CARE HOMES FOR OLDER PEOPLE
Oakhaven Residential Care Home 136-140 Hales Road Cheltenham Glos GL52 6TB Lead Inspector
Mrs Eleanor Fox Key Unannounced Inspection 27th March 2007 09:45 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 Oakhaven Residential Care Home DS0000016518.V328351.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. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Oakhaven Residential Care Home Address 136-140 Hales Road Cheltenham Glos GL52 6TB 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) 01242 528377 01242 262600 myra@oakhaven.cch.co.uk Oakhaven Residential Care Home Limited Mrs Myra Arnot Mr R Holland Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Oakhaven is an adapted and extended three-storey Edwardian style house, situated on the main bus routes and within walking distance of local shops, near the centre of Cheltenham. The home provides accommodation for twenty-seven older people. There is a lounge and dining room on the ground floor with the service areas and staff office. Staff sleep-in facilities are located on the top floor of the home, which is not accessible to the residents. The bedrooms are situated on the ground and first floors and all have hand washbasins and, with the exception of one, which is used by a married couple, are single occupancy. The married couple use a second bedroom as a sitting room. Sixteen of the rooms have en-suite toilets. A shaft lift and stairs provide access to the first floor, although in some areas of the home residents are required to negotiate stairs to their rooms; these tend to be rooms for more able people. There is access to a level well-maintained garden to the front and side of the home, which can be used by residents and their visitors in good weather. The provider supplies information about the home, including the most recent CSCI report to current and prospective residents on request. The fees range from £422.00 to £575. Hairdressing, chiropody and any personal items are charged extra. The costs of these services are readily available in the home, as required. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the home and takes into account the views and experiences of people using the service. One inspector undertook this unannounced inspection of Oakhaven over two days in March 2007. During the visit, she chose the care of three of the residents for particular scrutiny. She spoke to each of these people, where possible in privacy, read all their relevant care records and observed their interaction with members of staff. The inspector read selected personnel and recruitment records and examined the training and complaints records. She also walked around the property, and observed the service of a mid day meal during her visit. She examined the opportunities for residents to exercise choice and to maintain social contacts. She also spoke with some of the staff who were on duty on these days, checking their understanding of some of the home’s policies and procedures and discussing their experiences within the establishment. Finally, she had the opportunity to talk to the proprietor, the registered manager and her deputy, particularly in relation to general management issues. All three were open and most cooperative in providing information as requested. Prior to the inspection, CSCI surveys were distributed to residents, relatives, healthcare professionals and members of staff working at the home. Nine were returned from residents although in the majority of cases, a relative or named member of staff completed the form for them; seven completed surveys were received from staff and eight responses were sent in from relatives and advocates. Two visiting healthcare professionals also responded to the questionnaires. Many of their opinions are reflected in the content of this report. What the service does well:
Each prospective resident is fully assessed before admission to Oakhaven, ensuring that the home is able to meet all his or her care needs. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 6 Well-considered care documentation is prepared for each person; the thorough content gives clear details to the carers of the particular needs of each resident. Medication administration is also managed well. Residents living at the home are treated with courtesy and friendly respect. Many of those people who responded to the questionnaires made positive comments about the staff with one person saying, “The staff are so kind and thoughtful; I am so spoiled here”. Respect for residents’ personal choices and preferences was evident throughout. A programme of activities is arranged for the residents; these are much appreciated and enjoyed by the majority of the people living at the home. When possible, friends and family are invited to take part in special events at the home. A very good standard and variety of food is served in this home. The management of any complaints and the management residents’ protection are both addressed very well. Residents live in clean, warm and comfortable accommodation. Employees have the opportunity to attend training appropriate to their work; this includes a good focus on the national vocational training and protection of vulnerable adults. The home has the benefit of strong leadership and committed focussed management. Health and safety, with fire prevention in particular, is addressed well. There is also a good focus on improving the quality of care provided to residents at the home. What has improved since the last inspection?
Improvements have been made to the attractive enclosed garden, providing the residents and their visitors with a pleasant area to sit in fine weather. Many areas of the home have been decorated in recent months; the whole building is well maintained. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 7 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. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 8 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 Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 9 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): 3 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A satisfactory assessment process plus the invitation to visit the home, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: Full assessments are undertaken of each prospective resident; completed records relating to these visits were seen in the care records. It was evident that a very comprehensive assessment is undertaken to ensure that the home is able to meet the prospective resident’s needs. In some cases these were supported by information provided by other health and social care professionals previously involved in the care of the individual. All were used for reference during the admission processes. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 10 When possible prospective residents spend a few hours in the home to meet everyone there and to see all the facilities prior to their admission. One person had initially come for a short respite stay but was now living permanently at Oakhaven. The relative of one person was shown around the home during the inspection. Another person commented, “Before I moved in here, I was shown all around the home and met many of the residents; I was given all the information I needed. I liked the place as soon as I saw it”. Intermediate care is not provided at this home. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. The care planning systems in place fully provide the staff with the information they require to care for all the residents’ needs. Medication systems are also managed very well, ensuring that residents should not be put at any risk of potential errors. Residents are treated with courtesy and respect. EVIDENCE: Extremely thorough clearly written care plans are developed for each resident; those relating to the three people chosen as part of a case tracking exercise were read in detail on this visit. In each case a most comprehensive assessment had been undertaken followed by the preparation of specific care plans. These provided all the information required to guide the staff who were providing care. Each document had been reviewed appropriately and appeared to reflect the resident’s current condition. It was observed that either the resident or a member of their family had been involved in the preparation of these plans, signing the documentation to signify agreement with the content.
Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 12 In addition, detailed risk assessments are documented as appropriate; these are reviewed as necessary, but at least once a month. There were clear records to indicate that care from other healthcare professionals is sourced when required. One person had received treatment from a community nurse, continence nurse, chiropodist and the General Practitioner in recent months. The medication administration systems relating to the three selected residents were inspected on this occasion. Storage, medication policies and the management of homely remedies were also observed. It was noted that all the recommendations suggested by a pharmacist at a recent visit had been fully implemented. Medications are stored, administered and recorded correctly. Medication policies are readily available and a recent copy of a medication reference book is provided for staff information. Homely remedies are managed correctly. Comprehensive risk assessments are completed for residents who wish to take responsibility for their own medications. One person who had chosen to do this had secure readily accessible storage in her bedroom; she confirmed that the staff monitor her supplies and give her any assistance she requires. Members of staff confirmed that they have attended formal medication administration training. Throughout both days of the inspection, members of staff were observed and overheard addressing the residents in a respectful but friendly and encouraging fashion. All personal care appeared to be given behind closed doors. Carers were also observed knocking on doors prior to entering bedrooms. One relative wrote, “Mother is very pleased with the care and reminds me of this on every visit.” and a resident commented that, “The staff are always so very polite and kind”, and another, “They never make me feel a nuisance; they always come straight away if I need anything”. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. Good opportunities are provided for varied and stimulating activities to occupy the residents and thus improve their quality of life. Residents are facilitated to maintain any links they wish with family, friends and the local community, thus adding interest to their lives through social contact. The meals are nutritious and balanced, offering good variety to the residents EVIDENCE: There is a dedicated activities organiser at this home who arranges a variety of activities to suit the particular interests of the people living at Oakhaven, including those with poor memory and limited communication. On the day of the inspection some of the residents took part in music and movement exercises. They are also taken on trips out of the home when the weather permits. One person did comment in their questionnaire that, “there is not enough
Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 14 stimulation for active minds”. Other people who were questioned were positive about the events that were arranged. One person enjoys her personal arrangement of plants outside her window; another commented on the budgerigar in the lounge. She loved his “singing” and commented that, “it cheers me up.” Friends and relatives are welcome to visit at any time so long as the resident is content to see them. Residents also go out with their families when possible. One person did comment that, “visitors are treated so well here. They are always greeted in a welcoming way and offered refreshment if they wish.” Residents were observed exercising choice in a variety of ways particularly in relation to when they wished to get up or retire, where and how they wished to spend their day and whether to be involved in the planned activity. Residents’ signatures on care records showed that they had had sight of and input into care plans, which had been written about them. The service of the mid day meal was observed on this visit. The majority of residents sat in the spacious dining room at small tables with a few preferring to remain in their bedrooms. They were provided with a good standard of food and those residents requiring assistance to eat their food were helped in a patient and sensitive manner. A glass of sherry was offered to each person before the meal was served. Lunch appeared to be a congenial time with a lot of conversation at the individual tables and with the staff who were serving the food. Every resident who was questioned spoke most favourably about the meals with one person commenting that, “As a vegetarian, they have worked very hard to make some lovely meals.” And another, ““For the evening meal there is always a choice. Being diabetic, care is always given to what I may or may not have.” The kitchen was clean and tidy; appropriate cleaning regimes were in place. Observation of the menus showed that the residents were offered a good variety of food. Home made cakes and pudding were prepared for them on a daily basis. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 15 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 excellent. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints system enables residents and their families to feel assured that their views would be listened to and acted upon. In depth staff training and written guidance is provided to ensure that residents are offered a good level of protection against abuse. EVIDENCE: A comprehensive Complaints Procedure has been prepared for Oakhaven. A copy of the document is provided to each prospective resident and/or relatives with other information about the home. The details are also readily available within the building. Comments in the CSCI surveys confirmed that people were aware how to lodge a complaint if they wished; those persons who spoke to the inspector also confirmed this. There have been no formal complaints about the home since the last inspection. Completed surveys returned from residents at the home indicated that staff are receptive to concerns and “deal with any small matters immediately”. The development plan prepared following a recent in house survey of residents’ and relatives’ views about Oakhaven, showed that any identified issues, however minor, were addressed appropriately. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 16 The home provides fully documented policies to address all forms of abuse. The policies are readily available for staff to read. Abuse issues are covered in depth in the Induction Training Programme, which each newly appointed member of staff attends. Some of the staff have also attended further training on the subject and these issues are also addressed during National Vocational Qualification training. Information on sourcing advocacy support is provided if the residents require this facility. POVA (Protection of Vulnerable Adults) legislation is correctly followed at Oakhaven. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 17 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, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are provided with a good standard of clean comfortable accommodation. EVIDENCE: While walking around Oakhaven, it was evident that the home is furnished and decorated to a very good standard. Many of the rooms have particularly attractive views of the garden and surrounding areas. Although there are steps along some of the corridors, residents are only accommodated in these parts of the home if they have full mobility. The garden, which is currently being upgraded, is very well maintained and provides ramped access so that residents may enjoy this facility in good weather.
Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 18 A visit was made to the bedroom of each person who had been selected for case tracking. All the rooms had been personalised with photographs, treasured possessions and in some cases, some small items of furniture. The whole property appeared clean and fresh; there was no evidence of offensive odours in any areas. The laundry room was tidy and well organised. Clean and soiled items were all segregated correctly and staff showed a good understanding of health and safety protocols. Although the laundry is separated from the main thoroughfare of the home, the inspector did recommend that all cleaning materials should be stored more securely so that they do not pose any inadvertent risk to the residents or visitors to the home. Each resident was wearing fresh and well-presented clothing. Clothes are discreetly marked so that, once laundered, they may be returned to their correct owners. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 19 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. Residents receive care from a stable competent workforce. EVIDENCE: There were twenty-six residents living in the home at this time. On the first day of the inspection the manager, her deputy and one of the matrons were on duty with five carers to look after the residents. The matron and four carers were due to be on duty in the evening, with two carers overnight, one of whom would be awake throughout the night, the other readily available if required. Catering staff are provided throughout the day but carers also have responsibility for cleaning and laundry duties. Those questioned considered that these numbers were adequate at the current time. The home is progressing well towards ensuring that at least 50 care staff should be trained to National Vocational Qualification, Level 2 in Care or equivalent; 33 of the staff have already achieved a qualification and additional carers intend to commence the training shortly. On this occasion the personnel files relating to six members of staff who had been recruited in recent months were inspected. In each instance, the prospective employee had completed an application form providing details of
Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 20 his or her employment history; medical information had also been provided. Correct POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) screening had been completed for each person. Two written references had been provided for all the applicants. New staff receive structured induction training in line with the Common Induction Standards, and work under supervision during this period. Staff at this home are provided with the opportunity to attend a commendable amount of appropriate training to assist them to undertake their duties effectively. The deputy manager is a trained assessor for National Vocational training and ensures that the staff attend mandatory and other courses as required. Records are maintained of attendance. An infection control course was booked for the second day of the inspection. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 21 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, 32, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are robust management systems in place to ensure that the financial interests, and the health, safety and welfare of people using the service are safeguarded. There is also evident commitment in the Home to improve the services for the benefit of the residents living there. EVIDENCE: The registered manager has extensive experience in the care of elderly people; her deputy who has achieved the Registered Manager’s Award and an NVQ, Level 4 in Care, and the Matrons who work at the home support her in her role. They all attend regular training courses to keep their skills updated.
Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 22 There are clear lines of accountability at Oakhaven. There also appears to be a very inclusive and supportive ethos in this home. Members of staff confirmed, in person and in their completed questionnaires that they enjoy their work and have respect for the managers. Oakhaven has a good focus on quality improvement. Questionnaires were distributed to residents and their families in 2006 to request feedback on the services provided. Issues identified at that time were listed in the annual development report and have now been addressed. Medication administration is monitored internally and by the supplying pharmacist. Care planning, the accommodation and staff performance are all also monitored and records maintained of the processes. The home takes responsibility for the personal monies for some of the residents; the records relating to the residents selected for case tracking were checked on this occasion. It was observed that meticulous records are maintained and that individual secure storage is provided. Residents’ status in relation to ‘Power of Attorney’ is also maintained on file. Health and safety is addressed well at this home. Records were provided to show that maintenance of equipment is addressed in a timely fashion. Fire prevention management is undertaken appropriately with records maintained and training needs covered for all grades of staff. The fire risk assessment was completed last year and contains all relevant information. It was confirmed that issues identified at the Environmental Health inspection in 2006 have now been addressed. Water temperatures are checked randomly at outlets once a month, and the results recorded. Water storage temperatures are also monitored to ensure that safe levels are maintained to prevent the risk of Legionella. Staff receive appropriate training in manual handling, food hygiene and infection control. Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x 3 x 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 x 3 x x 3 Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard OP26 OP28 Good Practice Recommendations Consideration should be given to increasing the security for the storage of cleaning materials and any other chemical agents in use at the home. Consideration should be given to ensuring that at least 50 care staff be trained to National Vocational Qualification, Level 2 in Care or equivalent Oakhaven Residential Care Home DS0000016518.V328351.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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
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