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Inspection on 09/06/06 for Pendale Retirement Home

Also see our care home review for Pendale Retirement Home for more information

This inspection was carried out on 9th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents said that the staff care for them well and treat them with respect. The inspector observed the staff dealing with the residents` personal needs with dignity and spoke to them with respect. There has been some improvements made to the building since the new owners took over. The frontage of the home has been painted and flowers planted. A chilled water dispenser has been installed in the lounge, which residents and staff were using constantly. The residents said that this is a good service and they can help themselves to it.The owners said that the water dispenser helps the residents to drink more water to help with them with hydration especially during the warm weather. Hairdressing is provided free of charge unless residents wish to make their own arrangements.

What has improved since the last inspection?

A new dishwasher, freezer, deep fryer, milk dispenser, new worktop have been fitted in the kitchen. The cook said that these items help him provide an improved service to the residents. Some repairs and decorating have been done. The residents said that the owners are doing their best to bring the home to a good standard. Unwanted furniture and other items have been removed which enhances the appearance of the home. Residents said that they feel safe and comfortable with the new owners. They said that the owners spend time with them when they do their weekly visits.

What the care home could do better:

The acting manager must be registered as soon as possible. The home is not meeting its condition of registration with the current registered manager not working in the home. The owners need to complete and return regulatory forms when required. These forms are required to inform CSCI about incidents like the death of a resident or a serious accident taking place. There are still a lot of repairs and decorating to be done in bedrooms and other areas in the home. Once completed, the residents will have a nicer environment to live in. The radiators in the lounges must be fitted with low surface covers to prevent anyone from getting burnt. The radiators in the rest of the building have been done.

