Inspection on 12/10/07 for Grovelands Lodge

This inspection was carried out on 12th October 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Grovelands Lodge 21 Grovelands Road Wickford Essex SS12 9DG Lead Inspector Diane Roberts Key Unannounced Inspection 12th October 2007 10:30 Grovelands Lodge DS0000069384.V353017.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 Grovelands Lodge DS0000069384.V353017.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. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Grovelands Lodge Address 21 Grovelands Road Wickford Essex SS12 9DG 01268 459941 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) Radacare Company Ltd Mr Dinesh Summun Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4) of places Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection. Brief Description of the Service: Grovelands is a detached property set in a residential area of Wickford. It is quite close to the town centre, shops and links to public transport. The home has four single bedrooms, some with ensuites and a shared bathroom. The home also has a lounge diner and conservatory, with an enclosed garden to the rear. The current scale of charges is from £750.00 to £1500.00 per week and the fees relate to assessed needs. Additional charges are made for toiletries. The home has a statement of purpose and service user guide available. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hrs hours and was carried out as part of the annual inspection programme for this home. The manager was available during the fieldwork part of the inspection. The inspection focused upon all of the key standards but comments are limited in some sections due to the home only recently taking in its first residents. A partial tour of the premises was undertaken and records were inspected. Evidence was also taken from the Annual Quality Assurance Assessment completed by the management of the home and submitted to the CSCI. Two residents and two staff were spoken to during the inspection. Feedback was not sort from other interested parties due to the short time that this home had been open with residents. This was a good first inspection. What the service does well: What has improved since the last inspection? What they could do better: The team need to develop the care planning in the home to provide more detail, especially on the social side of care and taking into account residents choices and future goals etc. The also need to develop some quality assurance tools for the home that include obtaining feedback from residents and other interested parties. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 6 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. Grovelands Lodge DS0000069384.V353017.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 Grovelands Lodge DS0000069384.V353017.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): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an assessment process in place that ensures that they can meet people’s needs and that they have an informed choice. EVIDENCE: The manager has a Statement of Purpose in place. This contains all the required information and is clear. The Service Users Guide reflects the Statement of Purpose but is very technical and not very service user led. This was discussed with the manager and a review is recommended that involves service users. It may also be of value to include information on local advocacy services. Residents have access to the guide as it is in the dining room and residents spoken to confirm that they had looked at it. The home also has a brochure, which contains pictures etc. and is quite informative. The manager is clear about the assessment process and the mix of residents in the home. The primary focus of the home is for residents to develop skills and confidence that will enable them to ultimately move towards independent living. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 9 The assessment process was discussed and records were reviewed. The preadmission assessment documents had been completed well and gave comprehensive information regarding the person’s mental health and social history. In addition to this assessment information was also available from the previous placement and/or key healthcare professionals. The information seen was sufficient for the manager to assess as to whether they could meet a persons needs. On admission full needs assessment is also completed that covers activities of daily living and person centred information. As part of the assessment, prospective residents have the opportunity to spend time at the home so staff can further assess and they can make an informed choice about the placement. The length and amount of visits is individual to the needs of the resident. Residents spoken to confirmed that they had had this opportunity. Residents spoken to also said that they were settling in well at the home and had found it much easier than they had expected. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care provided by the team at the home is resident led and residents are happy with the care but records do not currently evidence a thought out approach to some aspects of care that would improve outcomes further. EVIDENCE: The manager has introduced a care planning system into the home in the short time that there have been residents in the home. Records show that residents have been involved in the care planning system and that a review system is set up but due to timescales it was not possible to assess this aspect of the system. A care plan is developed for 72 hours after admission and then a detailed needs assessment is then used as a care plan. This was seen to need more information on what the staff team are trying to achieve with the resident, the residents’ wishes and goals and how they are going to implement these goals. As this is a needs assessment, there are really no actual plans of care in place and whilst there is plenty of good detailed information regarding physical and Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 11 emotional care needs, the social side of care is limited/missing and the care plans need to contain more person centred information. The management of the home need to be more focused in the care planning on the development of independent living and move away from a healthcare led approach. From discussion with residents and staff it is clear that they are pursuing this aspect of care with residents and promoting their independence but records need to evidence that this is approached in a constructive and individual way. Residents confirmed that are able to spend time out of the home alone and that they have been taking part in aspects of home life. From observation, discussion with residents and staff and from reviewing records, it is clear that residents have the opportunity to make decisions regarding how they spend their time at the home, when they go out and what daily living tasks they take part in. Residents are encouraged by staff to develop skills in daily living and residents confirmed their involvement in this. Daily records also evidence this aspect of care. Detailed risk assessments are completed that relate to the residents mental health needs and any social care risks that may need to be considered. Good background information is included and the action to be taken, or not taken as the case may be, is clear with a good level of detail. The care records show that the approach by staff is to promote independence. Records also show that the residents have been advised of their rights in relation to their mental health and that staff are trying to promote relationships with residents and their families. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social side of care at the home is developing positively and is very resident led, giving good outcomes. EVIDENCE: Since the home has had residents admitted the team at the home have been developing activities and access to the local community with them. The manager has a policy on community links and social inclusion and now the home is up and running they need to be implementing this. From discussion with residents and review of records residents have been access local services including the library, health centres and shops etc. Records also detail visits to the pub, going to other places in Essex to visit friends and the manager hopes that it will be possible for residents to take holidays next year. It is early days and the social side of care is still developing but all the signs are positive and the manager realises that he needs to Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 13 develop an individual approach with each resident and where possible link them with activities that will help them develop skills and self confidence etc. Activities also take place in the home, along with daily living skills and residents watch TV, do painting and take part in personalising their rooms. Residents spoken to were very positive about how they were spending their time at the home. Residents are encouraged to maintain friendships/relationships outside the home with friends and family. There is clear evidence of this in the records and residents spoken to confirmed that staff had been helping/encouraging them with this. Mealtimes are residents led and staff do sit and eat with them for some meals. Residents do the shopping lists and also put requests in. Staff do the shopping with them. Residents are leading the menu and its very flexible at the current time, but when home full there will be a bit more planning and menus planned with residents at a meeting. The menus currently in place were devised with the help of a dietician. Residents and staff make Chinese and Indian at the home from scratch, which is very popular and the food overall was seen to be appropriate for resident group/age. There is plenty of choice and there are good food stocks at the home. Residents spoken to were very positive about the food and also sated that they had done some cooking with staff. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 14 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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An experienced team at the home proactively meets residents’ healthcare needs. EVIDENCE: The care planning system in the home, as discussed in section 2 of this report, is very healthcare led and needs to develop further in a person centred way. This would enable the team to evidence that they are consulting residents regarding their life choices, care and levels and types of support they receive. Records show that even in the short time that the residents have been in the home their healthcare needs are being met proactively. Staff have actively sought the advice of clinical nurse specialists and other community healthcare professionals such as opticians and chiropodists. The home benefits from a management team that has a good background in the health services. Residents at the home have retained links with community psychiatric nurses and in some cases occupational therapists. Records show that families are actively encouraged to attend appointments with the Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 15 residents and this encourages a more independent approach to their own healthcare. Clear, detailed risk assessments are in place that relate to the individual management of residents’ mental health needs and staff have recorded that where appropriate residents have been informed of their rights in relation to their mental health. Appointments were seen to be in place for healthcare professionals as the residents care needs indicated. Good detailed records were in place that identified the residents’ physical and mental health needs and the ongoing management. It was noted that residents are having their blood pressure and other medical observations taken as routine. These interventions should be reviewed as residents are living in residential care home, which is promoting independent living. This type of monitoring would not be a standard part of this type of care. The team run a supervised medication system whereby medication is stored by staff but dispensed by residents with supervision. Staff then sign the medication administration sheets. Records were reviewed and although hand written at the moment, were very neat and clear. No omissions in signing were noted. The manager stated that he plans to go over to a printed MAR sheet system and blisters packs in the future. Residents were seen taking an active part in the management of their medication and interacting with staff well on this subject. The manager and staff state that the approach to medication management would depend upon the individual. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 16 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are place that help to ensure that residents will be listened to and protected, but this could be developed further EVIDENCE: The manager has a clear complaints procedure in place, which is in the service users guide and displayed in the main hallway. A very comprehensive policy backs this up very well and shows that the proprietors have a good approach to complaints and are resident led. There have been no complaints since residents came into the home. Residents who commented said that they knew who they would raise any concerns with and would not be worried about doing this. The manager plans to hold residents meetings but at the current time, in these early stages, feedback and the opportunity to raise issues is done on a one to one basis. An adult protection policy is in place and this contains all the relevant information but the manager needs to make sure that contact details for social services links are correct. It is also recommended that they obtain the Essex Adult Protection Policy for guidance. Staff training records show that some staff have received training on the subject. Further sessions need to be planned and the manager needs to ensure that staff are aware of the local policies. On discussion with the manager he has a good appreciation of the subject. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 17 Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home provides a good, safe and clean environment, which meets the needs of the residents. EVIDENCE: A partial tour of the home was undertaken and some residents gave permission for their rooms to be seen. The home is well decorated and appropriate for the resident group. The home was seen to be very clean and residents confirmed that the home was always kept clean. Facilities are good and the home benefits from a good-sized garden, which is laid to patio. More could be made of this area and the manager plans to attend to this and erect a canopy for residents who smoke outside of the home, as there is a no smoking policy indoors. Residents spoken to were very happy with the facilities and had already personalised their rooms and settled in well. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 19 Fire safety systems are in place, appropriate for the home. The manager needs to take advice from the fire authority regarding the need for an appropriate risk assessment. At the time of the inspection no fire drills have taken place but fire safety training records show that whilst some of the staff have been trained, there are gaps that need to be addressed. The manager has undertaken risk assessments for the premise, which relate to such subject areas as smoking and use of equipment. A COSHH risk assessment is also in place. Infection control policies are in place along with good infection control facilities. The management do need to be aware that they are trying to promote a homely environment in relation to the level of risk associated with the residents group. With this in mind they may wish to review the use of some notices, which detract from a homely environment. Infection control policies in place, good hand washing facilities and but suggest make the place less like a hospital and more like a home. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. A competent staff team is provided at the home that meets the current needs of the residents. EVIDENCE: At the current time the manager and five permanent staff are employed. In addition to this a further ten bank care staff are either employed or in the process of employment. Due to the managers working background the staff have been recruited from local mental health services and this gives them the correct experience and skills to care for the residents at the home. At the current time there is no need to use the bank staff but the manager reports that over half of them already have NVQ qualifications. The management team are well qualified RMN’s and an RGN. Staffing levels are currently one on duty with two residents and the manager is on site three days a week with the other proprietor working two days a week at the home. At night there is one person awake and one proprietor lives close by. These levels do not limit the residents, as they are able to go out of the home unaccompanied. The manager plans to increase the day staffing levels when a third resident is admitted. Records are maintained that evidence the Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 21 current staffing levels. More often than not the home has two staff on duty during the day. Staff files were checked and found to be in order with regard to all the required checks and documentation in place. The manager is still obtaining documents in relation to the care bank staff, which have yet to be used. It is recommended that the manager use a checklist system for the recruitment files to maintain a good organised system. It was noted that the manager is recruiting very experienced staff who have the appropriate qualifications and a good competent team should develop. The manager has a standard induction programme in place that relates primarily to the home. A Skills for Care induction is not in place and the manager was advised to look into this. Completed induction forms were seen for new staff. The manager has yet to consider staff supervision and this was discussed. Training records submitted to the CSCI following the inspection show that the manager has taken on board many care staff that are already well trained with regard to statutory requirements. However there are some gaps in the training plan that the manager will need to address and plan for. Good compliance levels were seen for infection control and medication management and it was positive to see that staff have been attending equality and diversity training. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from an experienced and committed management team. EVIDENCE: The manager is a RMN and this is his first managerial post within residential care. The manager has a very open approach and is keen to provide a good service and develop the home. The manager who is also a registered proprietor has the benefit of a well qualified and experienced management team around him. As it is early days, to date there have not been any staff meetings but these are planned for the future. The manager has yet to consider quality assurance systems at the home and these were discussed. Meetings are planned with residents to ensure that regular feedback is obtained but at the current time this is done on an informal basis, often one to one. Records and discussion with residents evidences this. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 23 The manager has a health and safety policy in place and has accident books should the need arise. No health and safety issues were noted during the inspection. Hot water temperatures are controlled and the manager plans to undertake risk assessments regarding the premises and safe working practices. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 24 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 2 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 2 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 3 33 X 34 3 35 X 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 3 3 X 3 X 1 X X 3 x Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 25 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 12 Requirement Timescale for action 31/12/07 2 YA18 12 3 YA23 YA36 18 and 19. 4 YA39 24 Residents need to have individual plans of care setting out their needs and the actions to be taken to meet those needs in a person centred way. Evidence of the residents input is needed and their choices/goals etc taken into account. Residents need to be enabled to 31/12/07 make decisions regarding their care and health and welfare – the team needs to evidence this approach. Staff need to be appropriately 31/01/08 trained to ensure that they can meet the needs of residents and protect their rights. This refers to fire safety, adult protection, NVQ qualifications and health and safety. 14/02/08 Quality assurance systems need to be developed to ensure that residents and other interested parties have the opportunity to provide feedback and that the services in the home develop with these comments in mind and that standards remain good. Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 5 Refer to Standard YA1 Good Practice Recommendations Consideration should be given to reviewing the service users guide and making it more user friendly so that residents are well informed about the home. The team should continue to develop residents’ access to the local community to help them feel part of local life. A copy of the local council safeguarding adult’s policy and guidance should be obtained to inform staff of the correct procedures and contact numbers. Consideration should be given to using a checklist system for recruitment to ensure that all the required checks and documentation is in place and therefore residents are safe. Consideration should be given to introducing a Skills for Care induction programme for new staff. YA13 YA23 YA34 YA36 Grovelands Lodge DS0000069384.V353017.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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