Inspection on 03/04/07 for Teesside Cheshire Home

This inspection was carried out on 3rd April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Teesside Cheshire Home 14/09/09

Teesside Cheshire Home 20/12/05

Teesside Cheshire Home 07/06/05

Teesside Cheshire Home 20/12/04

Teesside Cheshire Home 25/06/04

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

Ann Charlton Lodge

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

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

CARE HOME ADULTS 18-65 Teesside Cheshire Home Marske Hall Redcar Road Marske-by-Sea Redcar TS11 6AA Lead Inspector Jane Bassett Key Unannounced Inspection 3rd April 2007 09:30 Teesside Cheshire Home DS0000000210.V334950.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 Teesside Cheshire Home DS0000000210.V334950.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. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Teesside Cheshire Home Address Marske Hall Redcar Road Marske-by-Sea Redcar TS11 6AA 01642 482672 01642 759973 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) www.leonard-cheshire.org.uk Leonard Cheshire Mrs Susan O`Brien Care Home 27 Category(ies) of Physical disability (27) registration, with number of places Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Eight named individuals who are aged 65 years and above are allowed to reside in the home. 20th December 2005 Date of last inspection Brief Description of the Service: Teesside Cheshire is a care home registered for 27 adults with a physical disability. Marske Hall is a grade 2 listed building situated in the centre of the village and is close to all local amenities such as pubs, leisure facilities, churches and shops. Transport facilities provide by the home are available to all residents. All rooms are single accommodation with ensuite toilet facilities. There is a passenger lift giving access to the first floor. The home offers a range of communal areas including the atrium with fishpond, conservatory, lounge and dining room. There are extensive grounds which are accessible and include an aviary. The home offers a exercise room / gym and an occupational therapy services in a large and well equipped room. The home currently charges fees from £470 to £1304 per week. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two days. During the visits the inspector spoke to six residents, six staff members and the manager. The inspector walked around the building and looked at documentation including resident files and staff records. The home submitted a pre inspection questionnaire. The inspector received responses to surveys from six residents and five relatives. The visits to the home lasted a total of eight hours. What the service does well: Discussions with residents and staff indicated that the home continues to provide a positive progressive atmosphere. Resident’s rights, choices and independence are promoted. There are a range of educational and social activities that are available and residents are encouraged to participate in the management and philosophy of the home and organisation. Documentation within the plans of care includes information in the resident’s own words as to their care needs and how these are to be met. Evidence was seen that indicated that all care needs are discussed and agreed with the resident themselves where applicable or they’re representative, promoting the rights, choices and independence of the residents. Comments received from residents and relatives included ‘allows service users to live their lives to the highest level, offering love, care and support’, ‘staff have the right attitude and very patient’ and ‘ I am happy with the care and support I receive’. The home provides a varied and nutritious menu, catering for resident’s preferences and specific diets. Residents who spoke to the inspector all commented on the good quality of meals provided. One said ‘the food is excellent’. Evidence seen indicated that a staff training programme is in place and includes both mandatory and service specific training. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Teesside Cheshire Home DS0000000210.V334950.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 Teesside Cheshire Home DS0000000210.V334950.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 2 & 4 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may use the service and their representatives have the information needed to choose a home which will meet their needs. EVIDENCE: The file of one service user recently admitted to the home was examined. This contained a pre admission assessment carried out by the manager, an assessment from the residents care manager and information from the hospital caring for the person at that time. The information gathered by the manager included details of all activities of daily living, medical history, social history, medication and dietary requirements giving a holistic view of the residents needs. The manager described the process of information gathering and pre admission visits that staff carry out. Where possible the resident and relatives are encouraged to visit and spend time at the home prior to admission. Teesside Cheshire Home DS0000000210.V334950.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 6, 7, 8, 9, & 10 were looked at. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: During the visit the inspector looked at three residents files. These were found to be well organised. Files were found to contain assessments; risk assessments and plans of care which contained information of need and how these are to be met, details of health professional contacts, visits and appointments. Documentation included information on individual residents skills and interests, goal plan record, personal profiles of residents that gave a life history and personal support records written whenever possible in the resident’s own words as to what their needs are and how they wished these to be met. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 10 Evidence, including regular reviews, was seen that indicated that plans of care had been discussed and agreed with residents or representatives. Review documentation included records of any unmet needs and residents feedback on how their care was given. Documentation included agreements with residents as to whom care needs can be discussed with. Further documentation recorded resident’s preferences as to gender of carer meeting their needs and management of personal finances. All documentation in relation to individual residents is kept discreetly within their own rooms. Files included a service user guide and information on resident’s rights to take risks. Responses in the surveys received by CSCI from residents and relatives confirmed communication was good and people were kept informed. Comments received included ‘the home provides excellent care and respect for service users’ and ‘ very good overall job, always helpful and friendly’. Residents who spoke to the inspector confirmed that their choices were respected and their independence was promoted. They confirmed that staff discuss their needs with them and their rights were respected. All staff who spoke to the inspector had a good knowledge of individual residents needs, preferences, choices and how these are met. The home uses a key worker system that promotes individual care of residents. Teesside Cheshire Home DS0000000210.V334950.