Inspection on 28/02/06 for Grovewood

This inspection was carried out on 28th February 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Grovewood 23/05/07

Grovewood 21/06/05

Grovewood 26/01/05

Grovewood 06/05/04

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

CARE HOMES FOR OLDER PEOPLE Grovewood 13 Woodlands Road Dacre Hill Bebington Wirral CH42 4NT Lead Inspector Beate Roth Unannounced Inspection 28th February 2006 1:00 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 Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Grovewood Address 13 Woodlands Road Dacre Hill Bebington Wirral CH42 4NT 0151 645 5401 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) grovewoodreshome@btconnect.com Soundpace Limited Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: Grovewood is registered to provide personal care to 32 older people. There are 8 double and 16 single bedrooms, at present only 5 bedrooms are being used as double rooms. All bedrooms except one have en-suite facilities. Bedrooms in the older part of the home are on three floors, reached by stair lifts. The single rooms in the two-storey extension can be reached by 5-person passenger lift. The communal areas of Grovewood include a lounge, consevatory, dining room, a smaller lounge/dining room and a visitors’ room/library. There are two bathrooms with assissted baths and a separate shower that is accessible to wheelchair users on the first floor and a further bathroom on the third floor. There are no bathrooms on the ground floor. Due to the number of stairs at the home, the home has limited suitability for independent wheelchair users. There is level access to the garden to the rear of the home, the garden has a patio area with garden furniture for the summer. The home is close to local shops and amenities. The home is situated on a bus route. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over half a day. During the inspection time was spent in the office examining records and policies and procedures and talking to the acting manager and responsible individual. A tour of the home was undertaken. Staff were observed delivering care to service users. The inspector spoke to service users and to staff. What the service does well: What has improved since the last inspection? What they could do better: The service user care plans must contain clear information as to the action staff are to take to meet the needs of the service users. A record must be Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 6 made to indicate why medication has not been administered in accordance with the home’s medication procedure. Improvements need to be made to the complaints system in order to ensure that a full record is made of the response to any complaint. In order to fully safeguard the well being of service users, staff must not be employed until all the appropriate recruitment checks are received at the home. The quality assurance systems in place would be improved if the representative of the registered provider produced a written report of their findings following their statutory visits to the home. Improvements need to be made to the records kept of checks on the fire alarm, emergency lighting and fire drills. Service users would benefit from 50 of staff completing a recognised care qualification. Further work needs to take place around promoting the privacy of service users who share bedrooms. Some improvements should be made to the management of service users finances. 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. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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 Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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): 1, 2, 3 and 5 An appropriate assessment of whether the home is suitable for new service users takes place. Service users are provided with written information and opportunities to visit the home to decide if the home will meet their needs. EVIDENCE: Since the last inspection the statement of purpose has been amended. This now indicates that the home has limited suitability for some service users because of the number of stairs in the home. The acting manager and responsible individual confirmed that this is discussed with prospective service users and their families as part of the admission process. The records for 3 new service users were examined. A contract was available for each service user that provided the information outlined in the National Minimum Standards for Care Homes for Older People. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 9 The assessments undertaken before new service users move to the home were examined. Assessments are undertaken by the acting manager. There was evidence of appropriate assessments being carried out, which included gathering information from social workers and health professionals to inform the assessment. Discussion with the acting manager indicated that service users are able to visit the home to help decide if it is suitable. This may be for tea, to take part in an activity or to view the premises. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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 The health care needs of service users are met. Service users are treated with respect. Staff are not provided with sufficient written information to meet the needs of service users. Improvements need to be made to the home’s procedures for dealing with medicines and notifying CSCI of accidents. The arrangements for promoting privacy in shared bedrooms could be better promoted. EVIDENCE: A sample of service user plans were seen. These plans identify the current needs of service users but do not provide sufficient information for staff around the action to be taken to meet these needs. A discussion took place with the responsible individual and the acting manager around the action that needs to be taken to address this. The risk assessment for a service user who has had falls at the home did not provide sufficient guidance around the action to be taken to minimise this risk. Advice was given to the responsible individual and the acting manager as to how to address this. