Inspection on 20/12/06 for Holt Farm

This inspection was carried out on 20th December 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Holt Farm 08/08/08

Holt Farm 16/08/07

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Holt Farm Hopcrofts Holt Steeple Aston OX25 5QQ Lead Inspector Lilian Mackay Unannounced Inspection 20 December 2006 09:30 th Holt Farm DS0000067215.V326978.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 Holt Farm DS0000067215.V326978.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. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holt Farm Address Hopcrofts Holt Steeple Aston OX25 5QQ 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) 01869 347600 Holt Farm Care Limited Doris Lindiwe Khuzwayo Care Home 5 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Not applicable – this was the first inspection of the service since it was registered. Brief Description of the Service: Holt Farm is a five bedroom detached house in a rural location in close proximity to the amenities of the village of Steeple Aston which include a Post Office, shops, a pub and a church. It was registered in June 2006 and is privately owned. Entry to the home is by means of a gated, electronically controlled entrance off the busy A 4260. . The home has gardens to the front and rear and there is a swimming pool at the back of the home. Residents are able to walk into Steeple Aston by means of a safe footpath The home is registered to provide accommodation and 24-hour support for five adults with either a learning disability or mental health needs. Respite care is not provided. Fees for this service range from £1,500 to £2,100 depending on care needs. Extras include toiletries, clothes and personal items. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an announced baseline inspection, undertaken by one inspector. The inspector arrived at the service at 09.30 am and was in the service for four and three quarter hours. The inspection took into account any information that the CSCI has received about the service since the service was registered. There were no residents living in the home and no staff other than the registered manager working at the home at the time of this inspection. The National Minimum Standards for Care Homes for Adults (18-65) have been used for the purpose of this inspection as they reflect the needs and lifestyle choices of those who will be supported in this home. The inspector looked at how well the service was prepared for meeting the standards set by the government and has in this report made judgements about the standard of the service to be provided. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The inspector would like to thank the registered manager for her assistance, hospitality and courtesy during this inspection. What the service does well: What has improved since the last inspection? What they could do better: The home’s Statement of Purpose must be amended to include all the items detailed in Schedule 1 of the Regulations. The Service User’s Guide should spell out any additional charges and include all the items recommended by the National Minimum Standards [NMS]. Efforts need to be made to make the Service Users’ Guide useful and meaningful to prospective residents with a learning disability. Amend the Terms and Conditions to include all the items Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 6 recommended by the NMS and put it in a format suitable for those with a learning disability. It is recommended that care plans be drawn up in a format suitable for adults with a learning disability and that these be amended to identify any limitations on residents’ rights to make decisions. The contact details of the regulation authority in the Service User’s Guide need amending from that of the NCSC to the CSCI. It is also recommended that the complaints procedure be put in a format, which is understandable for those with a learning disability. It is recommended that job descriptions be drawn up for all the posts in the home to ensure that staff are clear about their roles and responsibilities. It is recommended that the registered manager make provision for Learning Disability Award Framework (LDAF) training to be available routinely to all new unqualified staff. Health and Safety must be included as part of the mandatory training given to staff. Staff members’ files must contain evidence of their identity, including a recent photo. It is recommended that the months previous employment commenced and ceased are recorded and that references contain details of the dates of employment and the Company’s name. It is recommended that copies of relevant qualifications and training undertaken be kept on staff files. Ensure staff files contain evidence of their identity, including a recent photo. Mandatory training must include appropriate training on mental health. 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. Holt Farm DS0000067215.V326978.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 Holt Farm DS0000067215.V326978.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): 1,2,3,4,5. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a system in place for assessing people’s needs and wishes prior to admitting them to the home. EVIDENCE: The home has both a Statement of Purpose and a Service User’s Guide. The Statement of Purpose must be amended to include all the items detailed in Schedule 1 of the Regulations. This must be submitted to the CSCI for information by 28/02/07. The Service User’s Guide should spell out any additional charges and include all the items recommended by the National Minimum Standards [NMS]. Efforts need to be made to make the Service Users’ Guide useful and meaningful to prospective residents with a learning disability. Care managers will do assessments from health and social services and a copy of the care plan will be obtained by the home prior to the resident’s admission. The home will also undertake its own assessment, which will include a physical diagnosis, a personal profile, an assessment of self-care skills, an educational assessment, an assessment of behaviour, risk assessments and an assessment of social and domestic skills. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 9 The home has an admission procedure. There will be a three-month assessment period. The registered manager is aware of her obligation to confirm in writing that the home can meet a prospective resident’s care needs prior to their admission. There will be opportunities for prospective residents to make planned visits prior to their admission to the home. These may involve coming for a meal, spending a day, a night or a weekend at the home in order to meet the other residents and the staff. Information relating to the terms and conditions of residence s in the Service User’s Guide which will be provided to each prospective resident or their representative. Residents/their representatives will sign the home’s Contract of Residence. This currently needs amending to include all the items recommended by the NMS. It is recommended that this be put in a format suitable for those with a learning disability. There will be a key worker system in operation where the care needs of individual residents will be the responsibility of an identified member of staff. Holt Farm DS0000067215.V326978.