Inspection on 19/09/06 for Merrywick Hall

This inspection was carried out on 19th September 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Merrywick Hall 24/09/09

Merrywick Hall 27/09/07

Merrywick Hall 07/03/06

Merrywick Hall 22/08/05

Merrywick Hall 24/02/05

Merrywick Hall 01/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Merrywick Hall 41 New Road Hedon East Yorkshire HU12 8EW Lead Inspector Sarah Sadler Unannounced Inspection 19th September 2006 09:00 Merrywick Hall DS0000019695.V308411.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 Merrywick Hall DS0000019695.V308411.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. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Merrywick Hall Address 41 New Road Hedon East Yorkshire HU12 8EW 01482 899477 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) Willerfoss Homes Mrs Margaret Rose Scott Care Home 27 Category(ies) of Learning disability (27) registration, with number of places Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2006 Brief Description of the Service: Merrywick Hall is a care home providing personal care and accommodation for up to twenty-seven residents who have a learning disability. It is owned by Willerfoss Homes which is a private company. The home is located in the town of Hedon on the border of Hull and the East Riding of Yorkshire. It is close to all local amenities including shops, the post office, local pubs and gives access to local transport. The home comprises of a large detached property and a bungalow which has been adapted for residential care hues. These are set in their own well maintained grounds. There are fourteen single bedrooms and four shared rooms in the main house and the bungalow provides independent living accommodation for up to five people. Wheelchair users in the main building are accommodated on the ground floor as there is no passenger or stair lift. The registered manager confirmed in the pre-inspection material provided to the Commission in May 2006 that the weekly fees range between £340 and £800. No additional charges were listed. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced inspection was undertaken as part of the routine programme of inspections. It commenced at 09.15 and was completed at 17.00 on the 19 September 2006, with a previous one day’s preparation. The registered manager and staff team assisted the inspector throughout the day. Two residents were interviewed individually; there were no visiting health professionals or residents’ representatives. Two staff members were spoken with. A tour of the premises was undertaken and residents’ files and other records were examined. This included pre-inspection material provided by the registered manager. Comment cards were used as part of this inspection, these were sent to residents, relatives and professionals. Six Relatives comment cards were returned; all showed satisfaction with the overall care provided. Comments included, “We are well satisfied with the care [our relative] gets. He is well looked after, very happy and settled”. “He always appears happy and contented. Staff are always happy to help, friendly and kind.” Six Care Manager/ Placement Officer comment cards were returned, with all being satisfied with the overall care provided within the home. Residents spoken with on the day of the visit gave positive comments regarding the home, these included; “The home is alright and I liked my holiday”, and “I am happy here.” Notifications have been received from the home of incidents that must be reported to the Commission. These reflect a changing client group. The registered person regularly forwards reports of their visits to the home. What the service does well: Residents are supported to meet their leisure and social needs. People reflected upon a variety of activities and support provided to access their local community. They are further supported to maintain contact with family either through visits or telephone calls. Health needs are met through systems of support in both accessing and attending GP and specialist appointments with records being kept to ensure that information relating to medical needs is shared and acted upon as necessary. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 6 Nutritional needs are met through a varied diet that offers choices and which residents enjoy. The staff are regularly supervised within their role to ensure up to date knowledge and skills for the continuing meeting of residents’ needs. 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. Merrywick Hall DS0000019695.V308411.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 Merrywick Hall DS0000019695.V308411.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are on the whole assessed prior to moving into the home. EVIDENCE: Resident files included copies of the Community Care Plan developed from the community care assessment from the Local Authority. In addition to these documents detailed assessments and care plans have been developed within the home. The registered manager confirmed that a resident who had recently been admitted to the home in an emergency did not have a full assessment of need, as basic information regarding health, medication, abilities and next of kin etc, were provided verbally by the Local Authority representative who also planned that the placement would be for 2 days only. As this person had now been in the home for several days the registered manager was commencing the home’s own assessment whist awaiting further written information from the Local Authority. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have care plans which support them to take risks and make choices in their lives. EVIDENCE: Residents have individual care plans, which reflected the long and short-term goals for each individual, with ongoing reviews. One of the residents was aware that they had a care plan and two recalled being involved in a review of their care. Care managers’ feedback confirmed that all residents placed by them have a plan and five responded that the resident’s plan is being followed. Minutes of care reviews reflect that residents are involved in the review of their care and that, as necessary, their representatives or relatives are also involved with this process. Only one new admission has occurred within the home and this was a recent emergency admission. The registered manager confirmed that there is not a plan of care in place for this resident, as it has not been forwarded from the Local Authority. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 10 One resident’s file included evidence of monthly ongoing review. There is a new form to be implemented this month that staff sign when they have reviewed or amended a file and the registered manager confirmed that the review is already completed on a monthly basis. There was evidence that r residents were to be able to decide what activities they wished to participate in within their home and to go out in their local community. Resident files included details of going out which included, ‘out with the handyman’, and ‘walk into Hedon’. Staff interviewed gave examples of decisions and choices that residents make, for example, their meals, what to wear, to watch TV or to listen to music, what activities to undertake and whether just to do nothing. Staff confirmed that residents are supported to undertake risks, for example, going to the shops on their own, and having a bath on their own. Resident files included risk assessments, for example, road safety/traffic, and the risk of trips, smoking and medication. The registered manager confirmed that these are regularly reviewed, however there is no written record to confirm when this took place. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with opportunities for personal development and relaxation and are able to have control over their own lifestyles. EVIDENCE: The registered manager confirmed in the pre-inspection material that residents are offered a variety of recreational and educational activities. These included snooker, board games, Adult Education centres and walks in their local community. Individual residents’ files included daily records and details of activities participated in, for example, going out in the garden, out with the handyman, Hull Fair and attending an adult education centre. Residents confirmed that they watch TV and play games. They also receive visitors, for example, “My sister visits’, and go out with friends. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 12 Staff confirmed that residents undertake activities. These included knitting, listening to DVD’s, painting, attending a local market and playing bingo. Residents stated that they “Watch TV, play Family Fortunes, go on walks into the village and have visited East Park.” Residents were able to access all communal areas of the home as they wish. Staff and residents chatted together and were positive in their interactions. Relatives’/visitors’ comments regarding the home included that all six who responded (100 ), felt that staff welcomed them into the home. Residents discussed spending time with their relatives and confirmed that people could visit as they wished. One resident was observed to be supported to contact their relative via the telephone. The registered manager stated in the pre-inspection material that residents have choices over the meals they are provided with. Residents confirmed that they have choices and that they are happy with the food they receive. There is a chef employed and he ensures that menus are produced on a weekly basis, which reflect variety and choice. The temperature of foods, fridges and freezers are recorded along with the records of the residents’ daily choices. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ physical and personal and medication needs are met. EVIDENCE: Residents spoken with were all happy with the support received with personal care and hygiene. One commented, “Staff help me to make sure I do it.” Resident files included the details of when support is offered regarding personal care and individual records of bathing are kept. There is a hoist and specialist chair available to assist people with bathing. Residents’ appearances reflected their individual choice and staff confirmed that they support residents with this and ‘offer guidance’ as necessary. The registered manager confirmed in the pre-inspection material that there are arrangements in place for residents to access different health professionals, for example, the General Practitioner, Dietician and Optician. Resident’s records included a health monitoring form, which held the date of appointments with these different professionals as necessary. If necessary the registered manager Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 14 had completed a report to include the additional information received from the professional visit. Residents confirmed that if they were unwell the staff would support them to see their GP and that they have access to an optician. Records are kept of the medicines received, administered and disposed of within the home. Medication is securely stored, with the registered manager confirming that medicines required to be kept cool are stored in a locked container in a refrigerator. Two residents have signed to agree to the staff managing their medicines for them and one resident is supported by the staff team to administer their own medication. Staff have not yet undertaken accredited medication training. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel supported to raise issues of concern with staff and there are procedures in place to ensure they are protected from abuse. EVIDENCE: Of the relatives’/visitors’ comments received five of the six (84 ) were aware of the home’s complaints procedure. Two residents confirmed that they would speak with the registered manager and one to the staff team if they felt unhappy about anything in the home. All were confident that their concerns would be dealt with appropriately. The registered manager stated in the pre-inspection material that one complaint had been received. Records are kept of all complaints and the actions taken in response to these, with the outcomes when possible. The registered manager confirmed that should an allegation of abuse occur then the Local Authority’s policy ‘The Protection of Vulnerable Adults’ (POVA) would be followed. Staff interviewed were aware of POVA and reflected positively on the actions they would take if an allegation of abuse occurred. The registered manager confirmed in the pre-inspection material that 24 residents are supported by the home to manage their finances with families supporting others. The records for the residents’ finances managed in the home were found to be correct, with receipts for expenditure, and residents’ monies being held securely. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable environment. EVIDENCE: The premises were clean, homely, well lit and free from unpleasant smells. Furnishings and fittings were on the whole of good quality. Residents spoken with stated they were happy with their rooms. Two doors were held open by unauthorised means, one being a chair and the other a wooden door wedge. The registered manager removed the chair and door wedge at the inspection and confirmed that only authorised means of holding doors opens would be used. Some residents beds were fitted with specialist bed rails with ‘bumpers’ which fit over them to prevent injury. However, the bumpers and rails were not fitted to ensure that there was not a gap between the base of the rail and the bed, preventing the possibility of someone being trapped. The registered Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 17 manager amended this at the inspection so that the bumpers fit under the mattress and ensured that staff were aware to do this and check regularly. She confirmed that this now ensures people are safe and she is to re-assess this, taking further advice from other professionals. Records are kept of repairs undertaken. There is a separate laundry room, away from food areas. The laundry room has walls and floors that are cleanable and impermeable. The registered manager confirmed that the home has not been assessed for the compliance with the Water Supply (Water Fittings) Regulations 1999, to ensure that the water systems are safe. However, the registered manager has forwarded water samples for testing for Legionella. One of the managers of the organisation forwarded further information that they have approached the local Water Authority regarding the undertaking of testing and that this not something that the Authority would undertake. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35, 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A staff team that are well supervised, well recruited and adequately trained, support residents. EVIDENCE: The registered manager confirmed in the pre-inspection document that staff have undertaken Fire Safety, Dysphasia, Food Hygiene and the Protection of Vulnerable Adults (POVA) training. She further confirmed that 4 members of staff have commenced the National Vocational Qualification (NVQ) level 2 in care and that this will assist the home in achieving the target of 50 of the staff team qualified to this level; Learning Disability Award Framework (LDAF) training is also being organised. Staff recruitment files inspected all included an application form and any gaps in employment are discussed at interview. References and Criminal Record Bureau (CRB) checks are undertaken and the registered manager confirmed that any issues raised by these are discussed with the individual staff member. It was advised that a written record of evidence of any such discussions should be kept. Staff are provided with copies of the General Social Care Councils (GSCC) code of conduct, contracts and job descriptions. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 19 There is an annual training programme for staff, with individual needs also being assessed. Future planned training includes Moving and Handling, Health and Safety and First Aid. Staff have an induction when commencing employment within the home, however there is no evidence that this meets the Skills for Care requirements. Staff files included evidence that staff receive regular monthly supervisions and staff confirmed that this is undertaken. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is on the whole well managed, and requires only minor improvement in some areas. EVIDENCE: The registered manager has managed the home for a number of years. She has now decided that she wishes soon to retire and due to this has not undertaken training and is not planning to undertake any future training. There is a quality assurance system within the home that seeks the views of residents, their representatives and other stakeholders; some of this work has been completed for this year. An annual review report is produced which includes any actions taken in response to the findings of quality assurance system. Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 21 The registered manager indicated in the pre-inspection material that health and safety checks, for example the fire alarm test, were up to date. Records held within the home confirmed this, with up to date records for electrical testing, gas testing and fire alarm and fire equipment testing all in place. There is a contract in place for the disposal of clinical waste. A new staff call system was installed in July of this year and this was found to be working throughout. No testing of the system to ensure that it continues to be fully operational has yet commenced, however, the registered manager confirmed that this is to be implemented. There is a Control of Substances Hazardous to Health Product Data file, which informs staff of the risks to health and safety of these products. This information has not been updated and there is no evidence that staff have read and understood this. Records are kept of any accidents and appropriate actions are taken, for example seeking medical advice. Some of these records were held communally and the registered manager was advised regarding this. Merrywick Hall DS0000019695.V308411.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 23 No 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 YA24 Regulation 13 Requirement The registered person must risk assessments regarding the use of bed rails and bumpers are carried out and reviewed appropriately thereafter. The registered person must ensure that: 1. Staff are fully trained in all areas of health and safety. 2. All staff responsible for medication have undertaken accredited medication training. Timescale for action 31/10/06 2. YA20 YA35 18 (1(a)) 31/12/06 Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 24 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 YA6 Good Practice Recommendations The registered person should ensure that; • Care plans, including risk assessments are completed from arrival at the home. With evidence of review of these. • To aid residents understanding of the care plans the manager should consider developing the plans in a pictorial format. The registered person should assess the necessity to have a separate lockable fridge for the storage of medicines required to be kept cool. The registered person should ensure evidence that the home meet the Water Supply (Water Fittings) Regulations 1999. The registered person should ensure that: 1. 50 of the staff team are qualified to NVQ level 2 in care. 2. Encourage staff to undertake LDAF training to ensure they are appropriately qualified. 3. Evidence that the staff induction meets the Skills for Care requirements. The registered person should ensure that there is written evidence that any issues arising from POVA checks have been addressed and that these records are kept within the home. The registered person should ensure; • COSHH details are kept up to date with records of this and that staff have read and understood these. • Records are kept of the maintenance checks for the staff call system. The registered person should ensure that the registered manager has a management qualification. 2 3 4. YA20 YA30 YA32 5. YA34 6 YA38 7 YA37 Merrywick Hall DS0000019695.V308411.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Merrywick Hall DS0000019695.V308411.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. 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!