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 11 The records at the home and a discussion with the acting manager indicated that referrals are made to health professionals in accordance with the needs of service users. A record is made of visits by health professionals and the outcome is documented. The records of accident are held on individual service user files. A sample were seen and were satisfactorily completed. The Commission for Social Care Inspection had not been notified of two accidents at the home that had resulted in a hospital admission. It is recommended that an audit of accidents be completed on a monthly basis and that the representative of the owners reviews this on their statutory visits to the home. The medication is held in a secure area. The pharmacist visits the home and checks medication records and storage. A number of staff have completed an Intermediate Certificate in the Safe Handling of Medications. Staff who have not received this training do not administer medication. A sample of medication administration record sheets and corresponding medications were examined and in general found to be in order. A record to indicate why a service users medication had not been administered on one morning on one day, was not available. This was brought to the attention of the acting manager to be addressed. Staff were observed to treat service users with respect. Staff receive guidance on promoting the dignity of service users during induction training. 8 bedrooms in the home are registered as double rooms, however at present only 5 bedrooms are shared. Mobile screens are available in the home but no screening is provided on a permanent basis in the shared rooms. It continues to be recommended that options for promoting privacy in shared bedrooms are considered with service users and implemented. This will then enable real choice to be available. There is no separate visitors’ room, but the room used for a library and as a staff smoking room can be used for this purpose. The acting manager confirmed that visiting health professionals see service users in private in their own rooms. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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): 12, 14 and 15 The wellbeing of service users is promoted by the flexibility of the daily routines and by the opportunities for service users to make choices. The activities on offer ensure that the preferences of service users are provided for. Service users receive appealing meals in pleasant surroundings. EVIDENCE: Observations and a discussion with service users indicated that the routines of daily living are flexible. Discussion with service users indicated that the home encourages service users to make decisions about their day-to-day lives at the home, such as when they will get up and go to bed and what they will do each day. Each of the service users bedrooms seen had been personalised with items brought in from their own homes. An activities co-ordinator is now employed and works at the home for 20 hours over 4 days each week. There is a list of weekly activities available. The acting manager and service users reported that this is drawn up following consultation with service users. This includes craft work, board games, gardening, exercise, taking individual service users out for walks and entertainers being invited to the home. Service users have access to a wellmaintained garden, which has a patio area with seating. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 13 The service users said that the food provided at the home is of a high standard. They said that they are consulted about what they would like to eat and are always given a choice. A record of menus indicated that varied meals are provided. Special dietary needs are indicated in the service user plan. Advice is obtained from a dietician if this is needed. The meal provided at lunch time on the day of the inspection was seen. The food looked appealing and was well presented. The dining areas provide a peasant environment for service users to have their meals. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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 and 18 Improvements need to be made to the complaints system. The training provided to staff and the procedures available to them, give staff the information needed to protect service users from abuse. Some improvements should be made to the management of service users finances. EVIDENCE: The home has a written complaints procedure that states complaints will be responded to within 28 days. The complaints procedure is contained in the service users guide. Service users reported that if they wished to raise any issues about the standards of the service provided they would speak to the acting manager. No complaints have been made to CSCI since the last inspection. One complaint has been made to the home since the last inspection. The record of the action taken to investigate the complaint and the action taken following this was not sufficiently detailed. The adult protection procedure has been revised since the last inspection. This combined with the adult protection procedures from Wirral Metropolitan Borough Council provide sufficient information for staff to refer to. A whistle blowing policy is available. It was suggested that all information around adult