Inspection on 31/05/06 for Rosevilla Residential Home

This inspection was carried out on 31st May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Rosevilla Residential Home 14/11/07

Rosevilla Residential Home 19/01/06

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

CARE HOMES FOR OLDER PEOPLE Rosevilla Residential Home Penkford Lane Collins Green Burtonwood, Warrington Cheshire WA5 4EE Lead Inspector June Shimmin Key Unannounced Inspection 31st May 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 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. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Rosevilla Residential Home Address Penkford Lane Collins Green Burtonwood, Warrington Cheshire WA5 4EE 01925 228637 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) Rosevilla Residential Home Limited Care Home 31 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (31), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (4) Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 31 service users in the category DE(E) (Dementia over the age of 65) Up to 4 service users in the category MD(E) (Mental disorder, excluding learning disability or dementia, over the age of 65) may be accommodated within the maximum number of 31 Up to 5 service users in the category DE (Dementia under the age of 65) may be accommodated within the maximum number of 31 19th January 2006 Date of last inspection Brief Description of the Service: Rosevilla is a 31 bedded care home providing personal care only for older service users with dementia. It can also care for a smaller number of older and younger service users with mental health illness. The home is in Collins Green, on the outskirts of the village of Burtonwood and is not far from Warrington. Accommodation is provided on both floors. There are 15 first floor bedrooms and 16 bedrooms on the ground floor. Three bedrooms have en suite facilities. There are two lounges and two dining rooms. An extension is being built to accommodate Rosevilla Domestic Care Agency. This building work is expected to be completed within the near future. Specialist equipment is provided for service users with varying degrees of disability. There is a passenger lift. Part of the top floor is used as living accommodation for the owners who live on site. Rosevilla has well maintained gardens. There is adequate car parking. The home has an adapted minibus, which is used to transport service users and staff. Room prices ranged from £386 to £410. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took into account all the information gathered since the last inspection and included a site visit on 31st May, 2006. This site visit lasted six hours and was undertaken by June Shimmin, regulatory inspector. Feedback was given on 8th June, 2006. The son of the owners proposes to apply to the Commission for Social Care Inspection to become the registered manager. 29 residents were living in the home. Most areas of the home were visited. The inspector spoke to a number of residents, a relative, staff and management. Care plans were looked at, together with accident, recruitment and medication records. Written comment cards were received from residents and relatives. What the service does well: What has improved since the last inspection? The information leaflet (Statement of Purpose) has been updated to reflect management changes. More information is provided on admission about the social, cultural and family history of residents. The weight of residents is recorded on admission and kept under review. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 6 There has been some improvement in the standard of catering. There is more choice on the menu. Records are kept of medication received by the home. Rosevilla uses “blister packs” for the administration of medication, which is a safer system. The fire risk assessment has been reviewed. 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. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Rosevilla provides information about the home so that residents know what care and services they can expect. New residents are assessed prior to admission to ensure that Rosevilla can meet their needs. Standard 6 does not apply. EVIDENCE: The information leaflet (Statement of Purpose) has been updated since the last inspection. This reflects the change of management. The information provided in the information leaflet is clear and detailed. For instance, it advises residents and relatives about the complaints procedure and what is not included within the fees. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 9 The current manager assesses residents before they move into Rosevilla on a permanent basis. Two senior carers are learning to undertake assessments with the intention that all five senior carers will take part in this process. The proposed new registered manager said that he would also carry out assessments. Assessment documentation for two new residents was looked at. The content of the assessment was adequate but neither assessment was signed or dated. Social services had provided a detailed assessment of both residents. This gives the home additional information about the care needs of residents. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of care planning is not comprehensive as not all care needs are acknowledged or met. The further health care needs of residents are identified and advice sought promptly from health care professionals. Residents are treated with dignity and their right to privacy is upheld. EVIDENCE: The care plans of two residents who had recently been admitted to Rosevilla were looked at. In both cases the standard of care planning was unsatisfactory. The manager said that there were no residents from ethnic minorities living at the home. One resident had a skin problem, which was not included under the care plan for personal hygiene. There was no care plan for communication for visual and hearing impairments. The resident had also experienced a disturbed sleep pattern on at least three occasions but this had not been incorporated on a care plan. Daily records indicated that the resident had needs in relation to dementia and behavioural problems and there was no care plan for this. The resident had gained weight since admission to Rosevilla and the home is Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 11 commended for this. A care plan for continence did not reflect problems that had developed. Various risk assessments were provided but the moving and handling risk assessment or mobility care plan did not refer to two falls. The care plans had been reviewed and the comment “no change to care” recorded. However, the plans had not been updated to reflect changes in care needs. The second resident had a necrotic big toe although there was no care plan for this or indication about which toe