Inspection on 09/11/05 for The Clitheroe Residential Care Home

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

The Clitheroe Residential Care... 26/02/09

The Clitheroe Residential Care... 11/09/08

The Clitheroe Residential Care... 28/02/08

The Clitheroe Residential Care... 18/07/07

The Clitheroe Residential Care... 16/05/06

The Clitheroe Residential Care... 11/05/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Clitheroe Residential Care Home Eshton Terrace Clitheroe Lancashire BB7 1BQ Lead Inspector Mrs Keren Nicholls Unannounced Inspection 9th November 2005 9:45 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 The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Clitheroe Residential Care Home Address Eshton Terrace Clitheroe Lancashire BB7 1BQ 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) 01200 428891 01200 442166 admin@primecarehomes.co.uk Prime Care Homes Limited Mrs Dorothy Mary Bowen Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The double room that provides less than 16 sq meters of available space is converted into single occupancy once the room is vacated by one of the current occupants. The registered person to notify the Commission so that the overall registered numbers can be reduced to 27. 11th May 2005 Date of last inspection Brief Description of the Service: The Clitheroe provides 24-hour care and accommodation for 28 older people aged 65 years plus. Prime Care Homes Ltd owns the home, the responsible person for the company being Mr Mahmood Ahmad. Mrs Jean Wooff is the new registered manager. The house is a detached property located in a residential area, near to town centre shops and facilities and close to a bus route. There is a car park and enclosed patio area with garden seating at the front. Inside, the home provides bedroom accommodation on 3 floors, linked by a passenger lift. Altogether there are 18 single bedrooms (one with an en-suite) and 5 double bedrooms (with privacy screening). Various adaptations and equipment (such as handrails and toilet aids) are provided to assist service users with independence and mobility. There are 4 linked sitting areas, one of which is a conservatory, and two dining rooms. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection to be carried out to The Clitheroe care home during the inspection year from April 2005 to April 2006. The visit took place between 9:45am and 5:15pm (7.30 hours). During the visit the inspector spoke with eleven of the 26 people currently living at the home and two visitors. She also talked to the manager and staff and examined written information, including care and other records. Additionally, eleven residents and ten relatives/visitors returned cards with comments about the home. What the service does well: What has improved since the last inspection? The manager was registered with the Commission shortly after this inspection. She had started to review the policies and procedures, care records and care practice at the home. Several changes had been made, including ensuring that the range of activities for residents had improved and that risk assessments were carried out and recorded. The registered provider had ensured that maintenance and decoration of the house continued, so providing a pleasant environment for residents. A new staff room had been created, so staff no longer smoked downstairs. Staff breaks were staggered, so staff were always available for residents. The dining areas had changed, to provide better places for residents to enjoy their meals. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 6 In order to improve care practice and make sure residents were safe, staff had attended training courses in dementia care and fire safety and prevention. Arrangements had been made to ensure fire doors were closed. A new administrator had been appointed, to help with the paperwork and the smooth running of the home. New staff had been appointed, to ensure that the home was fully staffed at all times. 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 Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 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 The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 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, 2, 3 and 4 Residents did not have all the information they needed to make an informed choice about living at The Clitheroe, because the home’s Statement of Purpose and the Service User’s Guide were out of date and incomplete. Residents’ contracts also required review, to ensure that everyone knows what their rights and responsibilities are. The admission process needs to be improved, so that residents can be sure that their needs will be met by the home. EVIDENCE: The home’s Statement of Purpose and the Service User’s Guide had been under review for over 10 months. The information currently given to prospective residents was out of date, inaccurate and did not cover all the requirements of legislation (the Care Homes Regulations 2001) and the National Minimum Standards for Older People. Consequently, residents did not have the information they needed to make a fully informed decision about whether The Clitheroe was the right place for them to live. The manager and administrator explained that the review of residents’ contracts (terms and conditions of residence) had not been completed. Therefore, neither party was sure of their rights and responsibilities. A relative The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 9 of a person recently admitted thought they would have