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 11, 12, 13, 14, 15, 16, & 17 were looked at. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use services are able to make choices about their life style, and are supported to develop their life skills. Social, educational, and recreational activities meet individual’s expectations. EVIDENCE: The home employs staff who provide occupational therapy. As well as an occupational health room the home has recently developed an exercise / gym area with equipment such as parallel bars. Two residents who spoke to the inspector talked of recent holidays including trips to Kielder and exchanges with other Leonard Cheshire Homes. The inspector was told of plans to visit Spain and Dublin. A number of resident’s rooms were seen to contain computers, and other equipment that assisted with communication. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 12 Both residents and staff spoke of contact with the local community, including outings to the pub, shop, day centres, theatres, bingo and entertainment within the home etc. A number of residents were on a trip to Whitby on the first day of the inspection. There are plans for two of the residents to attend a garden party at Buckingham Palace during the summer. Comments received in the surveys returned to CSCI indicated people were happy with the social and leisure activities provided, however relatives realised that activities could be limited due to disabilities. A number of residents receive 1 to 1 time to pursue their individual social and leisure needs. Comments received indicated that this was ‘excellent’ but unfortunately limited by funding. Residents are encouraged to develop skills, one resident attends a college course, another is taking piano lessons. Staff told the inspector that the library visits regularly and there are links with local churches if residents wish to participate. The attached day centre continues to be used by local community groups, which residents can join if they so wish. The home has recently hosted an art exhibition. Meetings are held for residents both locally at the home and nationally by the Leonard Cheshire Organisation. Residents from the home attend and participate in both. Residents confirmed that visitors are encouraged and family and friends contacts are supported. One resident told the inspector that visitors were always made to feel welcome. The home has an eight-week menu that is available to all residents and displayed within the home. All residents who spoke to the inspector expressed their satisfaction with the variety of the meals provided. The inspector was told that alternatives were available to meet resident’s individual preferences and diets. Residents and relatives commented on the ‘ excellent food’ and ‘ tasty meals’. Staff who spoke to the inspector confirmed that residents were offered a variety of meals and were encouraged to make their preferences known. Teesside Cheshire Home DS0000000210.V334950.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 18, 19, & 20 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Staff were able to demonstrate through response to questions and observed interaction that they promote residents independence, whilst respecting peoples preferences and dignity. Responses in the surveys received by CSCI from residents and relatives included the following comments ‘ staff have the right attitude’, ‘staff are really good’ and staff provide excellent care and respect for service users’. During the inspection it was seen that medications are stored and recorded appropriately. The inspector was told that no resident wished to self medicate at this time. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 14 Evidence in the resident’s files indicated that they have access to GP’s and other health professionals such as dietician, speech therapist, chiropodist and physiotherapist as necessary. Residents who spoke to the inspector confirmed this. Teesside Cheshire Home DS0000000210.V334950.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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 22 & 23 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns, and have access to an effective complaints procedure, are protected from abuse and have their rights protected. EVIDENCE: The home has policies and procedures in relation to handling complaints and prevention of abuse. Information is contained in the service user guide available in each bedroom. All residents who spoke to the inspector confirmed that they were aware of how to raise any concerns. All spoke of their satisfaction with the care and support that they receive from all the staff at the home. Responses in the surveys received by CSCI from residents and relatives indicated people were aware of the complaints procedure and would know who to speak to if they had a concern. One relative commented ‘the manager was always quick to respond to issues’. Staff who spoke to the inspector confirmed that they had received training in relation to the prevention of abuse, ‘ no secrets’ and whistle blowing. All were able to describe the action they would take if a concern were raised. One staff member spoke of having access to and advocacy services if required. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 16 Information in the pre inspection questionnaire and from the manager indicated the home has received one concern in relation to the care provision. Evidence gathered indicated this had been investigated and actions taken. An adult protection referral was seen to be reported and handled appropriately. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 24, 25, 26, 27, 28, 29, & 30 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The layout of the home enables residents to live in a safe, well maintained and comfortable environment, which encourages independence. EVIDENCE: During the inspection the home was found to be clean, tidy and odour free. It was seen that the home offers a ‘homely’ and comfortable environment for residents. Communal areas include lounge, atrium, dining room, sunroom and occupational therapy room. Work has been completed to convert the sensory room into an exercise room / gym for residents use. The inspector was told the room is well used. One resident who spoke to the inspector confirmed this and said they had found the benefit of this facility. They said they felt it had helped with their mobility. All areas of the home are accessible to residents. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 18 Resident’s bedrooms seen were found to be personalised to taste, including decoration. The inspector was told more rooms are to be decorated and wallpaper has been purchased. Residents confirmed that decoration was their choice. Resident’s rooms were seen to include personal items of their choice including computers, stereos, activities, pictures, ornaments and furniture. Equipment such as overhead hoists are provided in a number of bedrooms if required by the resident. All bedrooms have ensuite toilet facilities. There are sufficient suitable bathing facilities to meet resident’s needs. A number of bedrooms contained notice boards to aide communication between staff, residents and relatives. The home has an alarm call system that allows residents to summon assistance; this has been augmented by the staff carrying mobile phones allowing then direct contact between themselves and the ability to speak to the GP from the resident’s own room. Work has begun to landscape the grounds to the rear of the building. This includes provision of suitable paths, raised beds, a large pond and decorative borders. It is hoped that the work will be finished in the near future. Comments received from residents and relatives included ‘ I am happy with my room, it is always nice and clean’, and ‘ the home is always clean’ Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 32, 33, 34, 35, & 36 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, and support the smooth running of the home. EVIDENCE: Residents who spoke to the inspector confirmed that there was sufficient staff to meet the needs and were happy with how this care was delivered. The manager told the inspector that additional staffing has been provided on a morning. Staff confirmed that they could meet the needs of the residents. A staffing rota was seen. This clearly indicated the staffing hours and 1:1 time allocated to individual residents. Staff who spoke to the inspector confirmed that this time was only used for that named individual. Comments received from residents and relatives indicated staff could be busy at times but there was usually sufficient to meet needs. Responses in the surveys received by CSCI from residents and relatives included the following comments‘ quality of staffing is excellent’ and ‘ staff have the right attitude and are very patient’. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 20 Staff who spent time with the inspector spoke of the induction and training that they receive which promotes the residents care. They all said that training was encouraged by the home and there were a wide variety of courses offered, including the NVQ, health and safety, first aid, fire safety, and moving and handling. Staff records seen confirmed staff participate in training. Information in the pre inspection questionnaire indicated 30 of care staff have achieved NVQ at level 2 or above. The home has recently employed a Volunteer Coordinator, whose role is assist with recruiting volunteers, ensure appropriate checks are carried out and supervise the volunteers. In discussion with the inspector he confirmed volunteers were used to enhance the social life and assist with the provision of leisure activities for the residents. Documentation in relation to recruitment was examined. This included the files of two care staff, the volunteer coordinator, and one volunteer. These were found to contain all the appropriate information including application form, interview record, two written references and CRB. Dates in the file of one care worker indicated that they had commenced work prior to receipt of a CRB. The manager told the inspector that they had not been involved in personal care and had taken part in induction training only. Dates on the staffing rota confirmed this. Evidence was also seen that indicated the PIN of qualified nursing staff are checked prior to employment and then at least annually. Staffing records also contained confirmation from agencies of satisfactory recruitment checks for any staff employed at the home from an agency. Two residents who spoke to the inspector confirmed that they participate in the interview and questioning of potential staff during the recruitment process. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 37, 39 42, & 43 were looked at. Quality in this outcome area is excellent. 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, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: All residents and staff who spoke to the inspector said that the manager of the home was open and approachable; they felt that the home was well run and they were supported. Issues raised were listened to and acted upon appropriately. One relative commented on the quick response to issues raised. One resident spoke of the Regulation 26 visits that take place and her opinion being sought as part of this process. The home produced a self-assessment report in March 2006. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 22 Residents are encouraged to participate in the management of the home. Two residents who spoke to the inspector confirmed they participate in recruitment interviews, attend meetings both locally and nationally and are part of the health and safety committee. Documentation seen indicated that the home and equipment are maintained as required, fire alarms are tested weekly, and hot water temperatures are checked and recorded. A recent health and safety audit carried out by the Leonard Cheshire Organisation highlighted no major issues. A first level nurse employed by the home has 7 hours allocated weekly to monitor and promote health and safety issues within the home. The home has developed individual evacuation plans for service users, taking into account their abilities and mobility in the event of a fire have been developed. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 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 3 26 3 27 3 28 3 29 4 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 3 LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 4 X 3 X X 4 4 Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 24 NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA32 YA34 Good Practice Recommendations The home should continue to work towards achieving 50 of care staff obtaining NVQ level 2 or above. The date that staff commence providing personal care should be recorded to confirm that this is not prior to reciept of satisfactory CRB. Teesside Cheshire Home DS0000000210.V334950.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Teesside Cheshire Home DS0000000210.V334950.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. 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