was affected. Daily records indicated that the resident had been agitated and distressed since admission but there was no care plan addressing this need. There was no reference on the mobility care plan to a fall, which had necessitated a hospital visit. The resident also had poor eyesight and hearing but no care plans were provided. Again, there were no care plans to indicate how the resident`s dementia was to be managed. Various risk assessments were provided but the risk assessment for the prevention of pressure sores was incorrectly completed. The moving and handling risk assessment of a third resident who had sustained a fractured neck of femur following a fall was looked at. This was only partially completed and did not refer to previous falls. Care plans demonstrated that Rosevilla staff work closely with a number of health care professionals and refer any care needs promptly. Medication records were looked at and were fully completed. Rosevilla now uses a blister pack system for the administration of medication, which is safe and good practice. Care staff interacted in a positive and sensitive manner with residents. One resident commented “they`re all marvellous.” Staff respected the privacy and dignity of residents. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are able to keep in contact with family and friends. Social, cultural and recreational activities are not always provided. Residents do not always receive a balanced and wholesome diet. EVIDENCE: Rosevilla does not currently employ an activities organiser. There was no mention about the provision of activities in the information leaflet (Statement of Purpose). However, the proposed registered manager said that a member of staff had been identified to take over this role. He anticipated that the carer would be providing twenty hours a week for activities over five days and including weekends. The proposed activity organiser said that she was hoping to undertake special training for this role. Residents were listening to music in one lounge. The other lounge was quiet for those residents who did not wish to join in. An activities programme for the previous week was displayed in the hall. Advertised activities included reminiscence, singing, chair aerobics, old films, bingo, what the papers say, manicure and pedicure. The care plans provided a tick box to describe the activity a resident was engaged in. One Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 13 resident who was identified during the assessment process as having spiritual needs received communion every Sunday. The spiritual needs of other residents were also met. Rosevilla acknowledges the diversity of different religious groups. A board in the dining room recorded the day, date and weather which is good practice. Relatives are welcome to visit at any reasonable time of day. One relative commented that she had “no complaints whatsoever” and described the staff as being “marvellous.” The majority of rooms were locked during the day as several residents wandered into other residents` rooms. Residents could sit in one of two lounges. Only one resident stayed in her own room. Rosevilla has two dining rooms, which were comfortable and homely. The menus provided by the managers indicated that there was a choice if residents did not like the main course. The content of the menus indicated that there was a high content of carbohydrates and processed foods and little evidence of fresh fruit and vegetables. For instance, the evening meal, which was served at 4 15pm was bacon barm cakes followed by a chocolate roll. The alternative was sandwiches filled with a sandwich spread. The menu is displayed on boards in the dining room. Residents appeared to be enjoying the evening meal. One commented that the food was “alright.” Hot and cold drinks were available. Supper is provided between 7 30 and 8pm. The choice was toast, crumpets and biscuits. Information provided by the home before the site visit stated that breakfast was between 9 and 9 30am. This means that there is a period of over 12 hours between supper and breakfast, which is too long. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: Information provided by the home before the site visit indicated that the home had received two anonymous complaints. One complaint led to a visit by the CSCI on 1st February, 2006. The allegation was not proven but a requirement was made regarding recruitment practices. A separate report for this visit is available on request. The second complaint was also not proven. A further complaint has been received by Social Services which is currently still under investigation. Rosevilla has a complaints procedure, which is displayed in the entrance hallway and also in the information leaflet, (Statement of Purpose). However, two out of the six relatives who returned comment cards were unaware of the home`s complaints procedure. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 15 Eight care staff were booked to undertake training in adult protection during the following week. The proposed registered manager said that a second course was to be arranged for remaining staff to undertake this training. Two managers from the Rosevilla Domestic Care Agency are approved trainers in adult protection and will be taking on this role with home staff. Staff spoken to said that they had either done adult protection training or were on a course in the near future. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment. EVIDENCE: Since the last inspection a large extension has started to be built to accommodate the Rosevilla Domestic Care Agency. Although two rooms are not currently in use this has not had a negative impact on the lives of residents. Rosevilla still offers two separate lounges and dining rooms. Residents said that the building work had not interfered in their daily lives. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 17 A partial tour of the home demonstrated that high standards of hygiene and cleanliness were maintained. Although most bedroom doors were locked this was to prevent several residents going into other residents` rooms. Rosevilla is comfortable and homely and residents are able to personalise their own rooms. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff in the home are generally in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. Recruitment practices do not protect residents. EVIDENCE: Staffing levels were adequate for the needs of residents living in the home on the day of inspection. However, information provided by the home before the site visit did not include details about the hours worked by individual members of staff nor in what capacity they worked. Usually there are five staff on duty in the morning with a designated senior carer. This can drop to four staff if there is sickness or holidays. During the evening there are four staff. Rosevilla uses little or no agency staff, which is good practice. At night there is not always a senior carer on duty. The proposed registered manager said that this is to be reviewed and a senior carer will in future be rostered to work every night. A manager was also cooking all meals as the only cook employed by the home was not working. The proposed registered manager said that the manager acting as the cook had a basic food hygiene certificate and that he was hoping to recruit a further cook to cover for holidays and sickness. The current cook works a six day week. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 19 Information provided by the home before the site visit stated that 35 of staff have achieved NVQ level 2 or above. Two managers working for the Rosevilla Domestic Care Agency will assist with training and sourcing training for the care home staff. An NVQ trainer was visiting the home to arrange further training for seven staff. Staff said that they enjoyed working at Rosevilla and felt that staffing levels were adequate. The proposed registered manager said that Rosevilla was working in partnership with St Helen`s Chamber of Commerce to support people to return to work. Three new members of staff had been recruited on a 51 week placement, which would make the home overstaffed. The proposed registered manager said that the principles of equality and diversity are covered during the induction process. Recruitment records for two new starters were looked at. These were confusing because the starting date for both staff members was recorded as being before a preliminary check (POVA first) had been received from the Criminal Records Bureau (CRB). The proposed registered manager provided staffing rotas, which showed that these staff had not been rostered to work until after the POVA first check was received. The staff confirmed that they had not worked until that date. One staff member was working under supervision until an enhanced disclosure was received from the CRB. Both references for one staff member were from personal friends rather than one from the previous employer. Other recruitment documentation was satisfactory. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 39 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. Effective quality assurance systems are being developed. EVIDENCE: There has been a change of management since the last inspection. The senior members of the family who are currently responsible individual and registered manager are planning to become less involved in the management of Rosevilla. Their son is proposing to become the registered manager but his application has not yet been received. The son is already the registered manager of the Rosevilla Domestic Care Agency, which is now operating from the same premises as the care home. He is a first level Registered Mental Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 21 Health Nurse and has an honours degree in Health Studies. The home has also appointed a deputy manager for a three month trial period. Staff said that they are able to voice their opinions about the running of the home and that staff meetings are held on a regular basis. They also commented that the management team are accessible and approachable. Rosevilla has recently identified a private organisation to carry out a quality assurance assessment of the home. One new staff member had completed moving and handling training and the other had done it in her last job and had been shown how to use the hoist. Two of the managers of the Domestic Care Agency are qualified to train staff in this subject. The proposed registered manager said that two staff were to attend a four day first aid course so that there would always be a first aider on duty. Financial records for one resident were looked at and found to be satisfactory. Accident records were also maintained and copies kept of events that needed to be notified to the CSCI. Information provided by the home before the site visit indicated that all equipment and installations had been serviced and maintained within the last year. The owners also sent the CSCI copies of maintenance records. Fire records indicated that equipment was maintained and that staff undertook fire training. Two fire drills had taken place in March and May 2006 but it was not possible to check whether this included all staff as the home did not have a training matrix. Two new staff members had been told what to do in the event of a fire but had not participated in a fire drill. Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? yes 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 OP7 Regulation 15 Requirement Care plans must address all identified care needs. (Previous timescales of 25/12/2004, 9/8/2005 and 10/04/06 not met) Care plans must adequately describe the actions to be taken by staff to meet the care needs of service users. (Previous timescales of 25/12/04, 9/8/05 and 19/04/06 not met) Timescale for action 31/08/06 2. OP7 15 31/08/06 3. OP7 15 Care plans must be reviewed and 31/08/06 amended to meet the changing care needs of service users. (Previous timescales of 25/12/04, 9/8/05 and 19/04/06 not met) Risk assessments must be provided for residents at risk of falling, be completed fully and kept under review. The registered person must provide suitable, wholesome and nutritious food. (Previous timescale of 19/04/06 not met) DS0000066238.V290878.R01.S.doc 4. OP7 15 31/08/06 5. OP15 16 (i) 31/08/06 Rosevilla Residential Home Version 5.1 Page 24 6. OP29 19 Schedule 2 23 The registered person must obtain a written reference from the employee`s most recent employer. All staff must participate in a fire drill at least twice a year. 31/08/06 7. OP38 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. No. 1. 2. 3. 4. Refer to Standard OP3 OP12 OP15 OP15 Good Practice Recommendations Assessments should be signed and dated. A person should be appointed to provide social and cultural activities for residents. The registered person should seek advice from a dietician about the content and variety of food provided. The registered person should review mealtimes, especially the timing of the evening meal to ensure that there is less than a twelve hour gap between the evening meal and breakfast. An appropriately qualified person should be employed to cover for the cook when he is not working. There should always be a senior carer on duty at night. A minimum of 50 of care staff should achieve NVQ level 2 or equivalent. Care staff involved in developing care plans and risk assessments should undertake further training and their competence assessed. 5. 6. 7. 8. OP27 OP27 OP28 OP30 Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Rosevilla Residential Home DS0000066238.V290878.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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