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): 6,7,8,910. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ wishes and needs will be set out in individual care plans. Residents will be supported to make decisions about their day-to-day lives and appropriate action will be taken where their wishes involve an element of risk. EVIDENCE: Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 11 Prospective residents’ care plans will identify comprehensive support needs and these will be reviewed three months after admission and reviewed regularly thereafter. Care plans will include individual detailed strategies for intervention in the event of challenging behaviour. It is recommended that care plans be drawn up in a format suitable for adults with a learning disability and that these be amended to identify any limitations on residents’ rights to make decisions. The registered manager is currently researching the availability of advocacy schemes for prospective residents. The house rules are to be drawn up with the involvement of residents. All residents will have their own bankbooks and will go to their bank to withdraw their money themselves. Records will be kept of any residents’ monies kept by the home. The registered manager is proposing to hold daily meetings with residents. Residents will have access to a book for recording their comments or complaints. The registered manager prior to a prospective resident’s admission to the home will assess risk. The home has a procedure for staff to follow in the event of a resident going missing. There is a confidentiality policy and all staff will be asked to sign a confidentiality declaration upon appointment. Confidentiality will be covered during induction training. Holt Farm DS0000067215.V326978.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): 11,12,13,14,15,16,17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will be supported to keep in contact with their families and their rights will be respected in their daily lives. They will be supported in choosing what they want to eat and will have opportunities to take part in activities both within their local community and inside their home. Residents’ views will be listened to and acted upon. EVIDENCE: Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 13 The home will assess residents’ skills whilst out in the community and staff will work to develop these. Residents will be encouraged to use a leisure centre in Bicester. The home will have its own car for transporting residents. Residents will be able to attend a church in Steeple Aston if they wish. The inspector and the registered manager discussed how residents would be supported to make contact in the community. It is proposed that residents will help their local community by making a monthly collection of litter. Residents will be encouraged to participate as much as possible in the daily running of the home. Residents will be asked for their views about the home as part of the quality assurance system used within the home. An annual holiday paid by the Company is included in the contract price. The manager reported that a varied and active programme of activities would be provided for each resident. The relationships important to residents will be identified prior to their admission, and staff will support residents to maintain and develop these if they so wish. Residents will have keys to their own rooms so that they can lock these when they go out. Clear guidance covering limitations placed on residents will form part of care plans, and appropriate specialist support and agreement will be documented as part of the care planning process. From discussion with the registered manager the inspector considers that she has adopted the principles of supporting people to live as independently as possible. From the menus of meals to be provided submitted and discussion with the registered manager about these, the inspector considers that the meals to be provided in this home will be wholesome and nutritious. The registered manager reported that guidance on dietary matters would be obtained for all residents. Residents will assist in the drawing up of menu plans. Holt Farm DS0000067215.V326978.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): 18,19,20,21. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will have adequate access to health care, as staff will support residents in accessing their GP and other community healthcare services when needed. The medication administration system will be safe. EVIDENCE: Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 15 Residents will be registered with a surgery and a dentist in Deddington. services will be available from Oxford. Psychiatric Specialist nursing input will be provided by the community nursing teams and specialist health services through the appropriate referrals. All residents will have regular health checks and appointments will be made as needed. The registered manager reported that each resident would have a health action plan. The registered manager described the system to be used for the safe storage, administration, return and recording of medication. The inspector considers this to be adequate. The home has a medication policy. The home has a policy on illness, death and dying and as a registered mental nurse the registered manager has skills in this area. Holt Farm DS0000067215.V326978.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): 22,23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will be safeguarded from abuse and their views will be listened to and acted upon. EVIDENCE: The contact details of the regulation authority in the Service User’s Guide need amending from that of the NCSC to the CSCI. It is also recommended that the complaints procedure be put in a format, which is understandable for those with a learning disability. The home’s complaints procedure has three stages. These ensure that complaints are responded to well within the required timescale. The registered manager has demonstrated an understanding of the Oxfordshire Multi-Agency Protection of Vulnerable Adults procedures and of the Protection of Vulnerable Adults [POVA] referral process. A copy of these procedures is available within the home. The registered manager reported that all staff would receive training in safeguarding adults from abuse with management staff undertaking this at level 2. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 17 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): 24,25,26,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suitable, comfortable and homely. All residents will have their own bedrooms in addition to adequate communal areas. Specialist equipment will be provided where necessary. The home will be kept fresh and clean. EVIDENCE: Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 18 A recent health and safety inspection of the premises recommended the fitting of safety rails to the pond at the side of the home. The inspector supports this recommendation. The home is attractive, spacious and homely. The inspector viewed all five bedrooms to be used by residents and these were seen to be generously sized, safe and clean. The bedrooms were unfurnished as residents will be encouraged to decorate and furnish their rooms according to their individual tastes. The bathroom, shower and toilet facilities are adequate and ensure privacy. The shared areas include two communal sitting rooms and the dining room, all of which are generously proportioned for residents’ comfort. Any specific environmental adaptations or disability equipment required will be assessed and provided prior to any new resident’s admission. The home’s laundry facilities are in the home’s integral garage. All areas of the home viewed during this inspection were clean, tidy and free from odours. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 19 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): 31,32,33,34,35,36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s recruitment practices need amending to ensure residents are fully protected. The home will employ enough staff to meet residents’ needs. Staff will be provided with the necessary training and supervision to ensure a good quality service is provided. EVIDENCE: The staff team will consist of the manager, deputy manager, senior support workers and support workers A job description was seen for support workers. It is recommended that job descriptions be drawn up for all the posts in the home to ensure that staff are clear about their roles and responsibilities. It is recommended that the registered manager make provision for Learning Disability Award Framework (LDAF) training to be made available routinely to all new unqualified staff. Health and Safety must be included as part of the mandatory training given to staff. The inspector concluded from discussion with the registered manager during Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 20 the inspection, that staffing levels would be appropriate to meet the assessed needs of the prospective residents. The home has a clear recruitment policy and procedure which residents will be encouraged to participate in. One staff member’s file did not contain evidence of her identity, including a recent photo, as required by the Regulations. It is recommended that the months previous employment commenced and ceased are recorded to help the registered manager follow up any gaps in a prospective member of staff’s employment history. References should contain details of the dates of employment and the Company’s name. As good practice where the previous employer has refused to give a reference their stated reason for not wishing to do so should be recorded in the staff file. It is also recommended that copies of relevant qualifications and training undertaken be kept on file as evidence to inform senior staff when undertaking training needs analyses. Interview records are kept. The home’s training schedule includes most of the required mandatory training. However, given that the home is registered to provide care for those with mental health needs mandatory training must include appropriate training in this area. The registered manager confirmed that staff would receive regular supervisions and appraisals. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home will adequately promote the health and safety of residents and staff and will be managed by a trained and competent manager who will provide clear leadership for staff. There is a process for reviewing the overall quality of the service provided by the home periodically which includes consultation with residents. EVIDENCE: Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 22 The registered manager became so in June 2006. She has a nursing qualification (RNMH) and is undertaking the NVQ level 4 Registered Managers Award. This training includes training on the selection and recruitment of staff. The registered manager demonstrated an open and approachable style to inspection. The proprietors will undertake Regulation 26 monthly-unannounced visits to the home and complete these reports. These reports will evidence that residents’ views are sought. Copies of these will be kept available for inspection by CSCI inspectors in the home Most of the policies and procedures, as set out in Appendix 3 of the NMS are already available in the home. The registered manager is aware of her obligations to keep the records detailed in Schedules 2,3 and 4 of the Care Home Regulations available for inspection in the home. The procedures outlined by the registered manager indicated that residents’ finances would be protected. The registered manager made available records relating to health and safety. The proprietors will undertake Regulation 26 monthly unannounced visits to the home to keep them informed of how the home is being conducted. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 23 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 2 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 2 32 2 33 3 34 2 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 4 Requirement The home’s Statement of Purpose must be amended to include all the items detailed in Schedule 1 of the Regulations. Include health and safety in the mandatory training given to staff. Staff members’ files must contain evidence of their identity, including a recent photo. Mandatory training must include appropriate training on mental health. Timescale for action 28/02/07 2 3 YA32 YA34 18 17 28/02/07 28/02/07 4 YA35 18 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA1 Good Practice Recommendations The Service User’s Guide should spell out any additional charges and include all the items recommended by the National Minimum Standards [NMS]. Efforts need to be made to make the Service Users’ Guide useful and DS0000067215.V326978.R01.S.doc Version 5.2 Page 25 Holt Farm 2 3 YA5 YA7 4 YA22 5 YA31 6 YA34 meaningful to prospective residents with a learning disability. Amend the Terms and Conditions to include all the items recommended by the NMS and put it in a format suitable for those with a learning disability. It is recommended that care plans be drawn up in a format suitable for adults with a learning disability and that these be amended to identify any limitations on residents’ rights to make decisions. Amend the contact details of the regulation authority in the Service User’s Guide from that of the NCSC to the CSCi and put the complaints procedure in a format, which is understandable for those with a learning disability. It is recommended that the registered manager make provision for Learning Disability Award Framework (LDAF) training to be available routinely to all new unqualified staff. It is recommended that the months previous employment commenced and ceased are recorded and that references contain details of the dates of employment and the Company’s name. It is recommended that copies of relevant qualifications and training undertaken be kept on staff files. Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 3 Holt Farm DS0000067215.V326978.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!