protection be held together for ease of reference. Since the last inspection all staff have been provided with training around the adult protection procedures. Some personal allowances are held on behalf of service users. A sample of records were inspected against the allowances remaining and found to be in order. Although there is a good system in place for managing any monies held Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 15 on behalf of service users some good practice recommendations are made. It is recommended that 2 staff sign records of any withdrawals or deposits of monies. Where service users are able to do so, they should sign the records of any monies deposited or withdrawn. It would also be good practice for a representative of the service users to sign records of financial transactions where this has been assessed as appropriate. The responsible individual reported that a regular audit is carried out of monies held on behalf of service users. There was no written evidence of this. The records are not signed to indicate this and Regulation 26 visit reports are not being completed. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home is well maintained and there is a good standard of cleanliness and hygiene, providing service users with a pleasant environment to live in. EVIDENCE: Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 17 A tour of the home was undertaken. The communal areas and a sample of bedrooms were seen. All parts of the home seen on the day of this inspection were in good condition, tidy and well decorated. The home provides a safe environment. All radiators in bathrooms, bedrooms and en-suites have been covered by low temperature surfaces. Window restrictors were fitted in the sample of bedrooms inspected. The hot water outlets have been regulated to 43 degrees. A test of the water found that this was being maintained at an appropriate temperature. Since the last inspection the water to the top floor bathroom has been regulated so that it does not exceed 43 degrees centigrade. It is recommended that the initial assessment undertaken before service users come to live at the home and the service user plan indicate the support service users need to use the stair lift. The home employs sufficient domestic staff and on the day of this inspection the premises were found to be very clean and malodour free. The practices and policies and procedures available promote cleanliness and hygiene. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 There are sufficient numbers of staff to meet the needs of service users. Service users would benefit from 50 of staff completing a recognised care qualification. Service users are not safeguarded by the home’s recruitment practices. EVIDENCE: The rota, observations and a discussion with the service users and acting manager indicated that there are sufficient numbers of staff to meet the needs of the service users living at the home at the time of the inspection. The acting manager and the responsible individual reported that the staffing levels would be increased should the needs of the service users require this. Adequate ancillary staff are employed to prepare service users meals and to maintain the cleanliness of the home. An activities co-ordinator is available 4 days per week. At present 2 of the 22 care staff have an NVQ qualification in care of the elderly. Steps are being taken to reach a minimum of at least 50 . 2 staff have completed this training and are awaiting their certificates. 12 members of staff are currently undertaking this qualification. Since the last inspection, an induction programme has been introduced that meets the National Training Organisation specification. The records relating to new staff showed that this induction is not being completed within 6 weeks for all new staff members. The brief induction that was in use at the last inspection that covers all policies and procedures, care practices and the Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 19 operation of the home was being completed with the staff whose records were seen. The acting manager reported that she is working on ensuring that the formal induction is completed within 6 weeks and on developing the foundation training programme to meet the National Training Organisation workforce training targets. At present follow on training is provided to staff following the induction, however, if this were to be given a more formal structure this would be beneficial for staff. The recruitment records of 4 new staff to the home were seen. These did not contain all the required information. 2 staff had been employed before a CRB/POVA check had been received. A POVA first check had not been undertaken prior to these members of staff beginning work. Prior to any new staff beginning employment all appropriate checks must be undertaken. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The quality assurance systems do not fully support service users. Service users are supported by the health and safety training provided to staff. Improvements need to be made to the records of fire safety checks. EVIDENCE: Since the last inspection the acting manager has left their employment at the home. The deputy manager has taken over the responsibility of acting manager. The acting manager has obtained an NVQ Level 2 and 3 in Care and has commenced the NVQ Level 4 in Care and Management. The acting manager worked as the deputy manager for 2 years at Grovewood and prior to this was a senior carer. The deputy manager has over 5 years experience of working with older people. There are quality assurance processes in place, there is a suggestions box, service user questionnaires are completed, a “Residents and Families Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 