Inspection on 17/01/06 for Knights Luxury Retirement Home

This inspection was carried out on 17th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Knights Luxury Retirement Home 22/07/08

Knights Luxury Retirement Home 13/08/07

Knights Luxury Retirement Home 16/10/06

Knights Luxury Retirement Home 06/07/05

Knights Luxury Retirement Home 30/09/04

Knights Luxury Retirement Home 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Knights Luxury Retirement Home 365/367 Clifton Drive North St Annes On Sea Lancashire FY8 2PA Lead Inspector Denise Upton Unannounced Inspection 17th January 2006 10:00 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 Knights Luxury Retirement Home DS0000009758.V277365.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. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Knights Luxury Retirement Home Address 365/367 Clifton Drive North St Annes On Sea Lancashire FY8 2PA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 720421 01253 782037 Aegis Residential Care Homes Limited Ms Susan Patricia Fleming Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: The Knights Retirement Home is one of a number of homes owned and operated by Aegis Residential Care Homes Limited. The home is registered to accommodate up to 31 older people who do not require nursing care. A number of service users have low dependency needs and can attend to most personal care tasks without assistance. The Home is a none smoking establishment that is clearly identified in the written information provided to service users and prospective service users. The Knights Retirement Home is a detached property located on a main thoroughfare of St Annes and conveniently situated in close proximity to the main shopping centre, community facilities and resources and the promenade. The home is continuing an extensive refurbishment programme that has been ongoing for some time. Communal areas of the home are comfortably furnished and allow for activities to be undertaken in one area of the home while providing a quiet area for those who do not wish to participate. The majority of service users are accommodated in single bedroom en-suite accommodation except for individuals who have made a positive choice to share twin accommodation. There is a passenger lift to access all areas of the internal environment and a ramped access to the front of the building. Although the home does not provide garden areas, there is a public park in close proximity that service users can access with ease and a patio area to the front of the property that is provided with seating to enable service users to sit out in the summer months. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a midweek day and lasted a period of just under five hours. The inspector spoke individually with the registered manager, deputy manager, the home’s handyman, the chef, the home’s administrator and the housekeeper who were all on duty during the course of the inspection. In addition, two individual groups of residents living at the home were spoken with in lounge areas and two residents were spoken with individually in their bedroom accommodation. A number of records and policies and procedures were examined and a partial tour of the building took place that included communal areas of the home, some bedroom accommodation and laundry facilities. The majority of the core standards regarding Care Homes for Older People had been assessed at the last inspection that took place in July 2005. The outstanding nine core standards were assessed at this inspection along with a reassessment of the requirement and recommendations identified at the last inspection. What the service does well: The Knights Care Home has a group of staff that work well together and who display a good understanding of the needs of residents and are keen to provide a high quality service to people who live at the home. Residents spoken with felt they were well looked after and that the staff group helped them to feel safe and secure. One resident spoken with described the staff as ‘all very good and kind and helpful’ and also stated that one of the best things for her about living at the home was the company of both staff and other service users. Meals are varied, well balanced and nicely presented offering choice and variety. The staff team manage the daily activities and entertainment well providing opportunities for residents to join with activities both inside and outside of the home. All residents spoken with were very pleased with the variety and choice available. Residents confirmed that their visitors are made welcome at any time of their choice and can be entertained in any communal area of the home or their individual bedroom accommodation. The home is maintained to a very high standard providing residents with safe and comfortable surroundings in which to live. All residents spoken with were very satisfied with the communal space available and their individual bedroom accommodation that is furnished in a style to suit their taste. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 6 Residents are encouraged to have their say and are involved in making decisions about how they would like the home to be run through a variety of ways that include resident questionnaires, residents forums, a monthly newsletter and daily informal discussion with staff. The Knights Care Home has also achieved the ‘Investor In People’ award, which is only awarded when a certain standard has been achieved. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Knights Luxury Retirement Home DS0000009758.V277365.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 Knights Luxury Retirement Home DS0000009758.V277365.