Inspection on 18/04/07 for Padgate House

This inspection was carried out on 18th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Padgate House 09/11/05

Padgate House 27/07/05

Padgate House 05/11/04

Padgate House 24/06/04

Padgate House 09/03/04

Padgate House 07/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Littledale Hall Therapeutic Community

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Padgate House Vulcan Close Padgate Warrington Cheshire WA2 0HL Lead Inspector Paul Ramsden Unannounced Inspection 10:20 18 and 20th April 2007 th 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 Padgate House DS0000036225.V328166.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. Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Padgate House Address Vulcan Close Padgate Warrington Cheshire WA2 0HL 01925 821639 01925 851520 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) Warrington Borough Council Mrs Ann Bodie Care Home 36 Category(ies) of Past or present alcohol dependence (2), Past or registration, with number present alcohol dependence over 65 years of of places age (2), Past or present drug dependence (1), Past or present drug dependence over 65 years of age (1), Dementia (6), Dementia - over 65 years of age (6), Mental disorder, excluding learning disability or dementia (2), Mental Disorder, excluding learning disability or dementia - over 65 years of age (2), Old age, not falling within any other category (36) Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 36 services users to include:* Up to 36 service users in the category of OP (Old age, not falling within any other category) * Up to 6 service users in the category of DE(E) (Dementia over 65 years of age) * Up to 6 service users in the category of DE (Dementia under 65 years) * Up to 2 service users in the category of MD(E) (Mental disorder over 65 years of age) * Up to 2 service users in the category of MD (Mental disorder under 65 years) * Up to 2 service users in the category of A(E) (Past or present alcohol dependence over 65 years of age) * Up to 2 service users in the category of A (Past or present alcohol dependence under 65 years) * 1 service user in the category of D(E) (Past or present drug dependence over 65 years of age) * 1 service user in the category of D (Past or present drug dependence under 65 years) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Inspection Staffing must be provided to meet the dependency needs of service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 9th November 2005 2. 3. Date of last inspection Brief Description of the Service: Padgate House is a modern single storey building located in a residential area of Warrington; it is owned and managed by Warrington Borough Council. It is within easy reach of local shops and other amenities and is served by public transport. The home was purpose built to meet the needs of the people to be accommodated. A total of 36 places are registered for older people, however a maximum of 35 people are usually resident in the home at any one time. These are currently made up of one long stay place, intermediate care for 24 people; short stay respite care for five people and step up care for five people [This is due to Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 5 increase to 10 beds in October 2007 when the five respite beds will no longer be used for this purpose]. Clients in receipt of intermediate care are admitted under the care of a medical consultant and staff employed by the local Primary Care Trust provides nursing input. The remaining service users receive medical services from local GP practices. An office in the centre is used as the base for the evening and night nursing service and the nurses are available for advice and support if needed. Support from physiotherapists and occupational therapists are provided by staff based within the home. Two social workers are also based at Padgate House. There are four lounge/dining areas, each of which has a kitchenette. The bedrooms are single, with the exception of one twin room that is available for people who may wish to share. Toilets and assisted bathrooms are located near to the bedrooms and living areas. The current fee for the home is £374 per seven-day stay. Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 18 April 2007 and lasted 7 hours. Another arranged visit to the personnel department of Warrington Borough Council to inspect the staff recruitment procedures was undertaken on the 20th April. Paul Ramsden, Inspector, undertook the visits. All of the key standards for older people were looked at. This visit was just one part of the inspection. Before the visit the home manager was also asked to complete a questionnaire in order to provide up to date information about services in the home. Questionnaires were made available for clients and families to find out their views and other information received since the last key inspection was reviewed. Ten client and five relative survey forms have been returned. During the visit various records and the premises were looked at. A number of clients, relatives and staff members were spoken with; they gave their views about the home and the service provided. Due to the impending retirement of the registered manager the deputy with support from a senior manager is currently managing the service. The manager’s post is to be advertised in the near future. What the service does well: Padgate House provides short-term care for older people leaving hospital or requiring a period of additional support. This enables many people to regain their independence and return to the community. The home also provides respite care. The service is flexible and constantly evolving to respond to changing needs. The service brings together the local authority, the primary care trust and the acute trust in collaboration. A multi-disciplinary team is based within the home, which ensures that people have access to specialist services on a daily basis. One resident, who has lived at Padgate House for several years, continues to be supported in their chosen environment. The staff members at Padgate House provide a good standard of care to the people that stay at the home, they were seen to be treating clients with respect and dignity and were able to demonstrate an awareness of their diverse needs. Good relationships were seen to exist between “clients” and staff and those people that commented all said that the staff members were good. Comments from clients staying in the home included; “its marvellous, staff are very caring”, “staff treat you as a friend”. A visiting relative said that, “my mother would like to stay, staff are very good”. A number of positive Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 7 statements have also been made on the survey forms, these include; “the staff look after you very well and nothing is too much trouble”, “homely atmosphere, staff always extremely pleasant and courteous, very caring” A range of social activities is provided. A wide choice of meals is offered and the standard of catering is good. The building is clean and well maintained throughout. The local authority provides regular training for staff. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Padgate House DS0000036225.V328166.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 Padgate House DS0000036225.V328166.