Inspection on 13/07/06 for Newton Grange

This inspection was carried out on 13th July 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 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

Newton Grange 05/07/07

Newton Grange 06/03/06

Newton Grange 19/08/05

Newton Grange 22/02/05

Newton Grange 20/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Newton Grange 1A Horner Close Stocksbridge Sheffield S36 1LN Lead Inspector Stuart Hannay Key Unannounced Inspection 13th July 2006 09:30 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 Newton Grange DS0000036161.V302815.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. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Newton Grange Address 1A Horner Close Stocksbridge Sheffield S36 1LN 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) 0114 288 3879 0114 288 3879 none None Sheffield City Council Mrs Alana Gillott Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All areas of the care home used by service users must be in good repair internally and externally, furnished, decorated, heated and lit to the levels required by The Care Home Regulations 2001 and stated in the National Minimum Standards for older people by 01/10/03. Minimum staffing levels providing direct care to service users must be maintained as described in the Supplement to The Handbook of Guidance on Registration, Inspection and Management of Residential Care Homes in Yorkshire and Humberside dated 13/09/91. Where additional services are provided e.g. day care, outreach, escort duty, staffing for this must be over and above that required by Condition 2. 6th March 2006 2. 3. Date of last inspection Brief Description of the Service: Newton Grange is a care home providing personal care and accommodation for 33 residents over the age of 65 years. Some respite care is offered. The home is owned by Sheffield City Council and is situated in Stocksbridge close the shops and other local amenities. It is on a main bus route. The home is purpose built and residents’ accommodation is on two floors, the upper floor accessed by a lift or stairs. All bedrooms are for single occupancy none have en-suite facilities. There is a paved internal courtyard where service users can sit out. Easy access is available to all facilities for residents who use wheelchairs, or have other disabilities. On each floor there are lounges, bedrooms, bathrooms and toilets. There are lounges for smoking and nonsmoking. There is a Statement of Purpose, which describes the service and provides information for potential service users. Service users pay a variety of fees depending on their particular care packages; the current full charge is around £360.00 per week. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for nearly 7 hours. Eight service users, one relative and three staff members were interviewed to obtain their views about the service. A check was made of the environment and the following records were checked: staff training, fire safety, service users’ care plans, the service users’ guide and staff recruitment records. A check was made of the storage and recording of medication. The inspector also had lunch with the service users. There was a telephone conversation with the manager on 24th July 2006, when the findings of the inspection were discussed; she was on annual leave on the day of the unannounced inspection. What the service does well: Newton Grange appeared to be very much part of the local community; there was a relaxed and friendly atmosphere and many of the service users were sitting in the various lounges talking and generally enjoying each other’s company. Service users said that the staff were ‘very pleasant’ and ‘considerate’ and staff were observed speaking to them in a friendly and respectful manner. Some service users preferred to stay in their rooms and were able to do so; people said that the routines were flexible and there was no sense of regimentation. Most people liked the food provided and were happy with the choices available each day. Service users felt that they were well looked after by the staff, that their healthcare needs were met and that their personal care was provided in a sensitive and dignified manner. Staff members interviewed demonstrated a good understanding of the service users’ needs and what they needed to do to support them. All the service users spoken with said that their family and friends were made welcome and a relative spoken with confirmed this. The medication system was very well managed and service users were able to look after their own medication if they wished. Care plans were informative and contained risk assessments; all the plans checked had been regularly reviewed to ensure that the information was up to date. Staff said that their managers were approachable and supportive and felt there was a good team at the home. Regular audits had been made of the service by its line managers. The home was very clean and there were no unpleasant odours in any of the communal areas. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 6 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. Newton Grange DS0000036161.V302815.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 Newton Grange DS0000036161.V302815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments of the service users had been made prior to them coming into the home, ensuring that the staff were able to meet their needs. The staff team had received a range of training to ensure that they understood the needs of the service users. There was written information about the service to enable potential service users to decide if it is suitable for them. Given the increasing levels of dependency and the current staffing levels, the home needs to ensure that the existing levels of dependency are taken into account when potential new service users are assessed. EVIDENCE: Three care plans checked contained a range of assessments completed prior to the service user coming into the home. Staff interviewed confirmed that the large majority of service users came in as planned admissions, although there were occasional emergency admissions from hospital. There was a Statement Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 9 of Purpose, which described the range of services available and identified at whom these services are targeted. The service users felt that their health and personal care needs were met and the care plans identified what help they needed. Service users and one relative interviewed confirmed that they had been able to visit the service prior to moving in. The staff were knowledgeable about the needs of the service users, which varied considerably. Staff said that there were now about 4 or 5 service users who required 2 members of staff to assist them with certain tasks. They felt that this did not allow much time to spend with the more independent service users or to be able to do non-care tasks, such as activities. The manager needs to ensure that this is taken into account when referrals are made for new service users. Newton Grange DS0000036161.V302815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were plans in place to identify what help and support service users needed. They appeared well cared for and their care plans indicated that health and personal care needs are identified. Appropriate action was taken to ensure these needs were met. Service users felt that the staff treated them in a friendly way and took care to maintain their dignity. They can look after their own medication if they wish to do so. The medication system was well managed. EVIDENCE: Three service users’ care plans were checked, which identified the personal, social and healthcare needs of the service users. They identified health and personal care needs and each service user had an ‘action plan’ based on these assessments. The action plans guided staff on what action to take to meet the identified needs and there were daily recordings to show what staff had done. The plans had been reviewed on a monthly basis to ensure that the information and guidance was still valid. