CARE HOME ADULTS 18-65
Regis House 29 Causeway Rowley Regis West Midlands B65 8AA Lead Inspector
Deborah Sharman Announced Inspection 17 January 2006 09:15 Regis House DS0000056464.V264820.R01.S.doc Version 5.0 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 Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Regis House Address 29 Causeway Rowley Regis West Midlands B65 8AA 0121 559 6667 0121 559 6512 regishouse@highfield-care.com 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) Southern Cross Healthcare Centres Limited Angela Bennett Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One service user identified in the variation report of 17.9.03 may be accommodated at the home in the category of MD. This will remain until such time that the service users placement is terminated. One service user accommodated at the home may be in the category LD(E). This will remain until such time that the identified service users placement is terminated. 28th June 2005 2. Date of last inspection Brief Description of the Service: Regis House is a 2 storey Victorian property situated in a residential street in Blackheath, close to shops and local community facilities. Southern Cross’ Active Care has recently acquired Regis House. The home is registered to provide care and accommodation for 6 residents with a learning disability, 1 person with a learning disability who is over 65 and 1 person with a mental disorder. The lounge and dining room are on the first floor with bedrooms and bathroom on the ground floor. There is a toilet available on both floors. The home does not have a lift and would therefore not be suitable for people with physical disabilities. The home has a minibus to enable residents to access community facilities. The aim of the home is to enable residents to maximise their life opportunities and choices within a risk management framework. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was announced meaning that the provider, Manager, staff and service users received prior notification and were able to prepare. One Inspector conducted the inspection which started at 9.15 a.m. and finished at 4.30p.m. The Registered Manager supported the inspection. Her newly appointed operations area manager was also present at the beginning of the inspection. The plan was to assess those key National Minimum standards that were not assessed at the previous inspection including related previous requirements. At the beginning of the inspection it was agreed with the manager that if time allowed progress towards other requirements issued previously to ensure improvement would be assessed. Some but not all additional requirements were therefore assessed. Where progress was not assessed this is indicated on the requirement list at the back of this report. Any previous requirements judged as fully met have been deleted from this list. The Inspector was also able to interview a staff member in detail, observe lunch and talk to service users. The home continues to work towards improvement with many of the previous requirements assessed judged as met. The number of outstanding requirements has halved since the last inspection. No immediate requirements for urgent improvement were issued and for the first time no other new requirements for improvement have been made as a result of this inspection. Some minor suggestions have been made in the body of the text. In the event of these not being responded to and met by the next inspection they will in future be included as requirements. What the service does well:
Regis House has a happy, homely atmosphere. Service users and staff are happy. The Manager is committed to working with the regulation process and is keen to ensure ongoing improvement, which is being evidenced. Systems in place to support the home to assess its own performance have been judged as meeting the requirements of the National Minimum Standard at this inspection. A new staff member had been supported to settle in well, saying that she ‘absolutely loves it’ as the home has ‘ a warm loving feeling’. A service user told the Inspector that ‘the meals are nice’, that she ‘feels safe’, that the staff are good at their jobs and that she likes living at Regis House.
Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better:
There are some requirements for improvement listed at the end of this report that continue to be outstanding and must be met. In relation to the investigation of complaints the Manager must begin to consider whether the complaint made has been upheld or not, should feed this back to the complainant and take action accordingly. This will better assure the complainant and serve to ensure a known outcome / improvement as a result of upheld complaints. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 7 The ground floor bathroom continues to require complete refurbishment, as it is worn, mismatched and not inviting or relaxing. The Manager and Operations Manager both said that there is a definite intention to act upon this as the need to do so has been agreed. Where training is provided in house by trainers employed by the provider, certificates evidencing attendance and satisfactory performance must be provided to course participants with copies kept by the home. 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. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were not assessed at this inspection. A previous requirement to acquire a consultant’s diagnosis about a service user’s level of visual impairment has been deleted as advice has been sought and appointments obtained including a home visit. The medic was unable to test thoroughly as the service user would not give permission but from recorded observation the Consultant was not concerned about the service users level of sight. An optician who again was only able to observe the service user has further confirmed this. This confirms that the home is able to meet the service users needs and not breaking their terms of registration. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were not assessed at this inspection. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Service users are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Both previous requirements relating to nutrition have been deleted as met following advice to the home from a dietician and the GP. The Manager and Deputy Manager have both received training in nutrition but more is planned for the staff group. Food stocks, menus, records of foods eaten and observation of lunch time show that meals are planned in advance, are nutritious, varied, well presented and served to meet the needs of service users. For example the Inspector saw staff puree one service users lunch to meet her assessed needs. It was pleasing to see that this service user with some minor amendments is able to adhere to the main menu but that her meals are blended. Service users had a flexible late lunch as they had been out for the morning. They were able to eat where they chose with some choosing to eat at a table in the kitchen and some in the dining room. The meal was observed to be relaxed, pleasant and unhurried. Records show individual differences in meals taken demonstrating
Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 12 that the preferences and choices of service users are respected at meal times. A service user told the Inspector that the meals are nice and that she has sufficient to eat. Service users are actively encouraged to participate in meal preparation with 2 service users helping to prepare vegetables on the day of inspection. Nutritional assessments are undertaken. One service user who has been previously at nutritional risk and underweight has been supported to increase her weight to the recommended target by adhering to the dieticians’ advice. The benefit to this service users health and appearance was apparent at this inspection compared to previous inspections. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were not assessed at this inspection. However, assessment of a previous requirement shows that service users are beginning to be consulted about their wishes in the event of death and their wishes are being recorded with good detail. Further consideration needs to be given to how to establish the preferred arrangements for those service users who are less able to express their wishes. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Service users feel their views are listened to and acted upon but conclusions are not being sufficiently reached from the complaint investigation process. Systems are generally in place to protect service users from abuse, neglect and self-harm. Most but not all staff have evidenced sufficient understanding of methods of preventing physical and verbal aggression by service users. EVIDENCE: There are no previous outstanding requirements in relation to complaints and their management. Complaints procedures are in place and are publicly available within the home including pictorial procedures on walls to support service users. It was very pleasing to see evidence in resident meeting minutes that service users had been reminded three times in 2005 how to make a complaint should they need to. Subsequently there have been 4recorded complaints made by service users since April 2005, three of these made by two service users in January 2006. The complaint record format leads the manager to record the nature of the complaint and the investigation process but no conclusion is drawn as to whether the complaint has been upheld. This would provide clarity for the complainant and would better inform the service of where and if it needs to make improvements as a result of an upheld complaint. Adult Protection Policies including Whistle blowing and multi agency procedures are in place to guide and support management and staff in the event of an allegation of abuse. These policies are still those of the previous provider and need to be replaced with those of the new provider. Since the last inspection there has been an incident, which has been appropriately reported to the
Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 15 relevant agencies, and an already planned review meeting took place two days later and included Social Services. The incident raised some concern about some staff understanding of behaviour management and behaviour triggers but records show that this has been addressed. There are ongoing multi agency regular meetings to support the home to meet the needs of one service user who presents challenges for the home and who refuses to allow her specific health needs to be met. A care plan has been put in place following the incident to guide staff. However, sufficient consideration has not been given to physical intervention should the need arise and guidance for staff is not in place. The Inspector advised the Manager to discuss this with the homes physical intervention trainer and multi agency task group and to record the advice given, including it in the service users plan of care where agreed. All previous requirements relating to the protection Standard have been met and deleted with the exception of one. All staff for example have now received adult protection training and physical intervention training has been evidenced as accredited with the British Institute of Learning Disabilities. This serves to ensure that staff are appropriately trained and service users are accordingly better protected. Systems to protect service users monies have been improved with greater management being returned to the appointee through the closure of additional bank accounts for most and eventually all service users. Service users who can sign for monies issued to them by the home are not consistently being asked to do so as required at previous inspections. This is money issued for personal spending where receipts are not obtained and signatures where possible would account for appropriate expenditure. The manager provided evidence at this inspection that the Organisation had paid for service users annual holiday as required and that in fact some service users had been provided with two holidays this year which exceeds the national minimum standard. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 16 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were not assessed at this inspection but some previous requirements have been assessed as met. Radiators temperature valves have been fitted to all radiators including service user bedroom radiators. This is giving service users greater control over the temperature of their individual bedroom affording greater choice and comfort. Devices have been fitted to fire doors to allow service users to prop doors open without compromising safety in the event of a fire. The manager said that the Fire Service has visited since their fitting and was satisfied with arrangements. The bathroom remains in need of refurbishment. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 17 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32. Competent and qualified staff support service users. EVIDENCE: Observation of staff interaction with service users assured the Inspector that staff are approachable, accessible to and comfortable with service users. This was confirmed by a staff member who said that ‘staff care very much’ and a service user who said that all the staff are good at their jobs. One service user told the Inspector that she loves the manager and professional mutual affection was evident. A staff member said that staff are motivated and interested in service users explaining that staff often phone from home to enquire about service users welfare. The staff member interviewed had a developed understanding of service users disabilities and conditions. This staff member also demonstrated a very good understanding of the function of behaviour that challenges. The manager has sent questionnaires to independent professionals associated with the home to seek their views of the home and the outcomes demonstrate positive professional relationships. There are not any staff under the ages of 18 or 21 and the home has exceeded the 50 target to ensure that all staff have a minimum of NVQ 2 by the end of 2005. Currently 53.84 of staff have this required qualification and certificated evidence was available. A training programme is in place to support staff knowledge and skills. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Service users views underpin self-monitoring and review. EVIDENCE: There are a variety of monthly audits undertaken by the manager to assess the quality of service provision. These consider catering, health and safety, environment, medication and care plans for example. Where the need for improvement is identified the audits contain an action plan. The manager has been able to evidence that improvements are made as a result of these audits. For example the exterior of the building scored 50 as improved fencing had been identified as required. This has since been provided. All other areas assessed internally are high scoring. There is also a life cycle replacement programme in place for the renewal of equipment. Regulation 26 visits are in addition being carried out. These are monitoring visits carried out by a senior manager and the outcomes are being provided in a written report to the Commission for Social Care Inspection. The Manager also stated that she is benefiting from more regular supervisions although the records were not available to evidence this. Written feedback has been obtained from service
Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 19 users, relatives and professionals about the performance of the home and the quality of service provided. The results have been collated and feedback to service users which is good practice. The outcomes of the surveys show a very high level of satisfaction. One service user made one or two constructive comments for improvement. The manager must ensure that these are considered, included in a plan of action and acted upon with evidence. Service users had been informed of this announced inspection. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30
STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Regis House Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x DS0000056464.V264820.R01.S.doc Version 5.0 Page 21 Yes 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 YA6 Regulation 13(1)(b) Requirement Advice must be sought, from the Continence nurse in respect of ‘G’. The advice must be recorded and implemented in a care plan. This is an unmet requirement since January 2004 Not assessed at January 2006. The manager must evidence that residents are party to the care planning process and that they and / or their representative agrees to the care plan put in place. Care plans must reflect the holistic needs of the resident and must describe any restrictions on choice or freedom. This is an unmet
Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 22 Timescale for action 28/02/06 2 YA6 12(2) 31/03/06 requirement since October 2003 Not assessed at January 2006. Activities provided must correlate to the plan of activity for each resident. Activities internal and external to the home must be extended in line with residents’ individually assessed and recorded interests and preferences. This is an unmet requirement since January 2004 Not assessed at January 2006. Control measures within risk assessments to pro actively limit the risk of falls must be expanded New Requirement at June 2005 Not assessed at January 2006. The preferred rising and retiring times of each service user must be recorded in their individual plan of care. New Requirement at June 2005. Not assessed at January 2006. All service users must be offered as a minimum annual routine health
DS0000056464.V264820.R01.S.doc 3 YA6 16(2)(m)(N 15 31/03/06 4 YA9 13(4)(b)(c) 28/02/06 5 YA18 12 28/02/06 6 YA19 12, 13 28/02/06 Regis House Version 5.0 Page 23 screening e.g. sight, hearing, dentist, breast / testicular screening and specific medical screening as assessed as required for each service user. Improvements must be made in respect of care planning for routine health screening for all service users. Record keeping must be reviewed to ensure easy access to records of health appointments kept including their outcome etc. New Requirement at June 2005. Not assessed at January 2006 Written guidance in respect of ‘as required’ medication must be obtained from the G.P. This is an unmet requirement from October 2003 Not assessed at January 2006. The manager must ensure that the recommendations of the pharmacist proving support visits are implemented. New Requirement at June 2005 Not assessed at
Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 24 7 YA20 13(2) 31/01/06 8 YA20 13(2) 31/01/06 January 2006. 9 YA21 15, 12 The home must sensitively seek and record the wishes of residents in respect of terminal care and death including observance of religious and cultural customs. This is an part met requirement since January 2004 Judged as part met at January 2006 – views of those able to express an opinion have been sought. The manager must review practice where residents currently do not sign for their own financial transactions but may be able to do so. 31/03/06 10 YA23 16(2)(l) 20 31/01/06 11 YA24 This requirement was made in August 2004 and was not met at January 2006. 13(4)23(2)(a)13(1)(b The manager is required to follow up the referral made for an assessment of the environment and in particular R.C’s use of the stairs by an Occupational Therapist. (At Jan 05 the requirement was to make the referral. This has been met but the service not supplied therefore the requirement has been amended to follow up the referral) 28/02/06 Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 25 12 YA24 23(2)(b)(d) Not assessed at January 2006. The Manager must ensure that refitting / improvement to the ground floor bathroom is included in the written maintenance and renewal programme with target dates set. New Requirement at June 2005. 28/02/06 13 YA35 18(1)(a) Not Met at January 2006 – refurbishment agreed by provider in principle - no target date set for renewal. Date for renewal / refurbishment must be set by 28/02/06 28/02/06 Learning Disability Award Framework induction and Foundation training must be sought and provided within timescales. New Requirement at June 2005. Not assessed at January 2006. Staff must receive supervision at least 6 times per year. (At June 2005 on target for some staff) This is an unmet requirement since August 2004 Not assessed at January 2006. A policy on lone working must be devised and associated procedures adopted following risk
DS0000056464.V264820.R01.S.doc 14 YA36 18(2) 30/06/06 15 YA42 12(1)(a)(b) 31/03/06 Regis House Version 5.0 Page 26 assessment. (At June 05 risk assessment put in place) This is an unmet requirement since October 2003 Not assessed at January 2006. A water bacteriological test must be carried out. This is an unmet requirement since October 2003 17 YA43 10(1) 9(2) The manager must receive supervision. (1 session evidenced for Nov 04 – 6 must be evidenced by Nov 05) (At June 2005 – 2 supervisions provided since December 2003 e.g Dec 03 and Nov 04) This is an unmet requirement since October 2003 Records not available at January 2006 – not met. 30/06/06 16 YA42 13(4) 31/03/06 Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA31 YA35 YA35 YA37 Good Practice Recommendations The manager should ensure that all staff are issued with job descriptions and that there is evidence of this. All staff should receive training in disability equality training(from a disabled trainer), race equality and antiracism training. The home should employ Learning Disability Award Framework training (LDAF) to provide underpinning knowledge for NVQ training. The Manager should undertake the Intermediate Food Hygiene Award. Regis House DS0000056464.V264820.R01.S.doc Version 5.0 Page 28 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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