Inspection on 20/11/06 for Fleetwood Hall Care Home

This inspection was carried out on 20th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Fleetwood Hall Care Home 04/12/08

Fleetwood Hall Care Home 04/11/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Fleetwood Hall Care Home Chatsworth Avenue Fleetwood Lancashire FY7 8RW Lead Inspector Mrs Ruth Edgington Unannounced Inspection 20th November 2006 09:45 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 Fleetwood Hall Care Home DS0000067741.V311644.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. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fleetwood Hall Care Home Address Chatsworth Avenue Fleetwood Lancashire FY7 8RW 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) 01253 777065 01253 777158 www.orchardcarehomes.com Orchard Care Homes.Com Ltd Miss Tina Thompson Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (62) of places Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum of 62 service users in the category OP (older persons 65 and over) First Inspection. Home registered 10th July 2006. Date of last inspection Brief Description of the Service: Fleetwood Hall is a purpose built home, situated in an area of Fleetwood, which is close to local shops and amenities. The home is registered to accommodate a maximum of sixty-two persons over the age of 65 years of age. The accommodation, which is on the ground and first floor, consists of sixty-two single bedrooms all of which have en-suite toilet and shower facilities. The bedrooms are furnished to an excellent standard and also include, a fridge, television, DVD player and a telephone line and computer connection. There are lounge and dining areas on each floor that provide residents with the choice of where to sit and where to have their meals. There is a passenger lift, provided to ensure that all residents can gain access to and from the ground and first floor. A variety of aids are provided around the home to meet the needs of the residents. A copy of the home’s Statement of Purpose/ Service User Guide is placed in each bedroom. This written information explains the care service that is offered, who the owners, manger and staff are and what the resident can expect if he or she decides to live at the home. Information received prior to the visit (27/11/06) showed that the fees for care at the home ranged from £450.0 to £500.0 per week, with added expenses for hairdressing, newspapers and chiropody. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key Inspection visit. The visit was unannounced commencing at 9.45 am and took place over six and three quarter hours. Prior to the visit the registered manager completed a pre-inspection questionnaire, which provided information about the residents, staff and other information, which assisted in assessing how the home was meeting the National Minimum Standards. Comment cards had been sent out prior to the visit and in total, six relatives and six residents completed and returned these to express their views about the service. A representative of the company that owns the home visits the home on a monthly basis and sends a copy of their report to the Commission for Social Care Inspection (CSCI). The comments in these reports were taken into consideration when undertaking this inspection visit. During the visit, six residents, two members of staff and one of the deputy managers (who had called into the home) were spoken to individually and a tour of the home was carried out, during which a number of residents, staff and visitors were also spoken to. A random selection of residents, staff and administrative records were looked at and discussions took place with the manager, deputy on duty and the senior support manager, who was visiting the home at that time. From observations made, comments received and written documentation examined, the information has been put together to produce this report. What the service does well: The residents in this home are well cared for. The staff team work well together and were seen throughout the visit to be very caring in the way in which they looked after the residents and assisted with all personal tasks in a sensitive manner. The residents are encouraged, within their capabilities, to be individual and their personal routines and lifestyles are respected. From observations and discussions, evidence was gained to confirm that the manager and staff had a good understanding of equality and the diverse needs of the residents, which ensured that their individual needs were met. Positive comments were received from the residents about the care that they received and the staff. One resident commented that the staff were very good Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 6 and there was always someone available when needed. Another resident said that it was the best move they had ever made. The relatives of one resident said that they had chosen the home because they wanted first class accommodation and this was like a first class hotel. Comments from staff confirmed that they were happy in their job and felt supported by the manager. There was a very good atmosphere in the home, staff ,residents and visitors were very relaxed and friendly. 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. Fleetwood Hall Care Home DS0000067741.V311644.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 Fleetwood Hall Care Home DS0000067741.V311644.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The admission and assessment procedures are clear to ensure the care needs of residents are met. The home does not provide intermediate care therefore Standard 6 was not assessed. EVIDENCE: The home has a formal admission process, which includes where necessary, visiting the prospective resident in their own home or hospital, in order to carry out a full assessment of their needs, or encouraging the prospective resident and their families to visit the home and spend some time in order that they can make an informed choice about moving into Fleetwood Hall. Following the assessment the manager confirms in writing to the prospective resident that the home can or cannot meet their assessed needs. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 9 The records of three residents were examined and were found to contain full assessment information that had been obtained prior to admission, therefore ensuring that the home could meet the residents’ individual needs. Comments made by residents or their relatives, confirmed that they had been involved in the assessment process and were happy that the individual’s needs were being met by the home. Staff were able to demonstrate that they were well aware of the care needs of the individual residents and this was confirmed during the inspection through observations of the care practices being carried out. Fleetwood Hall Care Home DS0000067741.V311644.