Inspection on 15/05/07 for Arran House

This inspection was carried out on 15th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Arran House 14/02/06

Arran House 02/11/05

Arran House 24/02/05

Arran House 23/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Cumbrae and Arran Houses 28 Redcar Road Guisborough TS14 6DB Lead Inspector Jackie Herring Key Unannounced Inspection 15th May 2007 09:30 Cumbrae and Arran Houses DS0000060456.V337990.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 Cumbrae and Arran Houses DS0000060456.V337990.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. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cumbrae and Arran Houses Address 28 Redcar Road Guisborough TS14 6DB 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) 01287 280511 01287 280522 Mrs Jane Dexter-Smith Mr R Dexter-Smith Brenda Anne Harland Care Home 7 Category(ies) of Learning disability (7), Mental disorder, registration, with number excluding learning disability or dementia (7) of places Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Core and Cluster Home - 4 beds at Arran House and 3 beds at Cumbrae House 14th February 2006 Date of last inspection Brief Description of the Service: Cumbrae was registered June 2004 as a core and cluster arrangement with Arran House, which had previously been registered, offering up to seven places for adults with both a learning disability and a mental health problem. Cumbrae has three single bedrooms one of which is on the ground floor. Arran House can accommodate four people in single rooms, one of which is situated on the ground floor with an ensuite facility. There is a small lounge available on the third floor. Both houses offer domestic, homely accommodation with ground floor lounges and well appointed kitchens/dining areas. Cumbrae and Arran House are situated near the centre of Guisborough and close to local amenities. The weekly fees range between £420 - £530 depending on assessed needs. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key unannounced inspection and was completed in one inspection day, four inspection hours in total. As a key inspection, all of the key standards were examined. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. Residents were spoken to as was a care worker and the manager. A number of records were looked at including residents care records along with medication records and staff training records. A number of residents and relatives surveys had also been completed. On this occasion only Arran House was visited although there was discussion with the manager about Cumbrae House and the residents who live there. This was a good inspection, with very positive comments about the home. The inspector was warmly welcomed by residents, the manager and staff and very good interactions were observed throughout the inspection. What the service does well: Resident’s continue to benefit from a very warm, homely, friendly family atmosphere in which, well trained, knowledgeable staff deliver a high level of care to residents in an inclusive and consultative way. One staff member said, “It’s about being here to support rather than doing for, we promote independence and encourage”. The houses are well run and clearly provide a very good standard of care for the residents. One resident said, “I am quite happy here, it is much better for me here, I have picked up a lot since living here”. The houses continue to provide residents with a lifestyle that allows for independence, choice, and personal development and firmly believed their needs were met. One resident said, “we all choose our menu, each of us has a different day and we also help with the shopping”. A resident said that they made their own packed lunch for college and could make drinks and snacks when they wanted to. Resident’s records are well written, very personal and individual and residents are clearly involved in their individual assessment of need and plans of care. One of the residents said, “My keyworker has discussed my care plan and I know about the risk assessments”. In looking at what the home does best, one of the relatives surveys stated, “Always the care of the patients, they come first”. Another survey stated, “Caring for and looking after vulnerable people”, “We as parents are happy he/she is being well looked after, and as long as he/she is happy, we are too”. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 6 The houses continue to be well managed and there is a very open culture within the organisation in which vision and drive for continuous improvement was very evident. 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. Cumbrae and Arran Houses DS0000060456.V337990.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 Cumbrae and Arran Houses DS0000060456.V337990.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s have their needs assessed before they are admitted to the home ensuring their needs can be met. EVIDENCE: Two sets of resident’s records were looked at during this inspection, one of which was a recent admission to Arran House. Both sets of records contained detailed pre admission assessment, which had been completed by staff of the home prior to admission, which residents are involved in. Care management assessments were also available along with supporting multi disciplinary information. It continues to be clear from the details obtained that individual needs are fully assessed prior to any resident being admitted. Arrangements are in place for residents to visit the home on a trial basis. One of the residents surveys stated, “I visited on five different occasions, came for dinner, tea and also had a sleepover”. The home is well able to demonstrate it’s capacity to meet the full assessed needs of individual residents admitted to the home. The process for admission to the home continues to be detailed planned process with significant Multi disciplinary decision-making. Cumbrae and Arran Houses DS0000060456.V337990.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The homes assessment and care planning process ensured resident’s needs were identified and met. Residents are consulted about all aspects of their life and are supported to be as independent as possible. EVIDENCE: In the two sets of residents records looked at there was very good flow of information from personal information, life history, assessment of need through to individual plans of care, risk assessment and daily information. These records clearly demonstrate that individual residents mental health, emotional and physical health needs were being met. Individual aspirations were also recorded and risk management strategies were in place to support independence and personal development and growth. Very good daily care records were in place. There was evidence that the care records are audited and that reviews take place. There is the need to fully introduce the review/evaluation of care system to ensure there is a good level of information that details the effectiveness of the care being provided. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 10 The staff member who was spoken to was very clear about the role of the keyworker and confirmed that all assessments and care plans were completed in consultation with individual residents. One of the residents said, “My keyworker has discussed my care plan and I know about the risk assessments”. During this discussion, it was very clear that the member of staff knew in depth the care needs of all of the residents and was well able to discuss how these were being met. One staff member said, “It’s about being here to support rather than doing for, we promote independence and encourage”. Resident meetings take place and the minute of these meetings are readily available along with a regular newsletter. It was clear through examination of records and observations that the relationships with residents and staff were very open and enabling, with residents being encouraged to make their own decisions and choices within a risk assessed framework. Cumbrae and Arran Houses DS0000060456.V337990.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are treated with respect and their lifestyles are very much individualised and underpinned by appropriate social and recreational activities as well as the opportunities for personal development. Residents’ benefit from maintaining personal relationships and have their right respected. Meals are provided to a good standard within a suitable environment. EVIDENCE: There are a number of opportunities for activities and personal development, both on an individual basis and group basis. In the files of residents that were looked at, there were detailed individual weekly plans in place, which outline residents daily life activities and social and recreational activities. One of the plans related to a recent admission and was still in the process of being built upon although there was still a good level of information. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 12 Resident’s holidays have been planned with them and they are looking forward to going to Blackpool or Scarborough as well as a trip to London to watch a show. One of the residents said that they were going to go on all three of the planned holiday breaks and was really looking forward to them. As well as outings, holidays and trips, a number of residents are involved in attending day centres, going to college to do drama and there is involvement in the local arts and crafts group. One of the residents talke of going to ‘New Horizons’, where they could play snooker and enjoy a pie and pea supper. The pre inspection questionnaire also detailed activities such as computer courses, voluntary work, trim and slim and life skills training. The home also has a number of cars and some of the staff are named drivers for the car, which enable residents to have more outings and increasing the frequency and flexibility of life for them. Residents are well able to maintain links with family and friends and have more intimate relationships should they want to, with the appropriate mechanisms in place to support this. Visits to family members was discussed with one resident now regularly using public transport for these visits, while another resident talked about their personal relationship and how they were able to spend time together. Cumbrae and Arran Houses DS0000060456.V337990.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s healthcare and personal care needs are met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate healthcare professionals provide advice and additional support. EVIDENCE: As previously stated, the two sets of residents records looked at continue to be extremely well written and contained detailed information about the individual residents, their assessed needs and lifestyles. The records continue to detail involvement of GP, Consultant Psychiatrists, Care Programme Approach reviews and all health related matters and clearly work closely with external professionals and specialists for advice and support to help the service user, their family and the homes’ staff. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 14 Individuality, independence and choice are very important and this again was demonstrated through discussion with residents and a member of staff, where a flexible approach to life was described. One resident said, “I do my own washing and make my own packed lunch for college”. When asked what was good about living in Arran House, one resident said it was the independence. Very good systems are in place for the management of medication and regular audits take place. Staff who administer medication have completed the appropriate training and a number of staff are in the process of completing additional training; the medication unit at NVQ Level III. The meals were said to be very good, with the emphasis on good healthy eating. One resident said, “we all choose our menu, each of us has a different day and we also help with the shopping”. A resident said that they made their own packed lunch for college and could make drinks and snacks when they wanted to. Staff talked about residents healthcare needs in terms of weight and any medical conditions and stressed the importance of healthy diets, although they said, “We do make sure that there is are treats as well”. Cumbrae and Arran Houses DS0000060456.V337990.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a suitable complaints system and policies and procedures to protect residents from abuse. All staff had received training in the Protection of Vulnerable Adults. EVIDENCE: The pre inspection questionnaire detailed that there had been no complaints since the last inspection. There are good systems in place to enable and support residents to raise concerns should the need arise. One resident said, “If I had any problems or concerns there are several people I could and would speak to about it and I am confident that it would be dealt with”. This was also confirmed with a further resident who also confirmed they had received a copy of the complaints procedure and said that a staff member had discussed the procedure with them. It was also confirmed through staff discussion that they had received No Secrets Training, Protection of Vulnerable Adults, this was also detailed within the pre inspection questionnaire and individual training records. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well-maintained, safe, comfortable and homely environment in which to live. EVIDENCE: During this inspection, only one of the houses was visited, that being Arran House. There was however, discussion about the environment at Cumbrae House and it was confirmed by the manager, that it remains very pleasant and homely. The manager confirmed that the laundry had been re-sited, the shower had been replaced and improvements had been made to the kitchen. A walk round Arran House revealed the home to be clean and well maintained. Furniture was comfortable and domestic in design. All areas of the home, including the kitchen, were accessible to residents. Only one of the bedrooms was visited and was comfortably and appropriately furnished. The resident had been able to personalised their room by the inclusion of personal effects such as pictures, posters, and photographs, TV, CD player and a double bed. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 17 Arran House continues to be extremely homely with sufficient internal communal space and there was a real sense of comfortable family homes. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature, these had recently been renewed. Water temperatures were controlled to guard against scalding. Lighting was domestic in nature and emergency lighting had been provided throughout the home. The assessed needs of residents were being met without the provision of environmental adaptations or specialist disability equipment. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers and skill mix are appropriate for the resident’s needs. Staff are competent to do their jobs and residents are protected and supported through the home’s recruitment procedures. EVIDENCE: A number of staff files were looked at during the inspection of the sister home Miltoun and Brunswick Houses; they had the required information and checks, demonstrating the home is following the recruitment policies and procedures, for the protection of the residents. There is proactive management of the staff team; succession planning takes place and a number of staff are undertaking further qualifications, which will ensure ongoing continuity of care and management. The pre inspection questionnaire stated that currently 91 of staff are trained to NVQ Level II in care or above, which is excellent. A number of staff are qualified to Level III and IV. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 19 There was discussion with the training organiser for the group of homes who is also the home manager, although another member of staff has been allocated this role instead. The pre inspection questionnaire detailed training that takes place such as, Mental Health, Mental Capacity Act, Risk Assessment along with mandatory training such as first aid and infection control. During discussion with the training co-ordinator, it was confirmed that staff retain their own training portfolios and that copies of certificates are also available within their individual staff files. During this discussion, it had been identified that the training records could be developed further to give more detail of all of the training staff have been involved in and to show when training is next due. Work is already underway with this and a training matrix is being developed. One resident said, “There is a nice staff team, if we need anything they help us, they have the right attitude”. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The manager and management team continue to provide very good leadership to the staff team and continuously strives to improve standards within the home ensuring that resident’s needs are well met. Good systems are in place for the handling of resident’s personal allowances and there is also a good range of quality assurance systems. Good service and maintenance arrangements are in place and in good order ensuring health and safety is promoted. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has the required qualification, experience and knowledge and is highly competent to run the home. She provides good leadership and operates a very open management style, which is inclusive and enabling. One of the members of staff said, “ The manager is really approachable, I can talk to her about anything”. A resident said, “I am quite happy here, it is much better for me here, I have picked up a lot since living here”, “It is warm, relaxed and friendly here and we all get on together”. The home has a well defined management structure of manager, deputy manager, team leaders and support staff as well as catering, housekeeping staff and a small number of volunteers and people doing work experience. In addition, the proprietors are actively involved in the management of the home and quality assurance. The staff member spoken with, was well aware of their roles and responsibilities. In looking at what the home does best, one of the relatives surveys stated, “Always the care of the patients, they come first”. Another survey stated, “Caring for and looking after vulnerable people”, “We as parents are happy he/she is being well looked after, and as long as he/she is happy, we are too”. The resident’s personal finance systems was looked at and found to be a well managed, well-recorded and robust system. The manager teams communicates a clear sense of direction, is able to evidence a sound understanding in relation to continuous improvement and quality assurance. Quality assurance systems were confirmed as being natural ongoing processes within the home. There are a number of regular audits that take place across all of the homes in the group, which are undertaken by different staff members for their different areas of responsibility and underpins all aspects of care, medication management, health and safety and training ensuring a very good quality service to residents. On the day of the inspection, one of the proprietors was at Arran House completing a range of audits. An annual development plan was also looked at during the inspection of the sister home and was detailed and realistic. The pre inspection questionnaire detailed maintenance of a range of service equipment such as fire alarm, gas landlord certificate and portable appliance test, all of which were up to date. A random sample of maintenance records was looked at and confirmed as being up to date, including periodic electrical test and the fire alarm system. Cumbrae and Arran Houses DS0000060456.V337990.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 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 3 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 3 X X 4 X Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 YA6 YA35 Good Practice Recommendations The six monthly reviews/evaluations of care should be more detailed and contain more information about the effectiveness of the plans of care. The work that has commenced in regard to increasing the records detailing individual staff training should be completed and there should be an up to date record of all staff training. Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Cumbrae and Arran Houses DS0000060456.V337990.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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