had a contract, but could not remember the terms and conditions. No one was sure about arrangements for insurance of resident’s belongings. The inspector gave the manager and administrator advice about how to ensure that such documents meet legislative and good practice requirements (such as in the National Minimum Standards and the Office of Fair Trading “Guidance on unfair terms in care home contracts”. There was some confusion regarding confirming in writing to prospective residents that, following assessment, the home could meet their needs. A recent admission highlighted the importance of this: Although an assessment had been conducted it was found on admission that toilet facilities were not suitable and the assessment and plan for mobility was inadequate, so staff were experiencing difficulty in meeting this person’s needs. The recently arranged physiotherapist assessment should have been carried out prior to admission, so that staff had a proper plan of care to follow. Following assessment of a prospective resident’s health and welfare needs, the manager must write to the resident (and if appropriate their representative) to explain that the care home is suitable to meet their needs. This is so that residents can be confident that all their needs will be properly and fully met. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 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 Progress had been made in ensuring that the health, personal and social care needs of residents were identified and met. Practice at the home ensured that residents were treated with respect and privacy was upheld. EVIDENCE: The manager was in the process of reviewing care plans. Requirements and recommendations from the previous inspection had been met - she had conducted risk assessments for the non-use of wheelchair footrests and risk of falls; and included details of oral health and nutritional assessment in care plans. The manager said she intended to further develop care plan recording and had a framework in place for individual files. Some recommendations regarding medication could not be confirmed. All the residents spoken with said that they thought the home met their healthcare and personal needs well, although staff had concerns about one person. Residents said staff respected their privacy when assisting with personal care and had privacy in their bedrooms. Several people commented that they felt well cared for and had a high regard for staff attitudes. The importance of dignity was noted in procedures and training records and staff were seen to treat and speak to residents with respect. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 11 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 and 14 Flexible routines enabled lifestyle choices. Social activities within the home provided daily variety and interest. Staff encouraged residents’ contact with family and the local community. EVIDENCE: Residents said there was flexibility and choice about daily living activities such as when to get up, go to bed, have a bath etc. Help with personal care varied according to individual need and choice. Residents said that inevitably those needing more care had less flexibility, as they were reliant on staff availability, but were satisfied that choices were the best possible under the circumstances. Residents said they kept in close contact with family and friends and thought that the home was “friendly”. Visitors said that staff made them feel welcome and offered refreshment. Several commented the overall care was satisfactory. The range of activities in the home had improved. Residents said they enjoyed exercises to music, games of dominoes and bingo, puzzles and crosswords, videos, knitting and watching TV. Birthdays were celebrated and a ‘sweet’ party planned. Residents were pleased there were arrangements for them to purchase poppies for Remembrance Day and appreciated the Salvation Army visits. Advice was given about obtaining reminiscence items and other equipment suitable for people with cognitive or sensory impairment. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 12 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 Complaints were properly investigated and recorded according to the home’s procedure. The adult protection procedures did not detail an appropriate response to suspicion or evidence of abuse and should be amended. EVIDENCE: Records showed that thorough investigation had been conducted within appropriate timescales. The procedure needed amending so residents knew they could contact the Commission at any time if they so wished. It was recommended that a complaint ‘log’ be kept. Residents said if they had any complaints or concerns they would talk to the manager, who was thought to be very approachable and would listen to what they had to say. Several residents were keen to say they did not have any concerns or complaints and that they were very happy with the home. The home had policies and procedures that protected residents’ financial affairs and ‘whistle blowers’. Good recruitment procedures further protected residents. The manager should ensure that the adult protection procedure specifies how and when to contact the appropriate authorities, in line with ‘No Secrets in Lancashire’ guidance. Staff had received in house training in protection issues and some staff had covered this topic during NVQ training. It was recommended that the manager makes sure all staff have documented training regarding protection issues, including explaining referrals to the Protection of Vulnerable Adults register. Residents commented that they felt safe and said they had no current concerns regarding any protection issues. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 13 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): 22 and 26 The communal areas of the home had satisfactory standards of cleanliness, décor and furnishing. Aids and adaptations helped residents with mobility and independence. There were no obvious hazards to safety. The building and grounds were maintained in good order, providing a safe environment. EVIDENCE: The communal areas were clean and residents were satisfied with the standard of accommodation. Bedrooms were not inspected, but several people said they liked their private rooms, which they could use at any time. The manager had rearranged the dining spaces and one resident said it was better. There were satisfactory laundry arrangements. Aids and adaptations to help residents with mobility and independence included personal items (such as wheelchairs and hoists) and corridor handrails, toilet aids, a passenger lift and outside ramps. Some residents had had an OT assessment. The lift is due to be replaced. There were problems of comfort and dignity for two residents who used hoists. There were no suitable toilets and these residents had to use their bedroom commodes. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 14 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): 28 and 29 Recent recruitment had provided sufficient numbers of staff to meet residents’ needs. The manager promoted training, to ensure that staff had the skills to do their jobs. Everyone having regular contact with residents must undergo the home’s robust recruitment process. EVIDENCE: New staff had been recruited and sufficient numbers were on rota to meet the needs of residents, although two people commented that they did not think there were always sufficient numbers of staff on duty. Residents spoken with were very complimentary about the staff. They said they liked the staff very much and thought they were “kind”, “patient” and “friendly” and generally commented that they felt well cared for. The manager had created a staff room and rearranged staff breaks, so there was always a staff member around, should residents need attention. An inspection of records and discussion with staff showed that good progress was being made in training. 42 of care staff were qualified to NVQ level 2 or above and the majority of staff had undertaken recent fire safety and ‘optical awareness’ training. The dementia care training had been helpful in meeting the needs of cognitively impaired residents. A new person had completed a comprehensive induction programme. To properly protect residents, the manager must ensure that the handyperson undergoes the same thorough recruitment checks as all the staff. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 15 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): 34, 35 and 37 Good record keeping and financial accounting protected resident’s financial and other interests. Systems of staff appraisal and supervision underpinned safe care practice. The registered persons need to ensure that the quality of care is properly monitored according to legislative requirements. EVIDENCE: Residents said that they liked the registered manager and thought they could “ask her anything”. She made herself available to care for residents and to supervise care practice of staff. Residents said that the owner visited and they sometimes spoke to him. The manager had started formal appraisal and supervision with the staff, to ensure that the aims of the home were met and that staff were competent to care for the residents. The manager needs to ensure that supervision is recorded. A recently appointed administrator was assisting with management tasks and record keeping. The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 16 Ways in which to make records more accessible and understandable for residents and their representatives were discussed with the manager and administrator. It was suggested that the manager should look at the way in which some of the posters were worded. Font style and size is important for many older people and pictures and symbols often useful in helping understanding. Examples of current good practice regarding accessible documents were given to the home. Residents’ personal and financial records were well kept and most other records (for example fire, accident, staffing, visitors etc.) were properly kept and up to date. The home had appropriate public liability insurance. The manager should ensure that records of residents’ money or valuables deposited with the home for safekeeping is kept and that the ownership of items in the safe is ascertained. In order that the quality of care at The Clitheroe is properly monitored, the registered provider must ensure that he makes a written report of his regular visits, in accordance with the Care Homes Regulations. The provider should also provide evidence of business and financial planning for the next 12 months, including evidence of insurance cover for loss or damage to the assets of the business. The manager must ensure the requirement from the last inspection (about analysing the results of the quality monitoring survey) is carried out. She should also progress the recommendation that staff should receive training on safe working practices (including infection control). The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 17 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 