CARE HOMES FOR OLDER PEOPLE Pendale Retirement Home 6/8 Greystoke Place Blackpool Lancashire FY4 1NR Lead Inspector `Mr Ajam Auckburally Unannounced Inspection 9th June 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Pendale Retirement Home DS0000065288.V294484.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. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pendale Retirement Home Address 6/8 Greystoke Place Blackpool Lancashire FY4 1NR 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) 01253 342191 Pendale Care Limited Mrs Suzanne Barker Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 23 service users in the category OP (older persons 65 ) 10th March 2006 Date of last inspection Brief Description of the Service: Pendale Care Home is situated in the south of Blackpool in a residential area close to the sea front. The home can accommodate a maximum of 23 residents of both sexes who are 65 years or older. Accommodation is provided in 23 single bedrooms all with an ensuite facility. The ground floor comprises of two lounges with the front lounge overlooking the Solarium Gardens and the promenade. The home has a passenger lift, which residents can use independently. A small sheltered patio area with seating facilities for residents is available at the back of the home. There were 17 residents living at the home at the time of the inspection. Current weekly fees are between £285 and £329 and additional extras like newspapers and private chiropody are paid for by the residents. Hairdressing is provided free of charge unless residents wish to make their own arrangements. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Pendale was assessed as requiring a statutory key inspection between April 2006 and March 2007 with a further random inspection if required. An unannounced key inspection was carried out on 9th June 2006 which lasted for 7 hours. The inspection was carried out against the National Minimum Standards for Older People. The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the owners, the acting manager, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. There were 17 residents living at the home at the time of the inspection and there were 2 care staff, the manager, and a cook on duty. The owners were also present. The number of staff on duty was within the minimum level recommended. The staff were observed to be polite and attentive when talking and dealing with the residents. What the service does well: The residents said that the staff care for them well and treat them with respect. The inspector observed the staff dealing with the residents’ personal needs with dignity and spoke to them with respect. There has been some improvements made to the building since the new owners took over. The frontage of the home has been painted and flowers planted. A chilled water dispenser has been installed in the lounge, which residents and staff were using constantly. The residents said that this is a good service and they can help themselves to it. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 6 The owners said that the water dispenser helps the residents to drink more water to help with them with hydration especially during the warm weather. Hairdressing is provided free of charge unless residents wish to make their own arrangements. What has improved since the last inspection? What they could do better: The acting manager must be registered as soon as possible. The home is not meeting its condition of registration with the current registered manager not working in the home. The owners need to complete and return regulatory forms when required. These forms are required to inform CSCI about incidents like the death of a resident or a serious accident taking place. There are still a lot of repairs and decorating to be done in bedrooms and other areas in the home. Once completed, the residents will have a nicer environment to live in. The radiators in the lounges must be fitted with low surface covers to prevent anyone from getting burnt. The radiators in the rest of the building have been done. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 7 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. Pendale Retirement Home DS0000065288.V294484.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 Pendale Retirement Home DS0000065288.V294484.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome is good. This judgment has been made using available evidence including a visit to the service. New residents have the opportunity to visit and spend time at the home prior to admission. No intermediate care is provided at the home EVIDENCE: One resident was being admitted at the time of the inspection. The manager was asked if she had done a preadmission assessment. she said that this was done by a senior staff and that no written information was taken. However, the manager admitted the new resident in a professional way and was seen spending a lot time explaining the routine of the home and assessing her immediate needs. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 10 The inspector spoke to the new resident later in the day and she said that she was very impressed with the staff and that veryone was kind. She said that she came to visit the home prior to admission and spend the day with other residents. She had a meal and played bingo. She said that she received as much information about the home as she needed. The records of 2 residents were examined to check if needs are assessed and how they are met. The next section gives more information about this. Pendale Retirement Home DS0000065288.V294484.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 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. Residents are cared following good assessments, some formal and some informal. EVIDENCE: Two residents were case tracked to discover how the staff care for them and whether the services they receive meet their expectations. One of the residents being case tracked arrived for a short stay on the day of the inspection. No pre admission paperwork was done for her. The manager said that verbal info was given and also a preadmission visit was undertaken. The resident said that she visited the home before coming for short stay and was able to choose her room and meet the other residents and staff. When she was spoken to later in the day, she said that she was very satisfied with everything. She said that the staff have been very vice and that the food was good. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 12 The other resident being case tracked has been at the home for 3 years and she said that she is well looked after and that a lot of things have improved since the new owners took over and in particular the food. The written records were detailed and had information about the health care needs of the resident. The name of the GP is included as well as a list of medications and ailments. The manager said that residents may visit the doctors surgery if they prefer, but currently all of them have home visits. There are similar arrangements for opticians, dentists and chiropists. The staff said that they meet the needs of all the residents and care for them with dignity and respect. Staff were observed to be polite and respecful when speaking and dealing with the residents. One visitor confirmed that the staff are always nice and pleasant to the residents and relatives. The storage of medications has improved since the last inspection. Medications are still kept in a locked cabinet in the office but without other items being stored in the same cupboard. This means that only staff who dispense medications have access to this cabinet. Medicines are administered by senior staff who have had training on the administration of medication. The pharmacist inspector will be visiting the home to review the medication system and to give advice. Pendale Retirement Home DS0000065288.V294484.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good range of activities at the home to motivate the residents. Food provided is good and varied EVIDENCE: The staff spoken to said that they usually do some activities with the residents in the afternoon. On the afternoon of the inspection, residents played bingo with prizes such as chocolates and toiletries provided by the home. Over 60 of the residents played bingo and they said that they enjoyed this acticty very much. Other activities include quizzes, entertainers, board games etc. The staff said that it is not always practical to take residents out as this involve additonal staff. The owner said that if it is requested, arrangements will be made for residents to go out. The owner explained that due to residents frailties, this activity needs a minimum of 2 staff and needs to be prearranged. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 14 Families and friens are encouraged to visit and take residents out. At the time of the inspection, one resident was going out with her relative. She said that she goes out regularly and enjoys it. The residents said that they enjoy the afternoons activities very much. The two residents being case tracked also took part in the bingo session. The owners said that since they took over, they have improved the quality of food by using more fresh food and providing more choices. They said that in the past a lot prepacked and frozen food were being used. Lunch on the day of the inspection was fish with several other choices provided. These included salad, chicken, omelette or anything else residents wanted. The records of meals served were examined and they showed that a good variety of nutritious meals are provided. The owners and the cook said that they know what kind of food the residents like and tend to put them on the menu. Residents are consulted regularly and can have such food like tripe, black puddings etc. Residents may eat in their rooms if they want. Two residents stayed in their rooms for lunch on the day of the inspection. The residents spoken said that they enjoy the food very much and that they can within reason have what they want. They said that they get plenty to eat and drink during the course of the day. The residents said that they are able to do what they like and that if they need assistance, the staff would help them. Residents were seen moving around the home freely and sometimes with the assistance of the staff. Pendale Retirement Home DS0000065288.V294484.