Inspection on 03/10/07 for Croft House

This inspection was carried out on 3rd October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Croft House 07/10/08

Croft House 12/10/06

Croft House 21/11/05

Croft House 16/05/05

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

CARE HOMES FOR OLDER PEOPLE Croft House 26 Kirkham Road Freckleton Preston Lancashire PR4 1HT Lead Inspector Phil McConnell Unannounced Inspection 09:30 3 & 8 October 2007 rd th 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 Croft House DS0000063015.V344121.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. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Croft House Address 26 Kirkham Road Freckleton Preston Lancashire PR4 1HT 01772 633981 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) Ammram Limited Mrs Janet Margaret Finn Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 22 service users: Up to 22 service users in the category of OP (Older People) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 12th October 2006. Date of last inspection Brief Description of the Service: Croft House Care home provides residential care for up to 22 older people. It is situated in the village of Freckleton, which is close to the city of Preston. Leisure amenities are close by as well as local shops and a public transport system. The home is on two floors and there is a chair lift in place. There are a number of aids and adaptations in place throughout the care home suitable for the age range and needs of the people living there. There are twenty single rooms and one double room, at present only one bedroom has en suite facilities. The present rate of charging is between £336 and £395.50 Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for care homes for older people, including: the Annual Quality Assurance Assessment, (AQAA) which is a self assessment document completed by the manager, some surveys returned to the commission from service users and relatives and an unannounced inspection visit to the service on the 3rd of October 2007 and an announced second visit on the 8th of October 2007. The registered manager Mrs Janet Margaret Finn was available for both days of the inspection visit. During the visits to the home 3 service users’ files were examined, including the most recent person to go and live at Croft House and discussions took place with some of the service users throughout the visits. There was the opportunity to observe the care provided to the service users and the interaction between them and the staff. Three staff files were also examined, including the last person to be employed at Croft House. Throughout the visits there was the opportunity to have conversations with other staff members, including one of the homes cooks and some of the care staff. There was also the opportunity to speak to a visiting social worker and some relatives visiting the home. All of the feedback from these discussions was quite positive. The homes policies, procedures and all other documentation including health and safety files and certificates were examined. (See management section). A full tour of the home was also carried out. (See environment section). What the service does well: Croft House has a good consistent and dedicated staff team, who provide a good level of care to the best of their ability, taking into account the resources that are made available to them. The pre admission assessment process for new residents is carried out to a good standard, which helps ensure that people’s needs are clearly identified. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 7 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 Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 8 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, 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good pre admissions procedure in place, helping to ensure that peoples’ needs will be correctly identified and determined if Croft House can meet the individual’s needs. EVIDENCE: Three service users’ files were examined including the most recent person to go and live at Croft House and their files contained relevant assessment documentation including: internal admission assessments, social services assessments, care plans and up to date daily record sheets. Some people also had hospital ‘discharge summary’ assessments. A satisfactory pre-admission process was in place and in discussion with the manager it was clear that the process is successfully used for all new service users who to come to live at Croft House. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 9 The Annual Quality Assurance Assessment (AQAA) states, “we take care to chat with a prospective resident and their family and give all information, written and verbally”. A visiting relative was able to confirm that the admissions process is satisfactorily and adequately carried out. There was also the opportunity to have a conversation with a visiting social worker. This visit was a follow up to the service users admission a month ago and she was very complimentary about how well the person had settled in. This persons pre - admission assessment was examined and it was very thorough and concise, giving detailed information and guidance in how to provide this persons needs. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Care and health planning was generally satisfactory but any unused medication must be returned to the providing chemist. This will ensure clarity and transparency. EVIDENCE: Three service users’ care plans were examined and they were found to be of a reasonable standard, although they would benefit from having more information. This would help the care staff in having more detailed guidance in providing the care and support they give. The plans are reviewed on a monthly basis. It was evident that care plans were developed from the initial assessment and there were individual risk assessments in place, which are regularly monitored and adjusted if needed. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 11 Individual information was available with regard to service users’ specific health needs, with information regarding visits from GP’S, district nurses, chiropodists and other health professionals. There was also evidence that, hospital appointments, GP’s appointments and other treatments and consultations with other health professionals had been carried out and helping to demonstrate that people’s health needs are monitored and treated correctly when necessary. However, one GP wrote, “at times staff have been unsure of medication and how individuals take it”. During the inspection visit, one service user was taken ill and subsequently admitted to hospital. The staff dealt with the situation in a caring, sensitive, professional and proficient manner. There is a policy in place for staff to adhere to regarding the procedures for the receipt, recording, storage, handling, administration and disposal of medicines. Any unused medication needs to be returned to the chemist, from where the medicines were dispensed. This will help ensure clarity and good practice. Records were examined to ensure that all medicines received and administered were correctly maintained. Medicines were kept in a secure locked cupboard, which was very well organised and tidy, with provision being made for the correct storage of any controlled drugs that may be required. (None at the present time). The home’s owner is a qualified pharmacist and provides medication training to staff and regularly carries out an audit of the medication. None of the present service users are responsible for administering their own medication. However there are contracts/agreements in place for anyone who wishes to self-administer their own medication. Members of the staff team were observed demonstrating a caring, sensitive, dignified and respectful approach, with people responding positively. Some of the comments were, “We are more than happy with the care our relative receives” and “They look after my mother very well and make sure she is comfortable”. However one person did write, “Hygiene appears to be satisfactory, but possibly a better update on medical care updates”. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a need to increase the provision of varied and meaningful activities and recreational pursuits, in order to further motivate and stimulate people. EVIDENCE: Although there was an activities programme displayed on the homes notice board, there is still little evidence to demonstrate that all of these activities take place. Feedback from relatives, service users, staff and in observation it was apparent that there are still insufficient organised events and activities to clearly determine if people are appropriately motivated and stimulated. Some of the comments received from relatives were, “They need to take residents out more or at least spending more time with them to keep their minds more active” and “Some people coming into the home seem to be alert and reasonably active, but seem to quickly deteriorate and sleep constantly. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 13 Staff are pleasant but we feel more needs to be done to stop residents becoming docile and sleeping too much at times”. There needs to be a proactive move to ensure that individuals’ interests are catered for and everything possible is done to provide motivation and stimulation, in order to promote peoples’ wellbeing. Once again this was discussed with the homes manager. There is an open house policy at the home and during the inspection visit there were a number of visitors to the home and they were able to confirm that they can visit whenever they wish and they are able to see their relative in the privacy of their own room. It was observed during a tour of the premises that people had brought into the home their own personal belongings. This helped to demonstrate people’s own choices and individuality. Regarding the meals in the home some of the comments from relatives were, “They provide good meals” and “The meals appear to be of a good standard”. Some of the people living in the home said, “The food is very good, that’s what made me come and live here” (used to receive respite care) and “the meals are always really good”. There was the opportunity to have a meal on each visit to the home and they were well presented, nutritious and appetizing. Fresh fruit and vegetables are provided on a daily basis to the home. In conversation with one of the home’s 4 cooks, it was commented, “it’s a very good well equipped kitchen and we all provide fresh home cooking, when we can”. (See environment section regarding fridge/freezer) The issues identified above were discussed with the home’s manger after the inspection visit. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been no complaints received about the home, but the lack of ‘safeguarding adults’ training is potentially putting vulnerable people at risk of harm or abuse. EVIDENCE: The home had a comprehensive complaints policy and procedure in place, regarding the safeguarding and protection of vulnerable adults. There have been no complaints received by the commission for social care inspection (CSCI) since the last inspection visit. Generally it appears that people are aware of the complaints procedure and how to complain if needed. People who were spoken to knew whom they could speak to in the home if they needed to complain. There was a policy in place to deal with a suspicion or allegation of abuse. New staff are given some information to read regarding ‘safeguarding adults’, but there is no formal practical training given. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 15 In discussion with the staff, there is awareness that ‘safeguarding’ training is “not happening”. Again the home’s manager was informed of the importance of this training needing to be provided. This was also identified in the previous inspection visit in 2006. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 16 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 and 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The environmental standards are in need of being improved, in order to ensure that people live and work in a safe, comfortable and pleasant home. EVIDENCE: A full tour of the home was completed and although some areas of the home have been redecorated, overall the decoration is looking quite tired and generally poor. However the home is clean and tidy and it is evident that the cleaning staff are doing all they can to maintain a clean and pleasant environment. The kitchen has been refurbished to a good standard since the previous inspection visit. The home’s cook commented, “It’s a very good well equipped kitchen”. However it was observed that one of the fridges and a cabinet chest freezer are in need of being replaced, due to damage and rust. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 17 Peoples’ bedrooms contained individuals’ own belongings, but as well as the poor decoration much of the bedroom furniture is in need of being replaced. It was suggested to the manager that the present ‘energy saving’ bulbs throughout the home provide inadequate lighting, especially for people who have visibility problems. This is a health and safety concern. An assurance was given that this will be addressed. In different areas of the home there were some unpleasant odours and carpets throughout the home are also in need of being replaced (These were identified as the source of bad odours). The conservatory’s roof is badly damaged and this also needs some attention, it is unsightly and a potential hazard to people’s safety. The laundry was a little untidy, but appears to meet people’s needs in the home. There were some serious concerns regarding the outside grounds, which included the collecting of rubbish bags (household rubbish) at the rear of the building. At the front of the building it was evident that there are ongoing problems with an overflowing drainage/waste pipe. Both of these issues potentially are serious health matters. On the second day’s visit both of these issues had been addressed, with a rubbish skip being provided to collect the rubbish and the drain had been professionally unblocked and cleaned. It is essential for health and hygiene reasons that a permanent solution is quickly found for both issues. An assurance was given that immediate action will be taken to address both of these concerns. Overall the environmental standards internally and externally were observed to be poor and some of the comments received from service users, relatives and staff voiced some of the frustration felt, including, “The décor leaves a lot to be desired, it needs updating” “my carpet needs cleaning, it’s got paint on it” and “I know that local people feel the home has deteriorated, it’s quite upsetting”. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 18 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. The staff team has been generally consistent, professional and demonstrate good attitudes, despite the lack of sufficient training. EVIDENCE: The staffing levels were examined and were generally found to be adequate and satisfactory. Three staff files were examined and they contained all of the necessary documentation with regard to recruitment including, Application form, 2 references, Criminal records bureau check (CRB), job description and terms and conditions of employment. The files also contained a copy of the welcome pack that new staff are given which included, a staff handbook, a general social care council (GSCC) code of practice book for social care workers, copies of relevant policies and procedures including disciplinary and grievance procedures. As already mentioned the staff demonstrated a caring, sensitive, dignified and respectful approach, with service users responding positively and it was evident that good relationships existed between service users and the care staff. On the second days visit one of the service users was displaying some signs of agitation and the members of staff involved dealt with the situation Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 19 with sensitivity and tact. This person was later seen to be relaxed, reassured and content. All of the comments from service users and relatives regarding the staff were positive with some saying, “the staff are marvellous, no one could do anymore than they do” “the staff are wonderful, nothing is too much trouble” and “all of the staff are very nice and willing to help”. A number of different training providers have been used for NVQ training (national vocational qualification). Unfortunately the training has been very spasmodic and unreliable; consequently people have still not successfully obtained this care training award. In discussion with some of the staff, it was apparent the level of disappointment and frustration that is felt, with one person saying, “I have been trying to get my NVQ 2 for over 4 years. It’s been irritating that different training organisations have not been able to complete the training. We are now registered with Blackburn College, so hopefully I will finally complete my NVQ”. As already mentioned ‘safeguarding adults’ training is also not being provided. It is clear that the provider is not providing the necessary and appropriate training that is needed to help ensure that vulnerable people are protected and safeguarded from potential harm or abuse. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 20 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 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and safety of service users and staff is not sufficiently promoted. This puts peoples safety at risk, with their welfare not being paramount. EVIDENCE: The registered manager has many years of experience of in the care profession and is adequately qualified, having completed the NVQ level 4 in care management and she has recently attained the registered managers award (RMA). In discussion with some of the staff members, there was a general opinion that the manager is approachable and fair. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 21 The home’s policies and procedures were examined and they were found to be up to date and of a reasonable standard. There was evidence that mandatory training is provided, however as already mentioned there is no evidence to demonstrate that the ‘safeguarding of adults’ training is provided. This fails to give the assurance that vulnerable people are adequately protected and safe. All of the policies and procedures for Croft House were available for inspection and they were found to be up to date. With regards to people’s personal finances. It was stated “people look after their own finances and, if needed, families deal with that”. All inspection certificates were in place and up to date, including: gas safety certificates, electric check certificate, fire extinguisher checks and fire drills are carried out regularly, lifting hoists certificate, PAT portable appliance testing, emergency lighting certificates and inspection records were available with regard to the testing of Legionella with regular water temperatures being carried out and recorded. The manager was also informed that there is a need to send regulation 26 and 37 notifications to the commission for social care inspection (CSCI). Regulation 26 notifications are monthly inspection reports, which are carried out by the provider and regulation 37 notifications are the reporting of serious incidents or the death of a service user. These notifications are not being regularly provided. This is needed to maintain accurate records by the commission. There was insufficient evidence to clearly show that the health and safety of service users and staff is promoted as much as possible. (See environment section regarding health hazards). Feedback was given to the registered manager following the visit regarding all of the health and safety issues/concerns identified. Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 22 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 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 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 1 X X X X X X 2 STAFFING Standard No Score 27 2 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 1 Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 23 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 2. 3. Standard OP12 OP18 OP19 Regulation 16 (2) (m) (n) 18 (1) (i) 23 (2) (b) (d). Requirement The leisure and recreational activities for service users need to be improved. Staff to be suitably trained in ‘Safeguarding Adults’ (Previous timescale not met) *The premises to be in a good state of repair internally and externally. *All parts of the home to be reasonably decorated. (Ongoing requirement) 4. OP26 12 (1) (a) Promote and make proper provision for the health and welfare of service users. The home should be free from health and safety hazards. The home to be kept free from offensive odours and make suitable arrangements for the removal of refuse. Ensure that appropriate training is regularly provided, including safeguarding adults and NVQ training. DS0000063015.V344121.R01.S.doc Timescale for action 31/12/07 31/12/07 28/02/08 31/12/07 13 (4) (a)-(c) 16 (2) (k) 5. OP30 18 (1) (a) (c) 31/01/08 Croft House Version 5.2 Page 24 6. OP38 13 (4) (C) The homes drainage system must be appropriately maintained, in order to help ensure that peoples health is not put at risk. 31/12/07 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. Refer to Standard OP9 OP19 Good Practice Recommendations The provider must ensure that all unused medication is returned to the pharmacy that has provided the medication. A refurbishment programme should be implemented. (See requirement and standard.) 50 of the staff should be qualified to at least NVQ level 2 (Need to re-establish training) A training matrix should be implemented. 3. OP28 4. OP28 Croft House DS0000063015.V344121.R01.S.doc Version 5.2 Page 25 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 © 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 Croft House DS0000063015.V344121.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. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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