21 Committee” is held where matters relating to service users welfare and social events are discussed. Minutes of the committee meeting are kept. The acting manager and staff obtain the views of service users. The acting manager reported that the individual views of staff are obtained in supervision. Staff meetings are held. An annual development plan for quality assurance has been made available. There are no records of the proprietor’s or their representative’s monthly checks of the home. The responsible individual reported that they spend at least 1 day per week at the home and during this time audit the records and find out the views of staff and service users about how the home is run. The records seen provided no indication that there is an auditing system in place. The quality assurance systems would be improved if the proprietor produced a written report of their findings following their statutory visits to the home. Some personal allowances are held on behalf of service users. A sample of records were inspected against the allowances remaining and found to be in order. Although there is a good system in place for managing any monies held on behalf of service users some good practice recommendations are made. These are outlined in the complaints and protection section of this report. Training records showed that staff are given appropriate training in safe working practices. Fire safety training was provided to most staff in September 2005. The fire service recommends that fire safety training is provided to day staff on a 6 monthly basis and night staff on a 3 monthly basis. This frequency of training is not being provided. A sample of safety check records for the fire systems were examined and in general found to be in order. The records maintained by the home for checks on the fire alarm and emergency lighting indicated that these checks had not taken place over the last month. The last record of a fire drill was over 12 months ago. The responsible individual reported that the checks of the emergency lighting and fire alarm and a fire drill have been carried in accordance with the timescales recommended by the fire service, but not recorded. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 X X 2 Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The registered provider must ensure that service user care plans contain clear information as to how staff are to meet service users needs (previous timescale of 21/06/05 not met). The registered provider must ensure that where there is a risk to a service user from falling, sufficient written information is available to give clear guidance to staff on how this risk can be minimized. The registered provider must give notice to the Commission without delay of any accident in the care home. The registered provider must ensure that a record is made to indicate why medication has not been administered in accordance with the home’s medication procedure. The registered provider must ensure that the action taken in response to a complaint is fully documented. The registered provider must ensure that a Criminal Records DS0000018891.V284848.R01.S.doc Timescale for action 28/02/06 2 OP7 15 28/02/06 3 OP8 37 28/02/06 4 OP9 13 28/02/06 5 OP16 22 28/02/06 6 OP29 17 28/02/06 Grovewood Version 5.1 Page 24 7 OP33 26 8 OP38 23 9 OP38 23 Bureau check or in exceptional circumstances, a POVA first check is obtained for all staff employed after the 26th July 2004, prior to beginning employment. The registered provider must ensure that a monthly written report on the conduct of the care home is made available to the manager of the home and to CSCI (previous timescale of 21/06/05 not met). The registered provider must ensure that a record is made of all checks of the fire alarm and emergency lighting. The registered provider must ensure by means of fire drills and practices at suitable intervals that the persons working at the care home are aware of the procedure to be followed in the event of a fire. 28/02/06 28/02/06 28/02/06 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 Refer to Standard OP8 OP10 OP18 OP18 Good Practice Recommendations It is recommended that an audit of accidents be completed on a monthly basis and that the representative of the owners reviews this on their statutory visits to the home. It is recommended that options for privacy screening be discussed with service users and placed in rooms, so that real choice is available. It is recommended that where service users are able to do so, they should sign the records of any monies deposited or withdrawn at the home. It is recommended that 2 staff sign records of any withdrawals or deposits of monies held on behalf of service users. DS0000018891.V284848.R01.S.doc Version 5.1 Page 25 Grovewood 5 6 OP18 OP19 7 8 9 10 OP28 OP30 OP31 OP38 It is recommended that a representative of the service users sign records of financial transactions where this has been assessed as appropriate. It is recommended that the initial assessment undertaken before service users come to live at the home and the service user plan indicate the support service users need to use the stair lift. A minimum of 50 of staff are to hold an NVQ qualification or equivalent. The induction for all new staff should be completed within 6 weeks. The foundation training is to meet all of the National Training Organisation targets. The manager of the home is to hold an NVQ Level 4 in care and management, or equivalent. Fire safety training should be provided to day staff on a 6 monthly basis and night staff on a 3 monthly basis. Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Grovewood DS0000018891.V284848.R01.S.doc Version 5.1 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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