Inspection on 12/07/07 for Lindenwood Residential Care Home

This inspection was carried out on 12th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lindenwood Residential Care Home 20/06/06

Lindenwood Residential Care Home 23/03/06

Lindenwood Residential Care Home 15/12/05

Lindenwood Residential Care Home 02/11/04

Lindenwood Residential Care Home 26/04/04

Lindenwood Residential Care Home 10/01/04

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 Lindenwood Residential Care Home 208 Nuthurst Road New Moston Manchester M40 3PP Lead Inspector John Oliver Unannounced Inspection 12th July 2007 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 Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindenwood Residential Care Home Address 208 Nuthurst Road New Moston Manchester M40 3PP 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) 0161 681 4255 Ann Catherine Smith Maureen Philomena Murphy Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Personal care only is provided for a maximum of 16 older people Staffing at the home must comply at all times with the minimum levels set out in the Residential Forum Guidelines for staffing in Care Homes for Older People. Staffing levels must be regularly assessed and increased if necessary depending on service users’ assessed needs. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the NCSC. 20th June 2006 Date of last inspection Brief Description of the Service: Lindenwood is an established care home providing personal care only for up to 16 older people. The property is a two storey detached house that has been extended. It is set within its own grounds overlooking the local park area. The property is accessible via steps and ramps. There is a large well-maintained garden to the rear of the property, which is also accessible via ramps. There is parking to the front of the property for approximately six vehicles. The property is situated to the North of Manchester City Centre near the boundary of Oldham. It is close to local amenities including shops, public library, post office and local pubs. There are good public transport links to Manchester and Oldham. Current fees range from £385.09 to £378.84 and charges do not include hairdressing. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection, which took place over a 7hour period on 12 and 13 June 2007. During the course of the inspection time was spent talking to residents, members of staff, the owner of the home and the new manager. Other information was also used to produce this report. This included information provided by the manager in the Annual Quality Assurance Assessment (AQAA) that had been returned to the Commission for Social Care Inspection (CSCI) prior to the inspection being carried out. Time was spent examining records and some policies in the home and a tour of parts of the premises was also carried out. Further information was gathered from a recent quality audit carried out by the home and from three survey forms returned to the CSCI. At the time of this inspection visit 15 people were living in the home. Residents spoke highly of the service and the staff. The owner, new manager and staff team demonstrated a positive approach and commitment to their roles and were trying hard to further develop the service following a period without a registered manager. What the service does well: Lindenwood has a friendly, homely atmosphere and all visitors to the home are made to feel welcome. Through discussions with residents, observation and information provided in returned questionnaires it is evident that residents are settled and satisfied with the way they are supported and the way in which the staff related to them. Many of the residents seen on the days of the visit were unable to express a direct opinion of the services they received; however, they appeared relaxed and comfortable in their environment and seemed to enjoy the positive interactions that took place with the staff in the home. Comments from residents included: * * * * “This home is up to date with everything” “This is home from home – I am very happy here” “It’s a good home – we are well looked after”. “Our meals – first class – fit for royalty”. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 6 Standards of cleanliness and décor are good, and the home is well maintained. The home provides a pleasant and relaxing environment for residents to enjoy. Comments about the environment included, “Home is always clean and well maintained, residents rooms are very homely” and, “It’s great to see ongoing improvements to the home”. 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. The summary of this inspection report can be made available in other formats on request. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the home is made available to prospective residents and their relatives prior to admission into the home and pre-admission assessments are carried out. EVIDENCE: Lindenwood had a detailed prospectus and Service User’s Guide that provided details about the home and information on the services provided. However, some of the information needed to be updated to reflect recent changes in the management and staffing of the home. Resident files were examined and were found to include the care manager assessment and the homes own assessment. Those assessments carried out by the previous manager of the home had been recorded on different formats Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 9 of the assessment document making tracking of information difficult. It is important that all documentation used for assessment purposes is consistent to ensure that both management and staff have clear information about resident’s individual assessed needs. The manager confirmed that prospective residents are only admitted into the home when all the pre-admission assessments have been fully completed. This was to enable an informed decision to be made as to whether the home could meet the needs of the resident. The manager confirmed that Lindenwood did not offer the facilities of intermediate care. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans did not detail enough information to support staff when helping residents to access support. Staff adhered to the policies and procedures for the safe handling of medication. EVIDENCE: Two care plans were examined during this visit and both plans were found to be inconsistent in their contents. One care plan did not clearly identify the individual needs of the resident nor did it clearly link the pre-admission assessment that had been carried out. This could place the resident at risk of their needs not being met in the most appropriate way. On one particular care plan it was stated that the diet/fluid intake of the individual was to be monitored. However, on examining the ‘diet and fluid intake journal’ nothing had been recorded to evidence that this was being Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 11 carried out although staff confirmed that this was being done. Lack of such important information could place the residents health at risk. There was no evidence of any risk assessments on file nor was any evidence available to demonstrate that care plans had been reviewed regularly. It is important that where there are any potential risks to the health of a resident these are identified, recorded, and systems are put in place as to how the identified risk is to be managed. One example of this was that a number of residents were sat in reclining chairs and would need assistance to operate them and safeguard them whilst using this type of chair, as there was a risk from entrapment There was evidence during this visit that residents were supported in having access to healthcare services. Information in files demonstrated that regular visits from their G.P’s and District Nursing service were taking place. One visiting nurse expressed that she was very pleased with the way in which staff in the home supported one particular resident that required support to prevent pressure sores developing. Information received in the quality audit questionnaires returned to the home by a number of residents included the following comments: “Everything is being done at this home – it’s home from home – I am very happy here” and, “It’s a good home – we are well looked after”. The home used a monitored dosage system for the administration of medication, and all staff responsible for administration of medication had received training. Records and stock levels were found to be accurate and balanced with the record on the Medication Administration Records (MAR). Records contained appropriate information including specimen signatures of staff responsible for the administration of medication, and photographs of residents in the home for identification purposes. Good practice was noted in that an audit check, which was carried out monthly by the manager to ensure that all medication stock levels balanced with records of receipt and disposal of medication. During this inspection visit the staff were observed treating residents with respect by knocking on bedroom doors and engaging in meaningful conversations. Staff were seen consulting with residents about how they wanted to be supported and assisted with care tasks. One resident spoken to said, “I love living here – the staff take care of me”. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Lack of activities in the home meant that residents’ social, cultural, religious and recreational activities were not always fully met. EVIDENCE: There was very little evidence of any activities taking place in the home and this was confirmed by those residents spoken to and comments made in the returned questionnaires. One resident said, “It’s a lovely home and we are well looked after – but it can be boring just sitting around”. Of the three survey questionnaires returned to the Commission for Social Care Inspection (CSCI) two contained comments about the lack of activities e.g. “Needs to be more activities” and, “I feel the lack of stimulation should be addressed”. Meal times in the home are seen as a ‘social occasion’ and efforts are made to ensure that residents can enjoy their meals in a suitable and relaxed Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 13 atmosphere. A choice of menu is offered at each meal and discussion with both the residents and cook confirmed this. One resident said, “Our meals – first class – fit for royalty”. Staff were observed discreetly supporting those residents who needed assistance or that needed their dietary intake monitoring for health reasons. The home maintains an open visiting policy and visitors were seen to come and go throughout the day and observation of staff interacting with visitors indicated that good relationships had been developed and that visitors were made to feel welcome. It was clear from discussion with the residents that they were relaxed and settled in their environment and able to exercise choice and comments included, “This home is home from home and I am very happy here”. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to support residents in making a complaint and to protect them from abuse. EVIDENCE: During this inspection visit it was seen that staff interacted well with the residents and that residents appeared confident in expressing their views openly. One resident spoken to said that “I have no reason to complain – but I would tell the boss if I did”. The complaints procedure was made available in the Service User Guide and a copy was available in the visitor’s book and in every bedroom. However, this information needed updating to include timescales for responses to a complaint and the name, address and telephone number of the Commission for Social Care Inspection (CSCI). The home held a file to record any complaints made about the service which included details of the investigation and the outcome and action taken as a result of the findings. No complaints had been received the CSCI since the last inspection visit in June 2006. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 15 A number of staff had received training in Adult Protection but discussion with a number of them demonstrated that their understanding of the procedure to follow in the event of an allegation being made differed. It is important that staff are very clear about what action to take in the event of an allegation being made in order to safeguard residents and staff living and working in the home. Since the last inspection visit one referral had been made using the Protection of Vulnerable Adults Procedure and this had been satisfactorily concluded. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean and well maintained environment. EVIDENCE: There is an emphasis in this home on providing a comfortable, homely and friendly environment. The passenger lift had recently been thoroughly rewired and it was noted during a tour of the premises that appropriate aids and adaptations were in place to promote and encourage residents to remain as independent as possible. Accommodation is provided in single and double rooms and one bedroom has an en-suite facility. Double rooms had been fitted with a privacy curtain. All bedrooms have lockable doors that can be overridden in the event of an Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 17 emergency and rooms were seen to have been personalised to varying degrees and reflected the character of the person whose room it was. There was evidence of an ongoing programme of routine maintenance and redecoration of the home and a number of bedrooms had been redecorated and re-carpeted. The lounge and dining area had also been re-carpeted since the last inspection visit in June 2006. During the tour of the premises it was noted that a number of doors did not close into their rebates effectively, including the kitchen door that leads directly into the hallway of the home. As some of these doors could be fire doors it is important that appropriate maintenance takes place to ensure that they do close properly and do not pose a potential risk to the health and safety of people living and working in the home. There was a high standard of cleanliness throughout the home. All areas of the home were clean and free from any unpleasant odours. Laundry facilities were sited away from the kitchen and dining area. The washing machine had appropriate programmes to ensure that all linen was cleaned at the temperatures required to control the risk of cross infection. Comments in returned quality assurance questionnaires returned to the home included, “Home is always clean and well maintained, residents rooms are very homely”, “It’s great to see ongoing improvements to the home” and, “We are a modern home”. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A staff team with a good skill mix was meeting residents’ needs and recruitment practices used by the home ensured the health, safety and well being of residents living in the home. EVIDENCE: During the inspection there were sufficient numbers of staff on duty to meet the needs of residents in the home. Staff on duty included the owner, the manager and three carers. Each member of the staff team had an individual training record that reflected any training they had undertaken during their employment in the home and covered most mandatory training requirements. However, some training now needed updating and discussion with the manager confirmed that she was in the process of reviewing each employee’s training record for this purpose. Details provided by the manager of the home in the Annual Quality Assurance Assessment (AQAA) prior to the inspection taking place confirmed that 46 of the care staff had achieved a National Vocational Qualification Level II and it was intended that all care staff would be trained to this level. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 19 Staff spoken to during this visit appeared highly motivated and keen to develop their knowledge and one recently recruited but experienced member of staff said that she had completed a six week training course on ‘Care Planning’ in her previous employment and would be cascading this information down to care staff in Lindenwood. Discussion with the manager confirmed that she had recently reviewed all staff files. A number did not contain two written references although these have now been requested. She confirmed that all staff employed in the home had a current Criminal Record Bureau (CRB) check in place. Examination of the personnel file of the last person employed in the home confirmed that all relevant pre-employment checks had been carried out and were on file. During this visit residents were very positive and complimentary about the support they received from staff. Feedback in the quality assurance questionnaires returned to the home included, “Everything is being done at this home – I am very happy here”, Staff are always helpful…” “Staff always willing to listen”. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The new manager provides clear leadership and systems are in place to ensure the home is run in the best interests of residents. EVIDENCE: The new manager had only been in post for a month and was working closely with the home owner to review the management practice of the home. Until the new manager came into post the home had been without a registered manager for a number of months and because of this things such as the reviewing of care plans, arranging updated staff training and maintaining staff Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 21 supervision appeared to have ‘slipped’. The manager demonstrated her commitment to developing the service and to ensuring that staff have access to appropriate training. Staff spoken to during this visit said that the new manager was “good but had come in at the deep end and given time things will improve”, “Appears to be a very good manager – very fair”, “A lot of work to do but it will be achieved with the new manager”. Residents looked after their own finances either independently, with support of their family or social services. The owner confirmed that the home does not manager any finances for residents. Evidence was available to demonstrate that the manager had recently carried out a quality audit of the service provided by the home and this was done by sending residents and their relatives’ questionnaires. Feedback in the questionnaires was very positive and some of the comments made have been included within this report. The manager said that information provided in these surveys would be analysed and would enable the management team to address any concerns and to use the information to further develop the service. Information provided by the manager in the Annual Quality Assurance Assessment (AQAA) returned to the Commission for Social Care Inspection confirmed that all health and safety checks were current and up to date and that equipment used in the home had been appropriately serviced and maintained. Random selections of these were checked to confirm this. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 (2)(b)(c) Requirement Care plans must clearly identify and include the assessed needs of the individual resident and must be regularly reviewed and updated when those needs change. Care plans must clearly identify and include any risks to the individual and how those risks are to be managed. Timescale for action 28/09/07 2 OP7 13 (4)(c) 28/09/07 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 OP1 Good Practice Recommendations It is strongly recommended that the Statement of Purpose and Service User Guide be updated to reflect those changes in the service since August 2004 and an updated copy be supplied to the Commission. It is recommended that all care plans be reviewed on a monthly basis. DS0000045504.V340404.R01.S.doc Version 5.2 Page 24 2 OP7 Lindenwood Residential Care Home 3 4 OP12 OP16 5 OP19 6 OP30 It is recommended that the home develop a programme of activities, which meets the preferences and the needs of residents in the home. It is recommended that the complaints procedure be reviewed and updated to include timescales for responses to a complaint and the name, address and telephone number of the Commission for Social Care Inspection. It is strongly recommended that an audit of all doors take place to ensure that they close into their rebates effectively and that appropriate action is taken where they do not. It is strongly recommended that the manager carries out an audit of all staffs training records to ensure that all required training is appropriately maintained and updated where required. Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Lindenwood Residential Care Home DS0000045504.V340404.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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