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 11 There were records of contact with opticians, dentists and chiropodists and records to show that service users had regular baths or showers; the people interviewed said that they could choose when to have a bath and had been asked which of these they preferred. The care plans contained risk assessments and these had been regularly reviewed. However, one service user did not have a risk assessment in place with regards to their wheelchair, which they used to get themselves around the home without using footplates. Eight service users spoke with the inspector about the home. Most were able to clearly say how they felt about the service and all said that the staff treated them in a respectful and friendly way. A visitor spoken with confirmed that she always found there to be open and friendly atmosphere within the home. Service users said that bathroom, toilet and bedroom doors were closed if they were receiving personal care and staff knocked on doors and waited for an answer before walking in. Service users can be responsible for their own medication if they wish. Assessments are made to ensure that the service users are able to safely manage this; one service user said that she kept her own medication and that the home provided a lockable space for her to store it safely. Other service users had signed consent forms to say if they wished to control their medication or whether they wanted staff to do this. Medication was securely stored and there were systems in place for receiving the medication into the home. There were medication administration (MAR) sheets for each service user; these recorded the type of medication, the dosage and how it was to be administered. There were reasonable stock levels in the home. Staff members who had been assessed by external assessors as competent in this area gave out medication. Records were kept of each time the medication was given and there were regular two-weekly checks of the MAR sheets to ensure all entries were filled in correctly. The system had been checked by the home’s pharmacist on a regular basis. Controlled drugs were safely stored and there were two signatories for the administration of controlled drugs. Newton Grange DS0000036161.V302815.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 at least once during a 12 month period. 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. Service users did not feel that there were enough suitable activities provided at the home to keep them stimulated. Visits from relatives and friends were encouraged ensuring that service users kept in touch with people who were important to them. Service users said that the food was good and they were offered plenty of choice; special dietary needs and preferences were recorded in the individual care plans to ensure people received appropriate nutrition and foods that they liked. EVIDENCE: Of eight service users spoken with, six said that they did not feel that there were enough activities at the home. The two people who were satisfied with the activities said that these were generally provided by their relatives. There was no dedicated activities co-ordinator and the service was mostly dependent on staff to provide games or events: staff interviewed said that the dependency levels of the service users meant that they had little time to be involved in non-care tasks, such as talking to service users, going out on trips or providing activities. One service user said that “there’s been a minibus parked out there for a year and I’ve never seen it move.” Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 13 All the service users spoken with said that their relatives were welcomed into he home by the staff and were encouraged to stay for as long as they wished. One relative spoken with said that she was always made to feel welcome at the home and that the staff were very friendly. She was involved with decisions about the service user’s care, in line with his wishes. The inspector ate lunch with the service users. The meal was well prepared and served in a relaxing atmosphere. Service users interviewed said that the food was of a good standard. One service user said he thought the food was ‘alright, but it can never be like at home’. The service users were offered a choice of meal each day and had a choice of puddings. The cook was aware of special dietary needs and two service users had a meal suitable for people with diabetes. There was information recorded in the service users’ care plans about their likes and dislikes and any special dietary needs. Newton Grange DS0000036161.V302815.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 inspected at least once during a 12 month period. 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. The home had a complaints procedure to allow service users to raise any concerns. The staff had been trained in the recognition and reporting of abuse and checks were made on them prior to them starting work, which reduced the risk of harm to vulnerable service users. EVIDENCE: The complaints procedures were detailed and contained all the required information. Service users said that they would not have any hesitation in raising concerns with the staff or the managers. There was a record of complaints made by people living at the home. Three complaints had been received since the previous inspection. One complaint remained unresolved but was still within the timescale of the procedures for a response from the home. One service user said that he had made a complaint and this had been ‘sorted out’ by the manager. One relative interviewed said that they would feel happy about raising concerns with the manager or staff. There was a system in place to record and report allegations of abuse and staff interviewed had undertaken training in this area. There are regular training sessions for staff in recognising and reporting abuse. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 15 An allegations of poor care practice had been reported to the Commission For Social Care Inspection from this home in the previous 12 months and this had been investigated by the home’s line managers. No further action was required by the Commission for Social Care Inspection after the investigation. Newton Grange DS0000036161.V302815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was clean, tidy and well maintained ensuring that the service users live in pleasant and comfortable surroundings, however the décor in some areas need upgrading. Most of the bedrooms were clean and fresh smelling but a small minority of the rooms needed a more suitable flooring or new carpet to ensure unpleasant odours could be reduced. EVIDENCE: The communal areas of the home were light and pleasant. Four bedrooms were checked on each floor of the home. They were pleasantly decorated, personalised and clean. A range of furniture had been provided for the service users and all those interviewed said they were happy with their rooms. There were no unpleasant odours noted in the communal areas but there was a smell of urine in one of the bedrooms checked. The carpet had been regularly cleaned and shampooed but the smell appeared to have permeated it. A new Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 17 carpet or suitable, more easily washable flooring needs to be provided. Some of the sinks and sink surrounds in the bedrooms had been replaced but 3 checked still needed upgrading. In 3 of the bedrooms checked, the temperature of the water coming from the taps felt to the touch as if it were above 43ºC. The bathrooms and toilet were clean and well maintained, however, the upstairs bath was marked and stained. In line with the requirements made in the previous report, the carpet in the smoke room had been replaced and the laundry was clean and reasonably tidy on the day of the inspection. The kitchen was clean and well equipped. Newton Grange DS0000036161.V302815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were sufficient staff deployed to ensure that the service users’ physical and healthcare needs could be met, however the dependency levels meant that staff could not always provide stimulating activities for the service users. Staff had received training in understanding service users’ needs and how to provide a safe service. Checks had been made on staff to reduce the risks to vulnerable people, however not all the recruitment records were available to check. EVIDENCE: There were generally 4 care staff on duty on the morning shift, plus the Team Leader. In the afternoons there were 2 care staff and a Team Leader. This was confirmed by the staff interviewed and on the rotas checked. However, at the weekend the number of care staff on duty was reduced to 3 in the morning (plus a Team Leader). In a telephone interview, the manager said the role of the Team Leader is different as there are fewer management tasks at the weekend and they are able to assist the care staff in the provision of personal care tasks. The staff interviewed felt that these numbers were sufficient during the week to meet the physical and personal care needs of the service users but did not feel that these staffing levels allowed them enough time to spend doing Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 19 activities with service users. The service users interviewed confirmed that they felt their personal and physical needs were met but did not feel that there were enough activities provided at the home. The service users’ action plans and daily progress notes supported this. At the time of the inspection, staff interviewed said that there were 4 service users who needed 2 staff to assist them with certain tasks. The home needs to ensure that the dependency levels of the existing service users is taken into account when admitting future service users and should review the practice of reducing care staffing levels at weekends. Newton Grange DS0000036161.V302815.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff felt that their line managers were supportive and approachable and there was a well-established system of professional supervision. Service users were involved in making decisions about their care and had control over issues that affected their lives. Checks had been made on the major systems in the home, such as fire and gas installations, to ensure that the home was safe for service users. Fire training had been provided for staff to reduce the risk to service users in an emergency. The hot water is at too high a temperature in some of the bedrooms, which could be a potential hazard for some of the service users. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager, who was not present on the day of the inspection has significant experience in working with older people. Staff interviewed said that the senior staff are supportive and give clear guidance about what is expected of them. They said that they would have no hesitation in raising concerns with her about the service users or other issues at the home. One relative spoken with agreed with this. Service users said that they are well treated at the home and were able to make decisions about their care – their only concern is that they would like more activities and trips. All staff received regular, professional supervision from their line managers and there are regular audits made of the service, which include interviews with staff and service users. There were certificates in place to show that registered contractors had checked the passenger lift and the fire, gas and electrical systems. There were no major hazards noted during the check of the building, however, as noted above, in three of the bedrooms checked, the temperature of the water coming from the taps felt to the touch as if it were above 43ºC. there were no individual risk assessments for this. Newton Grange DS0000036161.V302815.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 X X 3 3 3 x 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 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 3 X 2 Newton Grange DS0000036161.V302815.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. 2. Standard OP7 OP12 Regulation 13 (4) (c) 12 18 Timescale for action A risk assessment must be 01/11/06 created for service users who use their own wheelchairs. The home must provide more 01/11/06 activities for service users in line with their wishes. If additional staffing hours are needed to facilitate this, they must be provided. A new bath must be provided in 01/12/06 the upstairs bathroom. Damaged and worn sinks and 01/12/06 sink surrounds must be replaced. All areas of the home must be 01/11/06 kept free from offensive odours. Affected carpets must be cleaned or replaced with suitable flooring. Sufficient staff must be deployed 01/10/06 over a 7-day period to meet the needs of the service users. Full recruitment records must be 01/11/06 available for inspection at the home. Individual risk assessments must 01/10/06 be provided for service users in rooms where the water temperature exceeds 43º C. if any service users are identified DS0000036161.V302815.R01.S.doc Version 5.2 Page 24 Requirement 3. 4. 5. OP19 OP19 OP26 23 23 23 6. 7. 8. OP27 OP29 OP38 18 19 Schedule 2 13 Newton Grange as being at medium or high risk, action must be taken to make sure the water is provided at a safe temperature. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP28 OP31 OP27 Good Practice Recommendations A minimum ratio of 50 of care staff should achieve National Vocational qualification level 2 by 2005 The manager should continue to complete the NVQ level 4 in Management. The manager should discuss with staff the deployment of care staff over the 7-day period. Newton Grange DS0000036161.V302815.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Newton Grange DS0000036161.V302815.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. 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