. Appropriate technical equipment and assistance is provided which is regularly reviewed to ensure the individual needs of the service user continue to be met. Both service users have access to appropriate primary health care and a member of staff always accompanies them to appointments. Arrangements are in place for service users to access the services of an optician, dentist, chiropodist or other health care professionals as required. The home has contact with the continence adviser, dietician, peg feed and district nurse when required, the speech therapist visits. Wheelchair assessments are completed yearly. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 14 Medication in the home is currently dispensed by staff, as both service users are unable to administer their own. Only senior support staff are allowed to administer medication and all have undertaken in-house training. Records relating to the receipt, storage, recording, handling, administration and disposal of medication were satisfactory. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 15 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 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. Policies and procedures are in place to protect and promote the rights of service users. EVIDENCE: United Response has a detailed complaints procedure which explains what people should do if they have a complaint. However it is unlikely that either of the service users at the home would be able to register a formal complaint using this procedure. The manager has made sure that both service users and their relatives have a copy of the complaints procedure which is in a pictorial format. As both service users have communication difficulties the manager and staff talk with them and observe their behaviour and respond if they become upset or indicate disapproval in situations. Staff at the home have worked with the service users for a number of years and have developed a good understanding of the individual service users needs and know when they are upset about something. The pre-inspection questionnaire indicates that the home has received no complaints since the last inspection. CSCI has also received no complaints in relation to the service. Any complaints received would be logged. The home has a copy of the Liverpool Inter Agency Vulnerable Adult Protection Procedures and United Response have an Adult Protection and prevention of abuse policy. Staff are given guidance around ‘Awareness of Abuse’ through National Vocational Qualification (NVQ) training and through the Learning and Disability Award Framework (LDAF) and new staff undertake this training as part of their induction. Training records provided indicate that a programme to Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 16 up to date training for a number of staff and to provide additional formal training for newer staff should be implemented. The organisation has a Whistle Blowing policy. The organisation has a policy in relation to management of service users money and financial affairs. Service users monies held were not checked during this inspection. . Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 17 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 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The home is domestic in character and provides service users with a safe, homely and well maintained environment EVIDENCE: The home is a two-bedroom bungalow that is adjacent to its sister home, which is an identical property. The service provided has been located there for the last twenty-one years. The home has an on-going maintenance and improvement programme. Since the last inspection new flooring has been fitted in the kitchen, one service user has had new bedroom furniture, a new television has been bought for the lounge, new radiators have been fitted and a summerhouse had been built in the rear garden. The home has a spacious lounge and dining area. Laundry facilities are domestic in character and situated in the kitchen where service users can use them. The kitchen has been refurbished and has a worktop available that is at a level for service users to assist from their wheelchairs. The home has one bathroom for use by service users and staff. It has been specially adapted to meet the needs of service users. The bathroom provides a Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 18 raised bath with tracking system, a shower and a changing table with overhead hoist. All equipment is serviced at the appropriate intervals The home does not have an alarm call system installed, instead during the night individual monitors are placed in service users bedrooms to alert staff if service users are experiencing difficulties. The night support worker through the night makes regular checks, which are recorded, in addition to the alert system provided by the monitors. Both service user have their own bedrooms, staff ensure that bedrooms are bright and that the layout and contents are in keeping with the individual service user’s personality whilst maintaining a safe environment. The house at the time of both visits was warm clean and tidy providing a very homely environment for service users. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 19 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): 32, 33, 34, 35 and 36 The quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to the service. Due to vacancies within the staff group’ staffing levels have not always been sufficient to ensure service users social care needs are met. Training should continue to be promoted in the home to ensure that staff have the appropriate skills and knowledge to meet the needs of service users. EVIDENCE: At the time of the last inspection the home had a number of staff vacancies which the organisation have actively sought to fill. Unfortunately earlier recruitment drives had been unsuccessful, however the manager informed the inspector that the organisation have now successfully recruited to fill three of the four vacancies and staff will begin work as soon as checks have been completed. As was noted at the time of the last inspection staff shortages had impacted on being able to undertake spontaneous activities with service users. Household shopping had sometimes had to be done for both bungalows rather than individually. This had remained the same but the inspector was assured that when the new staff begin work any issues that have arisen in relation to activities for service users would be addressed. Throughout the time the home has been experiencing staffing problems agency staff have been used, in order to provide consistency of care the same staff have been used where possible. During the first visit to the home the inspector was able to meet one Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 20 staff member from the agency who advised that they had provided cover on a regular basis at the home. From observation and discussion it was confirmed that the member of staff was aware of the needs of the service users and had developed a good relationship with them. Within the current staff group 6 of the 13 staff members had achieved a National Vocational Qualification (NVQ) level 3 in promoting independence. One member of staff had completed training within the Learning Disability Award Framework LDAF and another member of staff is completing this award Since the last inspection no further staff have received updated training in core subjects as it has been difficult to release staff because of the staff shortages. Where staff require training up dates this should be addressed. United Response has a clear recruitment and selection policy and comprehensive policies and procedures relating to employment. The file of the newest member of staff was checked and contained all information required with the exception of confirmation that a Criminal Record Bureau (CRB) check had been undertaken, this was discussed with the manager and the inspector informed that a Criminal Record Bureau checks had been received. Information required to undertake these checks is gathered at the home and the check is then undertaken via the Regional Office. On receipt of the check from the CRB the manager or service manager are informed. Where no CRB check is held on file in the home, written confirmation of clearance must be maintained on files. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 21 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, 39 and 42 The quality in this outcome area is good. This judgement has been made using available evidence including a site visit to the service. The home benefits from having a good manager who ensures that it is service user led. The home is well maintained to ensure the safety of service users and staff. EVIDENCE: Since the last inspection a new manager has been appointed and an application for registration is to be submitted. The newly appointed manager has experience as a senior support worker in the home and continues to lead the team in a manner that is service user focused. Quality assurance and monitoring systems are in place in the home. United Response have a comprehensive quality assurance manual “Getting It Right” and an auditing manual, both which are used throughout the organisation. Regulation 26 visits are undertaken by the Service Manager. Staff meetings are held at monthly intervals. Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 22 The checklist completed as part of the pre-inspection questionnaire confirmed that policies and procedures are in place and a procedures manual is available in the home. A random sample of records held in the home were checked, these included, fridge and freezer temperatures, gas safety certificate and fire safety. The preinspection questionnaire also confirmed that all other checks in relation to maintaining a safe environment had been undertaken and dates were provided. Coachmans Drive (51) DS0000025241.V305548.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 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 x 2 x 3 x 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 2 34 3 35 2 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 3 x 3 3 3 x x 3 x Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 24 NO 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 YA37 Regulation 8 (1) (b) (i) Requirement The organisation must submit an application to register a manager with the CSCI.(Previous timescale not met 14/04/06) Timescale for action 31/01/07 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 Refer to Standard YA9 YA33 YA34 Good Practice Recommendations To ensure all risk assessments are reviewed and updated. The home should provide sufficient numbers of staff to support service users’ assessed needs at all times. Where CRB checks are not available in the staff file held at the home to ensure written confirmation that a POVA First and CRB Check have been obtained is available on staff files. Training and development should continue to ensure all staff receive core training and updated training as required. 4 YA35 Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Coachmans Drive (51) DS0000025241.V305548.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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