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and personal care, which residents receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The records of three residents were looked at in detail and these very clearly described the healthcare needs of the residents. The care plans in operation were very comprehensive and covered every aspect of the residents care needs, social, emotional, spiritual and recreational needs. Resident’s information also contained a detailed life history and a record of significant events. Daily entries were made setting out the care given. Risk assessments were also included in the written documentation especially in relation to mobility and the risk of falling. Also on each file was a form signed by the individual resident, which indicated if they give permission for their care plan to be shared and with whom. The recording of the care plans was very comprehensive and therefore could be difficult for residents to understand. It was suggested that a summary of Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 11 the care plan, identifying the main care needs and how these needs were to be met, was produced and made accessible to the resident and their families. Evidence was available of the monthly reviews carried out to ensure that the care plans continued to meet individual needs. The manager was reminded that residents or their relatives should be involved in any changes to their care plan. Throughout the visit observation were made of the caring approach of the staff towards the residents and the practices in the home ensured that residents were treated with respect and their right to privacy was upheld. Residents and relatives spoken to during the confirmed that they were satisfied with the care being provided and said that the staff were very good and caring. The medication policy in operation ensured that the residents were protected and their needs met. All staff who administered the medication had received appropriate training through the local chemist training scheme. The administration records and storage of medication were seen to be safe and complied with the requirements. Fleetwood Hall Care Home DS0000067741.V311644.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents receive a healthy and varied diet according to their assessed needs and choice. Social, cultural and recreational activities meet resident’s expectations. EVIDENCE: On each individual resident’s file there was very detailed information in relation to their social, cultural, religious and recreational interests and also there was information about their life history, which all assisted in identifying how their needs could be met. Daily activities are carried out in the home, which included, music groups, exercise classes, craft classes, games, quizzes and gardening. In addition outings are arranged to local attractions and amenities. Arrangements had been made for residents to go to a show in Blackpool later that week. Some of the residents spoken to preferred to stay in their own bedrooms and enjoyed reading, listening to music and watching the television. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 13 One resident spoken to had their own telephone, which enabled them to keep in contact with family and friends. Each bedroom was fitted with a phone connection for those residents wishing to have their own telephone installed. Another resident said that they felt that there was not enough going on in the home that they wanted to join in, but later that day they were seen enjoying the activities that were taking place. A relative stated that they were satisfied with the home and it was the best they had been in. “All the staff are very good.” One resident had recently acquired motorised “Buggy” which enabled them which gave them the freedom to go out unaccompanied. Residents are encouraged to make links with people in the local community who are invited into the home to join in communion and talks given by outside agencies such as Age Concern who were visiting on the day of the visit. One staff member stated that a resident had indicated that they would like to go swimming and this was being looked into. Visitors are made very welcome and observations were made of visitors coming and going freely and the friendly way in which they related to the manager and staff. Friends of one resident, who were visiting, said that they were very impressed with the home and that the resident had improved greatly from coming into the home. They said that they were always made very welcome and given refreshments. They could not find any fault. Examination of the menus indicated that the meals were nutritious, well balanced and provided an excellent choice. Special diets were provided for those resident who required them. Evidence was seen that confirmed that meals were not hurried. Two residents spoken to were still enjoying a drink at the table some time after the meal had finished. The cook had available documentation in relation to various diets, the manager said that head office would be able to provide any further information that they needed to meet individual needs and they would also contact the dietician for advice if required. Comments and observations made confirmed that the residents enjoyed their food. Fleetwood Hall Care Home DS0000067741.V311644.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The arrangements in place for handling complaints ensure that people feel confident that their complaints will be listened to and taken seriously. Procedures for dealing with and reporting abuse were in place to ensure that people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which all residents and their relatives were made aware of. Comments received prior to the visit confirmed that they would know who to speak to if they had any concerns. A copy of the compliant procedure was seen in the hall way of the home. The home has a policy in place for recording of any complaints made. The Commission for Social Care Inspection (CSCI) has not received any complaints about the service. From discussion with the management team and staff evidence was gained to confirm that they had a good understanding of the procedures to be followed in the event of any allegation or suspicion of abuse or neglect. Evidence was seen of training undertaken undertaken by staff in relation to the Protection of Vulnerable Adults and it was also confirmed that staff cover this issue during their NVQ (National Vocational Qualification) training. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The physical design and layout of the home enables residents to live in a safe, comfortable and homely environment which encourages independence. EVIDENCE: This home was only opened in July 2006. The home was purpose built taking into consideration the needs of the residents to be accommodated and The National Minimum Standards. The home was very tastefully decorated, furnished and equipped to the highest standard. All 62 bedrooms had en-suite shower and toilet facilities and contain fitted furniture, which provided in addition to wardrobe and drawer facilities, a lockable facility, television, telephone connection, internet access and a fridge. On admission a bouquet of flowers is put in their room and a welcome pack given to all permanent resident, which includes, sweets, chocolates, biscuits, and toiletries. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 16 There were sufficient lounge and dining areas on each floor for residents to choose where to sit and with whom. A passenger lift was provided to ensure that all residents can gain access to and from the ground and first floor. There was a well-equipped kitchen, laundry and medication storage rooms available. Water temperatures were found to be maintained at a safe temperature and all radiators were thermostatically controlled to ensure that the safety of the residents. A relative stated that the first impressions were favourable and the standard of accommodation was excellent and set the standard for other homes to aim for. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the above standards were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of the residents. EVIDENCE: Three staff files were looked at in detail and in the case of two of the staff they were found to contain all the information required by law before new staff members commenced working in the home. In the case of the other member of staff it was noted that they had worked for the company prior to moving to Fleetwood, however there was no evidence to show that an update to their Criminal Records Bureau (CRB) disclosure had been carried out. The manager confirmed that this had been an oversight and would be attended to immediately. All other documentation was available to confirm that the correct recruitment procedure had been followed for the protection of the residents. Though examination of the files and discussions with staff, confirmation was gained that they had undergone a formal recruitment and induction process. This ensures that residents are protected and enables new staff to gain a basic understanding of the needs of the residents and how these should be met. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 18 Policies and procedures covered aspects of equality and diversity; staff appeared to have a good understanding. Practices in the home demonstrated that these policies were carried out. Staff had undertaken “role-play” as part of their induction, which placed staff in the position of residents and gave them a better understanding of the needs of the residents and this includes aspects that related to issues of equality and diversity. Evidence was seen that training was encouraged and staff confirmed that they were enjoying attending the various courses. Through the regular supervision session that they have they are able to identify their training needs. The training programme ensures that the staff employed by the home are competent and well trained to meet the needs of the residents. There were nine staff who had achieved level 2 NVQ, fifteen staff had signed up to do this training on 8/09/06. Examination of the staff rota and the number of staff on duty at the time indicated that there were sufficient staff available to meet the needs of the residents accommodated. Staff spoken to said that they were very happy in their job and felt that they had a good staff team who worked well together. During the visit the atmosphere throughout the home was one of caring and sharing, which ultimately resulted in the residents needs being met. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is well managed and run in the best interests of the residents. EVIDENCE: The registered manager has many years experience in caring for residents and along with one of the deputy managers, was due to commence training to obtain a recognised management qualification. The home had not been open very long and a new staff group had been recruited and were working well as a team. In the main this was due to the leadership and commitment of the manager. From comments and observations made during the visit, it was clear that the residents and staff thought highly of the manager and felt that they could discuss anything with her. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 20 One comments received was that “This is very caring home, good staff and a caring manager”. Evidence was seen that staff were receiving regular supervision and staff spoken to confirmed that they felt supported. Care staff had received accredited training on First Aid, however through discussion the manager stated that arrangements were to be made for the deputy managers and senior staff to attend a four day course to ensure that at least one person was always on duty who had undertaken the fullest training possible. In order that the management team can obtain feedback from residents and their relatives about the quality of the service being provided by the home, they have produced a questionnaire, which will ensure that residents have their say about how the home is meeting their needs and enable any areas for improvement and development to be addressed. Residents and relatives have been given the questionnaires to complete and it is intended that these will be given out twice yearly, and a summary of the outcomes made for everyone to read. Residents and staff meetings are held and day-to-day discussions take place to ensure that everyone was kept informed of any matters that affected them or the residents’ care. From examination of records and the information in the pre-inspection questionnaire, it was evidence that the home was complying with issues relating to health and safety. Checks and been undertaken as part of the registration process and further checks to systems and equipment had been undertaken as required to ensure that the health and safety of staff was assured. There were no concerns raised during the visit that related to health and safety. Since opening the home has achieved the Investors in People Award, which is an external quality award, which demonstrates the management teams commitment to staff training and development. The service provider’s representative visits the home at least once per month and a copy if a report of the visit is sent to CSCI. This process ensures that there is a regular external over view of the day-to-day management of the home. During the visit the support manager was making her weekly visit to he home and was able to join in the feedback following the visit. The manager also reports any incidents that occur in the home, in writing to the Commission. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 21 Residents, who are able, can take responsibility for their own affairs, however in realty it is the relatives who take the responsibility. Records of finances were kept up to date. Fleetwood Hall Care Home DS0000067741.V311644.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 3 X X X x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x x 3 Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NA 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 1 2 3 Refer to Standard OP7 OP28 OP29 OP31 Good Practice Recommendations The management team should look into ways to make the information contained in the comprehensive care plans easier for residents to understand and be involved in. 50 of care staff should acquire NVQ level 2 qualifications. The registered provider should ensure that in the event of staff moving to other homes within the company a new CRB check is obtained. The manager should obtain the required qualifications for the post held. Fleetwood Hall Care Home DS0000067741.V311644.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Fleetwood Hall Care Home DS0000067741.V311644.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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