Inspection on 22/11/06 for Sea View Lodge

This inspection was carried out on 22nd November 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sea View Lodge 04/08/09

Sea View Lodge 18/05/09

Sea View Lodge 19/06/08

Sea View Lodge 26/06/07

Sea View Lodge 23/06/06

Sea View Lodge 02/03/06

Sea View Lodge 31/05/05

Sea View Lodge 14/12/04

Sea View Lodge 30/03/04

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Insight - Eastchurch

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Dovedale Court

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

CARE HOME ADULTS 18-65 Sea View Lodge 116 Central Parade Herne Bay Kent CT6 5JN Lead Inspector Joseph Harris Key Unannounced Inspection 22nd November 2006 09:30 Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 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 Sea View Lodge DS0000023424.V314407.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 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. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sea View Lodge Address 116 Central Parade Herne Bay Kent CT6 5JN 01227 375253 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) Mr Shahid Sheikh Mrs Nelofar Sheikh Mr Shahid Majeed Sheikh Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 2006 Brief Description of the Service: Sea View Lodge is a 10-bedded home for people with learning disabilities in the town of Herne Bay. The house is located on the seafront close to the pier and a short distance from the centre of town with a good range of amenities and facilities. There are reasonable public transport from the town including bus routes and a train station. The home is set out over two floors. The ground floor mainly comprising of communal space with two bedrooms and the first floor consisting of bedrooms and toilets/bathing facilities. There is adequate communal space throughout the home with more space available following refurbishment. There is a small, enclosed courtyard to the rear of the home and a larger paved area with parking space to the front of the home. The current fees for the service at the time of the visit range from £398 to £560. Information on the home services and the CSCI reports for prospective service users will be detailed in the statement of purpose and service user guide. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place on 22nd November 2006 starting at 10am and finishing at 3.30pm. During the course of the visit the inspector spoke to all service users present in the home and the staff on duty. The registered manager was not present. A range of documentation was viewed including records relating to service users, staff and the day-to-day running of the business. A tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: There is 1 requirement and 5 recommendations resulting from this inspection process. The requirement is in relation to the introduction of an induction process in line with the Skills for Care Common Induction Standards. This was not able to be fully assessed at the time of the inspection and will be examined in detail at the next inspection. The 5 recommendations related to issues that are in the process of being addressed. These include the provision of activities of an occupational and educational nature for those that wish to participate and in continuing to Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 6 review the range of leisure activities available in the home, particularly for those individuals which are less able to access external resources. It is also recommended that staff working in the home are supported and encouraged to work towards LDAF and NVQ awards and that staffing numbers remain under review whilst occupancy levels increase. 1 further recommendation was made to review the safety of the step leading down from the kitchen to the rear annexe of the home to enable ease of access for service users with reduced mobility. 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. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 7 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 Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 8 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): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users individual aspirations and needs are assessed prior to admission. EVIDENCE: The registered manager has developed improved processes for the assessment of service users referred to the home. There has been one new admission since the last inspection and the individual service user plan for this individual was examined. It demonstrated that a clear and thorough assessment had taken place prior to moving into the home. Information was on file provided by the care manager and care team including background information, the most recent care plan and risk assessments. The registered manager had also completed the home’s own assessment form, which covers the needs and aspirations of the service user in good detail. There was also the opportunity to speak with the service user’s care manager who stated that she was pleased with the progress made and the quality of care in the home adding that the staff in the home have worked closely with the care team to ensure that appropriate boundaries have been adhered to and the programme of care has been followed. Adequate information was also on file in respect of the service users living in the home wit updated care planning information and assessments in place. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 9 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): 6, 7 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have an individual plan of care developed. Residents are able to make decisions affecting their lives. Individuals are supported to take responsible risks. EVIDENCE: 3 individual service user files were examined during the visit all of which contained adequate plans of care addressing individual needs. A pen portrait has been developed providing a good overview of each service users general needs, likes and other relevant information. A plan of care has also been developed addressing needs and aspirations in adequate detail, containing sufficient guidance for staff to consistently meet individual needs. The plans are hand written and were, at times, difficult to decipher, which may bear some consideration. All plans showed evidence of regular review. Service users spoken to stated that they felt enabled to make decisions regarding their day-to-day lives. Where restrictions on individual actions or Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 10 decisions are made these are in conjunction with the professional care team and service users and clearly documented. Service users are supported to manage their own finances commensurate with their skills and abilities in this area. The provider does act as an appointee for some individuals, but all resident finances are managed within individual accounts and clear records are maintained in respect of all transactions. The registered manager has continued to develop the risk management process and adequate risk assessments were in place within all service user files viewed. The risk assessments were individualised and linked to the care management information on file. The nature of the assessments were positive and designed to enable service users rather than restrict and limit actions. The risk assessments showed evidence of regular review. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 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): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users have opportunities to participate in appropriate leisure and occupational activities in the home and wider community. Standards 15, 16 and 17 were fully assessed at the previous inspection. A summary of that information is included. EVIDENCE: A number of the service users attend local day centres up to 5 times per week providing the opportunity to participate in educational and occupational activities. The registered manager has discussed additional activities with some of the older service users, but due to reduced mobility and individual choices they have decided at this time that they do not wish to attend any external groups. Discussions were held with these individuals who confirmed that they are happy with current opportunities available to them in the home. One resident said, “I don’t get out anymore, but I don’t want to, I’m happy staying in with my friends.” Nevertheless it is advised that this situation should be kept Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 12 under review and further discussed with the residents concerned at regular intervals. Refer to recommendation 1. Service users stated that they had activities in the home that they were happy to participate in including cross-stitch, arts and crafts, cooking, going out for walks, listening to music, watching television and seasonal events. Similarly, the range of available and structured activities in the home should be kept under review to ensure that residents have the opportunity to participate in alternative pastimes should they wish to do so. It was noted that this had been discussed in resident meetings and should remain as a regular agenda item. Refer to recommendation 2. Service users stated that any friends and family are welcomed into the home, although it was also reported that not many people have a great deal of visitors. One resident said “This is my family, we’re all friends and we get on very well.” She went on to add, “It would be nice to have some new people move in though.” Service users confirmed that staff respect their individual rights and freedom. “The staff are lovely, they help whenever I need anything.” Staff were observed to be respectful of individuals space and spoke to residents in a caring and thoughtful manner. All service user’s rooms are lockable, but noone chooses to lock their rooms. Residents can take part in household tasks if they wish to do so and some have regular tasks that they choose to take part in. Menu records were viewed, which show that a healthy, balanced diet is provided. A good range of food was available in the home including fresh fruit and vegetables along with a range of reasonable quality frozen foods and other non-perishables. All of the service users commented that the food was good and that they could choose what they wanted to eat if they did not like what was on the menu. Mealtimes are taken in an unhurried and relaxed atmosphere and service users can choose when and where to eat. Staff also showed an awareness of the likes and dislikes of service users in this regard and of any specific nutritional needs. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 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): 18, 19 and 20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users health care needs are met. Medication processes are well managed. Standard 18 was fully assessed at the previous inspection. A summary of that information is included. EVIDENCE: There was clear evidence that the healthcare needs of service users are met. All appointments and consultations are recorded with any outcomes or actions documented. Letters of appointment are retained on file and corresponded with other records kept. Service users stated that they felt if they had a healthcare problem the staff in the home would support them and deal with it appropriately. Complimentary healthcare needs are met such as visits from a chiropodist, to dentists and opticians etc. One healthcare professional visiting the home said that, “Mr Sheikh (registered manager) works positively with us and is willing to take on new ideas. We’ve found the care to be excellent and staff follow the structured plans.” Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 14 Medication records and storage facilities were reviewed and demonstrated that safe working practices in this area are adhered to. Staff have received training in basic administration techniques and all of the care workers are trained nurses from China. The home has adequate policies and procedures in place, which should remain under review in line with current practice and guidance. Staff provide service users with sensitive and dignified personal support. It was evident in discussion with two of the staff on duty that they have a good awareness of the individual personal support needs and preferences of each of the service users. The service user plans, although in need of some updating, satisfactorily address the main care needs of residents and provide clear guidance on the methods by which people wish to be assisted. One service user said “The staff are very helpful and they help me with my bath when I need it.” Another resident stated that “We very happy, we get everything we need.” Service users can choose when they get up and go to bed and there is a reasonable level of flexibility within the daily routines to enable freedom of choice. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 15 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 and 23 Standards 22 and 23 were assessed at the previous inspection. A summary of that information is included. EVIDENCE: There is an adequate complaints process in place covering all relevant topics. A copy of this is provided in the service user’s guide and is on display within the home. It was reported that there have been no complaints since the last inspection. A complaints book is in place to record issues of note and demonstrate the actions taken. Service users stated that they felt comfortable in raising concerns with the registered manager and staff. The home has adequate policies and procedures in place addressing issues of abuse and adult protection, which include a whistle-blowing policy. Issues of abuse are addressed through the induction process. Two staff have attended courses recently covering adult protection issues and abuse awareness. In discussion with staff there was a reasonable awareness of what action would be required should they witness or suspect abuse. Policies and practices with regard to the handling of service users money and valuables, safe storage and access to records is adequate. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 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): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is comfortable and safe. The home is clean and hygienic. EVIDENCE: A tour of the premises was undertaken, which demonstrated that the home has been well-maintained, is comfortable and homely. Further work has continued in updating the environment including additional redecoration and the installing of some radiator covers. There was also evidence that some furniture has now been replaced. It was noted that there is a step down from the kitchen to the rear annexe of the home, which may now pose a health and safety risk for the service users that live on the ground floor due to their reduced mobility. It is advised that this should be reviewed and consideration for a graded incline or ramp being fitted if practicable. Refer to recommendation 3. The home was in a state of good repair, clean, hygienic and free from offensive odours. The laundry facilities have been updated and provide a more hygienic Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 17 and appropriate setting. Staff have a good awareness of infection control issues and policies and procedures are in place in relation to these issues. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 18 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, 33, 34 and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent staff. There is an effective staff team in adequate numbers. Staff receive adequate training. Standard 34 was fully assessed at the previous inspection. A summary of that information is included. EVIDENCE: The registered manager has employed staff through an overseas agency. All of the staff have achieved nursing qualifications in China and the registered manager has received written evidence stating that these staff members qualifications are equivalent to NVQ level 3. It was, nevertheless, advised at the previous inspection that care staff from overseas should be enabled to complete the Learning Disability Award Framework training and evidence was available that this is being instituted. Service users were very positive about the quality of the care staff making comments such as “the staff are lovely, they always have a smile on their faces” and “they help me whenever I need it, they are really good.” A visiting professional added that “I feel the staff are Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 19 very caring, they implement the plans of care we have worked on and keep us informed of any issues.” Discussions were held with both staff members on duty who have developed a good understanding of the needs of the service users, were seen to interact in a positive and caring manner and were aware of emergency procedures and other aspects of the day to day running of the home in the absence of the registered manager. It is recommended that all care staff continue to progress through the LDAF training with a view to commencing National Vocational Qualifications in the future. Refer to recommendation 4. There are two members of staff on duty at all times throughout the day and 1 sleep-in staff member at night. The registered manager has increased the staff compliment and there is now more flexibility within the home for staff to spend individual time with service users. It is important however that the number of staff remains under review as the level of occupancy increases. Refer to recommendation 5. The registered manager has worked positively to provide and update the training for all staff members working in the home. A range of courses have been offered through established training providers since the last inspection. All staff who have worked in the home for over 6 months have completed all mandatory training courses and additional training such as adult protection and medication training. Newer staff are currently being enabled to achieve these training targets and were attending mandatory training courses at the time of the inspection visit. It was not possible to fully assess the progress in respect of developing induction training in line with the Common Induction Standards, although staff reported that this work was on-going. This will be fully assessed at the next inspection visit. Recruitment processes are adequate and the majority of relevant information was retained on file. All documentation relating to the employment of overseas workers appeared to be in place and up to date. A CRB check for one member of staff was yet to be received, but evidence of a POVA check for this individual was on file. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 20 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): 37, 39 and42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. There are adequate quality monitoring systems in place. The health, safety and welfare of service users is promoted and protected. EVIDENCE: The registered manager has a number of years of experience owning and managing in the care setting and working with people with learning disabilities. He has achieved his NVQ level 4/RMA and has relevant qualifications in business management. The home does not have a formal system of quality assurance in place as the registered manager is also the homeowner. However, it could be demonstrated that plans are in place to develop the service and monitoring of aspects of the running of the home takes place. This was evident in regard to the Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 21 environment, documentation and future service developments. The registered manager has completed surveys of service user satisfaction and plans to compile these into a qualitative annual report. All records available in respect of health and safety issues in the home were seen to be up to date and well maintained. These included accident logs and fire safety records. Some records were not available for examination due to the registered manager not being present at the time of the visit. These records included service contracts and some safety certificates. Staff demonstrated a keen awareness of health and safety issues affecting the home and could demonstrate examples where appropriate action has been taken to preserve the welfare of individual service users. The home has adequate policies and procedures in place covering safe working practices, which are reviewed and updated on an annual basis. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 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 YA35 Regulation 18(1)(c) Requirement To introduce competency based induction training in line with the Skills for Care Common Induction Standards ensuring that all areas of the induction programme are covered within allotted timescales. Timescale for action 01/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA12 Good Practice Recommendations To continue to review the opportunities available for service users to participate in activities outside the home such as day centres, drop-in centres and colleges. To continue to review the range of leisure and recreational activities in the home. To review the safety of the step down from the kitchen to the annexe in relation to service user’s needs. 2. 3. YA14 YA24 Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 24 4. 5. YA32 YA33 To enable care staff to achieve LDAF qualification and progress towards NVQs in the future. To continue to keep staffing levels under review as the level of occupancy increases in the home. Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Sea View Lodge DS0000023424.V314407.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!