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): 1, 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The pre-admission assessment gives prospective clients confidence that the home will be able to meet their needs. EVIDENCE: The home provides a range of information to clients; these include the Statement of Purpose and the Service User Guide. All of the information required under the Care Homes Regulations 2001 and Standard 1 of the National Minimum Standards for Older People is contained within these. Copies of these documents are kept in individual bedrooms. Pre-admission assessments are carried out to ensure the home can meet an individuals needs. Padgate House no longer admits people for long-term care. Clients admitted for intermediate care usually spend a maximum of six weeks in the home, Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 10 however this may be extended depending upon the circumstances of the individual. Clients are referred for step up or respite care by their doctor or social worker. Step up care can only be provided with the agreement of their doctor. One of the nurses working in the home goes out to assess anyone who is referred and may take a social worker with them to contribute to the assessment. Clients admitted for intermediate care are assessed by a social worker prior to admission being agreed. They must have minimal nursing needs. If any wound care is needed, the district nurses are consulted prior to admission being agreed Rehabilitation is provided by therapy staff working in the home. Care staff also work towards promoting self-care and independence. Two social workers are based at the home and provide support for service users returning home or transferring to residential care. Padgate House DS0000036225.V328166.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 clients care plans seen provided sufficient information for staff members to be able to take appropriate action to meet an individuals needs. EVIDENCE: Three nurses are employed by the primary care trust to provide nursing care, including administration of medicines, to service users in ‘step up’ places. District nurses also provide services for people receiving intermediate care, respite care, and for the one permanent resident if needed. Two medical consultants visit the home weekly and a general practitioner visits on most days. Physiotherapy and occupational therapy are provided on a daily basis. Other services such as optician, chiropodist, dentist, are contacted as and when needed. The care plans seen as part of the case tracking process provided staff members with the necessary information for them to look after a person’s needs. The carers are expected to sign the plan after each time they deliver care or support to clients. Care plans are kept in individual bedrooms, allowing Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 12 access to it at all times. All personal care is carried out in the privacy of a person’s bedroom or one of the bathrooms. Senior care staff members that have received appropriate training administer medicines. All medicines received into the home are recorded in detail in a medicines book. Most of the clients staying in the home receive their medicines in a NOMAD dispenser. Some people are able to self-medicate and a full assessment is recorded. The arrangements for the administration of medication during the inspection were considered to be satisfactory. All of the people spoken with said that the standards of care provided were very good and that they had been able to express their opinions and wishes about their daily routines. They said that staff treated them with respect and were always polite and kind. One person said that it was, “bloody terrific”. Bedroom doors are fitted with locks and service users are provided with a key for their door. People are encouraged to be as independent as possible. Staff members spoken with had a good understanding of the people they were supporting and were able to meet their diverse needs Padgate House DS0000036225.V328166.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. People spoken with were positive about the home and the support they received so they could maintain contact with friends and family and make choices about their daily lives. EVIDENCE: People were able to move around freely within the home and a choice of sitting areas was available. They confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living, for example times of rising and retiring, where to spend their time and with whom and participation in planned activities. Since the previous inspection visit telephone points have been fitted in all of the bedrooms. People spoken to stated that their relatives and friends could visit at any reasonable time. A comment on a survey form states; “good atmosphere, cheerful and encouraging”. Staff members were seen to knock on the door and to await permission before entering a person’s bedroom. Since the previous inspection visit the activities co-ordinator has left the home. After a period without one a member of staff employed in another position within the home has taken up this post. During a discussion with her she was able to demonstrate a good awareness of the needs of the people staying at Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 14 the home and was organising a variety of events and activities both on an individual and group basis. Meals can be taken in the dining areas or in the privacy of a person’s own room. There is a menu that has the flexibility to meet individual needs and choices. All of the people that commented said the food was good and that choices were available. Special diets are prepared where necessary. Hot and cold drinks are made in the kitchenette areas whenever people want them and biscuits are always available. The kitchen was seen to be clean, tidy and well organised. During a discussion with the cook on duty he confirmed that he is informed immediately if anyone staying at the home has any special dietary requirements. He also confirmed that visitors could be catered for at short notice if needed. The most recent Environmental Health Authority inspection report did not raise any issues of concern. Padgate House DS0000036225.V328166.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 good. This judgement has been made using available evidence including a visit to this service. Clients and relatives are able to complain and action is taken to respond to their concerns. Adult protection training for staff is available to ensure the continued safety of people staying in the home. EVIDENCE: There is a clear complaints procedure for the home; information about complaints and the procedure that will be followed are available in the entrance area. This is also included in the information available to clients. The pre-inspection questionnaire indicates that one complaint has been received during the previous 12 months; this was responded to within the agreed timescale. The people spoken with during the visit confirmed that they knew what to do if they were unhappy or wanted to make a complaint. The survey forms received also confirmed this. A file of positive comments is maintained and it was evident from looking at a selection of recent cards and letters [10 were received in March 2007] that the people using the service considered that the quality of care provided to either themselves or their relatives was of a very good standard. The record of complaints and compliments are reviewed on a monthly basis. Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 16 The local authority provides policies and procedures for the protection of vulnerable adults, which complies with the Public Disclosure Act 1998 and the Department of Health Guidance ‘No Secrets’. Staff members working in the home have received training in this area. Padgate House DS0000036225.V328166.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, 20, 21, 22, 23, and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The clients’ stay in a safe, homely, clean and comfortable home. EVIDENCE: A tour of the building, including the lounges, communal areas and a number of bedrooms showed that all areas were clean and well maintained. Furnishings, fittings and lighting in the lounges and communal areas are of a good quality and are domestic in character. There are outdoor sitting areas planted with flowers and shrubs available for people to enjoy. These were accessible and well maintained. A client has written on a survey form, “beautiful” As people only stay at the home for a relatively short time there are limited opportunities for them to personalise their bedrooms. However it was seen that some people had brought in some small items such as a TV or radio. The one permanent resident’s bedroom was personalised. Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 18 The specialist staff members employed at the home provides a range of mobility equipment; these include bathing and toileting aids, hoists, grab rails and wheelchairs. Following a recommendation made during the previous inspection visit the bedroom doors are now fitted with a device that will close the door if the fire alarm system is activated. During the previous inspection visit the coordinator [now the acting manager] identified that the main entrance to the home was not easily accessible for clients or visitors who use a wheelchair. This has now been addressed and a new door has been fitted. The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Padgate House DS0000036225.V328166.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 excellent. This judgement has been made using available evidence including a visit to this service. Staff members work positively with clients and families to improve the quality of life of people living in the home. A robust staff recruitment process is in place in order to protect clients from possible harm. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff was adequate to meet the needs of the clients within the home. Staff members were cheerful and friendly. The staff members seen during the visit were seen to be treating people with respect and dignity and had a good understanding of the diverse needs of the people they were caring for. Those spoken with made a number of positive comments; these included, “fantastic, love it”, “ I feel valued it is an excellent team”. Clients spoken with also made a number of positive comments about staff competence and attitude; these included, “staff are very caring”. The pre-inspection questionnaire shows that 20 of the 26 care staff members are qualified to NVQ level 2 or above, a recognised qualification for staff involved in delivering care. Warrington Borough Council holds the staff member’s recruitment files centrally; these were inspected during a second pre-arranged visit to the offices of the Human Resources Department. The files for the three most Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 20 recently appointed members of staff seen contained all of the required information and a robust recruitment procedure was in place for the protection of clients. Prospective staff members are checked against the POVA list before employment commences and CRB disclosures are obtained. The files seen were maintained to a high standard and demonstrated that all of the appropriate checks had been undertaken and any gaps in an individual’s employment history were investigated prior to employment commencing. The local authority provides training programmes for all grades of staff, including a two-week induction for new care staff. Whilst there was ample evidence from the documents seen and the staff members spoken with to confirm that a wide variety of training courses were available it was difficult to monitor when training was due. The deputy and administrator agreed that they would undertake a review of all training and if any shortfalls existed they would address it immediately. Padgate House DS0000036225.V328166.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, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well run and managed on a day-to-day basis. There are appropriate procedures in place to make sure that clients are safe. EVIDENCE: Due to the long-term sickness and recent retirement of the registered manager the deputy supported by a senior manager is managing the home on a temporary basis. She is very experienced and was able to demonstrate her ability to manage the home. She is currently undertaking the NVQ level 4 and the Registered Managers Award. Senior and administrative staff members support the deputy to manage the home.. A number of positive comments about her were made during the visit. Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 22 There is a safe where clients can deposit small amounts of personal money. The home’s staff members assist the long stay client to manage his finances and good records of this are maintained. Personal monies for a number of respite clients were being handled appropriately. Those inspected had correct balances and accurate records. Warrington Borough Council has a quality assurance system in place and the views of the people using the service and their representatives are sought. This is an ongoing process and survey forms are kept in individual bedrooms. In addition to this process there is a suggestion box within the entrance area for people’s use if they wish. All staff members receive regular 1-1 supervision and a number of records to confirm this was happening were seen during the visit. New staff are initially supervised by the deputy manager and senior staff members feedback on their performance and any issues during the probation period There is a comprehensive health and safety manual as well as policies and procedures in relation to safe working practices in place. The fire precautions record book was up to date and demonstrated that checks of the alarm system, emergency lighting, fire drills and staff training were taking place. Monthly visits to comply with regulation 26 of the Care Homes Regulations are being carried out. Padgate House DS0000036225.V328166.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 3 X 4 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 3 4 4 3 4 3 X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Padgate House DS0000036225.V328166.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 Refer to Standard OP30 Good Practice Recommendations The registered person should undertake an audit of staff training. Padgate House DS0000036225.V328166.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Padgate House DS0000036225.V328166.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. 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