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are safe and able to speak their minds EVIDENCE: The acting manager said that there has not been any complaints made by residents or relatives. The residents said that they have no complaints about anyhting. They said that all the staff are kind and helpful. They said that if they are unhappy about something, they would speak to the staff, the manager or the owners. A complaint book is kept and there was no entry recorded in it. The manager was advised to record any concerns residents may have, e.g food, staff etc. The written procedure on abuse was avaialble, but the new owners and the acting manager were not too familiar with the contents. The booklet No Secrets was not avaialble. A copy has been sent to the owner for her to read and use the information to ensure that all the staff are familiar with the procedures on Adult Abuse. The care staff have had no direct training on adult abuse and the owners were advised to enrol some staff on this course. The staff who have completed their NVQ did a module on adult abuse. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 16 The staff spoken to said that they would not abuse the residents in any way. The residents said that they feel safe in the home and that the staff treat them well and respect their wishes and decisions. Pendale Retirement Home DS0000065288.V294484.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 & 26 Quality in this outcome area is adeqaute. This judgement has been made using available evidence including a visit to this service. The home is clean and safe for the residents to live in. The programme of decorating and repairs need to be speeded up. EVIDENCE: During the tour of the building it was found that the home was clean and that most of the unwanted furniture etc have been removed. Most of the bedrooms are in need of decorating. Also minor repairs to the walls in bedrooms and other areas are required.. Toilet doors have been repaired following recommedations at the last inspection. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 18 One bedroom has been redecoraetd and another one is being done. The radiators in the lounges still need to have suitable covers fitted to them to prevent anyone from being burnt. The residents said that that they like their rooms and can use them when they want. Four residents spend most of their day in their rooms. They said that they preferred it this way and that they all the staff are supportive and respect their choice. They said that if they need anything, the staff will bring it for them. The bedrooms are cleaned by a domestic staff and when she is off by the care staff. The residents said that their rooms are cleaned regularly and that the domestic staff and the management of the home respect the way they want to keep their rooms. Pendale Retirement Home DS0000065288.V294484.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The recruitment policy is not safe and could put residents at risk. EVIDENCE: It was discovered when examining new staff records that they have started work without having CRB (Criminal Records Bureau) and POVA (Protection Of Vulnerable Adults) checks done. In two instances, staff were working in the home without a CRB form having been sent to CRB for checking. The acting manager said that she was under the impression that new staff could start work whilst their checks were being done The new owners were also not aware of the policy on CRB. They were advised to change their recruitment policy immediately and not to start new staff unless they have been POVA cleared. . The staffing rotas showed that there was an adequate number of staff on duty at all times. At the time of the inspection there 2 care staff, the manager, the owners, and a cook on duty. A domestic staff is employed to do the cleaning. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 20 The staff said that there are enough of them on duty at any one time to care for the residents properly and to also have time to speak to them. The training of staff has improved in that 42 of them have completed NVQ level 2. Other relevant training such as Abuse, Dementia needs to be undertaken. Pendale Retirement Home DS0000065288.V294484.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management arrangements are adequate, but needs to improve EVIDENCE: The owners who live in London were present at the time of the inspection. One or both of them usually visit the home on Thursdays and Fridays. The main concern at the moment is that one of the conditions of registration is not being met. When the new owners took over in November 2005, one of the conditions of registration was that there should be a registered manager as they the new owners are not qualified and experienced. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 22 The previous owner, was registered as the manager of the home. Unfortunately her input in the home has been very minimal and has now stopped. This means that the home is without a registered manager. The home is currently being managed by an experienced senior care assistant who is also the acting as manager. She is going to be registered and is nearing completion of the RMA ( Registered Manager’s Award). An application pack for the manager to be registered with CSCI was sent and as yet not returned. The owners and the acting manager were informed of the urgency to return this form. The owners visit the home once a week, but the day to day running of the home is left to the acting manager. The home is adequately managed by the acting manager with support from the owners. The acting manager has never returned any Regulation 26 notice to CSCI as she was not aware of it. This regulation must be sent to CSCI when there is an incident at the home, for example a serious accident or the death of a resident. The owners were unaware of Regulation 37. This regualtion requires owners who do not work at the home, or their representatives to visit the home once a month and to send a report of their findings to CSCI or keep it at the home for inspection. Sample forms were left at the home for completion. The staff said that the home is well run and that they have confidence in the acting manager and the new owners. They said that they work as a team and receive support from the owners either in person or by telephone. The residents said that they have seen marked improvements in the home since the new owners took over. The food has improved and so has the maintenance of the building. The residents said that the new owners are very nice and will do anything to make them comfortable and happy. The owners said that they have sought the service of a management company to help them with recruitment of staff and other management issues. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 23 They said that they are also doing IIP (Investors In People). This is an assessment of the home by an external body which looks at quality. The owners said that they encouraged residents and their families to pay fees due to the home by direct debit arrangements. Money for 4 residents is managed by the home. The records were examined and they were found to be current and accurate. How aware of equality and diversity issues are management, staff and others involved in the service delivery? This was found to be adequate. Within the service there is evidence of reasonable awareness and understanding of equalities and diversity. The manager and the owners were aware of different religions and how to meet the belief of residents. Staff who have completed their NVQ training have done a unit covering Equality and Diversity issues. The service shows a lack of awareness of new legislation, guidance and best practice and does not provide staff with necessary information. The owners were advised to access information on CSCI web site at www.csci.org.uk Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 24 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 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 17 X 18 3 2 X X X X X 2 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31 Regulation 8 Requirement The current registered manager must work in the home or another one registered. Previous timescale of 30/04/06 not met. The registered providers must visit the home and prepare a written report on the conduct of the home. The providers must inform CSCI of incidents at the home All heating radiators must be fitted with low heat covers. The providers must ensure that all staff are CRB checked before they start working at the home. The bedrooms and other areas of the home must be maintained and decorated to a good standard Timescale for action 31/07/06 2 OP37 26 30/06/06 3 4 5 6 OP37 OP25 OP29 OP19 37 23 19 23 30/06/06 31/07/06 09/06/06 31/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 26 No. 1. 2. 3 Refer to Standard OP31 OP28 OP30 Good Practice Recommendations The registered manager should complete her NVQ level 4 50 of care staff should complete their NVQ level 2 The providers should ensure that staff receive appropriate training such as Adult Abuse and Dementia Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Pendale Retirement Home DS0000065288.V294484.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!