1 2 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 X X X 2 X X X 3 STAFFING Standard No Score 27 X 28 2 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 2 3 X 2 X The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 18 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 OP1 Regulation 4 Requirement The registered person must complete the Statement of Purpose and give a copy to the CSCI. (Previous timescales of 30/1/05 and 30/6/05 not met). The registered person must complete the Service User’s Guide, give a copy to every service user and one to the CSCI. (Previous timescales of 30/1/05 and 30/6/05 not met). Accommodation must not be provided to residents unless their health and welfare assessment is in sufficient detail to ensure that the home can meet these needs. The manager must then write to the prospective resident to confirm whether or not his or her needs can be met in the home. The abuse procedures must be amended to state that the Social Services and the CSCI must initially be contacted in the event of an allegation and / or suspicion of abuse. (Previous timescale of 31/5/05 not met) The manager must ensure that thorough fitness checks are DS0000061349.V265459.R01.S.doc Timescale for action 30/11/05 2 OP1 5 30/11/05 3 OP3 14 09/11/05 4 OP18 13(6) 30/11/05 5 OP29 19(1)(3) 31/12/05 The Clitheroe Residential Care Home Version 5.0 Page 19 6 OP31 26 7 OP33 24(1)(2) 8 OP35 17(2) Sch 4.9(a)(b) carried out for the handyperson and for any other person working at the home who may have regular contact with service users. The registered provider must visit, interview (with consent) residents, their representatives and staff as necessary, inspect the premises and certain records, prepare a written report and provide a copy of the report every month to the registered manager and to the CSCI. (Previous timescale of 13/7/05 not met) The registered person must ensure that the results of the quality monitoring survey are analysed and used to influence service development. The residents and relatives and the CSCI must be informed of the outcome of such surveys. (Previous timescale of 31/7/05 not met). Detailed records and receipts and written acknowledgement of return must be kept for all money or valuables deposited with the home for safekeeping. 30/11/05 31/01/06 09/11/05 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 OP2 Good Practice Recommendations The manager should ensure that every resident has a written contract/statement of terms and conditions of residence at the point of moving into The Clitheroe (2.1). The contract should be written in plain and fair terms (see the Office of Fair Trading guidance) and include all the DS0000061349.V265459.R01.S.doc Version 5.0 Page 20 The Clitheroe Residential Care Home 2 OP4 3 4 OP9 OP9 5 OP9 6 7 OP12 OP16 8 OP18 9 10 11 12 13 OP22 OP28 OP30 OP34 OP34 points in 2.2 of this standard. A standard form of the contract must be included in the Service User’s Guide (see Requirement No. 2 above) The manager should be able to demonstrate that the home can meet the assessed needs of individuals (4.1). For example, by ensuring that toilet facilities are suitable and that if necessary, trained persons (such as occupational therapists or physiotherapists) carry out assessments for mobility by prior to admission. This recommendation carried forward from last inspection: The temperature of medication storage areas should be recorded on a regular basis (fridge temp recorded daily). This recommendation carried forward from last inspection: A list of staff authorised to administer medication should be kept together with a sample of their signature as it appears on the Medication Administration Record charts. This recommendation carried forward from last inspection: Medication reviews should be prompted on a regular basis and in line with the recommendations in the National Service Framework for Older People The manager should give particular consideration to activities and interests which are suitable for people with sensory and cognitive impairments (12.3) The complaints procedure should be amended to ensure that residents know they may contact the Commission at any stage, should they wish to do so (16.4). It is also recommended that the manager keeps a complaints ‘log’ in addition to the investigation reports and letters. The manager should ensure that all staff have documented training in protecting residents from abuse; in ensuring staff know how to implement the the home’s policies and procedures; and understanding the implications of referral to the Protection of Vulnerable Adults (POVA) register. For privacy, comfort and dignity, toilets should be installed which meet the assessed needs of residents who use hoists (22.4) The home should continue to work towards a minimum ratio of 50 of care staff trained to at least NVQ level 2 by the end of 2005 (28.1) This recommendation carried forward from last inspection: The home’s training programme should be in accordance with Skills for Care specifications The registered provider should provide evidence of insurance cover for loss or damage to the assets of the business (34.2) The registered person should make the business and financial plan for 2005 is available for inspection (34.5) DS0000061349.V265459.R01.S.doc Version 5.0 Page 21 The Clitheroe Residential Care Home Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 The Clitheroe Residential Care Home DS0000061349.V265459.R01.S.doc Version 5.0 Page 22 - 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!