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): None of the above six standards were assessed at this inspection. EVIDENCE: None of the above six standards were assessed at this inspection. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 9 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 in part There is a consistent care planning system in place to provide staff with the information they need to satisfactorily meet service users needs. However, although all relevant information is recorded and incorporated in the individual service user file, the actual care plan could be more detailed and should be reviewed and amended as required on at least a monthly basis or more frequently depending on need. EVIDENCE: As identified in previous inspection reports, it was again evidenced following observation of a specific service user’s file, that although the dependency needs of this individual had significantly changed over the recent past, the actual care plan had not been reviewed and updated to reflect the changed needs and requirements. Whilst there is no suggestion that staff were not addressing the increased dependency needs of this individual, the existing care plan and relevant risk assessments should have been reviewed and updated at the time of the changed needs to reflect the increased dependency levels in order to provide staff with a detailed account of current requirements. The reviewed care plan should also incorporate the outcome of any new risk assessments undertaken as a result of the increased dependency levels. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 10 It was again noted that detail in the care plan of the actual assistance required from staff is at times limited. It is recommended that more detail be incorporated in the individual care plan to identify the actual assistance required from care staff in respect of each task including social and religious care needs. As recommended in Standard 7.4, all service user plans should be formally reviewed holistically on at least a monthly basis or more frequently if required, with outcomes recorded. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 11 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): 13, 14 & 15 Links with the community are good that support and enrich service users contact with family, friends and community networks. Dietary needs of service users are well catered for with a balanced and varied selection of foods available that meets service users taste and choice. EVIDENCE: Social relationships are encouraged either through family/friends visiting at a time of the service users choice or social stimulation in the wider community. Service users are enabled to entertain their family and friends in any communal area of the home or their individual private accommodation at any time of their choice. Discussion with a number of service user confirmed that their visitors are always made welcome and from previous observations it is apparent that there is a good relationship between family, staff and service users living at the home. There are no restrictions on visitors unless this was the individual service users decision that would be recorded on the care plan. Involvement of local community and interest groups are encouraged to suit the requirements and interests of service users accommodated. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 12 Recently the company has purchased a mini van with an electric hoist that can be used by wheelchair users and none wheelchair users at the home to enjoy escorted outings in the local community and surrounding area. Policies within the home state that all service users would be encouraged to maintain control of their own financial affairs for as long as they wished too or be assisted in this task by their family or advocate as confirmed by a service user spoken with. Information regarding the local advocacy service is made freely available for residents and their relatives in communal areas of the home to enable them to access independently if required. From observation and discussion, it was evident that service users are encouraged to bring some of their own possessions with them into the home to make their individual bedroom feel homely and more familiar and an inventory of these possessions is kept on the resident’s file. Meals and mealtimes at The Knights Care Home are given high priority with a varied and balanced menu provided that is designed round the known likes and dislikes of service users living at the home. Service users spoke positively about the variety and quality of the meals served with one service user individually spoken with describing the food as ‘very good’. Another service user commented that the new chef had made a difference in that the food was ‘better, although not that there was anything wrong with it before’. Service users spoken with in a group setting were also very pleased with the meals served and confirmed that a choice was always available. The menu is reviewed by the registered manager and chef on a regular basis to reflect seasonal changes and service users are encouraged to voice their opinion as to the type of foods they would like to eat at various meals. When a new service user is admitted into the home, the chef personally speaks with the person to establish their individual dietary needs and requirements and to ensure their personal tastes are catered for. Specialist diets in respect of religious, cultural or medical need can be accommodated and as observed, hot and cold drinks and snacks are made available throughout the day. The chef confirmed that the company’s dietician would be contacted for advise as and when required in respect of any unusual specialist diets and it is understood that the dietician is currently assessing the nutritional value of sample menu’s devised by the home before they are introduced. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home has a satisfactory complaints system with evidence that service users feel their views are listened to and acted upon. Arrangements for protecting service users from abuse are in place in order to protect service users from risk of harm or abuse however all staff should undertake specific training in respect of this topic. EVIDENCE: The home has a comprehensive corporate complaint policy and procedures, which outlines the home’s commitment to resolving complaints within 28 days. The complaints procedure is incorporated in the Statement of Purpose and Service Users Guide to inform service users and their relatives how to make a complaint should the need arise. A service user spoken with stated she would have no hesitation about speaking with the registered manager if she had a concern and felt confident that any concern would be taken seriously and acted upon. The home also has a policy in place based on the ‘No Secrets In Lancashire’ document, which contains robust procedures for responding to an allegation of abuse. Also available is a comprehensive information pack entitled ‘Protection Of Venerable Adults For Managers’ and a staff training pack entitled ‘Protection Of Venerable Adults For Carers’ A variety of other policies are also in place to protect service users that include, whistle blowing and violence and aggression. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 14 Although evidenced at previous inspections, the home’s policy in respect of service users monies and financial affairs that instructs staff on the management and recording of service users monies held in safe keeping could not be located. Please confirm in the Action Plan if the existing policy is still current and that staff have written instructions on the safe handling of service users monies that is available at the home. Through discussion with the registered manager it is understood that only seven members of staff have undertaken an Adult Abuse Training course. In order to fulfil the requirements of regulation, all staff must attend this course of study. The registered manager advised that the remaining staff would receive this training within the next two months. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19. Standards 24,25 & 26 were assessed in part. The standard of the environment within this home is very good and provides service users with an attractive, homely and well-maintained place to live. EVIDENCE: Service User at The Knights Care Home live in very well maintained accommodation that is domestic in character and has been designed to meet the individual and collective needs of service users accommodated. The home is conveniently situated close to the town centre and local community resources and facilities. There is a raised patio area to the front of the home that is provided with seating that resident’s can enjoy in the summer months and a ramped access facility for those who have restricted mobility The layout of the home gives residents opportunity to move freely round the building and access all areas with ease. The home is a none smoking home that well maintained, tastefully decorated and offers alternative lounges and a large dining room There is a passenger lift to access bedroom accommodation located on the first and second floor of the building. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 16 All but two bedrooms offer an en-suite facility and bedrooms are bright, airy and comfortable and furnished to suit the needs and requirements of the individual occupant. The home has recently undergone a substantial refurbishment programme both to communal and some private bedroom accommodation that has provided a very comfortable and welcoming environment for service users to live. It is understood that in due course all remaining bedroom accommodation will be refurbished to the same high standard. Since the last inspection, the remaining central heating radiators in service users accommodation have been guarded or replaced with low temperature surface radiators to prevent the risk of accidental injury and all hot water outlets in service users accommodation are now fitted with thermostatic devices to safely control the temperature of the hot water delivered. As identified in previous inspection report, the walls and floor of the laundry area, sited in the basement of the home, require some attention to ensure they are kept in good order and readily cleanable. In addition, all bedroom accommodation should be provided with an appropriate locking mechanism to provide a personal, private environment for all service users. Discussion with the housekeeper confirmed that adequate cleaning materials and equipment were available to ensure standards were maintained in respect of the cleanliness and hygiene within the home and several service users spoken with commented that the home is always very clean and well maintained. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 29 in part Although staff training is given high priority at The Knights Care Home, further members of the care staff team should undertake a nationally recognised training qualification in care to ensure a consistent service provided by wellqualified staff. EVIDENCE: At present only two members of the care staff team have achieved a nationally recognised qualification in care. However currently a further three members of staff are undertaking a National Vocational Qualification (NVQ) Level 3, in care award with a further four members of staff undertaking Level 2 of this award and one member of staff enrolled to commence Level 3. From discussion with the registered manager, it is anticipated that at least 50 of the care staff team with have achieved an NVQ qualification in the near future. At the last inspection it was evident that although The Knights Care Home has structured and robust procedures for staff recruitment, POVA First clearance and Criminal Records Bureau (CRB) clearances had not been submitted or a POVA First clearance obtained before newly appointed members of staff had actually taken up post at the home. It is understood from discussion with the registered manager that no new members of staff have taken up employment at the home since the last inspection. However the registered manager confirmed that newly staff Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 18 appointed would not commence employment at the home until all the required references and clearances have been obtained and deemed to be satisfactory. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 & 35 The manager is qualified, experienced and supported by the senior staff in providing clear leadership throughout the home. The home regularly reviews aspects of its performance through a good programme of self-review and consultations that include seeking the views of service users, relatives and other stakeholders. EVIDENCE: The registered manager is competent, qualified and experienced to run the home and meet its stated purpose, aims and objectives. In addition, the registered manager has undertaken recent additional training that includes a fire marshal course. Service users spoken with were positive in their comments with regard to the support of the registered manager and staff group with one service user stating that ‘they are all very good’. It was clearly evident from observation that there is a good rapport between service users and staff that helps to create a supportive and caring environment. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 20 The job description of the registered manager enables her to undertake responsibility for fulfilling the duties associated with the manager role. There are clear lines of accountability within the home and external management. Effective quality assurance and quality monitoring systems are practiced within the home that regularly reviews aspects of its performance through a good programme of self-review and consultation, which includes seeking the views of service users, relatives and other stakeholders. This process incorporates regular service user forums, daily interaction with service users, annual service user questionnaires, relative/stakeholder questionnaires and a monthly newsletter that service users can contribute to. In addition, the home has achieved the `Investor in People` award. The outcomes of service user questionnaires are returned to the company’s registered office, analysed and results referred back to the home’s manager for action. The outcomes of service user questionnaires are made known to service users/other stakeholders in the monthly newsletter. Service users financial interests are safeguarded by the financial procedures adopted by the home. All service users, wherever possible, are encouraged to remain financially independent or assisted in this task by a family member. When the home does retains monies or valuables in respect of a service user, this is recorded and secure facilities are provided for the safe keeping of monies and valuables held on behalf of the service user. In respect of monies and valuables, it is recommended that whenever a service user places monies in safe keeping or receives monies from safe keeping, the receipt is signed by the service user and staff member to acknowledge and confirm of the transaction. If a service user does not have the capacity to sign financial documents when receiving monies from safe keeping or for monies received from a resident into safe keeping, a second member of staff should witness the transaction and counter sign the first staff members signature. As previously identified in this report, a policy and procedures to instruct staff on the processes to be followed when assisting service users with personal monies or valuables or for monies and valuables held in safe keeping could not be located at the time of inspection. Please advise in the Action Plan if an appropriate policy is available in the home that is accessible to staff. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 4 X X X X 3 3 3 STAFFING Standard No Score 27 X 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? NO 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 OP18 Regulation 13(6) Requirement All staff that have not done so must receive adult abuse training. Timescale for action 31/03/06 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. Refer to Standard OP7 Good Practice Recommendations Care plans should be more detailed to indicate the actual assistance required from staff for each task. Care plans should also be kept up to date to reflect current strengths and needs and formally reviewed and amended as required on at least a monthly basis or more frequently depending on need. All individual bedroom accommodation should be provided with an appropriate locking mechanism to protect the privacy of the individual. Attention should be given to the laundry area particularly the plasterwork to ensure these surfaces remain readily cleanable. At least 50 of the care staff team should have achieved at minimum NVQ Level 2 by 2005. DS0000009758.V277365.R01.S.doc Version 5.1 Page 23 2. 3 4. OP24 OP26 OP28 Knights Luxury Retirement Home 5 OP35 Please confirm in the Action Plan that a policy and procedures is available to instruct staff on the handling of service users monies and valuables held in safekeeping. Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Knights Luxury Retirement Home DS0000009758.V277365.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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